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Rail Sign By Doppler Ultrasound As A Predictor Of Outcome Of Placenta Accreta Spectrum, Ola Khaled Mosaad El Malahy, Mohammed Nezar El Shahat, Lotfy Sherif Sherif, Khaled Samir, Amany A Makroum, Alhussein Ahmed Mohamed

Mansoura Medical Journal

Background: Placenta accreta spectrum (PAS) involves abnormal placental invasion into uterine wall and is associated with life-threatening maternal complications. Doppler ultrasound is the primary diagnostic tool, though its ability to determine invasion depth and predict outcomes remains uncertain. Multidisciplinary management improves safety, and treatment often requires planned cesarean hysterectomy, or conservative management. The aim of this work was to correlate rail signs by Doppler US as a predictor of deep villous invasion and to detect whether rail signs can predict maternal and fetal outcomes.

Methods: This prospective observational study was conducted on 59 patients aged > 20 years old, with PAS …

Impact Of Body Mass Index On Clinical Outcomes In Metastatic Breast Cancer Running Title: Impact Of Bmi On Mbc Outcome, Alaa Abdelrahman Sonbol, Maha Elzaafarany, Ahmed Albehairy, Sherif Refaat

Mansoura Medical Journal

Background: Body mass index (BMI) has been suggested as an important patient-related factor influencing treatment outcomes in breast cancer. This study aimed to evaluate the association between BMI categories and clinical outcomes among patients with metastatic breast cancer (MBC).

Patients and Methods: This retrospective study included 400 patients with MBC. Clinical outcomes assessed included response to first-line treatment, treatment-related toxicity, and status at last follow-up and BMI was calculated using the Quetelet index .

Results: Patients were characterized by a high prevalence of obesity and predominantly good performance status. Disease progression following first-line treatment was the most common …

Computed Tomographic Assessment Of Morphological Parameters Of The Normal Vermiform Appendix In Adults: A Prospective Cross-Sectional Study, Asmaa Mohamed Mansour Mahmoud, Magdy El-Sayed Mohamed Steen, Ahmed Mohamed Tawfik

Mansoura Medical Journal

Background: The vermiform appendix is a hollow tubular structure arising from the cecum, typically located in the right lower quadrant of the abdomen. Aim: This study aimed to estimate the visualization rate of CT scan in the detection of normal appendix, along with its characteristics (length, diameter, and site). Methods: For this prospective cross-sectional investigation, 56 individuals were included who were scheduled to have abdominal CT. The helical scanner was used to acquire CT images with 5 millimeters of collimation and reconstruction for each 2.5 millimeters. The CT films were reviewed by an experienced radiologist, who was unaware of the …

Patellar Morphology In Primary Total Knee Arthroplasty Patients With Unexplained Pain, Mohammed Ahmed Abdelkhalek Abdelrazek, Adham Elsharkawey Elgeidi, Yasser Youssef Abdelrahman Abed, Kamel Mohamed Ahmed Ahmed Youssef

Mansoura Medical Journal

Background: An effective surgical procedure for treating end-stage osteoarthritis of the knee (OA) is total knee arthroplasty (TKA). Pain is the main reason why many patients are still unhappy with their results following TKA. Patients who did TKA may experience anterior knee pain (AKP) with or without patellar resurfacing. Research has indicated that the morphology of the patella or trochlear geometry affects the stress on the patellofemoral joint.

Objective: To determine whether clinical scores and pain after TKA without patellar resurfacing were correlated with patellar shape. Methods: This retrospective case control study included 70 cases. We retrospectively assessed patients with …

Assessment Of Serum Adropin In Erectile Dysfunction Patients And Its Correlation With Disease Severity, Ahmed M. Eltohami, Sh. Fouad, Khadiga M. El-Hamaky, Abdel Khabir A.

Mansoura Medical Journal

Background Erectile dysfunction (ED) may be considered an indicator of cardiovascular disease (CVD). Adropin is identified to be accompanied by insulin sensitivity, and lipid metabolism, so we aimed to investigate serum adropin levels in ED cases compared to healthy controls (HC). Methods This case control study included 50 men with ED and and control group of 25 agematched, sexually active healthy men with normal erectile function. Cases group was divided into two groups (25 each) as ED patients with and without type 2 Diabetes Mellitus (T2DM). Validated Arabic version of International Index of Erectile Function (IIEF)-5 was used to evaluate …

Outcome Of Conservative Management Of Placenta Accreta Spectrum In Mansoura University Hospital, Nasra Hassan Mohamed, Mohamed Mohamed Eltotongy, Maher Elesewi Kamel Elgaly

Mansoura Medical Journal

Background: Placenta accreta spectrum (PAS) represents a significant global health challenge, with its incidence rising in parallel with the increasing prevalence of cesarean sections (CS). While cesarean hysterectomy is traditionally considered the standard treatment, conservative management offers a fertility-preserving alternative in carefully selected cases. This study aimed to evaluate the safety and effectiveness of conservative treatment for PAS at Mansoura University Hospital over a two-year period.

Methods: This retrospective analytical study included 132 women diagnosed with placenta accreta who underwent conservative management. Patient data, including obstetric history, degree of accreta, bleeding episodes, timing of delivery, and the specific uterine-sparing technique …

The Role Of Vitamin D In Management Of Pediatric Chronic Immune Thrombocytopenia, Eman Magdy Yahia, Suzy Abd El Mabood Abd El Hameed, Dalia Tawfeek Hussein, Amany Mamdouh Shoumah

Mansoura Medical Journal

In children, immune thrombocytopenia (ITP) remains a serious health concern, which is an autoimmune disorder (AID) characterized by an isolated decrease in platelet count, leading to an increased risk of bleeding.

The use of vitamin D supplementation represents a turning point in many autoimmune diseases, with the potential to deliver high cure rates with fewer side effects than previous therapies. In this review, we explore the incidence of ITP , immunopathogenesis, diagnosis and management in pediatric patients. We will discuss the mechanisms of action of vitamin D , focusing on its role in autoimmune diseases especially ITP

Predictive Value Of Neutrophil-Lymphocyte Ratio, Platelet-Lymphocyte Ratio And Ca-125 Dynamics After Neoadjuvant Chemotherapy For Surgical Outcomes And Prognosis In Ovarian Cancer, Asmaa S. Othman, Hend M. Serya, Manar H. Ahmed, Asmaa F. Elfayoumey

Mansoura Medical Journal

Background: The prognosis of patients with advanced-stage epithelial ovarian cancer (EOC) having debulking surgery is greatly influenced by optimal resection. Neutrophil-to-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and CA-125 values are examples of inflammatory markers that have been identified as possible predictive markers.

Objective: This study evaluated neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), and CA-125 dynamics as predictors of surgical outcomes and survival in advanced ovarian cancer patients receiving neoadjuvant chemotherapy (NACT).

Methods: We conducted a retrospective analysis of 171 patients treated at Mansoura University (2020-2025) with platinum-taxane neoadjuvant chemotherapy followed by interval debulking surgery (IDS). Pre- …

Impact Of Covid-19 Infection On Left Ventricular Systolic And Diastolic Functions., Hazem Galal Mohamed, Maged Zaghloul Mohamed Amer, Aml Fathy Moustafa, Shady Hussein Mohamed

Mansoura Medical Journal

Background: SARS-CoV-2, the pathogen behind COVID-19, often involves the cardiovascular system due to high ACE2 receptor density in myocardial tissue. While immediate cardiac complications are recognized, the persistent effects on left ventricular (LV) performance require further investigation through echocardiography.

Aim: This study aimed to comprehensively describe the sequelae of COVID-19 infection on the left ventricle using echocardiography

Methods: The study included 100 participants. Cardiac function was assessed using a standard 12-lead ECG and transthoracic echocardiography. LV systolic function was evaluated using the Biplane Simpson Method, and myocardial contractility was further analyzed using Speckle-Tracking Echocardiography (STE).

Results: The mean age was …

Prevalence And Outcome Of Splenic Injury Among Pediatric Trauma Patients, Omar Emad El-Din Bedair Hassan El-Nekity, Magdy Basheer, Amir A. Fikry, Mohamed Shetiwy

Mansoura Medical Journal

Background Pediatric trauma represents a critical public health issue, being the leading contributor of death and long-term disability in this age group. Blunt abdominal trauma is particularly common, with the spleen identified as the most frequently injured organ due to children's distinct anatomical traits. This study aims to detect morbidity, mortality, and complications resulting from splenic injuries in the pediatric population. Patients and methods This observational cross-sectional study was conducted at Mansoura University Emergency Hospital from September 2024 to September 2025. It included 104 pediatric patients with splenic injury out of 3600 pediatric trauma patients. Results The prevalence of splenic …

Clinical Outcomes Of Ultrasound-Guided Tmj Arthrocentesis In Post-Traumatic Internal Derangement: A Prospective Single-Arm Clinical Study, Ahmed Emad Mohamed Ghaly, Nabil Mokhtar Mohammed, Mohamed Radwan Elhadidy, Mohammed Hassan El Fahar

Mansoura Medical Journal

Background: The most common condition is temporomandibular joint (TMJ) internal derangement (ID). common TMJ disorder. It is defined as an abnormal displacement of the articular disc from its normal position relative to the condyle during joint function.

Aim: To evaluate the clinical outcomes of ultrasound-guided temporomandibular joint (TMJ) arthrocentesis in patients with post-traumatic internal derangement, the effectiveness of the procedure in reducing pain intensity, improving mandibular range of motion (maximum mouth opening and lateral excursions), decreasing TMJ clicking, and determining the overall clinical success rate over a 6-month follow up period.

Patients and methods: This prospective single-arm non-randomized study was …

Demographic Characteristics In Patients With Heart Failure And Iron Deficiency, Ahmed Alaa Eldin Abd Elazeem, Abdul Razek Abdul Lateef Maaty, Hanan Ahmed Azzam, Ahmed Mohamed Reda

Mansoura Medical Journal

Background: Iron deficiency (ID) is a major and prevalent comorbidity among heart failure (HF) patients. It is associated with poor exercise tolerance, recurrent hospitalization and higher mortality. Studying patients’ demographics helps to determine vulnerable groups to ID, risk factors and associated comorbidities to be considered during screening and management.

Aim of the Work: To study the demographic characteristics of heart failure patients with iron deficiency.

Patients and Methods: A cross sectional observational study was conducted at a tertiary care university hospital at Delta region of Egypt between year 2024 and 2026. Among 117 HF patients, 100 HF patients …

Impact Of Early Injection Laryngoplasty On Voice Outcomes And Quality Of Life In Acute Unilateral Vocal Fold Paralysis, Abdelrhman Ali Kamal, M El-Kotb, Hemmat Mostafa Baz, Ahmed S. Abdelmeguid

Mansoura Medical Journal

Background

Unilateral vocal fold paralysis (UVFP) leads to glottic insufficiency, resulting in dysphonia, reduced vocal strength, and frequently swallowing difficulties that impair communication and quality of life. Injection laryngoplasty with temporary materials such as hyaluronic acid has been shown to improve voice quality and phonatory function in UVFP patients and may serve as an effective early intervention prior to permanent medialization surgery.

Objective

To assess the impact of early injection laryngoplasty on voice outcomes and voice related quality of life in patients with acute unilateral vocal fold paralysis.

Methods

This prospective study included 24 patients with acute UVFP treated with …

Predictors Of Outcomes Of Adult Mandibular Fractures: A Prospective Study., Norhan Yahia El-Henawy, Mohamed Ali Mahgoub, Mohamed Radwan El-Hadidy, Ahmed Hassan El-Sabbagh

Mansoura Medical Journal

Background: Mandibular fractures not only cause physical disfigurement and functional impairments but also significantly affect the patient’s psychological, emotional, and social well-being. Predictors are variables that may influence or explain variation in the outcome of mandibular fracture. Aim of work: To evaluate demographic, clinical, radiological, and psychosocial factors associated with early postoperative complications and postoperative depressive symptoms following surgical management of adult mandibular fractures. Methods: A prospective study evaluated patients who will undergo treatment for surgical mandibular fracture/s at Mansoura Emergency Hospital, DK, from August 2023 to July 2024. The patients were assessed by history taking, clinical picture, radiological tools, …

Supporting Latine Older Adults’ Nutrition And Physical Health Goals In Counseling, Zachary P. Mcniece, Jacqueline J. Bergman

Faculty Research, Scholarly, and Creative Activity

Latine older adults face disproportionate risk of chronic nutrition-related conditions and food insecurity, which can exacerbate or contribute to the development of mental health-related concerns. Cultural stigma toward mental illness can result in Latine clients, especially older adults, somatizing symptoms and focusing on physical health goals in counseling. Despite these intersecting needs, counselors often overlook clients’ physical health goals due to limited training and the assumption that medical providers alone should address them. This article advocates integrating basic, culturally responsive nutrition information into counseling practice to support client well-being while staying within the scope of practice. We offer practical recommendations …

Npd Winner's Circle: Overcoming Imposter Syndrome In New Clinical Specialties, Leanna Ross

Publications 2026-present

No abstract provided.

A Nuclear Terrorism Scenario: Improvised Nuclear Weapons With 60%-Enriched Uranium, Matt Caplan

Faculty publications – Physics

In this work we show that approximately 60–70 kg of 60%-enriched uranium can be used to build a crude nuclear weapon with a kiloton yield. While too large to fit on a missile, such a weapon could be delivered by a shipping container. This analysis is motivated by the June 2025 Israeli and US attacks on Iran, especially the bombings of the nuclear facilities at Natanz, Fordow and Isfahan. The Iranian stockpile of approximately 440 kg of 60%-enriched uranium is, at the time of writing, inaccessible to IAEA inspectors and stored in secret. The rapid clandestine relocation of this material …

Short Term Outcome Of Endovenous Microwave Ablation For Treatment Of Small Saphenous Vein Incompetence: A Single Center Experience, Diaa M. Elawady, Mohamed Shetiwy, M Farag Kamel, Tamer Khafagy

Mansoura Medical Journal

Aim: To evaluate the effectiveness and safety of using Endovenous Microwave Ablation (EMA) to treat primary small saphenous vein (SSV) incompetence.

Methods: The study was conducted on consecutive limbs with primary SSV incompetence confirmed by Duplex study and had CEAP clinical class C2–C6, between February 2024 and July 2025 at a tertiary referral center. Patients were treated with EMA using the ECO Microwave System Co (Nanjing, China). Primary endpoint included technical success whereas secondary endpoints included post-procedural complications and VCSS changes.

Results: A total of 23 patients and 24 limbs were included. Technical success was achieved in all patients. During …

Understanding And Mitigating The Impact Of Childhood Trauma: A Guide For Educators, Kirsten L. Sands

All Electronic Theses and Dissertations

Adverse Childhood Experiences (ACEs) are potentially traumatic experiences that occur during childhood with lasting effects on students’ academic, social, emotional, and behavioral development. Although childhood adversity typically occurs outside of the educational setting, difficulties with emotional regulation, peer relationships, concentration, behavior, and engagement impact education. Teachers are uniquely qualified to observe these behaviors and provide support. However, educators may lack the foundational knowledge and resources necessary to recognize potential signs of adversity. Teachers need foundational information on ACEs, knowledge of potential signs, and how to provide practical, trauma-informed strategies for responding to students who may be experiencing effects of childhood …

Left-Hand Technique And The Limits Of The Possible, Ricardo Iznaola

Soundboard Scholar

This article conceptualizes classical guitar left-hand technique through a physiomechanical framework that places coordinated movement—particularly shifting—at the center of technical practice. Challenging traditional positional doctrines that privilege static hand forms and digital independence, the author argues that such approaches often disregard the functional anatomy of the limb, resulting in inefficiency, unnecessary tension, and potential injury.   Advancing the principle that form must follow function, the study proposes shifting as the fundamental technical category governing all left-hand procedures. A systematic typology—interpositional, intrapositional, and compound shifting—serves as the basis for analyzing arm-wrist-hand coordination across diverse technical contexts, including extensions and contractions, barrés, slurs, …

Ms Katherine Cheung Marn-Kay, Jp 章曼琪女士, Jp

Honorary Fellowship 榮譽院士

No abstract provided.

Ms Guo Jingjing 郭晶晶女士

Honorary Fellowship 榮譽院士

No abstract provided.

Mr Ma Fung-Kwok, Gbs, Jp 馬逢國先生, Gbs, Jp

Honorary Fellowship 榮譽院士

No abstract provided.

Mr Irons Sze, Gbs, Jp 施榮懷先生, Gbs, Jp

Honorary Fellowship 榮譽院士

No abstract provided.

Mr Yeung Fan (Yeung Chun-Fan), Bbs 楊勳 (楊振勳) 先生, Bbs

Honorary Fellowship 榮譽院士

No abstract provided.

Public Art’S Role In Urban Transformation In New York City: 5 Pointz And The High Line, Shelby Stanton

Pomona Senior Theses

Urban spaces are made not only of buildings and infrastructure but of the social and cultural practices that integrates into social fabric and assigns their meaning. They are a living, transforming entity where humans and the environment influence each other in lifestyle and identity. In New York City, art, both formally commissioned public works and grassroots urban interventions, have become central to the processes of urban transformation. Murals, installations, and curated parks are crucial to the urban environment and are frequently leveraged as tools of placemaking. Place-making is a concept used to describe and understand how meaningful places emerge from …

Improving Healthcare Professionals’ Comfort Level Screening For Intimate Partner Violence, Madison M. Mitzel

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Pregnancy increases a woman’s risk of experiencing intimate partner violence (IPV). Although healthcare visits typically increase during pregnancy, IPV screening is often overlooked, and many women remain unaware of available domestic violence resources. 
Local problem: Globally, women are impacted by IPV, with those living in rural areas facing a higher risk. 
Methods: The Abuse Assessment Screen (AAS) was implemented in a rural women’s health facility to screen patients for IPV. Prior to implementation, healthcare professionals within the facility received education regarding the screening protocol and available resources for patients. 
Interventions: The comfort level of the healthcare professionals discussing IPV …

Coral Holobiont Lipidome Response To Global Change, Lauren Zane

Open Access Dissertations

Climate change is fundamentally restructuring macro-scale marine ecosystem structure and function by altering microscale metabolic processes and patterns of energy allocation. Scleractinian corals, as major ecosystem engineers, play outsized roles in ecosystem structure and function. They also occupy diverse habitats that differ in temperature regimes, light environments, hydrodynamics, and other environmental conditions, exposing corals to substantial spatial variation in stress and resource availability. Their fragile nutritional symbiosis with algal endosymbionts helps them navigate these environmental variations, but are also highly sensitive to environmental stress, particularly the timing and magnitude of water temperature changes. As pressure from environmental changes increases, the …

61st International Congress On Medieval Studies, Medieval Institute, Western Michigan University

International Congress on Medieval Studies Archive

The printed program of the 61st International Congress on Medieval Studies (May 14–16, 2026), together with the Corrigenda.

From Needs To Action: Designing Inclusive Writing Workshops For Academics, S. Alison Bolling, Julie Hicks Patrick

2026 Scholarly Teaching Conference: Poster Session Papers

Being productive in academic writing is a critical component of success for graduate students and faculty, yet many scholars report persistent barriers that interfere with successful writing (Kaslow et al., 2025, Sweet et al., 2017). Few faculty and graduate students receive formal training on the art of writing and those who have attended writing programs vary in success (Dankoski et al., 2012). The present study reports results from multiple institutions to inform workshops on writing needs of graduate students, faculty, and postdoctoral scholars.

Data was collected online through a Qualtrics survey distributed by WVU listserv. Participants (N = 26) included …