Digital Commons Network^™

Predicting Which Genes Will Respond To Transcription Factor Perturbation, Eric L. Jia

McKelvey School of Engineering Graduate Student Theses & Dissertations

A fundamental issue in mapping regulatory networks between transcription factors and their target genes is the poor overlap between the set of genes bound by a given transcription factor (TF), and the set of genes that are differentially expressed after knocking out or overexpressing the same TF. We began with the hypothesis that to predict whether a gene will respond to perturbation of a TF, it is important to not only consider whether that TF is bound at the gene’s promoter, but also whether other TFs bind at the same promoter.

In this work, we propose a novel modeling procedure …

2025 Nh 4-H Horse State Show Supporter Packet, Unh Cooperative Extension

UNH Cooperative Extension

No abstract provided.

The 1991 California 'Miracle March': Precipitation Myth Or Miracle?, Cody D. Poulsen, Rachel E.S. Clemesha, Ian M. Howard, Alexander Gershunov, Michael D. Dettinger, Zhenhai Zhang, Rosa Luna-Nino, David W. Stahle, Ralph F. Martin

Geosciences Faculty Publications and Presentations

The term 'Miracle March' is colloquially used in California to describe an anomalously wet spring that alleviates drought conditions caused by a winter precipitation deficit. This study centers on the influential water year 1991, which is the standard reference point for this phenomenon. The spring precipitation impact on water year totals and the geographic extent of the spring precipitation anomaly during the 1991 'Miracle March' (MM91) is without equal in the observational record. This exceptional precipitation episode was initiated by a week-long sequence of extreme atmospheric rivers that started landfalling on February 27th. To this day, MM91 is routinely referenced …

The Musical Connection To Math, Zakiyah Word

Harriet L Wilkes Honors College Theses 2020 - Present

Research has shown that students who partake in musical activities tend to show significantly better test scores in the mathematics achievement. From creating musical lessons that incorporate math to examining the relationship between musical instructions and math scores, different studies have aimed to characterize the relationship between mathematical and musical skills. Spreading across 6 different articles/studies, this thesis examines the use of music and how the creative artform help students comprehend math. Readers of this thesis will learn about the connection between music and math. For prospective teachers, the thesis, also, shares the process one must undertake to become a …

The Universal Language Of Music In Architecture: Bridging Cultures Through John Cage And String Theory, Bronson Knight

Architecture Theses

Music has been a fundamental part of human culture for tens of thousands of years, shaping and reflecting societal values, language, and stories. Beyond its role as entertainment or ritual, music has historically influenced other art forms, notably architecture. Throughout history, architects have drawn inspiration from musical principles such as harmony and rhythm to create architectural experiences that evoke emotional and multisensory experiences. However, in the modern era, architectural design has often shifted toward pure functionality, usually at the expense of deeper meaning or narrative. This contrast with historic times when music and architecture were intertwined, enhancing each other’s expressive …

Building Hope: The Impact Of Culturally Sensitive Modular Architecture On Child Refugees' Education, Chloe Larae Bourdeau

Architecture Theses

This project explores the crossroads between education, architecture, and the growing refugee population. While modular architecture cannot be the sole solution to the issues regarding a lack of formal education for refugee children, architecture, specifically culturally sensitive modular architecture, can help how refugees access education. This research focuses on how design can improve the educational journey of refugee children under the age of 18 in Za’atari. Can culturally sensitive modular architecture positively impact the education of refugee children under the age of 18? The research focuses on both the global refugee statistics surrounding formal education and refugees that are specifically …

Designing For Diaspora: A Culturally Inclusive Landscape Celebrating Filipino Heritage In Winnipeg, Mb, Oakley Gray

Landscape Architecture Theses

Winnipeg, Manitoba, has a diverse population and a special relationship and rich history with the Filipino community and the Philippines. Filipinos have supported Canada through economic and cultural contributions, such as working as medical experts or contributing to political milestones. Contemporary parks and open spaces often do not represent minority communities and their contributions to society. The goal of this thesis is to create an open space, characterized by plazas, pedestrian corridors, and streetscapes, that acknowledges the Filipino community. Additionally, the goal of the design is to promote interaction and cultural expression through site elements, research of case studies and …

Redefining Borders: Mexico, Texas, And The Border Crisis, Emily Maria Zaragoza

Architecture Theses

This thesis explores how humane design can improve the migrant detention experience at the U.S. – Mexico border. Located in Eagle Pass, Texas, the project addresses the ongoing border crisis by proposing a new kind of entrance point. This border crossing will prioritize dignity, safety, and support for both migrants and government staff. Through circular floor plans, natural materials, natural light, and shared outdoor spaces the design challenges the typical cold nature of detention centers. Rather than focusing on politics, the project aims to redefine how we design for migrants, how we think about them, and how we take care …

A Place To See: Recapturing The Historic Role Of Theatre Through Architecture, Timothy Wren-Bjugstad

Architecture Theses

This thesis examines how we can design theatres to start to encourage audience participation and reclaim the theatres purpose as a seeing place. Through the analysis of theatre’s history from Greece to present day, the works of various theatre thinkers, an examination of a variety of theatrical works, and a synthesis of all the above this thesis presents a theatre design that brings theatres function back to its origins.

Flood Resilient Architecture: Planning For Global Warming Flooding In The San Francisco Bay, Darek Steffan

Architecture Theses

The global warming crisis is threatening global cities, with rising waters. Rising water can threaten people’s lives and property. Without direct action and forward thinking in the architecture profession the built environment will be in danger. Floating and amphibious architecture options should be explored as a new way for low-income residents. This proposal will explore options in San Francisco, California, an area that has experienced flooding, and will face rising waters if the climate crisis is not solved. Modularity for easy construction and low costs will be explored.

Enhancing Fairness In Disease Prediction By Optimizing Multiple Domain Adversarial Networks, Bin Li, Xiaoqian Jiang, Kai Zhang, Arif O Harmanci, Bradley Malin, Hongchang Gao, Xinghua Shi

Faculty, Staff and Student Publications

Predictive models in biomedicine need to ensure equitable and reliable outcomes for the populations they are applied to. However, biases in AI models for medical predictions can lead to unfair treatment and widening disparities, underscoring the need for effective techniques to address these issues. However, current approaches struggle to simultaneously mitigate biases induced by multiple sensitive features in biomedical data. To enhance fairness, we introduce a framework based on a Multiple Domain Adversarial Neural Network (MDANN), which incorporates multiple adversarial components. In an MDANN, an adversarial module is applied to learn a fair pattern by negative gradients back-propagating across multiple …

Malperfusion In Patients With Acute Type A Aortic Dissection: A Nationwide Analysis, Nicholas J Goel, John J Kelly, William L Patrick, Yu Zhao, Joseph E Bavaria, Maral Ouzounian, Anthony L Estrera, Hiroo Takayama, Edward P Chen, T Brett Reece, G Chad Hughes, Eric E Roselli, Karen M Kim, Himanshu J Patel, Michael E Bowdish, Jason S Sperling, Bradley G Leshnower, Ourania Preventza, William T Brinkman, Nimesh D Desai

Faculty, Staff and Student Publications

Background: This study describes in detail the clinical burden of malperfusion associated with acute type A aortic dissection (ATAAD) in a large, national cohort and the effect of treatment strategy on outcomes.

Methods: All patients undergoing repair of ATAAD between 2017 and 2020 in The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database were studied. Malperfusion was defined using STS definitions on the basis of imaging or the surgeon's evaluation. Multivariable logistic regression was used to analyze the effect of patient and treatment factors on outcomes in patients with and without malperfusion.

Results: A total of 9958 patients undergoing …

Longevity Humans Have Youthful Erythrocyte Function And Metabolic Signatures, Fang Yu, Changhan Chen, Wuping Liu, Zhixiang Zhao, Yuhua Fan, Zhenjiang Li, Weilun Huang, Tingting Xie, Cheng Luo, Zhouzhou Yao, Qi Guo, Zhiyu Yang, Juan Liu, Yujin Zhang, Rodney E Kellems, Jian Xia, Ji Li, Yang Xia

Faculty, Staff and Student Publications

Longevity individuals have lower susceptibility to chronic hypoxia, inflammation, oxidative stress, and aging-related diseases. It has long been speculated that "rejuvenation molecules" exist in their blood to promote extended lifespan. We unexpectedly discovered that longevity individuals exhibit erythrocyte oxygen release function similar to young individuals, whereas most elderly show reduced oxygen release capacity. Untargeted erythrocyte metabolomics profiling revealed that longevity individuals are characterized by youth-like metabolic reprogramming and these metabolites effectively differentiate the longevity from the elderly. Quantification analyses led us to identify multiple novel longevity-related metabolites within erythrocytes including adenosine, sphingosine-1-phosphate (S1P), and glutathione (GSH) related amino acids. Mechanistically, …

Psychological Profiles Of Patients Reporting With Musculoskeletal Shoulder Or Elbow Pain, Chuheng Xing, Mallory B Lane, Madilyn L Feik, Jake Taylor, James M Gregory, Natalie L Myers

Faculty, Staff and Student Publications

Background: The Optimal Screening for Prediction of Referral and Outcome-Yellow Flag (OSPRO-YF) is a questionnaire that helps assess multiple psychological domains. The primary purpose of this study was to evaluate the effect of body region (shoulder and elbow) and sex on baseline OSPRO-YF scores. The secondary purpose was to evaluate the association of age on baseline OSPRO-YF scores for both shoulder and elbow patients.

Methods: 242 subjects completed 1) a demographic survey and 2) the 17-item OSPRO-YF. The OSPRO-YF estimates the individual scores of 11 psychological patient-reported outcome measures. To assess the effects of body region and sex on the …

Outcomes After Anatomic Labral Repair With All-Suture Knotless Tensionable Anchors In Primary Hip Arthroscopic Surgery: A Prospective Analysis Of 200 Consecutive Patients, David R Maldonado, Rachel E Bruning, Julio Nerys-Figueroa, Benjamin G Domb

Faculty, Staff and Student Publications

Background: Anatomic labral repair is paramount when restoring the hip suction sealing mechanism in femoroacetabular impingement syndrome (FAIS) surgery. All-suture knotless tensionable anchors have been recently proposed as an alternative; however, data are scarce.

Purpose: To report patient-reported outcome measure (PROM) scores at a minimum 2-year follow-up for patients who underwent primary hip arthroscopic surgery with labral repair using an all-suture knotless tensionable anchor with the controlled-tension anatomic technique in the setting of FAIS.

Study design: Case series; Level of evidence, 4.

Methods: Data were prospectively collected, and patients who underwent primary hip arthroscopic surgery for the treatment of FAIS …

Synchronous Clear Cell Renal Cell Carcinoma And Classic Hodgkin Lymphoma, Phuoc Christie-Nguyen, Ahmed A Ahmed, Nourhan Ibrahim, Jacob Armstrong, Brenda Mai

Faculty, Staff and Student Publications

Introduction: The coexistence of renal cell carcinoma and classic Hodgkin lymphoma is exceedingly rare, with only two documented cases. Here, we present the third case diagnosed in our institution.

Case presentation: A 46-year-old man presented with right flank pain, fever, mild pancytopenia, and renal mass on computed tomography scan, suggesting renal malignancy. Despite intravenous antibiotics and extensive workup for recurrent fever, his condition did not improve. A bone marrow biopsy revealed rare large EBV-positive B cells. Surprisingly, imaging only showed minimal intraabdominal lymphadenopathy in the perinephric region. Subsequent surgery confirmed clear cell renal cell carcinoma in the kidney and scattered …

Pathobiology Of Aortic Aneurysms And Dissections: Synthesis Of Recent Investigations And Evolving Insights, L Maximilian Buja, Bihong Zhao, Deborah Vela, Ana Segura, Navneet Narula

Faculty, Staff and Student Publications

The pathobiology of aortic disease is linked to aortic region: atherosclerosis for abdominal aorta, primary medial degeneration or aortitis for ascending thoracic aorta, and all causes for descending thoracic aorta and thoracoabdominal lesions. The pathogenesis of aortic dissection involves damage of the outer media from impaired perfusion from dysfunctional vasa vasorum, formation of discrete foci of disrupted vascular smooth muscle cell-elastic fiber extension-contractile units, and imbalance of radial sheer stress across the aortic wall, thereby creating an intimal tear and linear dissection. Thoracic aortic aneurysms develop from the chronic progression of medial degeneration coupled with the weakening of the remodeled …

Neuroimaging-Based Variability In Subtyping Biomarkers For Psychiatric Heterogeneity, Zhenfu Wen, Mira Z Hammoud, Carole E Siegel, Eugene M Laska, Duna Abu-Amara, Amit Etkin, Mohammed R Milad, Charles R Marmar

Faculty, Staff and Student Publications

Neuroimaging-based subtyping is increasingly used to explain heterogeneity in psychiatric disorders. However, the clinical utility of these subtyping efforts remains unclear, and replication has been challenging. Here we examined how the choice of neuroimaging measures influences the derivation of neuro-subtypes and the consequences for clinical delineation. On a clinically heterogeneous dataset (total n = 566) that included controls (n = 268) and cases (n = 298) of psychiatric conditions, including individuals diagnosed with post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), and comorbidity of both (PTSD&TBI), we identified neuro-subtypes among the cases using either structural, resting-state, or task-based measures. The …

Genome-Wide Association Meta-Analyses Of Drug-Resistant Epilepsy, Costin Leu, Andreja Avbersek, Remi Stevelink, Helena Martins Custodio, Siwei Chen, Doug Speed, Caitlin A Bennett, Lina Jonsson, Unnur Unnsteinsdóttir, Andrea L Jorgensen, Gianpiero L Cavalleri, Norman Delanty, John J Craig, Chantal Depondt, Michael R Johnson, Bobby P C Koeleman, Emadeldin Hassanin, Maryam Erfanian Omidvar, Roland Krause, Holger Lerche, Anthony G Marson, Terence J O'Brien, Josemir W Sander, Graeme J Sills, Pasquale Striano, Federico Zara, Hreinn Stefansson, Kari Stefansson, Patrick May, Benjamin M Neale, Dennis Lal, Samuel F Berkovic, Epi25 Collaborative, Epipgx Consortium, Sanjay M Sisodiya

Faculty, Staff and Student Publications

Background: Epilepsy is one of the most common neurological disorders, affecting over 50 million people worldwide. One-third of people with epilepsy do not respond to currently available anti-seizure medications, constituting one of the most important problems in epilepsy. Little is known about the molecular pathology of drug resistance in epilepsy, in particular, possible underlying genetic factors are largely unknown.

Methods: We performed a genome-wide association study (GWAS) in two epilepsy cohorts of European ancestry, comparing drug-resistant (N = 4208) to drug-responsive individuals (N = 2618) followed by meta-analyses across the studies. Next, we performed subanalyses split into two broad subtypes: …

Variations In Sensory And Emotional Responses To Gluten-Containing And Gluten-Free Cookie Products Under Blind And Labeled Conditions, Eniola Ola, Han-Seok Seo

Food Science Faculty Publications and Presentations

The gluten-free food market is expanding rapidly. However, consumer acceptance and emotional responses to gluten-free food, especially commercially available products, have received relatively underexplored. This study aimed to determine how consumer perceptions, acceptance, and emotional responses differ between gluten-containing (C) and gluten-free (F) chocolate chip cookies from three brands under both blind and labeled conditions. In the labeled condition, 84 participants without celiac disease evaluated 3 F cookies labeled "gluten-free" and 3 C cookies presented without claims on a plain white card. In the blind condition, they tested the six cookies without labels. Participants provided hedonic ratings, Just-About-Right (JAR) ratings, …

Comparison Analyses Of Consumer Acceptance, Evoked Emotions, And Purchase Intent Between Gluten-Containing Versus Gluten-Free Chocolate Chip Cookie Products, Shaelyn Frauenhoffer, Eniola Ola, Suzanne Jervis, Susan E. Gauch, Han-Seok Seo

Food Science Faculty Publications and Presentations

The demand for gluten-free products has increased significantly over the past few decades. This study aimed to determine differences in consumer acceptance, emotional responses, and purchase intent between gluten-containing versus gluten-free chocolate chip cookies. Twelve commercially available chocolate chip cookie products from 11 brands were evaluated, including 7 gluten-free and 5 gluten-containing options. Eighty-nine participants without celiac disease took part in this 2-day study, evaluating six cookies per day. Participants rated sensory acceptance (appearance, flavor, texture, and overall liking) using a 9-point hedonic scale and evaluated specific sensory attributes (chocolate flavor, sweetness, chewiness, and hardness) using a 5-point just-about-right (JAR) …

Dosimetric Predictors Of Toxicity For Brainstem Metastases And Avms Treated With Stereotactic Radiosurgery: An International, Multi-Institutional Analysis, Raj Singh, Samantha Dayawansa, Duy Pham, Georgios Mantziaris, Selcuk Peker, Yavuz Samanci, Ali Haluk Duzkalir, David Mathieu, Anne-Marie Langlois, Molly L Egnot, Ronald E Warnick, Herwin Speckter, Erwin Lazo, Laura Mendez, Angel I Blanco, Mark J Amsbaugh, Collin Liu, Andrea Becerril-Gaitan, Yoshua Esquenazi, Ching-Jen Chen, Peter Zaki, Yun Liang, Rodney Wegner, Manjul Tripathi, Zhishuo Wei, Shivani A Jajoo, Ajay Niranjan, L Dade Lunsford, Joshua D Palmer, Jason P Sheehan

Faculty, Staff and Student Publications

Background: There are limited data on dosimetric predictors of radiation-induced changes (RICs) for brainstem metastases or arteriovenous malformations (AVMs) following single-fraction stereotactic radiosurgery (SRS).

Methods: We examined a multi-institutional cohort of patients with brainstem metastases or AVMs treated with SRS. We evaluated predictors of RICs graded per CTCAE(Common Terminology Criteria for Adverse Events), including D5%, D95%, D0.03 cc, and D0.5 cc (brainstem minus lesion). Univariate logistic regressions were initially performed with independent variables trending towards significance included on multivariate logistic regression.

Results: A total of 124 brainstem lesions treated with SRS were analyzed (21 AVMs and 103 metastases). The median …

Targeting Discrepancies In Linear Growth Measurements In The Neonatal Intensive Care Unit Through Nursing Interventions: A Quality Improvement Initiative, Gail Snyder, Rebekah Wilkinson, Raina Evans, Meagan Owen, Akram Yazdani, Covi Tibe, Catherine Perez, Lindsay F Holzapfel

Faculty, Staff and Student Publications

Objective: Accurate length measurements are essential for infants to identify growth deficiencies and adjust nutrition accordingly. The gold standard for length measurement in infants is using a length board with two people to obtain an accurate clinical assessment. We aimed to improve the number of measurements with the desired minimal difference, defined as a discrepancy ≤1 cm between nurse and audit measurements, in our center. Our secondary aim was to increase and maintain the number of length boards available.

Methods: This quality improvement (QI) study used a before-and-after intervention comparison design in a single-level IV neonatal intensive care unit between …

First Step To Environmentally Sustainable Endoscopy Practice: A Prospective Study Of Minimizing Multiple Device Use During Screening Colonoscopy At A Large Tertiary Center, Prateek S Harne, Vaishali Harne, Asad Rehman, Nirav Thosani, Madhav Desai

Faculty, Staff and Student Publications

The healthcare sector generates 8% of greenhouse gas emissions in the USA, of which gastrointestinal (GI) endoscopy is the third largest contributor. Single-use tools are a major contributor to modifiable waste generation during GI endoscopy. Through a quality improvement initiative, we aimed to reduce endoscopy waste by urging gastroenterologists to be mindful of tools used during polypectomies by avoiding using multiple tools.We discussed green endoscopy initiatives in monthly journal club and business meetings. Over 14 weeks, 210 patients were included in the pre-intervention group and 112 in the post-intervention group.At baseline, 34% of colonoscopies required no intervention, 32% required one …

Endobronchial Ultrasound Transbronchial Needle Aspiration In The Diagnosis Of Visceral Leishmaniasis In A Patient With Human Immunodeficiency Virus Infection, Mohammad A Amjad, Y H Zhang, Rosa M Estrada-Y-Martin, Sujith V Cherian

Faculty, Staff and Student Publications

No abstract provided.

Interplay Between Skeletal Muscle Catabolism And Remodeling Of Arteriovenous Fistula By Yes-Associated Protein 1 (Yap1) Signaling, Yongdong Wu, Tae Hoon Lee, Owen H Cheng, Eric K Peden, Qingtian Li, Jun Wang, Fengzhang Huang, Marites P Melancon, David Sheikh-Hamad, Tao Wang, Luan Truong, William E Mitch, Ming Liang, Jizhong Cheng

Faculty, Staff and Student Publications

Key Points:

1. Atrophied muscle–derived myostatin stimulated mesenchymal stem cell differentiation and adverse arteriovenous (AV) fistula remodeling through yes-associated protein 1 (YAP1) activation.

2. Treatment with myostatin peptibody inhibited muscle wasting and blocked mesenchymal stem cell activation and AV fistula fibrosis.

3. A light-sensitive drug-release strategy was engineered for the periadventitial delivery of verteporfin to improve AV fistula patency.

Background: Arteriovenous (AV) fistulas are the preferred access for dialysis but have a high incidence of failure. The aim of this study was to understand the crosstalk between skeletal muscle catabolism and AV fistula maturation failure.

Methods: Skeletal muscle metabolism and AV fistula maturation …

Tumour Size Is Associated With Growth Rates Of >0.5 Cm/Year And Delayed Intervention In Small Renal Masses In Patients On Active Surveillance, Maximilian Pallauf, Michael Rezaee, Roy Elias, Tina Wlajnitz, Sean A Fletcher, Joseph Cheaib, Khalid Alkhatib, Peter Chang, Andrew A Wagner, James M Mckiernan, Mohamad E Allaf, Phillip M Pierorazio, Nirmish Singla

Faculty, Staff and Student Publications

Objective: To evaluate the association between tumour size and the growth rate (GR) of small renal masses (SRMs) in patients managed by active surveillance (AS).

Materials and methods: We queried the prospective, multi-institutional Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) registry for patients on AS with an imaging interval of ≥6 months, identifying 456 patients. We tracked tumour size over time; a GR >0.5 cm/year was defined as a GR event. We used multivariable recurrent events and time-to-event Cox regression modelling to evaluate the association between tumour size and GR events (primary outcome) and tumour size and delayed …

Comparison Of Physical Characteristics Among English Professional And Semi-Professional Soccer Players Across Different Leagues, Nicholas Joel Ripley, Jack Fahey, Paul Jones, Jake Batsford, Paul Sindall, Christopher Bramah, Paul Comfort

Research outputs 2022 to 2026

The purpose of the present study was to investigate if differences exist in neuromuscular qualities between different leagues in English male soccer. Twenty soccer players (age: 23.3±5.2 years, stature: 180.3±7.0cm, mass: 82.5±7.7kg) from English football league two (EFL2). 34 soccer players (age: 25.8±4.3 years, stature: 180.9±5.6cm, mass: 81.4±8.6kg) from National league (NL) and 23 soccer players (age: 27.5±4.3 years, stature: 182.1±5.5cm, mass: 84.1±8.0kg) from National league North (NLN). Each player completed three to five repetitions of the countermovement jump (CMJ), countermovement rebound jump (CMJRJ) and isometric mid-thigh pull (IMTP). Trivial to small differences were observed in CMJ jump height, CMJ …

Tumor-Specific Surface Marker–Independent Targeting Of Tumors Through Nanotechnology And Bioorthogonal Glycochemistry, Hyesun Hyun, Bo Sun, Mostafa Yazdimamaghani, Albert Wielgus, Yue Wang, Stephanie Ann Montgomery, Tian Zhang, Jianjun Cheng, Jonathan S. Serody, Andrew Z. Wang

Chemical and Biochemical Engineering Faculty Research & Creative Works

Biological targeting is crucial for effective cancer treatment with reduced toxicity but is limited by the availability of tumor surface markers. To overcome this, we developed a nanoparticle-based (NP-based), tumor-specific surface marker–independent (TRACER) targeting approach. Utilizing the unique biodistribution properties of NPs, we encapsulated Ac4ManNAz (Maz) to selectively label tumors with azide-reactive groups. Surprisingly, while NP-delivered Maz was cleared by the liver, it did not label macrophages, potentially reducing off-target effects. To exploit this tumor-specific labeling, we functionalized anti–4-1BB Abs with dibenzo cyclooctyne to target azide-labeled tumor cells and activate the immune response. In syngeneic B16F10 melanoma and orthotopic 4T1 …

Efficacy Of Menstrual Cycle Awareness In The Identification Of Premenstrual Dysphoric Disorder, Rachel Brothers

Physician Assistant Scholarly Project Papers

Premenstrual Dysphoric Disorder (PMDD) is characterized by identifiable psychological and physical symptoms that are present in the week before menses and is estimated to affect 3-8% of women of reproductive age globally. The identification of women who meet criteria for PMDD is important both clinically, to provide proper support and treatment, and for advancing research by identifying appropriate study participants. This literature review aims to investigate the efficacy of current and prospective tools to screen for symptoms of PMDD by comparing a common depression screening tool, the PHQ-9, to tools that enhance menstrual cycle awareness. A literature review was conducted …