Digital Commons Network^™

Clinical And Pathological Characteristics Of Extra-Cranial Germ Cell Tumors: A 30-Year Single-Center Experience In Saudi Arabia, Dania A. Monagel, Aletani Tala, Alghamdi Arwa, Banjar Sereen, Hakeem Ilana, Hannef Deena, Ahmed Omaima, Elimam Naglla

Saudi Medical Journal

Objectives: To investigate the clinical and pathological characteristics of extracranial germ cell tumors (GCTs) in children aged 0–168 months treated at the National Guard Hospital, Jeddah, Saudi Arabia from 1990 to 2020. Methods: In this retrospective analysis, the data for all cases of GCTs were collected from 1990 to 2020. Statistical analyses were carried out using JMP software. The data was divided into 4 main categories: demographics, pathological/clinical features, recurrence, treatment and outcome. Results: The study included 50 patients, with a mean age at diagnosis of 56.52 months. The median follow-up duration was 30 months. Most tumors were in the …

The Prevalence And Risk Factors For Hiatal Hernia Among Patients Undergoing Endoscopy: A Retrospective Analysis, Majid A. Alsahafi, Najla A. Alajhar, Amjad O. Almahyawi, Hadeel H. Alsulami, Wejdan A. Alghamdi, Lama A. Alharbi, Afnan S. Alsulami, Jumana T. Aljehani, Saad S. Alkhowaiter, Mahmoud H. Mosli

Saudi Medical Journal

Objectives: To determine the prevalence of hiatal hernia (HH) and its association with age, gender, and body mass index (BMI). Methods: We retrospectively included patients who underwent esophagogastroduodenoscopy (EGD) at an academic tertiary care hospital. Data were collected on the presence of HH as well as patient demographics including age, gender, and BMI. Univariate and multivariate analysis were done to determine risk factors for HH. Results: A total of 2805 patients were included in this study. The mean age was 48.6 (±18.6) years and males constituted 28.8% of the study population. The mean BMI was 29.7 (±8.6) kg/m². The prevalence …

Levels And Profiles Of Pentabromodiphenyl Ether Contaminants In Human Breast Milk From Riyadh, Saudi Arabia, Sobhy M. Yakout, Ahmed M. Isa, Amel A. El-Sayed, Ibrahim M. Aziz

Saudi Medical Journal

Objectives: To investigate levels of pentabromodiphenyl ether (PBDEs) in breast milk samples from healthy mothers who had lived in Riyadh for the last 5 years. Methods: In this cross sectional study, 75 samples were collected and were extracted, cleaned by solid-phase extraction (SPE) and PBDEs analysis was done using gas chromatography–mass spectrometry. Results: Total PBDEs (∑PBDEs) ranged from 0.2 to 3.6 ng/g lipid weight (lw). BDE-47, -153, -99, and -209 were the dominant congeners. The mothers in this study consumed more meat (69%), followed by the egg (50%), and milk (36%). The majority of donors consumed fish (44%) and egg …

Management And Clinical Outcomes Of Cardiogenic Shock In King Abdulaziz University Hospital: A Retrospective Study, Hamza L. Fida, Mohammed A. Qutub, Alaa S. Algazzar, Abdulrahman S. Aldharrab, Terad A. Alnajjar, Anas M.A. Andijani, Ahmad M. Taiyeb

Saudi Medical Journal

Objectives: To assess frequencies of various management approaches in cardiogenic shock (CS) and their clinical outcomes. Cardiogenic shock is a state of organ hypoperfusion and hypoxia caused by cardiac failure. Methods: In this retrospective record review, we assessed the presentations, vital signs, laboratory readings, and treatments for 188 consecutive CS inpatients from 2010-2021. Patients were labeled as “ischemic CS” or “non-ischemic CS” based on the occurrence of myocardial infarction as the precipitating cause, and “post-operative CS” if they had undergone cardiac surgery. In-hospital mortality was the primary endpoint of the study. Results: We identified 118 (62.8%) ischemic, 64 (34%) non-ischemic, …

Is Metabolic Syndrome A Modifiable Risk Factor For Gout?

Saudi Medical Journal

No abstract provided.

Estimating The Prevalence Of Pediatric Hematological Malignancies In Al-Madinah Al-Munawwarah, Saudi Arabia, Faisal S. Alhajori, Mohammed H. Makkawi, Sultan Z. Alasmari, Ahmad A. Shaikh, Mirza A. Baig

Saudi Medical Journal

Objectives: To provide an updated estimate to the prevalence of pediatric hematological malignancies (HMs) in the Al-Madinah Al-Munawwara, Saudi Arabia. Methods: This is a retrospective study that was carried out between 2016 and 2022. The study population was comprised of 171 children under 16 who had been diagnosed with HMs. The data was compiled from King Salman Medical City’s Maternity and Children’s Hospital, Al-Madinah Al-Munawwarah, Saudi Arabia. Results: Among the 171 HM patients (64% males and 36% females), 13 subtypes were identified, with B-cell acute lymphoblastic leukemia having the highest incidence (70.3%). Acute myelomonocytic leukemia (8.7%), T-cell acute lymphoblastic leukemia …

To Drain Or Not To Drain Following Thyroidectomy.: A Prospective, Randomized Study, Nidhi Mariam George, Tharun Ganapathy Chitrambalam, Pradeep Joshua Christopher, Manish Marlecha, Sundeep Selvamuthukumaran

Saudi Medical Journal

Objectives: To ascertain the use of draining the thyroid bed following surgery. Methods: Fifty four patients who underwent total thyroidectomy were enrolled in the study between March 2021 and July 2022 and randomly allocated into 2 groups – a drain group and a no drain group. The hospital stay, operating time, post operative pain, post operative complications, cosmesis, and patient’s perspectives were compared. Results: The mean duration of hospitalization was significantly shorter in the no drain group as compared to the drain group. The post operative pain, as assessed by the Mankoski Pain Scale (MPS) was significantly higher in the …

Menger Or Marx? The Political Ontology Of Cryptocurrency, Rector Tully, J.G. Allen

Research Collection Yong Pung How School Of Law

One of the perennial fault-lines in monetary theory is that between commodity and credit theories of money. The emergence of alternative payment systems based on blockchain and distributed ledger technologies, of which Bitcoin is the most prominent example, has raised a host of important questions in relation to this debate. This article considers two. The first is ontological: Are Bitcoin and similar ‘cryptocurrencies’ best conceived of as money? The second is political: Do these money candidates represent an emancipatory development over state-backed fiat currency? The ontological question, we will argue, invites the political one. If it is the case, as …

Sleep Quality In Undergraduate Students: Examining The Role Of Class Rank And Related Individual Differences, Lauren Yocum, Lauren Yocum

Honors College Theses

College students are likely to experience stress due to increased responsibilities, more demanding coursework, and maintaining a balance between academics and social life. Indeed, college students are at risk for experiencing clinically-significant depressive and anxiety symptoms, as well as sleep disturbances, likely as a result of these challenges. Although the relationship between these affective variables and college stressors are well-documented, less attention has been given to the factors that may help promote better sleep, with the majority of research documenting the intrinsic bidirectional nature of mood and sleep (e.g., lack of sleep leads to worse mood which further exacerbates sleep …

Stronger Together Newsletter, May 2023, Office For Inclusive Excellence

News, Magazines and Reports

News and Updates: Information Technology majors design interactive accessibility map of campus -- The Multicultural Center hosts the Inaugural End of the Ceremony. Students and graduating seniors who help contribute to our department’s goal for inclusive excellence were honored -- Lavender Graduation Celebration coordinated by the SHU Gender Sexuality Alliance (GSA) in partnership with the Multiculutural Center -- Silent Walk of Reflection and Remembrance of George Floyd -- Ram Devineni, creator of Priya’s Shakti, speaks at SHU -- “The State of Antisemitism Today”-”Heart Challenges Hate” Panel -- Disability Pride Campaign -- Center for Teaching and Learning: 2022-2023 recap -- Rachel …

Sad Socks Without Sole Mates, Shaelee Comettant

Bachelor of Fine Arts Senior Papers

Portrait of A Hundred Heartbreaks is a series that uses the unmatched sock as a symbol to speak about the experience of losing and grieving a relationship. Positioned as a series of memorials, the project facilitates spaces for viewers to bring their own life experiences to the project as well as empathize with those presented in the series. The use of the unmatched sock, an inanimate object, allows for it to be projected onto and melded into the specific and individualized narratives that viewers bring to the works. In its ability to access a level of specificity for each viewer, …

Hydroclimate Effects On Great Salt Lake Decline Since 1980, Siiri Joy Bigalke

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

As a terminal basin lake, the Great Salt Lake (GSL) is known to act as a barometer for low frequency climate variability for the Western United States. As thus, there are naturally occurring large changes to GSL elevation levels that vary on time scales from years to decades. However, amongst these naturally occurring interannual changes there has been a significant declining trend in the elevation levels since a string of anomalous pluvial years in the early 1980s. In the summer of 2022, the Great Salt Lake reached its lowest levels in recorded history, which coincided with a two-decades long regional …

Outreach To Distance Learning Faculty: A Scoping Review, Christina Hillman, Lucinda Ward

Lavery Library Faculty/Staff Publications

This scoping review examines the techniques used by academic librarians for outreach to distance learning faculty From 533 initial records, librarians included 16 articles and identified five recurring themes: in-person visits, synchronous workshops, electronic communication, branding and personalization, and campus partnerships. Despite the prevalence of literature about outreach and marketing in academic libraries, there has been little research on connecting with distance education faculty. This review highlights the need for continued exploration of this topic, including how the COVID-19 pandemic has continued to blur what it means to be a distance learning faculty.

A Director's Take On The Curious Incident Of The Dog In The Night-Time, Billie Williams

Undergraduate Honors Theses

This paper examines what it is like to be an assistant director. The play, The Curious Incident of the Dog in the Night-Time was adapted from a book by Mark Hadden that is structured as if the main character was the writer. The stage production reworks that concept and turns it into a “play within a play”. The story is about a boy named Christopher, his broken family and his struggle with autism. When the director, Cara Harker first approached me about being an assistant director, I struggled with anxiety and not feeling like I had a real place in …

Investigating Stormwater Parameters From Runoff On East Tennessee State University Campus, Abby Mciver, Dr. Joseph R. Bidwell

Undergraduate Honors Theses

Climate change has caused an increase in extreme rain events and flooding in certain regions across the globe. During rain events, water flows over impervious surfaces structures such as roads and sidewalks, picking up contaminants such as metals, fertilizers and other nutrients, and various organics that which may impact organisms in such as streams, river, and lakes. Previous work has found significant differences in survival of organisms that were exposed to contaminated stormwater runoff. This study investigated stormwater chemistry parameters at collection sites on the East Tennessee State University campus. Sites were selected based on the extent of human interaction …

Type 1 Diabetes In The Classroom, Ursula Herrell

Undergraduate Honors Theses

Type 1 diabetes [T1D] is an autoimmune disease that presents in a pathophysiological disorder as insulin deficiency. Managing this illness during childhood is a constant challenge of maintaining blood glucose levels within a healthy range, resulting in increased stress for children and caregivers. School attendance is one factor that may result in increased stress. Studies have highlighted the fact that teachers of students with T1D may receive little education regarding management of the disease and may be required to make accommodations which can result in confusion, miscommunication, and increased psychosocial stress. The goal of this research was to learn about …

An Example Of Cle Pedagogy From The Singapore Management University, Wing Cheong Chan, Yen Kee Ruby Lee

Research Collection Yong Pung How School Of Law

This session will showcase a course taught at the Singapore Management University where students were tasked to design aone stop online resource portal to help litigants-in-person, caregivers and family members to navigate legal issues related tothe ageing process. During the course, the students not only met with various community partners providing services to theelderly to find out what services were required but also the elderly to find out their positive and negative online experiences.The students were sensitized to the needs of the community, learnt the law through independent research, assessed theusefulness of existing legal resources available, and learnt the importance …

Rethinking Asia-Pacific Regionalism And New Economic Agreements, Julien Chaisse, Pasha L. Hsieh

Research Collection Yong Pung How School Of Law

The neoliberal international order is facing a variety of pressing obstacles. One of the most contentious issues is the emergence of new Asian regionalism, which has been driven by the rising economic power of the region and integration based on the Association of Southeast Asian Nations (ASEAN) Plus Six framework. The legalization of the ASEAN way has propelled the New Regional Economic Order (NREO), which reinforces a trade-development nexus alternative to the Washington Consensus and will have far-reaching normative, economic, and geopolitical effects on the world. Given the proliferation of trade and investment initiatives including the ASEAN Economic Community and …

No Destination: Queering Mobility Through The Virtuality Of Movement, Orlando Woods

Research Collection College of Integrative Studies

This paper advances the epistemological potential that exists at the nexus of queer theory and mobilities research. It aims to queer mobility by rejecting the idea of the destination and embracing the virtuality of movement instead. In doing so, it draws on the queer symbolism of the closet and the cruise to highlight the heteronormative framing that has come to define and constrain the new mobilities paradigm. Arguing that anybody has the capacity to be “queer”, it calls for a redefinition of the subject and an exploration of the world-making possibilities that emerge when the virtuality of movement is foregrounded.

Re-Evaluating Natural Intelligence In The Face Of Chatgpt, Elvin T. Lim, Tze K Koh

Research Collection College of Integrative Studies

How will new technologies impact the nature of higher education? Before ChatGPT, the world witnessed major shifts led by innovations in information storage and transmission. Papyrus in ancient Egypt, the Gutenberg press in 15th-century Europe, and the internet in the 20th century were all milestones in the mass dissemination of knowledge.

“Back To The Jungle”: Investigating Rats, Grass, Scrub Typhus, And Plantations In Malaya, 1924–1974, Jack Greatrex

Research Collection College of Integrative Studies

In this article, I examine epidemiological research into scrub typhus in British Malaya between 1924 and 1974. Interwar research, I show, explained the incidence of the disease through conjunctions of rats, mites, plantations, lalang grass, and “jungle.” In the process, interwar researchers bridged a novel scientific vocabulary centering on disease “reservoirs” with older suspicions of plantations enabling “pests,” as well as with a later, explicitly ecological understanding of infectious disease. In exploring this history I thereby help to re-historicize the emergence of ecological notions of disease reservoirs, whilst also pushing at the limit-points of influential notions of “tropicality.”

Evaluating The Impact Of Broadband Access And Internet Use In A Small Underserved Rural Community, Javier Valentín-Sívico, Casey I. Canfield, Sarah A. Low, Christel Gollnick

Engineering Management and Systems Engineering Faculty Research & Creative Works

Having adequate access to the internet at home enhances quality-of-life for households and facilitates economic and social opportunities. Despite increased investment in response to the COVID-19 pandemic, millions of households in the rural United States still lack adequate access to high-speed internet. In this study, we evaluate a wireless broadband network deployed in Turney, a small, underserved rural community in northwest Missouri. In addition to collecting survey data before and after this internet intervention, we collected pre-treatment and post-treatment survey data from comparison communities to serve as a control group. Due to technical constraints, some of Turney's interested participants could …

Evaluating The Impact Of Broadband Access And Internet Use In A Small Underserved Rural Community, Javier Valentín-Sívico, Casey I. Canfield, Sarah A. Low, Christel Gollnick

Engineering Management and Systems Engineering Faculty Research & Creative Works

Having adequate access to the internet at home enhances quality-of-life for households and facilitates economic and social opportunities. Despite increased investment in response to the COVID-19 pandemic, millions of households in the rural United States still lack adequate access to high-speed internet. In this study, we evaluate a wireless broadband network deployed in Turney, a small, underserved rural community in northwest Missouri. In addition to collecting survey data before and after this internet intervention, we collected pre-treatment and post-treatment survey data from comparison communities to serve as a control group. Due to technical constraints, some of Turney's interested participants could …

Dystopian Trademark Revelations, Amanda Levendowski

Georgetown Law Faculty Publications and Other Works

Uncovering dystopian technologies is challenging. Nondisclosure agreements, procurement policies, trade secrets, and strategic obfuscation collude to shield the development and deployment of these technologies from public scrutiny until it is too late to combat them with law or policy. But occasionally, exposing dystopian technologies is simple. Corporations choose technology trademarks inspired by dystopian philosophies and novels or similar elements of real life—all warnings that their potential uses are dystopian as well. That pronouncement is not necessarily trumpeted on social media or corporate websites, however. It is revealed in a more surprising place: trademark registrations at the U.S. Patent and Trademark …

A Review Of Econometric Approaches For The Oil Price-Exchange Rate Nexus: Lessons For Asean-5 Countries, Khalid M. Kisswani, Mahelet G. Fikru

Economics Faculty Research & Creative Works

This paper reviews alternative econometric approaches the literature has used to examine the connectedness between oil prices and exchange rates and illustrates their application using quarterly data from 1970: Q1 to 2022: Q1 for ASEAN-5 countries, which are as follows: Indonesia, Malaysia, the Philippines, Singapore, and Thailand. Although most studies examining the impact of oil prices and exchange rates apply the Ordinary Least Squares (OLS) approach with symmetry, the quantile regression (QR) method is shown to offer a thorough investigation of the connectedness. For ASEAN-5 countries, we present a comparative analysis of both methodologies (OLS and QR) with and without …

A Graduate Choral Conducting Recital, Brock Willard

Electronic Theses & Dissertations

This graduate thesis consists of a choral conducting recital performed by members of Chorale and recruited community singers, and accompanying program notes. Repertoire included on the recital was selected according to the music or texts’ proximity to conflicts throughout history. Composers represented on the program include Thomas Tomkins, Thomas Tallis, William Byrd, Heinrich Schütz, Stephen Foster, Shawn Kirchner, Ethan McGrath, Kim André Arnesen, Brock Willard, Z. Randall Stroope, Craig Courtney, Austin Hunt, Frank Ticheli, and Fredrik Sixten. The program notes for each composition will consist of biographical information, music analysis, performance considerations, and other relevant information

Application Of Informatics Tools To Facilitate The Practice Of Precision Medicine With Genomic Testing And Clinical Data, Michael Sayer

Pharmaceutical Sciences (PhD) Dissertations

The practice of precision medicine considers a variety of sources of information to optimize patient care. Factors such as patient demographics, clinical history, and lab test values have well understood effects on treatment outcomes and influence decision making. However, effective inclusion of biomolecular data such as protein expression and DNA sequencing data within the practice of precision medicine needs continued study. Informatics tools offer solutions to allow these complex data sources to be effectively embraced. Utilization of informatics tools to visualize data pertaining to the gene selection practices of pharmacogenomic (PGx) tests effectively communicated large amounts of information into concise …

An Analysis Of Trends Of Generic Drugs And Biologic Prices In The U.S., Mohammed Jamjoom

Pharmaceutical Sciences (PhD) Dissertations

Introduction: Drug prices are a significant problem for the US healthcare system. Generic and biosimilar market competition reduces drug and biologic prices, results in substantial savings, and improves patient access and outcomes. As the costs of healthcare and prescription drugs continue to rise, the discussion about drug prices has taken a prominent place at the forefront of national discourse. This study assessed impacting trends in prices of generic, biosimilar, and reference products in the US. We also evaluated the effect of the Affordable Care Act (ACA) of 2010 on biologic prices.

Methods: We extracted a list of the new generic …

Renal Toxicity Warnings And Precautions Of Drugs Marketed In The Us, Mohammad Al Ghamdi

Pharmaceutical Sciences (MS) Theses

INTRODUCTION: The use of drugs can lead to renal adverse effects prompting the need to include warnings and precautions on medication labels. Studies evaluating renal warnings and precautions need to be improved. This study assessed the characteristics of FDA renal toxicity warnings and precautions included in the labels of drugs approved by the FDA and marked in the US. The study also evaluated the potential factors of including a boxed warning on a drug label.

METHODS: We extracted the labels of human prescription drugs with renal toxicity boxed warnings and warnings and precautions from the “FDA Label: Full-Text Search of …

The Gray Area: Sexuality And Gender In Wartime Reevaluated, Natalie Pendergraft

War, Diplomacy, and Society (MA) Theses

These three works, two academic papers and one screenplay, challenge traditional notions of gender and sexuality during wartime. Queer Vietnam service members did not all experience oppression, all the time, but rather carved out a space for themselves amongst their peers. Female nurses in the early cold war could keep their careers in the medical field due to its unique gendered history despite demobilization efforts across the country in different industries. Finally, through the medium of historical fiction, a Civil War soldier’s fears and desires are questioned as he experiences the phenomenon of the Angel’s Glow, a blue light that …