Digital Commons Network^™

Isolated Transverse Colon Perforation During Corticosteroid Tapering In Quiescent Systemic Lupus Erythematosus: A Histopathology-Supported Diagnosis Of Exclusion, Ridwan A. Lawal, Nestor Malaga, Nida Asif, Fatimah Bello, Juliana Yang

School of Medicine Publications

Gastrointestinal perforation in systemic lupus erythematosus (SLE) is uncommon but potentially fatal, and attribution is clinically consequential because perforation may reflect lupus enteritis with mesenteric vasculitis, infection, diverticular or stercoral disease, malignancy, inflammatory bowel disease (IBD), medication-related injury, or a combination of mechanisms. Corticosteroid-associated perforation is therefore best treated as a diagnosis of exclusion rather than as an isolated novel observation. We report a 62-year-old woman with SLE who developed sudden severe right-sided abdominal pain, nausea, vomiting, leukocytosis, lactic acidosis, and radiographic pneumoperitoneum while tapering prednisone from 60 mg/day to 10 mg/day over three months, with 10 mg/day documented at …

Occult Papillary Thyroid Carcinoma With No Identifiable Intrathyroidal Primary: A Case Report And Pooled Analysis Of 23 Published Cases, Michael J. Evans, Amanda M. Sonnenburg, Elijah Elliott, Alex Otto, Kent Mcintire

Student Publications

Papillary thyroid carcinoma (PTC) rarely presents as cervical lymph node metastasis without an identifiable intrathyroidal primary despite exhaustive imaging and histopathologic evaluation, representing the rarest form of occult thyroid carcinoma and posing distinct diagnostic and therapeutic challenges. We report a 27-year-old man who presented with a cystic lateral neck mass. Fine-needle aspiration confirmed metastatic PTC, yet ultrasonography, computed tomography, and positron emission tomography/computed tomography demonstrated no thyroid abnormality. Total thyroidectomy with modified radical neck dissection revealed metastatic PTC in two of the 21 lymph nodes (pN1b) without extranodal extension, while exhaustive sectioning of the thyroid demonstrated only chronic inflammatory changes …

Reflections: My Personal Journey, Jerry L. Pitts

Faculty Publications and Presentations

Reflections: My Personal Journey is the heartfelt and inspiring memoir of Jerry L. Pitts Jr., a man whose life was transformed by faith, perseverance, and God's grace. From a turbulent childhood marked by frequent moves, rebellion, and poor choices, to becoming a devoted husband, father, educator, and servant of God, this powerful testimony reveals how divine purpose can emerge from life's greatest struggles.

Through deeply personal stories, Jerry shares his journey from the "road to destruction" to a life dedicated to serving Christ. Readers will walk beside him through broken relationships, career setbacks, military service, family triumphs, heartbreaking loss, spiritual …

Nurses’ Knowledge And Practices Regarding Infection Prevention Measures In Cardiac Intensive Care Unit, Marwa G. Abouheiba, Maha Adel Salem, Jean Bertin Mudenge

Nursing

Abstract: Background: Healthcare-associated infections (HAIs) remain a major global patient safety challenge, contributing substantially to morbidity, mortality, prolonged hospitalization, antimicrobial resistance, and increased healthcare costs. Patients admitted to cardiac intensive care units (ICUs) are particularly vulnerable because of their critical illness, frequent exposure to invasive devices, and complex cardiovascular interventions. Nurses play a pivotal role in preventing HAIs through the consistent implementation of evidence-based infection prevention and control (IPC) measures. Therefore, assessing both nurses' knowledge and their observed clinical practices is essential for identifying strengths, potential gaps, and opportunities for quality improvement. Aim: To assess nurses' knowledge and observed practices …

Slc Transporter-Mediated Functional Imaging In Cancer Diagnosis, Lumeng Zhang, Jun He

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Functional imaging has become an important approach for evaluating tumor physiology in vivo beyond morphologic assessment. Radiotracers used for cancer imaging are designed to mimic endogenous substrates or substrate analogues, and their accumulation can depend on membrane transport, intracellular metabolism, and clearance from normal tissues. Specifically, SLC transporters contribute to tracer uptake and signal formation, linking transporter activity with measurable imaging signals in cancer. While [18F]FDG PET/CT remains the most widely used example of transporter-associated metabolic imaging, SLC transporter-mediated imaging strategies have been developed to assess amino acid transport, sodium-dependent glucose uptake, redox metabolism, lactate exchange, nucleoside metabolism, choline metabolism, …

Multidimensional And Burgeoning Leadership: Literacy And Multilingualism, Emily Howell, Hazel Vega, Lindsey W. Rowe, Katie M. Crook, C.C. Bates, Kavita Mittapalli, Amlan Banerjee

Publications

This design-based research study worked with 25 teachers with specialized early literacy training. Researchers investigated the impact of professional development advancing their multilingual learner (ML), literacy, and leadership capacity, addressing gaps in the research merging the fields of literacy, multilingual instruction, and leadership. Spanning two years of both qualitative and quantitative data collection and analysis including teacher, student, and district surveys, teacher logs, research logs, and teacher interviews, the researchers capture the iterative nature of the needs of teacher professional development to serve MLs. The researchers describe the needs of teachers for professional development, the micro modifications made to adapt …

A Quantitative Content Analysis Of Media Framing Of Illegal Mining In Ghana, Ebenezer Ato Kwamena Aidoo, Patrick Ansah, Fredrick Daoyenikye, Maame Aba Afful

Faculty Scholarship

Illegal mining in Ghana has attracted considerable public and policy attention due to its far-reaching environmental, social, and health consequences. Our study examines how Ghanaian news media frame illegal mining, the tone of media coverage, and the stakeholders represented in news narratives. Using a quantitative content analysis, 800 news articles were sampled from six widely read media outlets, Daily Graphic, Ghanaian Times, TV3 Ghana, GTV, Joy FM, and Citi Newsroom. A multivariate analysis of variance (MANOVA) was employed to examine differences in framing, tone, and stakeholder representation across outlets. Findings indicate that news organizations emphasize distinct frames, resulting in varied …

Autonomic Dysregulation Attributed To Vertebral Artery Insufficiency Secondary To Subclavian Steal Syndrome: A Case Report, Lara Zargarian, Hoang Nguyen, Manbir Sanghera, Arman Megerdechyan, William S. Hughes

Student Publications

Anatomic malformation as seen in subclavian steal syndrome leads to an alteration in the body's autonomic regulatory pattern, influencing varying physical manifestations. The autonomic nervous system provides situational regulatory feedback to the body, maintaining the body’s desired point of homeostasis. We report the case of a 68-year-old male who initially came in with X-rays indicating retrolisthesis and calcifications in his carotids. A left-sided carotid bruit was also noted, as well as right-sided upper extremity weakness. Continued imaging studies indicated structural changes to his cervical regions and continued calcifications in the remainder of his arterial supply branching off of his carotid …

Mccommons' Transformative Gift Strengthens Ole Miss Athletics, Bill Dabney

University of Mississippi News

OXFORD, Miss. – John and Donna McCommon, of Ridgeland, have made a major gift to the University of Mississippi's athletics programs that will help equip student-athletes for success in competition, academics and personal development, while also helping coaches to elevate their programs.

Reflections: The Journey Continues, Jerry L. Pitts

Faculty Publications and Presentations

Reflections: The Journey Continues is a deeply moving memoir of faith, loss, love, calling, and the quiet strength that carries a life forward when everything familiar has been shaken. In this powerful continuation of Reflections: My Personal Journey, Dr. Jerry L. Pitts invites readers into the chapters that followed his first book—the ones marked by profound suffering, unexpected grace, and a renewed sense of purpose.

This memoir traces the season when Jerry’s life was transformed by his late wife Janice’s four‑year battle with cervical cancer. With honesty and tenderness, he recounts the surgeries, treatments, setbacks, and moments of courage …

Feasibility Study Of An Artificial Intelligence Chatbot-Powered Cognitive-Behavioral Lifestyle Modification Program, Evans Forman, Charlotte Hagerman, Asher Hong, Zhuoran Huang, Hannah Mccausland, Jasmine Sun, Lauren Taylor, Meghan Butryn, Preetha Chatterjee, Ramtin Ehsani, Nawal Syed

Department of Family & Community Medicine Faculty Papers

Background: Approximately 2 billion adults seek lifestyle modification to improve their health and well-being. However, because of cost and access barriers, only a tiny fraction receive gold-standard lifestyle modification programs led by trained coaches. Digital programs without human coaches are more disseminable but have limited efficacy. Recent advances in large language model (LLM) AI chatbots have the potential to revolutionize digital programs by emulating human coaches, offering a safe, low-cost, and scalable lifestyle modification intervention. Yet, no studies have developed and tested such a program. Purpose: This study aims to evaluate the feasibility, safety, and user engagement of a new …

A Phase Ii Trial Of Defactinib Combined With Avutometinib In Patients With Metastatic Uveal Melanoma, Rino S. Seedor, Mizue Terai, Sergei A. Koshkin, Andrew E. Aplin, Marlana Orloff, Erin Sharpe-Mills, Madeleine Naccarato, Aurora Mills, Alfredo A. Molinolo, J. Silvio Gutkind, Takami Sato

Kimmel Cancer Center Faculty Papers

Background: Treatment options are limited, and outcomes remain poor for patients with metastatic uveal melanoma (MUM). We conducted an investigator-initiated, prospective, single-arm, single-institution, phase II study evaluating the combination of an FAK inhibitor (defactinib) with a RAF/MEK inhibitor (avutometinib) for the treatment of MUM. Methods: From February 2021 through January 2023, 12 patients with MUM were treated with the combination of defactinib and avutometinib. Defactinib was given 200 mg twice daily, and avutometinib was given 3.2 mg twice a week. Both drugs were given for 3 weeks on and 1 week off (28-day cycle). Disease control rate was the primary …

Ecological Footprint Assessment, Santina Benincasa

Open Educational Resources

This handout guides students through a structured ecological footprint assessment using the online Footprint Calculator. By following a series of steps—selecting their location, entering detailed lifestyle information, and reviewing personalized results—students evaluate how many planets would be required if everyone lived with their same resource consumption patterns. The activity prompts learners to identify the largest contributors to their footprint, quantify their impact in global hectares, and explore scenario-based changes that could reduce their environmental demand. Through reflection, students consider how everyday human behaviors influence Earth’s productive capacity and resource availability. Overall, the exercise encourages critical thinking about sustainability and personal …

Leveraging Health Information Exchange (Hie) Data To Demonstrate The Impact On Health Outcomes Of Community Based Organization Interventions: Case Studies Of Housing Placement And Medically Tailored Meal Program, Kevin Kramer, Harm Scherpbier, William Marella

College of Population Health Faculty Papers

Objective

Methods

Transforming Advising And Improving Outcomes: Assessing Impacts Of Advising Changes, Amy S. White, Tailisha Gonzalez, Elgloria Harrison

Publications and Research

Abstract

Background: Earning full-time credit loads and persisting are how college students successfully graduate.

Objective: We measured whether credits and persistence at an urban, commuter Hispanic/Minority-Sserving Iinstitution improved after implementing a social work-based advisement strategy.

Methods: Using a quasi-experimental methodology on a college’s enrollment database, we measured the impact of a new advisement model on earned and attempted credit loads to compare traditional student advisement within control groups (n = 171 and n = 899) relative to intervention (n = 130).

Findings: In 2024, the intervention group attempted an average of 14.7 credits and earned an average of 14.3 credits, …

Birth-Size Reference Charts For Normal Nursery Newborns Between 35.0 And 41.6 Weeks., Fu-Sheng Chou, Hung-Wen Yeh, Crystal Hsueh, Irene E. Olsen, Veeral N. Tolia, Reese H. Clark

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Current birth-size reference charts for nursery use may inaccurately categorize newborn size, impacting care. We aimed to develop new charts using data from uncomplicated newborns admitted to US nurseries.

METHODS: We analyzed de-identified data from newborns admitted to US normal newborn nurseries between 2021 and 2024. Statistical outliers were excluded, and gestational age was recorded in days. Birth weight, length, head circumference, and BMI models were developed by a randomly selected subset and validated by the remaining data. Proportions of newborns below the 10th percentile and above the 90th percentile were compared with the 2010 Olsen and 2013 Fenton …

Correlating High-Resolution Terrestrial Organic Carbon Isotope Records Across The Cretaceous-Paleogene Boundary, Gregory D. Price, Rhodri M. Jerrett, Lauren K. O'Connor, Emily Dearing Crampton-Flood, Bart E. Van Dongen, Sabine K. Lengger, Marc Davies

School of Geography, Earth and Environmental Sciences

The Cretaceous–Paleogene boundary (∼66 million years ago) represents the most recent mass extinction event when an estimated 75% of all species became extinct, including all non-avian dinosaurs. Here we focus on the stable carbon isotope (δ¹³C) analysis of coal and coaly sediments across the terrestrial K/Pg boundary from 10 sites, between 42 and 64°N, USA and Canada. Our δ¹³C data set shows a statistically significant positive correlation with paleolatitude that we interpret as a consequence of our lower latitude sites being relatively warmer and more humid than our higher latitude sites. Temporally, our data indicates that …

An Ecophysiological Approach To Improving Health Outcomes Of Ornamental Shrimp During Aquarium Trade And Transportation, Sancha Conway Holroyd, John Spicer, Robert P. Ellis, Lucy Turner

School of Biological and Marine Sciences

Ecophysiology examines the interactions between an organism’s physiology and its environment. It seeks to understand how an organism functions and adapts under changing conditions. This has direct applications to live-trade aquaculture sectors, including the ornamental aquarium trade, where traded animals experience a variety of changing, and often stressful, environmental conditions that can threaten their health and survival. This review proposes a role for ecophysiology in managing organismal health, using Hatch (1962) theoretical framework of disease and dysfunction as a foundation for defining and distinguishing health. We focus on tropical (marine and freshwater) ornamental shrimp as an exemplar group to highlight …

Health Profile Of Brazilian Mothers, Carlos Eduardo Siqueira

Gastón Institute Publications

No abstract provided.

1951 Map Of Rocky Mountain National Park And Red Top Valley Ditch, 610 Redwood Fisher, Box 45, Department Of Interior Geological Survey

Rocky Mountain National Park

Map of Rocky Mountain National Park and surrounding area, with Red Top Valley Ditch outlined. The map was surveyed 1912-1915, published in 1919, and reprinted in 1951. Terms: Rocky Mountain National Park; Maps; Department of the Interior; Geological Survey; Medicine Bow; Roosevelt National Forest; Cameron Pass; Mummy Range; Mummy Pass; Granby Reservoir; Granby Mesa; Michigan Creek; Mt Dickinson; Mt Dunraven; Crystal Lake; Fairchild Mountain; Lawn Lake; Cow Creek; Cache la Poudre River; Specimen Mountain; Howard Mountain; Never Summer Mountains; Bearpaws Peaks; Continental Divide; Bowen Mountain; Baker Gulch; Red Mountain; Mt Nimbus; Timber Creek; Shipler Mountain; Windy Gulch; Trail Ridge Road; …

1953 Documents Relating To Acquistion Of Redwood Fisher Lands In Rocky Mountain National Park And Shadow Mountain National Recreation Area, 610 Redwood Fisher, Box 45, David H. Canfield, George F. Ingalls, Clarence A. Davis, Conrad L. Wirth, Bruce Wright, G. W. Lineweaver, Thomas J. Allen, John S. Mclaughlin, A. Van V. Dunn, Fred D. Mclaren

Rocky Mountain National Park

Memoranda, letters, and correspondences about the acquisition of Redwood Fisher lands in Rocky Mountain National Park and Shadow Mountain National Recreation Area. Terms: Rocky Mountain National Park; Shadow Mountain National Recreation Area; Redwood Fisher; Bureau of Land Management; Tom Kimball; Bureau of Reclamation; Colorado Department of Game and Fish; Colorado River; Shadow Mountain Reservoir; Granby Reservoir; David H. Canfield; Boulder; Stillwater Creek; George F. Ingalls; C. V. Marmaduke; Clarence A. Davis; C. A. Richey; Bruce Wright; Conrad L. Wirth; Shadow Mountain Dam; Granby Pump Canal; G. W. Lineweaver; Thomas J. Allen; John S. McLaughlin; Grand Lake; Pole Creek Ditch; Selak …

Role-Preset Pluggable Dreaming Pipeline With Reflection-Over-Prior-Dreams Operators, Gustavo Matthew Assuncao

Defensive Publications Series

Autonomous LLM personas accumulate a continuous stream of heterogeneous day events. A naive "summarize-the-day" digester compresses that stream once, weights every event identically across personas, applies one forgetting curve, and never reasons across the sequence of its own prior digests. This publication describes a role-preset pluggable dreaming pipeline: a per-persona memory-consolidation process decomposed into four named, swappable stages — scoring, clustering, synthesis, and reflection — where (a) the concrete algorithm for each stage is selected by a role preset, (b) each scoring algorithm carries its own role-specific recency half-life, and (c) a distinct reflection stage runs operators over the persona's …

Dual-Channel Domain Data-Isolation, Gustavo Matthew Assuncao

Defensive Publications Series

In a multi-domain application monolith, data is partitioned one database schema per business domain. Strong isolation is normally pushed into the database (GRANT/REVOKE, per-schema connection roles, row-level security). When all domains share one connection pool, an application-layer contract is needed that (a) denies accidental or malicious cross-schema access on the general read/write path, while (b) still permitting deliberate, controlled cross-domain reads. This publication discloses a dual-channel contract: a deny-direct channel that statically analyzes every facade-emitted SQL string and hard-denies foreign-schema references, and an allow-through-a-constrained-compiler channel that re-admits cross-domain reads only via a read-only, mutation-free pipe-query language whose compiler resolves relation …

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Caldwell Unified Dementia Research Engine (Cudre‑1.0) Unified Open‑Hardware Dementia Research Acceleration Platform No Patents. No Secrets. No Photos. Builder‑Ready. Research‑Only. Non‑Clinical., Michael Victor Caldwell Mr.

Defensive Publications Series

 ABSTRACT

CUDRE‑1.0 is a unified, multimodal, open‑hardware research engine for dementia and neurodegeneration studies. It is explicitly designed to:

• Accelerate research, not provide treatment.

• Explore 40 Hz gamma entrainment, sleep‑linked glymphatic clearance, vascular pulsatility, and low‑intensity ultrasound neuromodulation.

• Provide a single, integrated platform for labs to test hypotheses about clearance, network synchrony, and non‑invasive neuromodulation.

Not a medical device. Not for clinical use.

All framing is research‑only, for mechanism exploration and trial design support.

Caldwell Neuro‑Glymphatic Integrated Loop (Cng‑Loop V1.0) Unified Clinic + Home Dementia‑Support Architecture Open‑Hardware • No Patents • No Secrets • Builder‑Ready • Cross‑Referenced To All Prior Caldwell Tdc Inventions, Michael Victor Caldwell Mr.

Defensive Publications Series

ABSTRACT

CNG‑Loop v1.0 is a unified, non‑invasive dementia‑support system integrating sleep‑synchronized glymphatic modulation, bilateral ear‑canal neuromodulation, vascular ultrasound support, gamma‑frequency entrainment, and personalized MRI/EEG‑anchored targeting. It combines clinic‑grade modules and home‑safe modules into a single architecture designed for moderate‑stage dementia support.

This system is built entirely from previously posted Caldwell inventions, including:

• Ambient Cognitive‑Clearance System (ACCS v4.0) — “Zero‑Wearable, Non‑Contact, Sleep‑Synchronized Glymphatic Modulation Platform for Dementia Prevention and Cognitive Health”

• BECDS v2.0 — “Bilateral Ear‑Canal Closed‑Loop Dementia Support System”

• GCI‑128 Neuro‑Vortex Protocol v3.1 — FUS + nanos + 40 Hz

• GCI‑267 — Harmonized ultrasound + microfluidic vascular support

• NeuroRegenerator v2.1 …

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Technical Disclosure: Integrated Space Readiness Training Center (Isrtc), Christopher L. Eckes

Defensive Publications Series

Current ground-based deep-space environmental analogs suffer from an institutional vulnerability designated as "Escape Room Bias." When human subjects operate under an implicit institutional guarantee of safety, their cognitive, behavioral, and adaptive responses default to gamified problem-solving rather than genuine expeditionary survival. This psychological insulation limits the validity of collected behavioral datasets to less than 20% of actual deep-space operational reality, leaving aerospace organizations blind to the most critical human failure mode in high-consequence environments: the psychological freeze response under unyielding peril.

The Integrated Space Readiness Training Complex (ISRTC) eliminates this predictive gap by establishing an enduring Dynamic Test Assembly operating …

Automated Multi-Stage Semantic Analysis And Synthesis Of Heterogeneous Unstructured Operational Repositories, Michael Vianana, Tanmay Kayande, Nigel Nageer, Nupur Murlidharan

Defensive Publications Series

Modern organizations often struggle to identify systemic structural issues because post-mortem reviews, lessons-learned records, and risk logs are isolated in unstructured narrative text files across disparate storage repositories. A system is described that utilizes a multi-stage language model processing pipeline to autonomously aggregate, structure, and cross-reference completely unstructured, multi-source operational narrative text documents to expose global systemic risks and organizational blind spots. The system continuously connects to raw text silos, extracts semantic entities, and standardizes unstructured content into a globally normalized taxonomy to map risk correlations. Keywords: unstructured data, semantic analysis, natural language processing, language models, risk management, data clustering, …

Eight-Lock Autonomous Dispatch Envelope (Self-Tripping Autonomy Breaker), Gustavo Matthew Assuncao

Defensive Publications Series

Dispatching an autonomous coding subagent against a ticket — letting a large-language-model agent edit a repository, commit, and open a pull request with no human reviewing each action — requires governance that degrades safely rather than failing in either of the two unsafe directions: refusing outright (which stalls delivery) or running unbounded (which burns spend and ships defects). This publication discloses a chained, fail-closed precondition envelope of eight ordered locks evaluated before any run is permitted to touch the repository, together with a post-run settlement step. Three of the locks carry the inventive weight of the composition: (i) a per-principal …

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Catholic Kolping Society New York V. Mugan

All Decisions

In this lease-expiration holdover, the court dismissed the petition upon finding a manifest discrepancy between the theory of rent-regulation exemption alleged in the petition — RSC §2520.11(f) (charitable/educational institution, institutional affiliation) — and the RPL §231-c GCEL notice served with the predicate notice, which claimed a different exemption based on income-restricted housing. Because the two instruments were irreconcilable as to the basis for GCEL exemption, dismissal was required. Landlord's cross-motion to amend was denied for failure to annex a proposed amended petition as required by CPLR §3025(b).

Jerry Painadath V. Good Shepherd Penn Partners

2026 Decisions

USDC for the Eastern District of Pennsylvania