Digital Commons Network^™

Pregnancy Outcomes In Systemic Sclerosis Before And After Diagnosis: A Retrospective Nationwide Cohort Study, Alper Doğanci, Serdar Can Güven, Nuray Yilmaz Çakmak, Rifat Bozkuş, Sali̇h Başer, Eki̇n Doğanci, Nesli̇han Öztürk, Şuayi̇p Bi̇ri̇nci̇, Nai̇m Ata

Turkish Journal of Medical Sciences

Background/aim: Pregnancy outcomes in women with systemic sclerosis (SSc) were evaluated in a nationwide cohort study. The impact of the disease on pregnancy outcomes was further assessed by comparing outcomes before and after the diagnosis of systemic sclerosis.

Materials and methods: A retrospective, nationwide, multicenter study was conducted under the supervision of the Ministry of Health. A nationwide cohort was between 1 January 2018, and 31 October 2025, including female patients with at least two recorded ICD codes for SSc (M34 subcategories) at an interval of at least 1 month, who were identified as pregnant before (pre-SSc) or after SSc …

Impact Of Transforaminal Epidural Steroid Injection On Pain, Disability, And Kinesiophobia In Lumbar Disc Herniation With Radicular Pain, Hande Ece Öz, Rumeysa Çeti̇nkaya Bulutoğlu, Furkan Çeti̇n, Ezgi̇ Can, Alp Eren Çelenli̇oğlu, Ender Si̇r

Turkish Journal of Medical Sciences

Background/aim: The aim was to evaluate the effect of single-level transforaminal epidural steroid injection (TFESI) on kinesiophobia (KP) in patients with lumbar radicular pain (RP) caused by single-root, single-level lumbar disc herniation (LDH).

Materials and methods: A total of 63 patients diagnosed with unilateral single-level radicular pain due to LDH and treated with single-level TFESI were included. The Numeric Rating Scale (NRS), modified Oswestry Disability Index (MODI), Tampa Scale of Kinesiophobia (TSK), and Neuropathic pain (NP)-Douleur Neuropathique 4 Questionnaire (DN4) were used before the procedure and at 3 weeks and 3 months postoperatively.

Results: At baseline, 76.19% (n = 48) …

Impact Of Race-Based And Race-Free Ckd-Epi Equations On Estimated Glomerular Filtration Rate In A Multicenter Retrospective Cohort Of Autosomal Dominant Polycystic Kidney Disease, Özgür Akin Oto, Abdulmeci̇t Yildiz, İsmai̇l Koçyi̇ği̇t, Hali̇l Yazici, Sai̇de Eli̇f Güllülü Boz, Yi̇ği̇t Kurtuluş, Alparslan Demi̇ray, Müge Doksan, Vafa Suleymanova, Ece Ük, Alper Akin, Bahar Bastani, John C. Edwards, Krista Leigh Lentine, Yaşar Kerem Çalişkan

Turkish Journal of Medical Sciences

Background/aim: The 2021 revision of the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, which eliminates race-based coefficients, may significantly influence disease staging and treatment in autosomal dominant polycystic kidney disease (ADPKD). This study was designed to evaluate the impact of the 2021 race-free CKD-EPI equation on estimated glomerular filtration rate (eGFR) and chronic kidney disease (CKD) staging in a multi-ethnic ADPKD population.

Materials and methods: In this multicenter, retrospective cohort study, 597 ADPKD patients were evaluated, including 515 self-identified as Caucasian and 82 as African-American. eGFR values at baseline and final follow-up were calculated using both the 2009 and 2021 …

Reliability And Validity Of The Turkish Version Of The Barthel Index-Dyspnea In Patients With Pulmonary Hypertension, Pinar Merç, Rengi̇n Demi̇r, Meli̇h Zeren, Habi̇be Durdu, Ümi̇t Yaşar Si̇nan, Mehmet Serdar Küçükoğlu

Turkish Journal of Medical Sciences

Background/aim: The Barthel Index-dyspnea (BI-d) is a respiratory disease-specific tool developed on the basis of the Barthel Index (BI), which provides a simple and quick way to measure the degree of dyspnea in activities of daily living (ADL). Dyspnea is one of the most common symptoms of pulmonary hypertension (PH). The objective of this study was to explore the reliability and validity of the Turkish version of the BI-d in patients with PH.

Materials and methods: A total of 73 PH patients were included in the study. Criterion validity was explored using the modified Medical Research Council (mMRC) dyspnea scale, …

A High Fib-4 Score May Be An Early Sign Of Severe Liver Damage In Patients With Primary Antibody Deficiencies, Haci Uğur Muşabak, Tuba Erdoğan, Emre Özbek, Dudu Merve Durak Anşi̇n, Zumrud Mehti̇

Turkish Journal of Medical Sciences

Background/aim: Liver damage is a significant complication that increases mortality and morbidity in primary immunodeficiencies (PIDs). Although biopsy is the gold standard, the fibrosis-4 (FIB-4) scoring system is a noninvasive method for diagnosing liver fibrosis. In this study, we investigated the value of the FIB-4 score as an early indicator of liver damage in patients with primary antibody deficiencies (PADs).

Materials and methods: Of 52 patients, 40 had common variable immunodeficiency (CVID), 12 had immunoglobulin G subclass deficiency (IgG-SGD), and they were enrolled in the study. Patients were divided into hematology, rheumatology + dermatology, gastroenterology/hepatology, and respiratory diseases groups based …

Preliminary Population Genetic Analysis Of 12 X-Str Loci In A Sample From Türkiye: Allele Frequencies, Haplotype Diversity, And Linkage Disequilibrium​, Hizir Asliyüksek, Esra Güzel Tanoğlu, Abdulkadi̇r Can, Muhammed Fevzi̇ Esen, Yusuf Atan

Turkish Journal of Medical Sciences

Background/aim: X-chromosomal short tandem repeats (X-STRs) are informative genetic markers in kinship testing and specific forensic contexts, particularly when standard autosomal approaches are less informative. This study aimed to provide preliminary allele frequency, haplotype diversity, and linkage disequilibrium (LD) data for 12 X-STR loci in a sample from Türkiye.

Materials and methods: A total of 136 unrelated individuals from Türkiye were genotyped for 12 X-STR loci. Inferential analyses of X-linked loci require diploid genotypes; therefore, allele frequencies, Hardy–Weinberg equilibrium (HWE), LD, and regional comparisons were based primarily on female samples (n = 115), whereas male haplotypes (n = 21) were …

Pediatric Mr Cholangiopancreatography: Comparison Of 3d Fast Spin-Echo And Single-Shot Fast Spin-Echo Thick-Slab Techniques For Pancreaticobiliary Anatomy, Seda Kaynak Şahap, Suat Fi̇toz

Turkish Journal of Medical Sciences

Background/aim: This study compared thick-slab and three-dimensional (3D) T2-weighted magnetic resonance cholangiopancreatography (MRCP) sequences in pediatric patients with respect to image quality and visualization of the pancreaticobiliary anatomy.

Materials and methods: The MRCP examinations of 62 pediatric patients evaluated for suspected pancreaticobiliary pathology were retrospectively reviewed, comprising a total of 69 studies. Thick-slab single-shot fast spin-echo and 3D fast spin-echo MRCP sequences were compared. The visualization of pancreaticobiliary structures was assessed using a qualitative visual scoring system. Image quality was graded as good, moderate, poor, or nondiagnostic. Biliary anatomical variations were also evaluated. Statistical analysis was performed using appropriate nonparametric …

Postoperative Normocalcemic Hyperparathyroidism: A Comprehensive Analysis Of 510 Cases, Alparslan Ertenli̇ce, İbrahi̇m Kilinç, Mustafa Oruç

Turkish Journal of Medical Sciences

Background/aim: Postoperative normocalcemic hyperparathyroidism (NC-HPT) is defined as elevated parathyroid hormone (PTH) levels despite normal calcium levels after parathyroidectomy for primary hyperparathyroidism (PHPT). This study investigates the demographic, biochemical, and histopathological factors associated with NC-HPT in a large patient cohort and presents the follow-up outcomes.

Materials and methods: The initial study sample included 571 patients who underwent surgery for PHPT between January 2018 and January 2024, 510 of whom were analyzed retrospectively after the application of the exclusion criteria. Preoperative and postoperative biochemical parameters, bone mineral density, pathological findings, and follow-up data were evaluated. NC-HPT was defined as postoperative PTH …

Alterations In Gut Microbiota Composition In Adult Patients With Familial Mediterranean Fever: A Pilot Case–Control Study, Nazi̇fe Şule Yaşar Bi̇lge, Vicente Pérez Brocal, Ti̇muçi̇n Kaşi̇foğlu, Uğur Bi̇lge, Ni̇lgün Kaşi̇foğlu, Andres Moya, Ener Çağri Di̇nleyi̇ci̇

Turkish Journal of Medical Sciences

Background/aim: Although familial Mediterranean fever (FMF) is a monogenic disease, recent evidence suggests that the gut microbiota may play a role in its pathogenesis or phenotypic expression. We conducted a pilot exploratory study to evaluate the intestinal microbiota composition in patients with FMF and compare it to that of healthy controls.

Materials and methods: In this prospective cohort study, 10 adult patients with FMF receiving colchicine and 10 age- and sex-matched healthy controls were enrolled. Fecal samples were collected and stored at –80 °C until DNA extraction. The V3–V4 region of the 16S rRNA gene was amplified and sequencing was …

Engagement With Tailored Physical Activity Interventions Among Women In Midlife With Elevated Risk For Cardiovascular Disease, Kiri Baga

Theses and Dissertations

Women in midlife (ages 40-65) with risk factors for cardiovascular disease (CVD) need physical activity (PA) interventions that are informed by and address their daily challenges and life circumstances, to reduce their chances of premature mortality from CVD. Sustaining engagement with PA interventions remains a substantial challenge for women in midlife. The aims of the proposed study were to describe participants’ PA-relevant characteristics and intervention preferences and to identify their patterns of engagement with different PA support tools (tailored PA website, intervention involving pairing women as PA partners). With respect to engagement, there was limited between-person stability in engagement outcomes …

“Courage, Sisters. Your Living Is The Stuff Of Freedom”: Women In The Camden 28, 1971-1973, Abbigail Madeline Ealer

Theses and Dissertations

This historical study investigated the role and experiences of the ten women in the Camden 28, which was a group of Catholic Leftists who raided the draft board in Camden, NJ in 1971 to protest the Vietnam War. In utilizing a myriad of sources from archival collections through scarcely seen personal ephemera to correspondence with individuals connected to this case, this thesis demonstrated the importance of these women to the planning and execution of the raid as well as their significance to the outcome of the trial in 1973. It also showed the need for targeted scholarship on them. Furthermore, …

Filling The Knowledge Gap: The National Automobile Theft Bureau And The Rise Of Private Intelligence, 1912–1941, William Murray

Theses and Dissertations

This thesis examines the Automobile Protective and Information Bureau (APIB) and its successor, the National Automobile Theft Bureau (NATB), situating these institutions within the development of corporate intelligence in the United States. The rapid expansion of automobile ownership produced a form of crime defined by technological advancement and jurisdictional fragmentation that existing law enforcement could not effectively address. In response, automobile insurance companies created the APIB as a centralized clearinghouse for theft intelligence. By standardizing reporting, maintaining national records, and distributing investigative information, the Bureau developed an early private intelligence infrastructure that supported law enforcement. The limitations of local enforcement …

The Boundaries Of Corporate Politicking, Ashlee A. Paxton-Turner

Maryland Law Review

No abstract provided.

Amicus Brief Superficially In Support Of Thaler’S Petition For Certiorari (Which I Guess I’M Not Going To File Now), Brian L. Frye

Maryland Law Review

No abstract provided.

In The Race Between The Federal Government And The States To Regulate Ai, Big Tech Is The Winner, Matthew Berger

Maryland Law Review

No abstract provided.

Multi-Frequency Associative Memory For Continual Graph Learning Through Nested Optimization, Shuvam Kundu

Master’s Dissertations

Graph Neural Networks struggle to learn new tasks without forgetting old ones a problem known as catastrophic forgetting. In graph domains, this is compounded by structural shift, where newly added edges corrupt the learned representations of historical nodes even when model weights remain unchanged. We present CAM-Titans, a continual graph learning framework built around a two-buffer associative memory to address both parametric and structural forgetting. Our architecture operates across three timescales of adaptation: a slow base memory updated via ordinary gradient descent, an intermediate task buffer re-encoded after every task using the delta-rule, and a transient in-context state for rapid …

Development And Standardization Of Teds Actuator Templates Under Ieee 1451 Framework, Jim Kang

Theses and Dissertations

The IEEE 1451 standard is a family of standards that defines a framework for smart transducers, including both sensors and actuators, to support consistent, interoperable, and cost-effective integration across diverse applications. However, the current IEEE 1451.4 standard templates only define the method for encoding Transducer Electronic Data Sheet (TEDS) information for a broad range of sensor types and applications; they do not address actuator TEDS. Specific types of sensors and actuators are being developed to assess underground environmental conditions in cold regions with widespread permafrost. Evaluating subsurface conditions before construction can help prevent high construction expenses for structures built on …

A Living Curiosity: Storytelling As An Invitation To Wonder, Jackson Visscher, David Wibowo

Student Work

"By pairing powerful footage with real-life testimonies, filmmakers can encourage reflection and deeper questions."

Posting about filmmaking that inspires wonder from In All Things, an online hub that offers insight into maintaining and faithful and orthodox  Reformed Christian worldview while fearlessly engaging in  every aspect of contemporary life – until all is made new.

A Living Curiosity

Antioxidant Potential Of A Non-Heme Iron Complex: Mitigating H2O2-Induced Cellular Damage, Magy A. Mekhail, David M. Freire, Cameron Bowers, Grant Elam, Nora Del Bosque, Hannah K. Pyle, Sarah K. Dunn, Spencer Lanyon, Timothy J. Hubin, Giridhar Akkaraju, Kayla N. Green

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Iron complexes with antioxidant activity have garnered significant interest for both general and medical applications, yet few studies have yielded functional nonheme iron-based mimics for H₂O₂ mitigation in aqueous environments. Here, we investigate water-soluble nonheme iron complexes derived from 12-membered pyridinophanes (^CF₃PyN₃, PyN₃, ^NMe₂PyN₃, and Py₂N₂) to evaluate the impact of ligand scaffolds on H₂O₂ decomposition activity both in vitro and in a cellular model. Speciation and kinetic analyses reveal that both electronic and geometric modulation of the macrocyclic …

Clinical, Hormonal, And Treatment Outcomes In 247 Patients With Acromegaly: A Single Tertiary Center Experience, Ümran Gül, Beki̇r Uçan, Hayri̇ Bostan, Hakan Düğer, Hayri̇ Kertmen, Caner Ünlüer, Hali̇l Durantaş, Oğulcan Boz, Ceren Karaçalik Ünver, Burak Menekşe, Sema Hepşen, İlknur Öztürk Ünsal, Mustafa Özbek, Erman Çakal, Muhammed Kizilgül

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the demographic, clinical, and hormonal characteristics; comorbidities; surgical pathology; treatment modalities; and long-term clinical outcomes of patients diagnosed with and managed for acromegaly at our tertiary referral center over a 15-year period.

Materials and methods: Between 2010 and 2024, 247 patients with acromegaly were evaluated. Diagnosis and biochemical remission were determined according to the 2024 Acromegaly Consensus Criteria.

Results: The median follow-up duration was 8 years (IQR: 3–14). At the time of diagnosis, the most frequent pituitary hormone deficiency was secondary adrenal insufficiency, present in 17.8% of patients. The most common comorbidities were hypertension …

Using In-Home Air Quality Monitoring To Reduce Cannabis Secondhand Smoke Exposure In Children: Quantitative Pilot Feasibility Study, Vincent Berardi, Bradley N. Collins, Laura M. Glynn, Eusabeia Silfanus, Darby G. Lyons, Stephen J. Lepore

Psychology Faculty Articles and Research

Background: An estimated 5 to 8 million US children live with a parent who uses cannabis, and most cannabis users report smoking cannabis inside their homes, placing children at risk for cannabis secondhand smoke (cSHS) exposure. Indoor air quality (IAQ) monitoring provides real-time feedback on airborne pollutants and has shown promise in reducing in-home tobacco secondhand smoke exposure, suggesting its potential as an effective harm reduction strategy for cSHS.

Objective: This pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of using low-cost, off-the-shelf IAQ monitors to increase caregivers’ awareness of children’s cSHS exposure risk and to change …

Substantial Nighttime Evapotranspiration In Lettuce Grown Under Controlled-Environment Conditions, Claudia Garrido-Ruiz, Juan D. González-Teruel, Scott B. Jones, Bruce Bugbee

Plants, Soils, and Climate Faculty Publications

Nighttime evapotranspiration (ET_n) has been widely reported across plant species, yet its magnitude and physiological significance in controlled-environment crop production remain poorly understood. This study quantified ET_n in lettuce (Lactuca sativa L. cv. Outredgeous) grown under controlled-environment conditions and evaluated nighttime-to-daytime ET dynamics under contrasting surface cover conditions. Plants were grown in peat-based root modules operated as zero-drainage systems, allowing ET to be quantified from continuous mass loss of individual nutrient reservoirs. Two surface treatments were compared: uncovered growth media and growth media covered with flexible silicone-rubber sheets incorporated as part of the evaluated growth-system configuration, which …

Moving Through Disasters: Spatial Analysis And Modeling Of Evacuation, Migration, And Socioeconomic Selectivity In The United States, Xiang Li

USF Tampa Graduate Theses and Dissertations

Disasters increasingly affect population movement in the United States, but their relationships with mobility and migration at various spatio-temporal scales are not fully understood. Disaster-related movement may appear as short-term evacuation during hazardous events, long-term migration after major or repeated disaster exposure, or selective redistribution across socio-economic groups. Therefore, this dissertation aims to address three main questions: 1) What are the spatial patterns of evacuation, and how do evacuation rates vary across space during a major disaster? 2) To what extent are natural disasters associated with long-term human migration patterns in the United States, and how can their contributions be …

Topological Tools For The Analysis Of Complex Networks And Higher-Order Networks, Jason P. Laruez

Theses

This dissertation investigates the intersection of topological data analysis and network science, applying and extending persistent homology, Betti numbers, and simpliciality measures to study temporal, evolving, and coevolving networked systems. We introduce a multi-layer zigzag persistent homology framework for analyzing temporal hypergraphs across multiple timescales simultaneously, and validate it on the DARPA Operationally Transparent Cyber dataset, where it produces topological signatures that distinguish malicious from benign network activity by source IP. We then apply topological tools to classical generative network models and their hypergraph extensions, characterizing how Betti numbers, filling efficiencies, and simpliciality measures evolve as these models grow or …

Perception And Identity Through The Deconstruction Of Images, Ember Gulden

University Honors Theses

Human lives are informed by images, which allow us to understand a moment from the past while transforming the way we remember it. A photograph is a representation of what was physically in front of a camera. However, the image after its capture holds no singular identity and is malleable, similar to memory. I use photography and mixed-media collage in my artistic practice to explore how perception and identity is affected by the images we consume. My BFA project "This Doesn't Have To Be The End" examines the complex nature of identity through the transformation of personal photographs into pixel-like …

Junk Journaling For Graphic Designers: Analog Play & Process In An Increasingly Digital Design Landscape, Kristina Rosgen

University Honors Theses

This thesis explores junk journaling as an accessible analog practice for young graphic designers experiencing digital fatigue, creative stress, and perfectionism. Through historical research, a hands-on workshop, and an interactive Readymag website, the project shows how junk journaling can help designers reconnect with play, process, physical materials, and the joy of making.

Extraction Of High-Quality Cashew Nutshell Liquid Using Carbon Dioxide-Expanded Hexane, Frank N. Jacob, Neema Msuya, Joseph Y.N Philip, Kando Khalifa Janga

Tanzania Journal of Science

Cashew nutshell liquid (CNSL) is a by–product from cashew processing industries containing four naturally occurring phenolic compounds. This study investigated an extraction approach using CO2–expanded hexane. The central composite design (CCD) was employed in experimental design to investigate the effects and interaction of CO 2 mole fractions and extraction temperature on the CNSL yield and quality (Colour) from Steamed CNSL. The dissolution power of the CO2–expanded hexane was assessed by determining the solubility of CNSL during the initial stages of extraction at different extraction conditions. Findings indicated that higher CO2 mole fractions reduced CNSL solubility, while higher temperatures enhanced it. …

A System For The Prediction Of Election Results Using Vader And Hybridized Machine Learning Model, Abraham E. Evwiekpaefe, Khadijah Kabir, Georgina N. Obunadike

Tanzania Journal of Science

Integrating different classifiers along with sentiment lexicons like Vader, can enhance the performance of sentiment analysis systems. However, such a hybrid model remains underexplored, particularly in the context of regional elections in developing countries like Nigeria. The aim of this research is to develop a hybrid model that combines three machine learning classifiers and Vader lexicon to possibly achieve a higher accuracy. A case study of the 2023 governorship election in Kogi, Bayelsa and Imo State, Nigeria was examined. Twitter API library was utilized to extracted public and personal tweets using hashtags and keywords related to the target data from …

The Helminthic Status Of Selected Tanzanian Subterranean Rodents, The Root-Rats (Spalacidae: Tachyoryctes Splendens) And Emini Silvery Mole-Rats (Bathyergidae: Heliophobius Argenteocinereus Emini), Jestina V. Katandukila

Tanzania Journal of Science

Root-rats (Tachyoryctes splendens) and emini silvery mole-rats (Heliophobius argenteocinereus emini) are common subterranean rodents that are essential component of the ecosystem. They serve as prey for small to medium-sized carnivores and birds of prey but their role as hosts to parasites is limited. The present study, explored the Gastrointestinal Tract (GIT) contents of 40 rodents (20 T. splendens and 20 H. a. emini, respectively) to acquire information on parasites diversity of these mammals. The GIT contents from subterranean rodents in a sex ratio of 1:1 were examined under a compound microscope to isolate helminths. The isolated helminths belonged to the …

How Location-Allocation Modelling Can Be Used To Site Pet-Friendly Evacuation Shelter Locations For Pet Owners In Hillsborough County, Florida: An Exploratory Study, Sarah A. Shaughnessy

USF Tampa Graduate Theses and Dissertations

Florida has been hit by some of the most destructive tropical cyclones in North America due to its relative location to the Gulf and Atlantic Ocean. Florida’s population growth since the 2000’s and the increased frequency of stronger storms because of climate change have made numerous emergency management leaders throughout the state get evacuation shelter networks established for public safety. However, the existing shelter network in Hillsborough County has become inadequate to satisfy the unprecedented population growth in that specific area since the COVID-19 pandemic and there’s a need for new shelter locations to better accommodate the growth when a …