Digital Commons Network^™

Prognostic Significance Of The Borrmann Classification In Stage 2–3 Gastric Cancer, Selcan Cesur, Yonca Yılmaz Ürün

Saudi Medical Journal

Objectives: To assess the prognostic significance of Borrmann classification subtypes in patients with stage 2–3 gastric cancer who underwent surgical treatment. Methods: A retrospective review of 96 gastric cancer patients treated at Van Yüzüncü Yıl University Medical Faculty Hospital from 2008 to 2024 was conducted. Patients were included if they were aged >18 year (yr), had undergone surgery without neoadjuvant therapy, had no distant metastases, and had a postoperative pathological stage of 2-3. Demographic and clinicopathological data were documented, and median overall survival (OS) was analyzed according to the Borrmann classification. Results: The median age of the 96 patients was …

The Incidence Of Unplanned Reoperation And The Related Risk Factors In Pediatric Surgery At A Tertiary Care Center In Saudi Arabia, Noura M. Almutairi, Mohammed K. Alnamshan, Suliman Mohammed Alaqeel

Saudi Medical Journal

ABSTRACT Objectives: To evaluate unplanned reoperation (URO) as a quality indicator and identify its rate and associated risk factors at our institution. Parental satisfaction and patient safety are crucial, necessitating an investigation into the factors influencing unplanned return to the operating room rates. Understanding the reasons behind UROs and how to prevent them is vital for improving surgical services. Methods: This study employs a retrospective cohort design to analyze existing patient data from King Abdullah Specialized Children’s Hospital in Riyadh, Saudi Arabia. It aims to evaluate clinical endpoints and factors associated with unplanned reoperations, which are defined as any secondary …

Autism Spectrum Disorder In Saudi Arabia: Clinical Dynamics From A Multi-Center Study, Sulhi A. Alfakeh, Ghaida H. Aljahdali, Sarah T. Benfeef

Saudi Medical Journal

Objectives: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by impairments in communication, social interaction, and behavior. This study aimed to explore the factors influencing the clinical presentation of children with ASD in Saudi Arabia, focusing on demographic, medical, and environmental determinants. Methods: A multi-center, cross-sectional study was conducted in Saudi Arabia, enrolling 104 children diagnosed with ASD. Data were collected via structured parent interviews and analyzed to examine the relationships between demographic characteristics, therapy participation, self-care abilities, and clinical symptoms. Results: Male children were more likely to exhibit hyperactivity compared to females ( p =0.037). Age was significantly …

Do Fitness Apps Do More Harm Than Good?

Saudi Medical Journal

No abstract provided.

No Safe Level: Act Now To End Lead Exposure

Saudi Medical Journal

No abstract provided.

Image Captioning Through The Lens Of The Gricean Maxims: Generating Meaningful And Relevant Image Descriptions, Annika Lindh

Doctoral

Image captioning models enable us to automatically generate natural language image descriptions for previously unseen images. It combines the two fields of computer vision and natural language generation, allowing models to interpret the con tent of an image and communicate that knowledge through natural language text.

Research into image captioning has the potential benefit of reducing the gap in digital information availability between fully sighted individuals and those who are visually impaired. However, automatically generated captions often fail to provide the required level of detail and specificity to achieve this goal. Furthermore, current standard evaluation methods are insufficient at measuring …

Challenges And Opportunities With Providing Genetic Testing And Counseling For Mucopolysaccharidosis Type Ii In Kenya, Lucy Mungai, Charles Njeru, Allan Njoroge, Michuki Maina, Syokau Ilovi, Dalton Wamalwa, Ruth Nduati, Beatrice Odongkara, Danny Miller

Pathology, East Africa

Background Limited or absent genetic counseling and testing resources in low- and medium-income countries lead to missed or late diagnoses for treatable metabolic conditions with irreversible complications. In some communities, misunderstanding about the etiology of a genetic condition may lead women whose children are affected to be viewed as a bad omen and become stigmatized or ostracized from their community. Mucopolysaccharidosis type II (MPS II), or Hunter syndrome, is a lysosomal storage disorder in which deficiency or inactivity of the enzyme iduronate-2-sulfatase leads to accumulation of glycosaminoglycans throughout the body. The diagnosis can be made through clinical assessment, enzyme activity …

Borderplex Business Barometer, Volume 9, Number 11, Thomas M. Fullerton Jr., Steven L. Fullerton

Border Region Modeling Project

No abstract provided.

K–5 Teachers’ Perceptions Toward Implementing An Lgbtqia+-Inclusive Curriculum In New Jersey, Stephanie J. Faille

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the gap in literature about K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Grounded in Fuller’s concerns of teachers framework and Foucault’s seminal work on the historical treatment of members of the LGBTQIA+ community, the purpose of this basic qualitative study was to explore K–5 teachers’ challenges in implementing an LGBTQIA+-inclusive curriculum in New Jersey. Purposeful and snowball sampling were used to recruit 11 K–5 teachers who self-identified as having implemented the New Jersey LGBTQIA+-inclusive curriculum. Data collected through semistructured interviews were analyzed using a priori codes in …

Research On The Impact Of Strategic Orientation, Employees’ Environmental Identity, And Use Of Artificial Intelligence On Corporate Green Innovation, Hao Yang

Dissertations and Theses Collection (Open Access)

Based on social cognitive theory and integrating the perspective of technology enablement, this study constructs a moderated mediation model to systematically explore how environmental policy orientation and environmental market orientation influence corporate green innovation through environmental identity, and to examine the boundary role of AI application intensity. Through empirical analysis of 313 teams and 939 valid questionnaires, the following conclusions are drawn: First, both environmental policy orientation and environmental market orientation independently and significantly promote green innovation. Second, environmental identity plays a partial mediating role between the two orientations and green innovation, indicating that strategies need to be internalized as …

Enhancement Of Antimicrobial Activity Of Truncated Cecropin B Peptides With The Substitution Of Tryptophan Residues, Sarah Smith, Christopher Feudale, Josephina R. Vermillion, Joseph Feudale, Joshua Do, Sabrina Arroyo, Juan Barrera, Madeleine Whitsitt, Marion Duval, Colby Grames, Bret Hatzinger, Makenzie Hilling, Tia Kean, Jasayle Rivera, Mia Shum, Hannah Zyra, David Rovnyak, Moria C. Chambers

Faculty Journal Articles

Cecropins are a class of antimicrobial peptides (AMPs) expressed by insects that have broad-spectrum antimicrobial activity and low cytotoxicity. However, cecropins are also long (40–45 amino acids) peptides, making their adaptation for therapeutic use challenging. Here, we present a series of 16 amino acid-long peptides derived from cecropin B from Drosophila melanogaster. The native truncated peptide is cationic and expected to form an amphipathic α-helix, but does not have antimicrobial activity. The incorporation of two Trp residues, depending on the position in the peptide backbone, results in antibacterial activity compa-rable to that of full-length cecropin B against the gram-negative bacteria …

The Battle Over Water Fluoridation Comes To New York City: Organized Dentistry Is Quick To Respond To Ill-Conceived Effort To End 60-Year Practice And Vows To Stay With It Until The Threat Passes., Lance Plunkett Jd, Llm

The New York State Dental Journal

Water fluoridation has been experiencing its woes lately, beset by an adverse court decision, questionable science, collapsing federal public health priorities and public suspicion often fueled by hysteria. Against all this, New York City stood strong as a pioneering large municipality safely fluoridating its water since 1965 for the benefit of the public and reducing dental caries significantly over decades.

A Qualitative Assessment Of The Role Of Dental Specialists In The United States Opioid Epidemic: Dental School Faculty And Postdoctoral Trainee Perspectives, Rochisha Singh Marwaha D.D.S., M.P.H., Ficd, Gunnar Hasselgren D.D.S., Ph.D., Sarah Douglas-Broten D.M.D., M.P.H., Sidney B. Eisig D.D.S., Kavita P. Ahluwalia D.D.S., M.P.H.

The New York State Dental Journal

This research used qualitative methods to compare the prescription opioid-related knowledge, opinions and behaviors of oral surgery (OS) and endodontics (E) faculty and postdoctoral trainees. Semi-structured interview guides were used to conduct 10 key-informant interviews with faculty and focus group discussions with 18 postdoctoral trainees. Interviews and focus group discussions were recorded, transcribed and coded for thematic content. E faculty reported infrequent use of opioids for dental pain management, while OS faculty frequently prescribed opioids. Conversely, E faculty were more likely to use prescription drug monitoring programs to track patients’ potential for addiction compared to OS. In conclusion, the frequency …

Repetitive Sampling Control Chart For Gamma Distribution In Uncertain Environments, Zainalabideen Al-Husseini, Khudhayr A. Rashedi, Muhammad Aslam

Neutrosophic Sets and Systems

This paper introduces an innovative control chart customized for the gamma distribution, specifically crafted to handle uncertain conditions through repetitive sampling. The control chart's coefficients, along with the probabilities of remaining in control or detecting a shift, and the average run lengths, were derived by assuming the symmetrical behavior typical of the normal distribution, using the neutrosophic interval method. The performance of this chart was evaluated by assessing average run lengths under various uncertain process conditions. The chart's efficacy in identifying both minor and major process shifts was investigated. This study also provides a comparison between the newly proposed chart …

Inventory Control Of Single Perishable Item In Neutrosophic Environment: With Stock-Based Demand, Preservation Technology, Shortage And Two-Stage Price Discount For Imperfect Items, Geremew Assefa Gudeta, Natesan Thillaigovindan, Getinet Alemayehu Wole

Neutrosophic Sets and Systems

In this article, we study an inventory model for a single perishable item which can contribute to economic growth, organizational benefit as well as individual life. Both supplier and retailer consider price discount for defective items up to a specified percentage, in a situation where the parameters involved are vague and imprecise. Such consideration has not been reported in the literature. By recognizing the power of neutrosophic environment to handle uncertainty and impreciseness inherited or existing in the problem, we use single-valued triangular neutrosophic numbers (SVNs) for representing stock-based demand, retail price, order ing cost, holding cost, wastage cost, imperfect …

Comprehensive Analysis Using 2-Tuple Linguistic Neutrosophic Madm With Core Competencies Evaluation Of Track And Field Students In Sports Colleges, Ming Tang, Yanzhao Sun

Neutrosophic Sets and Systems

The core competencies evaluation of track and field students in sports colleges holds significant importance. It not only helps assess students' overall abilities in track and field, such as physical fitness, athletic skills, psychological quality, and social responsibility, but also provides a scientific basis for personalized teaching and training. Through this evaluation, students' strengths and weaknesses can be identified, allowing for the optimization of training strategies to improve their athletic performance and holistic development. Additionally, this evaluation aids in cultivating students' teamwork, psychological resilience, and sense of social responsibility, ensuring that they are more competitive and adaptable in their future …

An Effective Triangular Fuzzy Neutrosophic Approach For Decision-Making In Efficiency Evaluation Of Resource Allocation In University Innovation And Entrepreneurship Education, Xueyu Zhang, Wenyong L

Neutrosophic Sets and Systems

The evaluation of the efficiency of resource allocation in innovation and entrepreneurship education in universities aims to assess the effectiveness of the use and distribution of resources in this field. By analyzing the allocation of funds, human resources, curriculum design, and practical bases, the evaluation determines whether these resources effectively promote students' innovation abilities and entrepreneurial awareness. Efficient resource allocation should maximize educational investment and student outcomes, improve the quality of education, and enhance societal adaptability, thereby providing strong support for cultivating innovative talent. The efficiency evaluation of resource allocation in university innovation and entrepreneurship education is multiple-attribute decision-making (MADM). …

Neutrosophic Topological Spaces For Lung Cancer Detection In Chest X-Rays: A Novel Approach To Uncertainty Management, A. A. Salama, Doaa E. Mossa, Mahmoud Y. Shams, Huda E. Khalid, Ahmed K. Essa

Neutrosophic Sets and Systems

Decision-making in medical diagnosis is often hampered by uncertainties due to incomplete, ambiguous, and evolving information. In reviewing the traditional methods for lung cancer detection, we found that crisp and logic values have more difficulties and challenges. These challenges related to the big data analytics, uncertainty values, and the different circumstances that make it harder for prediction. In this work, we propose a novel approach that use a Neutrosophic Topological Spaces (NTS) for the lung cancer detection in the chest X-ray images. Furthermore, the proposed NTS leverage the strengths points of Neutrosophic Sets (NS) which include the degrees of truth …

A Refined Neutrosophic Α-Discounting Framework For Evaluating E Commerce Logistics Service Quality In Mobile Environments, Wenjie Wang

Neutrosophic Sets and Systems

No abstract provided.

Enhancing Mis Risk Management Using Neutrosophic Logic: Applications In Investment, Credit Scoring, And Supply Chain Disruption, A. A. Salama, Mohamed Mokhtar El-Muradani, Huda E. Khalid, Ahmed Essa, Haitham Ward, Ibrahim Yasser

Neutrosophic Sets and Systems

No abstract provided.

E-Commerce Website Quality Evaluation Using Triangular Neutrosophic With Todim Under Uncertainty Environment, Nabil M. Abdelaziz, Ahmed Samy, Gawaher S. Hussien, Soaad Naguib

Neutrosophic Sets and Systems

No abstract provided.

Probabilistic Simplified Neutrosophic Sets For Safety Risk Analysis Of Complex System Failures Under Artificial Intelligence Environment, Jing Ning

Neutrosophic Sets and Systems

No abstract provided.

A Certain Algebraic Structure Of Bipolar Single Value Neutrosophic Subgroups And Its Essential Properties, Yousef Al-Qudah, Abdullah Alsoboh, Eman Hussein, Faisal Al-Sharqi, Abdullrahman A. Al Maqbali

Neutrosophic Sets and Systems

No abstract provided.

A Tri-Stage Interval-Neutrosophic Linguistic Decision Framework For Designing Intangible Cultural Heritage Food Education Programs In Primary Schools, Donghao Jin

Neutrosophic Sets and Systems

No abstract provided.

A Hybrid Probabilistic-Neutrosophic Adaptive Convergence Model For Analyzing Innovative Performance Of Agricultural Technology Enterprises In The Digital Economy, Hongyan Xie

Neutrosophic Sets and Systems

No abstract provided.

Pythagorean Neutrosophic Normal Interval-Valued Fuzzy For Teaching Effectiveness In University Physical Education: Metrics, Challenges, And Improvements, Yuanyuan Zhang, Huan Long, Lei Jing

Neutrosophic Sets and Systems

No abstract provided.

A Novel Q-Neutrosophic Multichannel Dissemination Field Model For Constructing Chinese Excellent Traditional Culture Communication Paths Using Data Mining, Yan Shao

Neutrosophic Sets and Systems

No abstract provided.

A New Entropy-Influence-Aware Interval-Valued Neutrosophic Bonferroni Aggregation And Its Application To Academic Teaching Evaluation Of University Staff During Educational Reforms, Xue Wang, Yanying Ma

Neutrosophic Sets and Systems

No abstract provided.

A Probabilistic Plithogenic Neutrosophic Rough Set For Uncertainty-Aware Food Safety Analysis, Ruixuan Chen, Qun Liu, Yucang Zhang, Wuyin Weng

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic-Integrated Machine Learning Framework For Uncertainty-Aware Diagnosis And Decision Support In Dental Health, C. Kotteeswaran, Premkumar Ramu, J. Nithya, V. Kumar Mohan, Rajeshwari Ramaiah Murugesan, Manjunathan Alagarsamy, Mana Donganont, Prasanta Raut

Neutrosophic Sets and Systems

No abstract provided.