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The Impact Of Exercise Intervention On Pulmonary And Physical Function In Patients With Cystic Fibrosis: A Comprehensive Systematic Review, Abdullilah Alghamdi, Muroj Al-Attas, Abrar Radhi, Amnah Alfaqih, Bashair Aljabri, Rawan Alharbi, Sumayyah Alsubaie, Raneem Aljawaied, Sarah Alenazi, Ahlam Mazi, Ebtehal Qulisy

Saudi Medical Journal

Objective: To evaluate the effect of various exercise interventions on lung function, specifically forced expiratory volume in 1 second (FEV₁), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP), as well as on cardiorespiratory fitness (peak oxygen uptake [VO₂peak]), and muscle strength (handgrip strength). The review also considers factors such as patient adherence, follow-up duration, and statistical significance to inform clinical practice.

Methods: This systematic review followed preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines and was prospectively registered in international prospective register of systematic reviews. PubMed, Google Scholar, OVID, and Web of Science …

Diagnostic Timeliness And Pre-Implant Nonverbal Development In Thai Children With Severe-To-Profound Sensorineural Hearing Loss: A 2017–2024 Retrospective Review, Wanpen Ritthita, Sureelak Sutchritpongsa, Pat Rojmahamongol, Prakasit Wannapaschaiyong

Journal of Child Science

Background: Congenital severe-to-profound sensorineural hearing loss (SNHL) may compromise early development, and timely cochlear implantation (CI) is essential; however, data from low- and middle-income countries, where universal newborn hearing screening is limited and referral is delayed, remain scarce. This study describes diagnostic timeliness and CI referral in Thai children with congenital severe-to-profound SNHL, and reports age-stratified pre-implant nonverbal developmental profiles as secondary contextual descriptive data. Methods: A retrospective chart review was conducted at Siriraj Hospital, Bangkok, Thailand. Children with congenital severe-to-profound SNHL who underwent pre-CI developmental or non-verbal cognitive assessments between January 2017 and December 2024 were enrolled. Data on …

Central Congenital Hypothyroidism In A Preterm Infant Born To A Mother With Graves’ Disease: A Case Report, Aliyyah M. Khuzaini, Hani A. Zulkeflee, Nur A. Zulkefli, Ain Najmy A. Zairy, Siti Farah A. Roslan

Journal of Child Science

Background: Central congenital hypothyroidism (CCH) is an uncommon but potentially underdiagnosed condition, particularly in infants born to mothers with autoimmune thyroid disease. Case Presentation: We report a case of central congenital hypothyroidism in a preterm baby born to a mother with hyperthyroidism, diagnosed three years prior to conception. She developed thyrotoxicosis at 30 weeks of pregnancy requiring Lugol’s iodine, carbimazole and propranolol. She subsequently developed pre-eclampsia and went into preterm Labour at 31 weeks of gestation. Her Thyroid Stimulating Hormone (TSH) receptor antibody levels were high, while anti-peroxidase and anti-thyroglobulin antibodies were negative. The cord TSH level at birth was …

Enhancing Visual-Spatial And Social Communication Skills In Children With Autism Through The Autistic Ready To Play Program, Adidsuda Fuengfoo, Nipontorn Saengthongsri, Pentrakarn Saengthongsri, Netsai Thongchamrat, Nutchanat Promiam, Montika Rattanaruengsin, Lutlawan Lamomsai, Pongpun Jinpla

Journal of Child Science

Background: Autism Spectrum Disorder (ASD) is characterized by deficits in social communication and repetitive behavioral patterns. Leveraging the strong visual learning abilities of children with ASD, the Autistic Ready to Play (ARP) program was developed to improve visual-spatial skills, spatial reasoning, and social communication through structured, play-based activities. Objective: This study aims to identify the impacts of the ARP program on language, social communication, sensory perception, physical health, and behavioral dimensions in autistic children. Methods: This study included 99 children with ASD, aged 4–10 years, who were randomly assigned to three groups. Group 1 received standard developmental care, while Groups …

Pharmacovigilance For Health Management: A National Profile Of Methylphenidate Adverse Events In Thailand Using National Databases, Suwapat Sukthas, Pornpan Soontorntham, Surasak Saokaew

Journal of Health Research

Background: Methylphenidate, a Schedule II psychostimulant, is indicated for ADHD in children ≥6 years when other measures fail, with unclear adult indications beyond narcolepsy. Global use increases necessitate robust pharmacovigilance, especially in low/middle-income countries like Thailand where safety data is sparse. This study characterized methylphenidate-associated adverse events (AEs) in Thailand, analyzing product types and patient factors.

Methods: Spontaneous Thai Vigibase™ reports (2005-2024) were analyzed alongside national distribution data. AEs were MedDRA-coded and stratified by age, sex, indication, formulation (original/generic; immediate/extended-release), allergy history, and comorbidities. Reporting Odds Ratios (RORs) identified safety signals. Serious AEs followed WHO criteria.

Results: Among 424 patients …

Disability Rates Among South Asian Immigrants In The U.S. Vary By Country Of Origin, Sobia Mushtaq, Marc A. Garcia

Population Health Research Brief Series

South Asian immigrants are often grouped together in U.S. health data, masking significant differences in health outcomes across subgroups. This brief uses data from the American Community Survey (ACS) 5-Year Public Use Microdata Sample (N = 6,643,738; 2020–2024) to describe disability rates among foreign-born adults from India, Pakistan, and Bangladesh residing in the U.S. The authors find that while South Asian immigrants as a group have lower disability rates than U.S.-born adults, this average is driven largely by Indian immigrants, who make up about 79% of South Asians in the U.S. Among adults aged 65 and older, Bangladeshi immigrants have …

Distance And Trade Elasticity: The Red Sea Crisis As A Natural Experiment, Felix C. Feldman

Economics Undergraduate Senior Theses

This paper exploits the 2023 Houthi attacks on shipping through the Bab el-Mandeb Strait at the entrance to the Red Sea and the subsequent mass rerouting around the Cape of Good Hope to estimate modern-day elasticities with respect to effective trade cost. This event is unique among chokepoint disruptions as it did not lead to a complete blockage. Instead, many ships voluntarily rerouted away the area, but not all. This paper uses a structural approach to infer unobservable costs incurred by inframarginal Red Sea shippers. This paper combines a reduced-form gravity specification with a discrete route-choice model where ships select …

U.S. Black Men’S Perceptions Of The Similarities And Interplay Among Mind-Body Practices, Spirituality, And Religion: A Qualitative Study, Khanh Pham

Theses and Dissertations

This qualitative study explored U.S. Black men’s perceptions of relations among mind-body practices (MBPs), spirituality, and religion to understand how these factors might influence Black men’s health. Reflexive thematic analysis was used to analyze data from individual semi-structured interviews with 18 Black male MBP instructors. Five themes were generated. The themes were (1) spirit(uality) is the foundation for Black men’s experience of life seen and unseen, (2) MBPs and religion are rooted in spirituality, (3) MBPs, religion, and Black culture share common characteristics, (4) MBPs and religion facilitate holistic wellbeing, and (5) confusion and negative perceptions about MBPs, spirituality, and …

Testing The Moderating Effect Of Self-Compassion On The Relationship Between Perfectionism-Related Discrepancy And Perceived Social Support From Family, Marinne Hammond

Theses and Dissertations

Perfectionism involves an insistence on outstanding performance on tasks to an extreme level. More specifically, perfectionism-related discrepancy is when one subjectively sees a gap between their performance and their expectations for how they should perform. Perfectionism may be linked to mental health issues, such as anxiety, depression, eating disorders, and social disconnection. The perfectionism social disconnection model asserts that perfectionism can also lead to social withdrawal. Self-compassion involves the acceptance of imperfection; it has been associated with higher perceived social support and has also been shown to attenuate the relationship between perfectionism and psychological distress. This study aimed to further …

A Qualitative Study Of People With Aphasia And Their Experiences With The Bible, Marin Li

Theses and Dissertations

This phenomenological study explores the lived experiences of 4 individuals with aphasia (1 female, 3 male; 3 Catholic, 1 Lutheran) regarding their relationship with and engagement with the Bible. Participants completed three remote sessions via Zoom. In Session 1, participants completed the Test of Nonverbal Intelligence, Fourth Edition, (TONI-4), and the remote Quick Aphasia Battery (QAB). In Session 2, participants engaged in a semi-structured interview led by the researcher. In Session 3, the researchers presented preliminary analysis to receive feedback from participants. Student researchers coded interview transcriptions to develop a structured codebook. Five primary themes describe the participants' experiences with …

Positive Partner Support And Veteran Well-Being: How Capitalization Support Strengthens Military Veterans And Partnerships, Maryann Dona Samson

Dissertations and Theses

Among military veterans, the transition to civilian life is often marked by elevated distress and burnout, low job satisfaction, and a lack of perceived psychological safety. Social support, especially from intimate partners, can serve as a critical protective factor. While most support literature focuses on stress-buffering in adverse contexts, positive social support, such as responsiveness to shared positive experiences (i.e., capitalization support), is a powerful though understudied process. This dissertation investigates the role of partner capitalization support, which is the responsiveness shown by a romantic partner when one shares good news, as a source of stress reduction, resilience, and relational …

Why Am I Here? Individual, Organizational, & Societal Influences Of Employee Motives To Attend Voluntary Diversity Training And Their Effects On Training Outcomes, Henri T. Maindidze

Dissertations and Theses

Diversity training is a key part of diversity management efforts, but its effectiveness has repeatedly been called into question in both academic and applied spaces, leading many to question its utility. In the case of voluntary diversity training (VDT), where employees can opt in or out of participation, those motivated to attend might not be the ones who would most benefit from participating, thereby limiting the effectiveness of VDT for the organization. As a result, understanding the predictors and outcomes of employee motives to attend VDT can guide improved implementation and evaluation of VDT. Informed by self-determination theory and training …

Methylglyoxal And Glyoxal In High-Puff Disposable Electronic Cigarette Liquids: Unexpected Accumulation And Enhanced Cytotoxicity, Esther E. Omaiye, Wentai Luo, Kevin J. Mcwhirter, Man Wong, Prue Talbot

Civil and Environmental Engineering Faculty Publications and Presentations

Despite concerns regarding the potential health risks associated with EC use, their design, puff count, and e-liquid formulations have continued to evolve. Aldehydes are a key class of thermal degradation byproducts generated during the vaporization of EC fluids. This study tested the hypothesis that aldehyde concentrations would be elevated in used ECs with high puff numbers. Devices from multiple brands were analyzed to assess the impact of extended use on aldehyde formation. E-fluids were extracted from field-collected and user-donated devices and analyzed using gas chromatography/mass spectrometry to quantify 178 flavor chemicals, two synthetic coolants, nicotine, solvents, and aldehydes (methylglyoxal (MGO), …

Practical Engineering Design: Hands-On Learning In An Undergraduate Embedded Systems Design Course, Nadieh Moghadam

School of Engineering: Faculty Scholarship

Hands-on engineering design can help bridge the gap between theoretical coursework and real-world engineering practice, particularly during the middle years of undergraduate programs. This paper presents the implementation and outcomes of an open-ended final project in ELEC 310: Embedded Systems Design at the University of San Diego. Student teams designed and prototyped smart environmental monitoring systems using STM32 microcontrollers, selecting sensors and defining system objectives under realistic constraints. Project outcomes were evaluated using prototype demonstrations, team technical reports, and post-project student reflections analyzed through inductive thematic analysis. Reflections and project artifacts suggest that debugging and hardware–software integration functioned as key …

Flourishing, Social Participation And Reintegration Difficulties: A 2-Year Cohort Study Of Us Military Veterans With Invisible Injuries, Nicholas A. Rattray, Mindy Flanagan, Richard M. Frankel, Marina Kukla

Health Services and Informatics Research

Introduction:

Longitudinal research examining community reintegration among military veterans with invisible injuries remains limited, despite widespread recognition that post-separation adjustment encompasses multiple interconnected domains including mental health, physical health, social functioning, and overall well-being. This study investigated associations between changes in reintegration outcomes and changes in health-related quality of life, social support, and flourishing over a two-year period among U.S. military veterans with invisible injuries who separated from service within the previous five years.

Methods:

Seventy-five veterans diagnosed with invisible injuries (post-traumatic stress disorder, anxiety, depression, traumatic brain injury, or adjustment disorder) completed assessments at baseline, 6, 12, 18, and …

The Relationship Between Perceived Leadership Grit, Employee Engagement, And Burnout In Small- And Medium-Sized Enterprises, Christopher Baumgardner

Walden Dissertations and Doctoral Studies

No abstract provided.

Ora (Oneball Robotic Arm), Isabella Murillo, Juan Pablo Fernandez Garza, Gabriel Kotab, Catherine Epstein

Electrical and Computer Engineering Senior Theses

Confined spaces are dangerous and awkward to navigate environments, often putting those who work in them at risk. To reduce effort and human exposure to these hazards, robotic systems can be used to navigate and inspect these areas to limit, or even eliminate the need for human presence in confined spaces. This project proposes an autonomous robot that can navigate confined spaces while sending data back to the user. The robot features a spherical body that is capable of a zero rotational axis, with an external, magnetically attached head. This head contains scanners or tools that the user can remotely …

Gnsi Decision Brief: Ours To Keep? Diego Garcia, Mauritius, The Uk, The Us And Security In The Indian Ocean, Guido Rossi

GNSI Decision Briefs

Defining Diego Garcia

Since the Pentagon does not disclose information about every US military installation, it is difficult to quantify exactly how many bases the United States has abroad. Among the currently estimated 750 “base sites” in over 80 countries, the Naval Support Facility Diego Garcia occupies a strategic location. This installation stands on the largest island of the Chagos archipelago, after which it is named. Located in the middle of the Indian Ocean, Diego Garcia is not just the only US base in the region but is positioned to support US operations in the Indo-Pacific theater, the Middle East, …

In Vivo Orf Overexpression Screening Identifies Ccn4 As A Regulator Of Glioblastoma Growth Validated Across Multiple Models, Pushan Dasgupta

Faculty, Staff and Students Publications

Despite current multimodal therapies for glioblastoma (GBM), its prognosis remains grim. Thus, a tremendous need exists to identify new genetic drivers that may serve as potential therapeutic targets in glioblastoma (GBM). We describe an in vivo overexpression screening strategy to identify drivers of glioblastoma where we have leveraged TCGA datasets to conduct a functional genomics screen of prioritized open reading frames (ORFs) that are overexpressed and/or amplified in GBM. To interrogate these potential drivers within a more relevant physiological context, the screening was accomplished in vivo in an orthotopic patient-derived glioma stem-like cell (GSC) model. Among 5 positive "hits" from …

Researchers Study 'Double-Edged' Nature Of Workplace Resilience, Clara Turnage

University of Mississippi News

OXFORD, Miss. – From underdog stories to comeback victories, everyone loves a tale of perseverance. But a new study suggests that highlighting workplace resilience can sometimes leave observers feeling anxious instead of inspired.

The Influence Of Gustav Holst's The Planets On The Music Of John Williams, Kara Lewis

Senior Honors Theses

Throughout his six-decade career in film music, John Williams has achieved incredible success. Yet, one of the most prominent criticisms of Williams’ work is that it borrows heavily from classical repertoire. It is common to read that Williams stole from composers such as Gustav Holst. This paper examines in what aspects and to what extent the music of Williams takes inspiration specifically from Holst’s The Planets. Overall style and specific excerpts will be compared to demonstrate that, while the two share some characteristics, there is not an overall sameness of style. It shall also be demonstrated that certain excerpts …

Text Messaging Support For Patients Diagnosed With Impaired Glucose Tolerance During Pregnancy: Nonrandomized Pre-Post Implementation Study Assessing Impact On Postpartum Transitions Of Care, Natasha R. Kumar, Whitney Bender, Celeste Durnwald

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Patients with impaired glucose tolerance (IGT) identified during pregnancy who do not develop gestational diabetes mellitus (GDM) often do not receive additional interventions for their long-term metabolic risks.

OBJECTIVE: This nonrandomized pre-post implementation study reports the design process and initial program evaluation for Better Follow-up of Impaired Glucose Tolerance (BRIDGE), a 12-week text-based postpartum support program promoting hemoglobin A1c (HbA1c) completion and primary care provider (PCP) visit scheduling for patients diagnosed with IGT during pregnancy, assessing improvement in desired postpartum transition milestones. The 19-month program was divided into 2 arms lasting 9.5 months each, BRIDGE- (SMS text messaging support …

Stages Of Belonging: The Yiddish Art Theatre’S Search For Its Home In New York City, 1918-1934, Octavia Chudnow

Lawrence University Honors Projects

In the first decades of the twentieth century, the main form of entertainment for the Jewish immigrant community was shund (trash) theater: popular and commercial theater. Although many immigrants enjoyed this kind of entertainment, playwrights, artists, and intellectuals critiqued its place in immigrants’ lives, especially since shund revealed the process of assimilation and was considered low-brow art. In 1918, Maurice Schwartz opened the Yiddish Art Theatre to create high-brow art for Jewish audiences. In my essay, I focus on the company’s history between 1918 and 1934, on the theater’s move from downtown to Midtown and back to the Lower East …

The 2026 Sc Administrator Working Conditions Survey, Angela Starrett, Brian Cartiff, Svetlana Dmitrieva

Reports

The SC Administrator Working Conditions Survey (SCAWCS) was developed to systematically examine the work environments of school leaders. Grounded in the job demands-resources (JD-R) model, the survey conceptualizes administrator working conditions as a balance between the demands of the role and the resources available to support it. The JD-R framework emphasizes that high job demands, such as workload and accountability pressures, can contribute to stress and burnout when not sufficiently offset by job resources. In contrast, robust resources can buffer these demands and promote engagement, resilience, and long-term commitment to the profession. Designed by SC TEACHER, the SCAWCS measures 13 …

Evaluation Of Corneal Infections Using A Smartphone Macro Lens For Synchronous Telemedicine, Joseph A. Anaya, Julia Yu, Marisa A. Schoen, Dilru C. Amarasekera, Cherie A. Fathy, Sophia Lam, Christopher J. Rapuano, Zeba A. Syed

Wills Eye Hospital Papers

PURPOSE: To determine the efficacy of synchronous telemedicine consultation with a corneal specialist using a macro lens attachment to a smartphone to evaluate corneal infections.

METHODS: Patients aged 18 years or older who presented to the Cornea Clinic at Wills Eye Hospital between June 2020 and March 2021 with a corneal infection were examined by two fellowship-trained cornea specialists. One examiner (CJR) performed face-to-face (FTF) slit-lamp evaluations, whereas another examiner (ZAS) performed synchronous telemedicine visit (STV) evaluations via a smartphone with a macro lens of 7× magnification (Olloclip; Foothill Ranch, CA, USA) held by trained study coordinators. Agreement between examinations …

Bridging The Romantic Repertoire Gap: Transcribing Nineteenth- Century Opera Arie For Oboe And String Quintet, Joshua Tyler Matthews

Electronic Theses and Dissertations Archive

This dissertation presents transcriptions of three nineteenth-century opera arie for oboe and string quintet as a means of engaging and adding to the instrument’s relatively limited Romantic-era repertoire. While the eighteenth and twentieth centuries produced substantial bodies of work for the oboe, the nineteenth-century reflects a noticeable reduction in solo and chamber compositions, influenced by factors including slower mechanical development, and aesthetic-related acoustic constraints. The study includes transcriptions of Léo Delibes’s “Air des clochettes” from Lakmé, Jacques Offenbach’s “Les oiseaux dans la charmille” from Les contes d’Hoffmann, and Vincenzo Bellini’s “Casta Diva” from Norma, selected to represent vocal styles from …

Vamorolone Safety, Pharmacokinetics, And Exploratory Efficacy In Duchenne Muscular Dystrophy: A Phase Ii, Nonrandomized, Multiple-Dose Study In 2–<4-Year-Old Boys, Jean K. Mah, Hernan D. Gonorazky, Elisa Nigro, Hanns Lochmüller, Alberto Alemán, Amanda Yaworski, Maryam Oskoui, Anne Marie Sbrocchi, Kathryn A. Selby, Ana De Vera, Rashmi Mathur, Ekaterina Gresko, Aki Linden, Catherine Dutreix, Eric P. Hoffman

Pharmacy Faculty Scholarship

Background and Objectives: Vamorolone is a dissociative corticosteroid (CS) approved by the US Food and Drug Administration in 2023 for treating Duchenne muscular dystrophy (DMD). This study evaluated the safety, tolerability, and pharmacokinetics (PK) of vamorolone in young boys with DMD; exploratory objectives included efficacy and patient-reported outcomes. Methods: A 12-week, phase II, open-label, multiple-dose study (VBP15-006) enrolled CS-naive boys with DMD aged 2–< 4 years in Canada. Participants received 2 or 6 mg/kg/d oral vamorolone. An ongoing expanded access protocol (EAP) provided longer-term data. Primary end points were the occurrence of treatment-emergent adverse events (TEAEs) and changes from baseline to week 12 in height, weight, and body mass index (BMI); other end points included PK and effects of vamorolone on muscle function. Results: Twenty boys (mean age [SD] 3.4 [0.39] years) with similar baseline characteristics were enrolled; all completed VBP15-006 and 19 continued to receive vamorolone through EAP Canada. TEAEs were mostly mild, with no deaths, serious TEAEs, or TEAEs leading to drug discontinuation during VBP15-006. TEAEs were more frequent with 6 mg/kg/d vamorolone than with 2 mg/kg/d, with gastrointestinal disorders and infections/infestations, respectively, most reported. Vamorolone use was associated with morning serum cortisol reductions in all patients, more pronounced with 6 mg/kg/d. Stable growth trajectories were observed at both doses throughout VBP15-006 and the EAP Canada follow-up period, with a total median (Q1; Q3) exposure to vamorolone of 2 years (1.7; 2.3). By EAP Canada last visit, 8/19 patients had weight and BMI z-scores changes >0.5, suggestive of excessive weight gain over time. Vamorolone displayed a dose-dependent PK profile with rapid absorption and no accumulation. Dose-dependent improvements in motor function (measured by Bayley-III gross motor scaled score) were observed. Glucose metabolism …

Transformative Practices: The Multiple Impacts Of The Mat Program At Al-Quds Bard College, Daniel Terris, Derek Furr

GHEA21 Open Educational Resources

This paper summarizes research on the impact of the Master of Arts in Teaching (MAT) program at Al-Quds Bard College, which since 2009 has trained more than 600 Palestinian K-12 teachers working across the West Bank and reaching over 120,000 students, many in disadvantaged communities. Supported in part by the Education Above All foundation, the program combines educational theory, discipline-based knowledge, classroom research, and reflective practice, requiring in-service teachers to experiment with new teaching approaches in their own classrooms. Multiple studies reviewed in the paper show that MAT graduates adopt more student-centered pedagogies—such as backward design, inquiry-based learning, and collaborative …

English Language Learners’ Perceptions Of Challenges To Persisting To Graduation In Higher Education, Rania Alhajjar

Walden Dissertations and Doctoral Studies

No abstract provided.

The Role Of Project Managers And Pmp Principles In Improving Operational Efficiency In Healthcare Organizations, Karan Thakkar

Harrisburg University Dissertations and Theses

Healthcare organizations operate in increasingly complex, regulated, and resource-constrained environments while managing a growing volume of projects tied to digital transformation, process improvement, regulatory compliance, and infrastructure development. Despite the project-intensive nature of healthcare operations, many organizations do not formally employ trained project managers or consistently apply Project Management Professional (PMP) principles; project responsibilities are frequently absorbed by clinical or administrative leaders whose primary expertise lies outside formal project management. This qualitative study examined how the project manager role and PMP principles contribute to operational efficiency in healthcare organizations. The study was conducted as a qualitative document analysis and thematic …