Digital Commons Network^™

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 …

Improvement Of Back Pain After Intraoperative Sacroiliac Injection During L5-S1 Fixation: A Randomized Controlled Retrospective 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: Sacroiliac joint (SIJ) pain is a common complication following lumbar spinal fusion. The purpose of this research was to determine how effective intraoperative SIJ injection in preventing low back pain after L5-S1 fixation procedures. Methods: This randomized controlled retrospective study was performed on 70 individuals who underwent L5-S1 fixation and were classified equally into two groups: Group A intraoperative SIJ injection was performed, while Group B did not. Pain incidence, Oswestry Disability Index (ODI) scores, and failed back surgery syndrome (FBSS) rates were assessed preoperatively and at 2 weeks, 1, 3, and 6 months postsurgery. Results: At 6 months, …

Study Of Prevalence Of Toxoplasmosis In Some Renal ‎Diseases In Children: Is There An Association?‎, Rowida Mokhtar Abdoullah, Sherine M. Elzeiny, Nora I. Aboulfotouh, Ayman M. Hammad

Mansoura Medical Journal

Background: Toxoplasmosis, a widespread protozoal disease caused by the obligatory intracellular Toxoplasma gondii (TG). Chronic kidney disease (CKD) is a disease characterized by progressive damage and loss in kidney functions. End stage renal disease (ESRD) is known as CKD with GFR less than 15ml/min. Nephrotic syndrome (NS) is defined as heavy proteinuria that ultimately ends in hypoalbuminemia, hyperlipidemia and generalized edema. Patients with CKD and ESRD are immune compromised so more liable to increased incidence of infections, especially opportunistic infections. Nephrotic syndrome ,90% of cases, is of unknown etiology but some papers suggest toxoplasmosis as a cause. Aim: To evaluate …

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 …

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 …

Dexmedetomidine Versus Nalbuphine As An Adjuvant To Intrathecal Bupivacaine In Lower Extremity Surgeries, Mohamed Aly El Oraby, Amira Hafez, Hazem E Moawad, Gihan A Trabea, Maha Ahmed Abo-Zeid Salim

Mansoura Medical Journal

Background: Numerous medications have been added to spinal anesthetic over the years in order to speed up its onset, shorten the time until the surgical incision, increase its duration, and offer sufficient postoperative analgesia. Objective: This study suggests that dexmedetomidine is superior than nalbuphine as an adjuvant to intrathecal local anesthetic for the duration of post-operative analgesia in lower extremity orthopedic surgical procedures. Patients and Methods: 60 patients underwent orthopedic lower extremity procedures were split into one of three groups at random: Bupivacaine, Bupivacaine- Dexmedetomidine (BD), or Bupivacaine-Nalbuphine (BN). The principal outcome was the duration of post-operative analgesia. The secondary …

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. …

Pulsed Radiofrequency Of Suprascapular Nerve Versus Radiofrequency Ablation Of Articular Branches Of The Shoulder For Intractable Shoulder Pain: A Randomized Controlled Study, Elsayed M. Elemam, Mahmoud M. Alseoudy, Ahmed R. Abourezk

Mansoura Medical Journal

BackgroundChronic shoulder pain is frequent in the community and can cause considerable functional impairment. The suprascapular nerve (SSN) is responsible for approximately 70% of the sensory innervation to the shoulder joint.Objectives: This randomized controlled trial aimed to compare the efficacy of pulsed radiofrequency treatment of the SSN with thermal radiofrequency ablation of the articular branches of the shoulder among patients with persistent shoulder pain.Methods 82 patients were randomly allocated into two equal groups; group PRF included patients who underwent pulsed radiofrequency of the suprascapular nerve, and group TRF included patients who underwent thermal radiofrequency ablation of articular terminal branches of …

Short Term Outcome In Pediatric Age Group Presented With Severe Head Injury, Ahmed Nazem Elafifi, Hatem Ibrahim Badr, Amr Farid Khalil, Magdy Basheer

Mansoura Medical Journal

Background Pediatric head injury has been recognized as a significant public health issue, frequently resulting in disability & mortality among youth, & makes significant requirements on health services Aim To evaluate the short-term results in pediatric age group presented with severe head injury at Mansoura university emergency hospital, focusing on primary outcomes such as mortality and return to normal consciousness and secondary outcomes, including disability and cognitive dysfunction, to understand survival and post-injury quality of life. Patients and methods This prospective observational research has been conducted on 86 cases presented with head trauma and was conducted for 1 year starting …

Relationship Between Serum Micro-Rna 192 And 29c And Kidney Disease In Subjects With Type 2 Diabetes Mellitus, Amr Y. El Feky, Talaat A. Abdelaaty, Azza A. Ismail, Rania M. Elsharkawy, Mohamed F. Amara, Shimaa M. Elrahmany

Mansoura Medical Journal

Background Diabetic kidney disease (DKD) is a frequent and serious complication of type 2 diabetes mellitus (T2DM). This study aimed to assess the relationship between micro- RNA (miRNA)-192 and miRNA-29c expression and DKD in patients with T2DM. Patients and methods A case-control study was conducted with 160 participants: 40 T2DM patients with DKD, 40 T2DM patients without DKD, and 80 healthy controls. Plasma levels of miRNA-192 and miRNA-29c were quantified using quantitative reverse transcription PCR. Diagnostic accuracy was assessed via ROC curve analysis. Multivariate logistic regression identified predictors of DKD. Results Micro RNA-192 expression was significantly elevated while miRNA-29c expression …

Predictive Value Of Procalcitonin In Patients With Hepatitis C Virus Related Liver Cirrhosis And Sepsis, Omar Abdallah, Elshimaa Saad Eleraky, Doaa A. A. Abdeldayem, Mohamed Hossam El-Dein Zaghloul, Mohamed El-Saadany

Mansoura Medical Journal

Infection is a major source of morbidity and mortality in patients with liver cirrhosis. In about 30% of patients, bacterial infection is present on admission or develop during hospitalisation. Early detection of bacterial infection in patients with decompensated cirrhosis remain a major challenge, where time plays a crucial role. This study was conducted aiming to find the prognostic value of PCT in the patients with liver cirrhosis presenting with sepsis. During the period from June 2021 to December 2021, 75 subjects were enrolled. 50 patients with Hepatitis-C Virus (HCV) cirrhosis with sepsis. 25 patients had compensated cirrhosis while the other …

The Effect Of Parathyroidectomy Compared To Pharmacological Treatment On Biochemical Markers And Quality Of Life Among Maintenance Hemodialysis Patients With Secondary Hyperparathyroidism, Ahmed Bahie, Dina Abd El Halim Shahin, Magdy Elsaid Abd Elmagid Samour, Elshahat Ali Ahmed Mohamed Yousef

Mansoura Medical Journal

Background One-third of maintenance hemodialysis (HD) patients develop severe secondary hyperparathyroidism (SHPT). Parathyroidectomy (PTx) is recommended for resistant SHPT, but calcimimetics have reduced the need for surgery. Aim of the work: to compare biochemical and QoL parameters in HD patients with SHPT who underwent PTx to those treated medically. Subject and methods in a cross-sectional study, 200 maintenance HD patients in two equal groups: A (patients on medical treatment) and B (PTx patients). In Group A, 32 patients received Cinacalcet. A thorough history, anthropometrics, clinical examination, Electrocardiography and full laboratory tests including serum calcium (sCa), phosphorus (sPhos), intact parathormone (iPTH) …

Opioid Free Anesthesia Versus Opioid Based Anesthesia In Patients Undergoing Laparoscopic Hysterectomy: A Prospective Randomized Double Blind Controlled Study, Mohamed Awad Albayomy, Sherif Abdo Mousa Mohamad, El Sayed Mahmoud Elemam, Ahmed Medhat Mohasseb

Mansoura Medical Journal

Background: laparoscopic hysterectomy (LH) is a widely performed minimally invasive gynecological surgery. These procedures typically cause a moderate to less severe level of pain. This study aimed to compare OpioidFree Anesthesia (OFA) with OpioidBased Anesthesia (OBA) in patients undergoing laparoscopic hysterectomy. Methods: This double blinded randomized controlled study was conducted on sixty female patients who underwent elective laparoscopic hysterectomy under general anaesthesia (GA) and were randomized into two equal groups, OFA group included 30 patients received Dexmedetomidine and S-ketamine with IV infusion whereas OBA group included 30 patients received IV infusion of fentanyl. The primary outcome was the visual analogue …

Outcomes Of Expansion Sphincter Pharyngoplasty In Multilevel Lateral Pharyngeal Wall Collapse In Obstructive Sleep Apnea, Esraa Moustafa, Hisham Atef Ebada, Ahmed El-Sobki, Mohamed Mostafa Elsaher

Mansoura Medical Journal

Background: since its introduction in 2006, Since its introduction, expansion sphincter pharyngoplasty (ESP) has demonstrated significant efficacy in the management of pharyngeal collapse among patients with obstructive sleep apnea syndrome (OSAS). The aim of the current study is to investigate the effectiveness of ESP in multi-level pharyngeal wall collapse in patients with OSAS. Methods: This prospective study was conducted in the Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Egypt over 1.5 years (June 2023 – December 2024). The study included 29 patients with OSAS who underwent ESP to manage multilevel pharyngeal wall collapse. The outcomes were evaluated based on the …

Indications Of Hospitalization And Predictors Of Outcome Among Patients With Rheumatological Diseases Admitted To Mansoura Rheumatology And Immunology Unit, Hanan Mohamed Elberashi, Nibal Morad, Samar Tharwat

Mansoura Medical Journal

Background correction: Systemic autoimmune rheumatological diseases (SARDs) constitute a category of disorders that can affect several organs. SARDs are persistent, incapacitating illness characterized by significant morbidity and mortalityrates. Patients with SARDs necessitate hospitalization more frequently than the general population.

Aim: To determine the characteristics of patients hospitalized with SARDs at Mansoura University Hospital.

Materials and methods: This cross-sectional study was carried out on patients with different SARDs. The collected data

included patients’ sociodemographic data, autoimmune disease diagnoses, the onset and duration of the disease, rate of

readmission, the main cause of admission, the main organ affected at time of admission, …

Electron Energization By Dispersive Alfvén Waves In The Cusp, P. A. Damiano, A. J. Hull, C. C. Chaston, J. Johnson

Faculty Publications

No abstract provided.

Learning Dissemination Strategies: Lessons From The Covid-19 Pandemic In Training Healthcare Professionals In Disease Management, Kishan Vishanagra

Honors Undergraduate Theses

The COVID-19 pandemic presented many challenges for global healthcare systems, requiring rapid training and dissemination of disease management strategies among healthcare professionals. This study conducts a systematic review of 37 studies to examine the learning dissemination methods created and utilized during the COVID-19 pandemic, focusing on just-in-time training for disease management. This study identifies four core training topics: airway management, infection control, cardiopulmonary resuscitation, and patient triage. This study also categorizes delivery methods into in-situ simulation-based training, online e-learning platforms, online simulation-based training, and hybrid training models. Findings highlight that simulation-based training methods proved effective for invasive high-risk procedures, while …

Reconciling Theory And Praxis. Defending Subjective Agency Against Althusser's Structuralism - Daniel Guerrero, Daniel Guerrero

Honors Undergraduate Theses

Louis Althusser labels Marx’s early works as humanist, pseudo-materialist, and self-contained within the ideology of German idealism. Therefore, all attempts to develop a Marxist theory based on these works are futile and ideological. Instead, Althusser proposes a ‘scientific’ reading of Marx developing a structuralist theory based on dialectical materialism. I argue that his interpretations deny individual agency and reduce social relations to mechanistic processes, which directly conflicts with fundamental Marxist ideas like alienation, production, and species-being. By discussing authors within the Marxist Humanist tradition, I argue that a theoretical framework based on Marx’s early works is not only possible, but …

Community Music, Counter-Stories, And Social Inequality In Central Florida's Music Spaces, Katia Destine

Honors Undergraduate Theses

Black working-class musicians have shaped American popular culture for centuries. Despite their contributions, they have faced decades of marginalization and exploitation by record companies, executives, and consumers. While systems of exploitation affect musicians of all backgrounds, Black working-class musicians are in a double bind, susceptible to both economic and social exploitation. Musicians who live within the subdominant groups of race, gender, and class frequently face obstacles that place them at a disadvantage. Through semi-structured interviews, the research draws on the lived experiences of Black working-class musicians in Central Florida. I argue that community music serves as a vital resource, offering …

Understanding Women's Access To And Utilization Of Syringe Service Programs, Annelisa E. Swiersz

Honors Undergraduate Theses

As of 2020, 138 million Americans ages 12 and over reported illicit drug use in their lifetime, with over 3 million of those people injecting drugs. There are risks for all people who use drugs, but people who inject drugs (PWID) pose specific risks such as hepatitis B, hepatitis C, and human immunodeficiency virus (HIV), with women who inject drugs (WWID) facing even more risks. WWID involved in sex work have a higher risk of HIV transmission and lack access to sterile injection devices and sexual and reproductive health services. To address these risks, syringe service programs (SSPs) were developed …

Attention Deficit Hyperactivity Disorder, Cultural Stigma, And Identity Distress Among College Students, Jessica T. Frank

Honors Undergraduate Theses

The purpose of this study was to examine the relationships among attention-deficit/hyperactivity disorder (ADHD), cultural stigma, and identity in a sample of college-age students. Previous studies have primarily focused on children, yet few have examined ADHD as it persists into adulthood. Likewise, studies examining cultural stigma and identity were limited and primarily examined stigma toward mental health as a general concept rather than ADHD-specific attitudes. To address these disparities, a sample of undergraduate college students enrolled in psychology courses at a large metropolitan university (N = 339) were recruited and took an anonymous online survey in exchange for course …

What Factors Improve Police Legitimacy?, Nyomi Powers

Honors Undergraduate Theses

Legitimacy in law enforcement can be defined as the perception of the police as an appropriate and respected source of power and authority. United States law enforcement is facing a legitimacy crisis stemming from a growing distrust in the police and decreased police community relationships. In order to address this problem, solutions are being sought in both police agencies and by researchers in the field. This systematic review aims to compile all relevant experiments and analyze the findings to create a comprehensive list of policy implications that most effectively improve police legitimacy. For experiments to be included in this review, …

Adverse Childhood Experiences And Working Memory, Lake Miller

Honors Undergraduate Theses

Extensive research has shown that adverse childhood experiences (ACEs), such as sexual abuse, poverty, physical abuse, emotional abuse and neglect, can negatively impact an individual’s development. The presence of ACEs has also been linked to an increase in one’s engagement in risky behavior, dropping out of school, unemployment before the age of 21, and a variety of health issues. Currently, there is a gap in literature regarding the performance of different working memory (WM) tasks and the presence of ACEs. This study focuses on filling this gap in literature by measuring participants’ Philadelphia ACE score, which is a 16-item questionnaire, …

Shifting The Paradigm: Empowering School Social Workers As Leaders In Family Engagement Policy And Practices In K-12 Education, Amber Onkst

DSW Capstone Projects

This capstone examined the school social worker’s role in family engagement in K–12 education. It consists of three products that collectively review the current literature, conceptualize a gap in practice, and provide a tangible application to school social work in Kentucky. The first product, the systematic literature review, critically examines literature related to the school social worker’s role in family engagement policy and practices to inform an understanding of increasing engagement at the macro level. A narrative review was conducted to assess common themes. There was substantially limited research regarding this topic, showcasing a knowledge gap. The literature primarily revealed …

A Nurse-Led Transitional Care Intervention To Prevent Readmissions In A Low-Income-Serving Urban U.S. Hospital, Melissa Scollan-Koliopoulos

Nursing Faculty Publications

Background: Diabetes-related hospital readmissions within 30-days are costly and an indicator of suboptimal care resolution. Nurse-led transitional care interventions may improve glucose control and reduce emergency department recidivism following hospital discharge in very low-income populations.

Methods: An intention-to-treat design with randomization of participants (n = 108) compared conventional care to transitional care coordination that included diabetes specialty appointments, monthly support tele-phone calls, medication management, and tailored diabetes self-management education. Both the control and intervention group received a diabetes specialist and primary care appointment.

Results: There was a significant difference between the control and intervention groups (P = 0.018) from base-line …

Understanding Emergency Department Utilization By African Americans For Routine Diabetes Care: Are We Asking The Right Cultural Questions?, Melissa Scollan-Koliopoulos

Nursing Faculty Publications

Introduction: The emergency department is a source of routine care for many African Americans. Afrocentric cultural characteristics may serve as a better proxy than race for understanding preferences for emergency department use over primary care for diabetes management. Methods: A literature review was conducted including key terms related to transitional healthcare, emergency department recidivism, Afrocentric cultural characteristics, racism and health disparities, and diabetes in African Americans. An example of tailoring talking points using Afrocentric cultural characteristics is proposed using Jone’s TRIOS Model, a Afrocentric Self-enhancing and Protective Theory. Results: The literature includes evidence to support a complex explanation for emergency …

Librarian Partnerships In Dnp Education, Kerry A. Milner, Roy Brown, Janene Batten, Tami A. Hartzell, Ellen Fineout-Overholt

Nursing Faculty Publications

This is the sixth article in a new series designed to provide readers with insight into educating nurses about evidence-based decision-making (EBDM). It builds on AJN's award-winning previous series—Evidence-Based Practice, Step by Step and EBP 2.0: Implementing and Sustaining Change (to access both series, go to https://links.lww.com/AJN/A133). This follow-up series on EBDM will address how to teach and facilitate learning about the evidence-based practice (EBP) and quality improvement (QI) processes, and how they impact health care quality. This series is relevant for all nurses interested in EBP and QI, especially DNP faculty and students. The brief case scenario …

Letter To The Editor, Julee Waldrop, Kerry A. Milner, Jayne Jennings Dunlap, Staci Reynolds, Anne Derouin

Nursing Faculty Publications

No abstract provided.

Correlations Of Gait Kinematics And Cognitive Skills In Parkinson Disease, Joshua J. Lander, Matthew F. Moran, Hannah Alexanian

Physical Therapy Faculty Publications

Cognitive impairments and gait disturbances are often concurrent in Parkinson disease (PD), but the extent to which specific cognitive deficits relate to gait abnormalities remains unclear, especially in early-stage PD. To address this gap, we conducted an observational correlational study to determine if cognitive performance in distinct domains is associated with gait kinematics in PD. This study included a cohort of 19 individuals with early-stage PD who underwent gait analysis with a three-dimensional marker-less motion capture system (Theia Markerless Inc., Kingston, ON, CA) during three conditions: single-task walking, cognitive dual-task walking, and the Timed Up and Go (TUG) test. Cognitive …

Analyzing Visual Attention In Virtual Crime Scene Investigations Using Eye-Tracking And Vr: Insights For Cognitive Modeling, Wen-Chao Yang, Chih-Hung Shih, Jiajun Jiang, Sergio Pallas Enguita, Chung-Hao Chen

Electrical & Computer Engineering Faculty Publications

Understanding human perceptual strategies in high-stakes environments, such as crime scene investigations, is essential for developing cognitive models that reflect expert decision-making. This study presents an immersive experimental framework that utilizes virtual reality (VR) and eye-tracking technologies to capture and analyze visual attention during simulated forensic tasks. A 360° panoramic crime scene, constructed using the Nikon KeyMission 360 camera, was integrated into a VR system with HTC Vive and Tobii Pro eye-tracking components. A total of 46 undergraduate students aged 19 to 24–23, from the National University of Singapore in Singapore and 23 from the Central Police University in Taiwan—participated …