Digital Commons Network^™

Comparison Of The Effects Of Incubator And Radiant Environments On Physiological Criteria And Pain-Stress Levels During Heel Lance In Neonates In The Neonatal Intensive Care Unit: A Randomized Controlled Trial, Sezin Gürsu, Birsen Karaca Saydam, Oğuzhan Kalkanlı

Saudi Medical Journal

Objectives: To compare the effects of incubator and radiant heat on physiological criteria and pain-stress levels during heel prick procedures in newborns in the neonatal intensive care unit (NICU).

Methods: This randomized controlled quasi-experimental study was conducted between June and December 2023 with newborns diagnosed with IHB hospitalized at a NICU in Turkey. Prior to the heel prick procedure, 72 newborns (gestational age: 37–41 weeks) were randomly and equally assigned to either a radiant heater or an incubator setting. Physiological parameters (temperature, SpO₂, heart rate [HR]) and pain-stress scores of the newborns were measured and compared in both …

Etiology, Management, And Outcomes Of Hospitalized Heart Failure Patients: A Single-Center Study, Adil I. Jumani, Ghada A. Rashwan, Hadiza O. Ibrahim, Safaa M. Almohdar, Khaled M. Alfakih

Saudi Medical Journal

Objectives: To describe the clinical characteristics, etiologies, management patterns, and outcomes of hospitalized heart failure patients in a tertiary care military hospital in United Arab Emirates (UAE), and to benchmark guideline directed medical therapy (GDMT) uptake and care models against regional and international registries.

Methods: We retrospectively reviewed all consecutive patients admitted with a primary diagnosis of heart failure between January and December 2024, at Zayed Military Hospital, UAE. Clinical data were extracted from electronic medical records. The GDMT adherence was assessed according to the 2022 American Heart Association (AHA)/ American College of Cardiology (ACC) and 2023 European Society of …

Identification Of Risk Factors For Renal Insufficiency In Primary Membranous Nephropathy, Lin Qi, Bolong Fang, Xiao Fang, Yamin Yu, Yunqiang Wang

Saudi Medical Journal

Objectives: To identify possible evidence linking certain characteristics associated with primary membranous nephropathy (PMN) to renal failure progression in patients diagnosed with PMN and to establish probable evidence of an association between PMN and other risk factors leading to end-stage renal failure.

Methods: A historical investigation was carried out including 436 subjects with PMN, with or without renal insufficiency, who were treated at the No. 82 Division Defense Medical Center of the People's Liberation Army and Liaocheng People's Medical Center during January 2020 and December 2023. Binary logistic regression study was applied to determine possible hazard elements. Binary logistic regression …

Evaluation Of Raqeem Health Information System In Primary Healthcare Centers In Makkah, Saudi Arabia, Using The Delone And Mclean Information System Success Model, Ali M. Alzahrani, Holly C. Felix

Saudi Medical Journal

Objectives: To evaluate the implementation of Raqeem, a new Electronic Health Information Systems (EHIS) implemented at primary healthcare centers (PHCs) in Makkah. Implementing EHIS requires huge investments, making evaluation of systems success important.

Methods: In this cross-sectional survey design study, a developed questionnaire guided by DeLone and McLean Information System success model (D&M model) was used to collect data from PHCs' providers. Descriptive and structural equation modeling (SEM) techniques were performed to describe and examine the association between the model's constructs and assess Raqeem success.

Results: A total of 490 providers submitted completed records and were included in this study. …

Molecular Mechanisms Of Diffuse Large B-Cell Lymphoma And The Complexities Of Tumor Development, Wael I. Alzahrani

Saudi Medical Journal

Diffuse large B-cell lymphoma (DLBCL), the most prevalent aggressive non-Hodgkin lymphoma, exhibits substantial molecular heterogeneity and arises from germinal center or post-germinal center B cells through recurrent genetic and epigenetic dysregulation of critical signaling pathways. Aberrations involving BCL6, MYC, MYD88, and components of B cell receptor and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κ B) signaling play central roles in lymphomagenesis, treatment resistance, and clinical outcomes. Gene expression profiling has defined major molecular subgroups in DLBCL, including germinal center B cell–like and activated B cell–like tumors, that show distinct pathogenesis and prognosis. High-risk entities, such as double- and …

Integrating Traditional And Complementary Medicine Into Saudi Primary Care: A Literature Review In Light Of The Who 2025–2034 Strategy, Abeer Al Shahrani

Saudi Medical Journal

Complementary and alternative medicine (CAM) is widely practiced in Saudi Arabia, particularly for health promotion and chronic diseases management. Despite cultural acceptance and high utilization, CAM remains largely unintegrated within the formal healthcare system, particularly in primary care settings. The newly adopted World Health Organization (WHO) Traditional, complementary, and integrative medicine (TCIM) Strategy 2025–2034 offers a global framework for evidence-based, culturally appropriate integration of TCIM into national systems. This review evaluates the status of CAM in Saudi Arabia in light of strategic objectives outlined in the WHO Strategy: building the evidence base, ensuring quality and safety, integrating into health systems, …

Interleukin-6 Inhibition For Patients With Acute Myocardial Infarction: A Systematic Review And Meta-Analysis, Mohammed Y. Alasmary, Mohammed J. Almalki, Faisal H. Almalki, Waleed D. Khubzan, Mohammed H. Rajab, Mohammed S. Almalki, Hussam A. Almalki, Omar M. Alsuwat, Hussam M. Alghannami

Saudi Medical Journal

Objective: To explore the outcomes associated with interleukin-6 (IL-6) pathway blockade, using tocilizumab, in patients with ST-elevation myocardial infarction (STEMI) and non (NSTEMI). Acute myocardial infarction (AMI) denotes myocardial necrosis due to ischemia and presents in distinct electrocardiographic phenotypes. Inflammation driven by IL-6 contributes to ischemia-reperfusion injury, with tocilizumab showing promise in reducing myocardial damage and improving outcomes.

Methods: This work followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Framework and was registered in international prospective register of systematic reviews (PROSPERO). Relevant studies were identified through structured searches of PubMed, MEDLINE, the Cochrane Library, and Google Scholar up …

Effect Of Anesthetic Agents On Middle Ear Pressure: Systematic Review And Meta-Analysis, Nasser Almujaiwel, Reem Alkublan, Latifah Almakoshi

Saudi Medical Journal

Objective: To assess and compare the effects of these agents on middle ear pressure (MEP). Anesthetic agents can significantly alter MEP, which is a critical factor in middle ear surgeries that require stability to prevent complications. Different anesthetics, including inhalational and intravenous agents, have varying effects on MEP.

Methods: A systematic search was conducted across PubMed, Embase, the Cochrane Library, and Scopus, following preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. Studies that evaluated MEP changes before and after anesthesia using tympanometry were included. Relevant data, such as anesthetic type, patient demographics, MEP measurements, and reported complications, were …

The Impact Of Exercise Intervention On Pulmonary And Physical Function In Patients With Cystic Fibrosis: A Comprehensive Systematic Review, Abdullilah Alghamdi, Muroj Al-Attas, Abrar Radhi, Amnah Alfaqih, Bashair Aljabri, Rawan Alharbi, Sumayyah Alsubaie, Raneem Aljawaied, Sarah Alenazi, Ahlam Mazi, Ebtehal Qulisy

Saudi Medical Journal

Objective: To evaluate the effect of various exercise interventions on lung function, specifically forced expiratory volume in 1 second (FEV₁), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP), as well as on cardiorespiratory fitness (peak oxygen uptake [VO₂peak]), and muscle strength (handgrip strength). The review also considers factors such as patient adherence, follow-up duration, and statistical significance to inform clinical practice.

Methods: This systematic review followed preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines and was prospectively registered in international prospective register of systematic reviews. PubMed, Google Scholar, OVID, and Web of Science …

Diagnostic Timeliness And Pre-Implant Nonverbal Development In Thai Children With Severe-To-Profound Sensorineural Hearing Loss: A 2017–2024 Retrospective Review, Wanpen Ritthita, Sureelak Sutchritpongsa, Pat Rojmahamongol, Prakasit Wannapaschaiyong

Journal of Child Science

Background: Congenital severe-to-profound sensorineural hearing loss (SNHL) may compromise early development, and timely cochlear implantation (CI) is essential; however, data from low- and middle-income countries, where universal newborn hearing screening is limited and referral is delayed, remain scarce. This study describes diagnostic timeliness and CI referral in Thai children with congenital severe-to-profound SNHL, and reports age-stratified pre-implant nonverbal developmental profiles as secondary contextual descriptive data. Methods: A retrospective chart review was conducted at Siriraj Hospital, Bangkok, Thailand. Children with congenital severe-to-profound SNHL who underwent pre-CI developmental or non-verbal cognitive assessments between January 2017 and December 2024 were enrolled. Data on …

Central Congenital Hypothyroidism In A Preterm Infant Born To A Mother With Graves’ Disease: A Case Report, Aliyyah M. Khuzaini, Hani A. Zulkeflee, Nur A. Zulkefli, Ain Najmy A. Zairy, Siti Farah A. Roslan

Journal of Child Science

Background: Central congenital hypothyroidism (CCH) is an uncommon but potentially underdiagnosed condition, particularly in infants born to mothers with autoimmune thyroid disease. Case Presentation: We report a case of central congenital hypothyroidism in a preterm baby born to a mother with hyperthyroidism, diagnosed three years prior to conception. She developed thyrotoxicosis at 30 weeks of pregnancy requiring Lugol’s iodine, carbimazole and propranolol. She subsequently developed pre-eclampsia and went into preterm Labour at 31 weeks of gestation. Her Thyroid Stimulating Hormone (TSH) receptor antibody levels were high, while anti-peroxidase and anti-thyroglobulin antibodies were negative. The cord TSH level at birth was …

Enhancing Visual-Spatial And Social Communication Skills In Children With Autism Through The Autistic Ready To Play Program, Adidsuda Fuengfoo, Nipontorn Saengthongsri, Pentrakarn Saengthongsri, Netsai Thongchamrat, Nutchanat Promiam, Montika Rattanaruengsin, Lutlawan Lamomsai, Pongpun Jinpla

Journal of Child Science

Background: Autism Spectrum Disorder (ASD) is characterized by deficits in social communication and repetitive behavioral patterns. Leveraging the strong visual learning abilities of children with ASD, the Autistic Ready to Play (ARP) program was developed to improve visual-spatial skills, spatial reasoning, and social communication through structured, play-based activities. Objective: This study aims to identify the impacts of the ARP program on language, social communication, sensory perception, physical health, and behavioral dimensions in autistic children. Methods: This study included 99 children with ASD, aged 4–10 years, who were randomly assigned to three groups. Group 1 received standard developmental care, while Groups …

Pharmacovigilance For Health Management: A National Profile Of Methylphenidate Adverse Events In Thailand Using National Databases, Suwapat Sukthas, Pornpan Soontorntham, Surasak Saokaew

Journal of Health Research

Background: Methylphenidate, a Schedule II psychostimulant, is indicated for ADHD in children ≥6 years when other measures fail, with unclear adult indications beyond narcolepsy. Global use increases necessitate robust pharmacovigilance, especially in low/middle-income countries like Thailand where safety data is sparse. This study characterized methylphenidate-associated adverse events (AEs) in Thailand, analyzing product types and patient factors.

Methods: Spontaneous Thai Vigibase™ reports (2005-2024) were analyzed alongside national distribution data. AEs were MedDRA-coded and stratified by age, sex, indication, formulation (original/generic; immediate/extended-release), allergy history, and comorbidities. Reporting Odds Ratios (RORs) identified safety signals. Serious AEs followed WHO criteria.

Results: Among 424 patients …

Disability Rates Among South Asian Immigrants In The U.S. Vary By Country Of Origin, Sobia Mushtaq, Marc A. Garcia

Population Health Research Brief Series

South Asian immigrants are often grouped together in U.S. health data, masking significant differences in health outcomes across subgroups. This brief uses data from the American Community Survey (ACS) 5-Year Public Use Microdata Sample (N = 6,643,738; 2020–2024) to describe disability rates among foreign-born adults from India, Pakistan, and Bangladesh residing in the U.S. The authors find that while South Asian immigrants as a group have lower disability rates than U.S.-born adults, this average is driven largely by Indian immigrants, who make up about 79% of South Asians in the U.S. Among adults aged 65 and older, Bangladeshi immigrants have …

Distance And Trade Elasticity: The Red Sea Crisis As A Natural Experiment, Felix C. Feldman

Economics Undergraduate Senior Theses

This paper exploits the 2023 Houthi attacks on shipping through the Bab el-Mandeb Strait at the entrance to the Red Sea and the subsequent mass rerouting around the Cape of Good Hope to estimate modern-day elasticities with respect to effective trade cost. This event is unique among chokepoint disruptions as it did not lead to a complete blockage. Instead, many ships voluntarily rerouted away the area, but not all. This paper uses a structural approach to infer unobservable costs incurred by inframarginal Red Sea shippers. This paper combines a reduced-form gravity specification with a discrete route-choice model where ships select …

U.S. Black Men’S Perceptions Of The Similarities And Interplay Among Mind-Body Practices, Spirituality, And Religion: A Qualitative Study, Khanh Pham

Theses and Dissertations

This qualitative study explored U.S. Black men’s perceptions of relations among mind-body practices (MBPs), spirituality, and religion to understand how these factors might influence Black men’s health. Reflexive thematic analysis was used to analyze data from individual semi-structured interviews with 18 Black male MBP instructors. Five themes were generated. The themes were (1) spirit(uality) is the foundation for Black men’s experience of life seen and unseen, (2) MBPs and religion are rooted in spirituality, (3) MBPs, religion, and Black culture share common characteristics, (4) MBPs and religion facilitate holistic wellbeing, and (5) confusion and negative perceptions about MBPs, spirituality, and …

Testing The Moderating Effect Of Self-Compassion On The Relationship Between Perfectionism-Related Discrepancy And Perceived Social Support From Family, Marinne Hammond

Theses and Dissertations

Perfectionism involves an insistence on outstanding performance on tasks to an extreme level. More specifically, perfectionism-related discrepancy is when one subjectively sees a gap between their performance and their expectations for how they should perform. Perfectionism may be linked to mental health issues, such as anxiety, depression, eating disorders, and social disconnection. The perfectionism social disconnection model asserts that perfectionism can also lead to social withdrawal. Self-compassion involves the acceptance of imperfection; it has been associated with higher perceived social support and has also been shown to attenuate the relationship between perfectionism and psychological distress. This study aimed to further …

A Qualitative Study Of People With Aphasia And Their Experiences With The Bible, Marin Li

Theses and Dissertations

This phenomenological study explores the lived experiences of 4 individuals with aphasia (1 female, 3 male; 3 Catholic, 1 Lutheran) regarding their relationship with and engagement with the Bible. Participants completed three remote sessions via Zoom. In Session 1, participants completed the Test of Nonverbal Intelligence, Fourth Edition, (TONI-4), and the remote Quick Aphasia Battery (QAB). In Session 2, participants engaged in a semi-structured interview led by the researcher. In Session 3, the researchers presented preliminary analysis to receive feedback from participants. Student researchers coded interview transcriptions to develop a structured codebook. Five primary themes describe the participants' experiences with …

Methylglyoxal And Glyoxal In High-Puff Disposable Electronic Cigarette Liquids: Unexpected Accumulation And Enhanced Cytotoxicity, Esther E. Omaiye, Wentai Luo, Kevin J. Mcwhirter, Man Wong, Prue Talbot

Civil and Environmental Engineering Faculty Publications and Presentations

Despite concerns regarding the potential health risks associated with EC use, their design, puff count, and e-liquid formulations have continued to evolve. Aldehydes are a key class of thermal degradation byproducts generated during the vaporization of EC fluids. This study tested the hypothesis that aldehyde concentrations would be elevated in used ECs with high puff numbers. Devices from multiple brands were analyzed to assess the impact of extended use on aldehyde formation. E-fluids were extracted from field-collected and user-donated devices and analyzed using gas chromatography/mass spectrometry to quantify 178 flavor chemicals, two synthetic coolants, nicotine, solvents, and aldehydes (methylglyoxal (MGO), …

Practical Engineering Design: Hands-On Learning In An Undergraduate Embedded Systems Design Course, Nadieh Moghadam

School of Engineering: Faculty Scholarship

Hands-on engineering design can help bridge the gap between theoretical coursework and real-world engineering practice, particularly during the middle years of undergraduate programs. This paper presents the implementation and outcomes of an open-ended final project in ELEC 310: Embedded Systems Design at the University of San Diego. Student teams designed and prototyped smart environmental monitoring systems using STM32 microcontrollers, selecting sensors and defining system objectives under realistic constraints. Project outcomes were evaluated using prototype demonstrations, team technical reports, and post-project student reflections analyzed through inductive thematic analysis. Reflections and project artifacts suggest that debugging and hardware–software integration functioned as key …

Flourishing, Social Participation And Reintegration Difficulties: A 2-Year Cohort Study Of Us Military Veterans With Invisible Injuries, Nicholas A. Rattray, Mindy Flanagan, Richard M. Frankel, Marina Kukla

Health Services and Informatics Research

Introduction:

Longitudinal research examining community reintegration among military veterans with invisible injuries remains limited, despite widespread recognition that post-separation adjustment encompasses multiple interconnected domains including mental health, physical health, social functioning, and overall well-being. This study investigated associations between changes in reintegration outcomes and changes in health-related quality of life, social support, and flourishing over a two-year period among U.S. military veterans with invisible injuries who separated from service within the previous five years.

Methods:

Seventy-five veterans diagnosed with invisible injuries (post-traumatic stress disorder, anxiety, depression, traumatic brain injury, or adjustment disorder) completed assessments at baseline, 6, 12, 18, and …

Transformative Practices: The Multiple Impacts Of The Mat Program At Al-Quds Bard College, Daniel Terris, Derek Furr

GHEA21 Open Educational Resources

This paper summarizes research on the impact of the Master of Arts in Teaching (MAT) program at Al-Quds Bard College, which since 2009 has trained more than 600 Palestinian K-12 teachers working across the West Bank and reaching over 120,000 students, many in disadvantaged communities. Supported in part by the Education Above All foundation, the program combines educational theory, discipline-based knowledge, classroom research, and reflective practice, requiring in-service teachers to experiment with new teaching approaches in their own classrooms. Multiple studies reviewed in the paper show that MAT graduates adopt more student-centered pedagogies—such as backward design, inquiry-based learning, and collaborative …

The Relationship Between Perceived Leadership Grit, Employee Engagement, And Burnout In Small- And Medium-Sized Enterprises, Christopher Baumgardner

Walden Dissertations and Doctoral Studies

No abstract provided.

Ora (Oneball Robotic Arm), Isabella Murillo, Juan Pablo Fernandez Garza, Gabriel Kotab, Catherine Epstein

Electrical and Computer Engineering Senior Theses

Confined spaces are dangerous and awkward to navigate environments, often putting those who work in them at risk. To reduce effort and human exposure to these hazards, robotic systems can be used to navigate and inspect these areas to limit, or even eliminate the need for human presence in confined spaces. This project proposes an autonomous robot that can navigate confined spaces while sending data back to the user. The robot features a spherical body that is capable of a zero rotational axis, with an external, magnetically attached head. This head contains scanners or tools that the user can remotely …

Gnsi Decision Brief: Ours To Keep? Diego Garcia, Mauritius, The Uk, The Us And Security In The Indian Ocean, Guido Rossi

GNSI Decision Briefs

Defining Diego Garcia

Since the Pentagon does not disclose information about every US military installation, it is difficult to quantify exactly how many bases the United States has abroad. Among the currently estimated 750 “base sites” in over 80 countries, the Naval Support Facility Diego Garcia occupies a strategic location. This installation stands on the largest island of the Chagos archipelago, after which it is named. Located in the middle of the Indian Ocean, Diego Garcia is not just the only US base in the region but is positioned to support US operations in the Indo-Pacific theater, the Middle East, …

Researchers Study 'Double-Edged' Nature Of Workplace Resilience, Clara Turnage

University of Mississippi News

OXFORD, Miss. – From underdog stories to comeback victories, everyone loves a tale of perseverance. But a new study suggests that highlighting workplace resilience can sometimes leave observers feeling anxious instead of inspired.

Decorin Promotes Nascent Proteoglycan Retention In Cartilage Matrix By Strengthening Collagen Ii-Aggrecan Integration, Thomas Li, Gabriela Canziani, Yuchen Liu, Neil Patel, Biao Han, Mingyue Fan, Annie Porter, Bryan Kwok, Chao Wang, Qing Li, David E. Birk, Renato V. Iozzo, Irwin M. Chaiken, X. Lucas Lu, Robert L. Mauck, Lin Han

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Cartilage extracellular matrix (ECM), a hydrated collagen II-aggrecan composite, undergoes dynamic turnover during both normal homeostasis and disease-associated remodeling. This study elucidates a crucial role for decorin in promoting the retention and stability of nascent aggrecan within this matrix. By applying bio-orthogonal click-labeling, we demonstrate that loss of decorin accelerates the release of nascent aggrecan under both physiological and inflammatory conditions, without affecting its preferential localization to the pericellular matrix. Conversely, supplementation with exogenous decorin mitigates inflammation-induced loss of nascent aggrecan, supporting its potential as a therapeutic target. At the molecular level, decorin exhibits strong binding affinity for aggrecan, and …

The Influence Of Gustav Holst's The Planets On The Music Of John Williams, Kara Lewis

Senior Honors Theses

Throughout his six-decade career in film music, John Williams has achieved incredible success. Yet, one of the most prominent criticisms of Williams’ work is that it borrows heavily from classical repertoire. It is common to read that Williams stole from composers such as Gustav Holst. This paper examines in what aspects and to what extent the music of Williams takes inspiration specifically from Holst’s The Planets. Overall style and specific excerpts will be compared to demonstrate that, while the two share some characteristics, there is not an overall sameness of style. It shall also be demonstrated that certain excerpts …

Text Messaging Support For Patients Diagnosed With Impaired Glucose Tolerance During Pregnancy: Nonrandomized Pre-Post Implementation Study Assessing Impact On Postpartum Transitions Of Care, Natasha R. Kumar, Whitney Bender, Celeste Durnwald

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Patients with impaired glucose tolerance (IGT) identified during pregnancy who do not develop gestational diabetes mellitus (GDM) often do not receive additional interventions for their long-term metabolic risks.

OBJECTIVE: This nonrandomized pre-post implementation study reports the design process and initial program evaluation for Better Follow-up of Impaired Glucose Tolerance (BRIDGE), a 12-week text-based postpartum support program promoting hemoglobin A1c (HbA1c) completion and primary care provider (PCP) visit scheduling for patients diagnosed with IGT during pregnancy, assessing improvement in desired postpartum transition milestones. The 19-month program was divided into 2 arms lasting 9.5 months each, BRIDGE- (SMS text messaging support …

Stages Of Belonging: The Yiddish Art Theatre’S Search For Its Home In New York City, 1918-1934, Octavia Chudnow

Lawrence University Honors Projects

In the first decades of the twentieth century, the main form of entertainment for the Jewish immigrant community was shund (trash) theater: popular and commercial theater. Although many immigrants enjoyed this kind of entertainment, playwrights, artists, and intellectuals critiqued its place in immigrants’ lives, especially since shund revealed the process of assimilation and was considered low-brow art. In 1918, Maurice Schwartz opened the Yiddish Art Theatre to create high-brow art for Jewish audiences. In my essay, I focus on the company’s history between 1918 and 1934, on the theater’s move from downtown to Midtown and back to the Lower East …