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Articles 44431 - 44460 of 1519382
Full-Text Articles in Entire DC Network
Non-Target Organisms And Terrestrial Arthropod Biodiversity In The Corn Agroecosystem: Bt Corn Beyond Acb Pest Management [Review Article], Ireneo L. Lit Jr., Merdelyn T. Caasi-Lit, Kristine O. Abenis
Non-Target Organisms And Terrestrial Arthropod Biodiversity In The Corn Agroecosystem: Bt Corn Beyond Acb Pest Management [Review Article], Ireneo L. Lit Jr., Merdelyn T. Caasi-Lit, Kristine O. Abenis
The Philippine Agricultural Scientist
Assessments of risks of modern biotechnology products to non-target organisms (NTOs) are required before a product can be registered and allowed for commercial production. For Bt-engineered plants, data from such studies become part of environmental risk or impact assessments that are reviewed before a hybrid can be registered and allowed for commercial planting. The approaches and methods vary among countries and researchers. Consequently, the choice of species and groups of organisms or guilds that are monitored or studied may range from narrow to broad and encompassing. The inevitability of adverse changes in agroecosystems, including those that involve the corn crop, …
Community College Student Admissions Experiences, Jeremy D. Loy
Community College Student Admissions Experiences, Jeremy D. Loy
Electronic Theses and Dissertations
Community college students have always faced barriers to going to college and getting their degrees. Much of the research centers on the completion of their degrees. The purpose of this qualitative, phenomenological study was to understand the experiences of community college students during enrollment. To understand how community college students experience the enrollment process, the study used phenomenology to hear the experiences of students through semistructured interviews. Findings showed that three broad themes emerged from this research. First, students felt both nervous and uncertain about college, but they also recognized the importance of college to improve their lives. Second, students …
Principals’ Perceptions Of Their Preparedness To Facilitate And Support Technology Integration In Schools: A Case Study Of Four Rural Texas Principals, Christina J. Campbell Ed.D.
Principals’ Perceptions Of Their Preparedness To Facilitate And Support Technology Integration In Schools: A Case Study Of Four Rural Texas Principals, Christina J. Campbell Ed.D.
Electronic Theses and Dissertations
School administrators face the challenge of leading technology integration that provides meaningful learning opportunities to prepare students for 21st-century skills and careers. Research has shown that administrative leadership support, behaviors, assumptions, and policies impact technology integration in the classroom. The International Society for Technology in Education (ISTE) standards include guidelines for education leaders and their role in supporting educators using technology. However, leaders underestimate the impact of their leadership on effective use in the classroom. The purpose of this qualitative case study was to explore the perceptions of South Texas rural public school principals working in Chapman Independent School District …
World On Fire: The Hunger Games And The Rhetoric Of Revolution, Rachel Olivares
World On Fire: The Hunger Games And The Rhetoric Of Revolution, Rachel Olivares
Electronic Theses and Dissertations
In the decade between 2010 and 2020, more people participated in mass protests than at any other point in human history. From the Arab Spring to Occupy Wall Street and Hong Kong’s “umbrella movement,” street demonstrations exploded on a global scale. This period of global unrest coincided with another explosion: the dystopian young adult series The Hunger Games surged in popularity, quickly becoming a cultural phenomenon. Following the release of the book series and its subsequent film adaptations, The Hunger Games became a global symbol of grassroots resistance as social and political movements adopted the language and symbols of its …
Sex, Riots, And Holy Water: How Modern Society Desecrates And Reconsecrates The Sacred, Jodeyah J. Mills
Sex, Riots, And Holy Water: How Modern Society Desecrates And Reconsecrates The Sacred, Jodeyah J. Mills
Electronic Theses and Dissertations
This thesis explores how modern societies desecrate and reconsecrate the sacred through rhetoric, ritual, and visual performance. Using three case studies, Nazi Germany’s transformation of Quedlinburg Abbey, the January 6th attack on the U.S. Capitol, and Sabrina Carpenter’s controversial church music video, “Feather,” this project analyzes how sacred meaning is violated and restored in religious, civic, and popular contexts. Drawing on Kenneth Burke’s dramatistic cycle and postsecular theory, it argues that desecration and reconsecration are dialogic acts that expose competing moral vocabularies within culture. Each event demonstrates that even in a secular age, people respond to ruptures of ultimate meaning …
A Qualitative Descriptive Study On The Importance Of Principal Leadership On Title I Middle School Teachers’ Decisions To Remain Teaching In The School, Lebrandan Keshaun Jenkins
A Qualitative Descriptive Study On The Importance Of Principal Leadership On Title I Middle School Teachers’ Decisions To Remain Teaching In The School, Lebrandan Keshaun Jenkins
Electronic Theses and Dissertations
This qualitative descriptive study examined the perspectives of novice middle school teachers with 0–5 years of experience who taught core academic subjects in Texas Title I school districts. I sought to understand how principal leadership or the building administrator to whom these teachers report influenced their decisions to remain in the teaching profession. Grounded in Herzberg’s motivation-hygiene theory, I described how leadership functions as both a motivator and a hygiene factor in shaping job satisfaction and retention. Data collection involved semistructured interviews and an optional Likert scale survey to capture both narrative insights and measurable perceptions. The findings illuminated the …
Exploring The Role Of Christian Religiosity In The Acceptance Or Rejection Of Ai Chatbot Use Among Faculty At Church Of Christ Universities, Amos Gutierrez
Exploring The Role Of Christian Religiosity In The Acceptance Or Rejection Of Ai Chatbot Use Among Faculty At Church Of Christ Universities, Amos Gutierrez
Electronic Theses and Dissertations
Higher education institutions are navigating the benefits and challenges of generative AI chatbot use and preparing faculty and students to engage with these tools ethically and responsibly. The problem is that there are many challenges and barriers to using these technologies in higher education, and Christian higher education institutions must also address context-specific considerations regarding mission and vision rooted in biblical faith and practice. The purpose of this quantitative, nonexperimental, cross-sectional study using confirmatory factor analysis and multiple regression through structural equation modeling was to examine faculty perceptions of AI chatbots and how Christian religiosity moderates acceptance. An online survey …
Response To Intervention Implementation With Culturally Diverse Students, Alysia R. Chatman
Response To Intervention Implementation With Culturally Diverse Students, Alysia R. Chatman
Electronic Theses and Dissertations
This qualitative descriptive study examined how elementary educators implement response to intervention (RTI) and multitiered systems of support with culturally and linguistically diverse students. Drawing on self-determination theory and culturally relevant pedagogy, the researcher conducted semistructured interviews with five participants, three classroom teachers, one interventionist, and one campus administrator from three Title I elementary schools in a large suburban Texas district. Transcripts were analyzed through thematic coding. Four themes emerged: (1) training and preparedness for RTI implementation, (2) administrator support and follow-through, (3) understanding and application of culturally responsive teaching, and (4) RTI meeting structure and process. Participants reported a …
Spotted Seal Coastal Haul Out Behavior In Arctic Alaska, Maeghan Connor
Spotted Seal Coastal Haul Out Behavior In Arctic Alaska, Maeghan Connor
Biological Sciences
Hauling out - the act of exiting the water to rest, molt, breed, and pup on solid surfaces - is a key behavior of pinnipeds worldwide. Unlike other ice seals (i.e., ice-associated phocid species), spotted seals (Phoca largha) in Alaska frequently use terrestrial substrates to haul out during the summer and fall open-water period in the Chukchi and Beaufort Seas. Despite being a core aspect of spotted seal ecology, their terrestrial haul out behavior remains understudied. To address this, we analyzed data collected from 2020 - 2022 near two known haul out sites in Dease Inlet, Alaska, including time-lapse camera …
The Icj’S Advisory Opinion On Climate Change, Maria Antonia Tigre, Maxim Bönnemann, Antoine De Spiegeleir
The Icj’S Advisory Opinion On Climate Change, Maria Antonia Tigre, Maxim Bönnemann, Antoine De Spiegeleir
Sabin Center for Climate Change Law
This open-access edited volume offers the first comprehensive analysis of the International Court of Justice’s 2025 Advisory Opinion on the obligations of States in respect of climate change, one of the most consequential developments in international climate law since the adoption of the Paris Agreement. Bringing together leading scholars and practitioners from across public international law, human rights law, environmental law, and global governance, the book examines how the Court reframed climate change as a matter of binding legal obligation rather than political discretion.
The contributions explore the Opinion’s articulation of state duties under treaties, customary international law, and general …
Enhancing Grid Integration Of High-Power Loads Through Modular Unfolding-Based Power Conversion With Decentralized Control, Sanat R. Poddar
Enhancing Grid Integration Of High-Power Loads Through Modular Unfolding-Based Power Conversion With Decentralized Control, Sanat R. Poddar
All Graduate Theses and Dissertations, Fall 2023 to Present
The transition to electric vehicles (EVs) is a critical step toward reducing greenhouse gas emissions and creating a cleaner, more sustainable transportation sector. However, many drivers — particularly those operating larger vehicles such as trucks and buses — face significant challenges, including limited driving range and lengthy charging times. High-power, fast-charging stations, which can rapidly replenish EV batteries, are therefore essential for mitigating these barriers and making electric transportation practical across all vehicle classes.
Despite the promise of electric vehicles, deploying high-power fast-charging stations presents significant challenges. They require large amounts of electricity, making them expensive to install, operate, and …
Using Luminescence Of Quartz Temper From Archaeological Pottery To Infer Wildfire Intensity In The Southwestern Us, Brooklyn D. Dib
Using Luminescence Of Quartz Temper From Archaeological Pottery To Infer Wildfire Intensity In The Southwestern Us, Brooklyn D. Dib
All Graduate Theses and Dissertations, Fall 2023 to Present
The size and frequency of wildfires have increased recently, impacting ecosystems, communities, and human health. This research uses the heat-sensitive luminescence signals of quartz sand temper within archaeological pottery to record past wildfire conditions. Pottery sherds, which are fragments of archaeological pottery, from the forest floor in sites in New Mexico and Arizona were collected from different fire contexts (no fire exposure, historical fires, prescribed burns, and modern wildfires). These forests are primarily Ponderosa Pine with a grassy understory. The interior sand grains of each sherd sample were analyzed using optically stimulated luminescence, which dates when the mineral grains were …
An Evaluation Of Virtual Reality Modeling To Improve Accuracy Of Physical Education Skills In Teenage Students With Disabilities, Kristen Lee
All Graduate Theses and Dissertations, Fall 2023 to Present
Virtual Reality (VR) technology is becoming more common in schools, especially for teaching and training. In this study, researchers explored how VR can help teenagers with disabilities improve their physical education skills, specifically push-ups, lunges, and jumping jacks. The participants all showed an increase in their skills and reached a high level of accuracy on every skill. The results showed that adding feedback was also necessary for some participants. Additionally, participants enjoyed using the VR equipment and showed high levels of happiness throughout the study. These findings suggested that using VR technology can be an effective way to support teenagers …
Improvisation Of Mands Using Augmentative And Alternative Communication, Lauren Decker
Improvisation Of Mands Using Augmentative And Alternative Communication, Lauren Decker
All Graduate Theses and Dissertations, Fall 2023 to Present
Research shows that young children who use pictures to communicate can use colors, shapes, and functions of items to request when the specific picture of the item is not available. This problem-solving skill is called improvisation, which this study taught to a preschool aged participant with communication delays. A four-year-old preschool student was able to make these requests with basic colors, shapes, and three function pictures. They also were able to make these requests for items not taught to them in different settings. This suggests that improvisation training can be successfully implemented with preschool aged children with communication delays and …
Practical Effectiveness Of Large Language Models In Assisting Landscape Architects In Plant Selection, Paul Gardner
Practical Effectiveness Of Large Language Models In Assisting Landscape Architects In Plant Selection, Paul Gardner
All Graduate Theses and Dissertations, Fall 2023 to Present
Artificial intelligence (AI) is rapidly transforming many industries, but its role in landscape architecture remains relatively unexplored. This study examines how AI, specifically GPT-4, can assist landscape architects in selecting plants for projects. By comparing AI-generated plant lists to those that human experts created, the research evaluates Accuracy, Suitability, Availability, Aesthetics, and Professional Usability.
The results show that AI-generated plant lists were highly efficient, accurately matching site conditions and improving plant availability while significantly reducing selection time. However, human expertise was essential for ensuring aesthetic quality and design intent. While AI can serve as a powerful tool for streamlining plant …
United States V. Skrmetti: L’Identité De Genre Dans Le Droit Et La Politique De L’Égale Protection, Olatunde C.A. Johnson
United States V. Skrmetti: L’Identité De Genre Dans Le Droit Et La Politique De L’Égale Protection, Olatunde C.A. Johnson
Faculty Scholarship
In French
L'article analyse l’arrêt United States v. Skrmetti, dans lequel la Cour suprême américaine juge que l’interdiction, par le Tennessee, des bloqueurs de puberté pour les mineurs trans ne viole pas la clause constitutionnelle d’égalité, dite clause « d’égale protection ». Refusant de considérer qu’il s’agit d’une discrimination fondée sur le sexe, la Cour applique le contrôle le plus déférent (base rationnelle) et accepte l’argument de l’État selon lequel il protège les mineur·es de risques médicaux incertains. L’auteure montre ici que cette approche s’inscrit dans un contexte plus large de lois et de décrets fédéraux visant les personnes …
Fast And Accurate Measurement Of Small Field Dosimetry Using A Novel Scintillation Detector, Yiding Han, Jingzhu Xu, Yao Hao, Baozhou Sun
Fast And Accurate Measurement Of Small Field Dosimetry Using A Novel Scintillation Detector, Yiding Han, Jingzhu Xu, Yao Hao, Baozhou Sun
2020-Current year OA Pubs
BACKGROUND: The most used instruments for small-field dosimetry have notable limitations, including the need for correction of output factors, limited scanning speeds, and challenges in alignment for percentage depth dose (PDD) measurements, particularly for extremely small fields. However, plastic scintillation detectors (PSDs) are an attractive alternative for small-field dosimetry due to their correction-free nature, linear dose response, and fast response time.
PURPOSE: This study evaluates the robustness and accuracy of the dosimetric measurements using a new water-equivalent PSD in small-field dosimetry. The study also aims to report accurate measurements of output factors, profiles, and an indirect method for measuring PDD …
A Narrative Review On Artificial Intelligence In Neurosurgery: Ethical Challenges And Implementation Considerations, Tirath Patel, Hamza Yousuf Ibrahim, Fathimathul Henna, Fatima Nasir, Abbas Hussain, Rahma Naveed, Aziz Ur Rehman, Syeda Ramish Zehra Kazmi, Bhum Daishik Patel, Nikhilesh Anand
A Narrative Review On Artificial Intelligence In Neurosurgery: Ethical Challenges And Implementation Considerations, Tirath Patel, Hamza Yousuf Ibrahim, Fathimathul Henna, Fatima Nasir, Abbas Hussain, Rahma Naveed, Aziz Ur Rehman, Syeda Ramish Zehra Kazmi, Bhum Daishik Patel, Nikhilesh Anand
School of Medicine Publications
Introduction: Artificial intelligence (AI) is revolutionizing neurosurgery by enhancing diagnostic precision, surgical planning, and postoperative management. However, its integration raises ethical concerns related to bias, privacy, accountability, and the potential dehumanization of healthcare. This review focuses on navigating these challenges while maximizing AI's potential in improving patient care.
Methodology: A narrative review was conducted by identifying studies from PubMed, Cochrane Library, and Google Scholar databases. The search utilized the following keywords: "artificial intelligence," "neurosurgery," "machine learning," "data privacy," "robotic surgery," "ethics," and "bias." The review primarily focused on issues of dataset bias, data privacy, and the need for transparency and …
Satisfaction With The Saudi Healthcare System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Alzahrani, Holly C. Felix
Satisfaction With The Saudi Healthcare System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Alzahrani, Holly C. Felix
Saudi Medical Journal
ABSTRACT Objectives: To provide details on patient satisfaction with the Saudi healthcare system and patient characteristics associated with satisfaction levels using nationally representative survey data. Methods: A cross-sectional secondary analysis was conducted using the Kingdom of Saudi Arabia World Health Survey (KSAWHS 2019) data, which collected information on demographics, health status, chronic conditions, and access to and use of healthcare services among Saudi adults aged ≥15 years. Descriptive statistics and logistics regression analyses were performed to identify significant predictors of satisfaction with Saudi healthcare services. Results: Between April and July 2019, 8,912 individuals completed the KSAWHS 2019 individual questionnaire. Out …
Rising Cancer Burden Among Older Adults In Saudi Arabia: A Longitudinal Analysis Of Incidence Rates By Demographics, 2013–2022, Hissah A. Alzahrani
Rising Cancer Burden Among Older Adults In Saudi Arabia: A Longitudinal Analysis Of Incidence Rates By Demographics, 2013–2022, Hissah A. Alzahrani
Saudi Medical Journal
ABSTRACT Objectives: To analyze cancer incidence trends in Saudi Arabia from 2013 to 2022 by age group, gender, and nationality, identify significant temporal patterns or shifts, and determine the most prevalent cancer types across age groups and years. Methods: A retrospective analysis was conducted using data from the Saudi Cancer Registry, which included 185,567 reported cancer cases between 2013 and 2022. Descriptive statistics, generalized estimating equation (GEE), and Joinpoint regression were used to examine the crude incidence rate (CIR), age-specific incidence rate (AIR), and age-standardized rate (ASR) across demographic subgroups. Results: Saudi nationals had higher cancer rates than non-Saudi residents, …
Real-World Evidence Of Nusinersen Treatment For Patients With Spinal Muscular Atrophy In The Kingdom Of Saudi Arabia: Initial Insights From The Saudi National Spinal Muscular Atrophy Program, Ahmed H. Al-Jedai, Hajer Yousef Almudaiheem, Tareef Y. Alaama, Fahad Abdo Bashiri, Mohammed Abdelrahman Almuhaizae, Fouad Abdullah Alghamdi, Aljohara A. Alsakran, Fahad Zuriqan Ibrahim
Real-World Evidence Of Nusinersen Treatment For Patients With Spinal Muscular Atrophy In The Kingdom Of Saudi Arabia: Initial Insights From The Saudi National Spinal Muscular Atrophy Program, Ahmed H. Al-Jedai, Hajer Yousef Almudaiheem, Tareef Y. Alaama, Fahad Abdo Bashiri, Mohammed Abdelrahman Almuhaizae, Fouad Abdullah Alghamdi, Aljohara A. Alsakran, Fahad Zuriqan Ibrahim
Saudi Medical Journal
ABSTRACT Objectives: To assess the clinical and functional outcomes of 110 patients with spinal muscular atrophy (SMA) program who received nusinersen treatment in the Kingdom of Saudi Arabia (KSA). Methods: Motor assessments were performed using the Children’s Hospital of Philadelphia infant test of neuromuscular disorder (CHOP-INTEND) and Hammersmith infant neurological examination (HINE) for type 1 SMA, the Hammersmith Functional Motor Scale–Expanded (HFMSE) for types 2 and 3 SMA; the 6-minute walk test (6MWT) for ambulant type 3 SMA, and the revised upper limb module (RULM) for types 2 and 3 SMA. Results: Data included all SMA types (type 1, 2.72%; …
Nutritional Knowledge Of The Phenylketonuria Diet Among Healthcare Providers In Saudi Arabia, Nouf A. Alghamdi, Rouba K. Naaman
Nutritional Knowledge Of The Phenylketonuria Diet Among Healthcare Providers In Saudi Arabia, Nouf A. Alghamdi, Rouba K. Naaman
Saudi Medical Journal
ABSTRACT Objectives: Phenylketonuria (PKU) is associated with detrimental impacts on factors contributing to the etiology of obesity, and metabolism disorders. Therefore, we hypothesized that physicians and dietitians demonstrate a sufficient level of nutritional knowledge of the PKU type diet. The aim of this study is to assess understanding of the PKU diet in relation to current guidelines among dietitians and metabolic physicians in Saudi Arabia. Methods: This study involved 238 participants, primarily Saudi and non-Saudi dietitians and metabolic physicians working in Saudi Arabia, who asked to complete an electronic questionnaire assessing their nutritional knowledge of the PKU diet. The questionnaire …
Examining Public Satisfaction With The Saudi Health System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Khashab
Examining Public Satisfaction With The Saudi Health System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Khashab
Saudi Medical Journal
No abstract provided.
Prevention: Bend It Like Bekham, Mirvat Alasnag, Adel Tash
Prevention: Bend It Like Bekham, Mirvat Alasnag, Adel Tash
Saudi Medical Journal
No abstract provided.
Evaluation Of Simplified Arabic Matrix Test In Children With Normal Hearing, Medhat F. Yousef, Alia A. Asiri, Abdulmalik M. Marzuq, Abdulaziz A. Almalki, Mohammed N. Garrada, Manal A. Khoja, Ibrahim A. Busaad, Mahmoud M. Mahrous
Evaluation Of Simplified Arabic Matrix Test In Children With Normal Hearing, Medhat F. Yousef, Alia A. Asiri, Abdulmalik M. Marzuq, Abdulaziz A. Almalki, Mohammed N. Garrada, Manal A. Khoja, Ibrahim A. Busaad, Mahmoud M. Mahrous
Saudi Medical Journal
ABSTRACT Objectives: To evaluate the simplified version of the Arabic matrix test in individuals with normal hearing to derive reference ranges for future measurements with the test material. Methods The test was conducted in 80 native Arabic individuals (20 adults and 60 children across different age groups between 5-10 years) from November 2020 to Mar 2023. Evaluation measurements were conducted in adults and children to derive the reference psychometric functions and assess the training effect. The test list equivalence was verified only in the adults group. Results The reference ranges for speech-intelligibility in noise for 80% thresholds or speech-recognition threshold …
Decreasing Barriers To The Utilization Of Cryopreserved Sperm In Male Cancer Survivors: An Expert Review And Guide, Megan V Alexander, Hailie Ciomperlik, Anna Claire Reynolds, Allyson Nevins, Luwam Ghidei, Jordan Kassab, Kevin Campbell, John Sullivan, Michael D Jochum, Laura Detti, Terri L Woodard, Larry I Lipshultz, Laurie J Mckenzie
Decreasing Barriers To The Utilization Of Cryopreserved Sperm In Male Cancer Survivors: An Expert Review And Guide, Megan V Alexander, Hailie Ciomperlik, Anna Claire Reynolds, Allyson Nevins, Luwam Ghidei, Jordan Kassab, Kevin Campbell, John Sullivan, Michael D Jochum, Laura Detti, Terri L Woodard, Larry I Lipshultz, Laurie J Mckenzie
Faculty, Staff and Students Publications
Background: Sperm cryopreservation offers male cancer patients a critical opportunity to preserve fertility prior to gonadotoxic therapy, yet utilization of banked sperm remains modest, typically under 10%. A structured understanding of barriers across the cancer survivorship continuum is needed to support patients in utilization of cryopreserved sperm in alignment with their reproductive goals.
Materials and methods: This expert review synthesizes current evidence and clinical experience to explore the multifaceted barriers to cryopreserved sperm use and propose specific solutions. Key intervention timepoints are examined, including the post-treatment fertility return visit, long-term cryopreservation while remote from family building, readiness for family building, …
Implications Of Cooccurring Adhd For The Cognitive Behavioural Treatment Of Anxiety In Autistic Children, Elise Ng-Cordell, Eric A Storch, Philip C Kendall, Jeffrey J Wood, Amori Yee Mikami, Connor M Kerns
Implications Of Cooccurring Adhd For The Cognitive Behavioural Treatment Of Anxiety In Autistic Children, Elise Ng-Cordell, Eric A Storch, Philip C Kendall, Jeffrey J Wood, Amori Yee Mikami, Connor M Kerns
Faculty, Staff and Students Publications
Background: Childhood mental health conditions commonly cooccur, with potential treatment implications. Autistic children frequently experience anxiety and attention deficit/hyperactivity disorder (ADHD). We investigated the implications of this cooccurrence for Cognitive Behavioural Therapy (CBT), a front-line treatment for anxiety in autistic children. We tested whether (1) ADHD predicts anxiety treatment response, (2) ADHD improves in response to anxiety treatment and (3) ADHD improvement is related to reductions in anxiety.
Method: Autistic children with elevated anxiety (N = 167) enrolled in a multisite, randomised controlled trial comparing standard CBT, autism-adapted CBT and treatment as usual. ADHD symptoms and severity were assessed via …
Antipsychotic Misuse: A Silent But Growing Public Health Hazard, Sumeet Bhardwaj, Karisma Pathak, Myra Mclenon, Steven Spector, Kevin Tu
Antipsychotic Misuse: A Silent But Growing Public Health Hazard, Sumeet Bhardwaj, Karisma Pathak, Myra Mclenon, Steven Spector, Kevin Tu
Student Publications
Antipsychotic drugs are essential in the management of schizophrenia, bipolar disorder, and other psychiatric illnesses, but their use is closely linked to cardiometabolic side effects. Cardiometabolic side effects include weight gain, dyslipidemia, glucose intolerance, and increased cardiovascular morbidity and mortality. Mechanisms of cardiometabolic side effects involve disruption of the central nervous system’s ability to regulate appetite, peripheral metabolic effects, which are changes in metabolism outside the CNS, and receptor-level interactions, with second-generation antipsychotics generally posing a greater risk than first-generation agents. This review addresses current evidence on the cardiometabolic consequences of antipsychotic therapy, increasing inappropriate off-label use of antipsychotic drugs, …
Functional Head Tremor: Contrasting Features With Other Tremor Etiologies, José Fidel Baizabal-Carvallo, Joseph Jankovic
Functional Head Tremor: Contrasting Features With Other Tremor Etiologies, José Fidel Baizabal-Carvallo, Joseph Jankovic
Faculty, Staff and Students Publications
Background: Functional tremor (FT) is considered the most common phenomenology among patients with functional movement disorders (FMDs). Most patients have limb tremor, but they can also present with tremor involving the head and trunk.
Objectives and methods: We aimed to assess the clinical phenomenology of functional head tremor (FHT) and contrast it with features of HT observed in 125 patients with other tremor etiologies (OTE), including 71 patients with essential tremor (ET).
Results: There were 101 consecutive patients (68.3% females) with FT from which n = 36 (35.6%) had FHT. Yes-yes tremor was the most common directionality (47.2%). Functional trunk …
Managing Conflict Case: The Difficult Consultant, Amrita Vempati, Suzanne Bentley, Anita Rohra, Daniela Ortiz, David Fernandez, Shagun Berry, Colleen Donovan, Nicole Novotny, Stephanie Cohen, Stephanie Stapleton, Tiffany Moadel
Managing Conflict Case: The Difficult Consultant, Amrita Vempati, Suzanne Bentley, Anita Rohra, Daniela Ortiz, David Fernandez, Shagun Berry, Colleen Donovan, Nicole Novotny, Stephanie Cohen, Stephanie Stapleton, Tiffany Moadel
Faculty, Staff and Students Publications
Audience: This communication case is intended for emergency medicine (EM) resident physicians and junior faculty preparing for the ABEM Certifying Exam.
Introduction: Conflict management is a common and significant challenge in the emergency department (ED), with potential negative impact on both physicians and patients. At the individual level, hospital-based conflicts can lead to emotional stress, impaired concentration, decreased trust among providers, and feelings of dehumanization.1 For patients, conflicts between physicians can compromise the quality of care and contribute to delays in treatment.1 In the ED, conflict often arises between emergency physicians (EPs) and various stakeholders, including patients, family members, nursing …