Digital Commons Network^™

A Comparative Study Of Diagnostic Performance In Shoulder Pain: Clinical Tests Versus Ultrasonography And Magnetic Resonance Imaging, Yasemi̇n Tombak, Özgür Zeli̇ha Karaahmet, Ayşegül Tombak, Ömer Ata, Eda Gürçay

Turkish Journal of Medical Sciences

Background/aim: Shoulder pain is common and often evaluated with physical examination tests, yet their diagnostic accuracy remains controversial. The aim of this cross-sectional study was to determine the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) rates of clinical test results in patients with shoulder pain, based on ultrasonography (US) and magnetic resonance imaging (MRI) findings as reference diagnostic methods.

Materials and methods: The study included 78 patients who had complaints of shoulder pain. All patients underwent physical examinations and specific clinical tests (such as Neer and Jobe tests) to reveal shoulder pathologies, and US and MRI …

Association Between Nutritional Targets And Muscle Index Changes In Patients With Terminal Cancer Under Palliative Care ​, İrem Kiraç Utku, Burcu Çalişkan Aydoğmuş, Hati̇ce Nur Avcioğlu, Müge Çatikkaş, Ayfer Durak, Deni̇z Sevi̇ndi̇k Günay, Umut Safer

Turkish Journal of Medical Sciences

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Background/aim: Malnutrition and muscle wasting are common in terminal cancer patients and adversely affect prognosis. Bedside muscle ultrasonography (US) has emerged as a practical tool to assess nutritional status and monitor therapy. This study evaluated the relationship between achieving individualized nutritional targets and changes in muscle indices measured by US in terminal cancer patients receiving palliative care.

Materials and methods: Subcutaneous fat tissue thickness (SFTT), muscle thickness (MT), and cross-sectional area (CSA) of the rectus femoris (RF) and biceps brachii (BB) muscles were assessed by US over 10 days and normalized to height squared (m²). A total of 95 …

The Importance Of Galectin-3 In The Diagnosis Of Childhood Acute Appendicitis ​, Onur Yalçin, Aybegüm Kalyoncu Ayçenk, Ali̇ Aygün, Ahmet Burak Günpinar, Mehmet Seyfetti̇n Saribaş, Volkan Altinok, Tevfi̇k Noyan

Turkish Journal of Medical Sciences

Background/aim: Acute appendicitis (AA) is a frequent indication for emergency surgery in children; accurate diagnosis is essential to prevent complications. We examined whether serum Galectin-3 is associated with pediatric AA and quantified its diagnostic performance relative to routine inflammatory markers.

Materials and methods: This prospective, single-center study was conducted in a tertiary emergency department between July 1, 2023, and January 31, 2024. Children younger than 18 years with pathologically confirmed AA were enrolled as cases; age-compatible healthy volunteers served as controls. Venous blood was obtained at presentation before any therapeutic intervention. Galectin-3 concentrations were quantified using a commercial enzyme-linked immunosorbent …

Fear Of Covid-19 And Hygiene Behaviors: A Study Of Secondary School Students In İstanbul ​, Zozan Göksu, Hayri̇ye Kirkoyun Uysal, Mehmet Demi̇rci̇, Di̇lek Dülger, Seda Eki̇ci̇

Turkish Journal of Medical Sciences

Background/aim: This study investigates the relationship between fear of COVID-19, measured using the Fear of COVID-19 Scale (FCV-19S), and the hygiene behaviors of secondary school students, assessed with the Hygiene Behavior Scale (HBS).

Materials and methods: Included in this cross-sectional study were 206 secondary school students. The study data were analyzed using multivariate linear regression.

Results: No relationship was found between the fear of COVID-19 scale (FCV-19S) score of the student sample and the mean total HBS and subdimension values (p > 0.05). It was noted that positive hygiene behaviors decreased as the scale score increased. Students with retired mothers scored …

Letter To The Editor Regarding ‘‘Kara M, Alp G, Pekdiker M, Ketenci S, Porreca A Et Al. Evaluating Leflunomide Andmethotrexate Combination Vs. Monotherapy In Rheumatoid And Psoriatic Arthritis. Turkish Journal Of Medical Sciences: 2025; 55 (3): 632-643’’, Özge Tezen

Turkish Journal of Medical Sciences

No abstract provided.

Erie Indemnity Co V. Troy Stephenson

2025 Decisions

USDC for the Western District of Pennsylvania

Evaluation Of Anti-Bacterial Efficacy Of Ginger, Resin Gum, And Nigella Sativa Irrigants Against Enterococcus Faecalis: An In Vitro Study, Iman El Ghazzawy, Leen Imad Hasbini, Reem Chamseddine, Wael Betbout, Roula Abiad

International Arab Journal of Dentistry

Objectives: To evaluate the antibacterial efficacy of Ginger, Resin Gum, and Nigella Sativa, against Enterococcus Faecalis.

Methods: Thirty-eight extracted single-rooted premolars were inoculated with E.faecalis, except the negative control, and incubated for 4 weeks. After instrumentation samples were divided into 4 groups (n=7) according to final irrigation: NaOCl+EDTA (Group A), Nigella sativa (B), Resin Gum (C), Ginger (D), plus 2 control groups (n=5): Saline (E), and Saline without bacterial inoculation (F). Cultures were collected at baseline and after irrigation.

Results: One-way ANOVA showed that in groups A-D a statistically significant reduction of bacterial load was observed at …

Optimal Control In Combination Therapy For Heterogeneous Cell Populations With Drug Synergies., Simon F. Martina-Perez, Samuel W S Johnson, Rebecca M. Crossley, Jennifer C. Kasemeier, Paul M. Kulesa, Ruth E. Baker

Manuscripts, Articles, Book Chapters and Other Papers

Cell heterogeneity plays an important role in patient responses to drug treatments. In many cancers, it is associated with poor treatment outcomes. Many modern drug combination therapies aim to exploit cell heterogeneity, but determining how to optimise responses from heterogeneous cell populations while accounting for multi-drug synergies remains a challenge. In this work, we introduce and analyse a general optimal control framework that can be used to model the treatment response of multiple cell populations that are treated with multiple drugs that mutually interact. In this framework, we model the effect of multiple drugs on the cell populations using a …

Eutrophication, Hope Northagen, Sarah Erwin, Ethan Gilliam

All Current Publications

Eutrophication refers to the ecological state of a water body after excessive nutrient pollution. The external introduction of nutrients (primarily nitrogen and phosphorus) accelerates the growth and reproduction of plants, algae, and microbes. This fact sheet explains where eutrophication comes from, its impacts, how it is treated, and what you can do to help restore and protect our lakes, rivers, and oceans.

Quality Improvement Project: The Impact Of A Dedicated Education Unit On The Self-Efficacy Of First-Year Associate Degree Nursing Students, Danita Broussard

Doctor of Nursing Practice Projects

Nursing education continues to face challenges in preparing students to meet the complex demands of modern healthcare, particularly due to limited clinical placements and faculty shortages. This quality improvement project addressed the gap between classroom instruction and clinical practice by implementing a Dedicated Education Unit (DEU) model designed to impact students' self-efficacy. The purpose of this Doctor of Nursing Practice (DNP) project was to determine whether participation in a DEU impacted the self-efficacy of the first-year associate degree nursing students compared to the traditional clinical model. Guided by Bandura’s Self-Efficacy Theory and grounded in Evidence-Based Practice (EBP) principles, the project …

Knowledge And Attitudes About Epilepsy Of Neurology Outpatients In Türkiye, Ayşe Pinar Ti̇ti̇z, Abi̇di̇n Erdal, Yaren Ağar, Buse Altunbaşak

Turkish Journal of Medical Sciences

Background/aim: We aimed to evaluate the level of epilepsy-related knowledge and attitude among neurology outpatients without an epilepsy diagnosis.

Materials and methods: The Epilepsy Knowledge and Attitude Scale was applied to 331 adult patients who were evaluated with various diagnoses in the neurology outpatient clinic.

Results: The participants comprised 331 people, 51.4% of whom were women and 48.6% of whom were men. The knowledge and attitude values increase significantly as the education level of our participants increased (p < 0.001). The knowledge and attitude scores of those who knew about an individual with epilepsy were significantly higher (p < 0.001). Attitude scale scores were higher in patients diagnosed with headache, multiple sclerosis, syncope, Behçet’s disease, essential tremor and sleep disorders compared with other groups.

Conclusion: This study focused on a subgroup of adults without epilepsy who had other neurological conditions. The findings may illuminate the critical …

Validation Of The Turkish Version Of The Assessment Of Systemic Sclerosis-Associated Raynaud’S Phenomenon (Asrap) ​, Duygu Temi̇z Karadağ, Şeyma Yilmaz, Betül Di̇kkanoğlu Demi̇rok, John D. Pauling, Ayten Yazici, Ayşe Çefle

Turkish Journal of Medical Sciences

No abstract provided.

An Examination Of The Experiences Of An African American Male Diver On A Power Four Swim Team: An Elite Interview, Steven N. Waller Ph.D., Tiffany M. Quash Ph.D.

International Journal of Aquatic Research and Education

Despite the incremental increase in the number of Black people who are learning to swim, the number of Black divers has not kept pace. In the NCAA Database, swimmers and divers were not segmented; thus, they all appear in the category of “swimming” by race and sex. When viewing the 2024 Division I NCAA Demographics Database, 89 (.02%) of 4307 student-athletes participating in swimming were Black women. For men, the data is equally dismal, revealing that 81 (.03%) of 2,608 student-athletes who were identified as swimmers were Black. The purpose of this research note is to examine the developmental experiences …

The Adjacent Possible, Marcus O’Donnell Prof

Staff Scholarship - Australia & Dubai

My hybrid traditional-digital prints explore pattern, chaos and complexity at the intersection of bodies, sexuality, and landscape. The ‘Strange appearance’ series overprints photogravure key plates, (developed through layering several original images of urban gardens) onto multiple colour pigment prints of close focus details of flowers or foliage. This process creates micro landscapes and variants which change in colour and form as layers intersect. This exhibition uses three different key plates over a repeated sequence of the same twenty colour underprints. These different approaches to variation, multiplicity and adjacency speak to both possibility and mutation: the open and the determined aspects …

Adult Adhd Is Linked To Higher Illicit Drug Use And Prescription Drug Misuse, Andrew S. London, Kevin M. Antshel, Joshua Grove, Iliya Gutin, Shannon M. Monnat

Population Health Research Brief Series

Adolescents and young adults with Attention-Deficit/Hyperactivity Disorder (ADHD) are more likely than their peers without ADHD to use illicit drugs and misuse prescription drugs. This brief summarizes findings from a study that used data from the National Wellbeing Survey (NWS) to describe differences in lifetime and past-year use of 7 illicit drugs (marijuana, cocaine, crack cocaine, methamphetamine, heroin, fentanyl, and hallucinogens) and misuse of 4 categories of prescription medications (opioids, tranquilizers, sedatives, and stimulants) between U.S. adults ages 18-64 with and without self-reported healthcare provider-diagnosed ADHD in 2023. The authors find that adults with ADHD are 1.6 to 3.3 times …

Faculty Senate Minutes, State University Of New York At Cortland

Minutes

Faculty Senate Minutes

Unit Measure Case Study SUNY Cortland Teacher Education Unit

Case Study Measures and Implementation Schedule

Barriers To Machine Learning Adoption In Regulated Electric Utilities, Donald R. Shiflet Jr.

USF Tampa Graduate Theses and Dissertations

Machine learning (ML) technologies have the potential to revolutionize regulated electric utilities by improving operational efficiency, enabling predictive maintenance, and optimizing energy management. Despite these advantages, the adoption of ML in this sector lags other industries due to technical, organizational, and regulatory barriers. This research, grounded in the Technology-Organization-Environment (TOE) framework, explores these barriers to uncover actionable solutions for integration. The study identifies key challenges, including explainability, cybersecurity, workforce resistance, and regulatory ambiguity to ML adoption in electric utilities. Utilizing an exploratory qualitative methodology, this approach integrates insights from the literature and industry interviews to rank barriers by frequency, severity, …

Comparison Of Canada-United Kingdom-Australia (Canuka) Scores Of Patients With Gastrointestinal Bleeding Presenting To The Emergency Department With Other Gastrointestinal Bleeding Scores, Fatma Hancer Celi̇k, Necmi Baykan, Fatma Unlu, Mustafa Alpaslan, Ayse Sule Akan, Omer Salt, Ibrahim Toker, Nuh Mehmet Buyukberber

Turkish Journal of Medical Sciences

Background/aim: Acute gastrointestinal (GI) tract bleeding is a common and potentially life-threatening condition among patients presenting to emergency departments. In this study, we calculated AIMS65, Rockall, Glasgow-Blatchford Score (GBS), and Canada-United Kingdom-Australia (CANUKA) scores in patients with GI bleeding admitted to the emergency department and compared the sensitivity of these scoring systems in predicting the rates of admission to intensive care units and mortality. It is aimed to contribute to clinical practice and help determine an effective risk assessment tool in the management of patients with GI bleeding.

Materials and methods: The study was conducted with patients who were diagnosed …

Cultural Adaptation And Psychometric Characteristics Of The Child Oral And Motor Proficiency Scale (Chomps)-Turkish Version, Ebru Umay, Si̇bel Eyi̇gör, Damla Cankurtaran, Sema Kalkan, Ni̇hal Tezel, Cuma Uz, Şükran Güzel, Fatma Balli Uz, Güler Gözpinar, Recep Gayir, Fatma Nazli, Keri̇m Demi̇rsöz, Ece Ünlü Akyüz, Britt Pados

Turkish Journal of Medical Sciences

Background/aim: The child oral and motor proficiency scale (ChOMPS) is a parent-reported assessment that evaluates a child’s eating and drinking skills within the framework of all related motor functions. It has been found to be useful in research studies and recommended in reviews. The purpose of this study was to perform the translation and cultural adaptation of the English version of the ChOMPS to Turkish and conduct psychometric testing of the ChOMPS–Turkish version, including reliability and validity.

Materials and methods: This study was conducted with 185 children. Cronbach’s α, corrected item-to-total correlations, coefficient of variation, and Cronbach’s α when one …

Hesperidin Efficacy Of Epidural Fibrosis In A Post Laminectomy Rat Model: An Experimental Study, Emrah Keski̇n, Mehmet Seli̇m Gel

Turkish Journal of Medical Sciences

Background/aim: Epidural fibrosis (EF) plays a significant role in the development of failed back surgery syndrome (FBSS). This study evaluates the antifibrotic effect of hesperidin, a citrus-derived bioflavonoid, within a rat laminectomy model.

Materials and methods: Thirty-two female Wistar albino rats were randomized into four groups (n = 8 each). Group 1 received laminectomy alone (control); Group 2 received a gelatin sponge; Groups 3 and 4 intraperitoneally received 50 mg/kg and 100 mg/kg of hesperidin, respectively, for 7 days post-laminectomy. After 6 weeks, epidural tissues were assessed histopathologically, and hydroxyproline levels were measured.

Results: Group 4 showed significantly lower EF …

Investigating Patient Non-Attendance To Healthcare Appointments In Türkiye: Data From A State Hospital And An Oral And Dental Health Center, Eyüp Sari, Ali̇ Ni̇yazi̇ Kurtcebe, Ci̇han Döğer, Recep Aydin

Turkish Journal of Medical Sciences

Background/aim: To determine the frequency and reasons for appointment nonattendance in a state hospital and a dental health center in a densely populated district of Türkiye, and to identify related factors to guide preventive measures.

Materials and methods: This retrospective cross-sectional study included patients who scheduled appointments at Ankara Etimesgut State Hospital and Etimesgut Oral and Dental Health Center through the Centralized Patient Appointment System (Merkezi Hekim Randevu Sistemi; MHRS) in February 2024. Nonattendees were contacted in March 2024 to determine reasons for nonattendance.

Results: A total of 30,552 appointments were analyzed (1978 dental, 28,574 hospital). The overall nonattendance rate …

Cytotoxicity And Osteogenic Potentials Of Mesenchymal Stem Cells Via A Novel Formulation Of Mineral Trioxide Aggregate: An In Vitro Study, Ahmed Elgendi, Ehab Hassanien, Mohamed Nagy, Iman Fathy, Ashraf Abu Seida, Elhassan Hassanein

International Arab Journal of Dentistry

Objectives: Root perforations can lead to periodontitis and alveolar bone loss. This study compared cytotoxicity and osteogenic potential of zirconia-containing mineral trioxide aggregate (MTA) Matreva (MAT group) to MTA Angelus (ANG group) as root perforation repair materials.

Methods: Bone marrow mesenchymal stem cells (BM-MSCs) were extracted from two albino rats and cultivated. The cytotoxicity of the studied materials was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay at three time points: 3, 7, and 14 days. The evaluated materials were employed to guide the osteogenic differentiation of BM-MSCs into osteoblasts. The osteogenic impact was evaluated by assessing calcium …

Assessment Of External Root Resorption During The First Stage Of The Orthodontic Treatment: A Prospective Cone-Beam Tomography Study, Eliana Pineda Vélez

International Arab Journal of Dentistry

Introduction: predisposition to root resorption as a result of a dental movement may be a consequence of clinical, biological, and biomechanical factors that should lead the clinician to objectively assess each patient to reduce associated risk factors.

Objectives: to establish an association between clinical and tomographic findings related to external root resorption (ERR) using cone beam tomography (CBCT) on maxillary incisors during the first stage of the orthodontic treatment. Methods: an observational, follow-up, cohort study that analyzed the association between clinical and radiographic variables on maxillary incisors using CBCT before placing fixed orthodontic appliances and finishing the first …

Re: Butte Priority Soil Operable Unit (Bpsou) Final Insufficiently Reclaimed Sites Field Sampling Plan (Fsp): Bres No. 91 – Robert Emmett Dump, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Recommendations For Creating A Healthy Work Environment: A Systematic Review, Patricia Hodson, Caitlin Campbell, Lozay Foots, Wendy Hamilton, Sherita L. House, Mariyam Javed, Jonathan David Levenson, Mary Mccarthy, Judy Ann Orina, Patricia Patrician, Katherine Robins, Pauline Swiger, Kathy Williams

Creating Healthy Work Environments (CHWE)

Better, healthy work environments (HWEs) are associated with improved nurse outcomes (e.g., higher job satisfaction and retention) and patient outcomes (e.g., quality of care and patient satisfaction) (Brooks Carthon, 2021; Lake et al., 2019; Ulrich et al., 2019; Wei et al., 2018). However, creating HWEs can be challenging in both military and civilian health care settings. As part of the development of the Joint Professional Practice Model collaboration among nurses in the Army, Navy, and Air Force of the United States military, we aimed to identify evidence-based strategies to improve HWEs in a unique population of civilian and military nurses …

Influence Of Leadership Styles Upon Staff Well-Being: Strategies To Create A Healthy Work Environment, Alice Kohler, Kenn M. Kirksey, Stacie Marion

Creating Healthy Work Environments (CHWE)

Background: Nurses comprise the largest segment of healthcare and are essential to the mission of creating a healthy work environment (Haddah, Annamaraju, & Toney-Butler, 2022). Global shortages have endangered nursing care delivery effectiveness and exacerbated nurses' stress, burnout and intent to leave their jobs (Tamata, Mohammadnezhad, & Tamani, 2021). Contributing factors include: 1) staff shortages; 2) workload; 3) no advancement opportunities; 4) physical and psychological job-associated risks; and 5) lack of leadership support (Tamata, Mohammadnezhad, & Tamani, 2021). Exploitive leadership styles often result in psychological detachment among direct reports (Majeed & Fatima, 2020). Researchers have inferred that management styles have …

Nurse Leaders’ Perceptions Of The Benefits Of, And Barriers To, Embedding Nurse Well-Being At Work, Carolyn J. Cumpsty-Fowler, Lynnsey O'Rourke

Creating Healthy Work Environments (CHWE)

PURPOSE: The Future of Nursing 2020-2030 consensus report recommends that: "Nurses attend to their own self-care and help to ensure that nurse well-being is addressed in educational and employment settings through the implementation of evidence-based strategies".¹(p357) We interviewed nurse leaders in our health system to assess knowledge and beliefs about factors influencing nurse well-being, the impact of well-being on practice environments, how leaders influence well-being, awareness and utilization of existing well-being resources, resource gaps, barriers to nurses embedding well-being at work, and their interest in well-being-focused leadership competency development.

METHODS: The first author conducted 53 semi-structured interviews with …

Beyond The Basics: Next Steps To Achieve Work-Life Harmony For Healthcare Professionals, Abby Grammer Horton, Allison M. Curington

Creating Healthy Work Environments (CHWE)

Now, more than ever before, it is important to intentionally create and cultivate healthy work environments to enhance professional well-being within the highly dynamic and demanding field of healthcare. Since the onset of the COVID-19 pandemic, workplace and personal demands have increased. In addition, the prevalence of mental health challenges and symptoms have also increased (Ayar et al., 2022; Chutiyami et al., 2022). One common strategy to achieve healthy work environments and professional well-being centers on work-life balance. Work-life balance simply means striking a healthy balance in prioritizing your personal and professional life. The concept of work-life balance is often …

Manufacturing Of Origami-Inspired Mechanisms Via Sheet Lamination, Tyler R. Stevens

Theses and Dissertations

Origami-inspired mechanisms combine compact, lightweight, reconfig- urable devices, yet despite decades of growth in origami theory, industrial uptake remains limited. As a result, origami predominately appears as prototypes or in low-volume, bespoke applications. Manufacturing (which has received little development) remains the chief bottleneck: most origami fabrication routes are still under-explored, labor-intensive, and fundamentally unsuited to scale. This dissertation addresses that barrier by establishing a process-centric framework for origami manufacturing and demonstrates fabrication workflows capable of transitioning designs from prototypes to production. A survey of more than 180 publications on origami manufacturing approaches yields a manufacturing-oriented taxonomy that links each surrogate …

Allergy In Dentistry: Mechanisms Of Development And Effective Treatment Methods, Maria Zofia Lisiecka

International Arab Journal of Dentistry

Objectives: This study is conducted to analyse the mechanisms of allergic reaction development in dentistry and the effectiveness of their treatment methods.

Methods: During it, a review of current scientific sources on allergology, immunology, dentistry, pharmacology, and materials science is conducted, mechanisms for the development of allergies of various types are established, the effectiveness of treatment methods is evaluated, and clinical recommendations for allergy therapy in dentistry are formed.

Results: The results show that the development of allergic reactions occurs by two mechanisms. Immediate-type immunoglobulin E-mediated (IgE-mediated) responses are triggered by the release of histamine, serotonin, and …