Digital Commons Network^™

Z-Scores Outperform Similar Methods For Analyzing Crispr Paralog Synthetic Lethality Screens, Juihsuan Chou, Nazanin Esmaeili Anvar, Reem Elghaish, Junjie Chen, Traver Hart

Faculty, Staff and Student Publications

Genetic screens offer a promising strategy for identifying tumor-specific therapeutic targets, but single-gene knockout screens often miss functionally redundant paralogs. Multiplex Cas9 and Cas12a CRISPR systems have been deployed to assay genetic interactions, but analysis pipelines vary considerably. Here we evaluate data from four in4mer CRISPR/Cas12a screens in cancer cell lines, using delta log fold change, Z-transformed dLFC, and rescaled dLFC approaches to identify synthetic lethal interactions. Both ZdLFC and RdLFC provide more consistent identification of synthetic lethal pairs across cell lines compared to the unscaled dLFC method, while ZdLFC benefits from not requiring a training set of known interactors.

Making The New Public Safety Safe, Christopher Slobogin

Vanderbilt Law School Faculty Publications

Shawn Fields' The New Public Safety: Police Reform and the Lurking Threat to Civil Liberties, which will be published by the University of California Press in September, is a brave and wise effort to envision a post-DeFund the Police world. While the defund movement has, at best, been a mixed success, some municipalities have experimented with de-policing routine interactions with people who are unhoused and mentally ill, authorizing civilian "violence interrupters" to roam the streets, and handing over traffic enforcement to unarmed officials. In The New Public Safety, Fields endorses these developments but also cautions that, without regulation, they will …

From Aortic Stenosis To Cardiomyopathy: The Hidden Impact Of Undiagnosed Acommissural Unicuspid Aortic Valve, Muhammad Sabri, Hamza Muhammadzai, Angad Bedi, Eddy Mizrahi, Matthew Collins

Abington Jefferson Health Papers

Unicuspid aortic valve (UAV) is a rare congenital anomaly, diagnosed in individuals aged 30 to 50. It is associated with aortic stenosis or aortic regurgitation, potentially leading to heart failure. We report a case of a 28-year-old male with an acommissural UAV, aortopathy, critical aortic stenosis, and heart failure with reduced ejection fraction, presenting with shortness of breath. This case is notable for late presentation of an acommissural UAV, which typically manifests in childhood.

Lived Experiences Of Sexual Orientation Discrimination Of Gay Male Service Members, Dwayne A. Tyler

Walden Dissertations and Doctoral Studies

The repeal of the Don’t Ask, Don’t Tell policy (DADT) has been an area of study among scholars since 2011. Researchers have demonstrated that discrimination based on sexual orientation is still occurring in the armed forces. However, researchers have not studied the lived experiences of active-duty male service members in the army who self-identified as gay. The purpose of this phenomenological qualitative study was to examine the lived experiences of discrimination based on the sexual orientation of male service members who self-identified as gay in the army since the repeal of the DADT policy. Using semi-structured interviews, four self-identified gay …

Service Provider Practice And Dual Victimization Survivors Seeking Emergency Shelter, Lana Heinen

Walden Dissertations and Doctoral Studies

The Violence Against Women Act supports responses to the crimes of domestic violence, sexual assault, dating violence, and stalking. It does not provide a permanent or guaranteed pathway to safe and stable housing for those experiencing the dual victimization of domestic violence and human trafficking. Service provider practices can alleviate or aggravate barriers faced by this population. These practices are influenced by the education and training service providers receive before entering the field and throughout their career. The purpose of this generic qualitative study was to explore service providers’ perceptions of structures and barriers contributing to the obstacles of accessing …

Staff Education Project An Educational Project To Educating Mental Health Staffs On Stress Management To Improve Knowledge And Staff Retention, Lilian Eneude

Walden Dissertations and Doctoral Studies

This evidence-based educational project addressed the knowledge gap in stress management techniques among mental health nursing staff at an acute psychiatric facility. Mental health professionals experience substantially higher rates of workplace stress and burnout compared to other healthcare workers, affecting staff wellbeing, patient care quality, and organizational outcomes. The practice-focused question was: Does educating mental health nurses on stress management improve knowledge as evidenced by pre- and post-intervention? A comprehensive literature search was done at the Walden University Library using CINAHL, PubMed, and PsycINFO databases that yielded 200 potential articles, with 45 full-text articles reviewed and 20 high-quality studies included …

Lived Experiences Of Ex-Offenders In Securing Stable Employment After Reentry Programs, Tony Lemar Williams

Walden Dissertations and Doctoral Studies

The reintegration of formerly incarcerated individuals into society has garnered increasing attention largely due to structural and social barriers that impede their successful transition. The purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of ex-offenders who successfully obtained gainful employment following their reintegration into society while navigating the enduring consequences of their past convictions. Self-determination, self-efficacy, and implicit theories grounded this study. Ten participants were recruited through social media platforms and flyers on community billboards in a suburban area of Ohio. Data were collected using semistructured in-depth interviews. Narrative coding, according to Saldana, was used …

Strategies In Cybersecurity For The Protection Of Patient Health Information (Phi), Denise Holloway

Walden Dissertations and Doctoral Studies

Health information technology (IT) professionals are consistently seeking better ways to balance the availability of patient health information (PHI) with data breach prevention, as these breaches negatively impact health organizations legally and ethically due to the exposure of PHI. However, some health IT professionals lack strategies to protect PHI against cybersecurity attacks. Grounded in Dr. Edward Hutchins’ distributed cognition framework, the purpose of this qualitative pragmatic inquiry was to understand what strategies health IT professionals use to protect PHI against cybersecurity attacks. The participants were six IT professionals from Washington D.C., Maryland, and Virginia with at least five to seven …

Background Of High School Track & Field Coaches, Haley A. Wright

Research Papers

No abstract provided.

Medical Biotechnology Symposium Sultan Qaboos University, Muscat, Oman 5th And 6th February 2024 Gene Hunting In Breast Tumours And Cells To Reveal Chemotherapy Resistance As Predictive Markers Of Response, Sultan Qaboos University

Sultan Qaboos University Medical Journal

No abstract provided.

Structural And Functional Characterization Of Creb-Binding Protein (Crebbp) As A Histone Propionyltransferase, Guiling Cui, Marie Ley, Ariel E Mechaly, Linh-Chi Bui, Christina Michail, Jérémy Berthelet, Julien Dairou, Haopeng Yang, Guillaume Chevreux, Gautier Moroy, Michael R Green, Ahmed Haouz, Fernando Rodrigues Lima

Faculty, Staff and Student Publications

In addition to histone acetylation, histone lysine propionylation (such as the H3K18Pr mark) has recently attracted significant attention as a common and abundant modification linking the cellular metabolic state and gene expression. CREB-binding protein (CREBBP) and EP300 are key histone acetyltransferases that play a critical role in gene expression through their catalytic activity. Although CREBBP and EP300 are homologous enzymes with high structural similarities, they exhibit both redundant and specific functions. Dissecting the shared and divergent properties of CREBBP and EP300 is thus important to understand their roles. However, despite the importance of CREBBP, most mechanistic and structural studies have …

Cat: A Conditional Association Test For Microbiome Data Using A Permutation Approach, Yushu Shi, Liangliang Zhang, Kim-Anh Do, Robert R Jenq, Christine B Peterson

Faculty, Staff and Student Publications

In microbiome analysis, researchers often seek to identify taxonomic features associated with an outcome of interest. However, microbiome features are intercorrelated and linked by phylogenetic relationships, making it challenging to assess the association between an individual feature and an outcome. This paper proposes a novel conditional association test, CAT, that can account for other features and phylogenetic relatedness when testing the association between a feature and an outcome. CAT adopts a permutation approach, measuring the importance of a feature in predicting the outcome by permuting operational taxonomic unit/amplicon sequence variant counts belonging to that feature from the data and quantifying …

Pol Θ-Mediated End-Joining Uses Microhomologies Containing Mismatches, Yuzhen Li, Ngoc K Dang, Wei He, Mark Returan, Denisse Carvajal-Maldonado, Adele T Guerin, Han Xu, Bin Liu, Richard D Wood

Faculty, Staff and Student Publications

DNA polymerase theta (Pol θ) initiates repair of DNA double-strand breaks by pairing single strands at short "microhomologies". It is important to understand microhomology selection, as some cancer cells rely on Pol θ for survival. Here, we investigate end-joining by purified human Pol θ, employing DNA sequencing of products generated from oligonucleotide libraries having diverse 3' ends. Pol θ overwhelmingly selects short internal microhomologies found within 15 nucleotides of the terminus of single-stranded DNAs, restricting deletion size during end-joining. Significantly, we find that the selected microhomologies are usually interrupted by mismatches and that base pairing within 6 nucleotides of the …

A Hedgehog-Foxf Axis Coordinates Dental Follicle-Derived Alveolar Bone Formation, Mizuki Nagata, Gaurav T Gadhvi, Taishi Komori, Yuki Arai, Chiaki Tsutsumi-Arai, Angel Ka Yan Chu, Seth N Nye, Yuntao Yang, Shion Orikasa, Akira Takahashi, Peter Carlsson, W Jim Zheng, Joshua D Welch, Noriaki Ono, Wanida Ono

Faculty, Staff and Student Publications

The alveolar bone is a specialized mineralized structure supporting the lifelong functionality of the tooth in mastication. The alveolar bone develops from the dental follicle (DF) during tooth root formation due to deliberate epithelial-mesenchymal interactions. However, how DF progenitor cell fates are regulated toward alveolar bone osteoblasts remains unknown. We find that Hedgehog signaling activities are transiently activated during the onset of tooth root formation and alveolar bone formation. Parathyroid hormone-related protein (PTHrP)-expressing DF cells are highly responsive to Hedgehog signaling, yet constitutive Hedgehog activation using Pthrp-creER and Ptch1-floxed alleles potently suppresses alveolar osteoblast and ligament differentiation of PTHrP+ DF …

The Theoretical Role Of The Wind In Aerosolising Microplastics And Nanoplastics From Coastal Combined Sewer Overflows, Lauren Biermann, David Moffat, Clive E Sabel, Thomas E Stovin

School of Geography, Earth and Environmental Sciences

Inhaled microplastics and nanoplastics (MNPs) have shown bio-persistence in the body, with concerning implications for human health. Airborne MNPs primarily originate from terrestrial sources, but sea air may contribute when onshore 'aerosolising' winds coincide with high concentrations of MNPs in surface waters. From the thousands of cities worldwide with Combined Sewer Overflows, millions to billions of MNPs can be discharged daily into rivers, estuaries, and the sea. To assess the possible links between water pollution and air quality, we analysed two years of Combined Sewer Overflows (spills) off Plymouth, UK, alongside same-day and long-term meteorological and satellite data. Winds exceeding …

Comparing Gutta Percha Backfill Leakage Over Multiple Heating Cycles, Hannah Battle, Thomas E. Lallier, Landon Boenke, Albert F. Mcmullen Iii

School of Dentistry Faculty Publications

Introduction: Warm vertical compaction of gutta-percha is a commonly used obturation technique due to the material’s thermoplastic properties. However, gutta-percha in backfill systems is often heated, cooled, and reheated multiple times before use, potentially altering its physical properties. This study investigated whether repeated heat cycling affects the sealing ability of gutta-percha, as measured by coronal dye leakage. Methods: Forty extracted single-rooted human teeth were cleaned, shaped, and randomly divided into four groups (n = 10) based on the number of heating cycles the gutta-percha underwent prior to obturation: Group A (1 cycle), Group B (3 cycles), Group C (5 cycles), …

A Sensory Investment Syndrome Hypothesis: Personality And Predictability Are Linked To Sensory Capacity In The Hermit Crab Pagurus Bernhardus, Ari Drummond, Summer Nash, Tianna Holloway, Alexander Wilson, Lucy Turner, Mark Briffa

School of Biological and Marine Sciences

Correlated phenotypic traits (i.e., syndromes) may manifest as associations between different behavioural types or between behavioural and non-behavioural phenotypes. While syndromes research is extensive, correlations involving behavioural type and sensory morphology have yet to be investigated. Sensation is essential in decision-making and should be correlated with behavioural phenotypes involved in risk response, including boldness. We investigated correlations between boldness and sensory capacity in Pagurus bernhardus hermit crabs, taking repeat measures of startle response durations to assess hermit crab personality and predictability. The correlation between startle response and the sensillar density (i.e., number of sensilla per unit surface area) of both …

A Scoping Review Of Personalised Uk Maternity Care: Where Are We Now?, Louisa Tompkins, Gary Hodge, Jill Shawe, Lisa Burrows, Annick Bogaerts, Susie Pearce

School of Nursing and Midwifery

Background/AimsPersonalised care has been recommended continuously to improve UK maternity services. The aim of this review was to explore the current provision of personalised care and consider why it may not yet be fully embedded in practice.MethodsThis review of Embase, Medline, the Healthcare Management Information Consortium, the British Nursing Index, CINAHL, Google Scholar and reference lists found 15 articles published between 2014 and 2024, which were included for thematic analysis and synthesis.ResultsThe themes included the complexities of personalised care, different perspectives when implementing personalised care and the effect of cultural factors embedded in maternity services.ConclusionsBarriers to implementing personalised care include …

Innovating For Improvement — Improving Pressure Damage Prevention And Treatment In The Community Using Continuous Pressure Monitoring, Bridie Kent, Nicci Aylward-Wotton, Peter R. Worsley

School of Nursing and Midwifery

Each year, approximately half a million people in the UK develop pressure ulcers (PUs), with most occurring in the community among individuals with underlying comorbidities, frailty, mobility issues and a dependence on carers. Pressure relief is essential for healing, however, some patients find pressure-relieving equipment uncomfortable, hot and noisy, thus refusing to use it and are, therefore, often labelled as non-concordant. This service improvement project evaluated the ForeSite PT® pressure monitor to identify PU risk, support healing and influence patient and carer decision making, assessing its useability, alongside patient and carer education. The technology consisted of a mattress- and chair-sized …

Serological Analysis Indicating The Exposure Of Two Volunteers To Relapsing Fever Borrelia Sp. In Nayarit, Mexico, Sofía L Luna-Rojas, Edwin Vázquez-Guerrero, Jose A Hernández-Martínez, Jeanet Serafín-López, Fernando Martínez-Hernández, José Alejandro Martinez-Ibarra, Rigoberto Hernández-Castro, Job E López, J Antonio Ibarra

Faculty, Staff and Students Publications

Relapsing fever caused by Borrelia sp. is a neglected disease in Mexico and more studies are needed to update its presence in multiple regions of the country. Here, recombinant proteins glycerophosphodiester phosphodiesterase (GlpQ) and three Borrelia immunogenic protein A (BipA) variants were used for serosurveillance in 142 human serum samples. Results showed that two persons were positive to Borrelia extracts and GlpQ but negative to all three BipA, suggesting they were infected by relapsing fever spirochetes of a yet to be determined species. This shows that testing for GlpQ and Borrelia extracts are a useful tool for potential infections and …

Pan-Cancer Copy Number Analysis Identifies Optimized Size Thresholds And Co-Occurrence Models For Individualized Risk Stratification, Minh P Nguyen, William C Chen, Kanish Mirchia, Abrar Choudhury, Naomi Zakimi, Vijay Nitturi, Tiemo J Klisch, Stephen T Magill, Calixto-Hope G Lucas, Akash J Patel, David R Raleigh

Faculty, Staff and Students Publications

Chromosome instability leading to aneuploidy and accumulation of copy number gains or losses is a hallmark of cancer. Copy number alteration (CNA) signatures are increasingly used for cancer risk stratification, but size thresholds for defining CNAs across cancers are variable and the biological and clinical implications of CNA size heterogeneity and co-occurrence are incompletely understood. Here we analyze CNA and clinical data from 691 meningiomas and 10,383 tumors from The Cancer Genome Atlas to develop cancer- and chromosome-specific size-dependent CNA and CNA co-occurrence models to predict tumor control and overall survival. Our results shed light on technical considerations for biomarker …

Differential Efficacy Of Bevacizumab And Erlotinib In Preclinical Models Of Renal Medullary Carcinoma And Fumarate Hydratase-Deficient Renal Cell Carcinoma, Niki M Zacharias, Manuel Ozambela, Menuka Karki, Rong He, Pankaj K Chauhan, Pedro I Pesquera, Andres E Hernandez Gonzalez, Oscar Ochoa, Alberto Pieretti, Huiqin Chen, Carolyn De La Cerda, Zhiyuan Yu, Abha Grover, Samantha Hicks-Peña, Natalie W Fowlkes, Lei Wang, Tapati Maity, Priya Rao, Giannicola Genovese, Nizar M Tannir, Jose A Karam, Pavlos Msaouel

Faculty, Staff and Student Publications

Renal medullary carcinoma (RMC) and fumarate hydratase (FH)-deficient renal cell carcinoma (RCC) are rare and highly aggressive cancers. Although the combination of vascular endothelial growth factor (VEGF) inhibition by bevacizumab and epidermal growth factor receptor (EGFR) inhibition by erlotinib is clinically used for both diseases, the differential effect of each component has not been investigated. Transcriptomic profiling revealed that RMC and FH-deficient tumor tissues demonstrate increased EGFR but not VEGF expression compared with adjacent normal kidney. Subsequent in vitro studies revealed that RMC and FH-deficient cell lines are sensitive to erlotinib treatment, whereas clear cell RCC cell lines are resistant. …

Assessment Of Functioning Using The Whodas 20 Among People With Myasthenia Gravis-Associated Disability: A Nationwide Follow-Up Study, Jia-Pei Hong, Chih-Hong Lee, Chien Tai Hong, Lung Chan, Chen-Chih Chung, Prangthip Charoenpong, Hou-Chang Chiu, Tsan-Hon Liou

Faculty, Staff and Students Publications

Background: Advancements in treatment have increased the life expectancy of patients with Myasthenia Gravis (MG), yet the understanding of functional changes in these individuals remains limited. In our study, we explored the functional abilities of individuals with MG using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).

Methods: This observational study analyzed data from 286 patients with MG, acquired from the Data Bank of Persons with Disabilities (TDPD) in Taiwan between July 11, 2012, and December 31, 2021. Participants were diagnosed with MG after the acute phase. The functional disability outcome was assessed using the WHODAS 2.0. Due …

The Minnesota Conference Proposed Guidelines For Education And Training In Clinical Neuropsychology, Anthony Y Stringer, Kathleen Fuchs, Veronica Bordes Edgar, Thomas Bristow, Stephen Correia, Suzanne Penna, Anny Reyes, Douglas M Whiteside, Cady Block, Douglas Bodin, Sakina Butt, Matthew Calamia, Nyaz Didehbani, Peter Dodzik, Vonetta M Dotson, Mary Fernandes, Krista Freece, Richard Fuller, Glen Getz, Lana Harder, Farzin Irani, Laura Janzen, Brick Johnstone, Erin Kaseda, Megan Kramer, Cynthia Kubu, Jose Lafosse, Jennifer Lee-Darocha, Beatriz Macdonald, Adriana Macias Strutt, Michelle Madore, Will Mcbride, Luis Daniel Medina, Grace Mucci, Kritika Nayar, June Paltzer, Courtney Ray, Rebecca Ready, Taylor Rose Schmitt, Beth Rush, Shifali Singh, Scott Sperling, Lisa Stanford, William Stiers, Nikki Stricker, Allen Thornton, Ryan Van Patten, Susan Vandermorris, Kris Verroulx, Jaime Wilson, Ingram Wright, Andrea Zartman, Robert Bilder, Daryl Fujii, Amy Heffelfinger, Thomas Parsons, Antonio E Puente, Celiane Rey-Casserly, Brad Roper, Maureen Schmitter-Edgecombe

Faculty, Staff and Students Publications

Objective: The Houston Conference Guidelines (Hannay et al., 1998) provided an initial framework for North American neuropsychology training that served the specialty well for several decades. Subsequent advances in technology, increased diversity of the U.S. and Canadian populations, and the adoption of competency-based training models within Health Service Psychology have created a need to update neuropsychology training guidelines. Therefore, in 2022, the Minnesota Conference to Update Education and Training Guidelines in Clinical Neuropsychology began a two-year drafting process leading to the currently proposed update.

Method: A Steering Committee worked with content experts, consultants, and delegates representing North American neuropsychological organizations …

Protective Role Of Dietary Short-Chain Fatty Acid Propionate Against Autoimmune Responses And Pathology Of Systemic Lupus Erythematosus In Mrl-Lpr Mice, Hui Wang, Yuejin Liang, Paul J Boor, Kamil Khanipov, Yuanyi Zhang, Xiaoying Yu, Chandra Shekar R Ambati, Nagireddy Putluri, M Firoze Khan

Faculty, Staff and Students Publications

Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that affects multiple organs, including the skin and kidneys. The etiology of SLE remains unclear but involves hormonal, environmental, and genetic factors. Environmental factors, such as diet and microbiota-derived metabolites, among which short-chain fatty acids (SCFAs) are major players, can influence autoimmune disease pathogenesis.

Objectives: This study investigates the involvement of SCFAs in the pathogenesis of SLE and further investigates the effect of propionate (PA) supplementation on SLE disease outcome in MRL-lpr mice.

Methods: Cecal SCFAs from mouse models with varying degrees of SLE disease activities (C57BL/6, MRL+/+, and MRL-lpr) …

Oxytocin Reduces Asymmetries In Dominance Relationships Between Pairs Of Captive Female Lions, Jessica C Burkhart, Abby Guthmann, Evianne M Dubois, Sarah R Heilbronner, Craig Packer

Faculty, Staff and Students Publications

Free-ranging female African lions maintain symmetrical social relationships by respecting each other's "ownership" of valuable food items rather than by supplanting subordinates according to well-defined dominance hierarchies. However, captivity often skews relationships in captive carnivores, hence we investigated whether captive female lions demonstrate obvious dominance relationships. Oxytocin has been shown to elicit context-specific impacts that equalize dominant subordinate relationships, thus we hypothesized that oxytocin would reduce any asymmetries found between dominants and subordinates in captive lions. We designed two experimental protocols for investigating pairwise relationships. We first identified dominant individuals by performing neutral trials that allowed each female equal opportunity …

Environmental Exposures Increase Health Risks In Childhood Cancer Survivors, Omar Shakeel, Nicole M Wood, Hannah M Thompson, Michael E Scheurer, Mark D Miller

Faculty, Staff and Students Publications

Childhood cancer survivors (CCSs) are at increased risk for chronic health issues due to late effects of cancer and its treatment. We address the impact of environmental exposures, such as air pollution, tobacco smoke, extreme weather events, and pesticides, on the health and survival of CCSs. These environmental hazards have been associated with worsening health outcomes and decreased survival among CCSs on a global scale. We also highlight that providers at a major pediatric cancer center in the United States have limited knowledge and practical skills about environmental risk factors and how to reduce exposures. Our survey results show that …

Immature Acta2r179c/+ Smooth Muscle Cells Cause Moyamoya-Like Cerebrovascular Lesions In Mice Prevented By Boosting Oxphos, Anita Kaw, Suravi Majumder, Jose E Esparza Pinelo, Ting Wu, Zbigniew Starosolski, Zhen Zhou, Albert J Pedroza, Xueyan Duan, Kaveeta Kaw, Angie D Gonzalez, Ripon Sarkar, Michael P Fischbein, Philip L Lorenzi, Lin Tan, Sara A Martinez, Iqbal Mahmud, Laxman Devkota, L Maximilian Buja, Heinrich Taegtmeyer, Ketan B Ghaghada, Sean P Marrelli, Callie S Kwartler, Dianna M Milewicz

Faculty, Staff and Student Publications

ACTA2 pathogenic variants altering arginine 179 cause childhood-onset strokes due to moyamoya disease (MMD)-like occlusions of the distal internal carotid arteries, but the mechanisms of pathogenesis are unknown and no preventive treatments exist. Here we show that Acta2R179C/+ smooth muscle cells (SMCs) fail to fully differentiate and maintain stem cell-like features, including increased migration and glycolytic flux compared to wildtype (WT) SMCs. Increasing mitochondrial respiration with nicotinamide riboside (NR) drives differentiation and decreases migration of Acta2R179C/+ SMCs. Carotid artery injury of Acta2SMC-R179C/+ mice leads to premature death, intraluminal SMC accumulation leading to MMD-like occlusive lesions, neurologic symptoms, …

Discharge System Field Sampling Plan, 2025 Update Silver Bow Creek/Butte Area Npl Site Butte Mine Flooding Operable Unit | Butte, Montana, Mark Thompson, Dave Griffis

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Effects Of Meeting Exercise Guidelines On Depression And Anxiety In Multiple Sclerosis – A Systematic Review And Meta-Analysis, Sodiq Fakorede, Joseph Peters, Tanner Murphy, Ethan Truong, Libak Abou

Student Publications

Background: Depression and anxiety are common in multiple sclerosis (MS), significantly affecting quality of life. Previous studies on exercise interventions for mental health in persons with MS (PwMS) have shown mixed results, partly due to inconsistent adherence to the Physical Activity Guidelines for Multiple Sclerosis (PAG-MS).

Objective: This study aimed to evaluate the effects of PAG-MS-compliant exercise on depression and anxiety outcomes in PwMS.

Methods: A systematic search was performed in EMBASE, PsycINFO, Web of Science, SPORTDiscuss, PubMed, Scopus, and CINAHL through October 2024 to identify randomized controlled trials (RCTs). Eligible studies involved adults with MS and focused on exercise …