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Impact Of Early Injection Laryngoplasty On Voice Outcomes And Quality Of Life In Acute Unilateral Vocal Fold Paralysis, Abdelrhman Ali Kamal, M El-Kotb, Hemmat Mostafa Baz, Ahmed S. Abdelmeguid

Mansoura Medical Journal

Background

Unilateral vocal fold paralysis (UVFP) leads to glottic insufficiency, resulting in dysphonia, reduced vocal strength, and frequently swallowing difficulties that impair communication and quality of life. Injection laryngoplasty with temporary materials such as hyaluronic acid has been shown to improve voice quality and phonatory function in UVFP patients and may serve as an effective early intervention prior to permanent medialization surgery.

Objective

To assess the impact of early injection laryngoplasty on voice outcomes and voice related quality of life in patients with acute unilateral vocal fold paralysis.

Methods

This prospective study included 24 patients with acute UVFP treated with …

Predictors Of Outcomes Of Adult Mandibular Fractures: A Prospective Study., Norhan Yahia El-Henawy, Mohamed Ali Mahgoub, Mohamed Radwan El-Hadidy, Ahmed Hassan El-Sabbagh

Mansoura Medical Journal

Background: Mandibular fractures not only cause physical disfigurement and functional impairments but also significantly affect the patient’s psychological, emotional, and social well-being. Predictors are variables that may influence or explain variation in the outcome of mandibular fracture. Aim of work: To evaluate demographic, clinical, radiological, and psychosocial factors associated with early postoperative complications and postoperative depressive symptoms following surgical management of adult mandibular fractures. Methods: A prospective study evaluated patients who will undergo treatment for surgical mandibular fracture/s at Mansoura Emergency Hospital, DK, from August 2023 to July 2024. The patients were assessed by history taking, clinical picture, radiological tools, …

Quality-Of-Life Outcomes Of Tympanoplasty/Mastoidectomy Operations, Peter Shokr Meglaa, Ahmed Hemdan Eldeeb, Hisham Atef Abada, Yousef Kamel Shabana

Mansoura Medical Journal

Background: Chronic suppurative otitis media (CSOM) impairs quality of life (QoL) via otorrhea, hearing loss, and psychosocial effects, with surgery (tympanoplasty/mastoidectomy) as mainstay treatment despite limited patient-centered outcome data. This study aimed to evaluate QoL changes post-tympanoplasty/mastoidectomy in CSOM using validated tools.

Methods: This prospective study included 50 adults with CSOM at Mansoura University Hospitals. Pre/postoperative assessments included Chronic Otitis Media Outcome Test-15 (COMOT-15), Short Form-36 Health Survey (SF-36), Hearing Handicap Inventory for the Elderly-Screening (HHIE-S), Tinnitus Evaluation Questionnaire (TEQ), Situational Vertigo Questionnaire (SVQ), pure tone audiometry (PTA), and air-bone gap (ABG).

Results: PTA improved from 48.5±10.2 to 28.3±8.4 dB …

Red Cell Distribution Width As A Prognostic Factor And Its Comparison With Lactate In Patients With Sepsis: An Observational Prospective Cohort Study, Ahmed Taha Gad, Ghada Fathy El-Rahmawy, Naglaa Abd El-Latif El-Negeery, Eiad Ahmed Ramzy

Mansoura Medical Journal

Background: Red blood cell distribution width (RDW) is a straightforward and cost-effective parameter that is utilized in laboratory hematology to differentiate anemias. It is indicative of the grade of heterogeneity in erythrocyte volume. This study purpose examine the correlation among the risk of adverse results in patients with sepsis and RDW, as well as to equivalence the mortality discriminative capacity of RDW and lactate levels.

Methods: This observational prospective cohort study was done on 67 sepstic patients aged ≥ 21 years old, both sexes. Patients were owed into two groups according to RDW levels: Group A (n=35): normal RDW …

The Potential Role Of Naftidrofuryl Oxalate In Rat Model Of Ulcerative Colitis, Omar Mohsen Elmazny, Ahmed Abdel-Monem Elmetwally, Vivian Boshra, H.M. El-Beltagi, Basma Hamed Othman, Heba Sheta

Mansoura Medical Journal

Background: Ulcerative colitis (UC) is a chronic, recurrent bowel disease characterized by inflammation that leads to superficial damage to the colon wall. The rate of incidence of UC differs from 0.5 to 31.5 per 100,000 subjects annually. The exact cause is still not well-identified. Studies suggest genetic factors, altered immune response, and environmental factors may play a role in the initiation and progression of the disease. Its pharmacological treatment remains unsatisfactory. Aim: To assess the possible protective effect of Naftidrofuryl oxalate (NFT) (praxilene) on intestinal epithelial cells in acetic acid (AA)-induced UC model in rats.  Materials and Methods: sixty female …

The Role Of Adult Appendicitis Score In Reducing The Negative Appendectomy Rate, Mohamed Mahmoud Mansour El Ghzzawy, Magdy Basheer, Mohamed Balata, Amir A. Fikry

Mansoura Medical Journal

Aim: Approximately 15 – 30% of all acute appendectomies are performed based only on clinical suspicion. A negative appendectomy has a 10–12% morbidity rate, which could be detrimental to patients. The current study aimed to evaluate the effectiveness of adult appendicitis score (AAS) in accurate identification of cases with acute appendicitis.

Patients and Methods: This prospective observational study was conducted on 150 patients who presented with manifestations of acute appendicitis admitted to Mansoura Emergency Hospital.  The AAS was calculated, the decision on appendectomy was solely based on the surgeon’s clinical judgment after taking into consideration all the findings of clinical, …

Assessment Of Health-Related Quality Of Life In Pediatric Patients With End Stage Renal Diseases, Nasteho Adan Awil, Ahmed Mahmoud Elrefaey, Abdel-Hady El-Gilany Abdel-Elfattah, Heba Mohamed El-Taher

Mansoura Medical Journal

Background: End-stage renal disease (ESRD) occurs when the glomerular filtration rate falls below 15 mL/min, requiring renal replacement therapy. Despite improved survival, affected children experience significant physical, emotional, and social challenges. Consequently, health-related quality of life (HRQoL) is markedly reduced compared with healthy peers.

Aim: This study aimed to assess health-related quality of life (HRQOL) in pediatric patients with end-stage renal disease (ESRD) and to identify factors associate with the quality of life in pediatric patients with   end stage renal disease (ESRD).

Methods:  All 60 eligible children who were enrolled in the Nephrology Unit at Mansoura University Children's Hospital …

Evaluation Of Cardiac Troponin T And Ischemia-Modified Albumin Changes With Hemodialysis Session In Pediatric Patients With End-Stage Renal Disease, Zeinab Ezz Elden Abass Abd Eldayem, Ashraf Mohammed Abdel Basset, Gehan Attia Abdehakem, Shiama Abdelmgiad, Nermin Yossef Abo Elkheir

Mansoura Medical Journal

Background : Cardiovascular status in dialysis patients is complicated by a wide range of factors that can affect long-term prognosis. Cardiac biomarkers changes with hemodialysis session could affect the cardiac integrity of those patients. Aim of the work: Assess the changes of cardiac ischemic biomarkers (Troponin T and ischemia modified albumin) before and after hemodialysis session in patients with ESRD in pediatric age group and study of correlations of changes with the hemodialysis parameters. Patients and methods: The study included 40 pediatric ESRD patients who were admitted to Pediatric Cardiology Unit, Pediatric Nephrology and Dialysis Unit of Mansoura University Children’s …

Diagnostic Performance Of Digital Breast Tomosynthesis In The Characterisation Of Breast Lesions: Correlation With Sono-Mammography And Histopathology., Amira Hamed Megahed, Mona Mahmoud Zaky, Maha Mohamed Bilal

Mansoura Medical Journal

Background: Breast lesions range from benign to malignant, with early detection critical for management. Digital mammography is the standard screening tool but may be limited in dense breasts. Ultrasound (US) aids lesion characterisation, while digital breast tomosynthesis (DBT) reduces tissue overlap, enhancing lesion detection.

Objective: To evaluate the diagnostic performance of digital breast tomosynthesis in the characterisation of breast lesions compared with sono-mammography, using histopathology as the reference standard.

Methods: This prospective study included 33 symptomatic female patients with a mean age (45.4 ± 8.2 years) who presented with symptoms such as palpable breast lumps, Mastalgia and nipple discharge between …

Active Deresuscitation Strategies After Septic Shock: A Scoping Review, Alrefaey K. Alrefaey, Rania E Elbadrawy, Mohamed Aboelela, Mohammed Mamoun

Mansoura Medical Journal

Background: Fluid overload in septic shock patients is linked to higher morbidity and mortality. After the stabilization phase, fluid restriction may not result in the resolution of tissue edema. Active deresuscitation refers to the use of diuretics or ultrafiltration for the removal of excess fluids. Objectives: This review explores the current practices applied for the active deresuscitation strategies after stabilization of septic shock patients.  Search strategy: A literature search was performed through the following databases: Medline, PubMed, Google Scholar, Web of Science, and Scopus for relevant studies from 2015 to January 2026. Selection criteria:  The selected articles included …

Laparoscopic Versus Open Redo Anti-Reflux Surgery, Mohamed Barkok, Mohammed Said, Ahmed Shehta, Abdel-Raouf El-Geidie

Mansoura Medical Journal

Background

Gastroesophageal reflux disease (GERD) is common. Laparoscopic fundoplication became the gold standard for GERD surgery after medical treatment failed. If a previous anti-reflux surgery fails, redo surgery requires a thorough review to determine the cause and a skilled surgical team. Choosing the optimal approach during the redo surgeries, whether open or laparoscopic hasn’t been previously illustrated.

Aim

To compare the outcomes of laparoscopic versus open redo anti-reflux surgeries.

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Patients and methods

This study included 28 patients who underwent redo anti-reflux surgery. The patients were divided according to the approach into laparoscopic (n = 11) and open (n = …

Short Term Echocardiographic And Clinical Assessment Of Aortic Valve Neo-Cuspidization (Ozaki Procedure) In Comparison With Mechanical Aortic Valve Replacement, Amr Mohamed Ahmed Elshabrawy, Mohamed A. Gabr, Eid M Daoud, Mohammed Sanad, Sherif Arafa

Mansoura Medical Journal

Background: Aortic valve neo-cuspidization (AVNeo, Ozaki procedure) has emerged as an alternative to conventional aortic valve replacement, aiming to preserve native aortic root dynamics and improve postoperative hemodynamics. The replacement of the aortic valve presents challenges because both biological and mechanical prostheses have notable limitations.

Aim: To evaluate the short-term clinical and echocardiographic outcomes of aortic valve neocuspidization (Ozaki procedure) compared with mechanical aortic valve replacement (AVR) in patients with isolated aortic valve disease.

Patients and methods: This prospective comparative observational study included 42 adult patients with isolated aortic valve disease. 20 patients underwent AVNeo (Ozaki procedure) and 22 …

Diffusion Mri Characterization Of Paranasal Sinus Masses, Fatma Elsayed Ali, Doaa Khedr Mohamed, Mohamed Magdy El-Rakhawy

Mansoura Medical Journal

Background: In ordinary clinical practice, a number of nasal cavity lesions, both neoplastic and non-neoplastic, are often seen. Because diffusion-weighted MRI imaging (DWI) captures the random migration of water protons, it provides superior characterization of tissues and their physiological processes. Therefore, the current study's goal was to use echoplanar DWI to classify malignant and non-malignant sinonasal lesions.

Methods: Fifty patients with paranasal sinus masses who were sent to Mansoura University Hospitals' Diagnostic Radiology Department for radiological examination, including a traditional MRI procedure, were included in this prospective research, Diffusion Weighted Images (DWI) and apparent diffusion coefficient (ADC). The final diagnosis …

Clinical Outcomes Of Anticoagulant Therapy In Cirrhotic Patients With Benign Portal Vein Thrombosis, Dalia Elsayed Tawfik, Muhammad Abdulaty Diasty, Aya Ahmed Elboghdady, Hatem Abdel Wahab Elalfy

Mansoura Medical Journal

Background

Portal vein thrombosis (PVT) is among the recognized vascular complications encountered in cirrhotic patients and may significantly influence disease progression and survival. The clinical course of PVT differs according to its etiology, particularly when hepatocellular carcinoma (HCC) is absent. This study was designed to assess the outcomes of benign portal vein thrombosis in cirrhotic patients.

Methods

This prospective observational study enrolled 18 cirrhotic patients diagnosed with non-malignant portal vein thrombosis. All participants underwent comprehensive clinical evaluation, laboratory investigations, and radiological assessment. Severity of liver disease was determined using the Child–Pugh classification and MELD score. Radiological imaging was utilized to …

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. …

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 …

Intelligence Quotient In Egyptian Children With Attention-Deficit/Hyperactivity Disorder, Yomna Sh. Abdrabouh, Zeinab A. Gomaa, Mohammed A. Elwasify, Ibrahem H. Elkalla

Mansoura Medical Journal

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) affects cognitive functioning in children, yet evidence remains limited in Middle Eastern populations regarding comprehensive IQ evaluation and associated clinical characteristics. This study aimed to assess verbal, non-verbal, and total IQ in Egyptian children with ADHD and examine their associations with sociodemographic, developmental, educational, and clinical factors while identifying factors associated with IQ classification.

Methods: A cross-sectional observational study enrolled 150 Egyptian children aged 6-12 years diagnosed with ADHD according to DSM-5 criteria with IQ above 80 at Mansoura University Hospital from February 2022 to October 2023. Intellectual functioning was evaluated using the Stanford-Binet Intelligence Scale, …

Short Term Outcome Of Endovenous Microwave Ablation For Treatment Of Small Saphenous Vein Incompetence: A Single Center Experience, Diaa M. Elawady, Mohamed Shetiwy, M Farag Kamel, Tamer Khafagy

Mansoura Medical Journal

Aim: To evaluate the effectiveness and safety of using Endovenous Microwave Ablation (EMA) to treat primary small saphenous vein (SSV) incompetence.

Methods: The study was conducted on consecutive limbs with primary SSV incompetence confirmed by Duplex study and had CEAP clinical class C2–C6, between February 2024 and July 2025 at a tertiary referral center. Patients were treated with EMA using the ECO Microwave System Co (Nanjing, China). Primary endpoint included technical success whereas secondary endpoints included post-procedural complications and VCSS changes.

Results: A total of 23 patients and 24 limbs were included. Technical success was achieved in all patients. During …

100 Conversation Starters To Develop Student Critical Thinking In Intermediate And Financial Accounting Courses, Joe B. Hoyle

Bookshelf

INTRODUCTION

Why create a book containing nothing but accounting problems?

The genesis of an idea is often difficult to recall, but I can trace the creation of this project to a single sentence found in a specific book.  One recent summer, to help prepare myself for the upcoming academic year, I began reading Why Don’t Students Like School? by Daniel T. Willingham.  On page 16 of the dog-eared copy I acquired on the Internet, I was drawn to a key sentence like a moth to a flame.  The words were buried rather unobtrusively within a long paragraph but, for me, …

2026 January, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for January of 2026.

A Performer's Guide To Selected Trumpet Excerpts Of Orchestral Works By Women Composers, Julia Stowell

University of Kentucky Doctoral Dissertations

Orchestral excerpts are brief passages from symphonic repertoire that are intended to demonstrate a player’s musical and technical abilities. The canon of orchestral trumpet audition excerpts has been relatively unchanged for several generations. This established canon of excerpts rarely features works written by women. As orchestras begin diversifying their programs, the frequently requested orchestral excerpts require new considerations to reflect these changes. In order for excerpts to be reflective of the orchestral canon, they must be updated as the canon changes.

Once an excerpt has been identified and obtained, the next issue is addressing its unique musical and technical challenges. …

Stacked Risks, Unequal Returns: Stratified Risk Allocation In Housing And Higher Education, Regina M. Lewis

University of Kentucky Doctoral Dissertations

In the United States, public policy does more than distribute resources. It distributes risk. The same policy can create profoundly different consequences for different people because policies operate on landscapes shaped by generations of unequal investment and opportunity.

To explore this process, I introduce the Stratified Risk Allocation (SRA) Framework to demonstrate how facially neutral policies reproduce inequality by allocating risk across populations with unequal capacity to absorb it. Drawing on risk society theory, historical institutionalism, critical race theory, intersectionality, and stratification economics, the SRA framework distinguishes between Exposure, the likelihood of encountering policy-generated risk, and Capacity, the resources available …

Regulating Galaxy Growth: Ionized Gas Conditions, Star Formation Histories, And Environmental Effects, Shweta Jain

University of Kentucky Doctoral Dissertations

Understanding galaxy formation and evolution requires tracing how baryons cycle between stars, gas, and the interstellar medium (ISM) across cosmic time. The efficiency of star formation, the buildup of metals, and the regulation of gas inflows and outflows are governed by evolving physical conditions within galaxies and their environments. My thesis investigates how the ionized ISM, star formation histories, and environmental processes have shaped galaxy evolution over the past ∼ 12 Gyr. The primary focus of this work is the evolution of the physical conditions of ionized gas in galaxies, including gas-phase metallicity and ionization state. Using new and archival …

Phonics And Friends: A Critical Multimodal Discourse Analysis Of Popular Teacher Influencers' Content, Zachary T. Milford

University of Kentucky Doctoral Dissertations

This critical multimodal discourse analysis examined how five teacher-influencers aligned with the Science of Reading (SoR) movement performed authority, constructed discourses, and used affective and semiotic resources in viral TikTok videos about reading instruction. Drawing on Kress and van Leeuwen's (2001) multimodal social semiotics, Fairclough's (1992) critical discourse analysis, Foucault's (1977, 1982) theorizations of power, Papacharissi's (2014) theory of affective publics, Ong's (1982) secondary orality, and Taussig's (1993) mimesis and alterity, this interpretive, qualitative, multiple-case study analyzed fifty viral TikTok videos and four semi-structured interviews with teacher-influencers. Data were analyzed through within-case and within-mode coding, cross-modal analysis, and cross-case analysis …

Multiscale Modeling Of The Thermomechanical Behavior Of Polymeric And Molecular Organic Semiconductors, Kehinde H. Fagbohungbe

University of Kentucky Doctoral Dissertations

Organic semiconductors, derived from π-conjugated polymers and molecules, enable the development of deformable, stretchable and flexible electronics due to their tunable redox, optical, electronic and mechanical properties. However, an informed understanding of how multi-scale morphological characteristics of the polymeric and molecular semiconductors influence bulk properties that contribute to electronic and optical performance, especially under operational thermal and mechanical stresses, remains incomplete. This lack of understanding poses a challenge to scalability and commercialization of organic electronics. This dissertation develops and deploys computational modeling approaches, particularly atomistic molecular dynamics (MD) simulations, to investigate the multiscale morphological behavior of these synthetic semiconducting materials …

Technology-Facilitated Violence And Abuse: Portrayals And Perceptions, Christina S. Walker

University of Kentucky Doctoral Dissertations

In the past, intimate partner violence (IPV) was primarily perpetrated in person. However, due to new mediated communication technologies and capabilities like social media and artificial intelligence (AI), perpetrators can use this technology for various purposes including subjecting others to violence, harassment, and abuse. Such violence can be a form of IPV and is referred to as technology-facilitated violence and abuse (TFVA). TFVA is becoming increasingly prevalent and is encountered by a staggering percent of women. Furthermore, unlike traditional forms of IPV, even men are subjected to TFVA at increasing and disproportionate rates, particularly male teens.

In the current state …

Personality Exceptions: Enhancing Character In Narrative Planners With Internal Memory, Elinor Rubin-Mcgregor

University of Kentucky Doctoral Dissertations

Stories and narratives are powerful tools for forging connections between people, as they induce emotions shared through their audience and help build empathy and understanding through sharing unique perspectives. Interactive stories can do all this and more, as they can be used to better educate and engage their audience. But in such stories, the characters must have consistent personality and human-like emotions in order for the audience to relate to them. Current implementations of personality in interactive narratives either portrays characters with static personality that feel less realistic, or else require a great deal of additional work from the author …

The Power Of A Picture: Building Visual Depictions Of The Eppm Bolstering Sunscreen Application Motivation, Ansley M. George

University of Kentucky Doctoral Dissertations

This study investigates visual depictions of efficacy skin cancer health risk messages. Using Witte's Extended Parallel Processing Model (EPPM) and existing literature on fear appeals and visual persuasion as a theoretical framework, the study aims to explore how self and response efficacy imagery impacts individuals' perceptions of health risk messages in the context of skin cancer prevention when emphasizing specific principles of design. Formative research was employed via qualitative photo sorts and participants were exposed to an assortment of images depicting efficacy in the context of skin cancer prevention where they discussed why they felt they were or were not …

Frequency And Phase Synchronization Of Antenna Arrays With Phase Incoherent Microcontrollers, Harley W. Byrd

University of Kentucky Master's Theses

The construction of phased array antennas has traditionally been an expensive and complex task. It has recently been claimed that it is possible to construct high-performance Wi Fi antenna arrays using inexpensive consumer components. Motivated by some limited data available from online presentations of such devices, this thesis covers an attempt to construct a phased-array Wi-Fi antenna using several ESP32 chips, which have native Wi-Fi modulation and demodulation capabilities. While there are many positive aspects associated with utilizing ESP32 chips for this purpose, a key challenge is the inherent phase incoherence of their internal Phase Locked Loops (PLLs). The approach …

Development Of An Atmospheric Particle Imaging System (Apis), James W. Hebert

University of Kentucky Master's Theses

The study of atmospheric particulates plays a crucial role in both climate change studies and the improvement of hypersonic travel. The current issue at hand is a lack of knowledge of stratospheric particulate content and the high cost that is associated with conducting research at these altitudes. This project focuses on the development of an Atmospheric Particle Imaging System (APIS) to be a low-weight, low-cost optical payload. The goal is to make a device that can be mounted onto an uncrewed aerial system that has the capability of imaging particulates moving at steady flow velocities, and thereby characterize the individual …