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The Rider (2026-04-20), Daniela Chapa-Reyes

The Rider Archives

Vol. 11, No. 27

Stricturing Diseases Of The Gastrointestinal Tract—Current Clinical Practice, Monjur Ahmed

Division of Gastroenterology and Hepatology Faculty Papers

Gastrointestinal stricture can occur in the esophagus, stomach, small intestine, colon, and anorectum. Most of the strictures are benign. The prevalence of esophageal strictures (ES) secondary to eosinophilic esophagitis has increased. Pyloric stenosis (PS) is rarely seen in clinical practice. Sleeve stenosis (SS) and stomal stenosis or gastrojejunal anastomotic stricture (GJAS) are increasingly seen due to bariatric surgery. Crohn's disease (CD) remains a significant challenge even in the biologic era. The symptomatology of strictures depends on the location, severity, and underlying cause. Imaging studies and endoscopic procedures are the primary investigations to diagnose and evaluate strictures. Various treatment modalities are …

Impact Of Provider Self-Efficacy On Caring For Patients With Prediabetes, David R. Knight

Doctor of Nursing Practice Projects

Prediabetes affects millions of adults in the United States, yet inconsistent provider knowledge and confidence limit evidence-based screening and management in primary care, a gap well-documented in the literature. The purpose of this quality improvement project was to evaluate whether a structured educational intervention improved provider self-efficacy related to prediabetes identification and management. Guided by Social Cognitive Theory and the Transtheoretical Model, with implementation guided by the Plan-Do-Study-Act cycle, this project asked: among family practice providers, how does prediabetes education affect provider self-efficacy over four weeks? A quasi-experimental pre/post design was used. Four asynchronous educational modules focused on evidence-based screening, …

Intouch Week Of April 20, 2026, New York Medical College

InTouch

• Revisiting AIDS, Advocacy, and the Evolution of Medicine
• NYMC Unites for Parkinson's Disease Awareness Month
• NYMC Visits Yale's Cushing Center
• TCDM New Mexico is On-air
• In The Community: Medical Students Serve Their Communities
• In The Community: NYMC Students Provide Screenings at Community Health Fair
• Student Spotlight: Katelyn Lawson, D.P.T. Class of 2026, Shares a Journey Guided by Purpose and Shaped by Mentorship
• Faculty Profile: Shaping Future Clinicians Through Research and Connection

Federal Court Calls Rfk Jr. An ‘Unserious Leader’ And Blocks Anti-Trans Health Policies, Arthur S. Leonard

Other Publications

No abstract provided.

Impact Of Climate Change On Agricultural Production In The North China Plain And Adaption Strategies, Yanjun Shen, Ying Guo, Chuanwei Zhang, Yaning Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

Over the past century, global warming has posed significant challenges to the North China Plain (NCP), a core region for grain production, where resource-induced water scarcity now coincides with complex meteorological disasters. In recent years, the NCP has exhibited new climatic characteristics, notably the transition from a “warm-dry” to a “warm-wet” pattern accompanied by asymmetric warming, leading to an increased frequency of extreme events such as droughts, abrupt dry-flood alternations, and temperature extremes. These shifts pose a grave threat to regional grain stability. Currently, critical gaps remain in the understanding of the underlying disaster mechanisms, as well as in predictive …

Restoring Chevron Deference By Statute, Scott Dodson

Duke Law Journal

This Essay details a solution for legislatively restoring Chevron deference: amend the APA to direct lower federal courts to give deference to reasonable agency decisions but retain nondeferential judicial review by the U.S. Supreme Court. This solution restores most of the practical benefits of Chevron by giving agencies flexibility to implement congressional policy directives with the expertise they have acquired, by maintaining stability in administrative regulation, and by relieving lower federal courts of the burdens of nondeferential review. And retaining nondeferential judicial review in the Supreme Court will preserve the constitutional role of the judicial branch to say what the …

The Missing Link Between Occupational Therapy And Hemodialysis: Program Development And Implementing Intradialytic Ot In A Rural Hospital Setting, Madison Maki

Capstone Projects

Occupational therapy (OT) has demonstrated effectiveness in supporting individuals undergoing hemodialysis, a life‑altering yet lifesaving treatment for end‑stage renal disease (ESRD) and chronic kidney disease (CKD). Despite this, hospitalized patients who require dialysis often receive reduced rehabilitation services due to the time‑intensive nature of dialysis and the productivity demands placed on therapists. Additionally, gaps in therapist knowledge regarding the unique functional deficits and educational needs of this population further limit service delivery.

This doctoral capstone project (DCE), conducted at Upper Peninsula Health System (UPHS), a hospital in rural Northern Michigan, addressed these barriers through the development of a comprehensive resource …

Uptake And Fate Of Silver And Zinc Engineered Nanoparticles In Maize Under Single And Binary Dosing Soil Ecosystems, Lei Xu, Qingbo Yang, Xingmao Ma, Honglan Shi, John Yang, Hu Yang, Samira Mahdi, Ying Wang, Young Shin Jun

Chemistry Faculty Research & Creative Works

Recent agricultural applications of engineered metallic nanoparticles (ENPs) have raised concerns about their uptake and fate in plants. To understand this critical issue, this study investigated the fate and uptake of silver (Ag) and zinc oxide (ZnO) ENPs in maize (Zea mays L.) after single or binary ENP exposure in soil. Results indicated that both Zn and Ag elemental concentrations in roots increased with increasing ENP dosage. Ag NPs in the tissues were detected, but not Zn NPs. Ag NP concentration was 3 times higher in the roots than in the shoots at low Ag NP dosing, while Ag NP …

First, Do No Trend: Aligning Parenteral Lipid Therapy With Physiology And Evidence In Neonates, Parvesh Mohan Garg, Srinivas Bolisetty, Camilia R Martin, Muralidhar H Premkumar

Faculty, Staff and Students Publications

Lipid injectable emulsions (ILE) are essential components of parenteral nutrition in neonatal intensive care units. Over the past two decades, the expanded availability of ILE has led to rapid changes in clinical practice, largely driven by concerns about intestinal failure–associated liver disease. Despite these evolving trends, the evidence supporting one ILE over another remains limited and nuanced. Importantly, no currently available ILE replicates the intrauterine supply of critical long-chain polyunsaturated fatty acids, particularly arachidonic acid and docosahexaenoic acid, both of which decline postnatally regardless of emulsion type. Neonates requiring ILE represent a heterogeneous population of preterm and term infants, with …

Highway 3: Faunal Remains From Byzantine, Byzantine–Early Islamic And Ottoman Contexts, Lee Perry-Gal

Qadum: Journal of Excavation Reports from Israel

A faunal assemblage of 174 identified animal bones was recovered from excavations along Highway 3, mainly from Byzantine and Byzantine–Early Islamic and Ottoman contexts, with a small contribution from Late Roman strata. The remains originate primarily from refuse pits and from industrial-agricultural installations, including reservoirs, ovens and silos. The assemblage was analyzed using a diagnostic zone recording system, standard osteological identification, age-at-death assessment and detailed taphonomic analysis. The Byzantine and Byzantine–Early Islamic assemblages are dominated by caprines, mainly sheep, followed by pigs, equids and cattle, with minor representation of chicken and camel. Caprine mortality profiles indicate mainly mature individuals, suggesting …

Fairhiveframes-1k: A Public Fair Dataset Of 1265 Annotated Hive Frame Images With Preliminary Yolov8 And Yolov11 Baselines, Vladimir Kulyukin, Reagan Hill, Aleksey Kulyukin

Computer Science Faculty and Staff Publications

In precision apiculture, the portable digital camera is a cost-effective sensor for capturing hive images or videos used to quantify different colony variables. Openly accessible, well-annotated, interoperable cell-level image datasets are still the exception rather than the norm. This shortage constitutes a major barrier to AI-driven approaches aimed at automating image-based comb analysis. In this article, we present FAIRHiveFrames-1K, a publicly available dataset of 1265 annotated hive frame images (1920 × 1080 PNG) designed to facilitate research in AI-intensive image-based comb analysis automation. The dataset, derived from a 2013–2022 U.S. Department of Agriculture–Agricultural Research Service multi-sensor research reservoir, includes 124,669 …

From Tradition To Transition: Evaluating Culinary Medicine As A Tool For Metabolic Health Among Nigerian Immigrants In The United States And The United Kingdom, Simi Oduwole M.S.

Department of Nutrition Student Projects

This scoping review examines existing publications to evaluate whether Culinary Medicine can be used as a tool for metabolic health among Nigerian immigrants in the United States and the United Kingdom. Nigeria is one of the fastest-growing populations globally, with increasing migration to high-income countries such as the United States and the United Kingdom. Evidence suggests that Nigerian immigrants experience a rise in diet-related chronic diseases, including obesity, diabetes, and cardiovascular disease, as duration of residence increases. This phenomenon is often attributed to dietary acculturation and shifts toward Westernized eating patterns. This scoping review evaluates whether culinary medicine can mitigate …

Cannibal Ghouls Of Japan: The Representation Of Cannibalism In Contemporary Japanese Manga, Nico Indovina

Research and Creativity Symposium

A noticeable uptick in depictions of cannibalism has appearing in the last few years in Japanese manga. It has appeared across several genres of the medium and has given rise to questions over its inclusion. Previous research connected the inclusion to the Japanese oni, a creature originating in Buddhist art, as early as the 8th century in Japan. This article argues that the connection goes beyond simply the oni and also derives inspiration from real cannibals of the 20th century in Japan and theory on monsters. The visual similarities between the historical representations and those of contemporary Japanese manga …

Development Of Jeungki Media As An Educational Tool For Aud Student Games Based On Aceh Culture To Increase Student Apt

Jurnal Pendidikan Humaniora

This research aims to develop jeungki media as a game educational tool for AUD students to increase student APT at SPS TGK DIKUTA. The development method used is Research and Development (R&D), namely using the ADDIE model to produce certain products and test the effectiveness of these products. This research involved 15 SPS TGK DIKUTA students. The research instruments used were validation questionnaires and observation sheets. Analysis techniques are used to determine the suitability of the jeungki media being assessed. The results of the research show that the jeungki media as a game educational tool for AUD students developed has …

Workplace Relationships, Joe Elabd

LEAP Conference Speaker Slides

No abstract provided.

Organic Synthesis Of A Hydrazine Functionalized Ammonium Compound For Improved Capture Of Aldehyde Metabolites From Exhaled Breath, Po'iu N. Burgo

Undergraduate Theses

Breath analysis has emerged as a non-invasive and inexpensive way to screen for respiratory diseases. This technique involves measuring concentrations of specific metabolites found in exhaled breath that serve as a biomarkers for disease. A subclass of volatile organic compounds called α,β-Unsaturated aldehydes, products of the lipid peroxidation mechanism, are underrepresented as biomarkers of lung cancer. These have been found to have relatively increased concentrations in the exhaled breath of lung cancer patients compared to a healthy patient. One of the reasons that these metabolites have been underreported is that the techniques used to measure and characterized exhaled metabolites do …

Translating Predictive Models Into Clinical Practice: Fast-And-Frugal Trees For Postoperative Delirium Using Routine Data, Odette Wegwarth, Felix Balzer, Sebastian D. Boie, Niklas Gisa, Anika Müller, Jan K. Woike, Claudia D. Spies, Helge Giese

School of Psychology

Postoperative delirium (POD) is a frequent and serious complication associated with increased morbidity and mortality. Although predictive models for POD exist, they are rarely implemented in routine clinical practice, partly due to their complexity and data requirements. Simple and interpretable tools based on routinely available data may improve clinical applicability. In this retrospective cohort study, we evaluated Fast-and-Frugal Trees (FFTrees) for predicting POD using routine electronic health record data from 61,150 surgical patients treated between 2017 and 2020 at a large German university hospital. We assessed the transferability of previously developed FFTrees and compared their performance with logistic regression, classification …

Exploring Occupational Therapy’S Role In Addressing Mental Health Disparities And Emergency Service Utilization Among Homeless Populations: A Comprehensive Review, Megan Darnell

Capstone Projects

Occupational Therapy (OT) is a healthcare profession focused on enabling individuals to engage in meaningful activities and roles through a client-centered approach. This doctoral capstone experience (DCE) was completed in the Emergency Department (ED) at Bronson Methodist Hospital, where individuals experiencing homelessness frequently present with unmet mental health needs. A gap was identified in the accessibility and utilization of community-based mental health and social resources, contributing to repeated ED utilization. The purpose of this DCE was to examine how resource provisions impact the frequency of ED visits and engagement with community mental health services among this population. Objectives include developing …

Evaluating The Feasibility And Preliminary Effectiveness Of A Tailored Diabetes Education Program For Rural Residents, Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby

Journal of Appalachian Health

Introduction: Diabetes is a top ten Rural Healthy People 2030 priority for health improvement among rural Americans. Socioeconomic, environmental, geographic and political barriers contribute to the type 2 diabetes (T2D) prevalence and its disparate impact in rural communities. However, promoting proper self-care behaviors via self-management education can help people with diabetes better manage their condition.

Purpose: To account for the social environmental factors that affect rural residents, a tailored diabetes education program was developed, and the program’s effectiveness in improving diabetes knowledge and T2D-related health outcomes was assessed.

Methods: Using data collected from Appalachian Kentucky residents enrolled in a six-week, …

The Effects Of Hurricane Helene On Mental Health And Physical Activity, Hunter Smathers, Robyn York, Jarrett Walbolt

Journal of Appalachian Health

Introduction: Hurricane Helene brought widespread damage to Southern Appalachia, disrupting utilities, health care, and recreation. While natural disasters are linked to declines in mental and physical health, few studies have examined their effects on distinct types of physical activity (PA).

Purpose: This study evaluated the effects of Hurricane Helene on perceived stress, depressive symptoms, post-traumatic stress disorder (PTSD) symptomology, and intentional (exercise for health benefits) and incidental (physical labor or transportation) PA. Evacuation status influence was also explored.

Methods: Twenty participants completed assessments four weeks before (BASE), immediately after (0POST), and four weeks after landfall (4POST). Measures included the Perceived …

How Do Individual And Environmental Covariates Impact The Immune Response Of Deer Mice In Western Montana, Rachel A. Throckmorton

University of Montana Conference on Undergraduate Research (UMCUR)

Sin Nombre Virus (SNV) is an exceptional model system for studying wildlife disease because of how simple it is to capture, take samples, and obtain disease status from the primary host. Immune response is an important factor to consider when testing for SNV because it can affect susceptibility of the host as well as transmission of the virus. We examined individual and environmental conditions that may influence immune response and therefore possibly SNV transmission in wild populations. We investigated whether SNV infection status, reproductive status, sex, and season influenced immune response through examining total white blood cell (WBC) counts and …

A Preliminary Investigation On The Relationship Between Established Dietary Habits And Willingness To Adopt New Food Groups, Graziella Greco, Rasika Singh, Kristen Berry, Autumn Dye

Research Day

Introduction: Obesity is a nationwide health crisis that predisposes individuals to a host of other diseases including hypertension and diabetes. In Philadelphia alone, approximately 41% of children between the ages of 6-17, and 33% of adults are obese. It has been shown that education on nutrition positively correlates with healthy eating behaviors, which can minimize the chances of obesity developing into its comorbidities. This study aims to see if food demonstrations and healthy recipe samples will lead to patients incorporating new foods into their diets. Adult patients in a combined adult and pediatric primary care office are offered three healthy …

Rehabilitation Of Dipeptidyl-Peptidase-Like Protein 6 (Dppx) Encephalitis: A Case Report, Madison James, Emily Andrews, Mithra Maneyapanda

Research Day

Introduction

A 50 year old man presented to the emergency department after a seizure. He had gastrointestinal upset, cognitive impairments, ataxia, and myoclonus. Workup was normal except for an inflammatory CSF profile. The patient was trialed on carbidopa-levodopa, intravenous methylprednisone, and intravenous immunoglobulins with minimal improvement. Myoclonus was resolved with clonazepam. The patient was discharged with a diagnosis of possible autoimmune encephalitis.

One month later, serum and CSF analysis resulted positive for DPPX antibodies. He was readmitted to the hospital for plasma exchange with minimal neurologic improvement. Subsequent treatment with Rituxan resulted in mild improvement. He was then transferred to …

The Effects Of Spermidine On Trimethylamine N-Oxide And Trimethylamine – Induced Cytotoxicity On H9c2 Cells, Cassidy Childress, Tia Patrick, Samuel Geathers, Robert J. Barsotti, Lindon H. Young, Qian Chen

Research Day

Background: Trimethylamine N-oxide (TMAO) and its precursor trimethylamine (TMA) are metabolites derived from dietary sources such as choline and L-carnitine, commonly found in high-cholesterol foods and seafood. TMAO has been implicated in cardiovascular disease, particularly by promoting atherosclerotic plaque formation and vascular inflammation. However, the precise mechanisms by which TMA and TMAO induce cytotoxicity remain unclear, and further studies are needed. Spermidine, a naturally occurring polyamine present in living tissues, has been shown to exert anti-aging effects by inducing autophagy, reducing chronic inflammation, and preventing cell senescence. We hypothesized that spermidine would attenuate the cytotoxicity induced by TMA and TMAO. …

The Comparative Efficacy Of Mediterranean And Dash Dietary Patterns In Cardiovascular Disease Prevention: The Role Of Intensive Behavioral Counseling, Angel Edwards, Jennifer H. Shaw

Research Day

Background: Cardiovascular disease (CVD) remains the leading cause of global mortality, and poor dietary patterns represent a major modifiable risk factor. The Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets are evidence-based nutritional strategies for cardiovascular risk reduction; however, long-term effectiveness is often limited by suboptimal adherence when interventions rely solely on passive education rather than structured behavioral support.

Objective: To evaluate the comparative efficacy of the Mediterranean and DASH dietary patterns in CVD prevention and to examine the impact of intensive behavioral counseling on adherence and long-term clinical outcomes.

Methods: A structured PubMed search was conducted for English-language, …

Association Between Pm₂.₅ Air Pollution Exposure And County Level Psoriasis Prevalence: A Nationwide Ecological Study, Shihab Chowdhury, Thomas Last

Research Day

Introduction

Psoriasis is a chronic inflammatory skin condition affecting approximately 3% of U.S. adults. While environmental exposures such as fine particulate matter (PM₂.₅) have been implicated in systemic inflammation, their association with psoriasis at the population level remains unclear. This study modeled county level psoriasis prevalence across the United States and evaluated its ecological association with long term PM₂.₅ exposure from 2011 to 2014.

Methods

We used NHANES 2011-2014 data to fit a survey-weighted logistic regression model predicting psoriasis diagnosis based on sex, age group, race/ethnicity, education, and poverty level. These demographic coefficients were applied to U.S. Census-derived county populations …

The Potential Role Of A Western Diet In Inducing Anxiety Disorder Via Inflammation, Erek N. Arsiniega, Kimberly J. Baker

Research Day

Anxiety disorder is a prevalent mental health condition that affects many individuals in American and other Western societies. Despite its high prevalence, the underlying mechanisms contributing to anxiety disorder remain largely not known, and there are research gaps in this area. Notably, there is an increased pattern of anxiety levels among the general population, with college students being particularly susceptible. Concurrently, there is a growing body of evidence looking into the heightened prevalence of chronic inflammation among individuals in the United States. This rise in chronic inflammation can be attributed, in part, to the dietary practices commonly observed in Western …

Glp-1 Agonists And Total Knee Arthroplasty Outcomes: A Systematic Review, Rolanda Willacy, Regan Burgess, Simran Rai, Lucy Fisher, Tegshjargal Baasansukh, Damon Ross, Nia Dudley, Jane Boyle, Marvin Dingle

Research Day

Introduction

Optimizing outcomes in total knee arthroplasty (TKA) is a priority in orthopaedics. Glucagon-like peptide 1 receptor agonists (GLP-1 RA) help control blood sugar in diabetics and promote weight loss in obese patients. Studies show they contribute to decreased complications and improved outcomes after orthopedic surgery, but there are inconsistencies regarding its safety and efficacy. Some studies demonstrate reduced infection, readmission, and wound complications in diabetic patients, while others raise concerns about delayed healing, malnutrition, and increased complication rates among non-diabetics. This review evaluates the association between perioperative GLP-1 RA use and postoperative outcomes in TKA.

Methods

A systematic review …

Menopause And Musculoskeletal Injury Risk: Beyond Estrogen—A Hormone–Tissue–Load Mismatch Model, Mustafa Ansari, Faisal Hussain, Mutasem Shopon, Hanfa Ajmal, Mueez Asif, Sharon David

Research Day

Menopause represents a critical physiologic transition characterized by a significant decline in circulating estrogen levels, which has profound effects on the musculoskeletal system. Estrogen plays an essential role in maintaining bone homeostasis, collagen synthesis, and connective tissue elasticity. As estrogen levels fall during menopause, women experience accelerated bone mineral density loss, alterations in tendon and ligament biomechanics, and an increased susceptibility to musculoskeletal injuries. Despite the growing aging female population, the relationship between hormonal changes, tissue biomechanics, and injury risk remains underrecognized in clinical practice.

This study reviews the current literature examining the physiologic and biomechanical consequences of menopause on …