Digital Commons Network^™

The Hospitalist Support Team: The Foundation For Supporting A Seven-Specialty Hospitalist Group, Michael S. Wang, Austin Tiesenga, Tho Nguyen, William Schreiner, Gwendolyn Brainard, Samantha Labay

Journal of Community Hospital Internal Medicine Perspectives

Hospitalist medicine has grown considerably over the last 30 years. What began as internal medicine physicians filling the role of primary care physicians for their hospitalized patients has expanded to other specialties. This growth has created a need for both administrative and clinical support for these hospitalist specialties. To meet the needs of the adult Internal medicine-based group, a small community hospital created an administrative structure in order to facilitate clinical and administrative needs. As the administrative group began providing support to other specialties, this led to integration within the group. The program has grown to seven specialties and 56 …

Thoracentesis-Related Complications: A Comparison Between Vacuum-Assisted And Manual Aspiration Methods, Nikith Rao, Muhammad S. Naseer, Farrin A. Manian, Woo J. Moon

Journal of Community Hospital Internal Medicine Perspectives

Thoracentesis is a commonly performed bedside procedure for diagnostic evaluation or symptomatic relief of pleural effusions. Although generally considered low risk, prior studies comparing complication rates between aspiration methods, particularly manual and vacuum-assisted aspiration, have reported mixed results. We therefore compared complication rates between these two methods among patients undergoing ultrasound-guided thoracentesis by a hospitalist-led procedure service at a community teaching hospital. Thoracentesis-related complications, including pneumothorax, hemothorax, procedure site bleeding, and re-expansion pulmonary edema were assessed. A total of 96 patients underwent manual aspiration and 97 underwent vacuum-assisted aspiration. Patient demographics and comorbidities were similar between groups with no statistically …

Cryptococcal Meningitis: A Retrospective Analysis Of Immunocompetent And Immunocompromised Cases, Daniel Kotas, Ho-Man Yeung

Journal of Community Hospital Internal Medicine Perspectives

Introduction. Cryptococcal meningitis (CM) primarily affects immunocompromised individuals, but up to 20% of cases occur in immunocompetent patients. However, there are limited clinical comparisons between immunocompromised and immunocompetent patients.

Methods. This is an IRB approved, single-centered retrospective chart review study. Patients aged >18 admitted between 2012 and 2022 with Cryptococcus neoformans meningitis were included. Demographic, associated conditions, clinical data, and clinical outcomes were obtained. Patients were categorized into immunocompromised and immunocompetent groups.

Results. 37 patients with CM were identified, with 32 (86.5%) immunocompromised patients and 5 (13.5%) immunocompetent patients. The median time to first lumbar puncture was …

Incidence And Risk Factors Of Pleural Effusion In Patients With Autoimmune Diseases: A Retrospective Cohort Study, Jacob Sutton, Marwah Muhammad, Muhammad Hashim Khan, Anastasia Slobodnick

Journal of Community Hospital Internal Medicine Perspectives

Background: Pleural effusion is a common manifestation of autoimmune and connective tissue disorders, but large-scale data on its incidence, risk factors, and outcomes are limited. This study aimed to assess the clinical characteristics, hospital course, and outcomes of patients with pleural effusion associated with autoimmune diseases compared to those without autoimmune conditions.

Methods: We conducted a single-center retrospective cohort study of adult patients admitted with pleural effusion. Patients were divided into two groups: those with autoimmune diseases (study group, n = 1,346) and those without autoimmune conditions (control group, n = 1,278). Data were extracted from electronic health records, and …

Atopic Comorbidity Burden And Inpatient Outcomes In Eosinophilic Esophagitis: A Nationwide Analysis Of Hospitalizations In The United States, 2016-2022, Cherechi Nwabueze, Charles Anugwom, Daniel Nyancho, Ihunanya Kanu, Yetunde Akande, Eunice Omeludike

Journal of Community Hospital Internal Medicine Perspectives

Background: Eosinophilic esophagitis (EoE) frequently coexists with atopic conditions, but the impact of atopy on inpatient outcomes and health care utilization remains unclear. This study evaluated national trends, hospitalization characteristics, endoscopic intervention rates, and the association between atopic comorbidities and clinical outcomes among adults hospitalized with EoE from 2016–2022.

Methods: A retrospective analysis was conducted using the Nationwide Inpatient Sample (NIS) 2016 to 2022. Survey-weighted descriptive statistics, trend analyses, and multivariable survey logistic and linear regression models assessed associations between atopy and inpatient outcomes, including length of stay (LOS), total hospital charges, in-hospital mortality, and need for esophageal dilation. Subgroup …

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 …

Survival Outcome Of Gallbladder Cancer In The Us: An Updated Surveillance, Epidemiology, And End Results-Based Analysis Of Age And Gender Disparities, Ayrton Bangolo, Behzad Amoozgar, Budoor Alqinai, Ravleen Chowdhary, Rishabh Goyal

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Gallbladder cancer (GBC) is a rare but highly lethal malignancy with significant variability in mortality based on demographic and clinical factors. This study aims to analyze the impact of gender, age, tumor stage, and treatment modalities on mortality in GBC patients, providing a comprehensive overview of the factors influencing survival outcomes.

Methods: We conducted a retrospective analysis of 1,527 patients diagnosed with GBC between 2005 and 2021. Data were collected on demographic variables, tumor stage, treatment modalities (chemotherapy, surgery, radiation), and survival outcomes. Multivariate Cox proportional hazards models were used to estimate hazard ratios (HRs) for overall and cancer-related …

Clinical And Laboratory Predictors Of 30-Day Mortality In Hiv-Positive Adults With Pneumonia: A Prospective Observational Study From North India, Mandip Singh Bhatia, Ankita Kumari Bhargav, Saurabh Chandrabhan Sharda, Shankar Naidu, M. R Shivaprakash, Sunil Sethi, Vikas Gautam, Arnab Ghosh

Journal of Community Hospital Internal Medicine Perspectives

Background: Pneumonia remains a major cause of morbidity and mortality among people living with HIV (PLHIV), particularly in low- and middle-income countries. Despite the availability of antiretroviral therapy (ART), early mortality after hospitalization for pneumonia remains high. Indian data on short-term mortality predictors in HIV-associated pneumonia are limited.

Methods: We conducted a prospective observational study of HIV-positive adults admitted with pneumonia to a tertiary-care hospital in North India between April and December 2025. Clinical, laboratory, microbiological, and radiological parameters were recorded at admission. Patients were followed for 30 days. The primary outcome was all-cause 30-day mortality. Predictors of …

Can Peripheral Angiography Be Safely Performed In Patients With Chronic Renal Insufficiency Without Significant Risk Of Contrast-Associated Renal Injury In Outpatient Settings?, Mubashar Choudry, Artem Shmelev, 0. Pierce Sebastian, Noor-E-Fatima Khan, Aleezay Farhat, Donald Wilkerson

Journal of Community Hospital Internal Medicine Perspectives

Contrast-associated acute kidney injury (CA-AKI) is a known complication following

coronary angiographic procedures using iodinated contrast media (ICM). The risk of CA-AKI is

multifactorial, dependent largely on estimated glomerular filtration rates. The most important

and accepted hospital-based preventive strategy involves both a reduction of iodinated contrast

and multi-hour pre- and post-intervention normal saline hydration. Because of time constraints,

neither ambulatory surgical centers (ASC), nor outpatient-based laboratories (OBL)

can provide similar degrees of pre- and post-intervention hydration. The utilization of

carbon dioxide (CO₂) imaging, intravascular ultrasonography, and limited iso-osmolar

contrast agents may provide an alternative preventive strategy.

Multicentric Cross-Sectional Study On Determinants In Choosing Subspecialties In Internal Medicine And Job Satisfaction Among Internal Medicine Trainees And Specialists In The Usa, Indira Acharya, Onyekachi Ibe-Ejiogu, Mona Alkayyali, Ashik Pokharel, Nathan C Kilian, Mina M Al-Hamadani, Ashbina Pokharel, Jiling Chou, Christopher J Haas

Journal of Community Hospital Internal Medicine Perspectives

Background/ Purpose:

To analyze the sex distribution of physicians in a specific subspecialty, identify factors influencing subspecialty choice in internal medicine, assess job satisfaction, and evaluate burnout levels among Internal Medicine (IM) trainees and specialists.

Methods:

A questionnaire-based study was conducted using the Abridged Job Descriptive Index (AJDI) for job satisfaction and the Maslach Burnout Inventory (MBI) for burnout. Participants included IM residents, fellows, attendings, and hospitalists considering fellowship. Descriptive and statistical analyses, including Fisher's exact test, were performed using R to assess trends across subspecialties grouped by fellowship competitiveness.

Results:

A total of 162 IM physicians participated, with …

System And Method For Knowledge Reuse From Infrastructure Interaction Exhaust And Cross-Agent Behavioral Metadata Inference, Eric Zavesky

Defensive Publications Series

A system and method for cross-agent behavioral pattern learning and knowledge reuse from infrastructure interaction exhaust. The system passively captures interaction traces from multiple actors - including autonomous agents, semi-automated processes, and human users - as they interact with databases, APIs, and infrastructure endpoints through heterogeneous surfaces. A semantic inference layer analyzes captured traces to infer properties beyond raw telemetry, including organic field discovery, relevance weighting, prompt-level field alias mining, role frequency and sensitivity determination, and retry-aware intent detection. A pattern sanitization module strips individual actor identity and raw data values while preserving role-scoped organizational tokens, producing parameterized patterns with …

Context-Aware Semantic Method And System For Network-Connected Camera Notification Filtering, Josh Och, Andrew Axley

Defensive Publications Series

A system and method are provided for enhancing the operational intelligence of network-connected cameras through the establishment of camera-specific semantic context. A digital repository is associated with an individual monitoring device to store context metadata representing physical and logical relationships in the device's field of view. The context metadata can be defined via user input or automatically inferred using analytical models that identify historical activity patterns or process environmental feedback. When a monitoring event occurs, the associated context metadata is retrieved and integrated into an evaluation framework, such as an augmented prompt for a generative artificial intelligence model, to analyze …

Data Center Closed Loop Cooling And Water Generator, Daniel Schramm

Defensive Publications Series

Integrating closed-loop microchannel server cooling with an organic Rankine cycle (ORC) and an ambient atmospheric water harvesting (AWH) condensation stage creates a unified system. This architecture uses high-density server waste heat to drive thermodynamic cycles that simultaneously stabilize computing infrastructure and yield pure water as an environmental byproduct.

Honeycomb‑Insulated, Chemical‑Heated, Fail‑Safe Survival Tent (Hichest‑1.3), Michael Victor Caldwell Mr.

Defensive Publications Series

This invention describes a portable, non‑electric emergency survival tent that uses a gradient honeycomb air‑cell wall with an integrated aluminized inner face, structural heat‑pack pockets formed by the cells themselves, a continuous base heat channel, interlocking baffle redundancy, one‑way check valves, and a fail‑safe flexible dome frame. The tent maintains structural integrity and thermal protection even if the inflatable honeycomb walls deflate. It is optimized for short‑term emergency survival (1–3 nights) in sub‑zero conditions without electricity or fuel. All components use existing materials and manufacturing methods. This invention is released as open hardware for global use.

Advance Care Planning In Practice: Hospital Nurses’ Experiences With Known And Unknown Goals Of Care, Ashley Hebert, Genevieve Thompson, Diana Mcmillan, Katarina Lee-Ameduri

International Nursing Research Congress (INRC)

Background: Hospital continues to be the place of death for the majority of Canadians, despite the common preference for a less aggressive comfort-focused plan of care at the end-of-life. Advance care planning (ACP) is recognized as a means to prevent unwanted care for patients. However, ACP is often not occurring in acute care settings before patients lose the capacity to participate. This means that a patient’s goals of care are frequently left unknown, which may not only lead to overtreatment and patient harm, but also to moral distress in nurses.

Purpose: The purpose of this thesis study is (1) to …

On The Passing Of Wendell Berry, Gayle E. Doornbos, Jeff Ploegstra, Danielle Wyenberg, Howard Schaap

Faculty Work Comprehensive List

"Berry’s literary contributions are vast and multifaceted, but the central messages carry an invitation into a more intentional life, one that prioritizes people, land, communities, and the joy of good work."

Posting about Wendell Berry's passing and literary legacy ­­­­­­­­from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

On the Passing of Wendell Berry

Rachel's Quest, William Lindsey Mcdonald

Correspondence

Letter from William Lindsey McDonald to Rachel, with an unlisted last name, in response to the question "who is Piedmont?" McDonald's answer endeavors to stretch across time and becomes philosophical at times. To the outsider, it would appear that McDonald was answering an inquiry about the Piedmont plateau region within the Eastern United States, a relevant subject for a local historian who often described geography. However, McDonald is instead telling about the somewhat humorous existence of an "old owl" that inhabited his childhood.

Immigrant Women’S Experiences Of Living In An Abusive Relationship: A Narrative Inquiry, Fay M. Dastjerdi, Sassan Issari, Zipora Rahmanov, Elizabeth Sombilon

International Nursing Research Congress (INRC)

Immigration has become a reality in most parts of the world for different reasons. Iranian immigrants ranked sixth in acquiring Canadian citizenship and eighth in being admitted as permanent residents (Bains, 2024; Risdon, 2024). Most immigrants experience some degree of loss and disassociation after being dislocated. Intimate Partner Violence (IPV) impacts people of all genders, ages and socioeconomic, racial, educational, ethnic, religious and cultural backgrounds; however,women experience this form of gender-based violence at much higher rates, most often perpetrated by men (Statistics Canada, 2023 & 2025). IPV presents a significant public health challenge affecting diverse demographic groups, including immigrant women …

Childbirth Self-Efficacy And Factors Influencing Labor And Birth In The Dominican Republic, Lori Hubbard, Thomas P. Mccoy, Katherine Aquino, Franceska Charles, Julia Ricker, Gabrielle Carlson

International Nursing Research Congress (INRC)

At 58.1%, the cesarean birth rate in the Dominican Republic (DR) is the highest in the world (1). The World Health Organization cites the overuse of elective cesareans as a global health priority, but states reduction efforts should utilize educational interventions that incorporate local determinants of health (2,3). This descriptive, cross-sectional, convergent mixed methods study examined childbirth self-efficacy, demographics, and beliefs about labor and birth in expectant and newly postpartum parents from low resourced communities in the Dominican Republic. A demographic survey, researcher-designed items grounded in the theory of planned behavior, and the 62-item Spanish version (4) of the 4 …

Sla Elastic Resin Curing Test Data, Richard Amesimenu, Johnson Nwogu, Haijun Gong

Faculty Datasets

3D printing via stereolithography (SLA) enables high-resolution polymer components, but as-printed parts may exhibit incomplete polymerization and reduced mechanical performance. This study investigates the effects of UV post-curing time on SLA-printed elastic photopolymer resin. Specimens were evaluated using Differential Scanning Calorimetry (DSC), uniaxial tensile testing (ASTM D412 Type C), and Durometer Type M hardness testing. Results show that increased post-curing enhances crosslink density, tensile strength, elastic modulus, and hardness, while extended curing may reduce ductility. An optimal post-curing window balancing stiffness and flexibility was identified. Testing datasets include DSC (dsc/), tensile testing (tensile/), and hardness testing (hardness/) results for uncured …

The Business Next Door: The Rise, The Transition, And Fall Of The Holland Furnace Company Ii, Steve Vanderveen

University Faculty Publications and Creative Works

From 1906 to 1928, the Holland Furnace Co. grew from an idea to a manufacturing powerhouse, making 46,000 furnaces. However, the world was on the verge of experiencing an economic depression and the Kolla and Landwehr families a devastating tragedy.

Using Graphic Novels In The Teaching And Learning Of Mathematics And Physics, Jason Ho, David Klanderman, Sarah Klanderman, James Turner

University Faculty Publications and Creative Works

Are you looking for innovative teaching strategies for geometry or other mathematics and physics courses? In this article, we o!er a discussion of several graphic novels and their potential for successful teaching and learning at the high school and university levels. We describe how engaging stories, combined with mathematical and scientific meaning found in both text and image, can help to excite students, enrich learning, and explain mathematical concepts. We report on recent data collected from multiple mathematics and physics classes that extend prior research on the use of graphic novels to teach English Language Arts (Boerman-Cornell and Kim, 2020) …

2026-09-04 Minutes Of The Executive Committee Of The Academic Senate Senate, University Of Dayton. Academic Senate. Executive Committee

ECAS Minutes

Approved minutes of a meeting of the Executive Committee of the Academic Senate of the University of Dayton.

2026-2027 Performance Forum - September 4, 2026, Ziling Wang, Hanting Peng

Performance Forum

No abstract provided.

Toward Reliable Compressive Strength Prediction Of Marble Powder-Blended Concrete: Comparative Machine Learning And Shap-Based Interpretability, Shamal Abdullah Mohammed, Aryan Far H. Sherwani, Nzar Shakr Piro

Polytechnic Journal

The production of conventional concrete has a significant impact on the environment, primarily due to the cement (C) component. To mitigate this impact, binders with reduced environmental footprints were used in concrete mixtures as a partial replacement for C, including powders of industrial byproducts. Waste marble powder (WMP) is one such alternative; however, its incorporation causes complicated interactions with cementitious materials, making the compressive strength (CS) prediction difficult. This study developed and evaluated four predictive models (multilinear regression (MLR), full quadratic regression (FQ), M5P tree, and artificial neural network (ANN)) using a dataset of 306 WMP-blended concrete mixes from 16 …

Approval Letter For The Butte Priority Soils Operable Unit Field Sampling Plan And Investigation Plan: Ur-41 - Montana Street And Interstate-90, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Clark Tailings Consolidated Waste Management Area (Ctcwma) Site Investigation Draft Data Summary Report 2024 Surface Water, Groundwater, And Soil Characterization, Woodard & Curran

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Ritual Action Reed Trio: September 4, 2026, Andy Nogal, Andy Hudson, Ben Roidl-Ward

School of Music Programs

This is the second program of the 2025-2026 season.

Kemp Recital Hall

September 4, 2026

Thursday Evening

7:30 p.m.

Re: Approval Letter For The Draft Final Butte Priority Soils Operable Unit Insufficiently Reclaimed Sites Temporary Best Management Practices Work Plan: Bres No. 16 – Curry And Bres No. 50 – Zelia, Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

20260904: University Communications, 1938-1990, University Communications

Guides to University Archives

These items include materials from the office of University Communications at Marshall University from 1938-1990s. Items were received at a much earlier date and include notable materials such as New Faculty lists, Training for Engineering at Marshall, Office Directories, and Marshall University Fact Book. Please see the inventory for a full list of details.