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The Predictability Of Demographic And Job-Related Factors On The General Perceived Self-Efficacy Among High School Counselors, Labryant Benjamin Oct 2025

The Predictability Of Demographic And Job-Related Factors On The General Perceived Self-Efficacy Among High School Counselors, Labryant Benjamin

Dissertations (2016-Present)

The purpose of this study was to examine the predictability of demographic and job-related factors on the General Perceived Self-Efficacy scores among high school counselors in the state of Texas. This study was concerned with the predictability of “demographic factors”, specifically age, gender, ethnicity, marital status, years of experience, degree format, degree level, and “job-related factors”, including type of workload, caseload, support system, role clarity, and school classification, on the general perceived self-efficacy among high school counselors. A predictive correlational research design was utilized in this empirical study. The researcher used a correlational research design to investigate the relationship between …


Meridians 24:2 Milestones And Momentum: The Meridians Project At Twenty-Five, Ginetta E.B. Candelario Oct 2025

Meridians 24:2 Milestones And Momentum: The Meridians Project At Twenty-Five, Ginetta E.B. Candelario

Meridians: Feminism, Race, Transnationalism

No abstract provided.


Aquinas And The Over-Hasty Conclusion, Charles Perkins Oct 2025

Aquinas And The Over-Hasty Conclusion, Charles Perkins

Faith and Philosophy: Journal of the Society of Christian Philosophers

No abstract provided.


Concussion Knowledge, Attitudes, And Behaviors: A Comparison Study Of Youth Athletes And Their Parents, Summer D Ott, Sukhnandan K Cheema, Holden Axel, Seema S Aggarwal, Natalie R Parks, Nikhil Gattu, Philip Schatz Oct 2025

Concussion Knowledge, Attitudes, And Behaviors: A Comparison Study Of Youth Athletes And Their Parents, Summer D Ott, Sukhnandan K Cheema, Holden Axel, Seema S Aggarwal, Natalie R Parks, Nikhil Gattu, Philip Schatz

Faculty, Staff and Student Publications

Objective: Given the rising participation in high school athletics and the concerning trend of underreporting concussions, this study aims to identify and compare factors influencing sports-related concussion (SRC) awareness and reporting among youth athletes to their parents.'

Methods: Surveys were completed by 239 student-athletes (ages 13-19) and their parents, using a modified Rosenbaum Concussion Knowledge and Attitudes Survey-Student Version (RoCKAS-ST) and demographic questionnaires. Statistical analyses, including paired sample t-tests, ANOVAs, and Spearman's correlations, compared knowledge and attitudes between groups and examined demographic influences.

Results: Parents showed significantly higher concussion knowledge (CKI: t(230) = 5.18, p < .001) and safer attitudes (CAI: t(230) = 10.62, p < .001) than their children. Knowledge scores varied significantly by race and socioeconomic status, with White parents scoring higher than Hispanic and African American parents (F(3,224) = 8.97, p < .001). Child knowledge scores also differed by race (F(4,223) = 3.73, p = .006) …


The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood Oct 2025

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …


Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples Oct 2025

Leveraging After School Programs As Resources To Support Adolescent Health And Wellbeing Within Underserved Communities: A Qualitative Study, Olivia Staples

Theses and Dissertations

Over the past decade, youth have shown a consistent rise in stress, major depression, anxiety, and suicide, with underserved youth (low-income, minoritized communities) at greatest risk of exposure to chronic stress, related outcomes, and less access to health services (APA, 2017). Afterschool programs (ASPs), which serve as important resources in underserved communities, can be a critical support for youth health and well-being (Afterschool Alliance, 2019). However, few studies have examined ways in which ASPs address the challenges underserved youth face across their ecosystem to promote youth resilience (Jones & Deutsch, 2011). Using qualitative interview data from staff and youth across …


Stem Integration In The Classroom: An Exploratory Case-Study On Teachers Defining Their Stem Identity And Role As A Stem Educator, Tawana Guillaume Oct 2025

Stem Integration In The Classroom: An Exploratory Case-Study On Teachers Defining Their Stem Identity And Role As A Stem Educator, Tawana Guillaume

Theses and Dissertations

The push for inclusion of science, technology, engineering, and mathematics (STEM) as a meta-discipline in K-12 education is recognition that the challenges faced by society require technology skills, interdisciplinary problem-solving, and an increased number of people entering STEM professions (Dare et al., 2014; English, 2016; Fan et al., 2021; Holstein & Keene, 2013; Roehrig et al., 2012, 2021; Sanders, 2008). The dissertation in practice explored STEM teacher identity and conceptions of STEM as a function of STEM professional experience outside of the field of education. The exploratory casestudy sought to identify the relationship between STEM career-based experiences – specifically the …


Improved Extraction And Detection Of Disinfection Byproducts, Impacts Of Wildland-Urban Interface Wildfires On Drinking Water, And Change In Disinfection Byproducts Over Time In Chlorinated Vs. Chloraminated Distribution Systems, Patrick Thomas Justen Oct 2025

Improved Extraction And Detection Of Disinfection Byproducts, Impacts Of Wildland-Urban Interface Wildfires On Drinking Water, And Change In Disinfection Byproducts Over Time In Chlorinated Vs. Chloraminated Distribution Systems, Patrick Thomas Justen

Theses and Dissertations

Drinking water disinfection is critical to prevent the occurrence of waterborne pathogens in drinking water. However, disinfection causes the unintended formation of disinfection byproducts (DBPs) through the reaction of disinfectants (e.g., chlorine, chloramine) with natural organic matter (NOM), algal matter, or anthropogenic pollutants present in source waters. Exposure to DBPs is associated with increased bladder cancer, colorectal cancer, miscarriage, and birth defects. The U.S. EPA currently regulates eleven DBPs in drinking water—four trihalomethanes, five haloacetic acids, bromate, and chlorite. However, research shows that DBP related toxicity in drinking water is driven mainly by other, non-regulated DBPs, particularly iodinated DBPs and …


​​​Creating A Resident And Fellow Scholarly Activity Tracking Tool In A Large Academic Health System: A Dissertation In Practice​, Elyse Anne Wieszczecinski Oct 2025

​​​Creating A Resident And Fellow Scholarly Activity Tracking Tool In A Large Academic Health System: A Dissertation In Practice​, Elyse Anne Wieszczecinski

Theses and Dissertations

Documenting and reviewing resident and fellow scholarly activity within a sponsoring institution can be a laborious task. With multiple lines of information coming from a wide variety of sources, this problem of practice implemented the Information Systems Success Model to help develop a database by which this information can be collected in a way that is efficient while maintaining the need for a user-friendly product. While other healthcare entities have also incorporated this model into their scholarly activity collection, these are still individual needs of the sponsoring institution and its constituents to consider when adapting the strategy. Using an improvement …


Coefficients Of The Characteristic Polynomial Of A Hypergraph And Their Combinatorial Properties, Utku Okur Oct 2025

Coefficients Of The Characteristic Polynomial Of A Hypergraph And Their Combinatorial Properties, Utku Okur

Theses and Dissertations

We investigate the combinatorial properties of the characteristic polynomial $\phi_\mathcal{H}\ev{t}$ of a hypergraph $\mathcal{H}$, in particular, its coefficients. Due to a classical result of Jacobi, the generating function of closed walks at a vertex $u$ in a graph $G$ is determined by the rational function $\phi_{G-u}(t) / \phi_G(t)$. The connection between closed walks of $G$ and its characteristic polynomial has a known elegant proof via an application of Viennot's Heaps of Pieces framework, where cycles are taken as pieces and the concurrence relation is sharing a vertex. Here, we prove a bijection between heaps with a unique maximal piece containing …


Inspiring Girls To Fill The Blank Space In Stem: The Impact Of An After-School Coding And Robotics Club On Elementary Female Students' Engagement And Self-Efficacy In Computer Science, Lisa Guenther Wilbanks Oct 2025

Inspiring Girls To Fill The Blank Space In Stem: The Impact Of An After-School Coding And Robotics Club On Elementary Female Students' Engagement And Self-Efficacy In Computer Science, Lisa Guenther Wilbanks

Theses and Dissertations

The purpose of this action research was to describe how participation in an after-school coding and robotics program influenced elementary female students’ engagement and self-efficacy in computer science. According to a 2023 report from the National Science Foundation, in 2020 women earned only 21% of computer science degrees and 24% of engineering undergraduate degrees in the United States. As two of the fastest growing fields, the lack of female perspectives and experiences will continue to limit innovation in these areas. Studies show that gender gaps in engagement and self-efficacy in STEM begin long before students enter college and the workforce, …


Adipokines Mediate Fat-To-Ovary Communication To Regulate Oogenesis, Adipocyte Size, And Lipid Storage In Drosophila Melanogaster, Chad Herbert Simmons Oct 2025

Adipokines Mediate Fat-To-Ovary Communication To Regulate Oogenesis, Adipocyte Size, And Lipid Storage In Drosophila Melanogaster, Chad Herbert Simmons

Theses and Dissertations

Humans have complex signaling pathways that allow them to store and expend energy based on nutritional quality and availability. Inter-organ signaling is used to communicate nutrient availability between organs based on nutritional needs and the rate of cellular division. Our main overarching question is to investigate how fat-derived signals affect adipocyte morphology and the maintenance of stem cells in the ovary. While signaling pathways, like insulin and mTOR, and some adipokines that are involved in inter-organ nutrient sensing have been identified, the exact nutrient reliant mechanisms of stem cell maintenance are not completely understood. Using Drosophila melanogaster as a model, …


Thesis: Comparing Functional And Effective Brain Connectivity Metrics For Eeg, Diksha Srishyla Oct 2025

Thesis: Comparing Functional And Effective Brain Connectivity Metrics For Eeg, Diksha Srishyla

Theses and Dissertations

Background:Brain connectivity measures have been used to study communication between brain regions using electroencephalography (EEG). Functional and effective connectivity estimate the synchronization and the flow of information between regions, respectively. However, findings from studies using different measures to investigate similar connections do not converge. To guide the selection of functional and effective connectivity measures in future studies, we systematically compared a set of measures in the context of resting state EEG. We examined four functional connectivity metrics (coherence (Coh), the imaginary part of coherence (imCoh), the corrected imaginary part of phase lagged value (ciPLV), the debiased weighted phase-locking index (dwPLI)) …


Ai-Driven Autonomous Manufacturing: A Novel Taxonomy, Vision-Guided Planning, And Diversity-Aware Active Learning Frameworks, Ibrahim Yousif Oct 2025

Ai-Driven Autonomous Manufacturing: A Novel Taxonomy, Vision-Guided Planning, And Diversity-Aware Active Learning Frameworks, Ibrahim Yousif

Theses and Dissertations

Manufacturers face two opposing challenges: the escalating demand for customized products and the pressure to reduce lead times. Current manufacturing equipment, although reliable, operates at the limits of its technology and lacks adaptability to dynamic environments. This trade-off has been described as the optimal degree of automation, a threshold beyond which further automation incurs more cost than benefit. Smart manufacturing has introduced adaptive, data-driven systems, but many deployments still lack the contextual adaptability and autonomous decision-making required to handle unplanned disruptions. This underscores the need for intelligent, autonomous systems capable of real-time adaptation without costly reconfiguration, minimizing human intervention during …


Towards Accurate First-Principles Modeling In Heterogenous Catalysis: Ethane Dehydrogenation And Hydrogenolysis Over Pt Catalysts, Mubarak Ayo Bello Oct 2025

Towards Accurate First-Principles Modeling In Heterogenous Catalysis: Ethane Dehydrogenation And Hydrogenolysis Over Pt Catalysts, Mubarak Ayo Bello

Theses and Dissertations

First-principles modeling has become central to heterogeneous catalysis research, offering mechanistic insight and guiding catalyst design, yet conventional approaches often struggle to accurately describe complex catalytic systems due to methodological uncertainties, simplified assumptions, and the structural diversity of nanoparticle catalysts. This dissertation addresses these challenges using ethane dehydrogenation (EDH) and hydrogenolysis (EH) over platinum catalysts as model systems. The first study benchmarks density functional theory (DFT) functionals against the random phase approximation (RPA) for the EDH network on Pt(111), identifying cost-effective functionals and demonstrating the efficiency of BEEF-vdW ensembles for capturing functional uncertainty. The second study (addressed in prior work) …


Hearing The Difference: Just Intonation Techniques Utilizing Distortion Product Otoacoustic Emissions In Viola Performance, Calj Green Umezono Oct 2025

Hearing The Difference: Just Intonation Techniques Utilizing Distortion Product Otoacoustic Emissions In Viola Performance, Calj Green Umezono

Theses and Dissertations

Difference tones, also known as distortion product otoacoustic emissions, are the result of active phenomena in the human cochlea during the conversion of sound waves into bioelectrical signals. Difference tones make it possible to explore alternative musical tuning systems beyond the twelve-tone, equally tempered regime. Musicians have investigated difference tones since the 18th Century in Euro-American musical contexts, but their application has so far been limited in scope. Advances in science, technology, and music theory from the late 19th Century through the early 21st Century have given present-day violists the opportunity to more fully understand the virtues of difference tones …


Machine-Learning-Assisted Discovery Of Lattice Dynamics Signatures Of Sodium Superionic Conductors, Ogheneyoma Maxwell Aghoghovbia Oct 2025

Machine-Learning-Assisted Discovery Of Lattice Dynamics Signatures Of Sodium Superionic Conductors, Ogheneyoma Maxwell Aghoghovbia

Theses and Dissertations

Sodium superionic conductors are key to the development of all-solid-state sodium batteries. Discovery of new superionic conductors has traditionally relied on insights from material defect chemistry and the transition/hopping theory, while the role of lattice vibrations, i.e., phonons, remains underexplored. We identify key lattice dynamics signatures that govern ionic conductivity by analyzing the phonon mean squared displacement (MSD) of Na+ ions. By high-throughput screening of a dataset of 3903 Na-containing structures, we establish a strong positive correlation between phonon MSD and diffusion coefficients, providing a quantitative correlation between lattice dynamics and ion transport. To accelerate this discovery, we incorporate …


Multi-Perspective Feature Learning For Facial Expression Recognition In The Wild, Xiangyu Hu Oct 2025

Multi-Perspective Feature Learning For Facial Expression Recognition In The Wild, Xiangyu Hu

Theses and Dissertations

With the rapid progress of deep learning, Facial Expression Recognition (FER) has seen substantial improvements in performance, particularly “in the wild” meaning real world conditions. Despite these advances, most existing methods extract features from facial images as the sole emotional cues, which limits the model’s ability to capture the full complexity of human emotional expressions.

In reality, facial expressions are composed of diverse and multi-perspective information, including appearance-based cues and geometric structural deformations due to activations of facial muscles. Depending exclusively on one type of representation may fail to exploit the complementary nature of these cues, an issue that becomes …


From Seapower To Shining Seapower, Michael Lee Oct 2025

From Seapower To Shining Seapower, Michael Lee

Publications and Research

The liberal world order is dead: the United States has abandoned both the domestic and international institutional commitments that enabled it to function. How can liberal democracy survive in an increasingly hostile world? How can liberal democracies grow powerful enough to defend themselves without becoming the empires they fear? I argue that seapowers have historically represented a distinct kind of hegemon, that is more amenable to international cooperation, and democracy at home. Moreover, the transition from declining seapowers to rising ones has played a vital role in preserving a space for more liberal states (relative to their historical context), such …


New Approaches On Source Coding For Quantum Stochastic Sources And Implementation Of Quantum Fanout Gate, Rabins Wosti Oct 2025

New Approaches On Source Coding For Quantum Stochastic Sources And Implementation Of Quantum Fanout Gate, Rabins Wosti

Theses and Dissertations

The accurate computation of advanced quantum algorithms like Shor’s integer factorization, quantum phase estimation (QPE), and the quantum Fourier transform (QFT) requires quantum circuits of considerable size and depth. It is difficult to achieve reliable computation with deep quantum circuits due to the limited coherence times of the current noisy quantum devices. The quantum fanout gate is known to be a powerful primitive for reducing the depth of many quantum circuits (Høyer and Špalek 2003; Gottesman and Chuang 1999). Shallow or constant-depth quantum circuits are desirable for both near-term and fault-tolerant quantum computations as they reduce noise and allow faster …


The Church As An Ecological And Cultural Anchor: Examining Its Role In Gifted Education, Advanced Academic Access, And Educational Equity, Matrissa Bennett Oct 2025

The Church As An Ecological And Cultural Anchor: Examining Its Role In Gifted Education, Advanced Academic Access, And Educational Equity, Matrissa Bennett

Theses and Dissertations

This action research study examines the role of the Black church as an ecological and cultural anchor in addressing the inequities of gifted education and expanding access to advanced academic opportunities for Black students. The study is grounded in Bronfenbrenner’s ecological systems theory, critical race theory, and racial and ethnical socialization, and it explores how the Black church can support student development, empower parental advocacy, and partner with schools to promote educational equity. Conducted at Mountain Valley Baptist Church in South Carolina, the interventions included student mentoring, goal setting sessions, academic enrichment, emotional support initiatives, a parent workshop, and a …


Developing A Dynamic Bilingual Space In An Early Childhood Korean Heritage Language Classroom Through Multimodal Translanguaging Pedagogy, Kyungjin Hwang Oct 2025

Developing A Dynamic Bilingual Space In An Early Childhood Korean Heritage Language Classroom Through Multimodal Translanguaging Pedagogy, Kyungjin Hwang

Theses and Dissertations

Drawing on translanguaging theory and multimodal literacy, this dissertation examines how a multimodal translanguaging pedagogy can create a dynamic bilingual space in a Korean heritage language classroom in the southeastern United States. Using a teacher-research design and thematic analysis of classroom video recordings and student artifacts, the study explored ten instructional modules with Korean-American children aged five to six. It first identified the core components of the pedagogy, its framework, curriculum content, and teacher strategies, and then analyzed how children flexibly used Korean and English across modes such as speaking, writing, and drawing. Findings revealed diverse translanguaging forms and functions. …


Investigating The Influence Of Instructional Strategies On The Development Of Procedural And Conceptual Knowledge In Advanced Algebra Ii Students, Maura Frances Yinger Oct 2025

Investigating The Influence Of Instructional Strategies On The Development Of Procedural And Conceptual Knowledge In Advanced Algebra Ii Students, Maura Frances Yinger

Theses and Dissertations

This mixed-methods action research study investigated the influence of instructional strategies shown to improve students’ procedural and conceptual understanding in a rational expressions and equations unit in Advanced Algebra II. The instructional strategies used in the study include comparing, self-explaining, and exploring before instruction. The students (N=27) completed a pre-test and a post-test, both of which were followed by questions asking students to justify their responses on two questions. All students also responded to six digital self-explanation journal prompts. Randomly selected students were placed into three homogenous groups to participate in performance task observations. Analysis of the data …


Decorin Evokes A Pro-Lysosomal Pathway In Lymphatic Endothelial Cells, Gabriel J. Pascal, Dipon K. Mondal, Sadie Kim, Christopher Xie, Devanarayanan Siva Sankar, Jörn Dengjel, Renato V. Iozzo Oct 2025

Decorin Evokes A Pro-Lysosomal Pathway In Lymphatic Endothelial Cells, Gabriel J. Pascal, Dipon K. Mondal, Sadie Kim, Christopher Xie, Devanarayanan Siva Sankar, Jörn Dengjel, Renato V. Iozzo

Kimmel Cancer Center Faculty Papers

The lymphatic system is critical to the body's immune and circulatory system, and lymphangiogenesis, the development of new lymphatic vessels from pre-existing ones is a significant process capitalized upon by cancer during tumorigenesis. Decorin is a small leucine-rich proteoglycan which we have previously shown to be anti-tumorigenic and a suppressor of lymphangiogenesis. We have also shown that decorin exercises its anticancer properties through its ability to evoke autophagy. Through a comprehensive and unbiased proteomic analysis, we explored the implications of decorin exposure on protein expression within mouse lymphatic endothelial cells. We discovered that decorin enriches several protein pathways, notably proteasomal …


Phase Iv Clinical Trials For The Treatment Of Non-Small Cell Lung Carcinoma (Nsclc): A Systemic Review From 2020-2025, Yousif A. Kariri, Mohammed H. Alqasmi, Bijad S. Alqahtani Oct 2025

Phase Iv Clinical Trials For The Treatment Of Non-Small Cell Lung Carcinoma (Nsclc): A Systemic Review From 2020-2025, Yousif A. Kariri, Mohammed H. Alqasmi, Bijad S. Alqahtani

Saudi Medical Journal

ABSTRACT Objective: To evaluate and provide evidence on drugs investigated in completed phase IV clinical trials for adult non-small cell lung carcinoma (NSCLC) therapy, primarily focusing on treatment objectives and adverse effects. Methods: Clinical research studies from January 2020 to January 2025 were systematically reviewed using the “ClinicalTrials.gov” database. The inclusion criteria focused on publicly available, relevant, and completed Phase IV studies limited to “Clinicaltrials.gov”, while those not meeting these specifications were excluded. As of 3 January 2025, a total of 7,541 Phase IV clinical trials were available on “ClinicalTrials.gov”, of which 121 were related to NSCLC. Results: Six of …


The Effect Of Specialized Management Of Acute Coronary Syndrome On Patient’S Quality Of Life: A Tertiary Care Centre Study., Maan Jamjoom, Muath Alharbi, Waleed M. Malibari, Waleed Alshehri, Mohammed A. Aalem, Wafa D. Althubaity, Nouf K. Alalshaikh, Mahmoud A. Toonsi, Faisal A. Boker Oct 2025

The Effect Of Specialized Management Of Acute Coronary Syndrome On Patient’S Quality Of Life: A Tertiary Care Centre Study., Maan Jamjoom, Muath Alharbi, Waleed M. Malibari, Waleed Alshehri, Mohammed A. Aalem, Wafa D. Althubaity, Nouf K. Alalshaikh, Mahmoud A. Toonsi, Faisal A. Boker

Saudi Medical Journal

ABSTRACT Objectives: To assess the impact of Acute Coronary Syndrome (ACS) on quality of life (QoL) among patients at King Abdulaziz Medical City in Western Jeddah. Acute Coronary Syndrome significantly affect patients’ QoL. Many individuals experience challenges post-ACS. While previous research has identified baseline QoL, access to specialized care, and assessment tools as important factors influencing recovery, limited studies have examined how baseline QoL affects long-term outcomes. Methods: This hybrid cross-sectional study included ACS patients treated at King Abdulaziz Medical City. A sample size of 268 was calculated using RAOSOFT. A culturally tailored questionnaire, derived from the SF-36, was developed, …


The Association Between Inflammatory Bowel Disease And Ischemic Heart Disease: A Retrospective Cohort Study, Mahmoud H. Mosli, Dima M. Alsulami, Yara K. Alghamdi, Abdullah S. Badahdah, Asmaa H. Alhibshi, Thamer M. Alamri, Maan S. Alkhattabi, Khames T. Alzahrani, Hadeel A. Alsufyani, Omar I. Saadah Oct 2025

The Association Between Inflammatory Bowel Disease And Ischemic Heart Disease: A Retrospective Cohort Study, Mahmoud H. Mosli, Dima M. Alsulami, Yara K. Alghamdi, Abdullah S. Badahdah, Asmaa H. Alhibshi, Thamer M. Alamri, Maan S. Alkhattabi, Khames T. Alzahrani, Hadeel A. Alsufyani, Omar I. Saadah

Saudi Medical Journal

ABSTRACT Objectives: To evaluate the association between Inflammatory bowel disease (IBD) and Ischemic heart disease (IHD). Methods: A retrospective cohort analysis included patients with and without IBD seen at the outpatient gastroenterology clinic of a large tertiary care hospital between January 2015 and October 2022. The primary outcome was the association between IBD and IHD, and the secondary outcome was predictors of IHD in patients with IBD. Results: The study included 400 patients; 291 were IBD patients, and 109 had other non-inflammatory GI disorders. The IBD group displayed significantly lower rates of hyperlipidemia (8.6% vs. 30.3%, p <0.001), diabetes mellitus (DM) (10% vs. 24.8%, p <0.001), and hypertension (11.7% vs. 32.1%, p <0.001) compared to the non-IBD group. Only 2.7% (n=8) of IBD patients developed IHD. Logistic regression analysis did not demonstrate a significant association between IBD and IHD ( p =0.932). Among classical risk factors, only hypertension (OR: 26.2, 95% CI: 2.14–661, p =0.016) and hyperlipidemia (OR: 10.5, 95% CI: 1.32–132, p =0.0405) significantly increased the risk of developing IHD among patients with IBD. Conclusion: In this cohort, there is no increased risk of developing IHD in patients with IBD compared to non-IBD patients.


Molecular Identification Of Respiratory Syncytial Virus, Seasonal Influenza Viruses, And Sars-Cov-2 In Respiratory Tract Infections: A Cross-Sectional Study In Taif City, Mazen M. Almehmadi, Faiha A Alharbi, Ahmad K. Shawush, Mamdouh A. Allahyani, Osama A. Abdulaziz, Ayman S. Alhazmi, Ahmad A. Aghamdi Oct 2025

Molecular Identification Of Respiratory Syncytial Virus, Seasonal Influenza Viruses, And Sars-Cov-2 In Respiratory Tract Infections: A Cross-Sectional Study In Taif City, Mazen M. Almehmadi, Faiha A Alharbi, Ahmad K. Shawush, Mamdouh A. Allahyani, Osama A. Abdulaziz, Ayman S. Alhazmi, Ahmad A. Aghamdi

Saudi Medical Journal

ABSTRACT Objectives: To explore the prevalence of respiratory tract infections (RTIs) in Taif via molecular diagnosis method, to enhance the clinical decision making and the need for vaccination strategies. Methods: A 5864 participants were enrolled in this study, all from Taif city. Samples were collected via nasal swab, throat swab, or sputum sample. The duration of the study were 24 months from January 2023 to December 2024. Samples were transported in viral transport medium. Then processed using GeneXpert system. Fluorescent probes detected viral RNA and reported as detected or not detected. Chi-square test was applied for statistical analysis purposes. Results: …


Diagnostic Accuracy Of Thyroid Nodules With Indeterminate Cytology When Combined With Ultrasonographic Risk, Shaza A. Samargandy, Yousef Z. Khedher, Ghaida A. Alzahrani, Hesham T. Nahhas, Mohammed A. Alshaikh, Saad Samargandy, Khalid A. Alzahrani, Aliaa H. Ghoneim Oct 2025

Diagnostic Accuracy Of Thyroid Nodules With Indeterminate Cytology When Combined With Ultrasonographic Risk, Shaza A. Samargandy, Yousef Z. Khedher, Ghaida A. Alzahrani, Hesham T. Nahhas, Mohammed A. Alshaikh, Saad Samargandy, Khalid A. Alzahrani, Aliaa H. Ghoneim

Saudi Medical Journal

ABSTRACT Objectives: To evaluate the added diagnostic value of ultrasonographic risk levels to cytological diagnoses in nodules with Bethesda III and IV cytology. Methods: This retrospective study was conducted in Jeddah, Saudi Arabia, and involved analyzing thyroid nodules from patients who underwent thyroidectomy between 2016 and 2023. We focused on pathology, US risk stratification based on the 2015 American Thyroid Association (ATA) guidelines, and fine-needle aspiration cytology (FNAC) using the Bethesda system. We calculated malignancy rates for each ultrasound (US) and FNAC category, with the indeterminate cytology groups defined as follicular lesions of undetermined significance (FLUS) and follicular neoplasms (FN). …


Healthcare Transformation Through The Implementation Of A New Population Health Management Approach To Achieve Saudi Arabia’S Vision 2030: The Lessons Learned In The Qassim Health Cluster, Majed S. Alharbi, Emmanuel F. Osagiede, Raed F. Al-Harbi Oct 2025

Healthcare Transformation Through The Implementation Of A New Population Health Management Approach To Achieve Saudi Arabia’S Vision 2030: The Lessons Learned In The Qassim Health Cluster, Majed S. Alharbi, Emmanuel F. Osagiede, Raed F. Al-Harbi

Saudi Medical Journal

ABSTRACT Objectives: To investigate how the Qassim Health Cluster (QHC) implemented population health management (PHM) in tandem with the goals of Saudi Vision 2030 and to pinpoint the main issues and lessons gained from this implementation. Methods: This research used a descriptive population study design and was conducted between November and December 2024. We collected data using a mixed-method approach, gathering qualitative data from 11 PHM implementers and secondary quantitative data from 102,946 healthcare service users. Results: Qassim Health Cluster’s PHM implementation team established a regional 5-year strategic plan to follow the national PHM framework, utilizing data-based decision-making to implement …