Digital Commons Network^™

Do People With Multiple Sclerosis In Saudi Arabia Want To Know Their Prognosis? A Cross-Sectional Nationwide Study, Yaser M. Al Malik, Awad S. Alharbi, Mohammed A. Alfurayh, Abdulaziz A. Aldalaan, Abdulazeez M. Alzailaie, Eid D. Alanazi, Ahmad A. Abulaban, Seraj O. Makkawi, Asma A. Alanazi

Neurosciences

ABSTRACT Objectives: To investigate whether Persons with MS (pwMS) in Saudi Arabia want to discuss their long-term prognosis (LTP) and the factors influencing this decision using a self-administered online questionnaire. Methods: In this cross-sectional study, an online questionnaire was distributed from December 2022 to July 2023 across Saudi Arabia to determine pwMS interest in discussing their LTP. Participants included patients over 18 years, of any gender, diagnosed with MS. A nonprobability convenience sampling technique was used, with questionnaires sent through MS organizations and channels. Results: Almost two-thirds (66–68%) of the 375 respondents reported that their LTP had never been discussed …

Ranking The Difficulty Of The Cognitive Tasks In Dual-Tasks During Walking In Healthy Adults, Jaser S. Almutairi, Shady A. Alshewier, Abdulaziz A. Alkathiry

Neurosciences

ABSTRACT Objectives: To rank the cognitive tasks commonly used in clinical practices based on their difficulties in healthy adults while walking. Dual tasks have been widely used in clinical settings for different purposes such as detecting early cognitive impairments and identifying fall risk factors among the population of neurological diseases. Methods: This cross-sectional study, conducted from January to March 2021, included a sample of 26 healthy adults who were asked to demonstrate six different cognitive tasks at random while performing a gait speed test. An accelerometer positioned on the lower back at the umbilical level was used to measure participants’ …

Motherhood And Pregnancy Concerns Of Saudi Females With Multiple Sclerosis In Riyadh City: A Quantitative Analysis, Abdullah S. Alshehri, May H. Alqahtani, Hana A. Alzuabi, Waad S. Alshahrani, Halah O. Alamawi, Aseel A. Almandeel, Faisal A. Al-Suwaidan, Ahmed Saleh

Neurosciences

ABSTRACT Objectives: To explore the concerns among females in Riyadh city with multiple sclerosis (MS) regarding motherhood and pregnancy outcomes. Methods: In this cross-sectional study, data were collected using an online questionnaire. Women who were aged 18–50 years and diagnosed with MS by a neurologist and had a disease duration of at least one year were included. The questionnaire consisted of 7 sections designed to collect information on the respondents’ sociodemographic characteristics; past and current medical history; pre-pregnancy, pregnancy, and postpartum concerns; physical and psychological concerns about parenthood; and psychological and social support. Results: A total of 176 women were …

A Narrative Review Of Clinical Practice Guidelines For The Application Of Physical Therapy And Rehabilitation Procedures In The Management Of Multiple Sclerosis, Abdullah I. Alhusayni

Neurosciences

ABSTRACT Multiple sclerosis (MS) is a chronic autoimmune disorder characterized by neuroinflammation and progressive neurodegeneration, leading to significant physical and cognitive impairments. Rehabilitation, particularly physical therapy, has emerged as a crucial component in managing MS-related disability by improving mobility, reducing fatigue, and enhancing overall quality of life. This narrative review investigates current international guidelines on physical therapy and rehabilitation for MS. Literature search in databases (January 2010 until August 2025) resulted in three guidelines that met the inclusion criteria. Evidence suggests that structured aerobic and resistance training programmes, combined with balance and flexibility exercises, contribute significantly to maintaining functional independence. …

Editorial Message

Neurosciences

No abstract provided.

Does Work-Related Stress Compromise Cardiovascular Health?

Neurosciences

No abstract provided.

Beyond Seizures: The Hidden Burden Of Fatigue In Epilepsy, Alia Mr. Fallatah, Malak R. Albadrani, Sarah A. Alsalman, Weam K. Almasuad, Abdulrahim M. Hamhom, Sumayah M. Almarshedy, Faisal A. Alsallom, Fawzya A. Bamogaddam, Majed H. Alhameed, Mubarak M. Aldosari

Neurosciences

ABSTRACT Objectives: To determine the prevalence of fatigue and depression in patients with epilepsy (PWE), explore their relationship, and identify the factors associated with fatigue in this population. Methods: This retrospective cross-sectional study involved adult PWE at King Fahad Medical City, Riyadh, Saudi Arabia, from April to July 2023. The Arabic version of the Fatigue Severity Scale questionnaire was used to estimate the presence and severity of fatigue. The Patient Health Questionnaire-9 was used for screening depression. The demographic and clinical data of the patients were analyzed. Results: In total, 259 PWE were enrolled. Of these, 66.8% had focal epilepsy …

Impact Of Urgent Care Centers On Emergency Department Visits In Al Madina Al Munawara: A Pre-Post Study, Ahlam A. Aljohani, Jehan M. Alhazmi, Osama H. Alsaedi, Ahmed F. Al-Ahmadi, Noura S. Alshammary

Saudi Medical Journal

Objectives: To evaluate the impact of UCCs on reducing non-urgent Emergency Department (ED) visits and improving patient flow, focusing on metrics such as door-to-doctor time, doctor-to-decision time, and overall patient disposition. Methods: This observational cohort pre-post study analyzed data from 198,050 ED visits to King Fahad Hospital, Al Madina Al Munawara between June 2021 and May 2023 and compared visit patterns before and after UCC implementation. Results: Post-UCC implementation, the average door-to-doctor time decreased but was not statistically significant. Significant reductions were observed in doctor-to-decision and door-to-disposition times for CTAS 3 patients. However, overall patient flow improvements were not fully …

Trigger Factors And Intervention Strategies Of Information Addiction Among College Students: An Analysis From The Perspective Of Stimulus-Organism-Response(S-O-R) Theory, Chen Zhang, Weihan Jiang, Pengbo Qian

Journal of Scientific Information Research

[Purpose/significance]This study aims to explore the influencing mechanisms of information addiction behavior among college students, providing valuable reference for the prevention and management of information addiction behavior among college students. [Method/process]The Stimulus-Organism-Response (S-O-R) theory is introduced,and the external stimuli in the process of college students' information addiction are summarized through literature review. The cognitive psychology that arises in the addiction process of the body is deeply analyzed, and the theoretical model of college students' information addiction behavior is constructed. The trigger path of college students' information addiction is empirically analyzed using structural equation modeling. [Result/conclusion]Based on the research results, information …

Do Educators Recognize Student Struggles? Mental Health Perceptions And Knowledge In Biology, Kanza Arshad, Stephanie Drendel, Nicole Scheuermann

CURE Proceedings

No abstract provided.

The Evidence Of Kinesiology Taping In Treating Patients With Knee Osteoarthritis – A Topical Review Of Recent Randomized Control Trials, Jayla Scott

CURE Proceedings

No abstract provided.

Association Between Rurality And Race/Ethnicity And Pediatric Cancer Early Mortality: A Population-Based Cohort Study Using Seer Data From 2000 To 2021, Kiersten Preuss, Emma Hymel, Melissa Acquazzino, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

BACKGROUND: Pediatric cancer mortality rates have steadily declined since 2009, but over a thousand deaths still occur annually. While existing research highlights the effects of race/ethnicity and rurality on overall survival, few studies have specifically analyzed these factors in relation to early mortality, defined as death within 12 months of diagnosis.

PROCEDURE: This study utilized SEER Research Plus Limited-Field Data (2000-2021) to examine the association between race/ethnicity, rurality, and early mortality in pediatric cancer patients. A cohort of 138,648 individuals was analyzed using Cox proportional hazards regression models to calculate hazard ratios and 95% confidence intervals (CIs).

RESULTS: The results …

International Society Of Sports Nutrition Position Stand: Β-Hydroxy-Β-Methylbutyrate (Hmb), John A. Rathmacher, Lisa M. Pitchford, Jeffrey R. Stout, Jeremy R. Townsend, Ralf Jäger, Richard B. Kreider, Bill I. Campbell, Chad M. Kerksick, Patrick S. Harty, Darren G. Candow, Brandon M. Roberts, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Douglas S. Kalman, Jose Antonio

Faculty Publications

Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on an analysis of the literature regarding the effects of β-Hydroxy-β-Methylbutyrate (HMB). The following 12 points have been approved by the Research Committee of the Society: 1. HMB is a metabolite of the amino acid leucine that is naturally produced in both humans and other animals. Two forms of HMB have been studied: Calcium HMB (HMB-Ca) and a free acid form of HMB (HMB-FA). HMB-FA appears to lead to increased appearance of HMB in the bloodstream when compared to HMB-Ca, though recent results are mixed. 2. …

How Do Patient-Provider Relationships Affect Patient Satisfaction?, Rose D. Lightspeed

Anthós

This article reviews studies on patient satisfaction within the U.S. healthcare system to investigate how physicians’ behavior influences patients’ reported quality of care. Medical negligence, neglect, and cognitive biases are identified from the reviewed literature as physician behaviors that affect the patient-provider relationship and patient satisfaction. Emphasizing patient satisfaction and involvement in their care as important considerations when evaluating patient-provider relationships, Lightspeed underscores how the complex dynamic between patient and provider–including physicians’ reported feeling of inadequate interpersonal skills and patients’ sensitivity to dismissive communication–contributes to reduced satisfaction rates. Lightspeed argues that increasing physician awareness of these factors that influence patient …

What's The Harm In (Partisan) Gerrymandering? Collective Vs. Dyadic Accounts Of Representational Disparities, Sanford C. Gordon, Douglas M. Spencer, Sidak Yntiso

Publications

Traditional approaches for documenting the harm of gerrymandering emphasize collective representation by legislatures, minimizing the relationship between individual voters and their respective representatives. Federal courts have struggled to map collective accounts onto cognizable constitutional harms, reflecting a discomfort evaluating a system of representation inescapably rooted in geographic districts using diagnostics that treat districts and their boundaries as an inconvenience rather than an intrinsic feature. A normative account of representation and accountability rooted in the dyadic relationship between voters and their legislators addresses the exact harms that courts have articulated yet struggled to substantiate. We derive a formal model of dyadic …

Editing Legal Scholarship, Michael L. Smith

Faculty Articles

A consistent byproduct of American legal scholarship is legal scholars' relentless complaints about the system. Most critics overreact to the existence of student editors and the occasional rough edit, demanding that we burn the whole thing down. I suggest a less dramatic response by identifying several editorial tendencies that are consistently more trouble than they're worth and suggesting that reforms begin there. I begin with the text of the Bluebook, which supports a turn away from explanatory parenthetical overuse and the automatic et al.-ing of multi-author sources. I then turn to editors' overreliance on their journal style guides, urging the …

The Impact Of Poverty On Student Achievement And Effective Strategies To Close The Gap, Alexis L. Sorbo

All Electronic Theses and Dissertations

Poverty has a negative impact on student achievement through a variety of factors such as student engagement, motivation, parent engagement, and resource access. This thesis explores the relationship between poverty and academic achievement by examining how disparities related to socioeconomic status impact a student’s cognitive and emotional development. The reviewed research also investigates effective strategies that teachers and administrators can implement to mitigate these effects, such as using evidence-based instruction and behavior management strategies in the classroom, increasing parent engagement, applying regular, high-quality professional development, and providing equitable access to resources. Research highlights the importance of a holistic approach to …

The Chemical Nature Of Colors, Bryant Corbin, Bryant Corbin

Longwood Senior Thesis Proposal

No abstract provided.

Operando Characterization Of The Reversible “Zinc Oxide – Zincate – Metallic Zinc” Transformations In Rechargeable Ni-Zn Alkaline Batteries, Chi Wing, Alex Tsang

Department of Construction, Environment and Engineering

Rechargeable Ni-Zn alkaline batteries are of growing interest due to their intrinsic safety, high energy density, and environmental friendliness. To optimize the performance of the ZnO electrode in these batteries, it is essential to understand complex transformations that occur during charge and discharge of the reaction: . In this study, we employ a series of operando characterization techniques, including X-ray diffraction (XRD), Raman spectroscopy, and online electrochemical mass spectroscopy (OEMS), to investigate the surface dynamics on the ZnO electrode. Our findings reveal the significant impacts of decoupling the chemical and electrochemical processes, resulting in hydrogen gas evolution, diffusion of anions …

Vol. 30 No. 1 Winter 2025

Roger Williams University Law Review

No abstract provided.

Author Biographies

Roger Williams University Law Review

No abstract provided.

Paradoxical Pedagogy: Teaching Trauma-Informed Principles Within A System Built On Emotional Detachment, Sarah Mcconnell, Leah Lunetta

Roger Williams University Law Review

No abstract provided.

Allen V. Sitrin, 315 A.3d 288 (R.I. 2024), Declan P. Smith

Roger Williams University Law Review

No abstract provided.

Author Biographies

Roger Williams University Law Review

No abstract provided.

Consumer Preferences And Willingness To Pay For Vertiport Design, Amenities, And Services, David C. Ison

International Journal of Aviation, Aeronautics, and Aerospace

The rise of urban air mobility (UAM) and electric vertical takeoff and landing (eVTOL) aircraft necessitates the development of well-designed vertiports that align with consumer expectations. This study examines consumer preferences and willingness to pay (WTP) for vertiport design, amenities, and services to inform infrastructure planning and investment strategies. Using a survey-based quantitative research design, data were collected from 500 participants to assess key factors influencing WTP, including convenience, security measures, service efficiency, and premium offerings. Findings indicate that location accessibility, affordability, and streamlined security procedures are primary determinants of vertiport adoption. While aesthetic and retail enhancements contribute to passenger …

The Role Of Cognitive Flexibility And Psychological Resilience In Enhancing Operational Performance Among Air Traffic Controllers, Seda Ceken

International Journal of Aviation, Aeronautics, and Aerospace

The aim of the study was to examine the effect of cognitive flexibility on psychological resilience among air traffic controllers (ATCOs). In the study using a quantitative research design, data were collected from a total of 217 ATCOs from three separate units (APP, ACC and TWR) via a survey. The relationship between cognitive flexibility and psychological resilience was examined using hierarchical regression analysis, controlling for demographic variables such as gender, experience, ATC unit and educational status. In the first stage of the analysis, these demographic factors were included in the model and their effects on psychological resilience were evaluated. The …

The Reasons For The Silence Of First Officers: A Qualitative Study, Seda Ceken, Pinar Unsal Bayrakci

International Journal of Aviation, Aeronautics, and Aerospace

This study explores the reasons why first officers choose to remain silent in the cockpit or refrain from reporting errors after a flight. Effective communication and error reporting is crucial for flight safety, yet limited research has examined the factors contributing to silence among first officers. To address this gap, semi-structured interviews were conducted with 19 first officers (13 males, 6 females) working in the Turkish aviation sector. Data were collected through online Zoom interviews and analyzed using creative coding techniques in MAXQDA 22. Content analysis revealed 14 themes related to cockpit silence, including the captain’s manner, power distance, lack …

Exploring Mental Health Symptoms In Elite Athletes During The Covid-19 Pandemic: A Systematic Review And Meta-Analysis On Sex Differences, Liang Tseng Kuo, Sung Huang Laurent Tsai, Udit Dave, William A. Marmor, Reena Olsen, Bridget Jivanelli, Michelle E. Kew, Daphne I. Ling

University Libraries Scholarship and Creative Works

The COVID-19 pandemic significantly affected elite athletes, leading to increased mental health issues such as stress, anxiety, and depression. Sex differences in mental health may exist among athletes during the COVID-19 crisis. This study aimed to perform a systematic review and meta-analysis to examine sex differences in mental health symptoms among elite athletes during the COVID-19 pandemic. We systematically searched the databases including Pubmed, EMBASE, and manually checked previous systematic reviews for relevant studies in March 2024. Authors were also contacted for sex-specific data. Studies were included if they compared mental health symptoms between male and female elite athletes during …

Measuring Emotion In Education Using Gsr And Hr Data From Wearable Devices, Qian Dong, Qingyun Wang, Rong Miao

Journal of Educational Technology Development and Exchange (JETDE)

The pivotal role of emotions in education is universally recognized, leading to a surge of interest in emotion recognition. Wearable devices that collect real-time and nuanced subjective physiological data make it possible to delve into the intricate emotional dynamics in education. Nevertheless, there is a dearth of research exploring its potential role in tracking the emotional shifts among students of varying levels in response to specific pedagogical strategies in face-to-face chess classroom. By analyzing both objective GSR and HR data from wearable devices and subjective data from students and teachers in chess classrooms, students at different levels had experienced distinct …

Vietnamese Efl Lecturers’ Perceptions Of The Role Of Chatgpt In Facilitating Language Acquisition Among Their Students, Thanh Thao Le, Phuong Hoang Yen Dr, Trut Thuy Pham, Ngoc Bao Chau Tran, Thi Thuy Linh Nguyen

Journal of Educational Technology Development and Exchange (JETDE)

This qualitative study investigates the perceptions of Vietnamese EFL teachers regarding the role of ChatGPT in Second Language Acquisition (SLA). Amidst the growing integration of Artificial Intelligence (AI) in education, this research focuses on understanding how educators at different career stages perceive the effectiveness of ChatGPT in enhancing language learning experiences. Employing semi-structured interviews, the study engaged nine teachers from two educational institutions in Vietnam. Thematic analysis, guided by the Technology Acceptance Model (TAM) and the Constructivist Theory of Learning, revealed multiple roles of ChatGPT in SLA. These include its use as a conversational partner, a tool for immediate feedback, …