Digital Commons Network^™

Regorafenib Pulmonary Toxicity: A Case Of Cavitary Lung Disease And Ards Treated With Infliximab, Michael Dong, Mackenzie Kramer, Tanmay Gandhi, Gautam George

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

Regorafenib-induced pneumonitis and acute respiratory distress syndrome (ARDS) are rare and poorly characterized toxicities. We describe a 43-year-old male with metastatic colorectal cancer who developed hypoxic respiratory failure after two cycles of regorafenib. Imaging revealed cavitary lung lesions and diffuse ground glass opacities. Despite antibiotics and high-dose corticosteroids, his condition deteriorated, requiring ICU admission and mechanical ventilation. Bronchoalveolar lavage revealed bacterial pathogens, and he was treated for pneumonia. After multidisciplinary discussion, he was assessed to have regorafenib-induced pneumonitis as a major driver of his respiratory failure, and after limited steroid response, infliximab was administered with marked respiratory improvement. However, he …

Association Between Diabetes Mellitus, Hypertension, Obesity, And Diagnosis Of Covid-19 In Puerto Rico, Julian Rene Rivera Rodriguez

Walden Dissertations and Doctoral Studies

The population of Puerto Rico has been heavily affected by chronic diseases; however, data remains limited on the influence of diabetes mellitus (DM), hypertension, and obesity on the probability of COVID-19 diagnosis. The purpose of this quantitative study was to evaluate the association between non-communicable diseases that included DM, obesity, hypertension, and COVID-19 diagnosis, controlling for age and sex and person exposure in Puerto Rico. The sample consisted of 1,463 participants who underwent a polymerase chain reaction (PCR) test for COVID-19 from April 1, 2020, to March 31, 2021. Results from adjusted multivariable logistic regression analyses established that obesity OR …

Economic Factors Influencing Utilization Of World Health Organisation-Recommended Anc Visits Among Women In Jordan: An Analysis Of Jordan Population And Family Health Survey 2023, Lilian Nuwabaine, Joseph Kawuki, John Baptist Asiimwe, Benjamin Betunga, Mathius Amperiize, Angella Namulema, Imelda Namatovu, Shamim Nabidda, Patience Annet Nakalega, Quraish Sserwanja

School of Nursing & Midwifery, East Africa

Background: Antenatal care (ANC) is crucial for reducing maternal and neonatal mortality by identifying and managing complications early during pregnancy. In 2016, the World Health Organization (WHO) updated its guidelines, recommending a minimum of eight ANC visits to improve maternal health outcomes. Despite Jordan’s efforts to enhance maternal healthcare, disparities in ANC utilization persist, particularly among vulnerable populations such as refugees. This study aimed to assess the economic factors influencing utilization of the WHO-recommended eight ANC visits among women in Jordan.

Methods: The study used data from the 2023 Jordan Population and Family Health Survey (JPFHS). A two-stage sampling technique …

Barriers To Online Education: A Qualitative Study Of First-Generation Online Community College Students And The Barriers They Face, Caleb D. Leal

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the barriers that first-generation community college students face when enrolling in online courses. The theory guiding this study is Bourdieu’s capital theory, which details possible barriers students may face when enrolling in online courses. The barriers associated with Bourdieu’s capital theory include economic, cultural, social, and technical. The method employed in this research is a qualitative phenomenological approach, focusing on the lived experiences of first-generation community college students enrolled in online courses. Using a hermeneutical approach, the research was focused on the stories and lived experiences of each participant. The study …

Bacterial Identification, Antibiotic Susceptibility Testing (Ast), And Epstein-Barr Virus (Ebv) Testing To Increase Organ Transplantation Within A Western Regional Community, Vedarrius D. Williams

Doctoral Dissertations and Projects

Clinical transplantation demands have increased immensely in recent years and, along with increasing supply shortages, many barriers to successful organ donation arise from a lack of dedicated testing to rule out microbial or bloodborne infections. There are currently minimal, federal regulatory requirements for transplantation specimen testing. The purpose of this study is to explore how to increase the viability and success of transplantations in the Western regions of the United States using kidney, pancreas, and kidney/pancreas transplant data from University Medical Center Southern Nevada (UMCSN) transplant center. UMCSN transplant center and Donor Services Laboratory (DSL) in Las Vegas perform bacterial …

Exploring The Influence Of Servant Leadership Style On Staff Retention In The Early Childhood Education Industry: A Transcendental Phenomenology, Stacey Andrews Pipkins

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to discover whether the servant leadership style, which emphasizes supporting the needs of followers, could enhance the support of early childhood education (ECE) teachers and raise retention rates in the central Arkansas area. The theory guiding this study was Robert Greenleaf’s servant leadership theory, as it is best known for supporting the needs of followers. A review of relevant literature has found that ECE teachers are leaving the industry due to heavy workloads and a lack of support from leadership. The aim of this study was to investigate how the leadership style …

Preparing Rural Physiotherapists : Addressing Climate Change Through Entry-Level Education, Kerstin Mcpherson, Christopher Myers

Internet Journal of Allied Health Sciences and Practice

Introduction: Climate change is set to profoundly impact community health and access to healthcare, particularly in rural areas of Australia, which already experience limited access to health services like physiotherapy. The implications of climate change on physiotherapy practice underlie the urgent need to prepare future health practitioners. Entry-level education plays a pivotal role in equipping physiotherapists with the knowledge and skills to address climate-related health challenges effectively. This study aimed to explore the perspectives, awareness, and educational needs of rural physiotherapists in Australia regarding climate change. Methods: A survey was designed and distributed via rural physiotherapist via social media using …

Letting Government Breathe: How Zoning Deregulation Provides A Workable Solution To Homelessness, Nicholas G. Glover, Esq.

Fordham Urban Law Journal Online

No abstract provided.

Sociology Between The Gaps Volume 10 (2025)

Sociology Between the Gaps: Forgotten and Neglected Topics

No abstract provided.

Large Language Models As Information Providers For Appropriate Antimicrobial Use: Computational Text Analysis And Expert-Rated Comparison Of Chatgpt, Claude And Gemini, Marcello Di Pumpo, Maria Rosaria Gualano, Danilo Buonsenso, Francesca Raffaelli, Daniele Donà, Vittorio Maio, Patrizia Laurenti, Walter Ricciardi, Leonardo Villani

College of Population Health Faculty Papers

OBJECTIVES: Antimicrobial resistance is a critical public health threat. Large language models (LLMs) show great capability for providing health information. This study evaluates the effectiveness of LLMs in providing information on antibiotic use and infection management.

METHODS: Using a mixed-method approach, responses to healthcare expert-designed scenarios from ChatGPT 3.5, ChatGPT 4.0, Claude 2.0 and Gemini 1.0, in both Italian and English, were analysed. Computational text analysis assessed readability, lexical diversity and sentiment, while content quality was assessed by three experts via DISCERN tool.

RESULTS: 16 scenarios were developed. A total of 101 outputs and 5454 Likert-scale (1-5) scores were obtained …

Vaccine Effectiveness Against Influenza A(H1n1), A(H3n2), And B-Associated Hospitalizations, United States, 1 September 2023 To 31 May 2024, Nathaniel M Lewis, Jennie H Kwon, Et Al.

2020-Current year OA Pubs

BACKGROUND: The 2023-2024 influenza season included sustained elevated activity from December 2023 to February 2024 and continued activity through May 2024. Influenza A(H1N1), A(H3N2), and B viruses circulated during the season.

METHODS: During 1 September 2023 to 31 May 2024, a multistate sentinel surveillance network of 24 medical centers in 20 US states enrolled adults aged ≥18 years hospitalized with acute respiratory illness. Consistent with a test-negative design, cases tested positive for influenza viruses by molecular or antigen test, and controls tested negative for influenza viruses and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Vaccine effectiveness (VE) against influenza-associated hospitalization …

Alterations Of The Upper Respiratory Microbiome Among Children Living With Hiv Infection In Botswana, Sweta M Patel, John Farirai, Mohamed Z Patel, Sifelane Boiditswe, Leabaneng Tawe, Shimane Lekalake, Mogomotsi Matshaba, Andrew P Steenhoff, Tonya Arscott-Mills, Kristen A Feemster, Samir S Shah, Nathan Thielman, Coleen K Cunningham, Lawrence A David, David M Murdoch, Matthew S Kelly

Faculty, Staff and Students Publications

Children living with HIV (CLWH) are at high risk of colonization and infection by respiratory pathogens, though this risk can be reduced by other microbes in the upper respiratory microbiome. The impact of HIV infection on the pediatric upper respiratory microbiome is poorly understood, and we sought to address this knowledge gap by identifying associations between HIV infection and the nasopharyngeal microbiomes of Batswana children. We enrolled Batswana CLWH (< 5 years) and age- and sex-matched HIV-exposed, uninfected and HIV-unexposed, uninfected children in a cross-sectional study. We used shotgun metagenomic sequencing to compare nasopharyngeal microbiomes by HIV status. Among the 143 children in this study, HIV and HIV-associated immunosuppression were associated with alterations in nasopharyngeal microbiome composition, including lower abundances of Corynebacterium species associated with resistance to bacterial pathogen colonization. These findings suggest that the upper respiratory microbiome may contribute to the high risk of respiratory infections among CLWH.

Percutaneous Thromboaspiration Of Left Main Coronary Artery Vegetation In A Patient With Aortic Valve Infective Endocarditis And Acute Coronary Syndrome, Matthew B Morton, Jeremy Russo, Malanka Lankaputhra, Christopher Merry, Dion Stub

Journal of the Saudi Heart Association

Acute myocardial infarction from a vegetation is a rare complication of infective endocarditis. Thrombolysis, percutaneous coronary intervention with balloon angioplasty, stenting, and thromboaspiration, and surgery have all been described in this challenging clinical scenario. A woman with staphylococcal bioprosthetic aortic valve infective endocarditis developed acute myocardial infarction due to a vegetation invading the left main coronary artery, which was successfully managed with percutaneous thromboaspiration.

J Am Coll Dent 2021 88 1

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Investigating Patient Non-Attendance To Healthcare Appointments In Türkiye: Data From A State Hospital And An Oral And Dental Health Center, Eyüp Sari, Ali̇ Ni̇yazi̇ Kurtcebe, Ci̇han Döğer, Recep Aydin

Turkish Journal of Medical Sciences

Background/aim: To determine the frequency and reasons for appointment nonattendance in a state hospital and a dental health center in a densely populated district of Türkiye, and to identify related factors to guide preventive measures.

Materials and methods: This retrospective cross-sectional study included patients who scheduled appointments at Ankara Etimesgut State Hospital and Etimesgut Oral and Dental Health Center through the Centralized Patient Appointment System (Merkezi Hekim Randevu Sistemi; MHRS) in February 2024. Nonattendees were contacted in March 2024 to determine reasons for nonattendance.

Results: A total of 30,552 appointments were analyzed (1978 dental, 28,574 hospital). The overall nonattendance rate …

Fear Of Covid-19 And Hygiene Behaviors: A Study Of Secondary School Students In İstanbul ​, Zozan Göksu, Hayri̇ye Kirkoyun Uysal, Mehmet Demi̇rci̇, Di̇lek Dülger, Seda Eki̇ci̇

Turkish Journal of Medical Sciences

Background/aim: This study investigates the relationship between fear of COVID-19, measured using the Fear of COVID-19 Scale (FCV-19S), and the hygiene behaviors of secondary school students, assessed with the Hygiene Behavior Scale (HBS).

Materials and methods: Included in this cross-sectional study were 206 secondary school students. The study data were analyzed using multivariate linear regression.

Results: No relationship was found between the fear of COVID-19 scale (FCV-19S) score of the student sample and the mean total HBS and subdimension values (p > 0.05). It was noted that positive hygiene behaviors decreased as the scale score increased. Students with retired mothers scored …

Impact Of Systemic Statins On Periodontal Health: A Retrospective Study In A Lebanese Population, Elsa Boustany, Georgio Saad, Wassim Al Manhal

International Arab Journal of Dentistry

Introduction: Statins, primarily used for cholesterol management, have shown potential in improving periodontal health due to their anti-inflammatory and bone-regenerative properties.

Methods: A retrospective study was conducted on 30 patients under statin medication. A control group of 30 non-statin users was selected using propensity score matching (PSM) to minimize bias. Data on pocket depth, attachment loss, and radiographic bone loss were collected at two time points: T0 and T1. Statistical analysis was performed using RStudio, with a significance threshold set at p < 0.05.

Results: The study revealed significant decrease in pocket depth (p = 0.0027), attachment loss (p …

Candida Auris Screening, Positivity Trends, And Patient Characteristics At The University Of Kentucky Between 2021 And 2024, Faith Fursman, Natalie Fitzsimmons, Da Nelle Overton, Court Desmond, Kimberly Blanton, Kevin W. Hatton, Rachel Howard, David Olafsson, Sean Mctigue, Nicholas Van Sickels, Derek Forster, Takaaki Kobayashi

Surgery Faculty Publications

We evaluated a targeted Candida auris screening program, which revealed a 0.96% positivity rate. The proportion of community-onset cases increased from 8% to 54% following implementation. No significant differences in demographic or clinical characteristics were observed between patients with colonization and those with infection.

Optimal Antibiotic Use In The Intensive Care Unit, Scott T Micek, M Cristina Vazquez Guillamet, Daniel Reynolds, Sarah Matuszak, Lauren Kolodziej, Marin H Kollef

2020-Current year OA Pubs

BACKGROUND: Antibiotic resistance has emerged as one of the most important factors influencing the outcomes of patients with life-threatening infections in the ICU. The increasing prevalence of antibiotic-resistant infections globally highlights the importance of this issue for all intensivists.

MAIN BODY: Antibiotic utilization in the ICU should be optimized to ensure that timely appropriate treatment is administered in a way that minimizes the subsequent emergence of antibiotic resistance. Antibiotic strategies have been developed to assist clinicians in achieving this important balance. Familiarity with local ICU pathogens and their antibiotic susceptibilities is at the forefront of optimizing ICU antibiotic practices. Moreover, …

Incorporating An Innovative Kennel In A Guide Dog Program Based On The Health And Welfare Of Dogs And Humans, Naoko Koda, Miwa Murata, Sakura Mizuta

People and Animals: The International Journal of Research and Practice

During guide dog training, dogs live in kennels and lack house training. The demand for guide dogs that can live easily with their users who are visually impaired is increasing. The Kansai Guide Dogs for the Blind Association (KGBDA) in Japan built an innovative wooden kennel (Mokka Terrace) that is more similar to homes than general kennels and that efficiently controlled dogs and reviewed their operations. This study conducted a literature survey, participant observations, and semi-structured interviews with staff to clarify the background and consensus-building process involved in creating the Mokka Terrace, corresponding efforts, and its strengths, issues, and prospects. …

J Am Coll Dent 2018 85 1

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

The Daily Gamecock: October 2025, University Of South Carolina, Office Of Student Media

2025

No abstract provided.

Learning From Covid-19: Clinical Trials, Health Information Technology, And Patient Mortality, Christos Nicolaides, Avinash Collis, Seth Benzell, Indranil Bardhan

Economics Faculty Articles and Research

During the COVID-19 pandemic, deaths per case in the United States decreased from 7.46% in April 2020 to 1.76% in April 2021. One mechanism that could explain this decline is a learning effect associated with testing of new treatments by hospitals. Hospitals that participated in clinical trials developed better organizational capabilities to diagnose and treat COVID-19 patients. Simultaneously, hospitals used health information technologies (IT) that integrated health information across healthcare providers to facilitate greater learning and sharing of best practices. Using US county-level data on clinical trial participation, use of health IT, and COVID-19 cases and deaths, we show that …

A Farmer's Guide To Egg Quality, Safety, And Flock Health, Joseph Okoh, Essence Perry

All Current Publications

Eggs are a valuable source of nutrition and income for many backyard and smallholder farmers. To ensure a steady supply of high-quality eggs, it's essential to understand the key factors that influence hens’ health and productivity. From proper nutrition to effective lighting and disease prevention, each decision you make affects your flock’s performance. This guide offers practical advice to help you raise resilient, high-laying hens and build a successful small-scale egg production system, no matter your level of experience.

Urine Cmv Pcr Positivity And Wheezing In Children Under Two Years Old: Implications For Management And Public Health, Jing Wang, Zhaocheng Zeng, Dushuang Zuo, Xiaoyan Zhang, Zehong Su

Journal of Pediatric Infectious Diseases

Objective: Wheezing in infants and toddlers poses a challenge to clinical management due to its multifaceted etiology, including viral infections. Cytomegalovirus (CMV) infection has been implicated in respiratory conditions, mostly in immunocompromised individuals, but its potential role in wheezing in young children remains understudied. Methods: A total of 82 children under two years of age with wheezing were enrolled in this study, including 61 infants (<12 months) and 21 toddlers (12 to 24 months). Children were categorized into CMV-positive (n=49) and CMV-negative (n=33) groups based on urine PCR tests. Hematological profiles were examined on admission in all children. For CMV positive children, additional hematological evaluations were conducted at 2 weeks and 4 weeks following initiation of antiviral therapy. These children received a ganciclovir regimen (Induction: 5 mg/kg IV, q12h for 2 weeks; Maintenance: 5mg/kg IV q24h, 24 weeks). Results: On admission, CMV-positive children had significantly higher white blood cell (WBC) counts (12.16 vs. 8.39 ×109/L, P=0.004), leukocyte counts (6.92 vs. 4.49 ×109/L, P=0.010), and platelet counts (341.02 vs. 258.27 ×109/L, P=0.002) compared to CMV-negative children. During ganciclovir treatment, the elevated WBC, leukocyte, and platelet levels in CMV-positive children showed significant reductions by the second week, with further notable decreases by the fourth week (P<0.05). Notably, wheezing symptoms in CMV-positive children significantly improved after ganciclovir treatment, with subsequent negative CMV test results, indicating a favorable clinical response to antiviral therapy. Conclusion: Considering the multifaceted etiology of wheezing in children under two years of age, this study suggests that CMV infection may be one of the potential causes of wheezing symptoms. These findings highlight the importance of including CMV testing as part of the diagnostic evaluation for wheezing in this population to ensure more comprehensive management.

Risk Factors For The Development Of Bronchiolitis Obliterans Following Adenovirus Infection In Children And Its Association With The Covid-19 Pandemic: Five Years Of Data From A Single Center, Fatih Ercan, Sevgi Pekcan, Nefise B. Ercan, Abdullah Akkuş, Hanife T. Çağlar, Ahmet Çağlar, Gökçen Ünal, Aslı İ. Yılmaz, Suat Savaş, Fatma N. Ayman, Özge M. Akcan, Mehmet Özdemir, Mustafa Genceli, Bahar E. Tokdemir, Ahsen N. Saylık, Sinan Saylık

Journal of Pediatric Infectious Diseases

Objective: Post-infectious bronchiolitis obliterans (PIBO) is a common form of bronchiolitis obliterans in children. It can arise from various respiratory tract infections, including adenovirus. This study aimed to identify risk factors for the development of PIBO in pediatric patients following confirmed adenovirus infection. In addition, to review if the COVID-19 pandemic altered the frequency this occurred. Methods: This retrospective study included 516 pediatric patients (age 0-17 years) with confirmed adenovirus infection, who subsequently developed PIBO. For each patient demographic data, clinical characteristics (including oxygen supplementation, mechanical ventilation, ICU admission, duration of hospitalization), laboratory parameters (complete blood count, erythrocyte sedimentation rate, …

Clinical Characteristics And Antimicrobial Resistance Trends In Neonatal Urinary Tract Infections: A Four-Year Retrospective Analysis And Clinical Implications, Bo Jiang, Xiuyi Gao

Journal of Pediatric Infectious Diseases

Objective: To investigate the clinical characteristics, pathogen distribution, and antibiotic resistance trends of neonatal urinary tract infections (UTIs), providing a basis for clinical diagnosis and treatment. Methods: A retrospective analysis was conducted on the clinical data of 82 neonates diagnosed with UTI in the NICU, including clinical manifestations, laboratory findings, and pathogen distribution. Results: Among 82 neonates with UTI, 59 were male and 23 were female, yielding a male-to-female ratio of 2.57:1. Of these, 9 were early neonatal infections and 73 were late neonatal infections; 65 were full-term and 17 were preterm. The main clinical manifestations included fever (52 cases), …

The Effects Of Non-Pharmacological Interventions During The Covid-19 Pandemic On Viral Respiratory Infections In Neonates During And Just After The Pandemic Era, Sevde N. Menemen, Ümit A. Tandırcıoğlu, Ayşegül Tuna, Serdar Alan

Journal of Pediatric Infectious Diseases

Objective: During the coronavirus disease 2019 (COVID-19) pandemic, these globally implemented nonpharmacological interventions (NPIs) have altered the circulation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as well as other respiratory viruses in the community. To evaluate the impact of NPIs on the incidence and severity of viral respiratory tract infection (RTI) in newborns during and after the COVID-19 pandemic. Methods: The study was performed as a retrospective design between 2020-2023. Newborns with signs of upper or lower RTI who had undergone real-time polymerase chain reaction (RT-PCR) testing were included. The study was divided into 3 periods by considering the …

Entecavir Long-Term Treatment In Nucleoside/Nucleotide-Naïve Young Children With Perinatally-Acquired Hbeag-Positive Chronic Hepatitis: A Single Center Study, Hanan Fouad, Magda Sabry, Hany Abd Elaziz, Mohamed Rabea, Shaimaa El Abrak

Journal of Pediatric Infectious Diseases

Objective: We aimed to estimate Entecavir's long-term on-treatment safety and efficacy in young children with HBeAg-positive chronic hepatitis, who acquired perinatally Methods: This is an observational study of 14 nucleoside/nucleotide-naïve children with HBeAg-positive chronic hepatitis who were candidates for Entecavir. Treatment eligibility included persistent elevation of alanine aminotransferase (ALT) for at least 6 months, high HBV viremia, and moderate to severe hepatic inflammation and/or fibrosis. Results: Participants received Entecavir for up to 5 years (2-5). Their ages at baseline were 5.1 ± 1.6 years (range, 3-8), and they had an equal gender distribution. None had coinfection with hepatitis C or …

Shortened Treatment Regimens In Paediatric Tuberculosis: Results From The First Uk Survey Of Clinical Practice, Ezgi Seager, Carrie Gillespie, Steven Welch, Jonathan Cohen, Anna Turkova, Laura F. Antolin

Journal of Pediatric Infectious Diseases

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