Digital Commons Network^™

A Rare Case Of A Horseshoe Kidney With A Single Left-Sided Ureter Presented With Recurrent Urinary Tract Infection, Abdullah Ayed, Raed I. Alwadai, Assad A. Rezigalla

Saudi Medical Journal

The horseshoe kidney (HSK) is a common renal abnormality mostly asymptomatic. This may be linked to chromosomal and organ anomalies. A 27-year-old male patient presented with mild recurrent lower abdominal pain associated with dysuria. No history of renal disease. Laboratory investigations revealed red blood cells (RBC), white blood cells (WBC), and bacterial growth in the urine. A CT urogram showed an HSK with a unilateral left-sided ureter. The patient was diagnosed with a urinary tract infection (UTI) and managed with regular follow-up. This report describes a rare case of an HSK with a unilateral left-sided, typically implanted ureter and highlights …

The Shadow Defendants, Mariam A. Hinds

Faculty Scholarship

Although the overrepresentation of men, specifically Black men and men of color, in the criminal legal system is well documented, the people who support these men, especially women, have garnered less attention. Women who are proximate to system-involved men—mothers, grandmothers, sisters, daughters, girlfriends, and wives—are invisible actors in the criminal legal system who perform critical tasks and provide essential support. They appear in court to demonstrate a person’s family and community ties, use their assets as collateral for bail, deposit money in commissary accounts, maintain social ties during imprisonment through letters and visits, and bear the burden of filling the …

Commentary On Capture, Redesign, Release: Market Structure Or Charter Structure In Vice Markets?, Zephyr Teachout

Faculty Scholarship

This essay evaluates Taparia and Buchanan’s proposal to address the social costs of addiction-driven industries through a “capture, redesign, release” framework, under which government would exercise eminent domain to acquire tobacco firms and restructure them as purpose-driven corporations. The commentary argues that, while innovative, the proposal raises serious constitutional and corporate law concerns. First, the reliance on eminent domain is vulnerable under the Takings Clause, particularly given the Roberts Court’s likely skepticism toward expansive readings of Kelo v. City of New London. Second, the plan to prohibit corporate marketing and lobbying as part of a redesigned charter would almost …

Promise And Limits Of Total Governance: A Response To Professors Gramitto Ricci And Greenwood, Atinuke O. Adediran

Faculty Scholarship

In their article, Total Governance, Professors Gramitto Ricci and Greenwood theorize about how to increase the power and influence of ordinary individual shareholders who do not have a lot of wealth. The total governance framework has some promise for increasing the influence of ordinary people in corporate governance. It also raises questions about treating corporate actors as monoliths: managers, boards of directors, shareholders, and stakeholders. This brief response, however, takes the position of a skeptic who recognizes the theoretical potential of the total governance framework while highlighting the shortcomings of the concept for corporate governance.

Federal Open Data As An Artificial Intelligence Resource, Erik Stallman, Aniket Kesari

Faculty Scholarship

In the 2010s, the open government data movement—a confluence of government transparency and open source advocacy—succeeded in making most federal data disclosed by default and free of restriction on downstream use. However, keen-eyed observers noted a “new ambiguity” in open government data policies.

Sharing The Tuna Platter: A Uniform System Of Assessment For Clinical Education, Melina Healey

Scholarly Works

Legal education’s current methods for the measurement of student achievement in clinics, and the measurement of a clinic course’s effectiveness, are often unsatisfying, unreliable, and incomplete. This article presents a methodology for uniform and integrated systems of assessment across clinical programs that can provide more reliable evaluation of student progress and achievement, and better feedback to clinical programs on their effectiveness. It also shares how Touro University Jacob D. Fuchsberg Law Center’s Clinical Program applied these strategies with both success and challenges.

App Assisted Depression Self-Management In Integrated Primary Care: A Pilot Study Exploring Patient And Provider Experiences, David J. Johnson, Margaret R. Emerson, Danae Dinkel, Robbin Thomas, Shinobu Watanabe-Galloway, Maria S. Mickles, Carli Culjat

Journal Articles: Epidemiology

The integrated primary care (IPC) setting is currently the de facto institution for accessing mental healthcare among underserved populations. However, many barriers exist for these populations when seeking regular and adequate mental healthcare, including provider availability and transportation challenges. This study piloted the incorporation of mindLAMP, a mHealth app, into IPC treatment to offer a low-resource intervention designed to improve and expand access to mental healthcare for underserved patients between face-to-face visits. This study gathered data from a sample of both behavioral health providers and patients (N = 6) in IPC settings to pilot the use of the mindLAMP app …

Sars-Cov-2 Genomic Surveillance Using Self-Collected Saliva Specimens During Occupational Testing Programs, Andy T. Schnaubelt, David Brett-Major, Janet Williamson, Bailey Barcal, Julie Carstens, Ashley Peer, Michael R. Wiley, M. Jana Broadhurst

Journal Articles: Epidemiology

Continually emerging SARS-CoV-2 variants pose challenges to clinical and public health interventions, necessitating sustainable approaches to real-time variant monitoring. This case study describes an innovative SARS-CoV-2 screening and surveillance program that demonstrates the utility of sequencing-based variant monitoring using self-collected saliva specimens. We conducted saliva-based SARS-CoV-2 screening in occupational settings in Omaha, Nebraska from December 2021 through November 2022. 8,372 saliva specimens collected from 1,480 participants were tested for SARS-CoV-2 RNA by extraction-free PCR, with 334 positive samples referred for whole-genome sequencing analysis. Program utilization, quality metrics, and sequencing outputs were compared across sites. Specimen quality was high across program …

Quantifying The Public Health Impact Of Lyme Disease In Minnesota: A Simulation Analysis Of Reported And Unreported Cases, Kathleen Angell, M. Jana Broadhurst, Jianghu James Dong, Tzeyu L. Michaud, Abraham Degarege, Roberto Cortinas, David Brett-Major

Journal Articles: Epidemiology

Background: Lyme disease, the most common vector-borne disease in Minnesota, is estimated to be underreported by a factor of 10. Delayed diagnosis and misdiagnosis may lead to health complications and increased personal and societal costs. Environmental factors can help to predict high disease years, allowing for early intervention to decrease disease burden. Objective: To estimate the health and cost burdens of Lyme disease and the extent to which they could be diminished by public health intervention when high-incidence Lyme disease years are forecasted. Methods: We used 5 two-dimensional Monte Carlo simulations to estimate (1) average annual expected burden of Lyme …

Understanding The Pathogenesis Of Uveitis In Ebola Virus Disease Survivors: An Observational Cohort And Cross-Sectional Study Protocol For Clinical, Molecular Virologic And Immunologic Characterisation, Caleb D. Hartley, Susanne Linderman, Tolulope Fashina, Laura Ward, Carolyn Drews-Botsch, Catherine Pratt, Sanjana Kuthyar, Alcides Filho Fernandes, Ye Huang, Charlene Choo, Nam Nguyen, Jessica Carag, Jill Morgan, Colleen S. Kraft, Angela L. Hewlett, David Brett-Major, John S. Schieffelin, Robert F. Garry, Donald Grant, Grant A. Justin, Christopher D. Conrady, Justine R. Smith, Brent R. Hayek, Shiama Balendra, Nisha Acharya, Thuy Doan, Anais Legand, Pierre Formenty, Xiankun Zeng, Ibrahim Conteh, Matthew Jusu Vandy, Lloyd Harrison-Williams, Jalikatu Mustapha, Zikan Koroma, Michael R. Wiley, Ian Crozier, Jean-Claude Mwanza, Jessica G. Shantha, Rafi Ahmed, Steven Yeh, Smile And Evict-Vr Investigator Study Groups

Journal Articles: Epidemiology

INTRODUCTION: The 2013-2016 Western African outbreak of the Ebola virus disease (EVD), the largest recorded outbreak since the discovery of Ebola virus (EBOV) in 1976, destabilised local health systems and left thousands of survivors at risk for postacute sequelae, including vision-threatening uveitis. In an EVD survivor with severe panuveitis, the detection of persistent EBOV in the aqueous humour, long after clearance of acute viremia, focused clinical and research attention on the host-EBOV interaction in the unique terrain of ocular immune privilege. Despite the recognition that uveitis is common and consequential in EVD survivors, our understanding of pathogenesis is extremely limited, …

Courtly And Queer: Deconstruction, Desire, And Medieval French Literature, By Charlie Samuelson, Anna Klosowska

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Nascere. Il Parto Dalla Tarda Antichità All’Età Moderna Edited By Alessandra Foscati, Costanza Gislon Dopfel, And Antonella Parmeggiani, Marjolaine Raguin

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

The Fiduciary Code Of Capital And Climate Change, Seth Davis, Gregory Shaffer

Georgetown Law Faculty Publications and Other Works

Fiduciary law is part of the “code” for the management of capital, as Katharina Pistor has conceptualized law. Climate activists, attorneys, investors, and international organisations have turned to fiduciary law for legal solutions to the ongoing problem of inadequate corporate and state action in response to climate change. Our thesis is that the turn to fiduciary law by norm entrepreneurs is an attempt to encode a concern for climate change within the management of capital. We make two contributions to the literature on private law and climate change. First, we rigorously identify the features of fiduciary law that make it …

Revisiting Patent Linkage, John R. Thomas

Georgetown Law Faculty Publications and Other Works

Alfred Engelberg’s article of a quarter-century ago, Special Patent Provisions for Pharmaceuticals: Have They Outlived Their Usefulness?, raised a provocative question that retains currency today. The special provisions that Hatch-Waxman established, and Engelberg addressed, have come to be known as patent linkage. Following the principle of linkage, the Food and Drug Administration (FDA) cannot approve generic drugs for marketing if they would infringe a patent.

Hatch-Waxman’s complex patent provisions aspire towards multiple salutary purposes, including encouraging the prompt availability of generic drugs, improving public notice of pharmaceutical patents, and accelerating dispute resolution proceedings. Congress also attempted to ameliorate perceived …

Proximity And Density Of Tobacco Retail Locations To Kentucky Schools And The Relationship To Youth Perceptions Of Harm And Susceptibility To E-Cigarette Use, Hannah Cardona

Theses and Dissertations--Kinesiology and Health Promotion

Purpose: To explore the potential relationship between tobacco retailer proximity/density around Kentucky elementary, middle, and high schools, and students’ perceptions, perceived norms, susceptibility to, and use of e-cigarettes. Design: A mixed-methods analysis of youth’s self-reported survey results and geographical data. Setting: 106 Kentucky elementary, middle, and high schools which participated in #iCANendthetrend’s tobacco education program between September 2023 and May 2024. Subjects: Convenience sample of students from Ky schools (N = 7,823) Measures: Items assessing e-cigarette use, susceptibility, perceptions, and perceived norms. Analysis: ANOVA tests used to compare responses of elementary, middle, and high school students. Chi-squared tests were used …

Exploring College Students’ Motivation For Physical Activity: Applications Of Self-Determination Theory And The Role Of Health And Wellness Education, Anne Russell Blevins

Theses and Dissertations--Kinesiology and Health Promotion

This dissertation includes three pieces of writing that aim to show the importance of physical activity for all ages but specifically college-aged students. The first piece of writing (Chapter 2) includes a teaching tip written for the Journal of Physical Education, Recreation, and Dance. Research has shown that dance was a subject of the past and many teachers did not feel comfortable teaching it. This practical piece was written to help show K-12 physical education teachers effective ways to involve students in physical activity specifically through teaching dance, mainly through using the “Teaching Dance for Understanding” model.

The second section …

The Effects Habitual Training Shoe Use Has On Running Economy When Transitioning To High Performance Running Shoes, Dalton C. Harris

Theses and Dissertations--Kinesiology and Health Promotion

Background: The recent increase in popularity of minimal shoes in endurance running is linked to potential improvements in running economy and reduced injury risk. However, high performance running shoes, specifically designed to improve running economy remain the fastest shoe to wear when racing. Purpose: Knowing this, the aim of this paper is to examine whether or not the habitual use of minimal shoes increases the benefits of the high performance shoes. This will guide practitioners and athletes when establishing shoe rotations and training plans during race preparation. Methods: The study consisted of 4 sessions: Sessions 1 and 2 were maximal …

Ai Characterisations And Their Legal Implications, Jerrold Tsin Howe Soh

Research Collection Yong Pung How School Of Law

This chapter examines the difficult legal characterisation problems that artificially intelligent systems raise and explores how different characterisations of artificial intelligence (AI) shape practical legal outcomes. Three reasons are offered for the legal difficulty with characterising AI. First, answers to characterisation problems are inherently subjective and perspective-driven, particularly when the subject is an intangible technological system. Second, AI technology is especially difficult to define since the field typically proceeds on inexact anthropomorphic metaphors. Third, AI characterisation problems raise difficult sub-problems, particularly in determining how autonomous an AI system is. The chapter thus argues that a range of plausible AI characterisations …

Financial Regulation, Aurelio Gurrea-Martinez, Nydia Remolina Leon

Research Collection Yong Pung How School Of Law

No abstract provided.

Short-Term Effect Of Water-Soluble Iodinated Contrast “Urografin” Used For Hysterosalpingography On Thyroid Profile, Mohamed Roshdi, Ahmed Mahmoud El Menayyer, Aya Mohamed Elbialy

Mansoura Medical Journal

Background: Lipiodol is one of the most used oil-soluble contrast media (OSCM) for hysterosalpingography (HSG). Particularly concerning are its long t1/2 in tissue (50 days) and high iodine concentration (480 mg/ml). Such high iodine content can cause either Wolff-Chaikoff effect (WCE) or hyperthyroidism (Jod-Basedow phenomena (JBP)), in particular in those who have pre-existing Graves' disease or multinodular goiter. Urografin is an ionic water-soluble contrast medium (WSCM) having lower iodine concentration (300 mg/ml). Our study aimed to evaluate the short-term influence of Urografin for HSG on thyroid function. Patients and Methods: Our study is a prospective one enrolling 49 women over …

Developing A Prognostic Panel In Hormone Receptor Positive Breast Cancer; An Immunohistochemical Study With Clinicopathological Correlation, Shaimaa M Yussif, Reham Naguib, Nahed Soliman

Mansoura Medical Journal

Introduction

Breast cancer is a heterogeneous disease with a wide range of clinical, histological, and molecular characteristics. Various diagnostic methods have been used to ascertain prognosis by evaluating various clinicopathological data, such as tumor size, nodal stage, hormone receptor status, and human epidermal growth factor 2 (HER2) status, metastasis, tumor grade and lymphovascular emboli. Accurate substratification of prognostic groups with varying clinical outcomes is needed. This is particularly valid for cases of hormone receptor-positive breast cancer. The purpose of this study is to examine the immunohistochemical expression of a set of markers in hormone positive breast carcinoma cases and test …

Medial Meniscus Posterior Root Tear. A Short-Term Intervention Study, Mohamed Aboelnour Badran, Mohamed H. Eltahery, Abdelrahman Elganiny, Roshdy Mostafa Elsallab

Mansoura Medical Journal

Objective To compare the short-term clinical outcomes of partial meniscectomy and anatomical root repair for medial meniscus posterior root tears (MMPRT) in terms of knee function, pain relief, and joint stability. Methods This prospective, randomized case-control study was conducted at Mansoura University’s Knee Surgery, Arthroscopy, and Sports Injuries Unit from February 2016 to August 2018. Sixty-three patients diagnosed with MMPRT were randomized into two groups: 30 underwent arthroscopic root repair (R group) with stable fixation, and 28 underwent partial meniscectomy (M group). Patient evaluation included preoperative and postoperative Knee Injury and Osteoarthritis Outcome Scores (KOOS) across pain, symptoms, activities of …

Clinical Features And Prognosis Of Acute Kidney Injury In Hospital-Admitted Patients With Covid-19 In Egypt: A Single-Center Experience, Hoda M. M. Abdulaziz, Aya Ahmed Mohamed Elsayed, Elshahat A. Yousef

Mansoura Medical Journal

Background While COVID-19 primarily manifests clinically as a respiratory disease, it can also impact other organs, such as the kidneys. Acute kidney injury (AKI) is frequently seen in hospital-admitted patients with COVID-19 and is linked to poorer outcomes. This research sought to explore the rate, contributing elements, and consequences of AKI in individuals with COVID-19. Methods Data from 236 COVID-19-infected patients hospitalized at wards and intensive care units (ICUs) dedicated to isolation between September 2020 and February 2021 were analyzed. Comparisons between patients with and without AKI were done using statistical tests as appropriate. Binary logistic regression analyses were performed …

The Effect Of Intraoperative Facet Joint Denervation In The Prophylaxis Of Back Pain After Spinal Fixation: A Randomized Prospective Controlled Single-Blind Study, Mohamed Ali Abbas, Ahmed Zaghlol, Ayman M Ismail, Hamdy Nabwi, Mohamed Ismail, Ahmed Sameh Nada, Mona Mokhtar, Ahmed Shaker Elakhras

Mansoura Medical Journal

Background: Failed back surgery syndrome (FBSS) remains a significant challenge after fixation procedures of the spine. The present research assessed the efficacy of intraoperative facet joint denervation in preventing postoperative back pain in individuals undergoing spinal fixation. Methods: A randomized retrospective controlled single-blind study was carried out on 70 patients requiring spinal fixation assigned to two equal groups: Group A: intraoperative facet joint denervation was performed, while Group B was a control group. Pain levels were evaluated utilizing the visual analog scale (VAS) for 7 days following surgery. Follow-up visits occurred at 2 weeks, 1, 3, and 6 months. The …

Urinary Kidney Injury Molecule-1 As A Biomarker For Detection Of Albuminuria And Retinopathy Among Patients With Type 2 Diabetes Mellitus, Amr Y. El Feky, Yehia M. Ghanem, Talaat A. Abdelaaty, Magdy M. Elbordeny, Rabab H. Neanaa

Mansoura Medical Journal

Background: Diabetic retinopathy (DR) and diabetic kidney disease (DKD) are prevalent microvascular complications of type 2 diabetes mellitus (T2DM). The objective of this study was to examine the potential relevance of urinary kidney injury molecule-1 (uKIM-1) as a marker of DKD and DR in cases who have T2DM. Methods: A cross-sectional study has been performed among 60 cases with T2DM. They were subdivided into 30 patients with albuminuria and 30 patients without albuminuria. Sociodemographic data, fundus examination, laboratory investigations involving fasting blood glucose (FBG), fasting insulin, HbA1c, HOMA-IR, lipid profile, creatinine, and urinary albumin to creatinine ratio (ACR) have been …

Split-Dose Versus Single-Dose Bowel Preparation For Colonoscopy: A Single Center Study, Mohamed Adel, Seham Seif, Hany Shabana, Asmaa Gameel

Mansoura Medical Journal

Background Colonscopy is now the gold standard for colorectal screening. Colon preparation is an important parameter for adequate bowel examination. Detection of small colorectal polyps which are precusors for colorectal adenocarcinoma needs effective bowel cleansing. Aim we performed a prospective randomized controlled trail to compare bowel cleanliness, compliance, tolerability, and patient satisfaction of a single regimen versus a split regimen for colonoscopy. Results The number of detected polyps was statistically significantly higher in the split method group as compared to the single method group (p= 0.040).Also, the prevalence features of ulcerative colitis was statistically significantly higher in the split method …

Arthroscopic Rotator Cuff Repair With Or Without Acromioplasty, Mohamed Aboelnour Badran, Ahmed M. Barakat, Osama Samir Gaarour, Roshdy Mostafa El-Sallab

Mansoura Medical Journal

Background: Rotator cuff tears are a major cause of shoulder disability, particularly among individuals over 60 years of age. While subacromial decompression, including acromioplasty, has been traditionally performed during rotator cuff repair (RCR) to alleviate impingement and prevent re-tears, recent studies have questioned its necessity. This study aims to compare outcomes of RCR with and without acromioplasty. Objective: To evaluate the functional, radiological, and complication-related outcomes of rotator cuff repair with subacromial decompression versus rotator cuff repair alone in adult patients with rotator cuff tears. Methods: This retrospective comparative study was conducted at Mansoura University Hospitals between 2021 and 2024, …

Thyroid Peroxidase Antibody (Tpo Ab) Can Be Used As A Marker For Persistence Of Symptoms Of Hypothyroidism In Patients With Primary Hypothyroidism Despite Normal Tsh Level: Cross-Sectional Study, Gehad Mohamed Aldamsisy, Mohamed Ghoniem Mohamed, Mohammed Mofreh, Ahmed Albehairy

Mansoura Medical Journal

Background Primary hypothyroidism is one of the most prevalent endocrine conditions. Some hypothyroid patients treated with an acceptable dose of levothyroxine report continuing symptoms including fatigue, depression, and weight gain, despite having a TSH level in the lower half of the normal range. Aim to evaluate why some hypothyroid patients on levothyroxine continue to have residual symptoms despite apparently adequate replacement& laboratory euthyroid status? Patients and methods 111 Adult male and female ranging from (18-65) years with primary hypothyroidism and normal TSH taking adequate levothyroxine dose were divided into 2 groups. Group1: Hypothyroid patients with persistent symptoms despite normal TSH …

Does A Preoperative Caffeine Tablet Affect The Characteristics Of Post-Dural Puncture Headache In Caesarian Section Under Spinal Anesthesia?, Mahmoud Abdelfattah, Karim Ali Awad, Ahmed Amin Eisa, Abdullah Elsayed Abdullah Gheith, Shimaa Abd El-Satar Mohamed

Mansoura Medical Journal

Background: The current study aim was to evaluate the effectiveness of administering caffeine tablets before surgery in preventing post-dural puncture headache (PDPH) in adult patients who underwent cesarian delivery with spinal anesthesia (SA). Methods: This randomized controlled study (RCT) enrolled patients aged 18–45 years who underwent elective caesarian section under SA. Patients were allocated to receive either a caffeine or placebo tablet prior to SA. Those in the intervention group received a 200 mg caffeine tablet, while those in the control group received a placebo. The primary outcome measured was the incidence of PDPH, with secondary outcomes including the severity …

Direct-Acting Antivirals For Chronic Hepatitis C Virus Infection In Children With Malignancy: A Review Of Current Evidence And Clinical Insights, Ashrakat Galal Aboelfotoh, Ahmad Darwish Mohamad, Ahmed Megahed Hassan

Mansoura Medical Journal

In children, hepatitis C virus (HCV) remains a serious health concern, especially those receiving cancer treatment, where repeated blood transfusions and immunosuppression significantly increase the risk of infection. The use of direct-acting antivirals (DAAs) represents a turning point in HCV management, delivering high cure rates with fewer side effects than previous therapies. In this review, we explore the latest insights into HCV epidemiology, transmission, and pathophysiology in pediatric patients, with particular attention to those facing malignancy. We will discuss the mechanisms of action, approved treatment regimens, and safety profiles of DAAs, focusing on combinations like sofosbuvir/ledipasvir in the oncology setting. …