Digital Commons Network^™

Prevalence And Antimicrobial Susceptibility Patterns Of Nosocomial Bacteria Across Different Units At King Faisal Complex Hospital, Taif, Kingdom Of Saudi Arabia, Nahed Hawsawi, Renad N. Al-Jaiud, Layal L. Khyyat, Kholoud Alsulimany, Manhal Shabat

Saudi Medical Journal

Objectives: Nosocomial infections significantly impact patient morbidity, mortality, and healthcare costs. To determine the prevalence, bacteriological profiles, antimicrobial susceptibility patterns, and resistance distribution of pathogens causing nosocomial infections at King Faisal Medical Complex, Taif, Kingdom of Saudi Arabia. Methods: This cross-sectional study was conducted between September 2023 and March 2024 at different hospital units following ethical approval. Samples (n = 667) were collected from patients (both genders; all ages) exhibiting infection symptoms ≥ 48 h post-admission and pre-antibiotic administration. Bacterial identification involved culture, Gram staining, and biochemical tests. Antimicrobial susceptibility was tested using the Phoenix100 system. Results: Of 667 patients, …

From Early Adversity To Adult Health: Quality-Of-Life Consequences In A Mental Illness In Saudi Arabia, Rawan Saad Alghamdi, Ahmad A. Mirza, Ibrahim Fae Asiri, Fatemah Samir Alghamdi, Nawaf Abdulaziz Alharthi, Shaymaa A. Abdalal, Iman K. Ramadan

Saudi Medical Journal

Objectives: Childhood trauma (CT) is prevalent among bipolar disorder (BD) patients and exacerbates clinical outcomes, which may impact the quality of life (QoL). This study explores the prevalence of CT and its association with QoL among BD patients in Saudi Arabia. Methods: Cross-sectional study conducted among adults with BD during the euthymic phase. Sample size was estimated using a single-proportion approach (target n=141), and participants recruited by convenience sampling of eligible outpatients. CT was assessed using the Childhood Trauma Questionnaire (CTQ), and QoL using the the Brief Quality of Life in Bipolar Disorder (Brief QoL.BD). Results: The CT prevalence was …

Re-Emergence Of Pertussis In The Pediatric Population: A Tertiary Care Center's Experience, Haya S. Alshaibani, Tahir K. Hameed, Khaled H. Alsager, Mohammed A. Alshaalan, Syed F. Jamil

Saudi Medical Journal

Objectives: To describe the 2024 surge in pertussis cases in the pediatric population in a large tertiary care center in Riyadh, Saudi Arabia. Methods: A retrospective observational study was conducted on children aged 0–14 years with PCR-confirmed Bordetella pertussis infection diagnosed at a tertiary hospital in Riyadh between January and December 2024. Patients older than 14 years, with negative or indeterminate PCR results, or diagnosed outside the study period were excluded, and demographic, immunization, clinical, and outcome data were analyzed. Results: A total of 36 children were diagnosed with pertussis, with 35 (97.2%) requiring hospital admission. The median age was …

A Retrospective Cohort Study Of Uterine Cancer Epidemiological Analysis And Age-Based Disparities In Saudi Arabian Population Across 32 Years, Sallwa M. Alshehre, Mohammad A. Althubiti

Saudi Medical Journal

Objectives: To investigate the burden of uterine tumour in Saudi Arabia during the past 32 years (1990–2021), with an emphasize on the prevalence, incidence, mortality, and disability-adjusted life years (DALYs). Knowing these patterns strengthen the national aims of cancer control under Kingdom of Saudi Arabia (KSA) Vision 2030. Methods: A retrospective study was performed using data retrieved from the Global Burden of Disease (GBD) database. The work included population from Saudi Arabia between 1990 and 2021 and tested standardization age-specific metrics, involving uterine tumour incidence, prevalence, mortality, and DALYs. Results: Uterine tumour cases raised from 507 in 1990 to 6,366 …

Seroprevalence Of Hepatitis B And Hepatitis C In Patients Hospitalized In Palliative Care Service, Meryem Betos Koçak, Burcu Güler

Saudi Medical Journal

Objectives: Patients receiving palliative care often have complex comorbidities and frequent healthcare exposure, which may place them at risk for blood-borne infections such as hepatitis B virus (HBV) and hepatitis C virus (HCV). However, data on the seroprevalence and prognostic impact of these infections in palliative populations remain limited. This study aimed to determine the seroprevalence of HBV and HCV markers in patients hospitalized in a palliative care unit and to assess their association with mortality. Methods: This retrospective study conducted on 545 adult patients a tertiary palliative care unit between 2018 and 2024. Demographic characteristics, comorbidities, nutritional support, mobility, …

Artificial Intelligence In Dialysis Therapies: Applications In Hemodialysis And Peritoneal Dialysis For Managing Infectious Diseases And Complications, Waleed H. Mahallawi

Saudi Medical Journal

This narrative review synthesizes evidence from a systematic literature search (2019–2025) on artificial intelligence (AI) applications in hemodialysis and peritoneal dialysis for managing infections and complications. Dialysis patients face infection rates 100-fold higher than the general population and sepsis mortality exceeding 35%. The AI, utilizing machine learning algorithms such as XGBoost, deep neural networks, and explainable AI tools, revolutionizes care through precise diagnostics, prognostics, and therapeutics. Key models demonstrate high accuracy in predicting bloodstream infections (area under the curve [AUC] 0.914), classifying peritonitis (F1 0.93), detecting SARS-CoV-2 (AUROC 0.82), and forecasting mortality (AUC 0.979). Therapeutically, AI guides antibiotic stewardship, reducing …

Post-Stroke Fatigue In Saudi Arabia: A Call To Action, Saad Z. Alqahtani

Saudi Medical Journal

Post-stroke fatigue (PSF) is a major consequence of stroke, with a prevalence of approximately 42–53% among stroke survivors. However, over the last 2 decades, only a few studies have explored PSF in Kingdom of Saudi Arabia (KSA). Findings from these studies show that PSF negatively impacts the quality of life of individuals with stroke. Furthermore, they emphasize the need for education for both health care providers and patients regarding PSF. This call-to-action mini narrative review identifies knowledge gaps and provides recommendations for both researchers and policymakers, including the need for standardized management and the exploration of hospital environment settings. Specifically, …

Contribution Of Interleukin-6 (Il-6) To Body Defense And Healing In Pulmonary Tuberculosis, Hasrah Junaidi, Annis C. Adi, Soedarsono Soedarsono, Soetjipto Soetjipto, Chatarina U. Wahyuni, Fariani Syahrul, Mahmudah Mahmudah, Zakiyuddin Zakiyuddin, Iskandar Arfan, Abdullah A. Mamun, Rubia Sari

Saudi Medical Journal

Objective: To examine the contribution of IL-6 to host defense and healing in pulmonary tuberculosis (TB). Pulmonary tuberculosis continues to pose a significant global health challenge, with disease outcomes determined by complex host–pathogen interactions. Interleukin-6 (IL-6), a multifunctional cytokine, has been implicated in immune regulation and tissue recovery during TB, but its specific role is not fully established. This review aimed to examine the contribution of IL-6 to host defense and healing in pulmonary TB. Methods: A comprehensive literature search was performed across PubMed, Scopus, Web of Science, ScienceDirect, and Medline following PRISMA guidelines, covering publications from 2015 to 2025. …

Impact Of Treatment On The Health-Related Quality Of Life Of Children With Cancer In Saudi Arabia, Fayzah Hussain Alhussain, Amany Anwar Saeed Alabdullah

Saudi Medical Journal

Objective: The impact of cancer on health-related quality of life (HRQOL) is considerable, particularly for children undergoing oncological treatment. While research has addressed HRQOL in childhood cancer survivors, less attention has been given to those actively undergoing treatment, including in Saudi Arabia. This systematic review aimed to address this gap by quantitatively evaluating studies reporting on the HRQOL of children in Saudi Arabia during their active cancer treatment phase. We also compare these findings with studies from around the world, emphasising demographic, medical and parental predictors of HRQOL. Methods: A comprehensive search of relevant databases (MEDLINE, CENTRAL, Embase, PsycINFO and …

Deep Learning-Based Detection Of Juniperus Procera Dieback In Uav Imagery Using An Ensemble Approach, Halima Alzubaidi

UB Journal for Humanities

Juniper trees are essential in many ecosystems, and any changes in the vegetation cover of juniper trees must be detected. Deep learning models were used in this study for detecting dieback in Juniperus procera in natural forests in the southern region of Saudi Arabia was examined. The goal in this study was to develop a reliable method for automated tree cover detection for large-scale environmental monitoring. Various deep learning models, including DenseNet121, InceptionResNetV2, custom convolutional neural network, Xception, ResNet50, and EfficientNetB2, were applied to classify images of juniper trees. The performance of each model was evaluated using metrics including accuracy, …

Effects Of A Basketball Match On Heart Rate Variability In Collegiate Intramural Players, Unobatsha Mbaiwa

Master's Theses

Heart rate variability (HRV) is a standard non-invasive physiological marker used to asses the autonomic nervous system (ANS) function and cardiovascular adaptability. HRV reflects the natural variations in time between successive heartbeats (R-R intervals), which come as a result of the interaction between sympathetic and parasympathetic branches of the ANS (Shaffer & Ginsberg, 2017). Higher HRV compared to an individual's baseline is normally considered an indicator of greater parasympathetic (rest/digest) influence and more effective physiological recovery, whereas lower HRV relative to baseline is associated with sympathetic (fight/flight) dominance, fatigue, and increased physiological strain. Since the standardized HRV measurement criteria were …

God In The Margins: Exploring The Intersection Between Christian And Secular Music, Christina Barnes

Composition/Recording Projects

This recording project paper explores the intersection between Christian theology and secular popular music through a practice-led investigation into how faith-informed themes can be communicated authentically within mainstream musical contexts. Drawing on scholarship surrounding Contemporary Christian Music (CCM), popular music studies, authenticity, and lament theology, this study examines how Christian ideas emerge within secular music through both explicit and implicit forms of expression. Case studies include Carrie Underwood’s “Jesus, Take the Wheel,” Selena Gomez’s “Nobody,” Lauren Daigle’s “You Say,” and U2’s “I Still Haven’t Found What I’m Looking For,” each representing different approaches to integrating spirituality into mainstream culture. Through …

The Political Economy Of Fashion Sustainability Regulation, Meital Peleg Mizrachi, Rachel Chambers

UC Law Business Journal

The global fashion industry is one of the world’s most polluting and exploitative sectors, emitting more greenhouse gases than all international flights and maritime shipping combined, driving extensive water contamination and waste, and relying on labor conditions that remain chronically unsafe and underpaid. Regulation has attempted to respond, but with limited success. Existing sustainability oversight—ranging from import bans and human rights due diligence statutes to environmental taxes and voluntary industry frameworks—remains fragmented and unevenly enforced, shaped by geopolitical tensions, protectionist agendas, and shifting policy priorities. This Article reviews the rapidly evolving landscape of fashion sustainability regulation over the past decade …

The Effects Of Food Insecurity And Child Health On Educational Achievement In Virginia Counties, Peyton T. Randall

Honors Projects

This study examines the relationship between county-level socioeconomic and demographic factors and student performance on Virginia Standards of Learning (SOL) math and reading assessments in 2023. Using data from 127 of Virginia’s 133 independent counties and cities, this study conducts an ordinary least squares (OLS) regression. The analysis shows a strong negative association between food insecurity, measured by the Identified Student Percentage eligible for free school lunch (ISP), and chronic absenteeism with SOL pass rates. These findings show food insecurity and absenteeism as key drivers for achievement disparities, suggesting a need for further interventions and broader research using school-level and …

Overweight And Obesity Among Southeastern Nigerian Lecturers And Its Association With Absenteeism And Presenteeism, Ezenwa Victor Ejikem

Walden Dissertations and Doctoral Studies

No abstract provided.

Strengthening Onboarding Systems For Agency Registered Nurses To Mitigate Hospital Acquired Pressure Injuries, Dorothy Jones

Walden Dissertations and Doctoral Studies

No abstract provided.

Health Administration Strategies To Improve Staffing For Home Healthcare Registered Nurses In Pennsylvania, Dana Felton

Walden Dissertations and Doctoral Studies

No abstract provided.

Predicting Psychosis Through Speech: A Case For Nlp In Clinical Practice, Lydia Britton '27

Student Research

Psychosis is difficult to identify in early stages; however, changes in speech and language offer insights and indicators of emerging symptomatology. This paper examines the potential for Natural Language Processing (NLP) and other computational linguistic techniques for improving the predicition of psychosis disorders through automated analysis of speech. Existing research shows that lingustic markers that are aligned with Formal Thought Disorder, including reduced semantic coherence, poverty of content, tangentiality, reduced syntactic complexity, and pragmatic deficits, can help to distinguish between individuals who are experiencing or at risk for psychosis from healthy controls. Traditional clinical assessments may have difficulty identifying and …

Service And Scholarship: Lindenwood Announces 2026 Faculty Awards, Lindenwood University

Archived Lindenwood Press Releases

No abstract provided.

School-Based Teen Dating Violence Prevention Programs: A Systematized Review, Chloe L. Marsh

Educational Specialist, 2020-current

Teen Dating Violence (TDV) is a prevalent issue for many adolescents and can be defined as physical, sexual, and psychological aggression and harm that can occur in-person, online, or through technology. TDV victimization can have devastating impacts for youth, and school-based TDV prevention efforts have been highlighted as a means of addressing this issue. However, there is limited research on how prevention programming influences student beliefs and behavior. This study sought to reveal how programming influences student outcomes and which elements of highlighted prevention efforts are associated with greater benefits. A systematized review was conducted to address these research questions. …

Lgbtqia+ Inclusion In K-12 Education: A Systematized Review Of U.S. South Atlantic Region Educational Policy, Benjamin Little

Educational Specialist, 2020-current

LGBTQIA+ students experience disproportionate rates of discrimination, bullying, and mental health challenges within their educational settings, while educational policies shaping school climate vary considerably across jurisdictions. The purpose of this systematized review was to identify trends in the structure and implementation of LGBTQIA+ inclusion policies across K-12 state-level public education systems within the U.S. South Atlantic region and to examine how these policies addressed the needs of transgender youth and LGBTQIA+ students of color. This review synthesized publicly available state education documents, legislative materials, and nonprofit policy reports using a systematized review methodology guided by PRISMA principles and qualitative theme …

Building Strength: A Systematized Review Of Resilience Intervention Programs For Students, Rachel Christian

Educational Specialist, 2020-current

School-based resilience programs have emerged as a promising vehicle for promoting social-emotional development and buffering the effects of adversity among students. However, a systematic understanding of common program components, associated student outcomes, and implementation factors remains limited. This systematized review examined peer-reviewed research on resilience-building interventions for students in preschool through 12th-grade school settings. Following a structured search across four databases, nine studies met inclusion criteria and were analyzed using structured narrative synthesis. Findings were organized by four research questions addressing program components, student outcomes, implementation factors, and implementation–outcome relationships. Results indicated that resilience interventions consistently strengthened protective competencies, including …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams

Educational Specialist, 2020-current

The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

What’S Behind The Mask: The Diagnostic Divide In The Female Autism Phenotype, Shelley Gies Alston

Educational Specialist, 2020-current

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by differences in social communication and restrictive, repetitive behaviors; however, women are diagnosed at significantly lower rates than men. This study examined whether DSM-5-TR diagnostic practices may contribute to the underdiagnosis and delayed identification of ASD in individuals assigned female at birth (AFAB), with attention to masking behaviors, gendered social expectations, and clinician interpretation of symptoms. Grounded in the Female Autism Phenotype (FAP), a retrospective mixed-methods study surveyed 12 AFAB individuals aged 18–24 who self-identified or were formally diagnosed with ASD. Participants completed a 44-item online survey including Likert-scale and open-ended …

Spectator 2026-05-14, Editors Of The Spectator

The Spectator

No abstract provided.

Improving Education And Awareness Of Breast Cancer-Related Lymphedema, Briah Adams

Occupational Therapy Capstones

• My doctoral capstone experience had a dual focus on advanced clinical skills and education with emphasis on improving self-management skills, early intervention and symptom recognition, and quality of life of individuals with or at risk of lymphedema.

• Completed a lymphedema certification course

• Worked alongside a CLT in an outpatient clinic and provided patient-centered, holistic interventions
• Occurred in an outpatient lymphedema clinic in St. George, UT.

• Created an educational resource packet tailored to individuals diagnosed with breast cancer preparing for surgery or recovering from surgery.

• Engaged in professional development opportunities to ensure my ongoing growth and competence in clinical work, leadership, …

Signs Of Belonging: Community Identities Of Deaf Elders In Central And Coastal Massachusetts, Nelia Eaddy

Undergraduate University Honors Capstones

This study focuses on shared experiences and themes of community identities within the elder Deaf community of central and coastal Massachusetts. Lived experiences and linguistic journeys shape our overall senses of belonging and identities; subsequently, they profoundly affect our relationship to our communities (Eastaugh, 2019). This research study discusses how concepts of belonging shift as individuals age within their community and how that impacts their sense of belonging and experiences with language. Communities where individuals feel a sense of belonging encourage identity development. The experiences of elders who identify as “Deaf” (due to their language preference and cultural influences) within …

A Weeping Willow, An Original Script Enriching The Canon Of Deaf Plays, Tyler Furzland

Undergraduate University Honors Capstones

This creative writing capstone project presents A Weeping Willow, an original play script that explores themes of resilience, mental health, human connections, and acceptance. A teenager wakes up with no memory of the past year. Through fragmented glimpses of the past and the future, he struggles to piece together what happened on the most important day of his life. The play does not revolve around a Deaf-thematic storyline, a story that highlights the auditory aspects of the Deaf experience. This play is influenced by a study of scripts written by Deaf playwrights or plays featuring Deaf characters. This research examines …