Digital Commons Network^™

Clinical Outcomes Of Anticoagulant Therapy In Cirrhotic Patients With Benign Portal Vein Thrombosis, Dalia Elsayed Tawfik, Muhammad Abdulaty Diasty, Aya Ahmed Elboghdady, Hatem Abdel Wahab Elalfy

Mansoura Medical Journal

Background

Portal vein thrombosis (PVT) is among the recognized vascular complications encountered in cirrhotic patients and may significantly influence disease progression and survival. The clinical course of PVT differs according to its etiology, particularly when hepatocellular carcinoma (HCC) is absent. This study was designed to assess the outcomes of benign portal vein thrombosis in cirrhotic patients.

Methods

This prospective observational study enrolled 18 cirrhotic patients diagnosed with non-malignant portal vein thrombosis. All participants underwent comprehensive clinical evaluation, laboratory investigations, and radiological assessment. Severity of liver disease was determined using the Child–Pugh classification and MELD score. Radiological imaging was utilized to …

Evaluation Of Clinical Efficacy And Safety Of Topical Trifarotene Versus Topical Dapsone In Inflammatory Acne Valgaris: Split Face Interventional Study., Shaymaa E. Elmongy, Aya Mohammed Elsebaie, Azza Osama Alqurei, Noura A. Elseessy

Mansoura Medical Journal

Background: Topical Trifarotene and Dapsone both treat inflammatory acne, but they work differently and have distinct side effects.

Objective: to compare efficacy and safety between topical trifarotine 0.005% versus dapsone 5% gel for treatment of mild to moderate inflammatory facial acne vulgaris.

Methods: This split face interventional study included twenty (20) patients with mild to moderate facial acne vulgaris. All the patients were treated with topical trifarotine cream 0.005 once daily at night thin layer on RT side of the face and treated with topical dapsone gel 5% once daily at any time of the day thin …

Intelligence Quotient In Egyptian Children With Attention-Deficit/Hyperactivity Disorder, Yomna Sh. Abdrabouh, Zeinab A. Gomaa, Mohammed A. Elwasify, Ibrahem H. Elkalla

Mansoura Medical Journal

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) affects cognitive functioning in children, yet evidence remains limited in Middle Eastern populations regarding comprehensive IQ evaluation and associated clinical characteristics. This study aimed to assess verbal, non-verbal, and total IQ in Egyptian children with ADHD and examine their associations with sociodemographic, developmental, educational, and clinical factors while identifying factors associated with IQ classification.

Methods: A cross-sectional observational study enrolled 150 Egyptian children aged 6-12 years diagnosed with ADHD according to DSM-5 criteria with IQ above 80 at Mansoura University Hospital from February 2022 to October 2023. Intellectual functioning was evaluated using the Stanford-Binet Intelligence Scale, …

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 …

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. …

Ageing With Hiv: Epidemiological Transition, Biological Mechanisms, And The Impact Of Evolving Antiretroviral Therapy, Jude Eteneneng Enoh, Roland Tiagha Akah

Mansoura Medical Journal

The scale up of antiretroviral therapy (ART) has led to the evolution of HIV infection into a chronic condition, leading to a rapid growth in the number of older adults with HIV. This trend involves several biological, medical, and psychological challenges that go beyond conventional HIV treatment. The current mini-review provides a summary of recent data (2014 – 2026) regarding the changing epidemiology of HIV, biological aspects of ageing, and comorbidities and health systems associated with ageing.

Ageing is driven by persistent immune activation, inflammation, immune senescence, and microbial translocation, all of which accelerate biological ageing. These biological factors lead …

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, …

Turning 30 In 600 Feet, Tate Lewis-Carroll

Theses and Dissertations

This thesis is a poem; it records fourteen consecutive months of the poet’s life through rigorous, daily typing habits with nonoptimal tools and material: a typewriter and 600 feet of receipt paper. Through the adoption of these conditions, and through the dailiness of the habit, this thesis crips and deploys a poetics of chronic impediment for accessing constraint and its role in making. This thesis includes a critical preface which explores some of the poet’s specific relationships to chronic pain, both physical and emotional; forgetfulness and dissociation; and disruption by remembering a decade-long flare of chronic illness and abuse. With …

The Right To Read: Opposing The Censorship Of Young Adult Literature On Grounds Of Sexually Explicit Content, Kate Fortner

Theses and Dissertations

In this thesis, I use intersections between sexuality studies, feminism, queer theory, and theories of children’s and young adult literature to examine and historicize the prevalence of book bans and challenges between 2020 and 2025 that target young adult literature on the basis of sexually explicit content. To understand the opposition to portrayals of underage heterosexuality, I analyze John Green’s Looking for Alaska, considering its history of censorship as well as the author’s response to those bans. To understand the challenges to depictions of LGBTQ+ identities aimed at young people, I look at Maia Kobabe’s Gender Queer and Juno …

Transgender Representation In Japanese Video Games And Their Corresponding American Fandoms, Aj Abad

Theses and Dissertations

This thesis explores transgender and gender non-conforming characters within Japanese media and their corresponding American fandoms. In this thesis, I use a methodology named trans negotiated readings, stemming from Stuart Hall’s theory of dominant codes and negotiated readings. Through focusing on two characters from two different Japanese media—Arashi Narukami from Ensemble Stars!! and Mizuki Akiyama from Project Sekai: Colorful Stage Feat. Hatsune Miku, I uncover some of the dominant codes encoded the original source material. After, I also examine their corresponding American fandoms, uncovering the negotiated readings from the fanbase. This thesis attempts to show different cultures’ interpretation of transgender …

Children’S And Adult Perspectives On Mental Health In Children’S Youth Literature And Media, Edcel J. Cintron-Gonzalez

Theses and Dissertations

My dissertation extends existing work on mental health in children’s literature to examine the different narratives strategies that text, film, and media for young audiences use to connect childhood, caregiving, and emotional wellbeing. Three areas of scholarship—children’s literature scholarship, health humanities work, and feminist care ethics—inform my project. Overall, I am interested in how a variety of genres for young readers represent mental health not only as an individual experience, but also as something shaped by family, culture, community, and adult-child relationships. It is therefore important to delineate the different concepts and frameworks that help make sense of how mental …

Vocabulary Assessment And Washback: English Teachers' Practices In Preparing Students For The Wassce In Ghana, Ishmael Nii Amon Neequaye

Theses and Dissertations

Persistent concerns in WAEC Chief Examiners’ Reports consistently attribute declining student performance on the WASSCE English Language examination to limited vocabulary knowledge. Despite these recurring observations, little research has explored how teachers respond to the vocabulary demands embedded within this high-stakes examination. This qualitative study investigates (1) how Senior High School English teachers prepare students for the vocabulary demands of the WASSCE English paper and (2) how the assessment pressures influence instructional practices and classroom decision-making.  Drawing on communicative competence, multiliteracies, and washback, the study employed a descriptive case study design and thematic analysis of semi-structured interviews and focus group …

Advocating Legal Literacies And Housing Justice In Technical And Professional Communication: A Case Study Of Tenancy Laws, Agreements, And Stories In Ghana, Eric Nuamah Korankye

Theses and Dissertations

In this dissertation, I study the intersection of legal literacies, housing justice, and technical documentation in technical and professional communication (TPC). Specifically, I examine the complicity of TPC documents (i.e., tenancy agreements) in tenancy oppression in Ghana, focusing on how they are designed and used to disenfranchise tenants, formalize tenancy oppression, and uphold asymmetrical power structures among housing stakeholders (e.g., tenants, house owners, rent control officers, etc.) in the private rental market in Ghana, specifically in Accra. Using my newly developed Glocal Intersectional Justice (GIJ) methodology, I design two decolonial case studies, in which I conduct a rhetorical analysis of …

Poor Brain Reserve Increases Mortality Risk In Glioblastoma, Sree Gongala, Pamela Lamontagne, Danial Marcus, Et Al.

2020-Current year OA Pubs

BACKGROUND: Brain reserve refers to the structural capacity of the brain and correlates with age and Karnofsky Performance Status (KPS). While age and KPS are known independent predictors of survival in glioblastoma patients, the role of brain reserve in influencing glioblastoma outcomes remains unexplored. This study investigates the relationship between baseline brain-reserve metrics and survival outcomes in isocitrate dehydrogenase 1-wildtype (IDH1-WT) glioblastoma.

METHODS: We analyzed 841 patients with IDH1-WT glioblastoma using clinical data and presurgical MR images sourced from 4 institutions. MRI-based tumor characteristics and quantitative brain-reserve metrics were assessed using the Cancer Imaging Phenomics Toolkit and the Computational Anatomy …

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 …

Digital Truth Making, Creative Resistance, And Power Negotiation Through Social Media: A Digital Ethnography Of The 2024 Gen Z Uprising In Bangladesh, Mustafizurrrahman Rahat

Theses and Dissertations

This research investigates how social media shaped political participation during the 2024 July Uprising in Bangladesh, focusing on the production and negotiation of political truth, legitimacy, and resistance through everyday digital practices. Rather than conceptualizing social media solely as a communication tool, the study analyzes digital platforms as contested spaces where activists, state-aligned actors, and other participants constructed, circulated, and challenged competing political narratives throughout the uprising.

Drawing on digital ethnography, this study integrates netnographic observation of Facebook groups, pages, hashtags, memes, and protest-related visual content with content analysis, reflexive participant observation, and semi-structured interviews with Generation Z participants. The …