Digital Commons Network^™

Pyoderma Gangrenosum As An Initial Presentation Of Rheumatoid Arthritis & Inflammatory Bowel Disease, Julian Reoyo, Jennifer Cucalon, Milton Alexis Torres, Toni Feghali, Francia Guerrero, Joseph Pino, Shahid Sulaiman

West Florida Division GME Research Day 2026

No abstract provided.

From Colonization To Invasion: Risk Factors Of Mrsa Bacteremia Among Hospitalized Patients, Stefan Sarkovich, Spoorthi Lawson, Shaival Thakore, Francia Guerrero

West Florida Division GME Research Day 2026

No abstract provided.

Stewards In The Making: Approaching "Penicillin-Allergies" With Confidence, Trent Percy, Craig Spergel

West Florida Division GME Research Day 2026

No abstract provided.

Case Of Enterococcus Faecalis Infective Endocarditis 6-Weeks Following Post-Partum Hemorrhage, Zohaib Nadeem, Mason Goforth, Yasasvi Sabbineni, Sadia Zahid, Yugandhra Devarapalli, Javed Akram, Veeranna Vibhuti

North Texas GME Research Forum 2026

Peri-partum infective endocarditis (IE) is a rare but serious condition with high maternal and fetal morbidity and mortality. IE is exceedingly uncommon in young healthy patients, especially without any known risk factors such as intravenous (IV) drug use, congenital heart disease, or rheumatic heart disease. IE is estimated to complicate 0.00002% of in-hospital deliveries. Similar to the general population, staphylococcal and streptococcal species remain the most common pathogens in obstetric patients. Enterococcal species make up less than 10% of IE cases in pregnant women. Very few cases of enterococcal IE in the post-partum period are reported in the literature. We …

The Rapid Case Of Anoxic Brain Injury Secondary To Hyperammonemia, Jacqueline Bekhit, Ngoc Vu, Jiaming Xue, Gabriella David, Qasim Sajawal

North Texas GME Research Forum 2026

Background: Acute hyperammonemia presents as a toxic state with the clinical presentation as altered consciousness, seizures, and coma. Hyperammonemia disrupts astrocytes osmotic balance via glutamine accumulation, triggering brain edema, inflammation, and apoptosis whom mechanism is closely parallel to hypoxic ischemic injury. This overlap necessitates differentiating metabolic causes from hypoxic etiologies, as timely ammonia clearance therapies can prevent catastrophic outcomes. This case underscores the need for close clinical vigilance and early recognition of severe hyperammonemia

Case Presentation: A 65-year-old woman with metabolic dysfunction-associated steatotic liver disease related cirrhosis complicated by recurrent ascites requiring bimonthly paracentesis presented with abdominal distension and pain. …

A Rare Case Of Disseminated Strongyloidiasis Causing Polymicrobial Sepsis In A Patient With Lupus: A Diagnostic Conundrum, Greeshma Molugu, Anupama Chennupati, Ayo Dereje, Machaiah Madhrira

North Texas GME Research Forum 2026

Introduction: Disseminated strongyloidiasis is a very rare condition with case-fatality rates approaching 90%. However, the diagnosis is often delayed because of nonspecific presenting symptoms. Early diagnosis relies on a high index of clinical suspicion, especially in immunocompromised hosts. Long-term corticosteroid therapy, leading to some suppression of inflammatory and immunologic responses, is a well-known risk factor for severe strongyloidiasis.

Case presentation: A 52-year-old male with a past medical history of lupus on chronic corticosteroid therapy presented with chief complaints of dyspnea and diarrhea. He has a recent history of travel to Mexico. Hemoglobin was 5.3. CTAP with contrast showed diffuse colitis …

Beyond The Temporal Lobe: Atypical Presentation In Adult Hsv-2 Encephalitis, Analekha Chesnick, Michaela Littlefield, Brock Cardon

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Fournier Gangrene Incidentally Found And Caused By Actinomyces Odontolyticus, A Rare Finding, Munanchu Poudel, Manzoor Bevinal, Brandi Addison

Gulf Coast Division GME Research Day 2026

No abstract provided.

Diagnostic Complexities In Patients Presenting With Peritoneal Tuberculosis: A Case Report, Christina Mie Minami, Bailey Weidner, Tyler Mcvay

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

West Nile Encephalitis Complicated By Urinary Retention, Morgan Reich, Sabra Rahme, Mattie Brand, Jordan Conley

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

The Uncommon Suspect: Cavitary Pulmonary Tuberculosis In A Previously Healthy Adult In Colorado, Nikita Zanko, Cristina Lee, Dmitriy Scherbak

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

The Art Of Crisis Leadership By Exemplary Naval Frontline Leaders, Broadus Brooks

Dissertations

Purpose: This qualitative, multiple-case study held significant importance because it aimed to identify and describe the strategies used by exemplary naval frontline leaders to lead in crisis, particularly during the COVID-19 pandemic. The study focused on the five critical tasks of strategic crisis leadership (sensemaking, decision making/coordination, meaning making, accounting, and learning), providing a unique insight into the experiences of these leaders during a crisis.Methodology: This qualitative, multiple-case study employed interviews to collect data from exemplary naval frontline leaders to identify and describe their leadership strategies during the unprecedented COVID-19 global health crisis.

Findings: Crisis leadership among U.S. naval frontline …

Modeling French Language Preservation: An Optimal Control Problem, Charlotte Blasi

Scripps Senior Theses

The French language is one of the most globally spoken languages, with over 300 million speakers and designated the official language of 29 nations. French continues to prosper as a result of its titular nations' imperialist history that emphasized linguistic diffusion as well as the support of international organizations dedicated to promoting both the language and the culture of French-speaking nations. In this thesis, we explore the nuanced history of French-speaking countries and one institution dedicated  to promoting the French language, the OIF. We further examine the media mechanism of the OIF and construct a system of Ordinary Differential Equations …

Transcriptional Signatures Of Rapid Protection From Sudan Virus Infection By A Single Dose Of A Vesicular Stomatitis Virus-Based Vaccine, Brianna M. Doratt, Sheridan B. Wagner, Delphine C. Malherbe, Gregory T. Smith, Andrea Marzi, Ilhem Messaoudi

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Sudan virus (SUDV) has caused multiple outbreaks of human disease with case fatality rates ranging from 41 to 100%. We have previously shown that a single vaccination with a recombinant vesicular stomatitis virus-based vaccine expressing the SUDV-Gulu glycoprotein (VSV-SUDV) prevented clinical and fatal disease from lethal SUDV challenge in cynomolgus macaques. With the high probability of future outbreaks, it is critical to determine the molecular mechanisms of VSV-SUDV-mediated protection and the ability to impart rapid protection against SUDV infection. In this study, RNA from whole blood samples obtained from nine cynomolgus macaques that were challenged with SUDV-Gulu post-vaccination with either …

Evaluation Of Interventions For Cognitive Symptoms In Long Covid: A Randomized Clinical Trial, David S Knopman, Deborah Koltai, Daniel T Laskowitz, Jacqueline Becker, Leigh Charvet, Juan Wisnivesky, Alex Federman, Adam Silverstein, Yuliya Lokhnygina, Giuseppina Pilloni, Michelle Haddad, Henry Mahncke, Tom Van Vleet, Rong Huang, Wendy Cox, Diana Terry, Jeannie Karwowski, Netia Mccray, Jenny J Lin, Grace A Mccomsey, Upinder Singh, Linda N Geng, Helen Y Chu, Rebecca Reece, James Moy, Zoe Arvanitakis, Sairam Parthasarathy, Thomas F Patterson, Aditi Gupta, Luis Ostrosky-Zeichner, Jeffrey Parsonnet, Elaine T Kiriakopoulos, Tamara G Fong, Janet Mullington, Sarah Jolley, Nirav S Shah, Sarah Shizuko Morimoto, Joyce K Lee-Iannotti, William D S Killgore, Brigid Dwyer, William Stringer, Carmen Isache, Jennifer A Frontera, Jerry A Krishnan, Ashley O'Steen, Melissa James, Barrie L Harper, Kanecia O Zimmerman

Faculty, Staff and Student Publications

Importance: Treatment for cognitive dysfunction due to postacute sequelae of long COVID (ie, symptoms of fatigue, malaise, weakness, confusion that persist beyond 12 weeks after an initial COVID infection) remains a significant unmet need.

Objective: To test evidence-based rehabilitation strategies for improving cognitive symptoms in persons with long COVID.

Design, setting, and participants: This was a 5-arm, multicenter, randomized clinical trial of 3 remotely delivered interventions conducted between August 17, 2023, and June 10, 2024. The study took place at 22 trial sites and included the screening of individuals with cognitive long COVID.

Interventions: Participants were randomized to 1 of …

Toxic Exposure, Judy Ann Clausen

UF Law Faculty Publications

Service members are often exposed to toxins in service. When they file claims for disability compensation, they struggle to link their diseases to toxic exposure while serving. Congress stepped in to ease their burden by creating presumptions, relieving the veterans of the burden of proving a nexus between the exposure and their disease. In 2022, Congress enacted the PACT Act which expanded presumptive service connection for veterans whose service involved exposure to toxic substances. But, for veterans whose conditions do not fall within these presumptions, problems with the Department of Veterans Affairs (“VA”) benefits adjudication system make it difficult to …

Intra-Amniotic Infection (Iai) Prevention, Shelbie Clement, Deanna Conley

Articles, Abstracts, and Reports

No abstract provided.

The Utilization Of Uv-C Devices To Improve Cleaning And Disinfection In The Operating Room For Reduction Of Infection Rates: An Integrative Research Review (Irr), Kathrina Joyce L. Manalo

Covenant Nurses Week 2026

No abstract provided.

Spatial Clustering And Determinants Of Dengue Incidence Among The Young Population Of Northern Thailand During The Covid-19 Pandemic, Sopida Supotina, Kasama Pooseesod, Tassanee Silawan, Nattapong Puttanapong, Sayambhu Saita

NAKHARA (Journal of Environmental Design and Planning)

Dengue infection remains a significant public health concern in Thailand, particularly among young populations. The emergence of COVID-19 introduced additional complexity to disease surveillance and control efforts. This study aimed to determine the spatial clustering and determinants of dengue incidence among individuals under 25 years of age in Northern Thailand during the COVID-19 pandemic. Ecological analysis was conducted across 103 districts in eight northern provinces. District-level dengue incidence rates of individuals under 25 years of age for 2021 were calculated and analyzed using global Moran’s I and local indicators of spatial association (LISA) to detect spatial clustering. Bivariate LISA was …

The Fatality Of Rights-Based Argumentation: Conservative Co-Optation, Liberal Fragmentation, And The Battle For The Narrative, Yesha Shah

University of the District of Columbia Law Review

Rights-based liberal argumentation has become increasingly vulnerable to conservative co-optation. Because rights language is often indeterminate and easily reinterpreted, conservatives can appropriate liberal rhetoric, recast it in service of contrary ends, and redirect attention away from substantive policy consequences. This Article examines that dynamic through case studies on abortion, criminal justice reform, and affirmative action, and argues that liberals should rely more heavily on cost-benefit analysis as a complementary framework for political messaging. More concrete and empirically grounded than abstract rights rhetoric, cost-benefit analysis may be less susceptible to rhetorical hijacking while still supporting progressive policy outcomes.

Utilizing A Suction Catheter As A Makeshift Tracheostomy Tube In A Premature Infant: A Case Report., Ashwini V Bandi, Shaina W Gong, Gabriela G Cruz, Alicia S Lore, Kunal Shetty, Sancak Yuksel

Faculty, Staff and Student Publications

One of the most challenging aspects regarding pediatric tracheostomy tube placement is the size selection, particularly in preterm infants. We present the first reported case of a makeshift tracheostomy tube using a 6-French suction catheter in a 31-week-old premature infant in an emergent situation. This approach holds promise as a potentially life-saving intervention for extremely small preterm infants. Furthermore, this case emphasizes the size discrepancy between the premature neonatal airway and the smallest tracheostomy tubes available. Further research is warranted to allow for more diverse clinical solutions that can accommodate similar cases in acute settings.

Racial And Ethnic Disparities In Clinical Characteristics And Outcomes In Adults With Encephalitis: A Retrospective Study, Sienna Wu, Rodrigo Hasbun, Ralph Habis, Jordan Benderoth, Ivany Patel, Ashutosh Gupta, Megan Goyal, Arun Venkatesan, John C Probasco, Paris Bean, Ashley Heck, Laya Rao, Rajesh K Gupta

Faculty, Staff and Student Publications

Background and objectives: This study aims to assess whether adult patients with encephalitis from different racial and ethnic backgrounds exhibit significant differences in clinical presentation, diagnostic findings, and outcomes.

Design and methods: A retrospective cohort study was conducted by utilizing the electronic health records of encephalitis patients in the greater Houston and Baltimore areas. Patients were categorized by race/ethnicity into White or ethnic minority (including Black, Hispanic, and Asian patients). Data was analyzed for the presence of significant differences in clinical characteristics between the two groups.

Results: Among 599 patients, 312 (52.1%) were White and 287 (47.9%) were of an …

The Effects Of Micro- And Nanoplastics On Human Monocytes, Caitlin G. Valerian

Honors Theses and Capstones

No abstract provided.

Exploring Biopsychosocial Influences On Hookup Culture And Disrupting Compulsory Behaviors In Emerging Adults: A Multidisciplinary Analysis Of A Contemporary Public Health Concern, Catherine Benjamin

Honors Theses and Capstones

Multidisciplinary analysis, including biology, psychology, and sociology, to better understand the compulsory Hookup Culture that exists as a contemporary public health concern among the age group defined as emerging adults. Sexually Transmitted Infections (STIs) diagnoses are steadily rising in the United States and disproportionately affecting college students. Early socialization and current educational resources that contribute to shame and stigma are discussed to explain how lifestyle and social conditions can act as risk factors for individual health outcomes.

Surveillance Of A Novel Vesivirus Discovered In An Urban Mephitis Mephitis Population, Amanda E. Diggins

Honors Theses and Capstones

Caliciviridae is a family of non-enveloped, positive-sense, single stranded RNA viruses, including eleven defined genera that contain important pathogens of humans and animals. Within the Caliciviridae family, the genus Vesiviridae includes feline calicivirus, a leading cause of upper respiratory disease in cats, and vesicular exanthema of swine virus, a historical disease of domestic swine that has now been implicated in several marine mammal vesicular diseases, one of which has been confirmed zoonotic. Urban landscapes create a unique environment for rapid intra- and interspecies transmission of viruses. Clustered resources attract high-density populations of synanthropic wildlife species, increasing spatial overlap and heightening …

Metabarcoding Ixodes Scapularis To Characterize Feeding Behavior In Comparison To Pathogen Carriage And Geospatial Distribution, Adrianna Kate George

Honors Theses and Capstones

No abstract provided.

Design Of An Economic Order Quantity–Based Dashboard For Vaccine Packaging Inventory Management, Hadi Susanto, Susmitha Canny, Alexandra Elizabeth Callistha, Shakira Dwi Purwandari, Naila Davina Aurelia

ASEAN Journal on Science and Technology for Development

Background: Timely availability of vaccine packaging is critical to pharmaceutical supply chain reliability, as packaging materials play a key role in maintaining cold chain integrity during distribution. Inadequate availability of packaging materials can disrupt vaccine delivery even when finished vaccines are ready for shipment. The case company faces frequent delivery delays, insufficient safety stock, and irregular replenishment of vaccine packaging materials, which have jeopardized the organization’s target of achieving a 90% on-time delivery rate.

Objective: To design and evaluate an Economic Order Quantity (EOQ)–based inventory dashboard for vaccine packaging that standardizes ordering decisions and strengthens stock visibility in pharmaceutical distribution …

Guidelines For Standard Basic Notations In Applied Statistics, Abhaya Indrayan, Shivani Saini Ms

COBRA Preprint Series

Whereas some statistical notations are standard and uniformly used by different workers, many are not. Varying notations lead to confusion among the readers, particularly those engaged with applied statistics material, such as medical professionals. This communication proposes that all basic notations be standardized so that the same notations are consistently used by different authors, in different books, journals, and articles for the benefit of those who are not rigorously trained statisticians. Guidelines for such standard notations are also provided. The lead must be taken by statisticians.

Early-Life Stress And Skeletal Proportions In Egyptian Juveniles: A Comparative Analysis Of Upper And Lower Limb Growth, Bonnie Radican

High Impact Practices Student Showcase Spring 2026

Childhood skeletal growth is sensitive to environmental stress, and different limb segments may respond to developmental disruption unequally. This study explained whether lower limb bones showed greater growth deficits than upper limb bones in juvenile skeletal remains from the Kellis 2 cemetery at the Dakhleh Oasis, Egypt, a Roman period site (approximately AD 50-450) where nutritional stress and disease have been previously documented. The delta 1mean method developed by Goode et al., (1993) was applied to six long bones – humerus, radius, ulna, femur, tibia, and fibula – in a combines sample of 98 individuals drawn from original measurements and …

The Open Secret: Drugs And Fishing In Georgia, Makala L. Collins

Honors College Theses

Substance use and overdose deaths have been disproportionally disrupting families and communities in rural America. Increasing rates of drug use in these areas can be traced to the outsourcing of blue-collar work to outside of the United States, which economically restructured these areas by decreasing the profitability of generational industries. This is the story playing out in Georgia’s commercial shrimping industry and the communities it used to support. This research uses qualitative data collected over the past ten years to understand the perceptions and impacts of drug use on Georgia’s shrimping community. Using a lens of critical medical anthropology, environmental …