Digital Commons Network^™

Addressing Triggers Of Anxiety And Depression In A Mental Health Setting, Jacqueline Elos Wahito Kabukuru

Group: Samford University Moffett & Sanders School of Nursing

In order to improve coping capacity and clinical decision-making. This project evaluated the use of the 15-item Coping Adaptation Processing Scale (CAPS-15) alongside RAM’s four adaptive modes (physiological, self-concept, role function, interdependence) to assess coping responses to stressors and support individualized care planning in a mental health counseling setting.

Early Chemical Markers Of Spoilage In Thermally Processed Tomato Paste: A Rapid Approach For Shelf-Stable Foods, Hussein Ali Shaghati, Rawia Mahmood Yousif

Al-Nisour Journal for Medical Sciences

This study aims to reduce the incubation period (commercial sterility test) of tomato paste cans before the bacteriological inspection in quality control laboratories. 62 cans of tomato paste were incubated under temperatures (mesophilic 25,37°C and thermophilic 55°C) to accelerate potential spoilage. Chemical indicators(pH, titratable acidity, and lactic acid) and microbial indicators (Total plate count and yeast/molds) were monitored daily to identify the earliest reliable spoilage signals. Incubation at elevated temperatures accelerated acid buildup. D+L lactic acid levels measured using a rapid enzyme assay increased with titratable acidity, while pH decreased. Meanwhile, total platelet counts remained at very low levels, while …

Elucidating The Potential Impact Of Solute Carrier Family2 (Glut4) In Newly Diagnosed Dm-2 Patients, Marwa Ghanim Hashim, Zahra'a Abdul Al-Aziz Yousif, Farah A. Al-Waeely, Raya Khalel Ibrahem

Al-Nisour Journal for Medical Sciences

Background: Diabetes mellitus is a progressive metabolic condition marked by hyperglycemia due to irregularities in insulin production or activity, leading to poor carbohydrate, protein, and fat metabolism. Dysfunctional glucose transporter-4 (GLUT4) activity, characterized by insufficient expression or poor redistribution to the cell membrane, is a critical element in the pathogenesis of type 2 diabetes mellitus (T2DM). This defect limits cellular glucose uptake, leading to energy deficits and elevated blood glucose levels. Objective: What is the clinical diagnostic potential of serum GLUT4 levels in newly identified type 2 diabetic people, and how do these levels correspond with established metabolic parameters? Materials …

Environmental Impact Of Benzo[A]Anthracene Exposure On Liver Biomarkers And Covid-19 Severity: Evaluation Of Combined Clinical And Molecular Modeling, Osamah Alkilidar, Hayder G. Jawad, Hasan K. Nimr

Al-Nisour Journal for Medical Sciences

This study aimed to evaluate the relationship between exposure to environmental pollutants, particularly benzo[a]anthracins (BaA), and the severity of the inflammatory response and liver dysfunction in COVID-19 patients, using a combination of statistical analysis and molecular modeling. Molecular docking studies revealed stable and robust interactions between benzo[a]anthracins and cytochrome P450 (CYP450) enzymes, suggesting that these interactions may contribute to increased oxidative stress and hepatocyte damage. The statistical analysis included 70 COVID-19 patients, stratified by benzo[a] anthracene exposure. The results showed statistically significant associations between exposure to this pollutant and elevated C-reactive protein (CRP) levels, as well as a significant increase …

Predicting The Risk Of Diabetes Using Machine Learning Algorithms, Noor Ismail Ibrahim, Jamal Kamil Alrudaini, Hytham Falih Hassan, Sahar Faeq Jaafar

Al-Nisour Journal for Medical Sciences

Diabetes is a chronic disorder that many people suffer from. This disease develops when the blood glucose level is high. Serious side effects, such as harm to the heart, kidneys, eyes, and other organs may result from diabetes neglected treatment. Diabetes has numerous causes, including aging, obesity, inactivity, genetics, poor food and lifestyle choices. Early identification of this illness helps lessen its negative consequences. There are many traditional methods for predicting this disease, but they are expensive. Early prediction of diabetes benefits all those at risk by providing early treatment. With the advancement of healthcare technology, machine learning algorithms can …

Evaluation Of Complement Deficiency In Systemic Lupus Erythematosus Patients And Its Effect On Clinical Manifestations And Immunological Markers, Zahra'a Abdul Al-Aziz Yousif

Al-Nisour Journal for Medical Sciences

Background and Aim:\ Systemic Lupus Erythematosus is an autoimmune chronic disease resulting in multi organ damage and impairment of immune response. Complements such as C3 and C4 are considered important in disease progression and often used for disease activity measurements. The purpose of this research is to assess the frequency of complements deficiencies in SLE patients, and identify associations with symptoms and disease severity. Material and Methods:\ This single-center, cross sectional study involved 50 SLE patients classified in to four groups according to their serum C3 and C4 values. Symptoms, signs of disease severity, immunologic indicators [Erythrocyte Sedimentation …

Measuring Radon Concentration In The College Of Education For Pure Sciences At The University Of Anbar And Its Effects On Public Health, Ahmed O. Frhan, Omar Abboosh, Mazin H. Hasan, Dhafar Th. Altaan

Al-Nisour Journal for Medical Sciences

This study aimed to reduce the risks of lung cancer linked to radon gas concentrations. To ensure public safety in the college and avoid the danger of radiation, and to achieve the goals of sustainable development in providing a suitable, clean, and hazard-free environment. These reasons led to research on measuring indoor radon levels in the Physics department, which is part of the College of Education at Anbar University. The study was conducted over a period of approximately 40 days, during which CR-39 detectors were exposed to indoor air in the halls and laboratories. After that, take the detectors to …

Methyldopa: Chemistry, Structural Modifications, Pharmacological Activities, And Clinical Applications — A Comprehensive Review, Rania Kadhim, Emad Yousif, Suhad Ibrahim, Nany Hairunisa

Al-Nisour Journal for Medical Sciences

Methyldopa (α -methyldopa) is a centrally acting antihypertensive drug that has been extensively prescribed for the management of hypertension, particularly in pregnant women, due to its established safety profile and non-teratogenic nature. Beyond its clinical use, methyldopa has attracted increasing scientific interest because of its unique chemical structure, which contains multiple oxygen- and nitrogen-donor functional groups capable of undergoing structural modification and metal coordination. This comprehensive review highlights the chemical structure of methyldopa, its synthesis pathways, spectroscopic characteristics—particularly FTIR analysis—and its pharmacological mechanisms of action as an α ₂-adrenergic receptor agonist. Special attention is given to methyldopa-induced adverse effects, …

Effect Of Covid-19 Treatments On Kidney Function Within Type 2 Diabetic Iraqi Patients, Esraa Abd Al-Karim Marouf

Al-Nisour Journal for Medical Sciences

Recent studies have shown that the use of anti-inflammatory corticosteroids (especially dexamethasone) in individuals with COVID-19 can help prevent respiratory damage and death by modifying the inflammatory injury that occurs in the lung. This research was conducted to evaluate the effect of the use of anti-inflammatory corticosteroids on the level of diabetes and kidney function in patients with COVID-19. The study was conducted at Al-Shifa Hospital for quarantine in Ramadi city on 160 patients with COVID age range (40-70 years), some of whom had diabetes and the other did not have diabetes. They were treated with corticosteroids such as dexamethasone, …

Advantages Of Treatment Pollution By Nanomaterial: Review, Riyam Lateef Khalaf, Ola Abdulkareem Nori

Al-Nisour Journal for Medical Sciences

Pollution remains one of the most pressing global environmental challenges and is increasing day by day, with serious implications for public health and the environment. Among the various approaches to address this issue, nanotechnology has emerged as a promising solution due to its unique properties, such as high surface area, reactivity, and catalytic efficiency. There are four types of pollution that can be treated by nanotechnology, air pollution, soil pollution, water pollution and light pollution. This review studies recent research on the use of nanoparticles for pollution treatment, focusing on the mechanisms through which they degrade pollutants, the diverse applications …

Allopurinol Beyond Hyperuricemia: A Multifaceted Therapeutic Agent With Expanding Clinical, Safa Khaldoon, Emad Yousif, Khawla A. Kasar, Hazim F. Abbas

Al-Nisour Journal for Medical Sciences

Allopurinol is a well-established xanthine oxidase inhibitor widely used in the management of hyperuricemia, gout, tumor lysis syndrome, and uric acid nephrolithiasis. This review provides a comprehensive overview of its pharmacology, mechanism of action, pharmacokinetics, clinical efficacy, safety profile, and emerging insights from recent clinical and translational studies. Despite being in clinical use for over five decades, allopurinol remains the first-line urate-lowering therapy worldwide due to its proven efficacy, favorable safety profile, and cost-effectiveness. Beyond its classical role in inhibiting xanthine oxidoreductase, increasing evidence highlights additional therapeutic effects, including antioxidant and anti-inflammatory activities. The structural similarity of allopurinol to purine …

Endotoxin Burden In Dialysis Water: Seasonal Trends And Public Health Implications From A Year-Long Study In Iraq, Yasamen R. Humudat

Al-Nisour Journal for Medical Sciences

Dialysis water quality is critical to patient safety, particularly in relating to bacterial endotoxins, which can pose major health hazards. Environmental variables, such as seasonal flocculation, may influence endotoxin levels in treated water. Purpose of this study was to evaluate the seasonal fluctuation in endotoxin concentrations in dialysis water across a number of hospital-based dialysis centers. Over a 12-month period, water samples were collected monthly from various places and tested for endotoxin levels using the Limulus Amebocyte Lysate (LAL) assay. The findings demonstrated considerable seasonal changes, with almost 55.5% of the samples surpassing the international threshold of 0.03 EU/mL. Peaks …

The Ramification Of Mutations In Sonic Hedgehog Gene On The Occurrence Of Deformities In The Course Of The Embryonic Development Stage, Umalbaneen Hilal Hadi, Safa J. Al-Yassiri

Al-Nisour Journal for Medical Sciences

Sonic Hedgehog (SHH) is one of the most significant genes regulating embryonic development in mammals, playing a pivotal role in cell differentiation, tissue fate determination, and regulating lateral symmetry of the embryo. The results of this research show that any mutation whether, a loss of function or a change in the regulation of gene expression in SHH gene leads to severe and highly complex consequences for embryonic development.as a result for that, severe disorders of CNS development SHH is a morphogen essential for germline formation and neuronal differentiation. Mutations in this gene result in failure to develop properly the cerebellum, …

Effect Of Different Methods Of Smoking On Serum Level Of Vitamin D Among University Students In Baghdad, Sabiha Aljubory, Usama Salman Altimari

Al-Nisour Journal for Medical Sciences

Vitamin D has different biological actions in the body. Vitamin D has pleiotropic effects in multiple organ systems. Vitamin D deficiency has been found to have an inverse relationship with tobacco smoking. The objective of this study was to identify the prevalence of Vitamin D level and its correlates with tobacco smoking among University student male and female. Volunteer was conducted on a sample of university student, both males and females Iraq, during the period from January to December 2020. A pretested questionnaire was used for data collection adopted from previous standard national surveys and studies, and the questionnaire included …

Bridging The Vaccine Gap: Multilingual Vaccine Education For Families In Transitional Housing, Isaac Olaes, Alexia Sandoval, Kassandra Solano, Rachael Termure, Sydney Webber, Jordan West, Maya Parman

Nursing Leadership in Community Engagement Projects

As part of a health promotion initiative in the community, our leadership team of seven nursing students is partnering with an agency that supports families experiencing housing instability by providing transitional housing. According to agency staff, some families have limited health literacy regarding vaccinations. Common concerns include illness following a vaccination, perceived risks of autism, and attention deficit hyperactivity disorder. To address these concerns, we have developed a vaccine education binder containing materials in handout form. To accommodate language accessibility, we provided handouts in the four most spoken languages including English, French, Amharic, and Tigrinya. Through this initiative, we aim …

Introduction, Jaxon Alston, Jessica Payne, Kaylie Vasquez

Minnesota Journal of Law & Inequality

No abstract provided.

‘Mic Fright’: The Dire Reality Of Employment Classification In Unscripted Television, Jessica A. Payne

Minnesota Journal of Law & Inequality

Reality television has grown over the last near-century into both a staple of popular culture and an overwhelmingly lucrative industry. While the genre had a relatively innocent beginning, what shows have become is an increasingly extreme set of formats seeking to illicit shock, jealousy, and, above all, loyal viewership from its audience. These aims are driven entirely upon the participants who vie for a place within the cast to compete for love, money, and fame. However, the participants whom audiences adore or love to critique face significant barriers in their pursuit in addition to life-altering post-production realities; in part based …

Lend Me Your Interest Rates: Rent-A-Bank, Fintech, And True Lenders, Reeves Singleton

Minnesota Journal of Law & Inequality

The rise of fintech has bolstered so-called rent-a-bank lending, a scheme through which online lenders partner with national banks in order to take advantage of the banks’ ability to “export” high interest rates to states with strict usury laws. This framework allows lenders to more freely target financially vulnerable populations with high-cost loans. Courts currently tend to consider three often conflicting doctrines to assess the legality of such loans. This Note first reviews these three strands of analysis: (1) the valid-when-made doctrine, which is the least protective of consumers and upholds a loan’s initial legality regardless of transfer; (2) the …

Language And Cultural Barriers Affect Access To Mental Health Care For Hispanics, Maria T. Nieves

Walden Dissertations and Doctoral Studies

No abstract provided.

Human Service Professionals’ Perspectives Of Family Reunification Programs, Tasha Tolbert

Walden Dissertations and Doctoral Studies

No abstract provided.

Making The Case For Career Academies In Shaping Pre-Collegiate Students For Stem Career Pathways, Felix Quayson

Journal of Research in Technical Careers

Career academies are increasingly important in preparing pre-collegiate high school students for STEM pathways by connecting academic learning, technical skill development, career identity, and postsecondary readiness. STEM-focused career academies function as structured bridges between secondary education, higher education, and the labor market. Through small learning communities, interdisciplinary curricula, employer partnerships, work-based learning, and early exposure to college and career expectations, career academies help students understand STEM not only as school subjects but as possible futures. Research suggests that career academies can improve student engagement, support school persistence, and strengthen labor market outcomes when implemented with fidelity. The article concludes that …

Rna Interference Of Torsina In Acyrthosiphon Pisum, James Balthazor Ph.D., Braden Allphin

Chemistry Faculty Publications

Undergraduate research using dsRNA to knockdown TorsinA in pea aphids sponsored by the K-INBRE NIH Grant.

When Stress Cardiomyopathy Meets Iron Deficiency: A Retrospective Cohort Study, Emmanuel Olumuyide Md, Alfredo Toll Md, Lukan Abdulraheem Md

Scientific Day

Background/Significance:

Iron-deficiency anemia (IDA) commonly complicates cardiovascular disease, but its association with outcomes in stress cardiomyopathy (SC) is not well defined.

Purpose:

We examined whether IDA in SC is associated with higher in-hospital mortality and greater resource utilization.

Methods:

Using the National Inpatient Sample (2016–2022), we identified adult SC hospitalizations and stratified admissions by IDA status. Survey-weighted multivariable logistic regression evaluated the association of IDA with in-hospital mortality (primary outcome).Key secondary outcomes—cardiogenic shock (CS), mechanical circulatory support (MCS), acute kidney injury (AKI), vasopressor use, length of stay (LOS), and total hospital charges (THC)—adjusting for demographics, comorbidities, and hospital characteristics.

Results: …

Music Therapy For The Treatment Of Body Image Dissatisfaction: Implications For Future Practice, Elizabeth Hope Vance

Honors Projects

Body image dissatisfaction has become a growing concern in recent decades. Negative body image has been linked to anxiety, depression, elevated stress, eating disorders, and relational problems (Smith et al, 2024). Body image can negatively affect a wide variety of populations such as cancer survivors, people diagnosed with eating disorders, and adolescents. Fortunately, recent studies have investigated ways to improve body image perceptions among those affected.  Common treatments for body image dissatisfaction include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and alternative therapies (Peng & Xie, 2021).  Despite social efforts to reduce negative body …

Spark (Seizure Plan For Action And Readiness In Kids): Improving Seizure Action Plan Completion For Hospitalized Children Using Quality Improvement Methodology, Lauren Amendola Do, Faap, Jennifer W. Glusman Do, Mat, Faap, Sheena Mckenzie Md, Mba, Faap, Kayla Howard Do, Radhwa Ramadan Md, Loredana Huma Phd, Acrp-Cp, Usha Appalaneni Md

Scientific Day

Background/Significance:

A Seizure Action Plan (SAP) provides individualized seizure management instructions, including medication administration and emergency protocols. SAPs are inconsistently completed at Advocate Children’s Hospital – Oak Lawn (ACH-OL) leading to missed opportunities for patient/caregiver education and potential safety risks during care transitions.

Purpose:

Using quality improvement (QI) methodology, we aimed to improve the SAP completion rate for patients admitted to ACH-OL with seizure from 13% to 75% between 9/1/2025-12/31/2025.

Methods:

English and Spanish speaking patients 0–18 years admitted to ACH-OL with seizure-related diagnoses (identified by ICD-10 codes) and discharged from a general pediatric service between 9/1/25- 12/31/25 were included. …

Improving Integration Of Intake And Output Into Patient Care For Hospitalized Pediatric Patients, Seetal Mishra Md, Sheena Mckenzie Md, Mba, Faap, Svetlana Kravtchenko Md, Jessica Panice Msn, Aprn, Pcns-Bc, Aprn, Jessica Dukats Msn, Rn, Cpn, Danielle Prate Msn, Rn, Cpn, Joel Anderson Mph

Scientific Day

Background/Significance:

Lack of a universally accepted definition of strict vs standard intake and output (Ia&nO) has led to variability in documentation and orders across the pediatric hospital medicine (PHM) team. A serious safety event (SE) occurred when severe dehydration in an infant was not recognized, resulting in hypovolemic shock. Chart review showed minimal output documentation and failure to recognize I&O imbalance.

Purpose:

We aimed to decrease the I&O SE rate by 10% over 2 years by improving the integration of I&O into the clinical care of general pediatric patients at two campuses of Advocate Children’s Hospital.

Methods:

A multidisciplinary team …

Kidney Biopsy Adequacy Analysis And Improvement Strategies, Rosemary Kallarackel Do, Serena Thomas Bs, Abraham Thomas Md

Scientific Day

Background/Significance:

Kidney biopsy remains the gold standard for diagnosis and management of patients with medical kidney diseases. Recent data suggest an increasing incidence of inadequate kidney biopsy samples in the United States. The Kidney Disease Improving Global Outcomes (KDIGO) guidelines recommend that an adequate kidney biopsy specimen should contain at least 8 glomeruli (KDIGO Glomerular Diseases Work Group, 2021).

Purpose:

Improving kidney biopsy adequacy is essential to ensure accurate diagnosis, reduce repeat procedures, and optimize outcomes. Optimizing procedural techniques targeting the outer renal cortex and selecting larger-gauge needles—has been shown to improve tissue adequacy. Standardizing biopsy protocols, enhancing operator training, …

When Metabolism Meets Mind: The Diagnostic Challenges Behind Late-Onset Otc Deficiency, Rebecca Hoshaw Do, Lauren Amendola Do, Faap, Catherine Raquel Bs, Mallory Logsdon Do, Faap

Scientific Day

Introduction/Background:

Ornithine transcarbamylase deficiency (OTCD) is the most prevalent urea cycle disorder (UCD), affecting ~1 in 60,000 people. As an X-linked condition, it was historically associated with severe neonatal disease in males. However, newer data shows females often present postnatally with highly variable symptoms and age of onset, frequently causing mis- or delayed diagnosis.

Description:

We report a case of a 10-year-old female with cyclic vomiting syndrome, attention deficit/hyperactivity disorder, and recent orthopedic surgery who presented with acute onset altered mental status, lethargy, and visual hallucinations without focal neurologic deficits on exam. Initial labs were notable for normal glucose and …

Event Recap Flyer And Award Winners, Advocate Health - Midwest

Scientific Day

Recap flyer from the 52nd Annual Scientific Day, including list of award recipients.

Effects Of Rnai Of Ribophorin 1, Eukaryotic Translation Initiation Factor 2 Beta And Peptidylprolyl Isomerase A In Acyrthosiphon Pisum, James Balthazor Ph.D., Brandon Kenemer

Chemistry Faculty Publications

Graduate research using dsRNA to knockdown three genes of the unfolded protein response in pea aphids supported by the NIH K-INBRE Program.

Three genes found in the Unfolded protein response, Ribophorin 1, Eukaryotic translation initiation factor 2 beta, and Peptidylprolyl isomerase A are thought to be potential targets for RNA Interference (RNAi) in Acyrthosiphon pisum.  Ribophorin 1 (RPN1) is a transmembrane glycoprotein that assists in anchoring ribosomes to the rough endoplasmic reticulum membrane.  It acts as a substrate-specific chaperone.  It facilitates N-glycosylation by delivering newly synthesized proteins to the oligosaccharyltransferase (OST) complex.  Eukaryotic translation initiation factor 2 beta (eIF2B) is …