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Broad Laboratory Testing Does Not Show Utility For Telogen Effluvium: A Retrospective Analysis Of 22-Million Laboratory Results Using Trinetx, Zachary J.K. Neubauer, Shari R. Lipner Jan 2026

Broad Laboratory Testing Does Not Show Utility For Telogen Effluvium: A Retrospective Analysis Of 22-Million Laboratory Results Using Trinetx, Zachary J.K. Neubauer, Shari R. Lipner

Student Papers, Posters & Projects

No abstract provided.


The Archon, 1957 Edition, Zeta Phi Beta Sorority Incorporated Jan 2026

The Archon, 1957 Edition, Zeta Phi Beta Sorority Incorporated

Josie Green Washington Papers

A 1957 edition pamphlet called The Archon, an official organ of the Zeta Phi Beta Sorority.


Antibacterial Peptides From Soybean (Glycine Max (L.) Merr.) With In Silico Study Against Escherichia Coli Bacteria, Dian Riana Ningsih, Ely Setiawan, Purwati Purwati, Zusfahair Zusfahair, Anita Hindayanti Rukmana Jan 2026

Antibacterial Peptides From Soybean (Glycine Max (L.) Merr.) With In Silico Study Against Escherichia Coli Bacteria, Dian Riana Ningsih, Ely Setiawan, Purwati Purwati, Zusfahair Zusfahair, Anita Hindayanti Rukmana

Karbala International Journal of Modern Science

Bioactive peptides are produced from soy milk protein hydrolysis using trypsin. The research began with the preparation and separation of soy milk protein, followed by fractionation using ammonium sulphate, protein hydrolysis, and SDS-PAGE analysis of protein hydrolysates. Fractions exhibiting the highest degree of hydrolysis were further fractionated by SPE and tested to determine the antibacterial activity Staphylococcus aureus and Escherichia coli. The peptide sequence of the active peptide as an antibacterial was identified, employing LC-HRMS. The mode of action between active peptides and bacterial membran was analysed using molecular dynamics (MD) simulation. The findings displayed that F15 contained the highest …


The Archon, 1951 Edition, Zeta Phi Beta Sorority Incorporated Jan 2026

The Archon, 1951 Edition, Zeta Phi Beta Sorority Incorporated

Josie Green Washington Papers

A 1951 edition pamphlet called The Archon, an official organ of the Zeta Phi Beta Sorority.


Long-Term Follow-Up Of Midface Hypoplasia In A Patient With Cleft Lip And Palate, Jui-Jen Fang, Hui-Ching Yu, Li-Ling Cheng, Yu-Jen Chang Jan 2026

Long-Term Follow-Up Of Midface Hypoplasia In A Patient With Cleft Lip And Palate, Jui-Jen Fang, Hui-Ching Yu, Li-Ling Cheng, Yu-Jen Chang

Taiwanese Journal of Orthodontics

Introduction: Severe midface hypoplasia is a common craniofacial deformity in patients with cleft lip and palate (CLP), often linked to functional impairment and esthetic concerns. Although surgical and orthodontic advances have improved outcomes, long-term stability remains challenging. This report presents the management of a bilateral CLP patient and evaluates stability after more than 12 years of follow-up. Diagnosis: A 31-year-old male with bilateral CLP showed a concave facial profile, widened lip scars, reverse overjet of –30 mm, complete crossbite, and missing teeth (12, 22, 36). Palatally displaced premolars (15, 25) produced an hourglass-shaped arch. The diagnosis was skeletal Class III …


Treatment Of Skeletal Class Iii Malocclusion With Spaced Arch And Anterior Crossbite Using Low-Hysteresis Improved Super-Elastic Ti-Ni Alloy Wire (Isw), Szu-Ying Yu, Yuag-Hou Chen, Ching-Yu Yang, Jian-Hong Yu Jan 2026

Treatment Of Skeletal Class Iii Malocclusion With Spaced Arch And Anterior Crossbite Using Low-Hysteresis Improved Super-Elastic Ti-Ni Alloy Wire (Isw), Szu-Ying Yu, Yuag-Hou Chen, Ching-Yu Yang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

This article presents the orthodontic treatment of a non-surgical, non-growing skeletal Class III malocclusion using an Improved Super-elastic Ti-Ni Alloy Wire (ISW), developed by the Institute of Science Tokyo (formerly Tokyo Medical and Dental University). Teeth 28 and 48 were extracted, and ISW with long Class III intermaxillary elastics (L3–U6) was applied to eliminate anterior occlusal interference, retract the mandible, and induce a clockwise rotation of the mandibular plane. In addition to mandibular space closure, the deviated dental midline and chin asymmetry were corrected using elastic chains and intermaxillary elastics. Proper arch coordination, space management, and midline alignment were achieved, …


Orthodontic Space Closure And Third Molar Uprighting For Simultaneous Maxillary And Mandibular Molar Loss On The Same Side, Chun-Yi Huang, Yuan-Hou Chen, Ching-Yu Yang, Jian-Hong Yu Jan 2026

Orthodontic Space Closure And Third Molar Uprighting For Simultaneous Maxillary And Mandibular Molar Loss On The Same Side, Chun-Yi Huang, Yuan-Hou Chen, Ching-Yu Yang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

This case report describes the successful non-surgical orthodontic management of a complex Class I malocclusion characterized by unilateral posterior tooth loss and functionally induced facial asymmetry. A 28-year-old male patient presented with a non-restorable maxillary first molar (#26) and a missing mandibular second molar (#37). The resulting occlusal discrepancy contributed to a mandibular functional shift and facial asymmetry. The patient declined prosthetic and surgical options, prompting a conservative orthodontic approach.

The treatment plan incorporated third molar protraction and upright to substitute for the missing second molar, combined with occlusal rehabilitation to correct the asymmetry. Space closure was achieved using elastic …


Nonsurgical Orthodontic Management Of A Severe Skeletal Class Ii Malocclusion Using A Modified Intrusive Arch, Ting-Wei Liu, Chun-Liang Kuo, Chun-Hsiu Yang Jan 2026

Nonsurgical Orthodontic Management Of A Severe Skeletal Class Ii Malocclusion Using A Modified Intrusive Arch, Ting-Wei Liu, Chun-Liang Kuo, Chun-Hsiu Yang

Taiwanese Journal of Orthodontics

Treating skeletal Class II malocclusion in non-growing patients remains a significant challenge in contemporary orthodontics. Treatment options range from dental camouflage, often involving extractions, to combined orthodontic–surgical approaches. In this case, orthodontic camouflage with extractions was selected to manage a severe skeletal Class II discrepancy in a 28-year-old female patient. A modified intrusive arch was employed to achieve simultaneous retraction and intrusion of the maxillary anterior teeth, effectively reducing excessive overjet. The biomechanical system of the modified intrusive arch generates an anterior intrusive force, a posterior extrusive force, and a posterior tip-back moment. The combined use of Tip-Edge Plus brackets …


To Extract Or Not To Extract: On What Basis Do We Make That Decision? (Part I), Ib Leth Nielsen Jan 2026

To Extract Or Not To Extract: On What Basis Do We Make That Decision? (Part I), Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The decision to remove permanent teeth is often challenging for the orthodontist, and multiple factors should be considered. The primary reason for extracting teeth is crowding, followed by aesthetic concerns, particularly the risk of creating a flat facial profile from over-retracting the front teeth. Often, the facial growth patterns are overlooked in this decision-making process. This review will explore how facial morphology, growth patterns, and maturation stages influence the extraction decision. We shall address common concerns related to extractions, such as the impact on esthetics, airways, the effect of extractions on buccal corridors, their relationship to TMJ issues, and the …


Mortality Rate And Variability Associated With Pneumonia Readmission, Christopher Roy, Daniel Meyer, William Jaffee, Vyoma Raval, Catherine Freeman Jan 2026

Mortality Rate And Variability Associated With Pneumonia Readmission, Christopher Roy, Daniel Meyer, William Jaffee, Vyoma Raval, Catherine Freeman

Journal of Maine Medical Center

Introduction: Pneumonia readmissions are a persistent challenge for health care providers and patients. Although the mortality risk associated with hospitalization for pneumonia is well-known, the particular risk associated with readmission for pneumonia is not as well characterized.

Methods: We retrospectively examined our institution’s electronic health record to determine the 270-day mortality rate for patients readmitted after an index hospitalization for pneumonia.

Results: At our institution, we found a substantial mortality risk associated with 30-day pneumonia readmissions, with variability between the 2 studied sites of care.

Discussion: Various factors could contribute to high mortality associated with 30-day pneumonia readmissions.

Conclusion: Additional …


Survey Of Mainehealth Cancer Care Network Providers On Cannabis Use: Preparation For Studies Sponsored By The National Cancer Institute, Jill M Prescott, Jamie G Saunders, Leslie S Bradford, Scot C Remick Jan 2026

Survey Of Mainehealth Cancer Care Network Providers On Cannabis Use: Preparation For Studies Sponsored By The National Cancer Institute, Jill M Prescott, Jamie G Saunders, Leslie S Bradford, Scot C Remick

Journal of Maine Medical Center

Introduction: Cannabis and cannabinoid use in patients with cancer has rapidly scaled up over the past decade and is a topic of considerable clinical, research, and public health interest.

Methods: We conducted a cannabis landscape survey among front-line providers in the MaineHealth Cancer Care Network (MHCCN) before applying and participating in National Cancer Institute (NCI)-sponsored studies on cannabis use in patients with cancer. The results of the survey can better inform participation in national studies and provide a departure point for provider educational activities focused on cannabis use in the cancer care setting.

Results: Notable observations from our survey included …


System And Method For Dynamic Grouping And Resolution Of Correlated Trouble Tickets In A Network Service Environment, Robert Barton, Yathi Udupi Jan 2026

System And Method For Dynamic Grouping And Resolution Of Correlated Trouble Tickets In A Network Service Environment, Robert Barton, Yathi Udupi

Defensive Publications Series

Proposed herein is a system that enables an operations platform to automatically detect, group, and resolve multiple trouble tickets that stem from a single underlying network or service issue. For each new ticket, the system builds a composite representation that combines semantic content with structured attributes and topology context, then compares it against recent tickets within sliding time windows to identify correlated incident groups. When such a group is identified with sufficient confidence, the platform runs a single, group-level troubleshooting and remediation workflow targeting the shared dependency and propagates the resulting root cause, actions, and resolution status back to all …


Self-Learning, Llm-Driven, Explainable, Privacy-Aware, Learning Agent For Intelligent Model Recommendations (Self-Llm-Xplainer), Rahul Gautam, Karankumar Hiteshbhai Patel, Harishkumar Sundarji Majithiya Jan 2026

Self-Learning, Llm-Driven, Explainable, Privacy-Aware, Learning Agent For Intelligent Model Recommendations (Self-Llm-Xplainer), Rahul Gautam, Karankumar Hiteshbhai Patel, Harishkumar Sundarji Majithiya

Defensive Publications Series

The present disclosure relates to a system and method for model recommendation, more particularly, a self-learning, LLM-driven, explainable, privacy-aware, learning agent for intelligent model recommendations (SELF-LLM-XPLAINER). The present disclosure suggests ingesting a dataset provided by a user via an online interface. Thereafter, the present disclosure suggests profiling the ingested dataset to generate standardized metadata. Subsequently, assessing the standardized metadata and sampled data values to detect Personally Identifiable Information (PII) and to generate a privacy risk map. Upon generating the privacy risk map, the present disclosure suggests identifying a machine learning task corresponding to the dataset based on the standardized metadata …


Metabolic Phenotyping And Therapeutic Hierarchy For Dyslipidemia In Saudi Type 2 Diabetes, Ahmed A. Almohammadi, Mohammed W. Azuny, Abdulmannan A. Alem, Sarah F. Alsobhi, Muath H. Alqayidi, Rami O. Alharbi, Salem S. Alhubayshi, Duha W. Azouni Jan 2026

Metabolic Phenotyping And Therapeutic Hierarchy For Dyslipidemia In Saudi Type 2 Diabetes, Ahmed A. Almohammadi, Mohammed W. Azuny, Abdulmannan A. Alem, Sarah F. Alsobhi, Muath H. Alqayidi, Rami O. Alharbi, Salem S. Alhubayshi, Duha W. Azouni

University of Bisha Journal for Basic and Applied Sciences

Aims: Dyslipidemia represents a critical cardiovascular risk factor in type 2 diabetes mellitus (T2DM), yet distinct metabolic phenotypes and their therapeutic implications remain inadequately characterized in Saudi populations. This study aimed to identify dyslipidemia phenotypes, establish therapeutic hierarchies, and examine metabolic determinants in Saudi T2DM patients.

Methods: A cross-sectional study enrolled 406 T2DM patients at Madinah Diabetic Center, Saudi Arabia (August-December 2024). Comprehensive sociodemographic, clinical, lifestyle, and laboratory data were collected. Statistical analyses included cluster analysis for phenotype identification, multivariate linear regression for lipid determinants, and chi-square tests for categorical associations. Ethical approval was obtained from IRB-Madinah (H-03-M-84).

Results: Dyslipidemia …


Assessing Knowledge, Attitude, And Practice Of Diabetic Retinopathy Management Among Patients In Riyadh, Ferial M Zeried, Lulwah Mesfer Al-Haqbani, Anayochukwu Edward Anyasodor, Ezinne Ngozika, Uchechukwu L Osuagwu Jan 2026

Assessing Knowledge, Attitude, And Practice Of Diabetic Retinopathy Management Among Patients In Riyadh, Ferial M Zeried, Lulwah Mesfer Al-Haqbani, Anayochukwu Edward Anyasodor, Ezinne Ngozika, Uchechukwu L Osuagwu

University of Bisha Journal for Basic and Applied Sciences

Aim: Diabetic retinopathy (DR) is a common microvascular complication of diabetes and a leading cause of preventable vision loss. Understanding patients’ knowledge, attitudes, and practices (KAP) toward DR screening and management is critical for designing effective interventions. This study aimed to assess the KAP of individuals with diabetes regarding DR in Riyadh, Saudi Arabia.

Methods: A web-based cross-sectional survey was conducted among 535 Saudi adults with diabetes between January and April 2021. Descriptive statistics were used to summarize participant characteristics and KAP levels. Multivariate logistic regression (MLR) was performed to identify sociodemographic and clinical predictors of high KAP, with adjusted …


Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee Jan 2026

Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee

Walden Dissertations and Doctoral Studies

The purpose of this qualitative research was to explore how self-identified Hmong college students aged 18–24 perceived their culture’s influence on their academic experiences. The study examined the relationships shaping individual identity and their effects on academic pursuits. A basic qualitative inquiry approach was used to interview ten Hmong undergraduate students enrolled in colleges across the United States. Semi-structured interviews facilitated data collection guided by the ecological systems theory, while thematic analysis and inductive coding were employed to identify patterns and develop themes from the data. The themes identified in the study were family as the central influence, negotiating conflicting …


Dams And Rural Conflict: Evidence From Brazil’S Hydropower Expansion, Raphael Corbi, Chiara Falco, Luca J. Uberti Jan 2026

Dams And Rural Conflict: Evidence From Brazil’S Hydropower Expansion, Raphael Corbi, Chiara Falco, Luca J. Uberti

Fondazione Eni Enrico Mattei Working Papers

We estimate the impact of infrastructure investment on conflict using 163 hydroelectric dams in Brazil (2002–2022). Leveraging the staggered rollout of construction in a difference-in-differences framework, we find that dams trigger sharp, temporary surges in land invasions, water disputes, and homicides. These effects peak during construction and dissipate upon operation, suggesting they stem from the displacement process rather than the public good itself. Crucially, conflict is mediated by local institutions: violence occurs only where property rights are weak and displacement affects vulnerable smallholders. Our results demonstrate that without effective compensation, state-led modernization generates destabilizing redistributive shocks.


University Seeks Innovators For Next Faculty Laureates Cohort, Marvis Herring Jan 2026

University Seeks Innovators For Next Faculty Laureates Cohort, Marvis Herring

University of Mississippi News

OXFORD, Miss. – The Mississippi Lab at the University of Mississippi invites faculty members to apply for the 2026-28 cohort of faculty laureates, a competitive program designed to support those whose work advances public scholarship and the civic mission of higher education.


State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education Jan 2026

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.


Sociodemographic And Hiv-Related Characteristics Associated With Mental Health Diagnoses Among People Living With Hiv, Monique J. Brown Ph.D., Mph, Jiayang Xiao, Xueying Yang Ph.D., Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D., Jiajia Zhang Ph.D. Jan 2026

Sociodemographic And Hiv-Related Characteristics Associated With Mental Health Diagnoses Among People Living With Hiv, Monique J. Brown Ph.D., Mph, Jiayang Xiao, Xueying Yang Ph.D., Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D., Jiajia Zhang Ph.D.

Faculty Publications

Mental health diagnoses have been linked to poor HIV treatment outcomes and poorer quality of life among people living with HIV (PLWH). Therefore, this study aimed to investigate the association between sociodemographic and HIV-related characteristics, and common and serious mental health disorders among PLWH in South Carolina (SC). Data were obtained from the integrated system of statewide electronic health record (EHR) data in SC (2006–2019; N = 8,124). Multivariable logistic regression models were used to determine the associations between sociodemographic and HIV-related characteristics, and common mental health disorders and serious mental health disorders. Among the study population, 4% were 60 …


Ud In The News Jan. 3-9, University Of Dayton Jan 2026

Ud In The News Jan. 3-9, University Of Dayton

News Releases

The Point in Gambia, OtherWords, POLITICO, The Scientist, TrainsPRO, Alabama Catholic Radio and cleveland.com are among the news outlets tapping UD faculty expertise the first full week of the new year.


Repair Techniques For Acute Rupture Of The Patellar Tendon: A Systematic Review, Gaston Davis, Harrison S. Fellheimer, Christian Mccormick, Kevin B. Freedman Jan 2026

Repair Techniques For Acute Rupture Of The Patellar Tendon: A Systematic Review, Gaston Davis, Harrison S. Fellheimer, Christian Mccormick, Kevin B. Freedman

Rothman Institute Papers

BACKGROUND: Multiple techniques exist to repair acute tears of the patellar tendon. Surgical repair is required to reestablish full function of the extensor mechanism of the knee, and optimal results typically occur when the tear is repaired acutely.

PURPOSE: To systematically review the literature to evaluate treatment outcomes and complication rates after acute surgical repair of patellar tendon ruptures using suture anchor repair, transosseous repair, and end-to-end repair.

STUDY DESIGN: Scoping review; Level of evidence, 4.

METHODS: A systematic review was performed to analyze outcomes after patellar tendon repair in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews …


Urban Sprawl And Residential Carbon Emissions: Evidence From Indonesia And The Philippines, Yi Jiang, Taylor Lathrop, Alexander D. Rothenberg, Yao Wang Jan 2026

Urban Sprawl And Residential Carbon Emissions: Evidence From Indonesia And The Philippines, Yi Jiang, Taylor Lathrop, Alexander D. Rothenberg, Yao Wang

Center for Policy Research

This paper studies how neighborhood density affects residential carbon emissions, using detailed data from Indonesia and the Philippines. To address simultaneity, we instrument density with soil characteristics, and to address sorting, we control for community averages of observed characteristics. Unlike cities in developed countries, we find that density is positively correlated with residential energy use. After controlling for sorting, we find a precise null relationship between density and residential carbon emissions. Our results suggest that policies to control urban sprawl may not be successful in reducing residential carbon emissions in developing country cities.


A Qualitative Study Of Medical Cannabis Policy For Multiple Sclerosis In Kansas And Colorado, Haydn Primrose Jan 2026

A Qualitative Study Of Medical Cannabis Policy For Multiple Sclerosis In Kansas And Colorado, Haydn Primrose

Walden Dissertations and Doctoral Studies

Medical cannabis may alleviate symptoms associated with multiple sclerosis (MS), yet access to cannabis-based treatment (CBT) remains inconsistent across U.S. states. The research problem was that state policy variation and administrative implementation produce inequitable access and clinical uncertainty for individuals with MS and for clinicians and policymakers responsible for compliant care decisions. Existing literature on cannabis for MS primarily addresses symptom relief, including spasticity reduction, pain relief, and improved sleep quality; however, access policies vary by state. The purpose of this qualitative systematic review was to synthesize evidence on policy and administrative barriers shaping access to medical cannabis for MS …


Beverly Rivera V. Attorney General Pennsylvania Jan 2026

Beverly Rivera V. Attorney General Pennsylvania

2026 Decisions

USDC for the Eastern District of Pennsylvania


The State Of The Child In Tennessee 2025 Data Highlights, Tennessee. Commission On Children & Youth. Jan 2026

The State Of The Child In Tennessee 2025 Data Highlights, Tennessee. Commission On Children & Youth.

The State of the Child in Tennessee

No abstract provided.


Daily Locomotor Activity Declines With Tumor Growth And Disease Progression In Glioblastoma, Maria F Gonzalez-Aponte, Sofia V Salvatore, Anna R. Damato, Ruth Gn Katumba, Grayson R. Talcott, Omar H. Butt, Jian L. Campian, Jingqin Luo, Joshua B. Rubin, Olivia J. Walch, Erik D. Herzog Jan 2026

Daily Locomotor Activity Declines With Tumor Growth And Disease Progression In Glioblastoma, Maria F Gonzalez-Aponte, Sofia V Salvatore, Anna R. Damato, Ruth Gn Katumba, Grayson R. Talcott, Omar H. Butt, Jian L. Campian, Jingqin Luo, Joshua B. Rubin, Olivia J. Walch, Erik D. Herzog

2020-Current year OA Pubs

Glioblastoma (GBM) is an aggressive brain tumor that often progresses despite resection and treatment. Timely and continuous assessment of GBM progression is critical to expedite secondary surgery or enrollment in clinical trials. However, current progression detection requires costly and specialized MRI examinations, which, in the absence of new symptoms or signs, are usually scheduled every 2-3 months. Here, we hypothesized that changes in daily activity are associated with GBM growth and disease progression. We found that wheel-running activity in GBM-bearing mice declined as tumors grew and preceded weight loss and circadian breakdown by over a week. Temozolomide treatment in the …


Landworks Evaluation 1 April 2024 To 31 March 2025: Generating A Harm Reduction And Desistance Community, Patricia Gray, Julie Parsons Jan 2026

Landworks Evaluation 1 April 2024 To 31 March 2025: Generating A Harm Reduction And Desistance Community, Patricia Gray, Julie Parsons

School of Law, Humanities and Social Sciences

This year, LandWorks has experienced both highs and profound challenges. In July 2024, LandWorks won the Overall Award for Excellence at the Charity Awards — the most prestigious awards scheme in the charity sector. The judges highlighted LandWorks’ greatest achievement as “the way it built trust with its trainees and helped them rebuild their lives by understanding the experiences that led to their criminal behaviour in the first place.” Staff, trainees, and graduates were deeply proud of this recognition, which serves as a national endorsement of LandWorks’ accomplishments since its establishment in 2013. Alongside this success, the past twelve months …


Annual Comprehensive Financial Report, Knox County, For The Year Ended June 30, 2025, Tennessee. Comptroller Of The Treasury. Jan 2026

Annual Comprehensive Financial Report, Knox County, For The Year Ended June 30, 2025, Tennessee. Comptroller Of The Treasury.

Tennessee County Audit Reports

No abstract provided.


The Role Of Brain Magnetic Resonance Spectroscopy In Assessment Of Patients With Minimal Hepatic Encephalopathy, Zeinab Moustafa Moustafa Metwalli, Mohammed Emadeldeen, Waseem Mohamad Mahmoud El Gendy, Rania Mostafa Mahmoud, Heba Abdelaziz Jan 2026

The Role Of Brain Magnetic Resonance Spectroscopy In Assessment Of Patients With Minimal Hepatic Encephalopathy, Zeinab Moustafa Moustafa Metwalli, Mohammed Emadeldeen, Waseem Mohamad Mahmoud El Gendy, Rania Mostafa Mahmoud, Heba Abdelaziz

Journal of Medicine in Scientific Research

Background: It appears that mild and hidden Hepatic Encephalopathy (HE) is present in up to 50% of patients with chronic liver disease. Tools that can predict when HE episodes would occur may enable early detection and clinically relevant preventative treatment. The brain's magnetic resonance spectroscopy (MRS) is considered a useful technique for providing a range of structural and functional assessments. Objective: To evaluate the role of brain magnetic resonance spectroscopy in assessment of metabolic changes in patients with chronic liver disease and minimal hepatic encephalopathy for better diagnosis and thus prevention of decline in cognitive functions and health related quality …