Digital Commons Network^™

Detection Of Uropathogenic Bacteria In The Samples Of Iraqi Male Patients, Marwa M. Al-Attar

Al-Esraa University College Journal for Medical Sciences

Prostate disease is found in elderly persons, the prostate is a male reproduction organ. It is approximately the size of a plum that may be found near the bladder’s base. It is the primary cause of the three commonest diseases: prostatitis, benign prostatic hyperplasia (BPH), and prostate cancer (PC). This study designed to identify the uropathogenic bacteria that caused prostate disorders in Iraqi male samples. A current study included 180 subjects from the Iraqi population, 135 patients were divided into three groups (prostate cancer, benign prostate hyperplasia and prostatitis), according to signs, symptoms and diagnosis by the physician each group …

Prevalence Of Aminoglycoside Resistance Genes Among Esβl Producer P. Aeruginosa In Burn Cases, Yasser Rabee Ibraheem, Majida Malik Alshammari

Al-Esraa University College Journal for Medical Sciences

Pseudomonas aeruginosa recurrently develops resistant towards aminoglycosides by gaining of aminoglycoside modifying enzyme (AME) genes. The study aimed to assess the antibiotic susceptibility profile of P. aeruginosa isolated from burn infections in hospitals in Baquba, AL Najaf and Karbala. Detection of genes that mediate the production of AMEs. 175 Burn swab (110 males and 65 females) were collected then cultured on MacConkey‘s and Blood agar for primary culture, and Cetrimide agar was used to isolate and purify the bacteria and incubated aerobically at 37°C for 24 hours. Then, Vitek 2 system to validate the results. Results revealed that 70 (40%) …

Antimicrobial Resistance Trends And Sccmec Typing Among Mrsa-Infected Diabetic Foot Cases In The Al-Najaf Community, Zahraa Hashim Abd Zaid Al-Sharoofi, Majida Malik Alshammari, Mohammed Abdzaid Akool

Al-Esraa University College Journal for Medical Sciences

Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of healthcare-associated infections worldwide, often linked to multidrug resistance and limited treatment options. This cross-sectional study aimed to investigate the molecular characteristics and antimicrobial resistance profiles of MRSA isolates recovered from diabetic foot ulcers in Al-Najaf Governorate, Iraq. A total of 76 S. aureus isolates were collected from patients attending three major hospitals. Identification was conducted using conventional microbiological methods, and methicillin resistance was confirmed phenotypically via cefoxitin disc diffusion and genotypically through PCR amplification of the mecA gene. SCCmec typing was performed using multiplex PCR. The findings revealed that 92.1% of …

The Mansion That Disney Built: Revitalizing Antitrust Enforcement In The Film Industry, Drew Chandler

BYU Law Review

The Paramount Decrees, for over sixty years, barred the major film studios from anticompetitive practices like vertical integration and block-booking. The Department of Justice’s decision to sunset the Decrees in 2020 came prematurely, with the movie industry today rocked by major mergers, the advent of streaming, the pandemic, lessened output due to industry strikes, and changing consumer tastes. True, the industry has changed since 1948, but those very changes call for regulatory intervention to avoid repeating the problems of the past.

For example, Disney’s recent merger and acquisition activity, together with the dominance of its in-house streaming service Disney+, is …

Neutrosophic Σ - Baire Spaces, R. Vijayalakshmi, F. Josephine Daisy, M. Simaringa

Neutrosophic Systems with Applications

A Neutrosophic Baire Space extends the concept of Baire Space from classical topology to the realm of neutrosophic topology which deals with sets and spaces where truth, falsehood and indeterminancy are explicitly considered. In this paper the concept of neutrosophic σ - baire spaces are introduced in Neutrosophic topological spaces. Also Neutrosophic σ - dense, Neutrosophic σ - nowhere dense, Neutrosophic σ -first category and Neutrosophic σ - second category sets are defined. Several characterizations of neutrosophic σ - baire spaces are investigated and explained using examples and the conditions under which a neutrosophic topological space becomes a neutrosophic σ …

Book Review: Move Slowly And Build Bridges: Mastodon, The Fediverse, And The Struggle For Democratic Social Media, Ben Pettis

Rhetoric and Communication Studies Faculty Publications

Put simply, today’s landscape of social media is a bit of a mess. A swath of recent scholarship has rightly tracked major shifts in social media, including the rise of walled gardens, enshittification (Doctorow, 2023), numerous privacy concerns (Couldry and Mejias, 2019; Marwick, 2023), and the general rise of what Shoshana Zuboff (2020) has termed ‘surveillance capitalism’. Though social media has undoubtedly brought many benefits, it is increasingly difficult to overlook its negative underbelly. Given this context, Robert Gehl’s recent book, Move Slowly and Build Bridges makes a timely contribution to studies of new media …

Titin-Related Familial Dilated Cardiomyopathy: Factors Associated With Disease Onset, Renee Johnson, Robert A Fletcher, Stacey Peters, Monique Ohanian, Magdalena Soka, Andrei Smolnikov, Katherine E Abihider, Michael J Ackerman, Flavie Ader, Mohammed M Akhtar, Ahmad S Amin, Euan A Ashley, John J Atherton, Rachel Austin, Annette F Baas, Richard D Bagnall, Samantha Barratt Ross, Jean-Louis Blouin, Emily E Brown, Henning Bundgaard, Douglas Cannie, Przemyslaw Chmielewski, Gemma Correnti, Maria Generosa Crespo-Leiro, Matteo Dal Ferro, Lisa M Dellefave-Castillo, Fernando Dominguez, Dennis Dooijes, Anne M Dybro, Youssef Ed Demri, Mohamed El Hachmi, Luis Escobar-Lopez, Sarah Jajesnica Foye, Maria Franaszczyk, Marta Gigli, Esther Gonzalez Lopez, Adeline Goudal, Sharon Graw, Michel Guipponi, Eric Haan, Jan Haas, Daniel J Hammersley, Frederikke G Hansen, Christopher S Hayward, Thomas Morris Hey, Stephane Heymans, Carolyn Y Ho, Arjan C Houweling, Jodie Ingles, Angela Ingrey, Andrew Jabbour, Paul A James, Joeri A Jansweijer, Jan D H Jongbloed, Anne M Keogh, Jose M Larrañaga-Moreira, Ronald H Lekanne Deprez, Ivan Macciocca, Peter S Macdonald, Nicolas Mansencal, Julia Mansour, Cristina Martinez-Veira, Barbara Mcdonough, Julie Mcgaughran, Kristen Medo, Marco Merlo, Ewa Michalak, Lorenzo Monserrat, Helen Mountain, Steven A Muller, Anne M Murphy, Brittney Murray, Emily C Oates, Elizabeth Ormondroyd, Nicholas Pachter, Alessia Paldino, Aurélien Palmyre, Naveen L Pereira, Kermshlise C Picard, Nicola Poplawski, Sanjay Prasad, Julie Proukhnitzky, Jean-Francois Pruny, Patricia Reant, Pascale Richard, Anne Ronan, Farbod Sedaghat-Hamedani, Christopher Semsarian, Garrett Storm, Sophie Stroeks, Petros Syrris, Matthew R G Taylor, Kate Thomson, Tina Thompson, J Peter Van Tintelen, Christoffer Rasmus Vissing, Kathryn E Waddell-Smith, Mathew Wallis, Dominica Zentner, Clare Arnott, Ali J Marian, Jaewon Oh, Siv Fokstuen, Cynthia A James, Roberto Barriales-Villa, Benjamin Meder, Karim Wahbi, John R Giudicessi, Victoria N Parikh, James S Ware, Nicolas Piriou, Caroline Rooryck, Neal K Lakdawala, Luisa Mestroni, Gianfranco Sinagra, Perry M Elliott, Hugh Watkins, Elizabeth M Mcnally, Philippe Charron, Karin Y Van Spaendonck-Zwarts, Pablo Garcia-Pavia, Maria Luisa Peña-Peña, Jens Mogensen, Alex Hoerby Christensen, Zofia T Bilińska, Torsten B Rasmussen, Jonathan G Seidman, Christine E Seidman, Anneline S J M Te Riele, Job A J Verdonschot, Yigal M Pinto, Imke Christiaans, Diane Fatkin

The Brown Foundation: Institute of Molecular Medicine

Background and aims: Truncating variants in the TTN gene (TTNtv) are the most common genetic cause of dilated cardiomyopathy (DCM) but also occur as incidental findings in the general population. This study investigated factors associated with the clinical manifestation of TTNtv.

Methods: An international multicentre retrospective observational study was performed in families with TTNtv-related DCM. Shared frailty models were used to estimate associations of variant characteristics with lifetime risk of DCM, and logistic regression to estimate odds ratios (ORs) for individual-level clinical risk factor profiles (cardiac conditions, cardiovascular comorbidities, lifestyle) and DCM.

Results: A total of 3158 subjects in 1043 …

Parliamentary Gridlock In Tanzania: An Examination Of The Politics Of Changing The Cashew Nut Industry Act (Cap 203), Palme Kawishe

Tanzania Journal of Sociology

The legislature plays a pivotal role in overseeing the management of public resources through the budget process, which provides a formal forum for debating how funds are mobilised, allocated, and spent. Through this process, the legislature reviews and amends the laws governing a government’s annual revenues and expenditures. However, legislative review is often shaped by underlying political dynamics. Focusing on legislative-executive relations, this article examines the political dynamics that unfolded in Tanzania’s parliament during the amendment of the Cashew Nut Industry Act (Cap. 203) and how these dynamics produced parliamentary gridlock. It further explores how the fusion of party and …

Discovery Of Small Molecules And A Druggable Groove That Regulate Dna Binding And Release Of The Ap-1 Transcription Factor Δfosb, Yi Li, Brandon Hughes, Corey Peyton St Romain, Galina Aglyamova, Jianping Chen, Nghi D Nguyen, Shanghua Fan, Gabriel S Stephens, Wen-Ning Zhao, Samantha Kruzshak, Molly Estill, Corrine Brener, Solange Tofani, Anil Kumar, Earnest P Chen, Nadeen Takatka, Alfred J Robison, Haiying Chen, Reid T Powell, Stephen J Haggarty, Clifford Stephan, Eric J Nestler, Jeannie Chin, Mischa Machius, Jia Zhou, Gabby Rudenko

Faculty, Staff and Students Publications

ΔFOSB, a member of the AP-1 family of transcription factors, mediates long-term neuroadaptations underlying drug addiction, seizure-related cognitive decline, dyskinesias, and several other chronic conditions. AP-1 transcription factors are notoriously difficult to modulate pharmacologically due to the absence of well-defined binding pockets. Here, we identify a novel site on ΔFOSB, located outside the DNA-binding cleft, that accommodates small molecules. We show that sulfonic acid-containing compounds bind to this site via an induced-fit mechanism, reorienting side chains critical for DNA binding, and that they may hinder the ΔFOSB bZIP α-helix from binding to the major groove of DNA. In vivo, direct …

Acl Injuries In Major League Soccer: A 10-Year Analysis Of Injury Rate And Return To Play, And Performance Metrics By Player Position, Brian Forsythe, Catherine Hand, Camden Bohn, Francis Hand, Vahram Gamsarian, Daanish Khazi-Syed, Joshua Chang, Vikranth Mirle, Eric Giza, Robert Brophy, Danyal Nawabi, Bert Mandelbaum

2020-Current year OA Pubs

BACKGROUND: Anterior cruciate ligament (ACL) injuries are among the most debilitating injuries in professional soccer, often leading to extended recovery times and performance impacts. While much is known about ACL injury outcomes in European leagues, data specific to the Major League Soccer (MLS) remains limited.

PURPOSE/HYPOTHESIS: This study aimed to assess the return to play (RTP) times, RTP rates, and performance outcomes after ACL reconstruction in MLS athletes. It was hypothesized that RTP times would improve over the study period and that player performance would stabilize by the third post-injury season, consistent with findings from other professional soccer leagues.

STUDY …

Implementation Of Single-Pill Combination Medication For Hypertension Treatment By Nonphysician Health Care Workers At Primary Healthcare Facilities In Nigeria: An Explanatory Mixed Methods Study, Emmanuel I Okpetu, Chisom Obiezu-Umeh, Boni M Ale, Abigail S Baldridge, Rosemary C B Okoli, Grace J Shedul, Gabriel L Shedul, Nanna R Ripiye, Ikechukwu A Orji, Lisa R Hirschhorn, Dike B Ojji, Mark D Huffman, Hypertension Treatment In Nigeria Program Investigators

2020-Current year OA Pubs

BACKGROUND: Single-pill combination (SPC) therapy improves hypertension control; however, its implementation in primary care settings remains limited. In Nigeria, there is insufficient evidence on factors influencing SPC uptake, particularly from the perspective of healthcare workers (HCWs). This study examined the implementation of SPC medications for hypertension treatment by nonphysician HCWs at primary healthcare facilities (PHCs) in Nigeria.

METHODS: An explanatory sequential mixed methods study was conducted, building on a cluster randomized controlled trial embedded within the Hypertension Treatment in Nigeria Program. The trial compared SPC medications with free-equivalent combination therapies across 60 PHCs (January-June 2021). A subsequent qualitative component (September-December …

Current Controversies On Adequate Circulating Vitamin D Levels In Ckd, Adriana S Dusso, Daniela J Porta, Carlos Bernal-Mizrachi

2020-Current year OA Pubs

Management of secondary hyperparathyroidism (SHPT) in chronic kidney disease (CKD) has evolved dramatically over the past five decades, driven by discoveries that have fundamentally reshaped our understanding of the vitamin D endocrine system and its role in disease progression. This review synthesizes the key pathophysiological insights and clinical evidence underlying three critical paradigm shifts. The first shift moved beyond simple calcitriol replacement with the development of selective vitamin D receptor activators (VDRAs) designed to minimize hypercalcemia while maximizing PTH suppression. Crucially, these analogs revealed unexpected survival benefits, suggesting protective VDR actions extending beyond mineral metabolism. The second shift recognized the …

Intouch Week Of December 22, 2025, New York Medical College

InTouch

• Marking the Moments of 2025
• NYMC and Hudson Regional Health Form Academic Affiliation
• Simultaneous Heart-Kidney Transplant Brings Higher Risk
• A Closer Look at Medical Careers
• The Latest Issue of TCDM Apex is Available
• Faculty Spotlight: From Response to Real Impact

Legal Issues Arising From The Military Use Of Ai-Supported Biometrics, Marten Zwanenburg

International Law Studies

Biometrics is increasingly used by armed forces for a variety of purposes, such as access control, the registration of detainees, and increasingly also targeting. The capabilities of biometric systems are considerably strengthened when they are enabled by artificial intelligence (AI). This article analyzes legal questions that are raised by the military use of such AI-supported biometrics. It argues that relevant legal frameworks are International Humanitarian Law, international human rights law, and the right to privacy in particular, as well as data protection law. The article finds that arguably, IHL may require the use of (AI-supported) biometrics in certain situations if …

A Critical Annotated Bibliography Of Obscure Scholarship On John Kennedy Toole And A Confederacy Of Dunces. Version 2.0, H. Vernon Leighton

Library Faculty Works

The purpose of this bibliography is to summarize texts that might be difficult for the average scholar to obtain and to evaluate the quality of those obscure texts. Most of these are Master’s theses or Ph.D. dissertations that have at least some portion devoted to a discussion of John Kennedy Toole or the novel A Confederacy of Dunces. Most of the entries were written before 2014, though some were updated in 2025.

Video Conversation Aids To Assist In Goals-Of-Care Discussions With Older Adults In A Medical Setting: A Systematic Review, Ashna S Karpe, Mokunfayo O Fajemisin, Stephanie Martinez Ugarte, Lara Ouellette, Martin L Blakely, Gina H Khraish, Shreyans V Sanghvi, Min J Kwak, Jessica L Lee, Lillian S Kao, Thaddeus J Puzio

Library Staff Publications

Background

Methods

Biotechnologies And The Treaty Gap: Why Biological Weapons Governance Is Falling Behind; And Some Thoughts On How To Fix It, James Giordano

Strategic Insights

This commentary examines how rapid advances in biotechnology are outpacing the ability of existing international agreements, especially the Biological Weapons Convention (BWC), to effectively govern emerging risks. Dr. Giordano explains that technologies such as synthetic biology, gene editing, and AI-assisted biological design are creating capabilities that blur the line between legitimate research and potential misuse, leaving enforcement and oversight systems outdated. These developments expose a “treaty gap” in which governance does not match technological reality, undermining global norms against biological weaponization. Strengthening international governance frameworks, improving transparency and verification mechanisms, and incorporating emerging science into treaty language will be essential …

What Is The Most Important Issue In Indonesia’S Political Belief System? Network Analysis Of Attitude And Voting Behavior In 2014 And 2019, Khaerullah Fadhli Arasy Hasan, Whinda Yustisia, Mirra Noor Milla, Mark Brandt

Makara Human Behavior Studies in Asia

Previous research has shown that attitudes toward political issues have a significant influence on voting behavior (Bukari et al., 2022). However, not all issues exert equal influence, and some may have a more direct impact on voting behavior than others. This study applies network analysis within the framework of the PBS model (Brandt & Sleegers, 2021) to explore the issues that most strongly shaped voters’ choices in Indonesia’s 2014 and 2019 elections. To answer the research question, we used data from a national survey (n = 962) conducted in 2018. The analysis was conducted by evaluating the shortest path values …

The Bridwell Quill: Issues 86–88: If On A Single Night A Traveler, Anthony J. Elia

Bridwell Library Publications

No abstract provided.

Advancements In Perfect Matchings Within Neutrosophic Fuzzy Graphs: Theory And Applications, Muhammad Saeed, Fatima Razaq

Neutrosophic Systems with Applications

Graph theory has been widely used in exemplifying relational structure, and a greater generalization to fuzzy and neutrosophic space enables the exemplification of uncertainty, indeterminacy, and inconsistency in complex systems. Some of these extensions include the neutrosophic fuzzy graphs that provide a more detailed description of the loose relations between the vertices and the edges. However, unlike in classical graph theory, where the concepts of matching and perfect matching are well developed, very little has been studied on how the two concepts can be extended to neutrosophic fuzzy graphs. To seal this gap, the current paper develops and defines the …

Integrating Mcdm Techniques For Optimized Task Offloading In Multi-Uav- Enaled Mobile Edge Computing System, Amira Salam

Neutrosophic Systems with Applications

Carefully choosing a task offloading strategy is crucial for optimizing task scheduling and offloading strategies in a multi-UAV system. Regarding cost, responsiveness, scalability, and data security, each strategy has pros and cons. As a result, selecting the best offloading technique is essential to multi-UAV mobile edge computing task scheduling optimization. A methodical and well-informed decision-making process accomplishes this.

The current study introduces a new hybrid methodology for the multi-criteria decision-making (MCDM) model, known as IVNs-DEMATEL-ANP-VIKOR. The purpose of this model is to find and choose an efficient task offloading strategy. With this method, we use IVNs-DEMATEL to show how different …

Customer Experience, Engagement, And Co-Creation In Augmented Reality Retail Service, Amjad Abu Elsamen, Linda D. Hollebeek, Saifeddin Alimamy, Nikolaos Stylos, Weng Marc Lim

All Works

Retailers are increasingly using augmented reality (AR) to enhance the customer experience. This research investigates how AR service experiences contribute to customer co-creation. Two experimental studies using real AR applications and PLS-SEM provide evidence. Study 1, utilizing IKEA Place and WannaKicks, examines whether network externality enhances experience quality and whether customer autonomy influences this effect. Results show that network externality enhances experience quality, but the effect weakens at higher levels of autonomy, indicating that autonomous customers rely less on network cues. Study 2, utilizing Warby Parker and Dulux Visualizer, examines whether experience quality influences co-creation through engagement and whether the …

Powering Up Clinical Scholarship In Shiprock Family Medicine, Evelyn Wang

HSLIC Faculty and Staff Instructional Resources

This presentation is designed for Shiprock–UNM Family Medicine residents and faculty, focusing on developing practical clinical scholarship skills within a full-spectrum family medicine context.Note-20250116.docx+1 Key topics include research question formation (PICOT, FAC Rubric), navigation of core clinical resources (PubMed, EMBASE, CINAHL, ClinicalKey, UpToDate, HSLIC LibGuides), advanced literature search techniques (Boolean operators, truncation, wildcards, proximity operators, subject headings), strategies for capturing search strategies and documenting basic search methods, use of full-text access tools (LibKey Nomad, proxy authentication, interlibrary loan and document delivery), introduction to critical appraisal tools (CASP, JBI, PRISMA-S), and an overview of publishing supports (Zotero, ORCID, UNM Digital Repository, …

Get Creative With New Classes From Artplay, Shannon Thomason

Browse All News

No abstract provided.

Charters In Patient-Engaged Research: A Scoping Review Of Current Evidence, Jenny Martínez, Catherine V. Piersol, Richard W. Hass, Felicia Chew, Amy Cunningham, Sharon L. Larson

College of Population Health Faculty Papers

AIMS: Research study charters facilitate shared governance and power sharing with research partners when developed collaboratively and early on in a study. Study charters are negotiated and developed on a study-by-study basis, offering insight into study-specific dynamics between research partners and investigators, as well as the factors that each identify as important for their collaboration. This review aimed to map and synthesize existing evidence on the development, structure, and implementation of research study charters used in patient-engaged research.

METHODS: We searched peer-reviewed literature published worldwide in English between January 2019 and January 2025.

RESULTS: Our final sample consisted of 17 …

Epcam Activates The Erk-Egr1 Signaling Axis And Promotes Tnf-Α-Induced The Progression Of Anaplastic Thyroid Cancer, Chi-Chiu Lee, Yi-Jen Su, Sushree Shankar Panda, Chiung-Yi Chiu, Chung-Hsuan Wu, Pi-Chun Li, Ruey-Long Hong, Shao-Hsi Hung, Cassian Yee, Stephen Y Lai, Han-Chung Wu

Faculty, Staff and Student Publications

Background: Epithelial cell adhesion molecule (EpCAM) is a pleotropic transmembrane glycoprotein comprising an extracellular domain (EpEX), a single transmembrane domain, and an intracellular domain (EpICD). For several types of cancer, high EpCAM expression is associated with tumor progression, metastasis, immune evasion, and overall poor prognosis. A rare but aggressive form of thyroid cancer, anaplastic thyroid cancer (ATC), has a mean survival time of only 3–6 months after diagnosis.

Methods: The levels of EpEX and EpICD cleavage in clinical patient samples was evaluated by using tissue microarray. Capture enzyme-linked immunosorbent assay (ELISA) was conducted to explore the of shedding EpEX and …

Staff Education For Effective Patient Handoff, Kaylonn Amundson

Walden Dissertations and Doctoral Studies

This staff education project was initiated to address the lack of standardized handoff procedures which was found to have contributed to an adverse outcome for a hospitalized patient. The purpose of this project was to address the question: Will an interactive education program on a standardized handoff tool increase nursing staffs’ knowledge and self-confidence regarding its use? The project involved educating 20 inpatient nurses and care staff about the structure of the SIGNOUT? handoff tool using a PowerPoint presentation with a follow-up practice simulation. Handoff sheets and visuals were distributed to aid in the learning process. Pre- and post-education surveys …

Effective Leadership Strategies For Aligning Vision And Mission To Drive Sustainability, Nyree Price

Walden Dissertations and Doctoral Studies

Organizational leaders often struggle when ambitious innovation outpaces the systems, structures, and leadership practices needed to support consistent operational performance. When leaders fail to implement effective resolution strategies to align the organizational vision and mission with operational effectiveness, it impacts long-term operational effectiveness, productivity, and long-term sustainability. This qualitative single case study was an exploration of the strategies used by some business leaders in a mid-sized, for-profit telecommunications firm in the Midwest United States. The study applied the Baldrige Excellence Framework as the conceptual lens. Data were collected through semistructured interviews with executive leaders and through an analysis of internal …

First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller

Walden Dissertations and Doctoral Studies

First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …

Epidemiology And Screening Of Traumatic Vertebral Artery Injuries At A Large Scandinavian Level 1 Trauma Center, Paulina Cewe, Victor E. Staartjes, Victor Gabriel El-Hajj, Ihab Ahmad Al-Rikabi, Basel Musmar, Joana M. Roy, Dennis Troung, Mats Beckman, Marcus Ohlsson, Pascal Jabbour, Adrian Elmi-Terander, Erik Edström

Jefferson Hospital Staff Papers and Presentations

OBJECTIVE: Traumatic vertebral artery injuries (tVAIs) are uncommon but potentially devastating if missed. While computed tomography angiography (CTA) is routinely used for diagnosis, data on the number needed to image (NNI) remain limited. We hence analyzed tVAI epidemiology and imaging practices at a major Scandinavian level 1 trauma center.

METHODS: A retrospective study (2013-2020) was performed based on a single-center trauma registry. Patients were grouped based on CTA imaging protocol used; selective screening (2013-2017) and universal screening (2018-2020). Imaging protocols, treatment strategies, and outcomes were analyzed.

RESULTS: Among 2,843 patients admitted with level 1 trauma and receiving CTA imaging, 62 …