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Full-Text Articles in Entire DC Network
Leadership To Strengthen Research Culture And Foster Responsible Conduct Of Research: A Case Study, Seán Lacey, Jean Ricken, Stephen Cassidy
Leadership To Strengthen Research Culture And Foster Responsible Conduct Of Research: A Case Study, Seán Lacey, Jean Ricken, Stephen Cassidy
Publications
Objective Research performing organizations (RPOs) are increasingly expected to strengthen research culture and support the responsible conduct of research (RCR). Institutional supports are central to advancing research culture across RPOs. To inform development and evaluation of these supports, surveys were conducted within an RPO.
Method Perceptions of research culture and RCR were examined using surveys conducted in 2022 and 2024. Between surveys, accessible training and supports on good research practices were developed and deployed.
Results Awareness of research impact, authorship, and collegial support remained high (p > 0.05), with significant improvements in access to resources and reporting pathways for inappropriate research …
A Moving Image Of Eternity: Exploring C. S. Lewis's Philosophy Of Time, Brian C. Roden
A Moving Image Of Eternity: Exploring C. S. Lewis's Philosophy Of Time, Brian C. Roden
Sehnsucht: The C. S. Lewis Journal
"The “Time Graph,” as it will be labeled in this essay, is obscurely nestled in C. S. Lewis’s personal manuscripts held in the Bodleian Library at the University of Oxford. Comprised of mathematical sketches and cryptic commentary, the document has apparently escaped formal study regarding why Lewis produced it or how it might relate to his published works. More broadly, does it have any bearing on a coherent philosophy of time that Lewis may have held? The aim of this essay is to demonstrate that the Time Graph is very likely an early draft of the mechanics of time travel …
C. S. Lewis, The Expert Communicator, Steven A. Beebe
C. S. Lewis, The Expert Communicator, Steven A. Beebe
Sehnsucht: The C. S. Lewis Journal
"What evidence supports the claim that Lewis is an expert communicator? He remains a popular author, one of the most read authors of all time. He was a professional communicator; he earned his living communicating: teaching, writing, and speaking. And, as this essay has documented, he was a professor of communication. He made insightful observations about the role, nature, and function of communication throughout the corpus of his work. Although his planned book with J. R. R. Tolkien, “Language and Human Nature,” was never published, his initial ideas found in the draft of the partial opening chapter, coupled with a …
Predictive Single-Tap Task Completion, Marc Stogaitis, Mimi Sun
Predictive Single-Tap Task Completion, Marc Stogaitis, Mimi Sun
Defensive Publications Series
This disclosure describes techniques that enable a computing device (e.g., a smartphone or other mobile computing device) to present a single smart button or predictive UI element that predicts and automatically completes a task on the user's behalf. This prediction may be based on contextual signals the computing device logs over time, such as accessibility events, notifications, location, time of day, and a recognized activity of the user (e.g., walking, driving, or sitting still). Using these signals and a large language model (LLM), the computing device may learn to distinguish discrete, repeatable tasks appropriate for single-tap completion (e.g., opening a …
Ai Optimizes. The Bank Pays The Price -Decision Integrity In Agentic Retail Banking, Deepak Aggarwal
Ai Optimizes. The Bank Pays The Price -Decision Integrity In Agentic Retail Banking, Deepak Aggarwal
Defensive Publications Series
Retail banking has been at the forefront of AI adoption for the past three years or so. The industry is now well-established and is using artificial intelligence (AI) to carry out financial transactions under predetermined guidelines, known as "Agentic Banking."
To accomplish this at scale, banks have now created three essential capabilities for the Agentic Banking model: Rule-Based Cash Sweep Mechanisms, API-Enabled Financial Transparency, and Autonomous Portfolio Rebalancing. Nevertheless, these capabilities raise a significant structural governance concern: What happens if AI is not designed to protect but is given the ability to optimize?
The paper presents the idea of the …
Secure Payment Payload Relay From An Offline Payer Device To A Connected Merchant Terminal, Saicharan Nimmala, Vineeth Kumar, Piyush Ramuka, Sanket Jain, Sailendra Bathi, Vishal Shroff
Secure Payment Payload Relay From An Offline Payer Device To A Connected Merchant Terminal, Saicharan Nimmala, Vineeth Kumar, Piyush Ramuka, Sanket Jain, Sailendra Bathi, Vishal Shroff
Defensive Publications Series
Digital payment transactions fail when a payer's computing device lacks an active internet connection, which can cause transaction failures in areas with poor network coverage. This disclosure describes systems and methods that address this issue by leveraging a merchant's network connectivity. For example, a payer's offline computing device (e.g., a smartphone, smart watch, or wearable device) can generate a multi-layered, cryptographically secure data payload encapsulating transaction and authorization details. This payload can then be transferred locally, such as via a dynamic quick response (QR) code or near-field communication, to a merchant’s terminal with an active internet connection . The merchant's …
Book Review: The History And Politics Of Star Wars: Death Stars And Democracy, Petra Hendrickson
Book Review: The History And Politics Of Star Wars: Death Stars And Democracy, Petra Hendrickson
Dialogue: The Interdisciplinary Journal of Popular Culture and Pedagogy
Book Review: The History and Politics of Star Wars: Death Stars and Democracy
Reconstructing The Enforcement Of The Code Of Ethics For General Elections In Indonesia: A Prophetic Law Perspective, Fradhana Putra Disantara, Ratih Listyana Chandra, Aan Efendi, Iwan Rachmad Soetijono, Souad Ahmed Ezzerouali
Reconstructing The Enforcement Of The Code Of Ethics For General Elections In Indonesia: A Prophetic Law Perspective, Fradhana Putra Disantara, Ratih Listyana Chandra, Aan Efendi, Iwan Rachmad Soetijono, Souad Ahmed Ezzerouali
Padjadjaran Jurnal Ilmu Hukum (Journal of Law)
This research examines the reconstruction of ethical code enforcement for election organizers in Indonesia through the perspective of prophetic law, arguing that ethical adjudication should extend beyond procedural compliance by integrating humanization, liberation, and transcendence as normative foundations of substantive justice. Employing doctrinal legal research, the study uses statutory, conceptual, case, and comparative approaches. It compares Indonesia's regulatory framework with the ethical governance systems of India and the United States to identify institutional models that strengthen integrity while respecting distinct constitutional traditions. The findings demonstrate that ethical adjudication differs fundamentally from administrative law: it governs the forum internum of election …
Effect Of Field Leadership On Achieving Performance Quality Among Specialist Supervisors Of Sport Education, Khlood Hameed Abbas
Effect Of Field Leadership On Achieving Performance Quality Among Specialist Supervisors Of Sport Education, Khlood Hameed Abbas
Modern Sport
This study aims to develop a dedicated questionnaire to measure the effect of field leadership on achieving performance quality among specialist supervisors of sport education in the Directorate General of Education in Baghdad / Al-Karkh/ 2, in sical education teachers (N = 463). The sample was divided into an exploratory sample (n = 48) and a main application sample (n = 415), achieving an actual response rate of 89.3%. A 26-item instrument was developed to assess field leadership dimensions (13 items) and performance quality outcomes (13 items). Statistical analysis processed via SPSS revealed that under Field Leadership, the item concerning …
Magnetohydrodynamic Flow Under Compression And Coupled Heat And Mass Transfer In A Non-Newtonian Nanofluid, El Harfouf Amine
Magnetohydrodynamic Flow Under Compression And Coupled Heat And Mass Transfer In A Non-Newtonian Nanofluid, El Harfouf Amine
Babylonian Journal of Mechanical Engineering
This study focuses on the analysis of the magnetohydrodynamic flow of a Maxwell viscoelastic fluid subjected to compression between two parallel plates in the presence of an external magnetic field. Maxwell fluids, belonging to the category of non-Newtonian fluids, are used in numerous applications, including polymer processing, biomedical systems, and industrial fluid transport devices. The main objective is to evaluate the combined influence of the magnetic field and the plate convergence on the flow dynamics, heat transfer mechanisms, and transport characteristics. The mathematical modeling is based on the Navier-Stokes equations coupled with the constitutive relations describing the rheological behavior of …
Unsex Me Here: Gendered Psychology In Shakespeare's Major Tragedies And Comedy, Md. Abu Bakkar
Unsex Me Here: Gendered Psychology In Shakespeare's Major Tragedies And Comedy, Md. Abu Bakkar
Journal of Language, Literature, and Arts
This study examines how gender shapes psychological experience across five of Shakespeare’s major plays: Macbeth, Hamlet, Othello, King Lear, and Twelfth Night. Existing scholarship treats Shakespeare’s tragic women, tragic men, and comic heroines as separate problems; this article asks whether one framework connects them. Its starting point is the reversal in psychological positions between Macbeth and Lady Macbeth: he resists killing on moral grounds and then grows recklessly violent, while she plans the murder with cold resolve and is later overwhelmed by guilt. The study asks whether this pattern recurs more broadly, and why. Drawing …
Capital Structure, Cost Of Capital, And Voluntary Disclosures, Jeremy Bertomeu, Anne Beyer, Ronald Dye
Capital Structure, Cost Of Capital, And Voluntary Disclosures, Jeremy Bertomeu, Anne Beyer, Ronald Dye
Olin Business School Faculty Research
This paper develops a model of financing that jointly determi nes a firm’s capital structure, its voluntary disclosure policy, and its cost of capital. Investors who receive securities in return for supplying capital sometimes incur losses when they trade their securities with an informed trader. The firm’s disclosure po licy and the structure of its securities determine the information advantage of the i nformed trader, and hence the size of investors’ trading losses and the firm’s cost of ca pital. We establish a hierarchy of optimal securities and disclosu re policies that varies with the volatility of the firm’s cash …
Newborn Screening Reduces Survival Disparities In Scid After Stem Cell Transplant: A Pidtc Report, Lena E Winestone, Brent R Logan, Xuerong Liu, Olatundun Williams, Elizabeth A Dunn, Monica S Thakar, Sharon A Kidd, Talal Mousallem, Morna J Dorsey, Richard J O'Reilly, Neena Kapoor, Lisa Forbes Satter, Malika Kapadia, Soma C Jyonouchi, Sharat Chandra, Christen L Ebens, Deepakbabu Chellapandian, Sonali Chaudhury, Karin Chen, Blachy J Dávila Saldaña, Ahmad Rayes, Troy C Quigg, Shanmuganathan Chandrakasan, Jeffrey J Bednarski, Kenneth B Desantes, Pierre Teira, Alfred P Gillio, Hesham Eissa, Alan P Knutsen, Victor M Aquino, Evan B Shereck, Theodore B Moore, Emi H Caywood, Mark T Vander Lugt, Jacob Rozmus, Larisa Broglie, Lolie C Yu, Ami J Shah, Avni Y Joshi, Rebecca H Buckley, Jasmeen Dara, Joseph H Oved, Hisham Abdel Azim, Caridad A Martinez, Susan Prockop, Kathleen E Sullivan, Jack J Bleesing, Michael D Keller, Lisa M Madden, Suhag Parikh, Shalini Shenoy, Christine M Seroogy, Tamar Rubin, Jennifer Licata, Jeffrey R Andolina, Donald B Kohn, Lauri Burroughs, Jennifer W Leiding, Rebecca A Marsh, Luigi D Notarangelo, Sung-Yun Pai, Troy R Torgerson, Michael A Pulsipher, Jennifer Heimall, Geoffrey D E Cuvelier, Linda M Griffith, Jennifer M Puck, Christopher C Dvorak, Morton J Cowan, Elie Haddad
Newborn Screening Reduces Survival Disparities In Scid After Stem Cell Transplant: A Pidtc Report, Lena E Winestone, Brent R Logan, Xuerong Liu, Olatundun Williams, Elizabeth A Dunn, Monica S Thakar, Sharon A Kidd, Talal Mousallem, Morna J Dorsey, Richard J O'Reilly, Neena Kapoor, Lisa Forbes Satter, Malika Kapadia, Soma C Jyonouchi, Sharat Chandra, Christen L Ebens, Deepakbabu Chellapandian, Sonali Chaudhury, Karin Chen, Blachy J Dávila Saldaña, Ahmad Rayes, Troy C Quigg, Shanmuganathan Chandrakasan, Jeffrey J Bednarski, Kenneth B Desantes, Pierre Teira, Alfred P Gillio, Hesham Eissa, Alan P Knutsen, Victor M Aquino, Evan B Shereck, Theodore B Moore, Emi H Caywood, Mark T Vander Lugt, Jacob Rozmus, Larisa Broglie, Lolie C Yu, Ami J Shah, Avni Y Joshi, Rebecca H Buckley, Jasmeen Dara, Joseph H Oved, Hisham Abdel Azim, Caridad A Martinez, Susan Prockop, Kathleen E Sullivan, Jack J Bleesing, Michael D Keller, Lisa M Madden, Suhag Parikh, Shalini Shenoy, Christine M Seroogy, Tamar Rubin, Jennifer Licata, Jeffrey R Andolina, Donald B Kohn, Lauri Burroughs, Jennifer W Leiding, Rebecca A Marsh, Luigi D Notarangelo, Sung-Yun Pai, Troy R Torgerson, Michael A Pulsipher, Jennifer Heimall, Geoffrey D E Cuvelier, Linda M Griffith, Jennifer M Puck, Christopher C Dvorak, Morton J Cowan, Elie Haddad
Faculty, Staff and Students Publications
Black race and Hispanic ethnicity are associated with higher mortality in severe combined immunodeficiency (SCID) following hematopoietic cell transplantation (HCT), though mechanisms remain unclear. We evaluated 796 children with SCID who received nonsibling HCT between 1982 and 2020 using data from the Primary Immune Deficiency Treatment Consortium. Overall survival for Black (aHR 2.47, 95%CI 1.64, 3.71) and Asian/Pacific Islander patients (aHR 1.82, 95%CI 1.00, 3.30) was significantly lower compared with non-Hispanic White patients, while Hispanic patients had lower event-free survival (aHR 1.83, 95%CI 1.27, 2.63) compared with non-Hispanic White patients. Even after adjusting for age and infection, Black patients with …
Mmu: 09/07/26-09/13/26, Student Bar Association
Mmu: 09/07/26-09/13/26, Student Bar Association
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From Protection To Provision, Not Participation: A Bibliometric Analysis Of Children's Digital Rights Research And Its Implications For Media Literacy Education, Author Information Removed
From Protection To Provision, Not Participation: A Bibliometric Analysis Of Children's Digital Rights Research And Its Implications For Media Literacy Education, Author Information Removed
JMLE Submissions Open for Review
Media literacy education is widely held to have moved from a protective to a participatory paradigm. This study asks whether the children's digital rights literature that informs it has made the same move. Records were retrieved from Web of Science and Scopus (search date 31 August 2026), screened, and deduplicated, yielding 1,012 publications from 1993 to 2026. A dictionary built on the protection–provision–participation framework of the Convention on the Rights of the Child was applied to 4,507 keywords. Protection accounted for 40.4% of classified keywords, provision for 44.4%, and participation for 15.1%. Protection exceeded participation by 2.4 to 3.1 throughout, …
Flipbook-Based Media To Prevent Academic Burnout Among Senior High School Students In Yogyakarta, Puan Maharani Fauza, Eva Imania Eliasa, Kun Widya Nurfiani
Flipbook-Based Media To Prevent Academic Burnout Among Senior High School Students In Yogyakarta, Puan Maharani Fauza, Eva Imania Eliasa, Kun Widya Nurfiani
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
Academic burnout is a pressing issue that negatively affects senior high school students, yet conventional counseling services often rely on monotonous, static media that fail to engage today's digital generation. To address this urgent gap, this research aimed to develop an interactive digital Flipbook as a preventive intervention. The study employed a Research and Development (R&D) method using the ADDIE model, consisting of Analysis, Design, Development, Implementation, and Evaluation stages. Product validation was conducted by media experts and subject-matter experts, while the practicality test involved two Guidance and Counseling teachers. The effectiveness test was carried out through an experimental study …
Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala
Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala
Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan
This paper explores pre-service teachers’ experiences in teaching essay writing to Grade 10 English First Additional Language learners. Despite the significance of essay writing for developing learners' writing skills in multilingual classrooms, writing essays remains a challenge for most English First Additional learners. The extant research has examined the challenges that learners face in essay writing. However, there is limited research examining pre-service teachers’ experiences in teaching essay writing during their teaching practice. This paper employed a qualitative research approach, and data were drawn from 30 pre-service teachers’ reflective journals based on their teaching practice experiences. Cognitive Process Theory was …
Monitoring System In The Georeactor Area During The Underground Coal Gasification Process, Aleksandra Tokarz, Jacek Grabowski, Krzysztof Korczak
Monitoring System In The Georeactor Area During The Underground Coal Gasification Process, Aleksandra Tokarz, Jacek Grabowski, Krzysztof Korczak
Journal of Sustainable Mining
Safety control of the underground coal gasification (UCG) process involves ensuring that the process runs smoothly, monitoring changes occurring on the surface and in the rock mass, and counteracting the negative environmental impact of the process. The article presents the application of a monitoring system implemented in Poland, both in pilot tests conducted in shallow coal seams at the Barbara Experimental Mine and in deep coal seams at the Wieczorek mine, where a full-scale gasification process was tested. The analysis of the monitoring results carried out during the gasification experiment in an operating mine allowed for the identification of key …
Sectoral Structuring And Socio-Economic Context: The Resilience Capacity Of Tourism Businesses In Corsica And The Balearic Islands - A Comparative Analysis, Léa Giudicelli
International Journal of Islands Research
The tourism sector remains intrinsically vulnerable to crises of various kinds, including natural disasters, terrorist attacks, volcanic activity, and pandemics. The unprecedented disruptions caused by the COVID-19 pandemic, which virtually paralysed global tourism for many months, have led to a critical reassessment of tourism specialisation and revitalised debates about the sector’s potential for sustainable transformation (Girard & Schéou, 2020). In this reflective context, the present study aims to analyse the adaptive capacity of tourism enterprises facing structural changes affecting the sector in recent years. Particular attention is paid to the consequences of growing collective awareness around climate change, as well …
More Than A Call: Why The Martha Wright-Reed Act Falls Short In Reforming Prison Communication, Carrington Wilkes
More Than A Call: Why The Martha Wright-Reed Act Falls Short In Reforming Prison Communication, Carrington Wilkes
Georgia Criminal Law Review
In response to widespread criticism of exploitative prison communication costs, Congress enacted the Martha Wright-Reed Just and Reasonable Communications Act of 2022 (the “Act”). This legislation tasked the Federal Communications Commission (“FCC”) with establishing fair rates for phone and video calls made by inmates in jails, prisons, and immigration detention centers. While the Act marks a critical step in reducing financial burdens on incarcerated individuals and their families, it does not cover other widely used communication methods, such as electronic messaging, emails, and tablet-based platforms. These newer services remain largely unregulated, enabling private companies to impose excessive fees due to …
Manipulation Leading To Criminalization: The Need To Expand Georgia’S Survivors First Act, Taylor Hoying
Manipulation Leading To Criminalization: The Need To Expand Georgia’S Survivors First Act, Taylor Hoying
Georgia Criminal Law Review
Nicole was seventeen when she met Juan, and they began a romantic relationship. “He was gorgeous and he had charm. I just wanted someone in my life to show me attention . . . .” He suggested that she start seeing other dates for money and sent her out onto the streets. Seven months later, when Nicole was raped by a john, Juan beat her, pepper-sprayed her, and put her in a cold shower for three and a half hours. If Nicole had been told to see another john the next day and was arrested for prostitution, would the arrest …
Sit, Stay, Overturn: How New Canine Science Is Challenging Courtroom Convictions, Kerolls Gadelrab
Sit, Stay, Overturn: How New Canine Science Is Challenging Courtroom Convictions, Kerolls Gadelrab
Georgia Criminal Law Review
Courts increasingly rely on cadaver dog evidence in criminal trials, treating canine alerts as a reliable form of forensic evidence. This naive acceptance of cadaver dog evidence, coupled with courts’ continued application of out-dated admissibility standards, threatens to perpetuate wrongful convictions in an era of rapidly advancing scientific understanding. This Article argues that courts must develop a new framework for evaluating cadaver dog evidence that incorporates modern scientific research on ca-nine olfaction and scent detection capabilities. While scholars have extensively analyzed various forensic evidence standards post-Daubert, the literature has largely over-looked how recent scientific advances in understanding ca-nine olfaction should …
Expert In The Box: Keeping The Lid On Unchallenged Testimony, Derek L. Busch
Expert In The Box: Keeping The Lid On Unchallenged Testimony, Derek L. Busch
Georgia Criminal Law Review
A juror with specialized knowledge carries the potential to infringe upon the trial rights of the accused, provided to them by the Sixth Amendment and incorporated to the states through the Fourteenth Amendment. These rights include the right to an impartial jury and the right of confrontation, recognized since the founding of the first colonies. When a juror possesses relevant professional expertise or background information regarding evidence adduced at trial, there is a risk in how the juror will use this personal knowledge in deliberations. Particularly, there is a concern the juror will use their knowledge to add information, rather …
Officer-Created Jeopardy In Corrections: Rethinking Use-Of-Force Review After Barnes V. Felix, Dr. Hayden Smith
Officer-Created Jeopardy In Corrections: Rethinking Use-Of-Force Review After Barnes V. Felix, Dr. Hayden Smith
Georgia Criminal Law Review
Courts typically evaluate correctional uses of force by zooming in on the last seconds before impact, asking what an officer reasonably perceived at the “moment of threat.” That frame obscures a basic feature of jail and prison operations: officers’ pre-force tactical choices often create or sharply heighten the risks that force is later used to manage. Building on Barnes v. Felix’s rejection of a rigid moment-of-threat rule and the broader state-created-danger line, this Article argues that officer-created jeopardy should be treated as a central component of constitutional and institutional review in corrections. It shows how Barnes, read alongside DeShaney, Kingsley, …
Deepfakes, Deep Trouble: Navigating Legal Boundaries For Child Pornography Prosecution In The Age Of Ai, Alexandra Hoffman
Deepfakes, Deep Trouble: Navigating Legal Boundaries For Child Pornography Prosecution In The Age Of Ai, Alexandra Hoffman
Georgia Criminal Law Review
This Comment explores the evolving legal landscape of child pornography law as it pertains to “nudify” apps and other AI-generated content. It examines foundational cases in child pornography law that allowed child pornography materials to bypass First Amendment constraints, the “lascivious exhibition” standard, and recent precedents allowing courts to prosecute morphed images. This Comment analyzes the viability of prosecuting “nudify” images, arguing that a holistic approach focusing on the child’s overall harm is the best analytical framework rather than one that solely focuses on the sexual nature of the image. In doing so, it emphasizes that the identifiability of the …
The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad
The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad
Academic Leadership Journal in Student Research
The past few decades of scholarly inquiries on the topic of the hypnagogic state and N1 sleep onset have introduced a new understanding of human general mentation. The underlying phenomenological, psychological, and neurological aspects of the hypnagogic state have been explored in depth by researchers. Hypnagogia and N1 sleep onset have been associated with creativity, spontaneous access to insights, symbolic representation of cognitive processes, and visual and auditory perceptions. The default mode network (DMN) has been largely associated with creativity and spontaneous thinking during N1 sleep onset. This paper reviews the basics of the neurology and phenomenology of N1 and …
Mpox Coinfection With Coxsackie B Virus In A Transgender Host With Well-Controlled Hiv, Ranel Thaker, Ayesha Khan, Tommy Ojukwu Perdomo, Leilah Tisheh,
Mpox Coinfection With Coxsackie B Virus In A Transgender Host With Well-Controlled Hiv, Ranel Thaker, Ayesha Khan, Tommy Ojukwu Perdomo, Leilah Tisheh,
Journal of Community Hospital Internal Medicine Perspectives
Background: Mpox (formerly monkeypox) is a double-stranded DNA virus with increasing global prevalence, particularly among men who have sex with men (MSM) and individuals living with HIV. Co-infections with other viruses such as HSV and Varicella have been reported, but no documented cases with Coxsackievirus exist to date.
Case: We report the first known case of co-infection with Mpox and Coxsackie B virus in a 30-year-old transgender female with well-controlled HIV. The patient presented with a diffuse painful rash, perianal lesions, rectal pain, and constitutional symptoms. Physical examination revealed characteristic vesiculopustular lesions of Mpox, and laboratory testing confirmed …
Acute Liver Injury Likely Induced By Alpha Lipoic Acid Contained In Dietary Supplement, Simona Maksimyan, Jonathan V. Reyes, Kasim Kazbay, Farah K. Gazi
Acute Liver Injury Likely Induced By Alpha Lipoic Acid Contained In Dietary Supplement, Simona Maksimyan, Jonathan V. Reyes, Kasim Kazbay, Farah K. Gazi
Journal of Community Hospital Internal Medicine Perspectives
The rise in use of herbal and dietary supplements, which are regulated as food rather than as drugs by the Food and Drug Association, poses the risk of unknown and potentially severe side effects. We describe the case of acute liver injury, characterized by significant elevation in AST and ALT, likely induced by the consumption of an over-the-counter supplement containing alpha lipoic acid (ALA). Our patient trusted in a “natural” alternative to Western medicine for management of neuropathy, which was ultimately detrimental to her liver. An immediate and sustained improvement in liver enzyme levels was noted with discontinuation of the …
Granulomatosis With Polyangiitis Presenting As Asymmetric Oligoarthritis: A Diagnostic Challenge, Hasan Obeidat, Heba Alalem, Marwan Ahmed, Mahyar Toofantabrizi
Granulomatosis With Polyangiitis Presenting As Asymmetric Oligoarthritis: A Diagnostic Challenge, Hasan Obeidat, Heba Alalem, Marwan Ahmed, Mahyar Toofantabrizi
Journal of Community Hospital Internal Medicine Perspectives
Granulomatosis with polyangiitis (GPA) is an anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis classically involving the respiratory tract and kidneys. Although musculoskeletal symptoms are common, they are rarely the initial or dominant presentation, which may lead to diagnostic delays. We present the case of a man in his 40s who initially presented with acute asymmetric oligoarthritis and constitutional symptoms. Initial evaluation for infectious and crystal-related etiologies was unrevealing. During hospitalization, he developed cutaneous vasculitic lesions, including punctate digital lesions and subungual hemorrhages, prompting further investigation. Imaging revealed bilateral pulmonary nodules, and serologic testing demonstrated markedly elevated PR3-ANCA levels. Lung and skin biopsies …
Gender Differences In Presentation And Outcomes Of Spontaneous Coronary Artery Dissection (Scad): A Single Center Case Series Study, Abdul Nadeem Akhtar, Fnu Aisha, Aimen Binte Moazzam, Mohammad Omer Rehman Rana, Abida Perveen, Jahanzeb Malik
Gender Differences In Presentation And Outcomes Of Spontaneous Coronary Artery Dissection (Scad): A Single Center Case Series Study, Abdul Nadeem Akhtar, Fnu Aisha, Aimen Binte Moazzam, Mohammad Omer Rehman Rana, Abida Perveen, Jahanzeb Malik
Journal of Community Hospital Internal Medicine Perspectives
Background: Spontaneous Coronary Artery Dissection (SCAD) is an important non-atherosclerotic cause of acute coronary syndrome (ACS), predominantly affecting younger females. Despite increasing recognition, data on gender-based differences in SCAD presentation and outcomes remain limited, particularly in South Asian populations.
Methods: This retrospective case series included 24 patients diagnosed with SCAD at Abbas Institute of Medical Sciences (AIMS) between January 2022 and March 2025. Patient demographics, clinical presentation, angiographic findings, management strategies, and outcomes were analyzed with a focus on gender-based differences.
Results: Of the 24 patients, 17 were female (70.8%) and 7 were male (29.2%). Females were younger and had …