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Articles 48121 - 48150 of 1738432
Full-Text Articles in Entire DC Network
Healthcare Access And Community Nursing Outreach Effectiveness In Underserved Zip Codes In Central Florida, Miah Sanchez
Healthcare Access And Community Nursing Outreach Effectiveness In Underserved Zip Codes In Central Florida, Miah Sanchez
Honors Undergraduate Theses
Access to healthcare depends on more than whether healthcare services are available. A person’s ZIP code, income, education, transportation options, health literacy, and neighborhood resources can all affect whether care is reached at the right time and in an appropriate setting. This literature review examines healthcare access and the role of community nursing outreach in underserved ZIP codes across Central Florida. The review synthesizes current literature on social determinants of health, geographic disparities, medically underserved populations, and community-based nursing interventions to better understand how these factors shape access to care. Across the literature, poverty, limited transportation, lower educational attainment, neighborhood …
Cardiovascular Disease Risk Profiles Among Metropolitan And Nonmetropolitan Young Adults - A Cross-Sectional Analysis Of The 2024 National Health Interview Survey (Nhis), Steven Dimitrakakis
Cardiovascular Disease Risk Profiles Among Metropolitan And Nonmetropolitan Young Adults - A Cross-Sectional Analysis Of The 2024 National Health Interview Survey (Nhis), Steven Dimitrakakis
Honors Undergraduate Theses
Cardiovascular disease (CVD), a group of disorders affecting the heart and blood vessels, is one of the leading causes of death worldwide, driven by genetic, lifestyle, and environmental factors. Young adults, although not a common group at risk for CVD, can face reduced health quality due to physical limitations and other environmental factors that can increase their risk for development of CVD. Depending on where young adults live, their risk of developing CVD varies. Young adults fall within the category of individuals ranging in age from 18-24 years old, the average between all ages for young adults between the research …
Dna Half-Adder Based Calculator Driven By 4j Molecular Switches, Andrea Gissele Canizalez Covaleda
Dna Half-Adder Based Calculator Driven By 4j Molecular Switches, Andrea Gissele Canizalez Covaleda
Honors Undergraduate Theses
DNA nanostructures have computing functions due to the predictable base pairing of nucleic acids (Watson–Crick). This property allows the programming of DNA circuits that integrate DNA logic gates capable of recognizing oligonucleotides. This molecular device offers the advantages of biocompatibility and potential applications in personalized medicine for diagnosis and therapies.
Our lab has developed DNA logic gates formed by the connection of YES strands via DNA four-way junctions (4J), which can function as molecular switches to develop a DNA-based calculator. Our DNA half-adder calculator nanostructure is designed to recognize up to three combinations of DNA inputs using three DNA strands …
Analysis Of Alternative Gene Splicing Of Natural Killer Cell Exhaustion Markers During Siv Infection, Soledad B. Zayas
Analysis Of Alternative Gene Splicing Of Natural Killer Cell Exhaustion Markers During Siv Infection, Soledad B. Zayas
Honors Undergraduate Theses
Natural killer cells play a critical role in the innate immune response against Human Immunodeficiency Virus and Simian Immunodeficiency Virus infections. During HIV/SIV infection, NK cells undergo functional impairment characterized by an imbalance between activating and inhibitory surface receptors. The upregulation of inhibitory receptors, TIGIT and TIM-3, has proven to contribute to NK cell exhaustion during different retroviral infections. Although alternative splicing regulates immunity related genes, its role in TIGIT and TIM-3 expression during SIV infection remains poorly understood. This study aimed to characterize alternative splicing patterns of TIGIT and TIM-3 and evaluate transcript variant expression during SIV infection in …
The Environmental Impact On The Development Of Equine Degenerative Myeloencephalopathy, Victoria C. Reynolds
The Environmental Impact On The Development Of Equine Degenerative Myeloencephalopathy, Victoria C. Reynolds
Honors Undergraduate Theses
The objective of this study was to examine potential associations between environmental factors and the progression of Equine Degenerative Myeloencephalopathy (EDM). While environmental contributions to neurodegenerative diseases are increasingly recognized in human patients, little is known about their role in EDM. A comprehensive literature review highlighted the lack of research in this area. Data for this study were collected by Dr. Amy Johnson at the University of Pennsylvania's New Bolton Center. The two main areas studied were a horse’s lifestyle (specifically turnout conditions) and their geographical proximity to chemicals (pesticides, airborne neurotoxins, and water contaminants). Statistical analysis revealed there was …
H. Thomas Wells, Jr. Aba President (2008-2009) Collection, University Of Alabama School Of Law
H. Thomas Wells, Jr. Aba President (2008-2009) Collection, University Of Alabama School Of Law
Manuscript Collections
The H. Thomas Wells, Jr. ABA President (2008-2009) Collection consists of two cubic feet of correspondence, remarks, and speeches from his time as president of the organization.
To see a digital version of this collection, please visit the H. Thomas Wells, Jr. ABA President (2008-2009) Collection.
John D. Saxon Collection, University Of Alabama School Of Law
John D. Saxon Collection, University Of Alabama School Of Law
Manuscript Collections
The John D. Saxon Collection consists of documents and newspapers collected and used by attorney John D. Saxon during his time on the Associate Council Committee of the Iran-Contra Committee.
Nina Miglionico Collection, University Of Alabama School Of Law
Nina Miglionico Collection, University Of Alabama School Of Law
Manuscript Collections
The Nina Miglionico Collection contains books, scrapbooks, manuscripts, awards, and other materials from her professional life.
The Thing About Stuff: Exploring Consumerism Through Contemporary Print, Collage And Self-Reflection, Alexandra Lee Cox
The Thing About Stuff: Exploring Consumerism Through Contemporary Print, Collage And Self-Reflection, Alexandra Lee Cox
Theses and Dissertations
The Thing about Stuff is an exhibition of editioned prints and book forms that pertain to personal and societal contradictions under capitalism. I use a combination of collage, design, print, traditional research and writing to form a better understanding of my place in capitalism by redefining my participation in it. Historical and contemporary research in combination with self-reflection and artmaking assists in my exploration of consumerism through the lens of human-object relationships. This body of work translates my own material desire for an audience through intentional composition, limited color pallets and intentional display. The accompanying supportive statement focuses on the …
Characterizing A Low-Gradient Stream In Central Illinois As Gaining Or Losing And Observing Seasonal Changes In This Behavior, Eric Timothy Brunner
Characterizing A Low-Gradient Stream In Central Illinois As Gaining Or Losing And Observing Seasonal Changes In This Behavior, Eric Timothy Brunner
Theses and Dissertations
While the seasonal behaviors of low-gradient streams have been studied, the behavior of surface water and groundwater interactions within low-gradient streams in glaciated terrain is not fully understood. A third order, low-gradient glacial stream with a saturated riparian buffer in central Illinois was studied to determine the direction of flow between the surface water and groundwater. The goals of this study were to determine 1) whether the stream was gaining or losing water, and 2) whether the gaining or losing nature of the stream-aquifer system changes seasonally. At both an upgradient and downgradient location, two wells were installed: one in …
An Application Of Molecular Dynamics To Hed Plasma Physics: Point And Group Defect Diffusion In Coulomb Crystals, Levi Webb
Theses and Dissertations
Molecular dynamics (MD) simulations are used to explore the microscopic behaviors of complex systems that cannot be easily studied experimentally. In particular, the microphysics of high energy density (HED) astrophysical plasma environments remain inaccessible by modern experiment---even in laser facilities, these plasmas exist only on short timescales that do not lend easily to investigation. The diffusion of point and group defects through crystallized plasmas in the cores of white dwarfs and neutron star crusts, called Coulomb crystals, has potentially macroscopic implications for the evolution of these bodies. Thus, I employ the widely-used MD code LAMMPS to simulate small Coulomb crystal …
Predicting Job Performance: The Incremental Validity Of Cognitive Reflection Tests Over General Cognitive Ability And Conscientiousness., Olivia Earll
Theses and Dissertations
Cognitive reflection is the ability to suppress intuitive thinking (Type 1) in favor of deliberative, analytical thought (Type 2). This study investigated cognitive reflection as a predictor of supervisor-rated job performance, exploring its incremental validity over general cognitive ability and conscientiousness. Results indicated that all three variables positively predicted job performance, with cognitive reflection explaining a significant, unique portion of the variance. Exploratory analyses confirmed that this predictive validity remained consistent across industry, age, and sex. Furthermore, cognitive reflection significantly moderated the relationship between general cognitive ability and job performance. These findings highlight the value of deliberative reasoning as a …
Creating "An Exemplar Of A Better World": A Dialogic Analysis Of Academic Freedom Surrounding Columbia University Activism From 2023-2025, Ellanore Foltz
Creating "An Exemplar Of A Better World": A Dialogic Analysis Of Academic Freedom Surrounding Columbia University Activism From 2023-2025, Ellanore Foltz
Theses and Dissertations
From October of 2023 to August 2025, the community at Columbia University engaged in a series of debates regarding the meaning of academic freedom. Academic freedom, first institutionalized in the United States during the first world war, has shifted over the decades as the purpose of higher education and the threats to higher education changed. In recent years, campus protests regarding Israel and Palestine have sparked new debates about academic freedom that reflect ongoing and sometimes fundamental disagreements about higher education. This study utilizes Relational Dialectics Theory (RDT; Baxter, 2011) to explore the interplay between different discourses of academic freedom …
Examining Explicit Professional Development As A Means To Change Inclusive Mindsets, Mitchell E. Elatkin
Examining Explicit Professional Development As A Means To Change Inclusive Mindsets, Mitchell E. Elatkin
Theses and Dissertations
Inclusive education requires educators to hold beliefs that support the participation and success of students with disabilities in general education settings. Although federal policy mandates access to the least restrictive environment, educator attitudes toward inclusion continue to influence the implementation of inclusive practices. The purpose of this mixed-methods study was to examine whether explicit professional development (PD) focused on inclusive mindsets influenced school stakeholders’ attitudes toward inclusion across a school year. Participants included representatives from various roles within a charter school organization in the Midwest. The researcher collected data through two administrations of the Adapted Teacher Attitudes Toward Inclusion Survey …
Dining Experiences Across Hearing Profiles: The Influence Of Noise And Environmental Factors In Restaurants, Lorin M. Kmieciak
Dining Experiences Across Hearing Profiles: The Influence Of Noise And Environmental Factors In Restaurants, Lorin M. Kmieciak
Theses and Dissertations
Dining out is a popular activity worldwide that is rooted in sensory and emotional engagement. How an individual experiences the sensory conditions in restaurants varies widely, highlighting the importance of designing dining environments that accommodate diverse perceptual needs and abilities. The purpose of this study is to address how existing dining environments overlook inclusive and accessibility-centered design by examining how hearing loss intersects with the acoustic, sensory, and social dimensions of dining environments. This study employed a mixed method, exploratory approach by gathering quantitative data through a survey and qualitative data through follow-up interviews to generate a holistic and data-driven …
"I Didn't Teach It Again Because It Wasn't Worth It": How Grades 6-12 English Language Arts Teachers Select Texts And Navigate The Obstacles That Impede Them, Steve Poggendorf
"I Didn't Teach It Again Because It Wasn't Worth It": How Grades 6-12 English Language Arts Teachers Select Texts And Navigate The Obstacles That Impede Them, Steve Poggendorf
Theses and Dissertations
Classroom texts not only function as tools through which teachers can build curricula, but they can also engage and empower learners. Despite the importance of engaging texts in the classroom, teachers encounter obstacles, both social and institutional, that impede their ability to select the texts they believe will best foster student engagement and empowerment. The purpose of this qualitative study was to investigate how teachers make text selections, as well as the nature of the obstacles that stand in the way of teachers who hope to inspire and engage their students through lessons built around texts of their choosing. The …
Confidentiality And Legal Aid Data, Keith Porcaro
Confidentiality And Legal Aid Data, Keith Porcaro
Duke Center on Law & Technology
This report assesses the reidentification risk of civil legal aid reporting data in Washington State, and suggests strategies for mitigating that risk.
Evaluating The Role Of Power Electronics In Enhancing Renewable Energy And Smart Grid Performance: A Review, Muhammad Irfan Habib
Evaluating The Role Of Power Electronics In Enhancing Renewable Energy And Smart Grid Performance: A Review, Muhammad Irfan Habib
ASEAN Journal on Science and Technology for Development
The review article demonstrates the importance of power electronics in propelling the increase of renewables and increasing the efficiency of contemporary electrical grids. In particular, it highlights the need for bidirectional converters for effective energy management in vehicle-to-grid (V2G) systems with two-way power transfer. The paper examines the series of complications offered by the significantly large integration of power electronic converter-interfaced renewables, such as those related to system steadiness, power quality, and resignation bottlenecks. Also, it recognizes a mix of new technologies, such as wide bandgap (WBG) semiconductors like silicon carbide (SiC) and gallium nitride (GaN), that deliver superior performance …
Extraction And Characterization Of Fresh And Dehydrated Cactus (Opuntia Ficus Indica) Polysaccharide For Hydrogel Preparation, Aye Thwe Thwesoe, May Myat Khine
Extraction And Characterization Of Fresh And Dehydrated Cactus (Opuntia Ficus Indica) Polysaccharide For Hydrogel Preparation, Aye Thwe Thwesoe, May Myat Khine
ASEAN Journal on Science and Technology for Development
In this research, extraction of polysaccharide compounds from Cactus (Opuntia Ficus Indica) leaves in both fresh and dehydrated condition by solvent precipitation method using three types of water, acid (HCL) and NaOH. Before extraction, the physicochemical properties were examined to determine optimum yield (%) of extracted polysaccharide by optimization of Box-Behnken Design (BBD) of response surface methodology (RSM). The polysaccharide-based acrylamide hydrogel was prepared by free radical polymerization. The functional and structural characterization was done by FTIR, XRD and SEM for examination of extracted polysaccharide as raw polymer backbone in hydrogel preparation and prepared hydrogel as adsorbent for metal removal. …
Unlocking Green Potential In Indonesian Small Medium Enterprises: Challenges And Opportunities For Sustainable Vermicelli Production, Togar W. S. Panjaitan, Karina Agustin, Prayonne Adi, Jani Rahardjo, I Nyoman Sutapa
Unlocking Green Potential In Indonesian Small Medium Enterprises: Challenges And Opportunities For Sustainable Vermicelli Production, Togar W. S. Panjaitan, Karina Agustin, Prayonne Adi, Jani Rahardjo, I Nyoman Sutapa
ASEAN Journal on Science and Technology for Development
Due to limited initiatives and support, the transition to green manufacturing among small and medium enterprises (SMEs) in developing countries remains challenging. Through a critical literature review and case study of the Indonesian vermicelli industry, this study highlights the importance of collaboration and strong policies to address this. Other findings also reveal that the energy intensity and emissions in the sector exceed best practice benchmarks, with the cooking and drying stages contributing significantly to emissions due to high energy consumption. Lack of government regulations, company awareness, and understanding of applicable practices and technologies creates challenges in green manufacturing. The study …
Hybrid Model For Phishing Website Detection Using Transfer Learning, Atul Dubal, Mansi Subhedar, Santosh Dhamala, Manasi Patil
Hybrid Model For Phishing Website Detection Using Transfer Learning, Atul Dubal, Mansi Subhedar, Santosh Dhamala, Manasi Patil
ASEAN Journal on Science and Technology for Development
The rapid digitization of human activities has intensified reliance on internet-based platforms, creating fertile ground for cybercriminal exploits such as phishing. Despite advancements in detection mechanisms, phishing attacks continue to evolve, leveraging sophisticated visual mimicry to deceive users. This paper proposes a robust vision-based phishing detection system using ensemble deep learning to analyse webpage screenshots. The framework integrates transfer learning with pre-trained VGG16 and DenseNet121 models, extracting complementary low-level texture features (edges, gradients) and high-level hierarchical patterns (logos, layouts). These features are fused through a custom classifier with dropout regularization to mitigate overfitting. A balanced dataset of 3,000 webpage screenshots …
Beyond The Binary: Navigating Ai’S Role In Palliative Ethics-A Review, Reebu Sara Varghese, Tijo Cherian
Beyond The Binary: Navigating Ai’S Role In Palliative Ethics-A Review, Reebu Sara Varghese, Tijo Cherian
ASEAN Journal on Science and Technology for Development
Palliative care is being influenced by artificial intelligence, especially when it comes to data-related aspects. In this context, care can be enhanced in terms of the quality of its results and the level of its efficiency, particularly with the help of technological tools such as artificial intelligence, which is capable of managing different types of information in the field of health care. Such characteristics have the potential to improve the quality of patient care while at the same time reducing the workload of healthcare professionals in palliative care. However, there are considerable ethical issues that need to be addressed with …
Ai-Assisted Hybrid Ga–Pso Channel Allocation Under 3gpp Tr 38.901 Uma For Efficient 5g Radio Resource Management, Sharada Narsingrao Ohatkar
Ai-Assisted Hybrid Ga–Pso Channel Allocation Under 3gpp Tr 38.901 Uma For Efficient 5g Radio Resource Management, Sharada Narsingrao Ohatkar
ASEAN Journal on Science and Technology for Development
The increased traffic and heterogeneity in the 5G/B5G network require efficient radio resource management (RRM). However, the existing methods, such as GA and PSO, have poor convergence speed and require proper initial conditions. Additionally, learning-based methods have high computational complexity. Hence, in this paper, a novel AI-assisted Hybrid Channel Allocation (AI–HCA) framework is proposed by using a support vector regression (SVR)-based predictive initialization method and GA-PSO optimization. Simulation results using the 3GPP UMa channel model show that the proposed method has a 28% reduction in call blocking probability (CBP), a 15-25% enhancement in spectral efficiency (SE), and a 18-25% enhancement …
Assessing The Influence Of Land Use Land Cover Alterations On Climate Variability In Thimphu & Chhukha, Sonam Zangpo, Karma Choki, Tashi Tobgay, Phurpa Rinchen, Tandin Tshewang
Assessing The Influence Of Land Use Land Cover Alterations On Climate Variability In Thimphu & Chhukha, Sonam Zangpo, Karma Choki, Tashi Tobgay, Phurpa Rinchen, Tandin Tshewang
ASEAN Journal on Science and Technology for Development
This study examines the spatiotemporal dynamics of land use and land cover (LULC) changes and their influence on local climate variability in Bhutan using an integrated geospatial and machine learning framework. LULC changes during the period 2004 to 2022 were analyzed to understand their relationship with localized climate responses. Despite increasing urbanization pressures, comprehensive assessments linking LULC dynamics with climate variability in Bhutan remain limited. Geographic Information System (GIS) techniques and Random Forest classification were used to map LULC changes, while non-parametric trend analyses (Mann–Kendall test and Sen’s slope estimator) were applied to evaluate trends in key meteorological variables, including …
Understanding Waste Management Knowledge And Habits Of Senior High School Students In Lianga, Surigao Del Sur, Philippines, Arnele Mie A. Fanuga, Romy M. Avila, Reyl Justine J. Ballena
Understanding Waste Management Knowledge And Habits Of Senior High School Students In Lianga, Surigao Del Sur, Philippines, Arnele Mie A. Fanuga, Romy M. Avila, Reyl Justine J. Ballena
ASEAN Journal on Science and Technology for Development
The effective implementation of Solid Waste Management (SWM) in educational institutions is challenged by increasing student populations, limited infrastructure, and inconsistent policy enforcement. This study assessed the Knowledge, Attitudes, and Practices (KAP) of senior high school students regarding SWM in three secondary schools in Lianga, Surigao del Sur, Philippines. Data were collected using a descriptive-correlational design from 150 students selected through quota sampling. Pearson’s correlation analysis revealed significant associations between knowledge and attitude, and between attitude and practice. Knowledge scores were positively correlated across the three secondary schools. Students demonstrated a high level of awareness of the environmental and health …
Sustainable Conductive Rpla-Carbon Black Filament For Additive Manufacturing Via Single-Screw Extrusion, Zaidan Faraby Zulkarnain, Shakina Hawapi, Aini Zuhra Abdul Kadir, Muhd Ikmal Isyraf Mohd Maulana, Nor Akmal Fadil, Najlaa Nazihah Mas’Ood, Mohd Rizal Alkahari, Saidin Wahab
Sustainable Conductive Rpla-Carbon Black Filament For Additive Manufacturing Via Single-Screw Extrusion, Zaidan Faraby Zulkarnain, Shakina Hawapi, Aini Zuhra Abdul Kadir, Muhd Ikmal Isyraf Mohd Maulana, Nor Akmal Fadil, Najlaa Nazihah Mas’Ood, Mohd Rizal Alkahari, Saidin Wahab
ASEAN Journal on Science and Technology for Development
The growing demand for low-cost, sustainable conductive filaments for additive manufacturing motivates the exploration of recycled polymer feedstocks as alternatives to virgin materials. However, the effects of prior thermal reprocessing on both the electrical performance and morphological integrity of recycled PLA (rPLA)–carbon black (CB) composite filaments remain insufficiently characterised, particularly under single-screw extrusion conditions. This study fabricates and characterises conductive filaments from virgin PLA and rPLA, each loaded with CB at 0.2, 0.6, and 1.0 wt%, using a low-cost desktop single-screw extruder. Melt blending was found to be essential for achieving continuous filament extrusion, as ball milling produced insufficient filler …
Assessing Decision Making Of United States Arboreta: A Survey Of The Main Drivers Behind New Planting Selections, Sophia Reavley
Assessing Decision Making Of United States Arboreta: A Survey Of The Main Drivers Behind New Planting Selections, Sophia Reavley
Theses and Dissertations
When an arboretum needs to replace fallen specimens, what are they looking for in the new plant that will be added to the collection? Arboreta are locations where trees and shrubs can be studied in an area where the public can also enjoy them. This study looks to see what aspects of scientific value (conservation status, diversification, ornamental value, etc.) and what external factors (budgets, public opinion, research articles, etc.) of new species selections become the main driver in decision making. An anonymous online survey was used to collect data from arboreta and botanical gardens of the United States that …
Predictors Of Successful Conservative Lung Surgery In Endobronchial Tumors, Ahmed Mohamed Abdelfattah Ahmed Omar, Amr Abdellateef Hassan, Sameh Ibrahim Elsayed
Predictors Of Successful Conservative Lung Surgery In Endobronchial Tumors, Ahmed Mohamed Abdelfattah Ahmed Omar, Amr Abdellateef Hassan, Sameh Ibrahim Elsayed
Mansoura Medical Journal
Background: Endobronchial tumors, though rare, often present centrally and may cause airway obstruction. Historically managed by pneumonectomy, conservative lung surgery has emerged as a viable alternative with reduced morbidity. Methods: This retrospective study included 69 adult patients with endobronchial tumors treated surgically at Mansoura University between 2005 and 2024. Patients were divided into two groups: Group 1 underwent pneumonectomy; Group 2 non-pneumonectomy. Clinical, radiological and bronchoscopic data were analyzed to identify predictors of successful conservative surgery. Results: Tumor location, proximity to the carina, preserved distal lung tissue, and higher preoperative FEV1% were significantly associated with conservative surgical success. Therapeutic bronchoscopy …
Impact Of Social Media On Acne Treatment Practices In Egypt, Hadeer Fathy, Moheiddin Fakhry Alghobary, Nada Mohmed Elhadidy, Sara Hamdy Fouad
Impact Of Social Media On Acne Treatment Practices In Egypt, Hadeer Fathy, Moheiddin Fakhry Alghobary, Nada Mohmed Elhadidy, Sara Hamdy Fouad
Mansoura Medical Journal
Background: Acne is one of the most prevalent global diseases, affecting up to 85% of adolescents and young adults and contributing to significant psychological burden. Despite available treatments, many patients rely on social media for guidance, where misinformation and unauthorized drug promotion can negatively influence Acne Vulgaris management.
Aim: The aim of this research is to determine the influence of social media information on the selected treatment method of Egyptian patients with Acne Vulgaris
Patients and methods: This is cross‑sectional study targets Acne Vulgaris patients aged ≥15 with current or past AV who use social media. Data was collected through …
Triglyceride Glucose Index As A Predictor Of Insulin Resistance In Patients With Hypothyroidism, Nadeen El-Nakeeb, Mohammed A. Helaly, Ahmad S. Hasan, Rania Bahriz
Triglyceride Glucose Index As A Predictor Of Insulin Resistance In Patients With Hypothyroidism, Nadeen El-Nakeeb, Mohammed A. Helaly, Ahmad S. Hasan, Rania Bahriz
Mansoura Medical Journal
Background: Thyroid hormones play a key role in glucose metabolism, and hypothyroidism is frequently associated with impaired insulin secretion, altered glucose disposal, and insulin resistance (IR).
Aim: This study aimed to assess insulin resistance in patients with hypothyroidism using the triglyceride–glucose (TyG) index in comparison with the homeostasis model assessment of insulin resistance (HOMA-IR).
Methods: This case-control study was conducted on 100 participants (50 hypothyroid patients and 50 euthyroid controls), aged 18–60 years. All subjects underwent detailed clinical evaluation, anthropometric measurements, and fasting laboratory investigations including glucose, lipid profile, insulin, TSH, and free T4. Insulin resistance was assessed using TyG …