Digital Commons Network^™

Median Nerve Intraneural Hematoma As An Intraoperative Finding During Carpal Tunnel Release: A Case Report, Ana Silva, Gil Gonrtre, Nikalus Skipp, Ana Love, Deana Mercer

Western Journal of Orthopaedics

Carpal tunnel syndrome (CTS) is the most common compressive neuropathy and typically progresses slowly. Intraoperatively, flexor tenosynovitis, nerve edema, or hourglass deformity may be observed. In rare cases, acute compression symptoms occur due to mass effect on the nerve. Intraneural hematoma of the median nerve is uncommon and has been reported primarily in acute CTS cases associated with trauma. This report describes an 87-year-old patient with a history of mild CTS who underwent carpal tunnel release due to worsening symptoms. After the initial incision, a thickened flexor retinaculum, an hourglass deformity of the median nerve, and an intraneural hematoma were …

Proximal Iliotibial Band Rupture In A 74-Year-Old High-Level, Female Athlete: A Case Report, Jeremiah M. Langsfeld, Joseph Esquibel, Dustin L. Richter

Western Journal of Orthopaedics

A 74-year-old female endurance athlete presented with progressive pain over the left proximal and lateral hip distal to the iliac crest. Symptoms developed over three weeks, impairing weightbearing. Magnetic resonance imaging demonstrated a high-grade tear of the proximal iliotibial band at its iliac crest insertion. The patient was treated nonoperatively and returned to high-level, asymptomatic competition three months after symptom onset. This case offers a nonoperative approach to the rare presentation of a proximal iliotibial band rupture.

Arthroscopic Treatment Of Extensive Synovial Chondromatosis Of The Knee: A Case Report, Gaurav Singh, Bhavna Singh, Rebecca Peebles, Justin Bartley

Western Journal of Orthopaedics

Synovial chondromatosis (SC) is a rare, benign monoarticular disorder characterized by intra-articular cartilaginous loose bodies resulting from synovial metaplasia, most commonly affecting the knee. The authors present the case of a 44-year-old man with progressive, debilitating left knee pain, mechanical symptoms, and functional limitations unresponsive to conservative treatment. Radiographs were unremarkable, but magnetic resonance imaging (MRI) demonstrated multifocal noncalcified intra-articular bodies consistent with SC. The patient underwent arthroscopic debridement of the knee with limited synovectomy. Intraoperative findings included innumerable intra-articular cartilaginous loose bodies throughout the knee, synovial proliferation, and grade II chondromalacia. At three months postoperatively, the patient had regained …

Prosthetic Knee Joint Infection Caused By Gemella Morbillorum, Nataly Echevarria-Castro, Shaleen Duhra, Leonor Echevarria

Western Journal of Orthopaedics

Gemella morbillorum is a gram-positive coccus found in the gastrointestinal tract, and is an uncommon cause of human infections, including prosthetic joint infections (PJI). Reported risk factors include immunosuppression, recent gastrointestinal procedures, and poor dental hygiene. This report describes a case of knee PJI caused by G. morbillorum, likely due to hematogenous seeding following a colonoscopy three months earlier. The patient is a 70-year-old man with well-controlled diabetes mellitus who had undergone total knee arthroplasty three years prior. He presented with three weeks of left knee swelling. Synovial fluid culture revealed G. morbillorum. The patient was treated with debridement, antibiotics, …

Arthroscopic Management Of A Loose Body In The Pisotriquetral Joint: A Case Report, Giovanni Chioda, Tomas Holy, Nicholas Newcomb, Nathan Morrell

Western Journal of Orthopaedics

The pisotriquetral joint is the smallest of the four joints comprising the wrist and is a source of ulnar-sided wrist pain. This condyloid joint connects the pisiform to the triquetrum and is supported by several surrounding ligaments. A variety of pathologies may affect the pisotriquetral joint, including the presence of loose bodies. Because of its small size and the inherent difficulty of visualization, the pisotriquetral joint is often overlooked as an independent joint. Techniques for arthroscopic visualization and loose-body removal have previously been described using the 6R and 4-5 portals. In the following case report, the authors describe successful visualization …

Play-Based Learning In Private International Preschools In Cairo: Teachers' Perspectives, Kesha L. Stovall

Theses and Dissertations

This thesis explores how play-based learning is practiced and contextualized in private, international preschools in Cairo, Egypt through the perspective of teachers. It calls upon both historical and contemporary theories of play and play pedagogies ranging from the times of Plato and Al-Farabi to the 21st century with Montessori and Dewey. Using a contemporary theory of play presented by Stuart Lester and Wendy Russell as a guiding framework, it examines how play and play-based learning are implemented, shaped and even challenged in a Cairene context. These contexts include sociocultural factors such as parents’ expectations and aspirations, institutional barriers, teacher development …

An Examination Of The Determinants Of Audit Quality: Implications From Firms Listed In Us Stock Markets, Abdelrahman Naser Elmaria

Theses and Dissertations

The purpose of this thesis is to examine the effect of several audit determinants, namely audit tenure, non-audit to audit fees ratio, auditing firm size, and firm size, impact on audit quality. This thesis extends the existing literature on audit determinants effect on audit quality using a Generalized Linear Model, (GLM) regression with robust estimation by analyzing a sample of 446 companies from the USA in the manufacture and service sectors. This is conducted through a series of diagnostic tests to identify an appropriate regression model. Such tests include testing and checking of baseline regression models to check for multicollinearity, …

Ottoman Wikālas In Cairo: Islamic Architecture Beyond The Mosque, Yumna Moussa

Theses and Dissertations

This thesis traces one of the largest architectural typologies in Cairo: the wikāla, a type of urban caravanserai unique to Egypt. Estimated to have reached more than five hundred buildings by the 18^th century, the wikāla was the building of choice for most patrons in Ottoman Cairo. This study initially investigates the evolution of commercial architecture within the Islamic city. It then explores the defining architectural features of Cairene wikālas built between the 16^th and 18^th centuries—their plans, decorative/iconographic programs, and urban distribution—based on waqfiyyas, chronicles, travelers’ accounts, and photographic archives. Since many of …

On The Reasonableness Of Religious Belief According To W. James' "The Will To Believe" With Reference To Alvin Plantinga's “The Nature Of Necessity”, Maria Gadelrad Shenouda Nakhla

Theses and Dissertations

Analytically, I follow William James's approach in his paper "The Will to Believe" to demonstrate that holding a religious belief is reasonable and it is not incompatible with being a philosophy scholar. I do this through explaining the way James addressed the main obstacle that Clifford puts against belief (in general) which is ‘the lack of sufficient evidence’. Clifford claims that belief cannot be accepted without evidence on it.

James breaks apart this obstacle through many steps. First, analyzing the nature of belief itself, showing that belief cannot be attained based on intellectual grounds alone (which needs sufficient evidence), but …

Metabolic Syndrome Beyond Diagnostic Criteria: Population-Scale Integrative Metabolomics Characterization, Marwa Talal

Theses and Dissertations

Background: Metabolic syndrome (MetS) is a complex cluster of interrelated metabolic abnormalities associated with elevated cardiometabolic risk. While diagnosis is based on well-established five clinical criteria, these may overlook early or atypical metabolic alterations. Large-scale metabolomic profiling offers an opportunity to identify biochemical signatures of MetS beyond diagnostic bias and to evaluate their relative importance across different presentations of the syndrome.

Methods: Data from 117,147 UK Biobank participants were analyzed in a cross-sectional design. High-throughput NMR quantified 75 circulating metabolites, for. Univariate analyses, MetS subtype stratification, and elastic net models with SHAP interpretation were applied to assess feature …

Trajectories Of Egyptian Women In The Us, Sageda A. Tagen

Theses and Dissertations

This thesis aimed at studying and analyzing the experiences of highly skilled Egyptian migrant women living in the US both who migrated as adults and those who migrated as children with their families. It analyzed their backgrounds prior to the migration decision, the migration decision and their legal status, the role of the family in their journey and their challenges within the social context of their workplaces. The study utilized a qualitative ethnographic lens. The study is based on ethnographic interviews with 15 highly skilled women living in the US, most of whom are concentrated in Indiana and Michigan. The …

Trusting With All Her Heart - And A Kidney, Beverly Matiko

Faculty Publications

No abstract provided.

Enteral Nutrition Guidelines Improve Critically Ill Patients’ Outcomes: A Quasiexperimental Study, Marwa Abdo, Sara Elsayed Hegazy

Nursing

Background: Optimal nutritional support is a fundamental element of treatment for critically ill patients. Adherence to evidence-based enteral nutrition guidelines is essential to promote patient care and prevent potential complications. Objectives: To assess the effectiveness of enteral nutrition guidelines in improving critically ill patients’ outcomes. Method: A quasiexperimental study evaluated 68 critically ill patients divided into 2 groups. The intervention group received their nutrition based on the evidence-based enteral nutrition guidelines, while the control group received their nutrition based on the unit’s routine care. The study was conducted in the surgical intensive care units of Mansoura Emergency Hospital in Egypt. …

Fragmented Minds And Fractured Selves: A Cognitive Stylistic Analysis Of Mental Disturbance In Leaves Of Narcissus, Sarah M. Fayed, Amany M. El-Shazly, Fatma Ismail Dr.

Computer Science

What readers encounter in literature directly affects their views and impressions of the world. Hence, it is essential to acknowledge this effect and analyze it to understand how readers identify and pass judgment about significant issues. One important issue to investigate is the depiction of mental disturbance in modern fiction. The present work reconceptualizes the depiction of mental disturbance in Arabic fiction through an analysis of Somaya Ramadan’s Leaves of Narcissus. To this effect, Leaves of Narcissus (Awraq al-narjis) the depiction of mental disturbance is examined. The stylistic devices Ramadan uses, such as schema alterations to convey the content are …

Pedagogical Readiness And Adaptability In Higher Education In Egypt: An Exploration Of Generational Disparities In Ai Adoption., Maha Ahmed Zaki Dajani, Israa Lewaa, Hadia Fakhreldin

Business Administration

ABSTRACT

Dajani, M., LewaaElhamd, I., & FakhrEldin, H. (2025). Pedagogical readiness and adaptability in higher education in Egypt: An exploration of generational disparities in AI adoption. In Conference proceedings for the Annual Conference of Business, Economics and Politics in the Middle East (BEP-ME) 2025 (pp. 96,116). The British University in Egypt.

This study investigates generational differences in the adoption of AI tools in Egyptian higher education, examining how pedagogical readiness and adaptability influence engagement among students and educators. It addresses a key gap in the literature—the lack of an integrated pedagogical framework combining Kolb’s Experiential Learning Theory and Constructivist …

Optimizing Energy Efficiency In Educational Buildings Through Facade Material Selection, Rania Rushdy Moussa, Malak Ayman, Khloud Khalid

Architectural Engineering

Facade material selection is crucial for improving building performance and reducing environmental effect, as evidenced by the growing demand for sustainable architectural solutions, especially in educational institutions. The use of typical, non-sustainable facade materials in Egyptian educational buildings is a major cause of the country's high energy consumption, poor indoor air quality, and rising carbon emissions. This research explores the possibility of using cuttingedge facade materials to promote sustainability in Egyptian university buildings in order to close this crucial gap. The study incorporates a mixed-methods approach and begins with a qualitative theoretical review that includes a thorough literature analysis. A …

Impact Of Therapeutic Design On Patients’ Satisfaction And Wellness In Healthcare Facilities., Dalia Moati

Architectural Engineering

In recent years, there has been a growing recognition of the signi3icance of designing healthcare environments that extend beyond functionality. These healing hospital environments are designed to promote patient satisfaction and well-being. However, despite increased awareness of their bene3its, the global adoption of healing-centred hospital designs remains limited. While the healthcare system has long focused on treating physical ailments, there is a growing recognition that to promote overall wellness, it must shift toward a more comprehensive approach to healing, addressing not only the body but also the emotional and psychological needs of patients. This paper aims to investigate the impact …