Digital Commons Network^™

Closed Treatment Of Displaced Radial Neck Fracture In An Adult, Nicholas Newcomb, Tomas Holy, Naomi Kelley, Nathan T. Morrell

Western Journal of Orthopaedics

Making up 1.5% to 4.0% of all fractures, radial head and neck fractures are typically treated based on the severity of angulation at the radial neck or if range of motion (ROM) is blocked. In this study, we present a case of a 43-year old woman with a Mason Type 2 radial neck fracture, successfully treated with closed reduction and one week of immobilization, resulting in near anatomic radial neck angulation without the need for operative intervention. The patient returned to work within two weeks and regained full ROM by six months, maintaining near anatomic reduction throughout. Keywords: Elbow Injury; …

Two-Stage Total Knee Arthroplasty (Tka) For A Rigid And Infected Knee: A Rare Case Report Of Aspergillosis, Túlio Vinícius De Oliveira Campos, David G. Kasuya Barbosa, Victor A. Kasuya Barbosa, Santiago Enrique Sarmiento Molina, Guilherme Moreira De Abreu Silva, Marco Antônio Percope De Andrade

Western Journal of Orthopaedics

Knee infection caused by Aspergillus is a rare condition that presents a diagnostic challenge for orthopaedic surgeons and musculoskeletal specialists. This case report aims to describe the treatment of a patient with active articular Aspergillus infection and knee arthrofibrosis through a two-stage total knee arthroplasty (TKA). A 37-year old woman presented with knee arthrofibrosis, which was complicated by an Aspergillus infection. The treatment involved a two-stage procedure: 1) bone cuts for TKA and systemic antibiotic therapy; and 2) TKA with the use of specific antibiotic-loaded cement. The patient has been followed for 30 months, showing no signs of failure.

Proximal Tibia Biplanar Anterior And Lateral Closing Wedge Osteotomy With Concomitant Revision Anterior Cruciate Ligament Reconstruction: A Case Report, Shane H. Johns, Lisandro Nardin, Jessica A. Nelson, Robert Schenck

Western Journal of Orthopaedics

This report documents a unique, successful strategy to manage a failed anterior cruciate ligament reconstruction (ACLR) in the setting of coronal and sagittal plane malalignment. The patient is a 38-year-old man with a history of a failed ACLR who presented with recurrent knee instability. Imaging revealed a posterior tibial slope (PTS) of 17° complicated by a varus malalignment of 10°. A single-stage anterior and lateral closing wedge tibial osteotomy (biplanar) with simultaneous revision anterior cruciate ligament reconstruction was performed. Final radiographic evaluation revealed that the tibial osteotomy healed with correction of coronal alignment to a physiologic 3° varus and a …

Recurrent Baker’S Cyst In A Pediatric Athlete: A Case Report, Gaurav Singh, Rebecca Peebles, Justin Bartley

Western Journal of Orthopaedics

Also known as popliteal cysts, Baker’s cysts are fluid-filled lesions found in the popliteal fossa, typically originating from the gastrocnemius-semimembranosus bursa. While these cysts are relatively common in adults, with a prevalence ranging from 5.0% to 41.0%, they are extremely rare in children, showing an incidence of just 2.4%. In most cases, Baker’s cysts result from intra-articular knee pathologies that lead to an increased production and sequestration of synovial fluid. The authors present the case of an athletic 16-year-old adolescent boy with a recurrent left-knee Baker’s cyst with magnetic resonance imaging showing no intra-articular pathology. Despite conservative treatment, including non-steroidal …

Treatment Of Congenital Cruciate Ligament Absence In A Teenager Knee-Ding Stability, Gaurav Singh, Anna Bergquist, Rebecca Peebles, Justin Bartley

Western Journal of Orthopaedics

The congenital absence of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) is an extremely rare condition, with an estimated prevalence of 0.017 per 1,000 live births for ACL agenesis. The authors present the case of a 15-year-old adolescent girl with autosomal dominant multiple synostosis, who developed progressive bilateral knee pain and functional limitations. Bilateral knee x-rays revealed trochlear dysplasia and an absent tibial eminence, suggesting a congenital ligamentous abnormality. Magnetic resonance imaging confirmed the bilateral absence of both the ACL and PCL. Surgical reconstruction of both ligaments was performed, with the first procedure taking place in October …

Deepseek: Is It The End Of Generative Ai Monopoly Or The Mark Of The Impending Doomsday?, Malik Sallam, Kholoud Al-Mahzoum, Mohammed Sallam, Maad M. Mijwil

Mesopotamian Journal of Big Data

The rise of superintelligent open-source generative AI (genAI) heralds both extraordinary potential and unprecedented risk, exemplified by the rapid emergence of DeepSeek as a global AI innovator. This perspective article examines the dual-edged nature of open source genAI technologies, highlighting their capacity to democratize innovation while exposing critical vulnerabilities. By providing affordable, high-performing, and openly available models like DeepSeek-R1 and DeepSeek-V3, this Chinese AI company has disrupted the proprietary dominance of Western AI giants. These advancements are expected to empower researchers in resource-limited settings, foster global collaboration, and enable breakthroughs across numerous fields. Open-source AI, as illustrated by DeepSeek, has …

Intelligent Techniques For Autism Spectrum Disorder Diagnosis: A Review, Ekraam Jabier, Ali Fadhil Marhoon, Ammar A. Aldair

Mesopotamian Journal of Big Data

Autism spectrum disorder (ASD) is a neurodevelopmental disorder whose prevalence has increased drastically around the world due to the shortcomings of the traditional method of diagnosis, which has been shown to be unsustainable since it is usually time-consuming, expensive, and subjective to clinical interpretation. These difficulties make finding more scalable, efficient, and objective methods of diagnosis incredibly expedient. This review explores the impacts of intelligent technologies such as artificial intelligence (AI), machine learning (ML), deep learning (DL), and Internet of Things (IoT) sensor-supported systems and the revolution they are bringing into the diagnosis of ASD. This work reviews the recent …

A Hybrid Machine Learning Approach For Enhanced Diabetes Prediction: Integrating Image And Numerical Data, Ahmad Shaker Abdalrada, Ali Fahem Neamah, Huda Lafta Majeed, Ahmed Raad Al-Sudani

Mesopotamian Journal of Big Data

Diabetes mellitus (DM) continues to escalate as a worldwide health emergency issue, with approximately 537 million adults currently diagnosed and forecasts estimating a further increase to 643 million by 2030. Early and precise foretelling of DM remains a decisive factor for timely intervention, thereby mitigating severe downstream sequelae such as cardiovascular disease, peripheral neuropathy, and diabetic retinopathy (DR). Conventional prognostic frameworks typically depend on exclusively either structured tabular measurements or visual medical imagery, which constrains comprehensive diagnostic capacity. This contribution confronts such limitation by advancing a hybrid machine learning (ML) methodology that synergistically combines deep learning—specifically, convolutional neural networks (CNNs) …

Improved Blockchain Technique Based On Modified Slim Algorithm For Cyber Security, Sarah Mohammed Shareef, Rehab Flaih Hassan

Mesopotamian Journal of CyberSecurity

The number of cybersecurity incidents is increasing, and the cost of a security breach has a catastrophic financial effect. The existing real estate information systems require more robust and resilient cybersecurity solutions to secure hardware, software, and databases. Cybersecurity often relies on user behavior. Phishing attacks and social engineering can bypass blockchain security, highlighting the need for robust user education and awareness. Many blockchain networks face challenges in handling a high volume of transactions. Solutions that work well on a small scale may not perform efficiently as the network grows, leading to delays and increased costs. A secure system is …

Virtual Personalities And Smart Analytics In The Digital Environment: Legal And Applied Framework For Big Data And Financial Transaction, Hazim Akram Sallal, Faris Kamil Mihna, Lobna Abdalhusen Al-Seedi, Mustafa Abdulfattah Habeeb, Yahya Layth Khaleel

Mesopotamian Journal of Big Data

The rapid progress of artificial intelligence (AI) has altered the very nature of the digital systems that ground today's legal and financial institutions. This study is cross-discipline research that constructs an integrated framework that connects digital identity, AI-based digital wallets, and information governance across a singular legal-technological approach. It considers the consequences of AI reshaping economic exchange, digital identity management, and communication and its mediation by autonomous virtual identities that can carry out actions characteristic of observable real-world social and economic experiences. The study uses a comparison of the regulatory mechanisms in Iraq, Europe, and the US context to convey …

Assessing Reproductive Health In Zoo-Managed African Elephant Bulls (Loxodonta Africana), Kaitlyn Marie Campbell

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Populations of zoo-managed African elephant (Loxodonta Africana) exhibit substantial individual- and population-level variation in reproductive success, yet research has largely focused on females, leaving male fertility poorly understood. Subfertility in bulls, characterized by low libido and inconsistent semen quality, poses significant challenges to genetic management and long-term population sustainability. This study a) systematically evaluates semen quality, b) identifies physiological, behavioral, social, and environmental determinants of fertility, and c) advances ex situ conservation through the expansion of the African elephant sperm bank. Between January 2023 and July 2025, 209 semen collection events were conducted from 13 sexually mature bulls …

Leaf-Based Varietal Categorization Of Sweetpotato (Ipomoea Batatas L. Lam.), A Potentially Healthful Vegetable, Using Image Processing And K-Means Clustering, Shahidul Islam, Md Towfiqur Rahman, Md Hamidul Rahman, Abdul Momin

Department of Agricultural and Biological Systems Engineering: Dissertations, Theses, and Student Research

Sweetpotato (Ipomoea batatas Lam) leaves contain higher concentrations of phenolic compounds, flavonoids, and carotenoids that are remarkable in health promotion. However, the nutrient content in sweetpotato leaves varies from variety to variety, and leaf shape and color are the key identifying factors for the varietal classification of sweetpotatoes. So, detecting sweetpotato leaves is essential for the in-situ identification of sweetpotato varieties and for developing intelligent agricultural systems. This study aimed to create a leaf-shape-based varietal classification technique for sweetpotato using image processing techniques coupled with a K-means clustering algorithm. 38 leaf images (RGB) of two sweetpotato cultivars were collected …

In-Season Nitrogen Mmanagement: Leveraging Data Visualization For Precision Agriculture, Chathurika Harshani Narayana

Department of Agricultural and Biological Systems Engineering: Dissertations, Theses, and Student Research

Effective nitrogen management is vital for sustainable agriculture, impacting both crop yield and environmental health. Traditional methods often use fixed application rates set before planting, which do not adapt to changing crop needs during the season. This can lead to over- or under-application, reducing efficiency and sustainability. While modern tools like sensors, satellites, and UAVs provide valuable real-time data on crop and field conditions, integrating and using this data to guide timely nitrogen decisions remains a major challenge. In-season nitrogen management offers a solution by allowing for dynamic adjustments to nitrogen applications, addressing crop needs as they arise. This approach …

Healthy Here Family Healthy Weight Program Year 1 Summary, Camille R. Velarde, Courtney A. Fitzgerald, Theresa H. Cruz

Reports & Documents

No abstract provided.

Pie Chart Grant Overview, Melissa L. Rethlefsen

PIE CHART

This presentation is a high-level overview of PIE CHART. 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.

Ber Anena’S Vagina Diaries, A Review: An African Student’S Encounter With The American Health System, Akua Agyeiwaa Denkyi-Manieson

Department of English: Dissertations, Theses, and Student Research

This work delves into the disappointment, indifference, and pretense experienced by the narrator when she sorts the American healthcare system. It also addresses the struggles immigrants face, particularly from Africa, as they navigate a healthcare system that often requires them to prove their pain and worthiness of attention. The narrative emphasizes the importance of not generalizing the entire healthcare system based on a single negative experience while acknowledging the profound impact on one's perception of the system. Furthermore, it explores the paradox between the availability of better resources in America compared to the narrator's home country and the mistreatment and …

Effect Of Integrated Neuromuscular Inhibition Technique On Iliotibial Band Friction Syndrome, Esraa Tarek Farouk Ahmed, Amir Mohamed Saleh, Hassan Hussien Ahmed, Doaa Rafat El Azab

Journal of Medicine in Scientific Research

Background: It was reported that, 25% of adults experience limited mobility and a diminished quality of life due to knee pain. The iliotibial band friction syndrome (ITBFS) is a frequent overuse injury that causes lateral knee pain. It is marked by recurrent lateral knee pain as well as motor impairment in the lower extremities. Pain worsens with exercise and weight-bearing activities, especially at 30° of knee flexion, and patients usually have a history of overuse caused by knee flexion and extension.Objective: To determine the impact of the integrated neuromuscular inhibition technique on pain intensity, knee range of motion and knee …

Endoscopic Management Of Third Ventricular Colloid Cysts: Efficacy, Safety, Technique, Result, And Limitations, Mohammad Abdulsalam Soliman

Journal of Medicine in Scientific Research

Background: Colloid cysts of the third ventricle are rare, benign lesions that may cause life-threatening obstructive hydrocephalus. Full-endoscopic resection has emerged as a minimally invasive alternative to microsurgical approaches. This study evaluates the surgical outcomes and safety profile of the trans-frontal endoscopic technique, with emphasis on the swiveling technique for capsule excision. Methods: This retrospective and prospective cohort study included 24 patients who underwent full-endoscopic trans-frontal resection of third ventricular colloid cysts at Al- Ahrar Teaching Hospital, a tertiary neurosurgical center in Egypt, between January 2016 and December 2024. All procedures were performed using a 6° angled rigid neuroendoscopy with …

Management And Prevention Of Recurrent, Uncomplicated Urinary Tract Infections In Premenopausal Women, Michelle Lin

Capstone Showcase

Urinary tract infections (UTIs) are a common complaint encountered by healthcare providers in a multitude of clinical settings and primarily affect non-pregnant women of reproductive age. Many of these individuals experience chronically recurring UTIs either due to a relapsing infection or reinfection following resolution of the initial infection. The current cornerstone and most effective form of prophylaxis utilizes long term, low dose antibiotics. However, the emergence of worldwide antimicrobial resistance highlights the need for further exploration of alternatives to antibiotics in the management of recurrent UTIs. This article reviews the pathophysiology of recurrent UTIs and presents both antibiotic and non-antibiotic …

Investigating The Ideal Candidate For The Fda’S Over-The-Counter Hearing Aids, Jamie N. Mayer

Capstone Showcase

Hearing loss is an underdiagnosed and undertreated medical condition affecting millions of Americans across a variety of ages and stages of life. Over-the-counter hearing aids are a new category of hearing aids created by the FDA. By targeting affordability and accessibility, over-the-counter hearing aids reduce barriers to care that individuals with hearing loss may face. There is a major impact of hearing loss on adults, specifically, for our elderly population who struggle with communication, staying engaged socially, and the additional stress of comorbid conditions. Elderly adults have the potential to derive immense benefit from over-the-counter hearing aids, specifically for those …

Pathophysiology, Risk Factors, Diagnosis And Management Of Complex Regional Pain Syndrome (Crps), Joyce Zhang

Capstone Showcase

Complex Regional Pain Syndrome (CRPS) is a debilitating neurological condition affecting up to 200,000 individuals annually in the United States. It is marked by pain that far exceeds the expected response to an injury, and is often accompanied by sensory, vasomotor, sudomotor, and motor disturbances. Although frequently triggered by physical trauma, CRPS can also arise spontaneously and without any significant finding on imaging, complicating diagnosis and treatment. The chronic nature of CRPS disrupts a person’s quality of life and is linked to psychological conditions such as depression and anxiety. Early recognition of its diverse symptoms with guidance by the Budapest …

Coronary Artery Disease – Future Tools For Optimizing Primary Prevention, Nick Makosiej

Capstone Showcase

Coronary artery disease (CAD) is a progressive, obstructive, and inflammatory process affecting the endothelial lining of the coronary arteries, which ultimately compromises the perfusion of the myocardium and can lead to ischemic infarction. This narrowing of vasculature which supplies the myocardial tissue leads to a spectrum of anginal syndromes and inevitably, catastrophic consequences. This article is focused on understanding the pathophysiology of this disease process and educating providers on emerging clinical tools that can be utilized to prevent progression, and ultimately reduce morbidity and mortality of this insidious disease process.

Art As The Prosecutor’S Weapon: The Use Of Rap Lyrics Evidence At Trial, Thompson, Mikah K., Raheem, Sierra

Santa Clara Law Review

Are rap lyrics worthy of the same protections that other forms of creative expression enjoy, or is there something inherent to rap lyrics that renders them autobiographical, confessional, and reflective of the author’s true intentions and desires? This Article will attempt to answer that question. In doing so, the authors will take the reader on a voyage through a history that is not widely known among the attorneys, judges, expert witnesses, and jurors who are frequently called upon to interpret the art form known as Hip Hop.

This journey requires an exploration of our country’s history of chattel slavery, for …

Empirical Analysis Of Racial Disparities In Policing, Premkumar, Deepak, Lofstrom, Magnus, Hayes, Joseph, Martin, Brandon, Cremin, Sean

Santa Clara Law Review

Racial disparities within the criminal justice system continue to be a pressing issue, especially after the recent passage of California’s Racial Justice Act, which allows for a broader set of legal challenges based on racially disparate treatment. In this article, we analyze data for almost four million stops by California’s fifteen largest law enforcement agencies in 2019, examining the extent to which people of color experience searches, enforcement, intrusiveness, and use of force differently from white people. Black Californians are more likely to be searched than white Californians, but searches of Black civilians reveal less contraband and evidence. Black people …

Empathy In Medicine:Enhancing Patient Care And Improving Health Outcomes, Alyssa Ogden

Capstone Showcase

Empathy is a critical component that allows providers to build a trusting relationship with patients, which ultimately improves patient empowerment and outcomes. This paper will examine the barriers healthcare professionals face in delivering empathetic care, explore how empathy improves patient care, and discuss strategies for cultivating and sustaining empathy in clinical settings. Within modern health systems, empathy is challenged by time constraints, provider burnout, and training gaps. Without empathy, patient outcomes and workplace culture suffer. Cultivating empathy can be achieved through training and education, institutional support, and incentivization. A systemic approach to improving healthcare personnel empathy at every level is …

Male Infertility: From Root Causes To Modern Interventions, Scott Bowser

Capstone Showcase

Male infertility impacts up to 15% of men and contributes significantly to worldwide infertility.1 A multifaceted issue with etiologies from before, after or during spermatogenesis. It includes hypothalamic-pituitary-gonadal axis dysfunction, genetic abnormalities, congenital malformations, systemic illnesses and environmental factors.2 The evaluation of male infertility considers contributing factors and interconnections with broader health issues. Pre-testicular factors discussed include Klinefelter syndrome, Y-chromosome microdeletions, hyperprolactinemia, thyroid dysfunction, obesity, diabetes mellitus, nutrition, pharmaceuticals and lifestyle. Problems within the testicles are cryptorchidism, varicoceles, infections, neoplasms, trauma and anti-sperm antibodies. Common post-testicular reasons are cystic fibrosis, erectile dysfunction, premature ejaculation, hypoactive sexual desire, vasectomies and retrograde …

Structural And Interpersonal Determinants Of Covid-19 Vaccine Uptake In Vulnerable Populations Of The United States, Alyea Wood

Capstone Showcase

Since its introduction in late 2020, the uptake of the COVID-19 vaccine has had the lowest rates in marginalized populations like minorities, elderly, and those of low socioeconomic status. Decreased rates of vaccination uptake in these groups has resulted in increased burden of disease and subsequently higher rates of hospitalization and death. Many inequities in poor COVID-19 health outcomes can be explained by examining common predictive factors that determine vaccination rates in these United States populations. This special article research aims to explore these various predictive factors with the goal to provide targeted strategies to boost COVID-19 vaccination rates, especially …

Probiotics In Clinical Practice: Mechanisms, Applications, And Evidence-Based-Use, Christopher Dimatteo

Capstone Showcase

Probiotics, are live microorganisms that can provide health benefits when consumed in the right amounts, have gained attention as potential therapies for a range of conditions. This article examines the current understanding of probiotics, focusing on how they work, the conditions they might help manage, and the challenges that come with probiotic use. Research shows that probiotics can support gut health by balancing the microbiome, strengthening the intestinal barrier, and influencing the immune system. They have shown promise in conditions like irritable bowel syndrome, antibiotic-associated diarrhea, and some inflammatory disorders. However, their effectiveness depends on the specific strain used, and …

Adjusting To The Rising Prevalence Of Colorectal Cancer Amongst Young Adults, Stephanie Wang

Capstone Showcase

Colorectal Cancer (CRC) is the second most prevalent cause of cancer-related death, with the highest incidence in middle-age and elderly populations [1]. However in America, there is a rising incidence rate of colorectal cancer amongst individuals under 45 years of age, leading to early-onset colorectal cancer (EOCRC [2]). From all cancers studied from 2010-2019, gastrointestinal cancers had an increase in incidence rate of 14.80%, making it the fastest-growing among all early-onset cancers [2]. Patients with EOCRC have a higher likelihood of misdiagnosis and metastasis, leading to higher rates of mortality [1]. Additionally, many patients suffering from EOCRC are uninsured minority …

Empathy In Medicine:Enhancing Patient Care And Improving Health Outcomes, Alyssa Ogden

Capstone Showcase

Empathy is a critical component that allows providers to build a trusting relationship with patients, which ultimately improves patient empowerment and outcomes. This paper will examine the barriers healthcare professionals face in delivering empathetic care, explore how empathy improves patient care, and discuss strategies for cultivating and sustaining empathy in clinical settings. Within modern health systems, empathy is challenged by time constraints, provider burnout, and training gaps. Without empathy, patient outcomes and workplace culture suffer. Cultivating empathy can be achieved through training and education, institutional support, and incentivization. A systemic approach to improving healthcare personnel empathy at every level is …