Digital Commons Network^™

Musculoskeletal Disorders Of The Upper And Lower Limb: Prevalence Among Patients In Eastern Province, Saudi Arabia, Ali M. Alshami

Saudi Medical Journal

Objectives: To determine the prevalence of upper and lower limb musculoskeletal (MSK) disorders among adult patients referred to physical therapy. Methods: Data were retrospectively analyzed from electronic health records of patients referred to physical therapy between April 2021 and April 2023. MSK disorders were categorized based on the affected body region (upper or lower limb). Results: A total of 11,243 patients were referred to physical therapy, of whom 4,156 (37%) had MSK disorders. The 4 most commonly affected regions were the knee (27.7%), followed by the shoulder (26.9%), the ankle/foot (14.9%), and the wrist/hand (11.8%). Within each region, the most …

Impact Of Breathing Control Training Program On Sonographic Quantification Of Abdominal Vasculature, Mahasin G. Hassan, Afnan M. Alotaibi, Raghad H. Altuwaym, Reem H. Alnuwaysir, Renad B. Alharbi, Lama M. Alnajashi, Mayer K. Alsaber, Hetaf F. Aldakan, Halima M. Hawesa, Zohida A. Abdelgabar, Asma S. Aldahes, Mohammed G. Yaqob

Saudi Medical Journal

Objectives: To compare vascular scanning parameters (vessel diameter, peak systolic velocity, end-diastolic velocity, and resistive index) and scanning time before and after breathing control training program for selected abdominal vessels. Methods: This study was pre and post quasi-experimental. The researchers designed a breathing training program that gives participants instructions through a video describing breathing maneuvers. Data were collected at the ultrasound laboratory/College of Health and Rehabilitation Sciences in Princess Nourah bint Abdul Rahman University, Riyadh, Saudi Arabia from January 2023 to November 2023. About 49 volunteers at the university participated in the study. Scanning was performed two times for the …

Clinical Variables Influencing The Severity Of Diabetes Ketoacidosis, Yara F. Alhamdani, Lojain O. Almadfaa, Abdulmoein E. Alagha

Saudi Medical Journal

Objectives: To evaluate clinical indicators in order to examine the intensity of diabetes ketoacidosis (DKA) episodes in children and adolescents diagnosed with type 1 diabetes mellitus (T1DM). Methods: Data from 156 T1DM patients aged 6 months to 14 years, who presented with DKA to the emergency room, were retrospectively reviewed from 2018 to 2022. Data on demographic characteristics, economic status, initial clinical presentation, glycemic control, DKA severity, and laboratory evaluations were also collected. Results: Diabetes ketoacidosis episodes were more prevalent among male patients during the middle childhood age group. Notably, these episodes displayed seasonal patterns. The severity was found to …

Bilateral Renal Lymphangiectasia: Literature Review Of A Rare Entity, Abdullah Ayed, Shahzada Khalid Sohail, Syeda Fatima Rizvi, Raed I. Alwadai

Saudi Medical Journal

Renal lymphangiectasia (RL) is a rare condition in which lymphatic vessels are dilated giving rise to cyst formation in peripelvic, perirenal and intrarenal locations. Knowledge about RL is limited and based upon individual case reports. This can be genetic or acquired. There is no significant association with any gender or age. It can be manifested as focal or diffuse forms and can be unilateral or bilateral. Most of the cases present with abdominal or flank pain. The diagnosis is based on radiological imaging. Due to rarity of diseases, it has potential to be misdiagnosed as other cystic disease of kidneys. …

Insights And Considerations On Cftr Variant Reporting In A Study Of Cystic Fibrosis Patients In Saudi Arabia Cftr 1548del G And 1549del G: Navigating The Discovery Of Novel Mutations

Saudi Medical Journal

No abstract provided.

Can Artificial Intelligence Techniques Help Clinicians Assess And Treat Patients With Bone Fractures?

Saudi Medical Journal

No abstract provided.

Who Reports Widespread Overuse Of Antibiotics In Patients Hospitalized With Covid-19

Saudi Medical Journal

No abstract provided.

Molecular Epidemiology And Molecular Typing Methods Of Acinetobacter Baumannii: An Updated Review, Razique Anwer

Saudi Medical Journal

The aim of this study was to go through the molecular methods used for typing of carbapenem-resistant Acientobacter baumannii (CRAB) isolates for investigating the molecular epidemiology all over the world. Multiple typing techniques are required to understand the source and nature of outbreaks caused by Acientobacter baumannii ( A. baumannii ) and acquired resistance to antimicrobials. Nowadays, there is gradual shift from traditional typing methods to modern molecular methods to study molecular epidemiology and infection control. Molecular typing of A. baumannii strains has been revolutionized significantly in the last 2 decades. A few sequencing-based techniques have been proven as a …

Clinical Presentation And Outcomes Of Patients With Rhabdomyolysis: A Tertiary Care Center Experience, Mohammed Tawhari, Abdulaziz Aldalaan, Rahaf Alanazi, Sarah Aldharman, Turki Alnafisah, Nawaf Alawad, Abdullah M. Alhejji, Abdulrahman Yousef Alhabeeb, Moustafa S. Alhamadh

Saudi Medical Journal

Objectives: To evaluate the clinical and laboratory features, complications, and outcomes of patients with rhabdomyolysis in the Saudi population. Methods: Retrospectives descriptive study of adult patients who presented to King Abdulaziz Medical City (KAMC) withrhabdomyolysis between January 2016 and December 2022. Results: Most of the participants (84.5%) were male, with a median age of 41 years and a body mass index of 26.5 kg/m 2 . Medications, mainly statins (22.4%) and illicit drugs (15.5%), constituted the root causes of rhabdomyolysis in the cohort (44.8%). The most common presenting complaints were myalgia (63.8%) and fatigue (37.9%). More than one-third of the …

Strengthened Global Capacities On Climate Change And Health: Who Training In Madrid

Saudi Medical Journal

No abstract provided.

Deterministic Global 3d Fractal Cloud Model For Synthetic Scene Generation, Aaron M. Schinder, Shannon R. Young, Bryan J. Steward, Michael L. Dexter, Andrew Kondrath, Stephen Hinton, Ricardo Davila

Faculty Publications

This paper describes the creation of a fast, deterministic, 3D fractal cloud renderer for the AFIT Sensor and Scene Emulation Tool (ASSET). The renderer generates 3D clouds by ray marching through a volume and sampling the level-set of a fractal function. The fractal function is distorted by a displacement map, which is generated using horizontal wind data from a Global Forecast System (GFS) weather file. The vertical windspeed and relative humidity are used to mask the creation of clouds to match realistic large-scale weather patterns over the Earth. Small-scale detail is provided by the fractal functions which are tuned to …

Generative Interpretation, Yonathan A. Arbel, David A. Hoffman

Articles

We introduce generative interpretation, a new approach to estimating contractual meaning using large language models. As AI triumphalism is the order of the day, we proceed by way of grounded case studies, each illustrating the capabilities of these novel tools in distinct ways. Taking well-known contracts opinions, and sourcing the actual agreements that they adjudicated, we show that AI models can help factfinders ascertain ordinary meaning in context, quantify ambiguity, and fill gaps in parties' agreements. We also illustrate how models can calculate the probative value of individual pieces of extrinsic evidence.

After offering best practices for the use of …

American Law In The New Global Conflict, Mark Jia

Georgetown Law Faculty Publications and Other Works

This Article surveys how a growing rivalry between the United States and China is changing the American legal system. It argues that U.S.-China conflict is reproducing, in attenuated form, the same politics of threat that has driven wartime legal development for much of our history. The result is that American law is reprising familiar patterns and pathologies. There has been a diminishment in rights among groups with imputed ties to a geopolitical adversary. But there has also been a modest expansion in rights where advocates have linked desired reforms with geopolitical goals. Institutionally, the new global conflict has at times …

Authoritarian Privacy, Mark Jia

Georgetown Law Faculty Publications and Other Works

Privacy laws are traditionally associated with democracy. Yet autocracies increasingly have them. Why do governments that repress their citizens also protect their privacy? This Article answers this question through a study of China. China is a leading autocracy and the architect of a massive surveillance state. But China is also a major player in data protection, having enacted and enforced a number of laws on information privacy. To explain how this came to be, the Article first turns to several top-down objectives often said to motivate China’s privacy laws: advancing its digital economy, expanding its global influence, and protecting its …

Examining The Relationship Between Politics And The Economy, Evan Pals

Honors College Theses

The purpose of this project is to quantify the relationship between the US political environment and the American economy. First, impacts of U.S. presidential elections on the American economy are analyzed. The project will analyze the time effects of elections on multiple economic indicators. Average returns on the following investments will be observed: Dow Jones Industrial Average, S&P 500, gold, and silver. Additionally, the price of crude oil and the consumer price index will be studied. Time dummy variables will then be incorporated to show whether an election took place within the given time period, splitting the data into two …

Soil Reclamation Strategies In Construction Disturbed Soil, Alexis Koelling

All Graduate Reports and Creative Projects, Fall 2023 to Present

The rapid urbanization occurring in arid environments like the Intermountain West region of the U.S. significantly alters soil conditions. Construction of roads, buildings, and other infrastructure leads to the disturbance of soil structure, nutrient depletion, and reduced fertility. This research addresses the need for sustainable soil management practices that may restore soil health post-construction. In this study, the effectiveness of various soil amendments and application methods on specific soil parameters and turfgrass establishment in construction-disturbed soils was evaluated. The study highlights the critical role of soil amendments, particularly municipal solid waste (MSW) compost, in improving soil quality and plant growth. …

Revealing The Three-Dimensional Arrangement Of Polar Topology In Nanoparticles, Chaewa Jeong, Juhyeok Lee, Hyesung Jo, Jaewhan Oh, Hionsuck Baik, Kyoung-June Go, Junwoo Son, Si-Young Choi, Sergey Prosandeev, Laurent Bellaiche, Yongsoo Yang

Physics Faculty Publications and Presentations

In the early 2000s, low dimensional ferroelectric systems were predicted to have topologically nontrivial polar structures, such as vortices or skyrmions, depending on mechanical or electrical boundary conditions. A few variants of these structures have been experimentally observed in thin film model systems, where they are engineered by balancing electrostatic charge and elastic distortion energies. However, the measurement and classification of topological textures for general ferroelectric nanostructures have remained elusive, as it requires mapping the local polarization at the atomic scale in three dimensions. Here we unveil topological polar structures in ferroelectric BaTiO₃ nanoparticles via atomic electron tomography, which …

The Constitution As Symbol Or Operating Manual: A Rejoinder On Constitutional Literacy, Brian Christopher Jones, De Maartje Visser

Research Collection Yong Pung How School Of Law

Assessing constitutional functionality often brings forward questions that go to the heart of the constitutional project, and this is certainly the case with constitutional literacy. After all, constitutions serve as national symbols and in a related vein, some have even likened them to a country’s autobiography. As Mounk points out, constitutional values and civic cultures have at times defined democracies, and many states have used their founding documents as key symbols to produce a shared identity or civic patriotism. At the same time, constitutions will also set out the legal and political structures of, and constraints on, institutions, and as …

Achieving Financial Inclusion Through Digital Currencies, Heng Wang

Research Collection Yong Pung How School Of Law

Welcome to our new blog series on “Central Bank Digital Currencies for Financial Inclusion” co-authored by Professor Heng Wang of the Yong Pung How School of Law, Singapore Management University.In this series, we delve into the world of central bank digital currencies (CBDCs) and their potentially profound implications for financial inclusion. What are CBDCs? CBDCs are digital versions of countries’ official currencies issued by the central bank or the like. They could be the digital representation of physical cash. To date, over 110 central banks around the world are engaged in some form of CBDC-related work, and the Eastern Caribbean …

Heat And Observed Economic Activity In The Rich Urban Tropics, Eric Fesselmeyer, Haoming. Liu, Alberto. Salvo, Rhita P B. Simorangkir

Research Collection College of Integrative Studies

We use space-and-time resolved mobility data to assess how heat impacts Singapore, a rich city-state and arguably a harbinger of what is to come in the urbanizing tropics. Singapore’s offices, factories, malls, buses, and trains are widely air conditioned, its public schools less so. We document increased attendance and commuting to workplaces, malls, and the more air-conditioned schools on hotter relative to cooler days, particularly by low-income residents with limited use of adaptive technologies at home. Investment by rich cities may attenuate heat’s pervasive negative consequences on productive outcomes, yet this may worsen the climate emergency in the long run.

Big Infrastructure And/As Flexibility: The Sites Reservoir Story, Sarah Priscilla Randle, David Linville

Research Collection College of Integrative Studies

If constructed as planned, the Sites Reservoir Project will add roughly 1.85 billion m3 (1.5 million acre-feet) of storage capacity to California's water system. Per project proponents, however, the reservoir complex should be understood as infrastructure that would not only increase available water supply but also provide the state's water network with an infusion of a vital systemic quality: flexibility. This article considers such discourses of flexibility through a case study of the Sites project, grounded in analysis of planning documents, government, think tank, and NGO reports, and media coverage from outlets across California. The resulting account shows how the …

Opening The Black Box: Towards Inherently Interpretable Energy Data Imputation Models Using Building Physics Insight, Antonio Liguori, Matias Quintana, Chun Fu, Clayton Miller, Jérôme Frisch, Christoph Van Treeck

Research Collection College of Integrative Studies

Missing data are frequently observed by practitioners and researchers in the building energy modeling community. In this regard, advanced data-driven solutions, such as Deep Learning methods, are typically required to reflect the non-linear behavior of these anomalies. As an ongoing research question related to Deep Learning, a model's applicability to limited data settings can be explored by introducing prior knowledge in the network. This same strategy can also lead to more interpretable predictions, hence facilitating the field application of the approach. For that purpose, the aim of this paper is to propose the use of Physics-informed Denoising Autoencoders (PI-DAE) for …

Impact Of Sustained Calorie Restriction And Weight Cycling On Body Composition In High-Fat Diet-Fed Male And Female C57bl/6j Mice, Daniel L Smith, Yongbin Yang, Luis M Mestre, Beate Henschel, Erik Parker, Stephanie Dickinson, Amit Patki, David B Allison, Tim R Nagy

Children’s Nutrition Research Center Staff Publications

Objective: The objective of this study was to investigate body composition changes with weight cycling (WC) among adult C57BL/6J mice with diet-induced obesity.

Methods: A total of 555 single-housed mice were fed a high-fat diet ad libitum (AL) from 8 to 43 weeks of age. The 200 heaviest mice of each sex were randomized to the following four groups: ever obese (EO, continued AL feeding); obese weight loser (OWL, calorie-restricted); obese weight loser moderate (OWLM, body weight halfway between EO and OWL); and WC (diet restricted to OWL followed by AL refeeding cycles). Body weight and composition data were collected. …

Prevalence Of Distal Symmetrical Polyneuropathy By Diabetes Prevention Program Treatment Group, Diabetes Status, Duration Of Diabetes, And Cumulative Glycemic Exposure, Christine G Lee, Adam Ciarleglio, Sharon L Edelstein, Jill P Crandall, Dana Dabelea, Ronald B Goldberg, Steven E Kahn, William C Knowler, Maxwell T Ma, Neil H White, William H Herman, Diabetes Prevention Program Research Group

Children’s Nutrition Research Center Staff Publications

Objective: To assess associations between distal symmetric polyneuropathy (DSPN) and Diabetes Prevention Program (DPP) treatment groups, diabetes status or duration, and cumulative glycemic exposure approximately 21 years after DPP randomization.

Research design and methods: In the DPP, 3,234 adults ≥25 years old at high risk for diabetes were randomized to an intensive lifestyle (ILS), metformin, or placebo intervention to prevent diabetes. After the DPP ended, 2,779 joined the Diabetes Prevention Program Outcomes Study (DPPOS). Open-label metformin was continued, placebo was discontinued, ILS was provided in the form of semiannual group-based classes, and all participants were offered quarterly lifestyle classes. Symptoms …

Survival After Ditching In Motorized Aircraft, 1989-2022, Douglas D. Boyd, Volker C. Schick, Catherina Hippler, Jochen Hinkelbein

Publications

INTRODUCTION: Although an unintended aircraft landing on water (referred to as ditching) is a rare event, the potential for occupant injury/fatality increases immediately following the event due to adverse conditions. However, to date, few studies have addressed the subject. Herein, ditching events and post-ditching survival were investigated.

METHODS: Ditchings (1982–2022) in the United States were identified from the National Transportation Safety Board database. Occupant injury severity, aircraft type, pilot experience, flight conditions, and number of occupants were extracted. Poisson distribution, the Chi-squared test (2-tailed), Mann-Whitney U test, and Kruskal-Wallis one-way analysis of variance were employed.

RESULTS: A total of 96 …

Evaluation Of The Feasibility Of A Midwifery Educator Continuous Professional Development (Cpd) Programme In Kenya And Nigeria: A Mixed Methods Study, Duncan Shikuku, Hauwa Mohammed, Lydia Mwanzia, Alice Ladur, Peter Nandikove, Eunice Ndirangu, Alphonce Uyara, Catherine Waigwe, Lucy Nyaga, Issak Bashir

School of Nursing & Midwifery, East Africa

Background Midwifery education is under-invested in developing countries with limited opportunities for midwifery educators to improve/maintain their core professional competencies. To improve the quality of midwifery education and capacity for educators to update their competencies, a blended midwifery educator-specific continuous professional development (CPD) programme was designed with key stakeholders. This study evaluated the feasibility of this programme in Kenya and Nigeria.

Methods This was a mixed methods intervention study using a concurrent nested design. 120 randomly selected midwifery educators from 81 pre-service training institutions were recruited. Educators completed four self-directed online learning (SDL) modules and three-day practical training of the …

2024-05-01 How “Challengers” Paints Tennis As Sex, Sex As Power [Review & Spoilers], Chloe Platt

The Spectator Online

No abstract provided.

2024-05-01 Seattle U Softball Trending Upwards As Regular Season Closes, Qasim Ali

The Spectator Online

No abstract provided.

Student-Centered Task Box Instruction, Mikayla Meece

Dissertations, Theses, and Projects

Engagement is vital to all learning situations and has, according to Parsons et al. (2018) been associated with an increase in student achievement. Morgan (2013) highlighted that students comprehend little and lose focus of classroom instruction when teachers fail to use differentiated instruction. Therefore, the researcher in this project utilized task box instruction to increase student engagement and on-task behavior in Early Childhood Special Education (ECSE) classrooms. Task-box instruction can accommodate for different ability levels and interests, while also modeling initial learning and providing practice with developmentally appropriate skills and strategies (Morgan, 2013). Specifically, task boxes involve providing students with …

Understanding Practitioner’S Perceptions Of Speech And Language Therapy Services In The Juvenile Justice System, Julia Buendgen

Dissertations, Theses, and Projects

The purpose of this study was to gain more understanding of how individuals who work with the juvenile justice population understand language disorders and the scope of speech and language therapy services. In addition, this study explored potential supports for individuals working in this setting. This study consisted of twenty participants working in the juvenile justice system who completed a survey tool that was designed by the researcher to describe the participant's perceptions of speech-language pathology, current procedures, reported challenges, and potential areas in need of support. Participant knowledge of the scope of speech-language pathology varied among participants. The highest …