Digital Commons Network^™

Health Status In East Texas, Manuel Reyes-Loya, Cecilia Cuellar, Marilyn Young, Luisa Moraes

Hibbs Newsletter

This issue of the Hibbs Newsletter examines the key economic drivers of East Texas, highlighting trends in GDP, employment, and wages across major metropolitan areas. From 2015 to 2023, the region experienced steady economic growth, led primarily by healthcare, manufacturing, and mining industries. The report emphasizes healthcare as a dominant contributor to both employment and high-wage occupations, offering insight into the region’s evolving economic structure

How Can University-Community Partnerships Strengthen Food Literacy To Improve Food Access And Food System Resilience In Rhode Island?, Jocelyn Furtado

Student Research Design & Innovation Symposium

Nearly two out of every five households in Rhode Island experience difficulties accessing adequate and nutritious food, falling into the category of food insecure. While it is not the responsibility of a sole organization to reverse this complex systemic issue, collaborative efforts are a step toward combating food insecurity and systems resilience through improving food literacy. When accomplished within a community, adequate food literacy can combat food insecurity. To the same effect, food insecurity may cause a lack of food literacy. To hone in on the relationship of food literacy as it relates to food insecurity and food systems resilience, …

Pilot Study On The Use Of Multimorbidity Index In Patients Receiving Home Parenteral Nutrition, Michael M. Rothkopf, Mohan Pant, Zachary Rothkopf, Rebecca Brown Rdn, Jaime Haselhorst Rdn, Debbie L. Stevenson Rdn, Andrew Depalma Mba, Michael Saracco

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background

Home parenteral nutrition (HPN) patients often have multiple comorbidities. A validated multimorbidity index (MMI) could help determine resource needs and risks with HPN. We evaluated MMI scoring to determine if it predicted HPN resource use and outcomes.

Methods

We performed a secondary analysis of 60 HPN patients from a previous study based on Cumulative Illness Rating Scale (CIRS) scoring. We examined three variables: PN formula changes, hospitalizations, and hospital length of stay (LOS). Density plots were produced to select a CIRS score cutoff value. Spearman correlations among the three variables of interest were computed. The data were then subjected …

Vitamin D Status During Pregnancy Modulates The Effect Of Pre-Pregnancy Obesity On Gestational Diabetes Mellitus Risk: A Birth Cohort Study, Ali H. Ziyab, Abdullah Al-Taiar, Reem Al-Sabah, Majeda S. Hammoud, Saeed Akhtar

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Objective:

To determine whether gestational vitamin D status modulates the effect of pre-pregnancy obesity on gestational diabetes mellitus (GDM) risk while stratifying by maternal age.

Design:

Birth cohort.

Setting:

A major maternity hospital in Kuwait.

Participants:

Pregnant women in their second/third trimester of gestation were enrolled. Pre-pregnancy body mass index (BMI, kg/m²) was categorized as under/normal weight (< 25.0), overweight (25.0 to < 30.0), and obesity (≥30.0). Gestational 25-hydroxyvitamin D concentrations were categorized as deficiency (< 50 nmol/L) or insufficiency/sufficiency (≥50 nmol/L). GDM status was ascertained according to international guidelines. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were estimated using logistic regression.

Results:

Data from 957 pregnant women were analyzed, with GDM affecting 166 (17.4%) pregnancies. Pre-pregnancy obesity and gestational vitamin D deficiency was ascertained in 275 (28.7%) and 533 (55.7%) pregnant women, respectively. The association between pre-pregnancy obesity and GDM risk differed according …

Integrating Pilates Into Outpatient Occupational Therapy:A Complementary Approach To Traditional Rehabilitation, Ellie Drechsler

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

INTRODUCTION: Reformer Pilates, originally developed by Joseph Pilates as a holistic method to enhance strength, alignment, and mind–body integration, has gained increasing recognition for its therapeutic potential in rehabilitation settings. Despite evidence supporting its benefits for balance, chronic pain, functional mobility, and mental wellbeing, its use in outpatient occupational therapy (OT) and physical therapy (PT) remains limited. The purpose of this quality‑improvement project aimed to bridge that gap by developing an accessible, reformer‑based educational resource for clinicians with minimal Pilates experience and by evaluating client and clinician perceptions of its therapeutic value.

METHODS: Using mixed-methods surveys, qualitative and quantitative feedback …

Understanding The Impacts Of Food Insecurity On Education Outcomes In Ohio, Maria El Biri, Sreya Tummalapalli

Scholarship in Medicine - All Papers

Background: Food insecurity has been a growing concern in the United States, and prior research has shown how food insecurity in youth can correspond to negative psychosocial outcomes. Additionally, there are known disparities with access to food based on living in rural or urban counties. Objective: The goal of this study was to determine how differences in food security can impact youth educational outcomes in Ohio. Methods: Data from County Health Rankings & Roadmaps were obtained on variables such as access to healthy foods, food insecurity, high school graduation rates, average grade performance, and percentage of the population living in …

Accuracy Of The Nestlé Mini Nutritional Assessment® (Mna®) Screen In Identifying Prealbumin–Defined Malnutrition Amongst Spine Surgery Patients, Stylianos Mysirlidis, Luke Fischbach, Matthew Giammanco, Alex Zhang, Phillip Alexeev, Ryan Snowden

SPARK Symposium Presentations

Abstract:

Background:

Malnutrition is a significant risk factor for patients undergoing surgery, including those receiving spine surgery. These patients are at greater risk of adverse postoperative outcomes, impaired wound healing, and spinal fusion failure. Therefore, it is essential to identify at-risk, malnourished patients prior to intervention to mitigate any complications such as surgical site infections, unplanned readmissions, and reoperations. The primary focus of this study was to assess the accuracy of the Nestlé Mini Nutritional Assessment® (MNA®) on identifying true malnutrition amongst those patients undergoing spine surgery.

Methods:

We conducted a retrospective cohort study of 674 consecutive …

Early-Life Stress And Skeletal Proportions In Egyptian Juveniles: A Comparative Analysis Of Upper And Lower Limb Growth, Bonnie Radican

High Impact Practices Student Showcase Spring 2026

Childhood skeletal growth is sensitive to environmental stress, and different limb segments may respond to developmental disruption unequally. This study explained whether lower limb bones showed greater growth deficits than upper limb bones in juvenile skeletal remains from the Kellis 2 cemetery at the Dakhleh Oasis, Egypt, a Roman period site (approximately AD 50-450) where nutritional stress and disease have been previously documented. The delta 1mean method developed by Goode et al., (1993) was applied to six long bones – humerus, radius, ulna, femur, tibia, and fibula – in a combines sample of 98 individuals drawn from original measurements and …

2025 Georgia Southern University Softball Media Guide, Georgia Southern University

Women's Softball Records

No abstract provided.

Long-Lasting Impact Of Public Health Dentistry, Michal Herman Dds, Facd

Journal of the American College of Dentists

This article reflects on the enduring impact of public health dentistry through the author’s 25-year professional journey serving underserved and marginalized communities. It examines persistent barriers to equitable oral health care, including workforce shortages, inadequate insurance coverage, racial disparities, and limited access in rural and low-income populations. Drawing on experiences in nonprofit and community dentistry, the article highlights the importance of mentorship, advocacy, leadership, and community engagement in addressing oral health inequities. It argues that public health dentistry represents a form of professional altruism grounded in service and social responsibility, and calls on dental professionals to expand access, support workforce …

Fuel Your Focus: The Improtance Of Diet For Listening, Lauren Martins

A. The Science of Sound

This infographic presents an overview of the importance of diet for listening. Foods affect energy, memory, concentration, and other factors that influence listening.

Influence Of Serum Vitamin D Levels On Marginal Bone Loss Around Unsplinted Mandibular Implant Overdentures: A Retrospective Study, Rahma El Hussany Mohammed El Desouky, Fatma Ahmad El-Waseef

Mansoura Journal of Dentistry

Objective: To investigate the impact of serum vitamin D levels on marginal bone loss (MBL) in patients restored with unsplinted-mandibular-implant overdentures using LOCATOR attachments. Materials and Methods: Thirty participants rehabilitated with three-implant-mandibular overdentures were included. Based on serum vitamin D at the time of prosthetic loading, participants were categorized into two equal groups: a test group with deficient vitamin D (< 20 ng/mL) and a control group with sufficient levels (≥30 ng/mL). Patients with borderline levels (21–29 ng/mL) were excluded. Peri-implant vertical (VBL) and horizontal bone loss (HBL) were measured at baseline (T0), 6 months (T6), and 12 months (T12). Results: The vitamin D-deficient group exhibited significantly elevated VBL and HBLover the sufficient group at all-time points (P

Cephalometric Norms And Sexual Dimorphism In The Tanzanian Population: A Comparative Study With Caucasian And West African Norms, Ali K. Hamad, Ferdinand M. Machibya, Matilda M. Mlangwa, David N. Ngassapa

Mansoura Journal of Dentistry

Objective: This study aimed to establish cephalometric norms for the Tanzanian population, assess sexual dimorphism in cephalometric measurements, and compare these findings with established Caucasian and West African norms to enhance orthodontic diagnosis and treatment planning. Materials and Methods: A crosssectional study was conducted on 309 subjects (142 males, 167 females) at Muhimbili University Dental Clinic. Cephalometric radiographs were digitally traced using Quick Ceph Studio. Reliability was assessed using the inter-class correlation coefficient. The Kolmogorov-Smirnov test checked normality, while one-sample t-tests and Student’s ttests (p < 0.05) were used for comparisons. Data were analyzed with RStudio. Results: Tanzanians showed significantly smaller craniofacial measurements than Caucasians. Males had larger skeletal dimensions than females. Compared to West Africans, Tanzanians had generally higher values, with a few exceptions. Conclusion: Tanzanians display distinct craniofacial characteristics, differing from both Caucasians and West Africans. These findings support the need for population-specific cephalometric norms to guide accurate orthodontic diagnosis and treatment.

Effect Of Endophytic Fungi On Thrips Tabaci Development And Population Dynamics, Ngoc Anh Vu, Sevgan Subramanian, Rainer Meyhöfer

All Peer-Reviewed Publications

Endophytic fungi are promising biocontrol agents because they colonise healthy plant tissues asymptomatically while inducing systemic resistance that negatively affects herbivorous insects. We investigated whether treatments with the endophytes Trichoderma harzianum and Beauveria bassiana in two onion cultivars (Allium cepa L.; Sturon and Red Baron) induce plant responses that alter Thrips tabaci behaviour and population development. Under controlled conditions, seeds were treated with conidial suspensions and plants subsequently received foliar applications; plants were then exposed to T. tabaci for 72 h, 4 weeks, or 8 weeks in no-choice assays. Both endophytes reduced thrips host-plant preference: at 72 h post-exposure, inoculated …

Navigating Hunger And Academic Success: College Students’ Experiences With Food Insecurity And Campus Food Pantries, Casey J. Weaver, Carl H. Sorgen, Cordelia D. Zinskie

Journal of Higher Education & Student Affairs

Food insecurity is a growing issue faced by many college students, and there is an increasing call for more qualitative research examining food insecurity on college campuses. It may be posited that students who experience food insecurity but have access to resources are more likely to succeed academically than those without access to such resources. This research examined how the resources provided to college students experiencing food insecurity influenced their academic success at a university in the United States. This study explored the experience of four students who identified as food insecure and utilized campus resources to address this issue. …

Omega-3 Fatty Acids And Bioactives In Aqueous-Extracted Oils From Seven Edible Insects, Xavier Cheseto, Chrysantus Mbi Tanga

All Peer-Reviewed Publications

Globally, there is urgent search and research interest towards alternative sources of polyunsaturated omega-3 fatty acids (ω-3 FA) due to sustainability challenges faced by dependence on fish and plant-derived sources. Limited information exists on insects despite their promising potential. This work analyzed oils from seven insect species commonly consumed globally compared to commercial sesame oil using coupled gas chromatography-mass spectrometry (GC-MS) and liquid chromatography-mass spectrometry (LC-MS). Oil yields from insects ranged between 11.1 mg/g to 115.3 mg/g. Over 67 fatty acids, α-tocopherol [vitamin E] and eight flavonoids were identified. All insect oils contained ω-3 FA [i.e., α-linolenic acid (ALA), eicosapentaenoic …

Sustainable Control Of Pests And Striga Weed Through Intensified Push-Pull Technology And Frass-Based Soil Amendments, Evanson R. Omuse, Honest Machekano, Daniel M. Mutyambai, Dennis Beesigamukama, Chrysantus M. Tanga, Samwel O. Ogaji, Sevgan Subramanian, Frank Chidawanyika

All Peer-Reviewed Publications

Crop productivity under African smallholder farming systems is faced by numerous challenges, including insect pests, weeds, low soil fertility, and climate change. Sustainable intensification, such as push-pull (PP) technology and vegetable-integrated push-pull (VIPP) technology, coupled with soil organic amendments such as black soldier fly frass fertilizer (BSFFF), can address these agricultural constraints. We investigated the individual and synergistic effects of cropping systems comprising two crops [maize (DK777 variety) and cowpea (KVU27 variety)] and agroecological strategies (PP, VIPP and BSFFF) on the management of pests and Striga weeds and crop productivity in three different geographical areas. Diversified cropping systems (PP and …

Intensified Push-Pull Technology Enhances Above-Ground Arthropod Assemblages And Ecological Balance, Evanson R. Omuse, Honest Machekano, Daniel M. Mutyambai, Bonoukpoe M. Sokame, Chrysantus M. Tanga, Johnson O. Nyasani, Sevgan Subramanian, Frank Chidawanyika

All Peer-Reviewed Publications

Agroecological intensification aims to increase farm productivity, reduce dependency on external inputs, and enhance biodiversity conservation. However, the contribution of recent sustainable agricultural practices to arthropod assemblages and their ecosystem services remains underexplored. Through a 2-year multilocation trial, we investigated the response of above-ground arthropod assemblages and their ecological functions in cowpea and maize grown under monocropping systems and diversified systems (pure and intensified push-pull technologies). Using three sampling methods (visual observations, pitfall traps, sticky traps), a total of 65, 307 arthropod specimens were collected. The most dominant arthropod taxa were Hemiptera (true bugs; 47%), followed by Thysanoptera (thrips; 17%), …

Impacts Of Multitrophic Interactions In Diversified Cropping Systems For Sustainable Management Of Spodoptera Frugiperda, Abdul A. Jalloh, Abdullahi Ahmed Yusuf, Fathiya M. Khamis, Subramanian Sevgan, Daniel Munyao Mutyambai

All Peer-Reviewed Publications

Background: Rapid population growth has made the sustainable intensification of agricultural productivity essential for meeting global food demands while maintaining environmental integrity and biodiversity. Diversified cropping systems, such as intercropping, push-pull systems, and cover cropping, are recognized as agroecological strategies to enhance plant growth and protection, and suppress major pests, including the fall armyworm (FAW, Spodoptera frugiperda). These systems influence complex above-and-below ground interactions among herbivorous pests, plants, soil microbes, and their natural enemies. Aims: This review synthesizes current knowledge on how diversified cropping systems shape multitrophic interactions that affect soil health, plant performance, S. frugiperda suppression, and biocontrol within …

Not Biological, But Built: Structural And Metabolic Pathways Driving Black Maternal Health Disparities In The United States, Alexandra I. Umegboh

CMC Senior Theses

Black infants in the United States are more than twice as likely to die before their first birthday than white infants, a disparity often attributed to genetics, behavior, or individual health choices. However, this idea is challenged by a key contradiction: African immigrant women consistently experience better birth outcomes than U.S.-born Black women despite being similarly racialized. This thesis investigates the origins of this reproductive advantage and the factors contributing to its decline over time. By drawing on epidemiological data, metabolic health research, and literature on African diasporic healing traditions, it argues that the “healthy immigrant effect” is not biological, …

Defining Consensus‐Based Components For Integrating Dietitians Into Primary Dental Care For Paediatric Populations: A Delphi Study, Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas‐Agustench

School of Health Professions

Background: Diet is a modifiable risk factor linking oral and systemic health, contributing to dental caries and weight-related outcomes (including underweight, overweight and obesity) in the paediatric population. However, dietary advice provided by dental professionals in primary dental care is often brief and sugar-focused, representing a missed opportunity to address shared risk factors. Integrating dietitians into primary dental care may support more holistic paediatric preventative care. Objective: To develop expert consensus on the components required to integrate dietitians into primary dental care to address diet as a common risk factor in paediatric oral health and weight-related outcomes. Methods: A three-round …

Effect Of High-Dose Vitamin D Supplementation On Serum Sclerostin Levels In Chronic Kidney Disease Patients: A Randomized Controlled Trial, Mohamed A. Hassany, Mariam A. Fawy

Mansoura Medical Journal

Background Vitamin D deficiency and altered bone metabolism are common in patients with chronic kidney disease (CKD). Sclerostin, a key inhibitor of bone formation, has been implicated in CKD–mineral and bone disorder (CKD-MBD), but the impact of high-dose vitamin D supplementation on circulating sclerostin is unclear. This work examined the effect of intramuscular cholecalciferol on serum sclerostin and bone-related markers in CKD patients. Methods This randomized controlled trial involved 128 adult CKD patients (stages 3–5), 18–70 years, both sexes, with vitamin D deficiency. Adults were equally randomized into two groups: the intervention group received intramuscular cholecalciferol (300,000 IU at baseline …

Evaluation Of Neutrophils To Albumin Ratio (Nar) And C-Reactive Protein To Albumin Ratio (Car) As Markers Of Disease Activity In Patients With Ulcerative Colitis, Doaa Salah Abd-El-Fattah, Mohamed Abd El-Maksoud, Salwa M. Abo El-Khair, Ahmed El-Eraky, Amany Hasson

Mansoura Medical Journal

Background Ulcerative colitis (UC) is considered an extensive disease due to the risks of proximal extension, malignant transformation, disability and impaired life quality. This study aimed to explore the role of Neutrophils to Albumin Ratio (NAR) and C - reactive protein to Albumin Ratio (CAR) in evaluation of disease activity in patients with UC. Methods This cross-sectional study included 227subjects classified into two groups; group (I) included 126patients suffering from ulcerative colitis and group (II) included 101 healthy individuals with normal basic laboratory tests matched for age and sex. Estimating disease activity and severity clinically was according to Truelove criteria. …

Clinical And Dermoscopic Nail Changes In Patients With Chronic Kidney Disease: A Cross-Sectional Study, Ghada Nagy Mansour Borham, Hassan Abdel-Raheim Fayed, Eman Nagy Ahmed Abdelrazik, Amany Awad Mohamed

Mansoura Medical Journal

Background: Nail abnormalities are commonly observed among patients with chronic kidney disease (CKD) and may reflect underlying systemic and metabolic alterations. Dermoscopy (Onychoscopy) has emerged as a valuable noninvasive tool for detecting subtle nail changes.

Aim:  To describe the patterns and dermoscopic features of nail changes in patients with chronic kidney disease (CKD) and to explore their association with disease severity and renal function parameters.

Methods: This cross-sectional descriptive study included 127 patients with different stages of CKD. All participants underwent a comprehensive clinical and dermoscopic evaluation of the nail apparatus. Dermoscopic findings included longitudinal ridging, white …

Clinico-Epidemiological Profile Of Iron Deficiency Anemia Among Egyptian Primary School Aged Children: A Hospital Based Study, Rabab Fathy Abdelhamid, Noha Essam, Mona Mohamed Taalab

Mansoura Medical Journal

Background: Iron deficiency anemia (IDA) is the most prevalent cause of anemia among Egyptian children and is associated with a range of hematologic and non-hematologic complications, some of which may be irreversible. This study aims to evaluate the clinical profile and identify factors associated with severe IDA in primary school–aged children.

Methods: This cross-sectional study included 420 primary school–aged children diagnosed with IDA who attended the outpatient clinic of Salamoun El-Qumash Family Medicine Centre. Data were collected through face-to-face interviews using a structured questionnaire. All participants underwent a thorough clinical examination and laboratory evaluation, including a complete blood count and …

Hypoalbuminemia As A Predictive Factor For Acute Kidney Injury In Pediatric Patients Running Title: Hypoalbuminemia In Aki Pediatrics, Kareem El-Saeed El-Maasrany, Ayman Hammad, Hosam Zaghloul, Ahmed Elhusseiny

Mansoura Medical Journal

Aim: Hypoalbuminemia is a well-known risk factor for illness and death, but its role as a particular predictor of acute kidney injury (AKI) is still not fully understood. This study intended to evaluate the role of hypoalbuminemia as a predictive factor for AKI outcome among pediatric patients, regarding hospital stay, kidney replacement therapy and mortality rate.

Subjects and Methods: This prospective observational cohort was conducted on 70 children with AKI divided into two groups: group I (35 AKI children combined with hypoalbuminemia) and group II (35 AKI children without hypoalbuminemia). All participants were subjected to full history taking, clinical examination …

Evaluation Of Clinical Efficacy And Safety Of Topical Trifarotene Versus Topical Dapsone In Inflammatory Acne Valgaris: Split Face Interventional Study., Shaymaa E. Elmongy, Aya Mohammed Elsebaie, Azza Osama Alqurei, Noura A. Elseessy

Mansoura Medical Journal

Background: Topical Trifarotene and Dapsone both treat inflammatory acne, but they work differently and have distinct side effects.

Objective: to compare efficacy and safety between topical trifarotine 0.005% versus dapsone 5% gel for treatment of mild to moderate inflammatory facial acne vulgaris.

Methods: This split face interventional study included twenty (20) patients with mild to moderate facial acne vulgaris. All the patients were treated with topical trifarotine cream 0.005 once daily at night thin layer on RT side of the face and treated with topical dapsone gel 5% once daily at any time of the day thin …

Serum Magnesium Level And Carotid Artery Calcification And Stiffness In Dialysis Patients: Single Center Cross-Sectional Study, Kareem Ahmed Elbosaty, Alaa Abd Elaziz Sabry, Gehad Ahmad Saleh, Nehal Atef Elshabrawy

Mansoura Medical Journal

Introduction Vascular calcification is common among end-stage renal disease (ESRD) patients on regular dialysis, either hemodialysis or peritoneal dialysis. Magnesium is suggested to play a role in inhibiting that process. Recently, Mg started to be considered one of the factors that protect against vascular calcification and consequently decrease CVD mortality rate in CKD patients. Many recent studies support that role although the mechanism of that protective effect is not clear. But it is supposed to be a combination of both passive and active mechanisms. The passive one occurs through interference with calcium phosphate deposition and hydroxyapatite inhibition by phosphate binding. …

The Performance Of Machine Learning Algorithms In Predicting Under-Five Anaemia In Tanzania, Henry Ofori Duah, Derrick Nyantakyi Owusu, Godwin G. Duah, Paul Shidende

College of Nursing Faculty Research and Publications

Aim

Anaemia in children under five remains a major public health concern, contributing significantly to global child morbidity and mortality. With the rise of machine learning (ML), novel opportunities exist to model and predict anaemia more effectively. This study aimed to evaluate and compare the performance of five ML algorithms in predicting anaemia among under-five children in Tanzania.

Methods

We conducted a secondary data analysis using the 2017 Tanzania Malaria Indicator Survey (TMICS). The dataset (n = 5906) was randomly split into training (70%) and test (30%) sets. Five ML algorithms, Linear Discriminant Analysis (LDA), Logistic Regression, Random Forest (RF), …

Beyond Hemostasis: A Narrative Review On The Multifaceted Therapeutic Potential Of Ankaferd Blood Stopper, Salima E. Tibi, Muhammad Hashir Nazir, Saleha Nazir, Bhumi Daishik Patel, Gayatri Misra, Tirath Patel, Fatima Nasir, Muhammad Farhan, Nana Sardarova, Nikhilesh Anand

School of Medicine Publications

Background: Effective hemorrhage control is essential in managing trauma and surgical patients, with uncontrolled bleeding being a leading cause of mortality. Ankaferd Blood Stopper (ABS), a hemostatic agent historically used in Anatolia, has gained recognition for its ability to modulate red blood cell-fibrinogen interactions to form a stable protein network for rapid bleeding cessation.

Objective: This review explores the multifaceted applications of ABS, evaluating its efficacy, safety, and potential therapeutic roles across various medical fields, including hemostasis, wound healing, antimicrobial activity, and antineoplastic effects.

Methods: A comprehensive synthesis of clinical trials, case reports, and experimental studies was conducted to assess …