Digital Commons Network^™

Individual And Household Factors Associated With Tungiasis In A Marginalized Population In Karamoja, Northeastern Uganda, Lynne Elson, Abneel Matharu, Berrick Otieno, Hermann Feldmeier, Charles Waiswa, Amina Abubakar, Jürgen Krücken, Ulrike Fillinger, Francis Mutebi

Institute for Human Development, East Africa

Background Tungiasis is a neglected tropical skin disease caused by adult female fleas which burrow into the skin of people and animals, causing considerable pain and itching. The distribution of the disease is heterogeneous, with Napak district, Karamoja sub-region of northeastern Uganda having the highest disease burden recorded globally. We aimed to determine the factors associated with this high prevalence to inform future intervention strategies.

Methods We conducted a cross-sectional study to identify factors associated with infection of individual children and adults, and a nested case–control study to identify factors for whole households (families). Infected children were identified through mass-screening …

Caregiver Assessment Of Executive Function Deficits Among Hiv-Infected And Hiv-Exposed Uninfected Preschool Children In Kenya, Antipa Sigilai, Moses Nyongesa, Amin Hassan, Janet Thoya, Rachel Odhiambo, K. Katana, Beatrice Kabunda, Grace Bomu, Charles Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: This study examined caregiver assessment of executive functioning (EF) in perinatally HIV-infected (PHIV) and perinatally HIV-exposed but uninfected (PHEU) Kenyan children, and explored the extent to which various biopsychosocial factors influence EF outcomes.

Methods: Children aged 3–5 years that were PHIV (n = 43), PHEU (n = 52), or HIV-unexposed uninfected (HUU, n = 58) and their caregivers were enrolled in this study. EF was measured using the Childhood Executive Functioning Inventory. Caregivers’ common mental disorders (CMDs) and parenting behaviour were evaluated using the Shona Symptoms Questionnaire (SSQ) and a parenting behaviour scale, respectively. We used analyses …

Exploring Clinician Decision-Making Behind Preoperative Ekg Orders In Primary Care, Joon Cha, Katerina C. Valavanis Md, Grant M. Greenberg M.D., M.H.S.A., M.A.

USF-LVHN SELECT

No abstract provided.

What Are We Doing Right? A Qualitative Analysis Of Health Disparity Conversations With Lgbtq+ Older Adults, Skylar Lung, Ashlee Randolph, Nyann Biery Ms, Lynn M. Wilson Do

USF-LVHN SELECT

No abstract provided.

Effect Of Dynamic Fatigue Loading On The Adaptation And Retention Of Maxillary Single Dentures Reinforced With Digitally Constructed Zirconia And Cobalt–Chromium Frameworks, Ghada Elgindy, Fardos N Rizk, Marwa Ezzat Sabet, Hebatallah Tarek Mohamed

Dentistry

Background. The impact of dynamic fatigue loading on denture adaptation and retention is clinically important. Zirconia and cobalt–chromium (Co–Cr) frameworks enhance denture strength, but their performance under cyclic loading remains unclear. Objectives. The aim of the study was to evaluate the adaptation and retention of maxillary single dentures reinforced with digitally constructed Co–Cr or zirconia frameworks after a simulated 1 year of function. Material and methods. Three types of maxillary single dentures were constructed on maxillary master casts. Group A included maxillary dentures without reinforcement (control group), whereas groups B and C encompassed maxillary dentures reinforced with digitally designed and …

03-17-26 Bor Hsc Committee Notice Of Meeting, Patricia Serna

HSC Committee (A subcommittee of the UNM Board of Regents)

03-17-26 BOR HSC Committee Notice of Meeting

Geographic Access To Pediatric Ecmo And Ecpr: A Geospatial Study Of Transport Networks And Disparities., Allan M. Joseph, Andrew J. Lautz, Carlie N. Myers, Ranjit S. Chima, Juan P. Gurria, Shafee Salloum, Wendy Hasson, Matthew P. Malone, Jenna Miller, Maya L. Dewan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND AND AIM: Extracorporeal membrane oxygenation (ECMO) can help children survive severe cardiac and/or respiratory failure, but it is only provided in specialized centers. There are disparities in access by ground transport to ECMO services, but it is unknown to what extent interfacility transfer systems can expand access. Additionally, the number of children who live in proximity to centers that perform extracorporeal cardiopulmonary resuscitation (ECPR) to be potential candidates in case of out-of-hospital cardiac arrest (OHCA) is unknown. We conducted a geospatial analysis to answer these questions.

METHODS: We conducted a geospatial analysis of the Extracorporeal Life Support Organization (ELSO) …

Defining The Society Of Pediatric Liver Transplantation (Split) Research Agenda: A Delphi Consensus Project., Sharad I. Wadhwani, Pooja Reddy Spector, Amy G. Feldman, Katryn N. Furuya, Kayla Hartjes, Chaowapong Jarasvaraparn, Beau Kelly, Stacee M. Lerret, Krupa Mysore, Arti Pawaria, Philip Rosenthal, Amy Shui, Voytek Slowik, Sarah Taylor, Jennifer Vittorio, Pamela L. Valentino, Society Of Pediatric Liver Transplantation (Split)

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Despite major advances in surgical and medical management, only one-third of pediatric liver transplant (LT) recipients remain morbidity-free at 10 years. The Society of Pediatric Liver Transplantation (SPLIT) published a research agenda over 10 years ago, and much progress has been made since then. An updated consensus-driven SPLIT research agenda could guide future research and funding priorities. We aimed to identify and prioritize key research needs across the continuum of pediatric LT care using a modified Delphi consensus approach.

METHODS: We conducted a three-round modified Delphi process among SPLIT members. In round 1, participants submitted open-ended research priorities. In …

Complications Leading To Reoperation After Pediatric Tibial Spine Fracture Fixation., Benjamin R. Caruso, Suzanna M. Ohlsen, Keinan Agonias, Robert L. Van Pelt, Michelle M. Son, Michael G. Saper, Jason Rhodes, J Marc Cardelia, Jay C. Albright, Shital N. Parikh, Kevin G. Shea, Henry B. Ellis, Philip L. Wilson, Members Of The Score Quality Improvement Registry, Sheila Algan, Jennifer J. Beck, Richard E. Bowen, Jennifer M. Brey, Matthew J. Brown, Christian Clark, Allison Crepeau, Eric W. Edmonds, Matthew Ellington, Peter D. Fabricant, Jeremy Frank, Theodore J. Ganley, Daniel W. Green, Benton Heyworth, Ryan Koehler, Alfred A. Mansour, Stephanine Mayer, Scott D. Mckay, Molly C. Meadows, Matthew Milewski, Emily L. Niu, Donna M. Pacicca, Stephanie S. Pearce, Matthew R. Schmitz, Stephen Storer, Curtis Vandenberg, Yi-Meng Yen, Gregory A. Schmale

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Tibial spine fractures (TSFs) are uncommon injuries in pediatric patients, often requiring operative fixation. While complications such as arthrofibrosis and anterior cruciate ligament (ACL) insufficiency have been previously reported, the risk factors associated with unplanned reoperation remain incompletely understood.

PURPOSE: To identify the most common complications leading to reoperation and to evaluate associated risk factors, using a multicenter quality improvement registry.

STUDY DESIGN: Case-control study; Level of evidence, 3.

METHODS: A multicenter registry of operatively treated pediatric TSFs was retrospectively reviewed from July 2018 to March 2025 across 27 institutions. Grade 3 complications were defined as complications resulting in …

Leappt: Leveraging Generative Artificial Intelligence-Pediatric Pulmonology Training. Curriculum And Content Development., Alvin Singh, Erin Khan, Mary Moffatt

Manuscripts, Articles, Book Chapters and Other Papers

After redesigning the curriculum of the pediatric pulmonology fellowship program at Children's Mercy-Kansas City, leadership continued to make changes based on feedback from a faculty survey concerned about the quality and structure of didactics. These changes included leveraging generative artificial intelligence to create a detailed course content outline containing specific objectives and study points for each subject related to pediatric pulmonology. Using the content outline as a foundational reference for learners, fellowship leadership continues to enhance the curriculum by creating testing questions, flipped classroom sessions and evaluations, and hope that these specific changes will help address decreased passing rates on …

Hyperacute Effects Of Non-Code Dose Bolus Epinephrine In Paediatric Cardiac Intensive Care Patients: Insights From High-Fidelity Physiologic Data., Wesam Sourour, Michael Evans, Kevin Le, Saul Flores, Juan S. Farias, Rohit Seth Loomba

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Non-code dose boluses of epinephrine are utilised in critically ill paediatric patients during periods of hemodynamic deterioration, often with the hopes of preventing a cardiac arrest. Data regarding the physiologic effects of these administrations are limited. The primary aim of this study was to use high-fidelity physiologic data to characterise the effects of intravenous non-code dose bolus epinephrine.

METHODS: Paediatric patients in the cardiac ICU who received non-code dose bolus epinephrine were identified. Those who received fluid boluses or chest compressions within 2 minutes of bolus epinephrine were excluded. Autoregressive integrated moving average analyses with exogenous variables were conducted …

Stroke Increases Motor Output Variability During Maximal Voluntary Isometric Contractions Of Knee Extensor Muscles In Adults, Zhilun Zhou, Stephanie Christine Wolfe, Brian Schmit, Matthew J. Durand, Sandra Hunter, Allison Hyngstrom

Physical Therapy Faculty Research and Publications

Greater motor output variability (MOV, inconsistency and unsteadiness) during submaximal tasks post stroke is associated with poorer motor performance. However, little is known about MOV during maximal tasks and relationships with clinical measures of motor performance among stroke survivors. This study determined inconsistency (across discrete attempts) and unsteadiness (within a single attempt) during knee extension maximal voluntary isometric contractions (MVICs) in stroke survivors and neurotypical controls. Forty-three stroke survivors (28 female) and 31 age-matched neurotypical controls (15 female) performed a minimum of five knee extension MVICs with paretic and non-paretic legs (stroke) or dominant leg (controls). Inconsistency was calculated as …

Tools To Build Undergraduate Nursing Student Volunteer Confidence In Case Of Disaster, Sadie Apuron, Emily F. Calkins, Natashia Forson, Rhean Kang, Corinne Pickart, Ryan Quan

Nursing Leadership in Community Engagement Projects

Building Undergraduate Nursing Student Confidence to Volunteer in Case of Disaster

This paper provides a brief overview of one project in an ongoing collaboration between the nursing department, the Office of Safety and Security, and Health Services at a private university in the Pacific Northwest. The partnership aims to improve disaster response capacity on campus by preparing nursing students to volunteer in medical triage. It builds on a previous project that created a protocol for volunteers and outlined education recommendations (Sebastian et al., 2025). The goal of this project was to create reusable training resources to increase nursing student knowledge …

Reasons For Exposure Among Poisoned Patients Treated With Methylene Blue For Hypotension, Urmila Venkataramani, Gillian A. Beauchamp Md

USF-LVHN SELECT

No abstract provided.

Histologic Analysis Of Peri-Implant Soft Tissue Around External Hexagon And Morse Taper Implant Connections, Daniel Sartorelli Marques De Castro, Jefferson David Melo De Matos, Jozely Francisca Mello Lima, Guilherme Da Rocha Scalzer Lopes, Mário Alexandre Coelho Sinhoreti, Daher Antonio Queiroz, Carlos Do Reis Pereira De Araújo

Faculty, Staff and Student Publications

Background: Twenty patients rehabilitated with screw-retained full-arch implant-supported prostheses functioning for at least one year were included.

Material and methods: This clinical study included 20 patients rehabilitated with screw-retained full-arch implant-supported prostheses in function for at least 1 year. Participants were allocated into two groups according to the implant-abutment connection design: external hexagon (EH; n = 10) and Morse taper (MT; n = 10). One peri-implant soft tissue biopsy specimen was obtained from each patient and processed for hematoxylin-eosin staining. Histological evaluation assessed epithelial hyperplasia, epithelial organization, inflammatory infiltrate intensity, and connective tissue fibrosis. Data normality was assessed using the …

Airway Management In Thoracic Anesthesia: Eactaic Consensus Document, Manuel Granell, Caroline Vanpeteghem, Jo Mourisse, Mert Senturk, Laszlo Szegedi, Mohamed El Tahan, Chirojit Mukherjee, Izumi Kawagoe, Waheed Karzai, Marcus Lance

Anaesthesiology, East Africa

This article is the third in a series of articles prepared as part of a comprehensive, international and professional society–approved consensus project to advise on thoracic anesthesia. It represents the views and structured opinions of experts delegated to the Airway Management Task Force of the Thoracic Subcommittee of the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC). This review highlights the main concepts and expert opinion of international leaders on the task of lung isolation and separation, as well as the current recommendations on the benefits and disadvantages of different devices in both routine and difficult airway scenarios. The …

Monitoring In Thoracic Anesthesia: Eactaic Consensus Document, Mohamed El Tahan, Edda Tschernko, Tamás Végh, Jo Mourisse, Mert Sentürk, Katarina Lenartova, Maria Alberici, Thomas Wasserscheid, Nandor Marczin, Marcus Lance

Anaesthesiology, East Africa

This is the first part of a series of articles prepared for a comprehensive, international, and professional society–approved consensus project to advise on thoracic anesthesia. It represents the views and structured opinions of experts delegated to the General Management: Monitoring Task Force of the Thoracic Subcommittee of the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC). This review highlights international leaders’ main concepts and expert opinions on how monitoring is the core task of anesthesiologists involved in the care of thoracic patients, providing recommendations for assessing principal organ systems and using different devices in routine and specialized scenarios. The …

Key Predictors Of Postpartum Depression And Anxiety Symptoms Among Mothers In Kilifi, Kenya: A Machine Learning Approach, Faith Benson, Rachel Odhiambo, Willie Brink, Anthony Ngugi, Akbar Waljee, Eileen Weinheimer-Haus, Cheryl Moyer, Ji Zhu, Amina Abubakar

Institute for Human Development, East Africa

Background:

The burden of maternal postpartum depression and anxiety is disproportionately high in sub-Saharan Africa (SSA), yet the use of advanced analytical methods to capture the complex interplay of variables influencing these conditions remains underexplored.

Objective:

To apply machine learning (ML) methods to predict depressive and anxiety symptoms in postpartum mothers and to identify key and actionable predictors.

Methods:

This cross-sectional study included 1,995 biological mothers of singleton infants aged 0–6 months, using survey data collected between March 2023 and March 2024 in Kaloleni and Rabai sub-counties, Kilifi County, Kenya, within the Kaloleni–Rabai Health and Demographic Surveillance …

Wellness Connection Newsletter March 2026, Roger Williams University School Of Law

Life of the Law School (1993- )

No abstract provided.

Mini-Course On Community Resources For Patients With Disabilities, Abigail Weisse, Vinita Kiluk, Kyle Lien, Nora Newcomb, Aishwarya Vuppala, Franklin Sun, Shannon Mccarthy, Anita Narkhede, Marjorie Fitzsimmons

USF-LVHN SELECT

No abstract provided.

Understanding The Current State Of Inpatient Chf Care At Lvhn Cedar Crest And Determining Potential Areas Of Improvement, Alex Wang, Shuisen Li Do

USF-LVHN SELECT

No abstract provided.

Socioeconomic Profiles And Barriers Among Committed Female Juveniles In The Florida Department Of Juvenile Justice, Aishwarya Vuppala, Kristopher Kaliebe, Sherry Jackson, Jorge Hernandez

USF-LVHN SELECT

No abstract provided.

Implementation Barriers And Change Management Considerations In Deploying A Literature-Informed, Respiratory Therapy–Driven Copd Care Bundle With Ehr-Based Readmission Risk Stratification, Yusuf Aboul-Nasr, David M. Richardson Md

USF-LVHN SELECT

No abstract provided.

Imaging-Guided Interventional Management Of Chronic Pelvic Pain:Patient Characteristics And Procedural Utilization Among Responders, Ayushi Vashishtha, Joseph E. Patruno Md

USF-LVHN SELECT

No abstract provided.

Timing Is Everything: A Quality Improvement Project Of Colonoscopy Withdrawal Time, Richard Barry Sirard, Amy Slenker Md, Rachel Patel Do, Shashin Shah Md

USF-LVHN SELECT

No abstract provided.

Youth Suicide Across The Lehigh Valley Health Network Region:Determining Common Lethal Means Used Locally, Madeline Pollak, Emmanuel Annor Md, Rebecca Lipscomb, Dhanalakshmi Ramasamy Md

USF-LVHN SELECT

No abstract provided.

Standardizing Postoperative Pain Management In The Neonatal Intensive Care Unit: A Retrospective Quality Improvement Analysis And Protocol Development, Timothy Nehila, Laura Hayn Pharmd, Amy L. Serfas Bsn, Rn, Roseanna Hanson Bsn, Msn, Breeann Jensen Msn, Crna, Abhaya Seshachar Md, Wendy J. Kowalski Md, Oluwatobi Adegboyega Md, Marybeth Browne Md

USF-LVHN SELECT

No abstract provided.

Baseline Assessment Of Advance Care Planning Documentation Among High-Risk Ed Patients, Sierra Barber, Marna R. Greenberg Do, Mph, Facep

USF-LVHN SELECT

No abstract provided.

A Comparative Operational Analysis Of Patient Access And Clinician Productivity: Identifying Success Drivers In Pediatric Gastroenterology, Lionel Sam, Liborio Larussa Md

USF-LVHN SELECT

No abstract provided.

Subdural Hematomas At A Cancer Center: Large Retrospective Review Of Survival And Prognostic Indicators, Samuel Bauserman, Trevor Pharr, Samantha Schimmel, Bassel El Sayed, Alexander Becker, Andre Beer-Furlan

USF-LVHN SELECT

No abstract provided.