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Letter From The Editors, Madeleine G. Ulman, Marcella Zimmer

The Gettysburg Historical Journal

We are proud to present the twenty-fifth edition of The Gettysburg Historical Journal. The journal embodies the History Department’s dedication to diverse learning and excellence in academics. Each year, the journal publishes the top student work in a range of topics across the spectrum of academic disciplines with different methodological approaches to the study of history. This year, The Gettysburg Historical Journal received a plethora of submissions from both Gettysburg College students and other students around the country. The works accepted this semester focus on the diverse relationships between individuals and the state throughout history, spanning from the western frontier …

Little Better Than One Of The Savages, Michael J. Aaron

The Gettysburg Historical Journal

Western Pennsylvania was one of the earliest frontiers in US history, but is often overlooked and oversimplified. The frontier just west of the Appalachian Mountains was a complicated place of settler and Native American interaction, varied permanent settlement, and wilderness. The journal and letters of Major Ebenezer Denny show a complicated frontier of danger, wilderness, and chaos that is often not seen within historical views of the region. Through Denny and other Western Pennsylvania settlers, this paper complicates the common view of the Western Pennsylvania as a simply and quickly colonized region by showing the area as an unsettled frontier …

Soviet Sympathies On-Screen: Cinema As A Cultural Apparatus In The Stalinist Era, Anne E. Bolenbaugh

The Gettysburg Historical Journal

The Stalinist era of the Soviet Union (1924-1956) is marked by its incredible pace of forced industrialization, extreme cultural repression, and an atmosphere of immense fear and paranoia, resulting in the Great Terror. Among the various mechanisms to enforce the state program, cinema offers a unique insight into specific state ideologies at key points in Stalin’s regime. By examining the three key phases of the Stalinist era consisting of his initial years, the Second World War, and the years of High Stalinism, it is possible to trace notable shifts in the Soviet authority’s approach to cinema as a propagandistically advantageous …

Certifying Widowhood: Lizzie Booth And The Making Of Black Widow Pension Entitlement During The Civil War, Michael B. Cox Ii

The Gettysburg Historical Journal

This article argues that Mary Elizabeth Wayt Lanning Booth, most commonly known as Lizzie Booth, played a decisive and underrecognized role in securing pension rights for Black widows during the Civil War. In the wake of her husband’s death at the Fort Pillow Massacre in 1864, Booth personally lobbied President Abraham Lincoln and Senator Charles Sumner for pension reform, catalyzing the passage of the Supplemental Pension Act. This reform permitted formerly enslaved women—whose marriages had been deemed extralegal—to prove their unions through eyewitness testimony and access federal benefits. Drawing primarily on pension files, the article demonstrates that while the Act …

Annual Report, Fiscal Year 2026, Tennessee. Department Of Correction

Annual Reports

This document is the annual report for the Tennessee Department of Correction during the fiscal year.

A Two-Pronged Approach To Addressing Unmet Legal Needs On The Pine Ridge Indian Reservation, Elaine Yellow Horse, Jillian Yellow Horse

South Dakota Law Review

This Article, which marries theory and praxis, provides a focused literature review and concrete solutions for immediate implementation. It begins by exploring the existing scholarship pertaining to unmet legal needs and (in)access to justice in Indian country. It considers the overlapping yet distinct roles of licensed attorneys and lay advocates, prosecutors, and judges and how tribes have endeavored to draw the lines around these roles. After reviewing this background, the Article pivots and contributes a more nuanced perspective that concentrates on the legal system on the Pine Ridge Indian Reservation in particular. Rather than endorsing a single apparent answer to …

Access To Justice In Indian Country: Empowering Pro Se Criminal Defendants Through Holistic Defense And Resource Creation, Ilse Turner, Johanna Farmer

South Dakota Law Review

The question of the right to counsel for indigent criminal defendants has consumed various courts and academic journals for decades. Part of this question has revolved around the rights of indigent defendants being prosecuted in tribal courts. There has been scholarly attention devoted to the study of the rights of indigent defendants in tribal courts and the impacts of case law and congressional acts on these rights. This Article seeks to expand the scholarly works around indigent defendants in tribal courts and provide tangible solutions tribes can begin to execute without an act of Congress. This Article will discuss the …

Mapping The Distribution Of The Common House Mosquito (Culex Pipiens) In The City Of Spokane: Mosquito Breeding Sites And Blood Meal Analysis, Oluwapelumi Hannah Sonoiki

EWU Masters Thesis Collection

Mosquitoes in the genus Culex are the primary vectors of West Nile virus (WNv) in the United States, with Culex pipiens and Culex tarsalis serving as the dominant species in Spokane. In urban environments, catch basins and other artificial water bodies that collect stagnant and polluted water provide favorable breeding habitats for Culex pipiens. This study aimed to assess the spatial distribution and seasonal dynamics of Culex larvae in Spokane. We examined 303 randomly selected catch basins in the summer of 2025, and at each site we recorded the presence or absence of water, water depth, and mosquito larval …

Dietary Ecology Of Waterfowl Nest Predators In The Prairie Pothole Region: Evaluating Resource Use From Species To Individual Using Stable Isotope Analysis, Grace Barthelmess

EWU Masters Thesis Collection

Nest predation is a primary factor influencing waterfowl productivity in the Prairie Pothole Region (PPR) of North America. Although this system is intensely managed and studied, research has largely focused on how predators affect waterfowl populations, with comparatively little attention to how predators actually rely on waterfowl as a resource. Understanding predator feeding ecology is therefore critical for informing effective management strategies and interpreting the complexity of predator-prey interactions on this landscape. My objective overall was to elucidate the feeding ecology of nine focal predator species commonly associated with waterfowl nest predation in the Aspen Parkland Ecoregion of the PPR: …

Parent Perspectives: Child Attendance In Community Grief Support, Janeene Sanderson

EWU Masters Thesis Collection

Childhood bereavement can affect children emotionally, socially, and developmentally, creating a need for support that is both age-appropriate and grief-informed. This qualitative study explored how parents perceived the impact of community grief support programs for their bereaved children. The study focused on children ages 8–12 who attended a peer support group, grief camp, or similar community-based grief support program after the death of a loved one. Data were collected through parent interviews and reviewed through thematic analysis. Findings showed that parents perceived these programs as meaningful because they created safe spaces where children could feel normal and validated in their …

The Outcome Of Primary Anastomosis Without Diversion Versus With Diversion In Colorectal Cancer Surgeries, Ahmed Sameh, Shams Nazem, Ahmed A Monem, Amr F Elalfy

Mansoura Medical Journal

Background: Anastomotic leakage (AL) is the most feared complication after colorectal surgery. It is a very morbid consequence that is associated with higher morbidity, longer hospital stay, higher medical expenses, or even worse functional outcomes. The role of diverting ileostomy (DI) in reducing the incidence of anastomotic leakage is still debatable. Methods: Our study included 95 patients with left sided colon cancer and rectal cancer, 49 patients in the non-ileostomy group and 46 patients in the ileostomy group after resection anastomosis of the primary tumor. The analysis included the following variables: patient-related variables (age, sex, comorbid conditions, ASA score, smoking …

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 …

Study Of The Relationship Between Insulin Resistance And Osteoporosis In Type 2 Diabetes Mellitus And Diabetic Nephropathy Elderly Patients, Mohamed Zakarya Nooh, Alaa Abdelsalam Dawood, Bassant Samy Hamed Hafez, Moustafa Bakrey Hamed Ata

Mansoura Medical Journal

Background Type 2 diabetes mellitus and diabetic kidney disease play a major role in bone deterioration and increased fracture risk because they influence both insulin sensitivity and bone metabolism. Objective The purpose of this study was to investigate the connection between osteoporosis and insulin resistance in older individuals with type 2 diabetes and diabetic kidney disease (DKD). Methods: A total of 105 participants were enrolled in the study and divided equally into three groups: 35 diabetic patients with albuminuria, 35 diabetic patients without albuminuria, and 35 age- and gender-matched healthy controls. The study was conducted at the Endocrinology & DM …

Chronic Stress And Toxoplasma Gondii Infection: Investigating The Two-Hit Hypothesis On Behavior And Cognition In Chronic Toxoplasmosis Mice Model, Nora Labeeb El-Tantawy

Mansoura Medical Journal

Background: Toxoplasmagondii infects about one third of people around the world and is associated with neuropsychiatric disorders. But not everyone who has it ends up with behavioral symptoms, which is kind of interesting. The study aimed to investigate the two-hit hypothesis, basically testing if chronic stress makes the effects of the infection worse in mice, on behavior and cognition. Methods: Sixty Swiss Webster mice were included in the study divided into four groups (15 for each). Group 1 control, group 2 stressed animals exposed to the chronic unpredictable stress protocol, Group 3 infected with T. gondii, and group 4 received …

Fractional Ablative Co2 Laser Versus Screw Threads In Post-Traumatic Atrophic Linear Scars, Eman Emad Elfeel, Marwa Zohdy Ali, Shereen Ezzalregal Alashry, Sherihan Hassan Allam

Mansoura Medical Journal

Background Scar is the result of the natural healing and reparative process, which are frequently accompanied by a few aesthetic, functional, and social impairments and may negatively affect quality of life. Fractional CO2 laser improves both the pigmentary and textural changes by removing thin layers of skin with minimal thermal damage. Thread lifting technology is a non-surgical facial rejuvenation technology that can minimize postoperative recovery period and scar from the incision Aim To compare the efficacy of fractional ablative CO2 laser therapy versus screw threads in post-traumatic atrophic linear scars. Methods This prospective randomized clinical study included 2 groups; group …

Impact Of Admission Hyperglycemia On In-Hospital Arrhythmia In Medical Critical Illness, Ebrahim Elsayed Tawfik, Afaf Abdel Hafez, Tarek El-Sayed Gouda, Rehab Shaheen Bahram Shaheen

Mansoura Medical Journal

Background Admission hyperglycemia is frequently encountered in critically ill patients, even in the absence of pre-existing diabetes. Acute stress hyperglycemia triggers autonomic activation, oxidative stress, and electrophysiological disturbances that may predispose to cardiac arrhythmias. Aim of work The present study aimed to explore the frequency and type of arrhythmic events among critically ill patients with admission hyperglycemia in medical intensive care units (MICU). Methods: A prospective study was conducted on 354 critically ill ICU patients . They were divided into group A with admission hyperglycemia (>180 mg/dL) and group B with admission normoglycemia (≤180 mg/dL). All patients were subjected …

Assessment Of Serum Level Of Il-38 In Patients With Non-Segmental Vitiligo And Its Relation To Disease Severity, Zahraa Jafar Ahmed Altaitoon, Al-Shahat Farag Ahmed Sharaf, Hamdy Fouad A. Marzo, Mohammed Samir Sultan

Mansoura Medical Journal

Background: Vitiligo is a common autoimmune disorder (AID) characterized by extensive loss of melanocytes, causing depigmented skin patches. Interleukin-38 (IL- 38), an anti-inflammatory cytokine, has been linked to several autoimmune conditions, but its involvement in vitiligo hasn’t been confirmed. Aim: To measure serum IL-38 levels in patients with non-segmental vitiligo (NSV) and explores how these levels relate to disease severity and activity. Methods: We conducted a cross-sectional case-control study that included 40 patients with non-segmental vitiligo and 40 healthy individuals matched for age, sex, and BMI. Assessment of disease severity and activity was conducted by using the Vitiligo Area Scoring …

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 …

Rail Sign By Doppler Ultrasound As A Predictor Of Outcome Of Placenta Accreta Spectrum, Ola Khaled Mosaad El Malahy, Mohammed Nezar El Shahat, Lotfy Sherif Sherif, Khaled Samir, Amany A Makroum, Alhussein Ahmed Mohamed

Mansoura Medical Journal

Background: Placenta accreta spectrum (PAS) involves abnormal placental invasion into uterine wall and is associated with life-threatening maternal complications. Doppler ultrasound is the primary diagnostic tool, though its ability to determine invasion depth and predict outcomes remains uncertain. Multidisciplinary management improves safety, and treatment often requires planned cesarean hysterectomy, or conservative management. The aim of this work was to correlate rail signs by Doppler US as a predictor of deep villous invasion and to detect whether rail signs can predict maternal and fetal outcomes.

Methods: This prospective observational study was conducted on 59 patients aged > 20 years old, with PAS …

Impact Of Body Mass Index On Clinical Outcomes In Metastatic Breast Cancer Running Title: Impact Of Bmi On Mbc Outcome, Alaa Abdelrahman Sonbol, Maha Elzaafarany, Ahmed Albehairy, Sherif Refaat

Mansoura Medical Journal

Background: Body mass index (BMI) has been suggested as an important patient-related factor influencing treatment outcomes in breast cancer. This study aimed to evaluate the association between BMI categories and clinical outcomes among patients with metastatic breast cancer (MBC).

Patients and Methods: This retrospective study included 400 patients with MBC. Clinical outcomes assessed included response to first-line treatment, treatment-related toxicity, and status at last follow-up and BMI was calculated using the Quetelet index .

Results: Patients were characterized by a high prevalence of obesity and predominantly good performance status. Disease progression following first-line treatment was the most common …

Computed Tomographic Assessment Of Morphological Parameters Of The Normal Vermiform Appendix In Adults: A Prospective Cross-Sectional Study, Asmaa Mohamed Mansour Mahmoud, Magdy El-Sayed Mohamed Steen, Ahmed Mohamed Tawfik

Mansoura Medical Journal

Background: The vermiform appendix is a hollow tubular structure arising from the cecum, typically located in the right lower quadrant of the abdomen. Aim: This study aimed to estimate the visualization rate of CT scan in the detection of normal appendix, along with its characteristics (length, diameter, and site). Methods: For this prospective cross-sectional investigation, 56 individuals were included who were scheduled to have abdominal CT. The helical scanner was used to acquire CT images with 5 millimeters of collimation and reconstruction for each 2.5 millimeters. The CT films were reviewed by an experienced radiologist, who was unaware of the …

Patellar Morphology In Primary Total Knee Arthroplasty Patients With Unexplained Pain, Mohammed Ahmed Abdelkhalek Abdelrazek, Adham Elsharkawey Elgeidi, Yasser Youssef Abdelrahman Abed, Kamel Mohamed Ahmed Ahmed Youssef

Mansoura Medical Journal

Background: An effective surgical procedure for treating end-stage osteoarthritis of the knee (OA) is total knee arthroplasty (TKA). Pain is the main reason why many patients are still unhappy with their results following TKA. Patients who did TKA may experience anterior knee pain (AKP) with or without patellar resurfacing. Research has indicated that the morphology of the patella or trochlear geometry affects the stress on the patellofemoral joint.

Objective: To determine whether clinical scores and pain after TKA without patellar resurfacing were correlated with patellar shape. Methods: This retrospective case control study included 70 cases. We retrospectively assessed patients with …

Adnexal Magnetic Resonance (Adnex –Mr) Scoring System; A New Standardized Method For Characterization Of Adnexal Masses Inside Mansoura University Hospitals, Nora Diaa Ali Okab, Basma Elged, Sherif Abdel Fatah Moustafa, Sieza Samir, Yasser.M. Mesbah

Mansoura Medical Journal

Background Gynecologic masses are the most common subject of gynecologic imaging. The usefulness of MRI is high in the characterization of adnexal masses. The ADNEX MR classification framework was launched to stratify sonographically identified adnexal masses in to five groups based on their probability of malignancy: grade 1 (no lesion), grade 2 (benign), grade 3 (probably benign), grade 4 (indeterminate), and grade 5 (probably malignant). Aim to determine the accuracy of the ADNEX MR scoring system in classification of adnexal masses at Mansoura University Hospitals (MUH). Methods A total of 48 female patients with 52 adnexal masses on ultrasound were …

Epidemiology Of Closed Ruptured Tendoachilles, Hesham Mousad Alsakaan, Wael Mansour Wafa, Mohieb Sayed Ahmed, Ahmed El Sayed Magdy Elhawary

Mansoura Medical Journal

Background: To restore tendon function and avoid long-term impairment, early diagnosis and adequate treatment are crucial. The purpose of this study was to ascertain the incidence pattern of ATR and to pinpoint possible variables related to presentation and management approach.

Aim  identifying potential risk factors either patient or environmental related and to assess the incidence rate of ATR

Patients and Methods: This retrospective cross-sectional study was performed on 87 achilles tendon rupture patients. All the patients were subjected to full medical history taking. Clinical examination was performed including thompson test and Matles test and radiological investigations.

Results: The median age …

Prevalence And Spectrum Of Genitourinary Anomalies In Children With Anorectal Malformations, Adnan El-Ghazaly, Tamer A. Wafa, Ahmed M. Negm, Adham W. El-Saied

Mansoura Medical Journal

Background: Anorectal malformations (ARMs) encompass a broad range of congenital defects and are frequently associated with genitourinary (GU) anomalies, which may contribute to long-term morbidity if undetected. This study aimed to determine the prevalence and spectrum of GU anomalies in children with ARMs, describe the urological and genital findings, and assess associations with sex and ARM type.

Patients and Methods: A prospective survey enrolled children diagnosed with ARMs at a tertiary pediatric surgery center. All patients underwent standardized clinical assessment, including focused genital examination and structured imaging. Abdominal ultrasonography (US) served as baseline screening for urinary tract anomalies. Voiding cystourethrogram …

Clinical Outcomes Of Bloodstop Ix Application In Crico-Tracheal Resection And Anastomosis For Laryngotracheal Stenosis, Mohamed Yasser Elnaggar, Hisham Atef Ebada, Hossam Elsisi, Ali Tawfik

Mansoura Medical Journal

Objectives: To assess the surgical outcomes among laryngotracheal stenosis patients who underwent tracheal/crico-tracheal resection anastomosis for with application of BloodSTOP iX on the anastomotic line as well as the operative field.

Methods: Fourteen patients participated in this prospective study. The stenotic airway segment was resected circumferentially using primary end-to-end anastomosis. The authors of this article used the same standardized surgical techniques described in the literature and used by them previously. All patients had suprahyoid release, and trachea-hyoid de-tensioning stitches were inserted to reduce the anastomotic tension. To promote healing, BloodSTOP iX was administered across the anastomosis line and surgical outcomes …

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 …

Survivin And C-Reactive Protein Serum Levels In Acne Vulgaris Patients In Relation To Its Severity, Asmaa Ayman Gouda, Sara Hamdy Fouad, Hyam Sameh Nada, Hanan Ahmed Salem

Mansoura Medical Journal

Background: Acne vulgaris (AV) is a chronic inflammatory disease of the pilosebaceous unit with variable clinical severity. Increasing evidence suggests that acne may represent a localized inflammatory condition with potential systemic inflammatory involvement. Survivin, an inhibitor of apoptosis protein has been implicated in abnormal keratinocyte and sebocyte survival, while C-reactive protein (CRP) is a biomarker of systemic inflammation.

Aim of the study: To evaluate serum survivin and CRP levels in cases with AV compared to healthy controls and to assess their relationship with disease severity.

Subjects and methods: This case-control study included 45 patients with clinically diagnosed AV and 45 …

Assessment Of Serum Adropin In Erectile Dysfunction Patients And Its Correlation With Disease Severity, Ahmed M. Eltohami, Sh. Fouad, Khadiga M. El-Hamaky, Abdel Khabir A.

Mansoura Medical Journal

Background Erectile dysfunction (ED) may be considered an indicator of cardiovascular disease (CVD). Adropin is identified to be accompanied by insulin sensitivity, and lipid metabolism, so we aimed to investigate serum adropin levels in ED cases compared to healthy controls (HC). Methods This case control study included 50 men with ED and and control group of 25 agematched, sexually active healthy men with normal erectile function. Cases group was divided into two groups (25 each) as ED patients with and without type 2 Diabetes Mellitus (T2DM). Validated Arabic version of International Index of Erectile Function (IIEF)-5 was used to evaluate …

Outcome Of Conservative Management Of Placenta Accreta Spectrum In Mansoura University Hospital, Nasra Hassan Mohamed, Mohamed Mohamed Eltotongy, Maher Elesewi Kamel Elgaly

Mansoura Medical Journal

Background: Placenta accreta spectrum (PAS) represents a significant global health challenge, with its incidence rising in parallel with the increasing prevalence of cesarean sections (CS). While cesarean hysterectomy is traditionally considered the standard treatment, conservative management offers a fertility-preserving alternative in carefully selected cases. This study aimed to evaluate the safety and effectiveness of conservative treatment for PAS at Mansoura University Hospital over a two-year period.

Methods: This retrospective analytical study included 132 women diagnosed with placenta accreta who underwent conservative management. Patient data, including obstetric history, degree of accreta, bleeding episodes, timing of delivery, and the specific uterine-sparing technique …