Digital Commons Network^™

The Effect Of Motivational Interviewing On Glycemic Control Among Saudi Persons With Type 2 Diabetes: A Feasibility Study, Fatima Y. Al-Slail, Ibtihal M. Bin Jumah, Kawther O. Abdelfadil, Sahar M. Fadl, Amaal O. Almutairy, Abdullah F. Alanazi, Omer O. Kheir

Saudi Medical Journal

Objectives: To assess the feasibility of integrating a motivational interviewing approach with a comprehensive diabetes care program in Saudi primary care clinics. Approximately 23.1% of the adult Saudi population is diabetic, yet only 22.5% of these diabetic individuals maintain adequate glycemic control as defined by Hemoglobin A1c (HbA1c) levels <7%.

Methods: This quasi-experimental study employed pre- and post-evaluation methods to compare HbA1c levels among persons with uncontrolled diabetes before and after implementing a motivational interviewing (MI) and comprehensive care program. Adults with type 2 DM were included. The MI approach was used to educate and motivate the patients. Starting from November …

Healthcare Practitioners’ Satisfaction With Ministry Of Health Electronic Programs In Primary Healthcare Centers In Abha: A Comprehensive Analysis, Bander A. Alasmari, Majed M. Alsaleh, Abdullah Saeed, Mohammed Y. Aseri, Meteb A. Albraik, Nawal M. Assiri, Khaled A. Alasiri, Maryam A. Alrashadi, Mohammed Y. Alqasem, Faisal A. Faya, Mozoun D. Alahmari

Saudi Medical Journal

Objective: This study assessed the satisfaction of health care providers with MOH electronic programs in Abha primary care centers and identified key drivers of user satisfaction.

Methods: Cross sectional survey of 152 physicians 48.7, nurses 27.0, allied health staff 21.1 and lab technicians 3.3 from May to July 2025. Participants had to be using MOH electronic systems daily. Descriptive stats and Spearman correlations examine links between satisfaction and system features.

Results: Among 152 respondents 98.7 used at least one MOH program daily.Raqim was most used 89.5. Overall, 11.2 were very satisfied, 44.1 satisfied, 28.3 neutral, and 16.4 dissatisfied. Significant drivers …

Bridging The Evidence Gap: A Retrospective Lens On Survival And Treatment Patterns In Older Patients With Colorectal Cancer, Emad M. Tashkandi

Saudi Medical Journal

Objectives: To advise evidence-based strategies and healthcare policies to optimize the management of older adults with colorectal cancer (CRC) in the region. Older adults are disproportionately affected by CRC but are underrepresented in clinical trials. Hence, real-world data are crucial in guiding treatment in this population.

Methods: We conducted a retrospective cohort study involving patients aged ≥65 years diagnosed with CRC between 2015 and 2021 at King Abdullah Medical City, Makkah, Saudi Arabia. Clinical data, treatment patterns, and survival outcomes were analyzed.

Results: Among 256 patients (mean age 74.7; 61.7% male), 75% had an Eastern Cooperative Oncology Group performance status …

Anatomical Distribution And Extent Of Carotid Plaque In Early Inflammatory Polyarthritis, Fahad F. Almutairi

Saudi Medical Journal

Objective: To compare the extent and anatomical distribution of carotid atherosclerotic plaques in the carotid artery segments between patients with early Inflammatory Polyarthritis (IP) and age- and sex-matched controls, and to assess associated cardiovascular and disease-specific risk factors.

Methods: This retrospective study was conducted at King Abdulaziz University Hospital (June 2022 to April 2023), 349 patients (70% female; age 50.74 years; 41.81-58.34) and 115 matched controls (66% female; age 52.28 years; 42.29-58.42) underwent carotid ultrasound examination. Associations between plaques and cardiovascular were assessed.

Results: Plaques were significantly more common among patients than controls (46.1% vs. 27.8%, p = 0.0006), particularly …

Biomarkers Of Multiorgan Failure In Covid-19: A Predictive Framework For Disease Severity And Clinical Outcomes, Wesam A. Nasif, Mohammed H. Mukhtar, Mohammad Althubiti, Abeer Shaker El Moursy Ali

Saudi Medical Journal

Objective: To investigate the predictive value of inflammatory, liver, renal, and cardiac biomarkers in relation to the progression of multiorgan failure (MOF) in COVID-19 patients. A primary goal was to identify which of these markers served as the most discriminative predictors of disease severity.

Methods: A retrospective cohort study was carried out between December 2020 and February 2023 to collect data from 1,803 COVID-19 patients from data records in different hospitals in Makkah, Saudi Arabia. The ROC curve analysis evaluated the diagnostic and predictive performance of selected biomarkers.

Results: Inflammatory markers such as CRP and D-dimer were evaluated, but ferritin …

Role Of Artificial Intelligence In Infectious Diseases And Antimicrobial Resistance: A Comprehensive Review On Diagnostic, Treatment, And Prevention Aspects, Naveed Ahmed, Mansoor Alghamdi

Saudi Medical Journal

Artificial intelligence (AI) plays a significant role in managing infectious diseases by enhancing diagnosis, treatment, and preventive measures. AI-assisted tools have predictive analysis ability for incoming outbreaks, including the emergence of antimicrobial resistance (AMR). AI-assisted tools facilitate the treatment methods by tailoring personalized medicine according to the specific disease history of the patient, immune response, and genetics. Advanced vaccine development by various AI-assisted in silico tools is becoming easy, leading to faster vaccine discovery and more efficient vaccine design with a more immunogenic response. Despite huge benefits, a few limitations are also encountered, including biases in algorithms, data privacy, and …

Artificial Intelligence In Radiology: Hidden Fragilities And The Path To Resilience, Mustafa S. Alhasan

Saudi Medical Journal

Radiology artificial intelligence (AI) is advancing however its adoption faces fragile foundations that threaten sustainability. Despite bold promises of efficiency and accuracy, current deployment is undermined by weaknesses in economics, evidence, infrastructure, human factors, regulation, security, and environmental impact. Nearly 90% of radiology AI studies report process metrics rather than patient outcomes, while hidden costs elevate ownership to 400% to 500% of subscription fees. Technical fragilities include 25% or greater performance loss with routine protocol or scanner shifts, compounded by vendor consolidation that has eliminated 63% of companies since 2020, creating migration costs averaging 180,000 dollars per exit. Human factor …

Childhood Obesity: Global Burden, Multifactorial Etiologies, Biological Mechanisms, And Emerging Interventions For Prevention And Management, Fahad H. Baali

Saudi Medical Journal

Childhood obesity, characterized by excessive accumulation of body fat that adversely affects health, is a global public health challenge. It affects approximately 8.2% of children and adolescents globally and contributes significantly to the burden of chronic diseases in later life. Obese children are at increased risk of developing metabolic disorder cluster, type 2 diabetes (T2D), coronary artery disease (CAD), and psychosocial complications. Increasing prevalence of childhood obesity imposes substantial economic costs and highlights the urgent need for effective prevention and management strategies. The causes of childhood obesity are multifactorial including genetic predispositions, environmental influences, dietary habits, and physical inactivity. Early …

Bleeding Avoidance Strategies In Patients With Atrial Fibrillation, Antonio Landi, Marco Valgimigli

Saudi Medical Journal

No abstract provided.

Master Any Language 100x Faster, Yoshihiko Ariizumi

Learning, Teaching, & Researching Optimization

Learn any language 100x faster with this booklet of high-speed acquisition techniques!

Mignone, Fernandez, Guarnieri: Brazilian Guitar Music After Villa-Lobos, Fabio Zanon

Soundboard Scholar

This article challenges the widespread perception of Heitor Villa-Lobos as an isolated peak in Brazilian musical culture with no natural successors. The author focuses on the composers who followed Villa-Lobos—Francisco Mignone, Oscar Lorenzo Fernandez, and Camargo Guarnieri—arguing that their works deserve far more attention in international concert life, not least their contributions to the guitar repertoire.

These twentieth-century Brazilian composers are situated within a broader historical narrative that traces the impact of European colonial models, the delayed and contested formation of musical nationalism in Brazil, and the shifting aesthetic and political conditions of the twentieth century. Analytical discussions of representative …

Hyaluronan 35 Prevents Endotoxin-Mediated Dysregulated Skeletal Muscle Proteostasis During Ethanol Exposure, Nicole Welch, Pugazhendhi Kannan, Gangarao Davuluri, Annette Bellar, Amy H. Attaway, Saurabh Mishra, Jasmin A. Cunningham, Avinash Kumar, Ryan Musich, Elif G. Ertugral, Vandana Agrawal, Isaac L. Hu, Terri J. Hartford, Noah L. Weisleder, Vidula T. Vachharajani, Chandrasekhar R. Kothapalli

Chemical & Biomedical Engineering Faculty Publications

Sarcopenia in alcohol-related liver disease (ALD) is of high clinical significance, but there are no effective treatments. Hyaluronan 35 kDa (HA35), a glycosaminoglycan polymer, modulates responses to Toll-like receptor 4 (TLR4), a lipopolysaccharide receptor, to improve hepatic and macrophage function in ALD. We evaluated skeletal muscle responses to HA35 in preclinical models of ALD. Responses to ethanol, lipopolysaccharide (LPS), and HA35 were studied in differentiated murine C2C12/human-induced pluripotent stem cell (hiPSC)-derived myotubes, and wild-type/HA receptor CD44 knockout (CD44(-/-)) mouse models of ALD (mALD). Signaling molecules and measures of protein homeostasis (proteostasis) were quantified by immunoblots, mitochondrial oxidative function was determined …

Schwannomatosis Tumor Modeling: Progress And Prospects For Translational Research, Mackenzie S Madison, Huazhen Xu, Yarelis Gonzalez-Vargas, Marybeth G Yonk, Charee M Thompson, Hurley Haney, Danielle Babbitt, Yuhong Du, Angela C Hirbe, Nicholas M Boulis, Ren-Yuan Bai, Kecheng Lei

2020-Current year OA Pubs

BACKGROUND: Schwannomatosis (SWN) is a rare genetic condition characterized by the development of benign schwannomas along peripheral and spinal nerves, and this tumor development often results in chronic peripheral pain and significant neurological deficits. Despite surgical resection being the current standard of care for SWN-related pain, scientists are searching for accurate preclinical models that can be used for drug efficacy testing, but existing models often fail to fully recapitulate the complex genotypic diversity and tumor-nerve interface pathology seen in patients. MAIN TEXT: This review first summarizes the genotypic and phenotypic characteristics of SWN subtypes resulting from key mutations in NF2, …

Energy And Fluid Balance During A 214-Km Winter Ultraendurance Race: A Case Study, Kyle W. Wehmanen, Brent C. Ruby, Timothy C. Shriver, Michele N. Ravelli, Shalaya Kipp, John Mcdaniel, Erich Petushek, Steven J. Elmer

Michigan Tech Publications

The upper limits for total energy expenditure (TEE) and water turnover (rHO) in humans have been reported during several continuous single-day ultraendurance races (running, cycling, and triathlon). Currently, the upper limits for TEE and rHO during continuous single-day activity in cold weather (< 0 °C) remain unknown. The Arrowhead Ultra is one of the coldest ultraendurance races in North America and provides a unique opportunity to answer these questions. Racers select a bicycle, cross-country skis, or foot travel to traverse a 214-km snow-covered trail (altitude range: 345-426 m, 2,030-m elevation gain). Historically, approximately one-half of the racers complete the event. In this case study, we assessed TEE and rHO from the racer [cyclist: age: 22 yr, height: 1.84 m, body mass: 87.7 kg, and maximal oxygen consumption (V̇o): 5.0 LO·min] who won the 2025 Arrowhead Ultra (17.9 h, -13 to -1 °C) using the doubly labeled water method. Total energy and fluid intake were recorded to assess energy and fluid balance. Mean heart rate was 141 beats·min (71% of maximum heart rate). TEE was 63.9 MJ (15,273 kcal, 9.6 times basal metabolic rate) while total energy intake was 33.2 MJ (7,941 kcal). Mean carbohydrate intake was 88 g·h. Water turnover was 17.7 L, yielding a rHO/TEE ratio of 0.28 L·MJ for the race. The cyclist demonstrated high TEE and rHO that were comparable to values from other ultraendurance athletes competing in a range of temperatures (3-34°C). Notably, rHO from this cyclist was higher compared to athletes performing other ultratype endeavors in cold weather conditions (-25 to -19 °C). Our observations shed light on energy and fluid demands during continuous single-day activity in the cold and have endurance training and performance implications. In this short report, we detail new data on the upper limits of human energy expenditure (9.6 times basal metabolic rate) and water turnover (10.5 L·12 h) during continuous single-day exercise in the cold. Our results indicated elevated energy use, and impressively, water turnover comparable to exercise in warmer conditions. These findings have implications for training and endurance performance of strenuous exercise in cold weather environments.

Impaired Arginine, Citrulline And Glutamine Metabolism In Type 2 Diabetes: Insights From A Stable Isotope Study, Mustafa Tosur, Raven A Wierzchowska-Mcnew, Nicolaas E P Deutz, Mariëlle P K J Engelen

Children’s Nutrition Research Center Staff Publications

Context: Arginine (Arg) is an important amino acid in T2D as a potent insulin secretagogue and precursor for nitric oxide (NO). Citrulline (Cit), the substrate for de novo Arg synthesis, is mostly produced from glutamine (Gln).

Objective: We aimed to investigate their metabolism in T2D using novel stable isotope tracer approach.

Methods: We studied 42 individuals (21 with T2D, 21 controls). After overnight fasting, blood samples were collected following pulse administration of stable amino acid tracers. Plasma concentrations and isotopic enrichments were measured by LC-MS/MS, and compartmental analyses were performed to calculate their whole-body production (WBP) rates and kinetics.

Results: …

Selective Reversal Of Cu-Amyloid Aggregation Monitored In Real Time By Fluorescence Anisotropy: Ni-Bme-Dach Vs Edta Benchmarks, Alyssa N. Schroeder, Eleanor K. Adams, Dane C. Frost, Erica Lopez, Jennie R. Giacomini, Marilyn R. Mackiewicz

Chemistry Faculty Publications and Presentations

Metal dyshomeostasis, particularly involving Cu2+, is increasingly recognized as a key contributor to amyloid-β (Aβ) aggregation and neurotoxicity in Alzheimer’s disease, motivating the development of chelators capable of selectively disrupting pathogenic metal-Aβ interactions without perturbing essential biological metals. Here, we employ steady-state fluorescence anisotropy as a real-time probe of TAMRA-Aβ1–42 rotational mobility to quantify metal-induced aggregation and its reversibility by two chelators with distinct selectivities: EDTA, a broad-spectrum benchmark, and Ni-bme-dach, a sulfur-rich metallodithiolate with high Cu affinity. Cu2+ induces the most significant increases in anisotropy, consistent with rapid formation of large nanoscale aggregates, while Fe3+ produces moderate aggregation and …

Regulating Reader(S): Book People V. Wong, Compelled Speech, And Sexually Explicit Library Materials In The Fifth Circuit, Gray Wood

Texas A&M Law Review

This Note analyzes the Fifth Circuit Court of Appeals’ recent holding in Book People, Inc. v. Wong, which struck down Texas Education Code Chapter 35. Passed under the 88th Texas Legislature’s READER Act in 2023, Chapter 35 instituted a mandatory rating system that required Texas book vendors to review the books they sold to district schools and open-enrollment charter schools for sexually explicit material. Book vendors banded together to oppose the law, arguing that it constituted compelled speech, a legal doctrine that has come to the forefront of First Amendment fights since the Supreme Court’s 2023 decision in 303 …

In The Belly Of The Beast:The Struggle For Abortion Rights And Reproductive Freedom In El Salvador, Cho, Karen Hyunbee

Santa Clara Journal of International Law

El Salvador maintains one of the most restrictive abortion regimes globally. Abortion is prohibited in all circumstances, and women who undergo the procedure may face prosecution for aggravated homicide, punishable by sentences of up to fifty years’ imprisonment. Healthcare professionals who assist with such procedures can likewise face criminal liability, with penalties of up to twelve years of imprisonment. This article concerns the case of a woman named Beatriz (surname unlisted) in El Salvador who sought an abortion in 2013 when she was medically diagnosed with a high-risk condition and an anencephalic fetus during her pregnancy. She was denied her …

Paying The Price For Beauty Abroad: Khoula Hospital’S Experience With Complications Following Aesthetic Procedures Performed Overseas, 2013–2023, Khalifa Al Alawi, Areej Al-Mamari, Maysa Al-Maawali, Ashima Alkabi, Al-Batul Al-Mufargi, Juhaina Al Tobi, Hoor Al-Khanjari, Yasmine Al Balushi, Rawan Al Mandhari, Rafal Aljadder, Sultan Al Shaqsi

Sultan Qaboos University Medical Journal

Objective: This study aimed to evaluate the types and outcomes of complications arising from aesthetic surgeries performed abroad and subsequently managed at Khoula Hospital, Muscat, Oman. Methods: This retrospective study included patients who presented with post-aesthetic surgical complications after undergoing procedures outside Oman from January 2013 to December 2023. Data were extracted from Khoula Hospital’s electronic health records, focusing on demographics, procedures performed, types of complications and outcomes, including admissions and surgical interventions. Results: A total of 191 patients with 488 recorded encounters were included. The most common procedures done overseas were abdominoplasty (50.8%), lipectomy (29.3%) and …

Ai Integration In English Language Teaching: Exploring Efl Teachers’ Perceptions And Challenges In Saudi Universities, Waheeb Shadid Al-Biladi

UB Journal for Humanities

In response to the growing integration of Artificial Intelligence (AI) in English language education, this study explores how EFL educators in Saudi universities perceive and respond to the challenges associated with incorporating AI into their teaching practices. A quantitative study including 158 male and female EFL faculty members at Saudi institutions was executed using a standardized questionnaire to evaluate perceived barriers connected to AI and corresponding coping methods. Descriptive statistics and inferential tests were used to examine differences based on gender, teaching experience, and educational qualification. The findings indicate that educators somewhat recognize hurdles, including technological difficulties, inadequate training, and …

Paradox In The Characters Of Abdullah Thabit’S Novels: A Study In Vision And Form, Khalid Nasser Al-Jumaihi Al-Qahtani

UB Journal for Humanities

This research examines irony as an artistic and semantic mechanism that transcends the limits of apparent contradiction to express the depth of the psychological and intellectual conflicts experienced by characters within the novelistic text. In light of the intellectual and aesthetic transformations witnessed in Saudi narrative discourse, irony has emerged as one of the most effective narrative tools for uncovering the deep contradictions that govern the relationship between the individual, the self, and society. It is not merely an aesthetic device used to provoke surprise or astonishment, but rather a semantic structure that reflects a crisis-ridden consciousness caught between values …

The Impact Of Climate On Solar Panel Performance In Al-Madinah Al-Munawwarah, Mounira Matthas Al-Qahtani

UB Journal for Humanities

This study aims to identify the most important climatic elements that must be considered when designing solar panels in Al-Madinah Al-Munawwarah for the period 1995–2024, as well as the impact of monthly and annual climatic variations on the efficiency of solar panel performance. The study relies on the following climatic elements: annual radiation, temperature, relative humidity, wind, rainfall, and dust, in order to understand the relationship between climatic elements and the performance of solar panels. The study employed an analytical and applied methodology. The results indicate that Al-Madinah Al-Munawwarah enjoys high levels of solar radiation, with an overall average of …

David Hawkins’ Scale Of Consciousness: Its Origin, Contemporary Philosophical Principles, And Negative Impacts, Dr. Muzun Bint Yahya Al-Qahtani

UB Journal for Humanities

Research Topic: This research examines the ideas and philosophy of David Hawkins, which he establishes through his scale. It examines the scale and its levels in detail through his books, and the most important linear philosophies upon which Hawkins relied and disseminated in his courses and applications under the name “Consciousness Scale.”

Research Objectives: To highlight the seriousness of the scale and the philosophies upon which it is based, and the philosophies upon which the scale is based and disseminated.

Key Findings: This philosophical scale establishes the doctrine of spiritual atheism, the unity of being, and the pursuit of deification …

Using Generative Ai In Computer Science Internships; Implications For Career Readiness, Mitra Panahi, Lucas G. Zangari, Gaurang Kamat, Olufisayo Omojokun, Alejandra J. Magana, Ricardo Eiris, Pedro Guillermo Feijóo-García

Purdue Polytechnic Graduate Student Poster Symposium

This empirical study delves into how computer science interns use generative AI tools during their internship experience and shows how these technologies connect academic training with practical professional practice. Grounded on Social Cognitive Career Theory (SCCT), we examine how GenAI usage influences students' self-efficacy and internship outcomes during internships in fast-changing tech environments. Data were gathered via mixed-methods surveys from 40 undergraduate computer science students at a large Southeastern U.S. public university, with internship experience and also worked as teaching assistants. Findings show that while GenAI got the green light in 65.8% of internships, its use was cautious and infrequent …

Emotion Driven Rumor Detection And Analysis: An Llm(Large Language Model) Augmented Approach, Chinelo Njoku, Yingjie Chen

Purdue Polytechnic Graduate Student Poster Symposium

Misinformation and rumors during public health crises significantly affect lives and increases mistrust in government and public health institutions. The circulation and amplification of rumors often worsen disease transmission and impede effective interventions. Historically, rumor spread has been a recurring issue in public health emergencies. For example, during the Ebola outbreak, misinformation about the virus and its treatment created deep mistrust of health workers. Similarly, in the COVID-19 pandemic, widespread misinformation fueled public panic and vaccine hesitancy. Previous research has primarily identified social media as a channel for rumor dissemination and focused on automatic rumor detection for fact-checking using binary …

Black Women In Oregon Academia, Topanga Shakur-Freeman

PSU McNair Scholars Online Journal

Black women scholars are a powerful demographic of intellectuals navigating a haunted house of academia, a structure erected upon the bones of a grotesque past. Black women scholars navigate a complex and often hostile academic landscape, a realm marked by under representation and the insidious interplay of race and gender. Oregon, a state steeped in a sinister history of racial terror, casts a long shadow over its present. Its soil, contaminated by the blood of countless Black lives, serves as a fertile ground for the insidious growth of systemic racism. Until 1905, a malevolent decree barred Black individuals from even …

Assessing The Information Literacy Skills Of Faculty And Students In Using Open Educational Resources In Nigerian Universities, Adeniran Adetoro

Georgia International Conference on Information Literacy

Access to Open Educational Resources (OERs) by university libraries and through online sources is trending among academics and students in Nigeria, particularly given the emphasis on it by the National Universities commission in recent times. Extant literature points to low level of use of OERs among faculty and students, and there is an urgent need to understand the extent to which their information literacy (IL)skills can explain this and how IL drives OERs practical use for academic purposes. Thus, the paper investigates the perceived information literacy of faculty and graduate students in using open educational resources in federal universities in …

The Essential Francisco Sosa, Or, Picadou's Mexico City, C.M. Mayo

Creative Nonfiction Magazine

No abstract provided.

From The Editor: Mexican Voices: Crónica De Crónicas, Lee Gutkind

Creative Nonfiction Magazine

No abstract provided.

Interview With Diane Hume George

Creative Nonfiction Magazine

No abstract provided.