Digital Commons Network^™

Psychoneurotic Profiles Of Thalassemia., Ali Al-Hamzawi, Sami Kh. Suhaim

Al-Qadisiyah Medical Journal

Background:Thalassemia is chronic disabling disease which have both physical and psychological consequences. Thalassemic patients are receiving medical care that is the focus of major attention with lesser focus on the psychiatric aspect of the illness. Early diagnosis and appropriate management of psychiatric disorders among thalassemic patients may improve the outcome , prognosis and overall quality of patients life.Objectives :To determine psychoneurotic profiles in thalassemic patients and to find out rates of anxiety, phobia, obsession, somatization, depression &hysteria. Method:The sample of the study was consisted of case group and control group. Each of the two groups include 80 thalassemic patients and …

Painful Osteoarthritic Knee Joints; A Comparative Study Between Intra-Articular Steroids And Combined Physiotherapy Modalities Treatment, Shamran K. Al-Umeri

Al-Qadisiyah Medical Journal

Thirty patients 13males(44%) 17females(56%) who had osteoarthritis of the knees according to ARA classification criteria and presented with acute pain without effusion where randomly assigned into 2 groups to evaluate the effects of intra-articular injection(IAS) and in the other hand combination of interferential current (IFC) with pulsed electromagnetic field (PEF) physiotherapy modalities in treating painful Knee OA. All patients were treated with acetaminophen 1g bid, meloxicam 7.5mg once daily. 15 patients 8males(53%)- 7females (47%) received intra-articular injection of methyl prednisolone acetate(IAS) 80mg/2ml depot. The other group 10females(66.6%) – 5 males (33.3%) was treated by interferential current(IFP) 10 minute sessions with …

Tennessee Blue Book 2023-2024, Tennessee. Secretary Of State.

Tennessee Blue Book

No abstract provided.

Women’S Cardiovascular Health In 2025: Advancements Achieved, Challenges Ahead, Jamilah S. Alrahimi

Saudi Medical Journal

Cardiovascular disease (CVD) is the leading cause of death among women globally. Recognition of sex-specific risk factors, pathophysiology, and clinical presentations has established women's cardiovascular health as a research and clinical priority. Pregnancy complications, premature menopause, and autoimmune disease, are now identified as long-term contributors to cardiovascular risk, while female-predominant syndromes such as ischemia with non-obstructive coronary arteries and heart failure with preserved ejection fraction are increasingly acknowledged. Novel therapies and updated guidelines emphasize psychosocial determinants, reproductive history, and postpartum risk assessment in prevention and management. Despite these advances, women remain underdiagnosed, undertreated, and underrepresented in clinical trials. Diagnostic delays …

Evaluating The Diagnostic Accuracy Of Ultrasound And Clinical Predictors In Pediatric Acute Tip Appendicitis: A Retrospective Study From A Tertiary Center In Saudi Arabia, Abdullah M. Abu Qarnayn, Saud A. Aljadaan, Suliaman M. Alaqeel, Faisal S. Alshehri, Abdullrzak N. Algosear, Waleed A. Alharthi, Munirah A. Alsukait, Kholoud S Alshaya

Saudi Medical Journal

Objective: To examines the diagnostic accuracy of ultrasound (US) and the clinical characteristics of pediatric ATA. Acute tip appendicitis (ATA), a rare form of appendiceal inflammation confined to the distal tip, presents with atypical symptoms and is difficult to diagnose. The Confirmation often relies on imaging and surgical pathology. Methods: A Retrospective cross-sectional study conducted at a tertiary hospital in Riyadh, Saudi Arabia, from 2020 to 2024. Among 4,224 pediatric patients with acute appendicitis under 14 years, and our sample size of 59 patients were diagnosed with ATA by US. Firth logistic regression was used to reduce bias in the …

Risk Factors And Clinical Outcomes Of Abnormal Placental Localization: A Comprehensive Retrospective Analysis, Bessy Varghese, Alia Abdulla Abdullatif, Yusuf Khaled Hadi, Noor Ammar Alkhuzaei, Khawla Al Sendy, Marwa Abdulrahman Juma Salem, Youstina Georges, Amala Sunder

Saudi Medical Journal

Objectives: To evaluate maternal and neonatal complications associated with various types of placental abnormal localization. Methods: This retrospective study analysed obstetric and neonatal outcomes associated with placental abnormal localization at Bahrain Defence Force Hospital over a 12-month period (January–December 2022). Women were categorized into four groups based on placental localization: placenta previa with accreta, placenta previa with increta, minor previa, and major previa. Maternal demographics, obstetric history, and fetal outcomes were collected. Statistical analysis included Fisher's exact test for categorical variables, the Kruskal-Wallis test for non-parametric variables, and one-way ANOVA for parametric variables. A p-value of Results: A total …

Impact Of Nursing Program Structure On Academic Stress Levels And Self-Concept: A Cross-Sectional Study Of Nursing Students' Experiences With 2- And 3-Semester Academic Calendars, Alaa Ayyadhah Alanazi, Amany Anwar Saeed Alabdullah, Hanan Hamdanalshehri, Abrar M. Almutairi

Saudi Medical Journal

Objective: To investigate undergraduate nursing students' perceptions of their transition from a 2-semester to a 3-semester academic calendar and examine its impact on academic stress and self-concept. Methods: A cross-sectional study was conducted between April and December 2023 among 185 undergraduate nursing students in Saudi Arabia who had completed at least their foundational year. Participants completed an online questionnaire containing Likert-type scales measuring academic stress and academic self-concept. Data were analyzed using t-tests and ANOVA to explore associations between perceptions and demographic variables. Results: Most students reported low levels of academic stress and maintained a positive academic self-concept. Perceived …

Challenges Of Electronic Medical Record Implementation From The Perspective Of Hospital Leaders In Riyadh, Kingdom Of Saudi Arabia's Public Hospitals: A Mixed-Methods Study, Atheer A. Alghamdi, Samiha H. Sayed

Saudi Medical Journal

Objectives: To assesses the challenges of implementing electronic medical records (EMR) from the leaders' perspective in public hospitals in Riyadh, Kingdom of Saudi Arabia (KSA), and explores their suggestions for improvement. Methods: A concurrent mixed research approach using a purposive sample of all hospital leaders (61) involved in EMR in 5 randomly selected public hospitals utilizing EMR in Riyadh. The researchers deployed a semi-structured interview schedule to collect the data. They used descriptive statistics and ordinal regression analysis for quantitative data, and thematic analysis for qualitative data. Results: Indicate that 80.3% of the hospital leaders had a good perception of …

Investigating The Use Of Antidepressants In Treating Major Depressive Disorder: Insights From A Retrospective Study In Saudi Arabia, Hassan A Alsaad, Wajd A Alfaraj, Maryam M Alrababi, Ali M Sonbaa, Dalal M Albakr, Ali Saleh Abensaad, Fadhel A Alomar

Saudi Medical Journal

Objectives: To investigate patterns of antidepressant prescribing and continuation rates among patients with major depressive disorder (MDD) in Saudi Arabia and to identify factors associated with treatment persistence. Method: A retrospective study was conducted at King Fahad Hospital of the University between May 2023 and February 2025. Data on patients' demographic characteristics, diagnostic information, and prescribed medications were collected. Initial antidepressant therapy and treatment continuation were evaluated, and potential influencing factors were analyzed. Results: Selective serotonin reuptake inhibitors (SSRIs) accounted for most first-line prescriptions (71%), followed by SSRI/atypical combinations (11%) and serotonin–norepinephrine reuptake inhibitors (SNRIs) (5%). Of the 220 patients …

Prognostic Significance Of Lymphovascular Invasion In Breast Cancer: Insights From A Retrospective Analysis At A Tertiary Care Center, Nora Trabulsi, Shayma Alotaibi, Mohammed Bahabri, Hussain A. Alkhalifah, Ghady D. Alshehri, Sultan K. Alshali, Ali Farsi, Marwan Alhajeili, Hassan Al-Turki, Salma Sait, Alaa Shabkah, Rana Ajaboor, Hessa Aljhdali

Saudi Medical Journal

Objective: To explore the relationship between lymphovascular invasion (LVI) and outcomes across different histopathological subtypes, tumor grades, clinical stages, hormone receptor profiles, and treatment modalities. Lymphovascular invasion is a well-recognized histopathological feature associated with tumor dissemination in breast cancer. However, its prognostic weight is under-reported in Middle Eastern cohorts. Methods: We retrospectively reviewed data from 828 women treated for invasive breast carcinoma at King Abdulaziz University Hospital from 2010 to 2020. Clinicopathologic variables, treatments, and outcomes were extracted. Overall survival (OS) and event-free survival (EFS) were estimated and tested using Kaplan–Meier curves; independent predictors were identified with stepwise Cox models. …

Growing Evidence For Distinct Clinical Features And Early Diagnostic Age Of Cutaneous T-Cell Lymphoma In Saudi Arabia: A Retrospective Study In A Tertiary Care Center, Abdulhadi Jfri, Renad Fayez Alharthy, Mariya Yahya Ashqan, Hassan Omar Bogari, Al-Anoud Yousef Alkhashan

Saudi Medical Journal

Objectives: To examine trends in Cutaneous T-cell Lymphoma (CTCL) disease presentation in the Western Region of the Kingdom of Saudi Arabia (KSA). Cutaneous T-cell lymphomas (CTCLs) have heterogeneous clinical presentation, and disease characteristics can vary between regions and ethnic groups. Methods: We conducted a local observational study at the Princess Noorah Oncology Center and King Abdulaziz Medical City, Jeddah, with CTCL patients referred to and treated in the Saudi Arabian National Guard facilities from January 2017 to December 2023. Medical records of included patients were retrospectively reviewed. Main outcome measures were demographics and clinical characteristics. Results: The cohort comprised 69 …

Evaluation Of Neutrophil-To-Lymphocyte Ratio And Platelet-To-Lymphocyte Ratio As Biomarkers In Missed Abortions, Ayse Yigit Sonmez, Defne Ay Tuncel

Saudi Medical Journal

Objectives: To evaluate the usability and clinical significance. Missed abortion, a common complication in early pregnancy. Diagnosis typically relies on ultrasonographic findings and clinical criteria. The neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio have attracted considerable interest. Methods: A total of 120 women participated, with 60 diagnosed with missed abortion and 60 with healthy intrauterine pregnancy. This is a retrospective case-control study. Information for the study was gathered from patient file records. Mann-Whitney U Test was used. Logistic regression analysis assessed the magnitude and direction of the relationships between the variables. Results: The youngest participant was 23, while the oldest was 42. …

An Examination Of The Effect On Health Protective Behaviour Of Diabetes And Obesity Awareness And Personal Characteristics In Adults: Structural Equation Modeling, Ayşe Soylu, Pinar Şahin

Saudi Medical Journal

Objectives: The World Health Organization has reported that obesity-related diabetes cases are increasing rapidly. The aim of this study was to examine the effect on health protective behaviour of diabetes and obesity awareness and personal characteristics in adults. Method: This descriptive, cross-sectional, correlational study was conducted with 1241 participants. Data were collected using a Personal Information Form, the Diabetes and Obesity Awareness Scale and Health Protective Behaviour Scale. Data analysis was performed with IBM SPSS vn.23 and IBM AMOS vn.24 software. STROBE was used in reporting. Results: Of the total participants, 45.4% had no diabete and obesity awareness and in …

Clinical Significance Of Ikbkb Mutations: A Focus On Ikbkb-Related Immunodeficiency, Alhomidi Almotiri

Saudi Medical Journal

Inhibitory kappa B kinase beta (IKBKB, IKK2, or IKKβ ) acts as an activator of the nuclear factor (NF)-κ B signaling cascade that is involved in regulating normal physiological processes and is dysregulated in several pathological processes including immunological disorders. Mutations in IKBKB have been found to cause immune deficiency syndromes. Inherited loss-of-function mutations in IKBKB lead to severe or lethal immune deficiency. In this review, the clinical significance of IKBKB mutations will be reviewed in the context of immune deficiency syndromes. All published clinical cases of IKBKB mutations relevant to immune deficiency, either caused by loss- or gain-of-function mutations …

Brief Geriatric Assessment (Bga): An Evidence-Based Tool For Improving Care Of Older Adults, Assim M. Alabdulkader

Saudi Medical Journal

The Brief Geriatric Assessment is an approach for rapidly identifying high-risk older adults and guiding timely interventions in busy clinical settings. Unlike the Comprehensive Geriatric Assessment, albeit the gold standard, which is resource-intensive, the Brief Geriatric Assessment offers a scalable alternative by using validated, time-efficient tools to screen for common geriatric syndromes. This narrative state-of-the-art review synthesizes the evidence and best practices regarding the concept, structure, and clinical application of the Brief Geriatric Assessment. It compares the Brief Geriatric Assessment and Comprehensive Geriatric Assessment from theoretical and practical perspectives and outlines how the former can be integrated into healthcare settings, …

Sleep Disorder Phenotypes And The Risk Of Incident Heart Failure: A Meta-Analysis With Mendelian Randomization Validation, Fang Yan, Lihua Fan, Yunhu Chen

Saudi Medical Journal

Objectives: To quantify how specific sleep-disorder phenotypes are related to incident heart failure (HF) using a meta-analysis of cohort data and to probe causal relevance via 2-sample Mendelian randomization (MR). Methods: Fourteen cohorts comprised of participants without HF at baseline were pooled (49,501 exposed; 337,317 controls). A random effects meta-analysis produced pooled hazard ratios (HRs) with 95% confidence intervals (CIs). A bidirectional two-sample MR was used to evaluate the causal effects of sleep phenotypes on HF. Results: Overall, sleep disorders were linked to a higher incidence of HF (pooled HR 1.46; 95% CI 1.30–1.63; pp < 0.001), whereas insomnia was not independently associated with HF (pooled HR 1.11; 95% CI 0.75–1.62; p = 0.609). The …

Improving Immigrant Families Health: Screening For Adverse Childhood Experiences, Felicia Vanessa Zimmerman

Creating Healthy Work Environments (CHWE)

Objective: Adverse Childhood Experiences (ACEs) are associated with physical and mental health conditions and linked to chronic health conditions among adults who have experienced trauma or toxic stress. ACEs are associated with severe health and social difficulties among children and adults, such as low productivity, mental health, substance abuse, chronic diseases, and short life expectancy. One in four children in the U.S. between the ages of 12 and 17 has at least experienced two or more ACEs. ACEs are more prevalent among underserved and ethnic minority groups. Immigrant children are affected more than non-immigrants; 42% of Hispanic children have higher …

Παράδοσις: A Comparative Analysis Of Paul And Oneness Pentecostals, John Calvin Carroll

Masters Theses

Tradition is an inescapable element of institutional life, including religious institutions. Traditions inevitably emerge whether in churches, corporations, families, or nations. Within the Christian faith, the critical issue is not the presence of tradition, but the authority and function ascribed to it. This study concerns itself with the role of tradition in both individual and communal expressions of Christianity. Traditions can foster cohesion and identity within Christian communities. However, their specific forms often vary across cultural contexts—for instance, between churches in North America and other continents worldwide. Traditions about men’s and women’s modesty may take on different forms between North …

Assessment Of Antimicrobial Transition Errors From Hospitals To Skilled Nursing Facilities, Amy Y. Kang, Guarina A. Garcia Delgado, Ashley Nguyen, Maddie Yeh, Tracy Ly, Richard C. Beuttler, Abisay Ortega, Donna Phan Tran, Evelyn Flores, Charis Tjeong, Andrew Bishop, Praneet Kalkat, Loren G. Miller

Pharmacy Faculty Articles and Research

Background More than 1 million Americans reside in skilled nursing facilities (SNFs). Antimicrobial transition errors among patients transferred from hospital to SNFs pose safety risks and may lead to poor outcomes, but data on such errors are limited.   Methods We conducted a retrospective cohort study of infectious diseases clinics from 1 June 2020 through 30 November 2023 at the Los Angeles County Department of Health Services, a large safety-net health system. We performed logistic regression analyses to identify factors associated with antimicrobial transition errors and poor infection outcomes.   Results We screened records of 6865 clinic patients, among whom 112 were …

2026 Erma Bombeck Writers' Workshop Program, Teri Rizvi, Shannon Shelton Miller, Frank Pauer, University Of Dayton

Documents from the Erma Bombeck Writers' Workshop

• Conference schedule
• Session descriptions
• Keynote speaker biographies
• Featured talent biographies
• Presenter biographies
• Winning entries in the 2026 Erma Bombeck Writing Competition
• Winners of the DC Stanfa Memorial Writers’ Award

Editorial Feset Conference Special Edition, Martin Power Dr

Journal of Social Care

No abstract provided.

The Use And Utility Of Wearable Devices For Tracking Sleep And Activity In Inpatient Mental Health Settings: Protocol For A Rapid Review, Gillian Strudwick, Hwayeon Danielle Shin, Iman Kassam, Karishini Ramamoorthi, Benjamin Rosen, Michelle A Patriquin, Justin Baker, Nicholas Neufeld

Faculty, Staff and Student Publications

Background: Wearable devices offer an opportunity to objectively monitor and capture sleep and activity in psychiatric inpatient settings, where traditional approaches often rely on subjective reporting or staff observation, both of which have inherent flaws. Technologies such as Fitbit, Garmin, Oura Ring, GENEActiv, Empatica, and WHOOP (among others) have been used to passively collect physiological data that may inform care planning and clinical decision-making. Despite growing interest, the extent to which these wearables are feasible, acceptable, and useful in inpatient mental health settings remains unclear. Synthesizing this evidence is essential to inform their potential integration into psychiatric care.

Objective: This …

A Collostructional Approach To The Concealed Passive Construction In English, Rok Sim, Jungsoo Kim

Faculty Publications

This study investigates the English concealed passive construction (CPC), as in the car needs washing, using authentic corpus data. While previous research has explored certain aspects of the CPC, little attention has been given to strongly associated matrix verbs (or verb types) and interactions between matrix verbs (or verb types) and other elements of the construction. To address these issues, we apply three types of collostructional analysis, and our findings indicate that no single, straightforward pattern emerges with respect to real-life grammatical properties of the CPC. We then show that the well-known distinction between raising and control constructions, formalized …

Minutes, Curriculum Committee Meeting, Tuesday, March 10, 2026, Curriculum Committee

Curriculum Committee Minutes

No abstract provided.

Cover And Contents

Turkish Journal of Mathematics

No abstract provided.

On The Spot: "What Is Your Opinion On The Campus Carry Bill?", Tess Kujawa

Digital Edition

No abstract provided.

The Lesser-Known Choral Works Of Camille Saint-Saëns, Nicholas Newman

Doctoral Scholarly Projects & Capstones

This conference-style presentation will focus on the repertoire of Camille Saint-Saëns (1835-1921). While his Ave Maria setting and Requiem Mass have continued to be widely performed well after his death, Saint-Saëns left behind an oeuvre of over sixty choral works. This presentation aims to highlight these works, making them applicable for choral ensembles of a variety of size, level, and voicing. Saint-Saëns’s choral output consists of triumphant, nationalistic TTBB settings, several accessible motets, SSA and SATB pieces depicting mythology, nature, and romantic heroes’ journeys, and even chansons featuring the composer’s own poetry. Score packets will be provided in advance, as …

Potency-Related Effects Of Smoked Cannabis On Simulated Driving Performance: A Randomized, Controlled Crossover Trial, Bruna Brands, Adam Zaweel, Madison Wright, Patricia Di Ciano, Christine M. Wickens, Justin Matheson, Andrew Fares, Omer S. M. Hasan, Marcos Sanches, Beth Sproule, Marilyn A. Huestis, Timothy L. Brown, Bernard Le Foll

Institute of Emerging Health Professions Faculty Papers

Given the increasing availability of high-potency Δ9-tetrahydrocannabinol (Δ9-THC) products, understanding potency-related effects of Δ9-THC on driving performance is an important public safety issue. This randomized, double-blind, placebo-controlled, within-subjects trial examined the effects of smoked cannabis with varying Δ9-THC concentrations on simulated driving. Adults aged 19–45 who regularly used cannabis and held valid driver’s licenses completed simulated driving tasks after smoking placebo, or cannabis containing low (6.25%/47 mg Δ9-THC), medium (12.5%/94 mg Δ9-THC), or high (22%/165 mg Δ9-THC) Δ9-THC levels. The primary outcome was mean speed (km/h); secondary measures included maximum speed, standard deviation of lateral position (SDLP), reaction time (RT), …

The Impact Of Rogers' Model For Disseminating And Adopting Innovation On Mathematics Achievement Among First-Grade Middle School Female Students, Hind Kadhim Tayyeh Al-Maliki, Mustafa Raad Abd Ulrasool Al-Saadi

Journal of Innovation and Teacher Professionalism

This study examines the effect of applying Everett Rogers’ Diffusion of Innovations model in mathematics instruction on the academic achievement of first-grade middle school students. A quasi-experimental design involving two equivalent groups (experimental and control) was used. The participants consisted of 49 students enrolled in a public middle school in Baghdad during the 2024–2025 academic year. Students in the experimental group were taught through an instructional framework structured around Rogers’ five stages of innovation adoption, whereas the control group received conventional instruction. To measure learning outcomes, a mathematics achievement test consisting of 32 items was developed and validated. The data …

Paternal Alienation, Paternal Strain, Generativity, Adjustment, And Resilience (P-Apgar): A Conceptual Framework For Fathers’ Perinatal Psychosocial Adjustment, Rachael Elizabeth Schmitz

Nursing and Health Sciences

Paternal perinatal depression is underrecognized, and existing tools often fail to capture male-specific symptomatic expressions. Fathers experience significant psychosocial changes during the transitional period, yet clinical assessment of paternal mental health remains largely absent from routine clinical practice. This paper introduces a multi-dimensional tool called the P-APGAR. The theory-informed conceptual tool is meant to guide the assessment of fathers’ perinatal adjustment, operationalizing core elements of role-based, relational, and emotional adaptation. The model adapts the logic of the traditional newborn APGAR score to a father-centered context based on Paternal Identity, Alienation, Paternal Strain, Generativity, Adjustment, and Resilience. A theoretical synthesis approach …