Digital Commons Network^™

Managing Human Sources: Identification And Management Of Motivation, Tiffany Mckenzie, Pamela Henry, Nikki Rajakaruna

Research outputs 2022 to 2026

Human Source management is a critical function of intelligence and evidence collection by law enforcement and intelligence agencies across the world. Understanding the motivations of Human Sources is key to gaining high intelligence yields. Yet research which explores Human Source motivation, from a handler’s perspective, is limited. Even more limited is research which considers how motivation is identified and managed by law enforcement agencies across the course of a Human Source’s engagement with an agency. This research explores the experiences and perceptions of Human Source handlers from two Australian law enforcement agencies via semi-structured interviews (N = 17). Handlers highlighted …

Persistence Of Contested Value Cocreation Practices, Kim Feddema, Kaisa Koskela-Huotari, Paul Harrigan

Research outputs 2022 to 2026

The climate crisis and other global challenges make it clear that not only are new value cocreation practices (VCPs) needed, but some current VCPs must be discontinued. Prior service literature assumes that VCPs can be disrupted by reforming the institutions that govern them. However, empirical observations show that VCPs may persist even when targeted by institutional work, and recent organizational research points to contested practices that continue to be enacted even when challenged or criticized. To understand this phenomenon in value cocreation, we conducted an embedded case study of exotic pet-keeping—a set of VCPs that continue despite intervention efforts. Our …

The Role Of Extra-/Co-Curricular Activities And Work On Law Graduates’ Initial Employment Outcomes, Denise Jackson, Craig Cameron

Research outputs 2022 to 2026

Developing student employability is a strategic priority for higher education institutions and is often measured by transition to initial employment. Extra-/co-curricular activities, in addition to in-curriculum programs, can develop different aspects of student employability, supporting students in securing and transitioning to work post-graduation. This study examines the perspectives of 7000 graduates of Australian law degrees on their engagement in, and the value gained from, extra-/co-curricular, employability-building activities and paid employment during their studies between 2020 and 2023. The results indicated declining overall participation in extra-/co-curricular activities over the four-year period, and relatively greater engagement among female, younger, international and/or students …

A Critical Review Of The Theory Of Planned Behaviour In Tourism Research, Kourosh Esfandiar, Arghavan Hadinejad

Research outputs 2022 to 2026

The Theory of Planned Behaviour (TPB) has received considerable attention across various academic disciplines and remains one of the most widely applied–yet increasingly critiqued–theoretical frameworks in tourism research. Despite its widespread use, there is a notable lack of critical reflection on its adequacy in capturing the complexity of tourist behaviour and a limited exploration of alternative theoretical pathways. This paper addresses this gap by critically evaluating the appropriateness and limitations of the TPB in tourism research. Special attention is given to the Theory of Reasoned Goal Pursuit (TRGP), a recent extension of the TPB, alongside complementary frameworks from parent disciplines …

Advancing Sustainable Tourism Behavioural Research: A Metacognitive Perspective, Arghavan Hadinejad, Kourosh Esfandiar, Liubov Skavronskaya

Research outputs 2022 to 2026

The current scholarly inquiry on sustainable tourism behaviour research predominantly relies on cognitive behavioural approaches, particularly exemplified by the widespread application of the theory of planned behaviour among other theories. Given recent advancements in psychology underscoring the necessity to expand beyond conventional cognitive frameworks, the current research aims to integrate metacognitive perspectives in sustainable tourism behaviour scholarship. This perspective explores the reflective awareness and control individuals exert over their cognitive processes which can uncover nuanced factors shaping sustainable tourism behaviour that may be overlooked in traditional cognitive models. Using a critical review approach, this research proposes the adoption of alternative …

Australian University Websites As Colonialities Of Gender, Emily M. Gray, Ampersand Pasley, Emma Fishwick, Mindy Blaise, Jacqueline Ullman, Maria Delaney

Research outputs 2022 to 2026

This paper offers analysis of the first phase of a research project, Understanding and Addressing Everyday Sexisms in Australian Universities. This phase involved a critical content analysis of all 39 of Australia’s public university websites, focusing on how they represent gender, absences in relation to gender and the navigability of the websites in relation to gender equity policy. Drawing on Maria Lugones’s colonialities of gender, this paper demonstrates how university websites have the potential to reproduce or renegotiate inherited institutional everyday sexisms and broader gender inequities. Themes of reconfiguring acceptable gendering, conspicuous absences, and in-built obscurity that emerged from this …

State Aid And The Green Transition: Where Theory Meets (Member States’) Practice, Magdalena Porzeżyńska

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

The European Green Deal has placed the green transition at the centre of the European Union’s economic, industrial and climate policy, with climate neutrality by 2050 as a binding objective. In this context, State aid has evolved from a narrowly construed exception to the prohibition laid down in Article 107(1) TFEU into a key policy instrument supporting the Union’s climate and industrial ambitions. This article examines how the EU State aid framework has been adapted to facilitate Member States’ support for the green transition and assesses the opportunities and constraints inherent in this framework. The analysis focuses on the main …

Sprawozdanie Z Międzynarodowej Konferencji Naukowej Pn. "Building Competition Institutions For Sustainable Growth. A Retrospective On The Role Of Competition Law And Policy In Central And Eastern Europe 20 Years After Eu Enlargement And Lessons For The Future", Warszawa, 27 Maja 2025 R., Anastazja Drapata

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Konferencja naukowa – Warszawa, 27 maja 2025 roku

Internetowy Kwartalnik Antymonopolowy I Regulacyjny Vol. 15(2) 2026

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Vol. 15(2) 2026

The Outcome Of Primary Anastomosis Without Diversion Versus With Diversion In Colorectal Cancer Surgeries, Ahmed Sameh, Shams Nazem, Ahmed A Monem, Amr F Elalfy

Mansoura Medical Journal

Background: Anastomotic leakage (AL) is the most feared complication after colorectal surgery. It is a very morbid consequence that is associated with higher morbidity, longer hospital stay, higher medical expenses, or even worse functional outcomes. The role of diverting ileostomy (DI) in reducing the incidence of anastomotic leakage is still debatable. Methods: Our study included 95 patients with left sided colon cancer and rectal cancer, 49 patients in the non-ileostomy group and 46 patients in the ileostomy group after resection anastomosis of the primary tumor. The analysis included the following variables: patient-related variables (age, sex, comorbid conditions, ASA score, smoking …

The Relationship Between Acne Vulgaris And Insulin Resistance, Nora Moawad Erian, Nora Mohamed Darwish, Eman Saber Elhennawy, Fatma Faisal El Dakrory

Mansoura Medical Journal

Background Some have hypothesized that resistance to insulin, a condition in which cells become less responsive to insulin, contributes to the development and worsening of acne vulgaris. The study's primary objective was to identify any associations among resistance to insulin and acne vulgaris severity. Methods Forty patients (range: 18–40 years old) with acne vulgaris and forty healthy controls (range: 18–40 years old, sex: X), were included in this case control study. Height as well as weight were the anthropometric metrics. To determine how bad acne is, doctors utilize the Global Acne Grading System. Laboratory testing for insulin resistance was conducted …

Effect Of High-Dose Vitamin D Supplementation On Serum Sclerostin Levels In Chronic Kidney Disease Patients: A Randomized Controlled Trial, Mohamed A. Hassany, Mariam A. Fawy

Mansoura Medical Journal

Background Vitamin D deficiency and altered bone metabolism are common in patients with chronic kidney disease (CKD). Sclerostin, a key inhibitor of bone formation, has been implicated in CKD–mineral and bone disorder (CKD-MBD), but the impact of high-dose vitamin D supplementation on circulating sclerostin is unclear. This work examined the effect of intramuscular cholecalciferol on serum sclerostin and bone-related markers in CKD patients. Methods This randomized controlled trial involved 128 adult CKD patients (stages 3–5), 18–70 years, both sexes, with vitamin D deficiency. Adults were equally randomized into two groups: the intervention group received intramuscular cholecalciferol (300,000 IU at baseline …

Chronic Stress And Toxoplasma Gondii Infection: Investigating The Two-Hit Hypothesis On Behavior And Cognition In Chronic Toxoplasmosis Mice Model, Nora Labeeb El-Tantawy

Mansoura Medical Journal

Background: Toxoplasmagondii infects about one third of people around the world and is associated with neuropsychiatric disorders. But not everyone who has it ends up with behavioral symptoms, which is kind of interesting. The study aimed to investigate the two-hit hypothesis, basically testing if chronic stress makes the effects of the infection worse in mice, on behavior and cognition. Methods: Sixty Swiss Webster mice were included in the study divided into four groups (15 for each). Group 1 control, group 2 stressed animals exposed to the chronic unpredictable stress protocol, Group 3 infected with T. gondii, and group 4 received …

Fractional Ablative Co2 Laser Versus Screw Threads In Post-Traumatic Atrophic Linear Scars, Eman Emad Elfeel, Marwa Zohdy Ali, Shereen Ezzalregal Alashry, Sherihan Hassan Allam

Mansoura Medical Journal

Background Scar is the result of the natural healing and reparative process, which are frequently accompanied by a few aesthetic, functional, and social impairments and may negatively affect quality of life. Fractional CO2 laser improves both the pigmentary and textural changes by removing thin layers of skin with minimal thermal damage. Thread lifting technology is a non-surgical facial rejuvenation technology that can minimize postoperative recovery period and scar from the incision Aim To compare the efficacy of fractional ablative CO2 laser therapy versus screw threads in post-traumatic atrophic linear scars. Methods This prospective randomized clinical study included 2 groups; group …

Impact Of Admission Hyperglycemia On In-Hospital Arrhythmia In Medical Critical Illness, Ebrahim Elsayed Tawfik, Afaf Abdel Hafez, Tarek El-Sayed Gouda, Rehab Shaheen Bahram Shaheen

Mansoura Medical Journal

Background Admission hyperglycemia is frequently encountered in critically ill patients, even in the absence of pre-existing diabetes. Acute stress hyperglycemia triggers autonomic activation, oxidative stress, and electrophysiological disturbances that may predispose to cardiac arrhythmias. Aim of work The present study aimed to explore the frequency and type of arrhythmic events among critically ill patients with admission hyperglycemia in medical intensive care units (MICU). Methods: A prospective study was conducted on 354 critically ill ICU patients . They were divided into group A with admission hyperglycemia (>180 mg/dL) and group B with admission normoglycemia (≤180 mg/dL). All patients were subjected …

Adnexal Magnetic Resonance (Adnex –Mr) Scoring System; A New Standardized Method For Characterization Of Adnexal Masses Inside Mansoura University Hospitals, Nora Diaa Ali Okab, Basma Elged, Sherif Abdel Fatah Moustafa, Sieza Samir, Yasser.M. Mesbah

Mansoura Medical Journal

Background Gynecologic masses are the most common subject of gynecologic imaging. The usefulness of MRI is high in the characterization of adnexal masses. The ADNEX MR classification framework was launched to stratify sonographically identified adnexal masses in to five groups based on their probability of malignancy: grade 1 (no lesion), grade 2 (benign), grade 3 (probably benign), grade 4 (indeterminate), and grade 5 (probably malignant). Aim to determine the accuracy of the ADNEX MR scoring system in classification of adnexal masses at Mansoura University Hospitals (MUH). Methods A total of 48 female patients with 52 adnexal masses on ultrasound were …

Use Of Thyroid Imaging Reporting And Data Systems (Tirads) Ultrasound In Differential Diagnosis Of Thyroid Nodules, Aya Mohamed Hamed Abdelaal, Ghada M Ahmed Gaballah, Donia Mohamed Sobh

Mansoura Medical Journal

Background: Thyroid nodules refer to masses of abnormally proliferating cells with abnormal tissue stiffness in thyroid. This study aimed to assess diagnostic accuracy of Thyroid Imaging Reporting and Data System in differentiating benign from malignant thyroid nodules.

Methods: This cross-sectional study included forty adult patients with sixty-two thyroid nodules. A 7.5-10 MHz linear array transducer was used to perform imaging protocol. Three-dimensional measurements were done on nodules. All thyroid nodules were  examined using doppler ultrasound. All thyroid nodules were described in terms of composition, echogenicity, margins, shape and echogenic foci.  According to ACR TI-RADS,  the points were given …

Clinical And Dermoscopic Nail Changes In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Ghada Nagy Mansour Borham, Hassan Abdel-Raheim Fayed, Eman Nagy Ahmed Abdelrazik, Amany Awad Mohamed

Mansoura Medical Journal

Background: Nail abnormalities are commonly observed among patients with chronic kidney disease (CKD) and may reflect underlying systemic and metabolic alterations. Dermoscopy (Onychoscopy) has emerged as a valuable noninvasive tool for detecting subtle nail changes.

Aim:  To describe the patterns and dermoscopic features of nail changes in patients with chronic kidney disease (CKD) and to explore their association with disease severity and renal function parameters.

Methods: This cross-sectional descriptive study included 127 patients with different stages of CKD. All participants underwent a comprehensive clinical and dermoscopic evaluation of the nail apparatus. Dermoscopic findings included longitudinal ridging, white …

Effect Of Graft Steatosis On The Early Outcome Of Living Donor Liver Transplantation, Kareem Maher Shams Eldeen Hassan, Ahmed Mahmoud Abdelrafee, Ahmed Mohamed Ibrahim Elsabbagh, Mohamed Abd Elwahab Ali

Mansoura Medical Journal

Background

Hepatic steatosis in donor grafts represents a growing challenge in living donor liver transplantation (LDLT) due to the rising prevalence of metabolic syndrome. The impact of varying degrees of graft steatosis on recipient and donor outcomes remains incompletely defined.

Aim

To evaluate the effect of different degrees of graft steatosis on early postoperative outcomes in both recipients and donors following LDLT.

Methods

This retrospective study analyzed 169 LDLT cases performed at Mansoura University between January 2014 and June 2024. Donors aged 18-45 years with BMI≥5% on liver biopsy were included. Grafts were stratified by steatosis degree:20% (n=4). Primary outcome …

Fascia Transversalis Block With Different Volumes Of Local Anesthetic And Its Impact On Postoperative Pain In Major Abdominal Surgery: Prospective Randomized Study, Eman Eltabey Lotfi Taman, Mostafa Mohamed Ali Saied, Khaled Mohy Eldeen El Bahrawy, Abdelrahman Mamdouh El Naggar

Mansoura Medical Journal

Background Effective postoperative analgesia remains crucial in abdominal surgery to reduce physiological stress, improve respiratory function, and enhance recovery. The transversalis fascia plane block (TFPB) has recently emerged as an advantageous technique targeting the T12–L1 nerves responsible for somatic and visceral abdominal innervation. Objective To investigate the analgesic efficacy of different volumes of local anesthetic administered in TFPB and compare their effect on postoperative pain, visceral discomfort, and opioid requirements. Methods Eighty-one adult patients undergoing major abdominal surgery under general anesthesia were randomized into 3 groups: control (systemic analgesia only), lowvolume TFPB (20 mL total), and high-volume TFPB (25 mL …

A Comparative Study Of Topical 5% 5-Fluorouracil With Needling Versus 100% Trichloroacetic Acid With Needling Versus Needling Alone In Treatment Of Multiple Warts, Nesma Abd-Elmonem Saad, Hassan A. Fayed, Manar Ali

Mansoura Medical Journal

Aim: This study aimed to compare the efficacy and safety of topical 5% 5-Fluorouracil (5-FU) with Needling versus 100% Trichloroacetic acid (TCA) with Needling versus Needling Alone in treatment of multiple warts.

Methods: This study included a total of 60 patients clinically diagnosed with multiple warts, who were randomly allocated (computer-generated simple randomisation, 1:1:1, concealed in sequentially numbered opaque sealed envelopes) into three equal groups (n=20 per group). The first group received 100% TCA with Needling; the second group received topical 5% 5-FU combined with Needling; the third group underwent Needling alone. The study was single-blinded at the level …

Active Deresuscitation Strategies After Septic Shock: A Scoping Review, Alrefaey K. Alrefaey, Rania E Elbadrawy, Mohamed Aboelela, Mohammed Mamoun

Mansoura Medical Journal

Background: Fluid overload in septic shock patients is linked to higher morbidity and mortality. After the stabilization phase, fluid restriction may not result in the resolution of tissue edema. Active deresuscitation refers to the use of diuretics or ultrafiltration for the removal of excess fluids. Objectives: This review explores the current practices applied for the active deresuscitation strategies after stabilization of septic shock patients.  Search strategy: A literature search was performed through the following databases: Medline, PubMed, Google Scholar, Web of Science, and Scopus for relevant studies from 2015 to January 2026. Selection criteria:  The selected articles included …

Laparoscopic Versus Open Redo Anti-Reflux Surgery, Mohamed Barkok, Mohammed Said, Ahmed Shehta, Abdel-Raouf El-Geidie

Mansoura Medical Journal

Background

Gastroesophageal reflux disease (GERD) is common. Laparoscopic fundoplication became the gold standard for GERD surgery after medical treatment failed. If a previous anti-reflux surgery fails, redo surgery requires a thorough review to determine the cause and a skilled surgical team. Choosing the optimal approach during the redo surgeries, whether open or laparoscopic hasn’t been previously illustrated.

Aim

To compare the outcomes of laparoscopic versus open redo anti-reflux surgeries.

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Patients and methods

This study included 28 patients who underwent redo anti-reflux surgery. The patients were divided according to the approach into laparoscopic (n = 11) and open (n = …

Short Term Echocardiographic And Clinical Assessment Of Aortic Valve Neo-Cuspidization (Ozaki Procedure) In Comparison With Mechanical Aortic Valve Replacement, Amr Mohamed Ahmed Elshabrawy, Mohamed A. Gabr, Eid M Daoud, Mohammed Sanad, Sherif Arafa

Mansoura Medical Journal

Background: Aortic valve neo-cuspidization (AVNeo, Ozaki procedure) has emerged as an alternative to conventional aortic valve replacement, aiming to preserve native aortic root dynamics and improve postoperative hemodynamics. The replacement of the aortic valve presents challenges because both biological and mechanical prostheses have notable limitations.

Aim: To evaluate the short-term clinical and echocardiographic outcomes of aortic valve neocuspidization (Ozaki procedure) compared with mechanical aortic valve replacement (AVR) in patients with isolated aortic valve disease.

Patients and methods: This prospective comparative observational study included 42 adult patients with isolated aortic valve disease. 20 patients underwent AVNeo (Ozaki procedure) and 22 …

Validation Of Anorectal Manometry Based On The Continence Clinical Scoring Systems For Evaluation Of Fecal Continence In Patients With Anorectal Malformations, Momen Abdelglil, Mohamed El-Sherbiny, Mahmoud Abdelwahab, Adham Elsaeid

Mansoura Medical Journal

Background/purpose: Anorectal malformations (ARM) are complex anomalies associated with long-term problems such as fecal incontinence. Clinical scoring systems are commonly used to assess bowel function but lack proper validation. Anorectal manometry is an objective tool for evaluating anorectal function. This study aimed to correlate anorectal manometric parameters and clinical continence scoring systems to enhance the postoperative evaluation of children with ARMs.

Patients and methods:

We conducted a descriptive cross-sectional study including 47 children who had undergone definitive surgical repair for ARMs between January 2010 and June 2021. Fecal continence was assessed using the Kelly and Templeton & Ditesheim scoring systems. …

Till Death Does Us Part: An Analysis Of Influences And Ideas Behind The Exhibition, Milo F. Rippe

Honors College Theses

“Till Death Does Us Part,” is a ceramic work created by Milo Rippe in the fall of 2025. The installation includes fifteen faceless figures, ten organ-inspired plates, and one big central figure. Also featured are three homemade stains and two homemade glazes. The figures are hand-built from slabs, combined to form a single piece. The plates were also cut from slabs, and then hand-rolled rims were added to each shape with slip. Stains and glazes are made by methodically measuring out each ingredient on a triple-beam scale, combining all ingredients with water, and running the mixture through a strainer to …

Perinatal Inflammation And Oxidative Stress Alter Adult Rat (Rattus Norvegicus) Motor Behavior, Alexander Young

Honors College Theses

Recent evidence in comparative animal models suggests that early life exposure to elevated inflammation (via LPS exposure) and oxidative stress (via acetaminophen exposure) may synergistically interact to alter typical neurodevelopmental trajectories, resulting in lasting effects on both behavior and gut-brain neurochemistry. The current study observed emotional and motor behaviors and collected fecal-boli to measure Tyrosine (TE) levels in male and female Long-Evans (Rattus norvegicus) rats. Subjects were either treated with [1] saline [2] lipopolysaccharide (LPS) to introduce an inflammatory state, [3] acetaminophen (APAP) to introduce oxidative stress, or [4] a dual-hit of both LPS + APAP on postnatal day (PD) …

What Is The Evolving Role Of Nurses In Telehealth As Future Healthcare Professionals?, Emma G. Lowry

Honors College Theses

Telehealth has evolved into an essential component of healthcare delivery in today's world, something that occurred alongside the COVID-19 pandemic. As healthcare professionals, nurses must be adequately prepared and equipped to use the tools for telehealth. This paper examines the evolving role of nurses in telehealth by assessing undergraduate nursing students’ and practicing nurses’ knowledge, attitudes, and perceived competencies. Data will be collected through a Qualtrics survey utilizing the Awareness, Knowledge, Attitude, and Skills (AKAS) Scale for Telemedicine, supplemented by interviews with telehealth practitioners to provide qualitative context. It is expected that variations in proficiency and attitudes, from previous biased …

From The Classroom To The Workplace: The Role Of Internships In Shaping Student Values, Jasmine Williams

Honors College Theses

A significant degree of research on workplace values has been conducted to better understand how employees are motivated in the hopes of reducing turnover. There also exists a significant body of literature on how internships impact career outcome and can effectively prepare students for the workforce. However, previous studies have not explored the differences between students who have completed internships in comparison to those who have not. The goal of this research is to determine whether internships create a significant impact on students’ workplace values (e.g. intrinsic, extrinsic, altruistic, and social) when compared to students who have not completed an …

Validity Assessment Of Resting Heart Rate Variability From The Garmin Health Snapshot, Kayla M. Porter, Andrew Flatt

Honors College Theses

Purpose: To assess the agreement between the Garmin Forerunner 265 (a commercially available sports watch) and a single-channel electrocardiographic (ECG) chest strap for determining resting heart rate variability (HRV). Secondary aims were to assess the impact of skin tone and body position on measurement accuracy.

Methods: Young adults (n = 30, 57% women) aged 18–39 years without known cardiovascular conditions and without tattooing or scarring on the dorsal left wrist were recruited. HRV was recorded simultaneously using ECG and the Forerunner 265’s optical sensor during Garmin’s 2-minute “Health Snapshot.” Measurements were obtained in three standardized positions: supine, seated, and standing. …