Digital Commons Network^™

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 …

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 …

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. …

The Representation Of Urban Peripherality In Selected Noir Narratives, Mona Sayed

English Language and Literature

This thesis examines the representation of two forms of urban peripherality, i.e. city periphery and peripheral city, in selected noir narratives from two Akashic short story collections, Brooklyn Noir (2004), edited by Tim McLoughlin, and Mumbai Noir (2012), edited by Altaf Tyrewala. The study investigates these representations to attempt forming a broader conceptualisation of urban peripherality that goes beyond the conventional Western one, which foregrounds the geographical divides as identifying features between urban centre and periphery. The thesis draws on the urban conceptual framework to conduct a close reading of the spatial, cultural, and social representations of urban peripheries within …

Library Support For Massive Open Online Courses (Moocs) In The Philippines: The Case Of American Corners, Princess Grace Wooden, Darin Jan Tindowen

Library Philosophy and Practice (e-journal)

This study examined the role of libraries in supporting Massive Open Online Courses (MOOCs) in the Philippines, with particular focus on American Corners as library-based learning spaces. Grounded in the increasing demand for flexible and accessible education, the study aimed to assess the readiness of American Corner libraries and determine the extent of MOOC implementation, as well as examine the relationship between these variables. A quantitative descriptive-correlational research design was employed, involving 28 American Corner staff composed of directors and librarians from 14 participating institutions. Data were collected using a validated survey questionnaire and analyzed through frequency, percentage, weighted mean, …

Rethinking Library Opac: From Siloed Retrieval To Ai And Ml-Driven Discovery Using Fastapi And Mysql, Sukumar Mandal

Library Philosophy and Practice (e-journal)

The paper explores integration methods between MySQL and FastAPI to develop dynamic Online Public Access Catalog services including functionalities for modern libraries and information centers. It addresses evolving user expectations by replacing rigid keyword-based search models with adaptive, intelligent discovery experiences that prioritize search relevance. The goal involves transforming traditional library retrieval tools into contextual discovery platforms that effectively understand specific user intent and complex needs. The prototype was created on Ubuntu in a customized Python environment. It uses FastAPI to manage asynchronous API calls and MySQL to store bibliographic data. SQLAlchemy abstracts the database layer, and Pydantic validates data. …

Uncovering The Disciplinary Pulse Of Library And Information Science Through Large-Scale Topic Modelling Of Openalex Scholarly Literature, Sailendra Malik, Sukumar Mandal

Library Philosophy and Practice (e-journal)

Library and Information Science is among the oldest and intellectually pluralistic scholarly disciplines but the inner thematic structure has not been established. The article develops a systematic and data intensive mapping of the field by the Latent Dirichlet Allocation topic modelling to 7,824 articles in the English language indexed in OpenAlex in the year 2000 to 2025. A ten topic solution is an optimised solution that identifies a group of readable and sensible thematic domains including information literacy digital libraries scientometrics archives and scholarly communication. The analysis of temporal trajectory reveals that there have been consistent expansion at the emergent …

From Digital Skills To Digital Ventures: Exploring The Influence Of Digital Competence On Infopreneurship Intentions Of Library And Information Science Students In Nigerian Polytechnics, Uwaebuka Wisdom Madu Dr., Stephen Adekunle Ajayi Dr

Library Philosophy and Practice (e-journal)

The focus of this study was to investigate the influence of digital competence on infopreneurship intention among Library and Information Science (LIS) students in federal polytechnics in South-West Nigeria, a context characterized by high graduate unemployment and rapid digital transformation. Guided by the Theory of Planned Behaviour and Eshet-Alkalai's Digital Literacy Model, a descriptive survey design was employed. The population comprised 638 final-year LIS students across four federal polytechnics, with a sample of 468 selected through multi-stage sampling. A validated questionnaire with a reliability coefficient of 0.828 was used for data collection. 388 responses amounting to 82.9% response rate was …

Adult Healthy Habits, Belinda E. Vicuna, Mahtab Soleimani, Yvonnie Baik, Elena Martinez, Theresa H. Cruz

Reports & Documents

No abstract provided.

Partnering To Change Culture: Advancing Rigor And Transparency In Neurosciences Through Pie Chart, Melissa L. Rethlefsen, Danielle Maurici-Pollock, Leah Everitt, Will White, Ingrid Hendrix, Alexa Copeland, Sam Mckenzie, C W. Shuttleworth

PIE CHART

PIE CHART (Policies, Infrastructure, and Education to CHAmpion Rigor and Transparency) is a new program seeking to develop, test, and iterate sustainable models for improving the culture of rigor and transparency within the University of New Mexico Health Sciences Center. This program is a unique partnership between the Health Sciences Library & Informatics Center and the Department of Neurosciences. This partnership enables departmental interventions, but also aims to benefit the broader community at the University of New Mexico. Using the Center for Open Science's Strategy for Culture Change framework, PIE CHART aims to incentivize rigorous and transparent neuroscience research through …

Pie Chart Overview And Tenure And Promotion, Melissa L. Rethlefsen

PIE CHART

This presentation gives an overview of PIE CHART and additional material relating to open science in tenure and promotion. Materials included in this project were supported by the National Institute Of Neurological Disorders And Stroke of the National Institutes of Health under Award Number RC2NS138557. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Experimental Investigations Of Cataract-Related Visual Degradation, Intraocular Lens Optics And Dynamic Stability, Sherrie Choy

School of Health Professions Theses

Cataract commonly occurs in older adults and is associated with degraded vision, impaired mobility and increased risk of falls. Cataract surgery restores transparency of the optical media by replacing the natural lens with an artificial intraocular lens (IOL). Modern toric and aspheric IOLs can improve optical quality and refractive outcomes; yet their potential impact on dynamic balance and fall risk is not well understood. This thesis used an experimental research methodology to examine how controlled changes in visual quality, arising from simulated cataract and from differences in IOL design, toric alignment and aberration profile, influence dynamic stability and gaze behaviour, …

Implementing Bespoke Assistive Technologies: An Approach For Successful Introduction And Use Of Assistive Technology In Supported Living For Individuals With Intellectual Disabilities., Benjamin Morris

School of Health Professions Theses

Background: While the potential of assistive technologies for improving the lives of individuals with intellectual disabilities is well documented, successful implementation of these technologies is a complex challenge. Adoption-and-use-models of assistive technology are a key method to guide such adoption technology, however no specific model for supported living of those with intellectual-disability existed prior to this research. The research aimed to investigate how bespoke digital assistive technologies can be implemented in the supported living environment for people with intellectual disabilities. Three primary outputs were produced in order to address the research question. 1. A theoretical model that explains the barriers …

Stimuli Development To Measure Parafoveal Contrast Sensitivity In Age-Related Macular Degeneration At Varying Luminance Levels, Joao Alhada Lourenco

School of Health Professions Theses

Age-related macular degeneration is a common ocular condition in the older adult population, being the leading cause of visual impairments in industrialised countries. The prevalence of age-related macular degeneration is expected to increase along with increased life-expectancy. The early stages of age-related macular degeneration often present no noticeable symptoms; however, visual function may be impaired, particularly under low light conditions. An initial impairment tends to occur in the parafoveal region where rod photoreceptors are denser, as these photoreceptors were shown to be more prone to dysfunction than cone photoreceptors in early stages of age-related macular degeneration. Therefore, testing for this …

Policy Brief For All-Party Parliamentary Group (Appg) On Autism: National Implementation Of Systemic Family Therapy For Autism, Becky Stancer

School of Law, Humanities and Social Sciences

Addressing the Crisis of Premature Mortality and Family Trauma in Autism through Systemic Intervention.

Antigypsyism: Foundations Of An Ideology Of Hatred Towards Roma, Fernando Ruiz Molina, Zoë James

School of Law, Humanities and Social Sciences

Roma communities represent the largest ethnic minority in Europe (European Parliamentary Research Service, 2021), dating their presence from the fourteenth century onwards (Council of Europe [CoE], 2012a; CoE n.d.-a; End, 2012).¹Accord-ing to the Council of Europe, it is estimated that the population of Roma citizens living currently in Europe is around 10 to 12 million (CoE, 2012a). Despite their long-standing presence in European countries, Roma are hated within their own countries. From Eastern to Western Europe, animosity towards Roma centres on public acceptance of stereotypes of their criminality and lifestyles, leading to this minority group experiencing the most bias-motivated crime …

A Historical Analysis Of The Squatter Settlements (Sukumbasi) In Nepal And The Role Of Smart Settlements, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

In Nepal, landless populations can broadly be categorized into two groups: urban squatters and rural landless families. Each group can further be distinguished by its level of political connection and access to power.

Among urban squatters, politically connected groups often occupy open public spaces in cities with some degree of protection or tolerance from political parties. In contrast, less powerful urban squatters usually settle on public land because they cannot afford formal housing. These settlements are commonly located in unsafe or marginal areas, such as riverbanks, flood-prone zones, and unused public spaces. Despite these risks, many remain in urban areas …

Front Matter, Natural Resources Journal Nrj

Natural Resources Journal

No abstract provided.

Comparing Microgrids With Nuclear Energy: Which Is Better To Catapult New York Toward Its Green Energy Future?, Justin R. Ochs

Natural Resources Journal

This Note examines New York’s climate goals under the Climate Leadership and Community Protection Act (CLCPA) by comparing two pivotal energy solutions: nuclear energy and microgrids. Microgrids remain notably underexplored in legal scholarship, particularly their potential to achieve compliance with the CLCPA. By analyzing the economic, environmental, regulatory, and public perception challenges associated with nuclear energy and microgrids, this Note argues that microgrids offer a safer, more flexible, and sustainable option for accelerating New York’s path toward its green energy future. This Note evaluates microgrid projects across New York, along with common critiques regarding the scalability and viability of hybrid …

Off-Label Abuse: The Prosecution Of Individuals For Pesticide Crimes Under The Federal Insecticide, Fungicide, And Rodenticide Act, Joshua Ozymy, Melissa Jarrell Ozymy

Natural Resources Journal

When individuals commit pesticide crimes involving significant harm or culpable conduct, they may be prosecuted for criminal violations of the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA), but we have little knowledge of how individual offenders have been prosecuted historically for such crimes. Using content analysis of 2,728 environmental crime prosecutions resulting from U.S. EPA criminal investigations, 1983 to 2021, we select all cases of individuals prosecuted under FIFRA for our analysis. We find that 100 cases were adjudicated, resulting in 135 years of probation, 75 years of incarceration, and $4.2 million in monetary penalties assessed at sentencing. Of those …

Cobalt's Climate Paradox: Global Ambitions For A Greener Future Rely On Blood-Stained Hands, Ashleigh Wootton

Natural Resources Journal

The global effort to mitigate climate change increasingly relies on widespread electrification, with lithium-ion batteries at its core and the key minerals required for their production concentrated in countries uniquely vulnerable to exploitation. Lithium-ion battery production relies heavily on cobalt, a critical mineral primarily sourced from the Democratic Republic of the Congo (DRC), which supplies approximately 70 percent of the world’s cobalt. As demand for cobalt is projected to rise sharply, the DRC has become indispensable to the global clean energy transition. Cobalt extraction in the DRC is closely linked to severe human rights abuses, including forced labor, child labor, …