Digital Commons Network^™

Mindfulness-Based Interventions For Adults With Coronary Artery Disease: An Integrative Review Of Impact On Risk Factors And Outcomes, Alexa Archer, Kristiina Hyrkas

MaineHealth Maine Medical Center

Aim: To synthesize recent evidence on the effects of MBIs on psychological and cardiovascular health.

Medication Adherence Among Partnered, Sexual Minority Men Living With Hiv: What’S Love, Interdependence And Comorbidities Got To Do With It?, Kendell M. Doyle

Dissertations, Theses, and Capstone Projects

Sexual minority men (SMM) report higher incidence and prevalence rates of HIV infection relative to their heterosexual counterparts. The burden of HIV infection has garnered research attention focused on HIV risk reduction and HIV disease management (such as medication adherence). More recently, attention has been paid to the association of comorbid chronic health conditions and ART adherence among people living with HIV (PLWH) more broadly. Yet, limited attention has been paid to the association of comorbidities among SMM living with HIV specifically, despite the high rates of HIV among this population and various other risk factors that put SMM at …

Characterization Of The Attentional Profile In Women And Girls With A Fragile X Premutation Allele, Shira Russell-Giller

Dissertations, Theses, and Capstone Projects

The fragile X premutation (PM), characterized by 55 to 200 CGG repeats in the FMR1 gene, is associated with diverse clinical outcomes, including cognitive and neuropsychiatric changes. Despite most individuals with a PM presenting without overt clinical symptoms, adults face increased risks for conditions associated with a PM, including higher rates of attention and executive difficulties. This dissertation investigates the developmental trajectory of attention and executive functioning changes in females with a PM using a series of prospective studies employing the Attention Network Test (ANT). Study 1 re-analyzed prior data on sustained attention in women with a PM, revealing significant …

Nurses’ Knowledge About Assisted Reproductive Methods And Their Awareness About It In Potential Immune-Related Outcomes Of Conceived Children, Salma Abd-Elatty Moawed, Abdallah Ahmed Said

Nursing

Abstract A rising worldwide health concern, infertility is impacted by a number of environmental and lifestyle factors. With cutting-edge methods like intrauterine insemination, intracytoplasmic sperm injection, and in vitro fertilization, assisted reproductive technology gives infertile couples hope. Because they provide clinical care, education, and emotional support before, during, and after assisted reproductive technology procedures, nurses are essential to its success. The purpose of this study is to assess nurses’ knowledge and awareness about assisted reproductive methods and the immune outcomes among the resulting children. A structured interview questionnaire will be used to gather data from 130 nurses as part of …

Rural Business Development Corporation Annual Report 2024-25, Department Of Primary Industries And Regional Development, Western Australia

All other publications

In this report, the Rural Business Development Corporation is referred to as ‘the Corporation’ or ‘the RBDC’. The RBDC is an independent statutory authority of the Government of Western Australia (WA), established under the Rural Business Development Corporation Act 2000 (Act). The Act preserved and continued the body corporate established by the Rural Adjustment and Finance Corporation Act 1993.

What we do

The RBDC administers approved assistance schemes on behalf of the WA Government for the benefit of rural industry and regional communities. Approved schemes may provide financial assistance by way of loans, grants, or other financial incentives. The Act …

Spns 201.05: Intermediate Spanish I, Micaela O. Downey

University of Montana Course Syllabi, 2021-2025

No abstract provided.

Eece 311 Educational Psychology Oer, Sunghee Shin

Open Educational Resources

This course will examine the major learning theories and general principles underlying effective instruction. Students explore classroom structures and management, intelligence, learning styles, individual assessment, and the impact of culture and class.

Beyond The Data: Establishing Relationships, Honoring Lived Experience, And Highlighting Qualitative Community Research With Military-Connected Families As An Exemplar, Georgia L. Mckown, Abigail T. Stephan

Publications

Qualitative research inquiry that centers vulnerable communities requires more than methodological rigor—it necessitates deep, authentic engagement with the populations involved. This paper explores strategies qualitative researchers can use to foster meaningful, ethical, and transparent relationships with participants and community partners throughout the research process. Illustrated through applied vignettes from our experience carrying out focus group research with military-connected teens and families, we share strategies for conducting community research through intentional preparation, thoughtful recruitment, innovative data collection, reflexive analyses, and sustained follow-up efforts that contribute to community trust and the co-production of knowledge. We highlight the importance of meeting communities where …

Epidemiology And Microbiology Of Admission Surveillance Nasal Swabs In A Level Iv Neonatal Intensive Care Unit (Nicu) And Their Association With Subsequent Infections ​, Kedar Tilak, Neena Kanwar, Rangaraj Selvarangan, Venkatesh Sampath

Posters

Background Newborns, especially preterm infants, are highly susceptible to sepsis, a major cause of neonatal morbidity and mortality. Known risk factors include prematurity, low birth weight, prolonged NICU stay, and use of central venous catheters. The link between early nasal colonization (within the first week of life) and later infections is unclear. Although many NICUs screen for Staphylococcus aureus using nasal swabs, the predictive value of early colonization by other Gram-positive and Gram-negative bacteria is not well understood. In our NICU, admission nasal swabs were sent for aerobic cultures to detect these organisms, highlighting the need for further research into …

Pursuit Of A Full Night's Sleep, Kennison Adams, Andrew Donaldson, Brian S. Harvey

Posters

This project was a literature review and reflection upon the importance of having an osteoid osteoma on the differential for adolescent hip pain. The primary objective highlighted key attributes of this pathology and instructed readers to be vigilant in their assessment so that quicker diagnosis, management, and return to sport could occur.

In This Issueoriginal Articles

Saudi Medical Journal

No abstract provided.

A Systematic Review Of Physical Therapy Rehabilitation For Stroke Survivors In Arab Countries And Saudi Arabia: Current Approaches And Future Challenges, Abdullah I. Alhusayni, Abdullah H. Alzahrani

Saudi Medical Journal

ABSTRACT Objectives: To systematically review physical therapy interventions for stroke survivors in Arab countries and summarize the clinical and demographic characteristics, types and intensities of interventions, outcomes assessed, and adverse events. Methods: We conducted a systematic search of Google Scholar, ISI web of science, Scopus, Medline/PubMed, and ProQuest databasesfrom inception to 2025. Studies were eligible if they evaluated physical therapy interventions for stroke rehabilitation in Arab countries and reported clinical outcomes. We included randomized controlled trials, cohort studies, and case-control studies. Study selection followed PRISMA guidelines. Results: Five studies met the inclusion criteria. Interventions included neuromuscular electrical stimulation (NMES), radial …

Trends In Genitourinary Tumors: Academic Center Experience Over 16 Years, Samah N. Saharti, Fawaz M. Almutairi

Saudi Medical Journal

ABSTRACT Objectives: To analyze the trends, histopathological characteristics, and demographic distribution of genitourinary (GU) tumors at a major academic center in Jeddah, Saudi Arabia, over a 16-year period (2007–2023). Methods: A retrospective review of electronic medical records was conducted, including all histologically confirmed cases of GU tumors. Data on patient demographics, tumor type, and histopathological findings were extracted and analyzed using descriptive and inferential statistical methods. Results: A total of 1,791 GU tumor cases were identified. Bladder cancer was the most prevalent (42%), followed by prostate cancer (21%) and renal cell carcinoma (21%). Testicular and ureteral tumors were less common, …

Cervical Cancer Risk And High-Risk Hpv Types Distribution In Saudi Arabia: Trends From A National Laboratory-Based Study, Hamsa J. Banjer, Hossam H. Tayeb, Khalid J. Alzahrani, Salha M. Alsufiani, Jamal M. Alrowaihi

Saudi Medical Journal

ABSTRACT Objectives: To examine the distribution of human papillomavirus (HPV) genotypes, regional trends, and cytological abnormalities in Saudi Arabia. The findings aim to inform effective cervical cancer prevention strategies. High-risk HPV infections is the leading cause of cervical cancer. Methods: A retrospective, national laboratory-based study was conducted between 2016 and 2024, analyzing 9,096 medical records. Of these patients, 6,005 underwent co-testing of HPV DNA and cytology-based screening, and 3,091 underwent only cytology-based screening. The HPV genotype distribution, temporal trends, and geographic variations were evaluated. Results: The HPV positivity rate was 13.84%, with HPV-16 accounting for 25.11% and HPV-18 for 7.55% …

Unmasking Iron Deficiency And Iron Deficiency Anemia In Saudi Arabia: Data From A Large Private Sector Lab, Osman O. Radhwi, Omar M. Raslan, Eman M. Mansory

Saudi Medical Journal

ABSTRACT Objectives: This study investigates the prevalence of iron deficiency anemia (IDA) in Saudi Arabia, analyzing variations by gender, age, and geographical region. Methods: An observational, cross-sectional analysis was conducted from January 2014 to February 2024 using data from Al Borg laboratories, including ferritin levels, demographics, and routine hematological results. Results: The study included 420,956 individuals, with 73% being female and 94% over 15 years old. The IDA was found in 19.8% of patients, Non-Anemic Iron Deficiency (NAID) in 23.7%, and other anemias in 9.6%. Females represented 93% of those with IDA and NAID. All patients under 12 were anemic, …

Prevalence Of Anxiety And Depression Among Female Patients Awaiting Pre-Implantation Genetic Diagnosis In A Saudi Arabian Tertiary Hospital, Amani S. Alotaibi, Nouf A. Alshamlan, Lujain A. Alsubki, Lina O. Altuwaigri, Sara A. Awan, Dania Farooq, Biam A. Saydo, Hania F. Farhan, Lara M. Samhan, Laiba M. Yaseen, Khalid A. Awartani

Saudi Medical Journal

ABSTRACT Objectives: To estimate the prevalence of anxiety and depression symptoms in females awaiting preimplantation genetic diagnosis (PGD) as well as investigate their associated factors. Methods: This cross-sectional study included 289 female patients awaiting PGD at a large tertiary hospital in Saudi Arabia. A structured questionnaire was used to collect information on patient characteristics, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and data on PGD. Independent factors associated with anxiety and depression were identified using multivariable analysis. Results: The prevalence of anxiety was 13.5% and that of depressive symptoms was 12.1%. Odds of anxiety were higher among females with a Master’s …

Serum Levels Of Gdf-15, Betatrophin, Tnf-Α And Il-6 In Diabetic Patients With And Without Diabetic Complications, Ahmet Yılmaz, Tugce Kaymaz, Burkay Yakar, Mehtap Gömleksiz, Erhan Önalan, Mehmet F. Gürsu

Saudi Medical Journal

ABSTRACT Objectives: To investigate serum levels of growth differentiation factor 15 (GDF-15), inflammatory biomarkers, and betatrophin in individuals with diabetes mellitus, both with and without complications. Methods: A cross-sectional analysis was conducted involving patients with diabetes. Participants were categorized into 3 groups: Group 1 (30 healthy individuals without diabetes), Group 2 (30 diabetic patients without complications), and Group 3 (30 diabetic patients with complications). Blood samples were collected to assess standard biochemical parameters, as well as plasma concentrations of betatrophin, tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and GDF-15. All serum biomarkers were quantified using enzyme-linked immunosorbent assay (ELISA) techniques. Results: …

Evaluation Of Systemic Immune Inflammation Index, Halp Score, Neutrophil-Lymphocyte Ratio And Platelet-Lymphocyte Ratio In Pediatric Burned Patients, Gül Doğan, Hülya İpek, Mehmet Metin, Nurcan Çoşkun, Çağatay E. Afşarlar

Saudi Medical Journal

ABSTRACT Objectives: To evaluate whether there is any relationship between neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio(PLO), systemic immune -inflammation (SII) level and HALP score and the location of involvement, surface width, burn degree in pediatric burn patients to investigate the effect on prognosis. Methods: After obtaining institutional ethical committee approval, a retrospective analysis was conducted on 192 pediatric cases (under 18 years old) treated for burns in our hospital from December 2018 to December 2023. Hemoglobin, leukocyte, neutrophil, platelet and albumin levels. Simultaneously NLR, PLR, SII and HALP scores were calculated. Results: Post-hoc test results revealed that the NLR values in …

Cutting-Edge Research From The 2024 Middle East Rheumatology Conference (Mrc 2024) Of The Gulf Cooperation Council Association Of Immunology And Rheumatology (Gcc-Air), Ahmed S Zayat, Beena Hamid, Martin Lee, Fahdah Alokaily, Maryam Al Nisf, Mahmood Hachim, Hanan Al Reyes, Khalid Alnaqbi, Amal Hussain, Fiaz Alam, Ghida Al Dabi, Suad Hannawi

Saudi Medical Journal

No abstract provided.

Malnutrition Rates Reach Alarming Levels In Gaza, Who Warns

Saudi Medical Journal

No abstract provided.

Borderplex Business Barometer, Volume 9, Number 9, Thomas M. Fullerton, Steven L. Fullerton, Robert Sandoval

Border Region Modeling Project

No abstract provided.

The Dual Impact Of Ict Use On Work Autonomy, Workload, Work Engagement, And Work-Family Conflict: Moderating Effects Of Perceived Organizational Support And Conscientiousness, Shenghui Han

Dissertations and Theses Collection (Open Access)

This study investigates the dual impact of information and communication technology (ICT) use intensity on employee outcomes in the workplace, with a particular focus on work autonomy, workload, work engagement, and work–family conflict (WFC). Drawing upon the job demands-resources (JD-R) model and conservation of resources (COR) theory, I propose a dual-pathway framework in which ICT use intensity acts as both a job resource and a job demand. The study also examines the moderating roles of perceived organizational support (POS) and conscientiousness.

Data were collected from 414 full-time employees across six companies in China through a three-wave survey with two-week intervals …

When Time Is Critical: A Case Of Gangrenous Acalculous Cholecystitis And Sepsis-Associated Encephalopathy In A Diabetic Patient, John Stevenson, Medjine Jarbath, Ahmed Abdelmagid, Ethan Morgan

Aurora GME

No abstract provided.

Massive Pulmonary Embolism In Acromegaly: A Perfect Storm Of Thrombotic Risk, Giovanni Paolella, Viktoriya Bikeyeva, Christopher Bentsen, Danny Cho, Joseph Adams, Andrii Labchuk, Adib Chaus, Parag Patel

Advocate GME

Purpose: To describe a case of massive pulmonary embolism (PE) in a patient with acromegaly and multiple prior venous thromboembolic (VTE) events who was perioperative, emphasizing the hypercoagulable risk and management challenges. Background: Acromegaly, characterized by elevated insulin-like growth factor-1, may predispose patients to thrombotic events via endothelial dysfunction and procoagulant changes. Data linking acromegaly to venous thromboembolism (VTE) are limited, but recurrent events are clinically significant, especially when anticoagulation is interrupted perioperatively. Methods: A 64-year-old male with acromegaly secondary to a pituitary microadenoma (s/p gamma knife) and a history of multiple VTE events presented for elective substernal thyroidectomy and …

Atrial Fibrillation In Advanced Ckd: To Anticoagulate, Or Not, And With What?, Muhammad S Ajmal, Wolfgang C Winkelmayer

Faculty, Staff and Students Publications

No abstract provided.

Consumption Of Negative Media Content Mediates The Association Between Levels Of Trauma Exposure And Insomnia Severity In Hispanic Young Adults, Michiyo Hirai, Laura L. Vernon

Psychological Science Faculty Publications

Research has shown that individuals who have experienced traumatic events are at greater risk of developing severe insomnia than those without trauma. Further, according to the stress sensitization hypothesis, victims of multiple traumas, compared to those who have experienced a single trauma, are particularly vulnerable to severe insomnia. One potential mechanism underlying the association between trauma experiences and insomnia is media exposure. Although avoidance behaviors are symptoms of posttraumatic stress, victims of traumas also demonstrate attentional bias toward threats and difficulty disengaging attention from threats. These cognitive tendencies may result in heightened vigilance to negative media content, particularly trauma-related content, …

Cerebral Palsy Screening, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Fever In The Returned Traveler, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Evaluation Of A Novel Tc-24 Recombinant Antigen Elisa For Serologic Detection Of Trypanosoma Cruzi Infection In Dogs: A Pilot Study, Rojelio Mejia, Guilherme G Verocai, Ilana A Mosley, Ashley B Saunders, Bin Zhan, Lindsey Vongthavaravat, Rachel E Busselman, Sarah A Hamer

Faculty, Staff and Students Publications

Chagas disease, caused by the protozoan Trypanosoma cruzi, is a significant challenge for canine health, with limited diagnostic tools. This study assessed the performance of a novel Tc-24 recombinant antigen ELISA compared to three commercial diagnostic tests on 70 serum samples from kennel dogs in Texas. The Tc-24 ELISA demonstrated high sensitivity (87.5%) and specificity (91.2%) compared to Indirect Fluorescent Antibody (IFA) testing, with significant differences in Tc-24 optical density (OD) between positives and negatives (0.607 vs. 0.089, p < 0.001). When compared to Chagas Stat-Pak (SP), Tc-24 ELISA showed sensitivity and specificity values of 82.1% and 86.7%, respectively (p < 0.001). For Chagas Detect Plus (IB), the assay achieved a sensitivity of 80.0% and specificity of 93.1% (p < 0.001). Spearman correlation analysis revealed significant associations between Tc-24 OD and SP (r = 1.0, p = 0.0167), IB (r = 0.9, p = 0.0833) and IFA (r = 0.6273, p = 0.044). Elevated immunochromatographic values in commercial kits (SP or IB) correlated with Tc-24 OD (1.17 vs. 0.039, p < 0.001), achieving 100% sensitivity and 95.8% specificity based on positive results from commercial kits. These findings suggest that Tc-24 ELISA is a reliable and accurate serological tool for diagnosing T. cruzi infection in dogs, with the potential to enhance diagnostic capabilities in veterinary medicine.

Multiyear Implementation And Qualitative Evaluation Of A Peer Mentoring Circle Program, Tana M. Karenke, Juanita T. Garcia, Alexandria Zielinski

College of Nursing Faculty Research and Publications

Background

Students from disadvantaged backgrounds often experience intensified challenges, including life stressors, social isolation, discomfort relating to the dominant culture on campus, and under-preparation if coming from low-resource high schools and neighborhoods. Multiyear implementation and outcomes of an ongoing peer mentoring circle (PMC) program for undergraduate nursing students from disadvantaged and underrepresented minority backgrounds are described.

Method

This study examined a 5-year longitudinal descriptive evaluation of ongoing PMC programming using thematic analysis.

Results

Four major themes were identified from student qualitative evaluation data: (a) connection and friendship; (b) adjustment and transition; (c) academic support; and (d) leadership skills. Challenges encountered …