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Articles 100741 - 100770 of 5152149
Full-Text Articles in Entire DC Network
A Multi-Valued Fixed Point Theorem For Quasi-Contractions On A Cone Metric Space, Regina Mahadewsing, Sreedhara Rao Gunakala, Vikash Ramcharitar, Reddappa Bandi, Akhenaton Daaga, Thameem Basha H
A Multi-Valued Fixed Point Theorem For Quasi-Contractions On A Cone Metric Space, Regina Mahadewsing, Sreedhara Rao Gunakala, Vikash Ramcharitar, Reddappa Bandi, Akhenaton Daaga, Thameem Basha H
Mansoura Engineering Journal
A set-valued (multi-valued) mapping assigns to each a nonempty closed and bounded subset . Using this notion, the present work broadens classical fixed point theory by proving a fixed point theorem for multi-valued quasi-contractive mappings in cone metric spaces. The developed argument extends several earlier results that were restricted to single-valued maps and more familiar set-valued settings, thereby providing a wider analytical framework within ordered Banach-space structures. These contributions enrich fixed point theory in generalized metric environments and can be relevant to problems in nonlinear analysis and optimization
Mathematical Analysis Of The Slip Flow Due To A Cylinder Oscillating In Different Directions With Independent Amplitudes, Alana Sankar, Karim Rahaman
Mathematical Analysis Of The Slip Flow Due To A Cylinder Oscillating In Different Directions With Independent Amplitudes, Alana Sankar, Karim Rahaman
Mansoura Engineering Journal
This study examines the incompressible viscous fluid flow in an infinitely long cylinder, with slip occurring at the cylinder’s surface, undergoing longitudinal and torsional oscillations of independent amplitudes. The proposed governing equations are solved subject to the Basset slip condition. Analytical expressions for the velocity field, shear stresses, drag force on the cylinder, work done and the drag coefficient are obtained. Velocity components, drag and work done are illustrated graphically. The magnitude of the velocity increases as slip decreases and as the frequency of oscillations increases. Drag increases in both directions as the slip decreases and as the frequency of …
Underwater Image Identification Using Fuzzy Soft Planar Graph, Bhuvaneswari Natarajan Jayakar, Karthick Palanisamy
Underwater Image Identification Using Fuzzy Soft Planar Graph, Bhuvaneswari Natarajan Jayakar, Karthick Palanisamy
Mansoura Engineering Journal
High-attribute underwater image segmentation is fundamental to autonomous marine exploration, biodiversity monitoring, and subsea infrastructure inspection. However, underwater environments are inherently stochastic, exhibiting severe light attenuation, chromatic distortion, scattering effects, and noise, all of which significantly degrade image quality and challenge conventional computer vision techniques. Hence, Fuzzy logic which handles uncertainty and imprecision in data and Soft sets which manage parameterized information, are widely applied to underwater image analysis. Fuzzy Soft Planar Graphs (FSPGs) constitute a mathematical framework that integrates fuzzy set theory, soft set theory and planar graph structures for preserving spatial topology. The proposed methodology adopts a hybrid …
Smart Dynamic Concrete: Effect Of Coarse Aggregate Size Distribution On Fresh, Mechanical And Durability Properties, Venu Sipelli, Kamineni Aditya, Shravya Sripadapu
Smart Dynamic Concrete: Effect Of Coarse Aggregate Size Distribution On Fresh, Mechanical And Durability Properties, Venu Sipelli, Kamineni Aditya, Shravya Sripadapu
Mansoura Engineering Journal
SDC is a self-flowing concrete that demonstrates improved material efficiency through optimized aggregate gradation. Unlike SCC, which relies on high powder content for improved flowability, SDC provides improved flowability by optimized aggregate gradation, making it a promising alternative to SCC. This paper presents the fresh, mechanical, and durability performance of M40-grade SDC using OPC 53 grade cement, GGBS, CRF, and polycarboxylate-based superplasticizer. A constant cementitious content of 470 kg/m³ and water–cement ratio of 0.38 were maintained. The fresh, mechanical, and durability performances of SDC using three types of coarse aggregate combinations, namely, 70% 10 mm + 30% 20 mm, 75% …
Explainable Multi-Horizon Wind Power Forecasting Via Aquila-Optimized Machine Learning Models, Mostafa A. Abdelnaby, Nahla B. Abdel-Hamid, Eman M. El-Gendy, Mahmoud M. Saafan
Explainable Multi-Horizon Wind Power Forecasting Via Aquila-Optimized Machine Learning Models, Mostafa A. Abdelnaby, Nahla B. Abdel-Hamid, Eman M. El-Gendy, Mahmoud M. Saafan
Mansoura Engineering Journal
The inherently unpredictable nature of wind energy necessitates the development of sophisticated forecasting models to ensure grid stability and optimal distribution. In this research, we propose a novel and systematic approach to wind power forecasting (WPF) across diverse timescales. This approach leverages the power of various machine learning (ML) models, metaheuristic hyperparameter optimization, and utilizes explainable artificial intelligence (XAI). The developed methodology is based on the Aquila optimizer (AO), capable of automatically adjusting different ML models for four different time periods (30 minutes, 6 hours, 24 hours, and 36 hours) on the data collected from the Gabal El-Zayt wind power …
A Novel Superaug Adaptive Data Augmentation Strategy For Metabolic Syndrome Prediction: The First Egyptian National Cohort Study With Multi-National Comparison, Nihal Elsonny, Ashraf Elsharkawy, Abeer Tawakol, Amira Y. Haikal
A Novel Superaug Adaptive Data Augmentation Strategy For Metabolic Syndrome Prediction: The First Egyptian National Cohort Study With Multi-National Comparison, Nihal Elsonny, Ashraf Elsharkawy, Abeer Tawakol, Amira Y. Haikal
Mansoura Engineering Journal
Metabolic Syndrome (MetS) is a multifactorial disorder associated with an increased risk of cardiovascular disease, type 2 diabetes, and obesity-related complications. Early and accurate prediction of MetS remains challenging due to heterogeneous data sources, class imbalance, limited sample sizes in regional studies, and poor generalization across populations.
This study introduces a comprehensive machine learning framework for predicting MetS and its prognostic factors using two heterogeneous datasets: a newly collected Egyptian clinical cohort and the U.S.-based (NHANES) [CDC, 2023] dataset. For each dataset, multiple experimental pipelines are developed, integrating preprocessing, feature selection, data augmentation, hyperparameter tuning, and ensemble modeling. …
Warm Mix Asphalt: Key Issues, Performance Challenges, And Modeling Advances, Mahmoud Owais, Marwa Awad
Warm Mix Asphalt: Key Issues, Performance Challenges, And Modeling Advances, Mahmoud Owais, Marwa Awad
Mansoura Engineering Journal
Warm Mix Asphalt (WMA) has emerged as a sustainable alternative to conventional Hot Mix Asphalt by enabling asphalt production and compaction at reduced temperatures, thereby lowering energy consumption, emissions, and worker exposure to heat and fumes. Despite these advantages, the field performance of WMA remains influenced by technology-specific mechanisms, additive–binder compatibility, aggregate characteristics, moisture susceptibility, compaction quality, recycled material content, and climatic conditions. This review provides a critical synthesis of major WMA technologies, including foamed systems, chemical additives, organic waxes, hybrid additives, bio-based modifiers, and WMA mixtures incorporating reclaimed asphalt pavement. Particular attention is given to how these technologies affect …
Intelligent Torque Control Of Switched Reluctance Motors Based On Ditc And Wavelet Neural Network, Ameer L. Saleh, László Számel
Intelligent Torque Control Of Switched Reluctance Motors Based On Ditc And Wavelet Neural Network, Ameer L. Saleh, László Számel
Mansoura Engineering Journal
Switched Reluctance Motors (SRMs) have been considered a high-performance and environmentally friendly solution for Electric Vehicle (EV) applications owing to their simpler construction, robust design, and high efficiency. However, it suffers from high torque ripple and acoustic noise due to its highly nonlinear magnetic characteristics and double-salient structure. This paper introduces a nonlinear torque control based on the Direct Instantaneous Torque Control (DITC) scheme and a Wavelet Neural Network (WNN) to achieve better dynamic response and mitigate torque ripple. The proposed WNN is employed as a nonlinear torque controller, inserted between the torque error and the hysteresis torque controller within …
State-Dependent Queueing For Adaptive Signal Control: A Simulation-Based Performance Evaluation, Shaimaa Alseddiek, Usama Elrawy Shahdah, Hala B. Nafea, Hossam El-Din Moustafa, El-Said Ahmed Marzouk, Mohamed M. Ashour
State-Dependent Queueing For Adaptive Signal Control: A Simulation-Based Performance Evaluation, Shaimaa Alseddiek, Usama Elrawy Shahdah, Hala B. Nafea, Hossam El-Din Moustafa, El-Said Ahmed Marzouk, Mohamed M. Ashour
Mansoura Engineering Journal
Urban traffic congestion persists as a critical challenge to transportation system efficiency, sustainability, and safety. Traditional queuing models utilizing fixed service rates inadequately represent the dynamic feedback between congestion and capacity in real vehicular flow. State-Dependent Queuing Models (SDQMs) address this limitation by modelling service rate as a function of queue length or density. This research advances SDQM application for adaptive traffic signal control through development of a calibrated state-dependent departure rate implemented within a microscopic simulation environment using SUMO and TraCI. Six control strategies including fixed-time, actuated, and two SDQM variants were evaluated across traffic demands ranging from undersaturated …
Psychological Impact Of Cultural Heritage Vr Experience Using Well-Mind Framework. (Case Study: Mahmoud Sami Palace In Mansoura)., Sara Ahmed El-Bayoumi, Hager Ahmed El-Sayed El-Ayouti, Mohamed Mohamed Shawki Abo Leila
Psychological Impact Of Cultural Heritage Vr Experience Using Well-Mind Framework. (Case Study: Mahmoud Sami Palace In Mansoura)., Sara Ahmed El-Bayoumi, Hager Ahmed El-Sayed El-Ayouti, Mohamed Mohamed Shawki Abo Leila
Mansoura Engineering Journal
This study examines the psychological effects of immersive virtual reality (VR) experiences designed to preserve and disseminate intangible cultural heritage. It addresses the growing challenge of declining cultural engagement and the need for innovative tools that support psychological well-being, emotional engagement, and cultural connection. A VR-based reconstruction was developed within the historic Mahmoud Sami Al-Baroudi Palace in Mansoura, Egypt, focusing on traditional Egyptian practices and oral storytelling. The evaluation employed the WELL-MIND framework alongside participant feedback to assess both structured well-being indicators and subjective user experiences. The WELL-MIND-based assessment indicated improvements in cognitive stimulation, emotional engagement, and environmental perception. In …
Control Of Steel Corrosion Using Natural Corrosion Inhibitor, Rasha A. Nasef, O. Hamed, M. M. El-Halwany, M. H. Mahmoud
Control Of Steel Corrosion Using Natural Corrosion Inhibitor, Rasha A. Nasef, O. Hamed, M. M. El-Halwany, M. H. Mahmoud
Mansoura Engineering Journal
This study investigates corrosion control of AISI 430 stainless steel in 1M HCl medium using an eco-friendly inhibitor extracted from pomegranate peel (PPE). The inhibition efficiency was evaluated at different PPE concentrations, with the highest applied concentration of 13g/L. Corrosion behavior was evaluated through weight-loss measurements and potentiodynamic polarization techniques conducted at room temperature.
The experimental results showed that corrosion resistance improved as the inhibitor concentration increased. Lower corrosion rates were observed in the presence of PPE, along with reduced anodic and cathodic activities, indicating that the extract functions as a mixed-type inhibitor. Surface analysis confirmed the formation of …
The Multiwalled Carbon Nanotube-Incorporated Cfrp Laminates Interlaminar Fracture Toughness, Nikhil Janardan Rathod, Markala Karthik, Harshvardhan P. Ghongade, Javed Sikandar Shaikh, Rahul Soma Deshmukh
The Multiwalled Carbon Nanotube-Incorporated Cfrp Laminates Interlaminar Fracture Toughness, Nikhil Janardan Rathod, Markala Karthik, Harshvardhan P. Ghongade, Javed Sikandar Shaikh, Rahul Soma Deshmukh
Mansoura Engineering Journal
The structural integrity of carbon fibre reinforced polymers (CFRPs) suffers from damage caused by interlaminar cracking and delamination which diminishes their performance capabilities. This study provides an experimental analysis of the impact of carboxyl-functionalized multi-walled carbon nanotubes (MWCNTs) on the Mode I interlaminar fracture toughness of CFRP laminates. The researchers created composite specimens by using epoxy systems which included MWCNT loadings of 0.1 wt% 0.2 wt% and 0.3 wt% together with an unmodified control. The researchers conducted Double Cantilever Beam (DCB) testing according to ASTM standards to ascertain the rate of critical strain energy release (G_IC) of the material. The …
Effectiveness Of Talcum Powder In Reducing Swelling Potential And Enhancing Strength Of Expansive Soil, Hesham E. Eleraky, Ashraf K. Nazir, Wasiem R. Azzam, Mohamed A. Sakr
Effectiveness Of Talcum Powder In Reducing Swelling Potential And Enhancing Strength Of Expansive Soil, Hesham E. Eleraky, Ashraf K. Nazir, Wasiem R. Azzam, Mohamed A. Sakr
Mansoura Engineering Journal
Expansive soils are clayey soils that undergo large volume changes as a result of moisture content variations. These soils have the potential to make foundations and other structures unstable and require costly repairs. This study examined the impact of adding talcum powder as a new stabilizing component to the matrix of an expansive soil in order to enhance the swelling pressure, Atterberg limits, modified Proctor, unconfined compressive strength at different periods of curing, X-ray diffraction and scanning electron microscopy were all used in a series of laboratory tests to examine how adding talcum powder to expansive soil affected the soil's …
Performance Of Foamed Concrete Before And After Fire Conditions: A Review, Poles Bahgat, Mohamed Kohail, A. Fathy, A. Afifi
Performance Of Foamed Concrete Before And After Fire Conditions: A Review, Poles Bahgat, Mohamed Kohail, A. Fathy, A. Afifi
Mansoura Engineering Journal
Foamed concrete is defined as a type of concrete distinguished by its workability, low density, and insulating properties. It is used as building material. The objective of this review is to discuss the physical and mechanical characteristics and fire sensitivity of foamed concrete. Density influences the strength of concrete. The strength of concrete is between 2 and 3.5 MPa, which increased with the addition of gold mining waste, reaching approximately 35 MPa at optimal replacement levels. There is a 60-70% reduction in strength for lightweight concrete with a density of 400-1200 kg/m³ compared to conventional concrete. The fire sensitivity of …
Effect Of Load Variations On Power Quality And Ev Battery Performance In Vehicle-To-Grid System, Jitender Kaushal, Rahul Paswan
Effect Of Load Variations On Power Quality And Ev Battery Performance In Vehicle-To-Grid System, Jitender Kaushal, Rahul Paswan
Mansoura Engineering Journal
Vehicle-to-Grid (V2G) technology enables the exchange of electricity between electric vehicles (EVs) and the utility grid, helping improve the integration of renewable energy sources and the grid's flexibility. Load-dependent power quality disturbances can affect the performance and reliability of V2G systems, which in turn can negatively impact system and battery operation. This study investigates the effect of resistive, inductive and nonlinear loads on the electrical performance and battery behaviour of a bidirectional V2G system. A complete MATLAB/Simulink model was developed to investigate the grid voltage, current, frequency, THD and the battery voltage, current and state of charge. The model uses …
Investigation Of Dean’S Transformational Leadership Profiles And Digital Transformation Maturity In Guangxi Public Higher Vocational Colleges, Lili Ding, Jamilah Binti Ahmad, Yuqiang Luo
Investigation Of Dean’S Transformational Leadership Profiles And Digital Transformation Maturity In Guangxi Public Higher Vocational Colleges, Lili Ding, Jamilah Binti Ahmad, Yuqiang Luo
Journal of Educational Technology Development and Exchange (JETDE)
Background: As China builds an innovation-driven economy, vocational education provides essential skilled workers for key industries, helping to elevate vocational colleges into crucial centers for talent development and social mobility. In this context, the dean’s transformational leadership may play an important role in supporting institutional digital transformation.
Research Question: How do deans’ transformational leadership domains predict institutional digital transformation maturity across leadership and pedagogy in vocational education?
Methods: A sequential explanatory mixed-methods design combined a faculty survey with semi-structured interviews. Valid survey responses from 30 faculty members were analyzed using descriptive statistics, correlations, and regression, followed by thematic analysis of …
So, You Wanna Be A Vaquero, Manuel F. Medrano
So, You Wanna Be A Vaquero, Manuel F. Medrano
History Faculty Publications
No abstract provided.
El Valle Del Rio Grande – From Carromatos To Spaceships, Manuel F. Medrano
El Valle Del Rio Grande – From Carromatos To Spaceships, Manuel F. Medrano
History Faculty Publications
No abstract provided.
Acute Correction Of Acquired Genu Valgum Secondary To Post-Traumatic Growth Arrest At The Time Of Distal Femur Fracture., Josiah Wolf, Nicholas Pelz, Adam Mansour, Christopher Iobst, Allen Kadado
Acute Correction Of Acquired Genu Valgum Secondary To Post-Traumatic Growth Arrest At The Time Of Distal Femur Fracture., Josiah Wolf, Nicholas Pelz, Adam Mansour, Christopher Iobst, Allen Kadado
Surgery Articles
A 14-year-old male patient sustained a distal femur fracture after a ground-level fall. His history was notable for severe acquired genu valgum secondary to a childhood lawnmower accident, which had required multiple limb salvage procedures including a Syme amputation and soft-tissue skin grafting. Acute correction of the limb deformity was performed concurrently with fracture fixation using a retrograde intramedullary nail and poller blocking screws. Retrograde intramedullary nailing represents a viable treatment option for simultaneous acute correction of acquired genu valgum and stabilization of distal femur fractures.
Transvascular Endobronchial Ultrasound-Guided Transbronchial Needle Aspirations (Ebus-Tbna) To Confirm Urothelial Carcinoma Metastasis To The Pulmonary Artery, Kyle Admire, Stephen Gegick
Transvascular Endobronchial Ultrasound-Guided Transbronchial Needle Aspirations (Ebus-Tbna) To Confirm Urothelial Carcinoma Metastasis To The Pulmonary Artery, Kyle Admire, Stephen Gegick
Department of Medicine Faculty Publications
Tumours within the pulmonary arteries provide a diagnostic challenge due to their similar appearance to pulmonary emboli. Often, the decision to sample is multidisciplinary and the best approach to take is often unknown. Here we describe a case of urothelial carcinoma which metastasised to the mediastinum with evidence of tumour burden within the pulmonary artery. Sampling of this by endovascular and thoracoscopic means was unsuccessful; however, we were able to provide a diagnosis using direct visualization with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). This report is the first of a central pulmonary artery tumour caused by urothelial carcinoma biopsied by …
Donor-Derived Cell-Free Dna In Antibody-Mediated Rejection: An Analysis Of The Surveillance Heartcare Outcomes Registry, Paul J. Kim, Amit H. Alam, Jeffrey J. Teuteberg, Kiran K. Khush, Sean P. Pinney, Richard K. Cheng, Amin Yehya, Jeremy Kobulnik, Kevin M. Pinney, Kris A. Oreschak, Christopher R. Ensor Pharmd, Steven Fan, Marcus A. Urey, Palak Shah, Shelley A. Hall
Donor-Derived Cell-Free Dna In Antibody-Mediated Rejection: An Analysis Of The Surveillance Heartcare Outcomes Registry, Paul J. Kim, Amit H. Alam, Jeffrey J. Teuteberg, Kiran K. Khush, Sean P. Pinney, Richard K. Cheng, Amin Yehya, Jeremy Kobulnik, Kevin M. Pinney, Kris A. Oreschak, Christopher R. Ensor Pharmd, Steven Fan, Marcus A. Urey, Palak Shah, Shelley A. Hall
Department of Medicine Faculty Publications
Background
Donor-derived cell-free DNA (dd-cfDNA) has emerged as a biomarker for antibody-mediated rejection (AMR), but its performance characteristics have not been evaluated in a large contemporary heart transplant population.
Objectives
The study aimed to characterize the incidence and timing of biopsy-proven AMR and evaluate the performance characteristics of dd-cfDNA for AMR.
Methods
The authors included 2,240 subjects from the SHORE (Surveillance HeartCare Outcomes Registry) registry transplanted between 2017 and 2022 with verified biopsy, dd-cfDNA, echocardiographic, and donor-specific antibody (DSA) data. They evaluated the performance characteristics of dd-cfDNA for AMR and the incidence of AMR in different clinical contexts.
Results
AMR …
Assessment Of Skin In Patients With Systematic Sclerosis Using High-Frequency Ultrasound And Shear Wave Elastography: A Comparative Study With Histology, Molecular, And Clinical Parameters, Ruhani Desai, Filemon Tan, Minghua Wu, Jeffery L. Browning, Samuel Theodore, Meng Zhang, Brian Skaug, Harshdeep Singh Chawla, Manmohan Singh, Salavat Aglyamov, Kirill V. Larin, Maureen Mayes, Shervin Assassi
Assessment Of Skin In Patients With Systematic Sclerosis Using High-Frequency Ultrasound And Shear Wave Elastography: A Comparative Study With Histology, Molecular, And Clinical Parameters, Ruhani Desai, Filemon Tan, Minghua Wu, Jeffery L. Browning, Samuel Theodore, Meng Zhang, Brian Skaug, Harshdeep Singh Chawla, Manmohan Singh, Salavat Aglyamov, Kirill V. Larin, Maureen Mayes, Shervin Assassi
Department of Medicine Faculty Publications
Objective: Ultrasound (US) has been proposed as a potential tool for assessing skin fibrosis in systemic sclerosis (SSc). However, a large-scale comparison of US-based assessment with histologic markers of skin fibrosis has not been reported. We evaluated US-based skin assessments for their face validity (differentiation between involved SSc and healthy control [HC] skin), construct validity (comparison to modified Rodnan skin score [mRSS]), and criterion validity (comparison to histologic and gene expression fibrosis markers).
Methods: Twenty HCs and 52 patients with SSc underwent clinical and US assessment followed by a forearm skin biopsy. Predefined areas were assessed on the finger, hand, …
Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena
Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena
Department of Medicine Faculty Publications
The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …
Directional Association Between Irritable Bowel Syndrome And Dermatological Disease: A Large-Scale Retrospective Study, Alex Y. Liu, Naomi T. Matsuno, Houston Nelson, David Johnson, David Pariser
Directional Association Between Irritable Bowel Syndrome And Dermatological Disease: A Large-Scale Retrospective Study, Alex Y. Liu, Naomi T. Matsuno, Houston Nelson, David Johnson, David Pariser
Department of Medicine Faculty Publications
Background/Objectives: Microbial dysbiosis is implicated with a pathogenic role in both irritable bowel syndrome (IBS) and several dermatological conditions. Yet, few studies have assessed a potential overlapping epidemiologic association. We aimed to assess the 1-year prevalence of common dermatologic conditions following an initial IBS diagnosis and to evaluate the reverse association using reciprocal analyses. Methods: We conducted a retrospective study using TriNetX. Patients aged 18–50 with no history of inflammatory bowel disease, celiac disease, or infectious intestinal disease were matched 1:1 to healthy controls by demographics and comorbidities. The primary outcome was the prevalence of acne vulgaris, psoriasis, …
Intraoperative Positioning System-Guided Antegrade In Situ Laser Fenestration In An Aortic Model, Emily Burnett, Emidio Germano, Allie Olmstead, Benjamin Samberg, Robert Meisner, Hannah Hofacker, Michael Bronez, Vikash Goel, Animesh Rathore
Intraoperative Positioning System-Guided Antegrade In Situ Laser Fenestration In An Aortic Model, Emily Burnett, Emidio Germano, Allie Olmstead, Benjamin Samberg, Robert Meisner, Hannah Hofacker, Michael Bronez, Vikash Goel, Animesh Rathore
Department of Medicine Faculty Publications
Objective
Fenestrated endovascular aneurysm repair (fEVAR) is routinely being used for visceral vessel incorporation in complex aneurysmal pathology; however, it is associated with prolonged procedure times, high radiation exposure, high contrast use, and multiple staged procedures. To combat these limitations, Centerline Biomedical developed the three-dimensional surgical navigation and visualization technology: intraoperative positioning system (IOPS). We previously presented our IOPS-guided antegrade in situ laser fenestration in a standard aortic model. This case report details our experience using IOPS guidance during a fEVAR procedure in a representative thoracoabdominal aortic aneurysm phantom model.
Methods
A silicone thoracoabdominal aortic segment was three-dimensional printed based …
Trends In Hypertension Prevalance And Control In The United States Over 25 Years, Omar Saleh, Neda Rehan, Saleh Mostafa, Rehan Qayyum
Trends In Hypertension Prevalance And Control In The United States Over 25 Years, Omar Saleh, Neda Rehan, Saleh Mostafa, Rehan Qayyum
Department of Medicine Faculty Publications
Despite sustained public health efforts, hypertension remains highly prevalent in the United States, with persistent disparities across demographic and socioeconomic groups. We examined 25-year trends in hypertension prevalence, undiagnosed hypertension, and on-treatment uncontrolled hypertension in the United States using nationally representative National Health and Nutrition Examination Survey (NHANES) data from adults aged ≥18 years. Hypertension was defined as systolic BP ≥130 mmHg, diastolic BP ≥80 mmHg, or current antihypertensive use. Undiagnosed hypertension was defined as elevated BP without prior diagnosis or treatment, while on-treatment uncontrolled hypertension was defined as diagnosed hypertension with BP ≥130/80 mmHg despite treatment. Survey-weighted generalized linear …
Physiologic Markers Of Mortality In Acute Valve Syndrome: An Ischemic Physiology Score Stratifies Patient Risk, Omar Saleh, Nicholas J. Valle, Israa Saleh, Raymond Benza, Deepak R. Talreja, Matthew R. Summers
Physiologic Markers Of Mortality In Acute Valve Syndrome: An Ischemic Physiology Score Stratifies Patient Risk, Omar Saleh, Nicholas J. Valle, Israa Saleh, Raymond Benza, Deepak R. Talreja, Matthew R. Summers
Department of Medicine Faculty Publications
Background: Acute valve syndrome (AVS) represents a high-risk phenotype of advanced valvular disease with largely uncharacterized risk heterogeneity. We aimed to validate an expanded AVS definition and develop a physiology-dependent risk stratification tool using available clinical markers.
Methods: This retrospective study analyzed 2380 patients undergoing aortic valve replacement for severe aortic stenosis and classified them as AVS (n = 1556) or progressive valvular disease (n = 824). The primary outcome was 1-year all-cause mortality. An L2-regularized logistic regression model was developed to predict 1-year mortality using admission laboratory markers and comorbidity burden. Model performance was assessed using nested cross-validation with …
A Comprehensive Review Of Bone Remodeling After Trauma And Operative Treatment In Orthopedic Surgery, Sarah E. Rabin, Ian P. Marshall, Benjamin A. Nelson, Justine N. Li, Madison M. Baldauf, Ashley B. Bozzay, Benjamin W. Hoyt
A Comprehensive Review Of Bone Remodeling After Trauma And Operative Treatment In Orthopedic Surgery, Sarah E. Rabin, Ian P. Marshall, Benjamin A. Nelson, Justine N. Li, Madison M. Baldauf, Ashley B. Bozzay, Benjamin W. Hoyt
Department of Medicine Faculty Publications
Bone remodeling is a dynamic process involving bone resorption and formation that is regulated on a cellular level and impacted by mechanical stress. A variety of Orthopedic surgery treatment strategies can affect bone remodeling, which can in turn may have long-term impacts on skeletal stress tolerance and function. This review provides a comprehensive overview of bone remodeling involved in Orthopedic surgery. Materials related to bone remodeling principles across Orthopedic surgery domains were selected and compiled using databases including PubMed, MEDLINE, AccessMedicine, and CINAHL; case studies were not included. Relevant literature was summarized for a general review of bone remodeling and …
A Fishy Situation: Hand Infection Due To Mycobacterium Marinum Mistaken For Giant Cell Tumor, Alynna Knaub, Dylan Baker, Jennifer Hanrahan
A Fishy Situation: Hand Infection Due To Mycobacterium Marinum Mistaken For Giant Cell Tumor, Alynna Knaub, Dylan Baker, Jennifer Hanrahan
Department of Medicine Faculty Publications
Mycobacterium marinum is an acid-fast bacterium (AFB) associated with exposure to water and aquatic species. When inoculated, infection can result in nodular cutaneous lesions. In the absence of detailed history or culture data, these nodular skin lesions can be mistaken for noninfectious orthopedic conditions. We present a case of M. marinum mistaken for a giant cell tumor. This case illustrates the overlap in these conditions, as well as the utility of QuantiFERON Gold testing to provide supportive evidence for the diagnosis of Mycobacterium marinum.
Cefazolin: A Rare Etiology Of Induced Coagulopathy, Ahmed Ismail, Anam Habib, Cayleigh Blumrick
Cefazolin: A Rare Etiology Of Induced Coagulopathy, Ahmed Ismail, Anam Habib, Cayleigh Blumrick
Department of Medicine Faculty Publications
Cefazolin, a first-generation cephalosporin, is commonly used to treat methicillin-susceptible Staphylococcus aureus (MSSA) infections. Although generally well tolerated, coagulation abnormalities have rarely been reported during therapy. We describe the case of an 81-year-old man treated with prolonged cefazolin for MSSA endocarditis who developed severe coagulopathy characterized by marked elevation of both the international normalized ratio (INR) and activated partial thromboplastin time (aPTT). The abnormalities occurred after initiation of cefazolin and worsened despite cessation of other anticoagulants. Following discontinuation of cefazolin and administration of vitamin K, coagulation parameters rapidly improved and subsequently normalized. This case highlights a rare but clinically significant …