Patient Experience (Px) In Low- And Middle-Income Countries (Lmics): A Scoping Review, Yara Abou Harb, Geoffrey A. Silvera

Patient Experience Journal

Patient Experience (PX) is a growing subject in the healthcare industry due to its association with improved clinical outcomes, patient safety, and business motives. While PX is well studied in high income countries, little is known about the state of PX in Low and Middle-income countries (LMICs). Objective: The study aims to examine literature on PX and related concepts in LMICs. Methods: This study executes a PRISMA literature review of academic databases (Ovid Medline, CINAHL, EMBASE and Google Scholar) as well as hand searching of PX related websites from 2005 to 2024. Results: 67 references met search criteria. Four themes …

Multilevel Factors Shaping The Patient Experience With Health Services In Torbat Heydarieh, Iran, Fatemeh Pourhaji, Mohammad Hossein Delshad

Patient Experience Journal

Background: One of the main aims of public health is to ensure that health services are used and available. However, access alone does not guarantee a positive patient experience, which is critical to achieving optimal health outcomes and ensuring health equity. Aims: The objective of this study is to analyse in a comprehensive way the multiple factors influencing the patient experience and subsequent use of healthcare services by households in Torbat Heydarieh, Iran, by examining the independent and interactive contributions of individual, household and environmental (community) determinants using THUMS data. Methods: This analytical study, which covered a 1-year period, looked …

Exploring Patient Satisfaction: Descriptive And Predictive Insights From Hcahps Surveys In U.S. Hospitals, Naveen Gudigantala, Tanush Sistla, Ramu Gudigantala, Naga Vemprala

Patient Experience Journal

This study analyzes patient experience data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys across three time periods: 2020–21, 2021–22, and 2022–23. Utilizing both descriptive and predictive analytics, we examined ten key variables related to patient communication, hospital environment, discharge information, and overall hospital ratings. Descriptive analytics using longitudinal data analysis revealed that while patient experience metrics were strong in 2020–21, a significant downturn was observed in 2021–22, followed by a marked recovery in 2022–23. These results suggest that while COVID-19 pandemic negatively impacted patient satisfaction metrics in 2021–22, the emerging evidence suggests U.S. healthcare system …

Patient Satisfaction And Perceived Quality Of Care: A Population-Based Cross-Sectional Study Of United States Adults, Samuel Ofei-Dodoo, Carter Altenbernt, Yessin Wael, Hayrettin Okut, Alex Watkins, Nola Tran, Alishka Rojas-Addari

Patient Experience Journal

Patient satisfaction and perceived quality of care are key indicators of health care performance, yet the relative influence of demographic versus communication-related factors remains underexplored. Using data from 7,278 non-institutionalized United States adults in the nationally representative Health Information National Trends Survey, descriptive statistics summarized respondent characteristics and experiences with health care professionals, and survey-weighted multinomial logistic regression identified predictors of perceived health care quality. Respondents generally reported positive experiences, with communication-related factors emerging as the strongest predictors of excellent ratings. Patients who were always included in decisions (OR = 3.44; 95% CI, 1.11-10.69), received clear explanations (OR = 11.24; …

System-Level Barriers To Patient Engagement With Electronic Medical Records, Corey Adams, Reema Harrison, Guncag Ozavci, Kathleen Gray, Nilmini Wickramasinghe, Vicky Yuan, Tracey Bucknall, Elizabeth Manias

Patient Experience Journal

Objective: Electronic medical records (EMRs) can support patient-centered care, but system-level barriers often limit how patients engage with EMR systems. This study explored the system-level barriers and enablers to patient engagement with EMRs from the perspectives of healthcare leaders. Methods: Semi-structured interviews were conducted with 20 participants in senior EMR-related roles across healthcare organizations in two Australian states. Data were analyzed using reflexive thematic analysis to identify key system-level influences on patient engagement. Results: Seven themes were identified: 1) EMRs for digital storage, not connection, 2) Privacy rules create challenges to accessing information, 3) Communication barriers when using EMRs, 4) …

Virtual Caregiving And The Evolving Role Of Carers And Patients: Virtual Hospital Interview Analysis, Kanesha Ward, Tim Jackson, Jenna Bartyn, Shannon Saad, Sue Amanatidis, Owen Hutchings, Annie Y.S. Lau

Patient Experience Journal

Virtual hospitals are transforming healthcare by enabling remote monitoring and management of patients, improving accessibility and care continuity. As part of the transformation, there are changes to the roles and responsibilities of patients and their carers as they engage in virtual hospital care. The impact on family caregiving remains underexplored. Guided by Family Systems Theory, this qualitative study investigated how family caregiving roles adapt within a virtual hospital and identified opportunities to further support families. Semi-structured interviews were conducted with patients, carers, and healthcare workers from one model of care, at a metropolitan virtual hospital in New South Wales, Australia. …

Supporting Families Of Children With Craniosynostosis: A Qualitative Exploration Of Parental Usage Of Online Forums, Elisha L. Rea, Rachel M. Roberts, Amanda J. Osborn

Patient Experience Journal

Objective: Craniosynostosis is characterised by the early fusion of cranial sutures, resulting in an abnormal head shape. This study examines the psychosocial impact of a child's craniosynostosis diagnosis on families, by analysing online forum discussions. While surgery is often needed to address appearance-related and neuropsychological concerns, parents face challenges navigating their child's diagnosis. Many seek support through online forums, yet research on their experiences remains limited. This study aims to understand parental needs and experiences by analysing forum discussions. Method: Online forums were analysed using reflexive thematic analysis. Significant features of the data were systematically coded and themes reflecting …

Preventing Delirium After Surgery: A Qualitative Study Of Patients, Caregivers, And Providers, Jennifer O'Brien, Maria Cruz, Heather Dyck, Hassan Yassin, Una Goncin, Lei Xia, Huma Aftab, Lilian Thorpe, Peter Hedlin

Patient Experience Journal

Post-operative delirium is the most common complication in older adults following surgery. Symptoms include agitation, difficulty focusing, sluggishness, hallucinations, slurred speech, restlessness, rapid mood swings, and uncooperative or aggressive behaviour. It can result in longer hospital stays, increased mortality, loss of functional independence, increased need for a higher level of care post-surgery, and an increased risk of readmission to hospital. We aimed to understand and describe the experiences of patients, families, and healthcare providers with postoperative delirium, and to identify targeted initiatives to support patient and family centered care for high-risk patients. We conducted a qualitative descriptive study using interviews …

Beliefs Regarding Patient Experience In The Emergency Department Among Individuals With Sickle Cell Disease, Elizabeth A. Ibiloye, Gloria N. Odonkor, Ayobami A. Aiyeolemi, Jamie C. Barner, Carolyn M. Brown, Hyeun Ah Kang, Benita A. Bamgbade

Patient Experience Journal

Individuals with sickle cell disease (SCD) frequently experience intense, unanticipated pain episodes known as vaso-occlusive events (VOEs), which often require emergency department (ED) treatment. However, they often report suboptimal experiences in the ED. Using the Theory of Planned Behavior (TPB), this study aimed to elicit salient beliefs regarding SCD patient experience in the ED. Three virtual focus group sessions were conducted with individuals with SCD recruited through a Texas SCD Association and Rare Patient Voice. Nine open-ended questions were used to elicit participants' behavioral, normative, and control beliefs regarding ED use when experiencing VOEs. Qualitative analysis was performed using a …

Navigating Medical Ambiguity: A Patient's Perspective On Communication, Timing, And Risk, J. Hansen

Patient Experience Journal

This essay recounts the experience of navigating re-vaccination decisions after an initial diagnosis of vaccine-associated myocarditis. A diagnosis later contested by other specialists. It is not a tale of medical error, but of diagnostic ambiguity and divergent clinical reasoning. My intent is to show how, in the absence of consensus, a patient was compelled to assume a central role in adjudicating between competing medical narratives. Recommendations are offered to make medical advice more available to patients and bridge a growing gap between medicine and the public.

Global South Sacrifices: Climate Law Implications On Ambitious Nickel Extractions In Indonesia, Sarah Yessie Hana Monica, Nadine Fakhira Putri Ravanti

Indonesian Journal of Environmental Law

Excessive demands for nickel have prompted massive mining extractions. The global north fascination towards the luscious natural resources owned by the global south has prompted visible environmental degradations. As one of the major global south exporters, Indonesia is bearing the ecological challenges. A smelting furnace in Sulawesi explodes, killing 21 people and injuring 38 others whilst the disposal of heavy metals pollutes the rivers. The 1945 Constitution intended national resources to build the economy with sustainability aspect must also be borne in mind, which was made adamant in the national commitment on Law Number 32 of 2009. This article analyzes …

From Chains To Handcuffs: Confronting The Racial Legacy Of Prison Labor And The Urgency Of Reform, Hibah Hasan

Criminal Law Society Blog

This article examines prison labor in the United States as a system rooted in the 13th Amendment’s exception clause and shaped by post–Civil War practices such as Black Codes and convict leasing. It argues that, although formally abolished, the racialized logic of forced labor persists through modern mass incarceration, where incarcerated individuals—disproportionately Black men—perform essential work for little to no pay and without basic labor protections. The article analyzes how this system reflects a continuation of historical exploitation and proposes reforms, including fair compensation, voluntary participation, and expanded labor protections, to align prison labor with principles of rehabilitation and justice.

Curing Mermaidism: Exploring Disability, Gender And Performativity In The Little Mermaid And Its Adaptation, Sophia M. Shelley

Butler Journal of Undergraduate Research

Fairy tales are a contested space in popular culture, often reinforcing hegemonic gender norms while offering sites of resistance. This paper examines Hans Christian Andersen’s The Little Mermaid (1837) and Disney’s The Little Mermaid (1989) through feminist disability theory to explore how these stories depict the compulsion to perform able-bodiedness and heteronormativity to achieve social belonging. This paper argues that although both versions offer moments of queer and disabled subversion, they ultimately reinforce a cultural fantasy of normative embodiment by positioning mermaids as inherently Other and subhuman. Grounded in the work of scholars such as Rosemarie Garland-Thomson, Judith Butler, and …

Aces As A Risk Factor For Behavioral Addictions: A Literature Review, Kyla Smith

Butler Journal of Undergraduate Research

Much like substance use disorder, behavioral addictions have been shown to have an association with adverse childhood experiences (ACEs). This relationship may be mediated by other variables, however, making ACEs a risk factor for behavioral addictions. This literature review includes almost thirty journal articles written in the past 15 years that explore the role of mediators in the relationship between ACEs and behavioral addictions. A significant number of studies investigate the role of mediators with problematic internet use, problematic social media use, and problematic smartphone use, which supports the possibility of ACEs being a risk factor for internet-based behavioral addictions. …

Collegiate Experiences Of Genderqueer And Nonbinary Youth, Angela Clark-Taylor, Alexandra Kay Hicks, Heather Johnson

New York Journal of Student Affairs

This study explores the collegiate experiences of genderqueer and nonbinary students, frequently marginalized in higher education research. While scholarship on transgender students has expanded, it often centers on binary identities, thereby excluding those who identify outside the man-woman dichotomy. This research responds to that gap by asking: What are the experiences of nonbinary students in college? Drawing on in-depth interviews with six genderqueer and nonbinary undergraduate students, the study amplifies their voices to challenge dominant gender norms and essentialist narratives within academic spaces. Participants shared experiences of systemic erasure, invalidation, and microaggressions, as well as the resilience and strategies they …

Toward Healing And Justice: Building Equitable Relationships With Community Archives In El Salvador, Giada Ferrucci, Amanda Oliver, Tom Belton, Fernando Chacon

Journal of Contemporary Archival Studies

The article examines an archival component of a larger research initiative. Surviving Memory in Postwar El Salvador is a multidisciplinary, cross-sector partnership. The overall methodology of the project is participatory and survivor-centered. It aims to document and commemorate the history of the Salvadoran Civil War (1980-1992) and prevent future violence. The component of the Surviving Memory partnership the authors describe in this article elucidates the crucial importance of community archival practices undertaken to support memory, healing, and justice in El Salvador. The authors are co-investigators and collaborators who have supported the work of community archivists in El Salvador through a …

The Family And Individual Freedoms: Thomas Hobbes' Complex Relationship With Liberalism, Max Esposito

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

In this article, the author argues that although Hobbes is often associated with authoritarianism, his account of familial dominion in Leviathan reveals important liberal elements, particularly his emphasis on individual consent, personal autonomy, and the equality of the sexes in determining authority. By using the family as an analogy for political rule, Hobbes shows that sovereign power ultimately derives from individuals who authorize it, even if later constrained by the demands of self‑preservation and majority decision-making. The paper concludes that Hobbes cannot be fully classified as a liberal thinker, but his framework contains liberal ends embedded within illiberal mechanisms, making …

Religion In Hobbes’ Political Project: God And Secularism In The Leviathan, Lea Mancarella

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

This article argues that Hobbes views religion as a fundamental threat to political stability because competing religious authorities and claims of divine revelation undermine obedience to the sovereign and risk returning society to a state of civil war. Through close readings of Leviathan, it shows how Hobbes reframes religion as a human invention rooted in fear, critiques the political power of the Church, and ultimately uses contradictions about God’s nature to suggest that divine law cannot be rationally known. The author concludes that Hobbes’s political project requires a secular commonwealth in which religion has no public role, ensuring that civil …

The Fall Of France And Public Opinion During The 1940 United States Presidential Election, Ethan Moyer

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

This article argues that the fall of France in 1940 triggered a profound shift in American public opinion, weakening long‑standing isolationist attitudes and creating fertile ground for Franklin Roosevelt’s internationalist agenda. Drawing on contemporary polling and political developments, it shows how period effects, elite signaling, and coordinated media messaging converged to move the United States toward greater engagement in global security. Ultimately, the study demonstrates how Roosevelt leveraged both crisis and persuasion to redefine the boundaries of mainstream foreign policy in the 1940 election cycle.

The Equal Pay Act Of 1963, Alyssa Dawson

The Political Realm: Journal of Undergraduate Research in Political Science and International Relations

In this article, the author argues that while the Equal Pay Act of 1963 marked an important early milestone in addressing gender‑based wage discrimination, its narrow “equal work” standard, ambiguous language, and employer‑friendly judicial interpretations have limited its long‑term effectiveness. Through policy analysis and case law, it shows how the Act’s incremental design, business‑driven compromises, and failure to address structural and intersectional causes of pay disparity have left significant gaps—particularly for women of color and workers in emerging sectors like the gig economy. The paper concludes that meaningful progress requires strengthening existing enforcement mechanisms and pursuing new, adaptive policies that …

Preparation And In-Vitro Evaluation Of Tizanidine Flash Oral Dispersible Tablet, Ahmed Yousif Fadhel, Yousif K. Younis

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Background: Oral administration is the most common and preferred route for drug delivery. Oral dispersible tablets (ODTs) are solid dosage forms that disintegrate into saliva without the need for water. Tizanidine is a centrally acting muscle relaxant used to manage spasticity from spinal or brain injuries. Preparing it as a flash (ODT) tablet may enhance patient compliance and potentially improve bioavailability by bypassing part of the first-pass metabolism. Methods: Six formulations of tizanidine flash tablets were developed using varying concentrations of mannitol (bulk-forming agent), glycine (to aid tablet collapse), and gelatin (matrix-forming agent). The formulations were evaluated for weight variation, …

Stratified Deception-Inference Architecture (Sdia) - A Multi-Layer Adversarial Intelligence Framework For Log Semantics, Intent Inference, And Deception-Aware Observability Systems, Johny Manuel-Devadoss

Defensive Publications Series

Modern observability systems treat logs, traces, and metrics as noisy data sources requiring denoising, aggregation, and statistical anomaly detection. However, this assumption breaks down in adversarial, highly distributed, or rapidly evolving systems where signals may be incomplete, obfuscated, or implicitly deceptive due to system complexity, emergent behaviors, or malicious interference.I propose the Stratified Deception-Inference Architecture (SDIA), a hierarchical cognitive framework that reinterprets observability data as an adversarial communication system rather than a passive telemetry stream. Inspired by strategic deception paradigms from classical warfare, SDIA introduces a multi-layer architecture that explicitly models noise, semantic drift, and hidden intent as first-class computational …

Evaluation Of Circulating Hpg80, Ca15-3, Estrogen And Progesterone As Biomarkers In Breast Cancer Patients, Safa Khaldoon, Emad Yousif, Khawla A. Kasar, Muna Bufaroosha, Rahimi Yusop

AUIQ Complementary Biological System

It is very important to find reliable biomarkers for early detection and monitoring of treatment response because breast cancer is still one of the most common cancers in women around the world. The goal of this study was to find out how clinically important different biochemical markers are in Iraqi women with breast cancer. Some of these signs are progesterone (PG), oestrogen (E2), cancer antigen 15-3 (CA15-3), and circulating progastrin (hPG80). There were 100 women in this study, and they were all between the ages of 20 and 70. There were three groups of people who took part: a healthy …

5t-Isc-Awg Technical Addendum 8, Vesa Olavi Lius

Defensive Publications Series

This Addendum extends the 5T-ISC-AWG Defensive Publication (2026) with a rigorous long-term thermal balance analysis of the bedrock-tunnel condenser, addressing a question that the parent publication acknowledged as a known limitation but did not quantify in detail: how the plant maintains passive operation over decadal timescales when the bedrock condenser is continuously absorbing latent heat of condensation at megawatt-class rates. The analysis confirms that the published Nordic and Mediterranean yields (0.93 and 1.16 ML/day respectively) are fully sustainable in passive 24/7 operation, and identifies the physical mechanisms through which long-term thermal balance is achieved: dew-point-pinning of the warm inlet wall …

The Parthenon, April 29, 2026, Baylee Parsons, Kaitlyn Fleming, Abby Ayes, Ella Hatfield, Davina Snyder, Scott Price, Trista Honaker, Tally Mamula

The Parthenon

No abstract provided.

April 29, 2026 General Faculty Minutes, University Of South Carolina

Faculty Senate

No abstract provided.

Raising The Barb: Evaluation Of Phenobarbital Use For Alcohol Withdrawal In Patients On General Medicine Floors, Seth Arakawa, Jason Frederick, Anthony Le

Books, Presentations, Posters, Etc.

Abstract: Alcohol withdrawal syndrome (AWS) can present as a spectrum of symptoms such as a mild headache, gastrointestinal issues, and diaphoresis. However, if not treated properly, it can progress to severe hallucinations, seizures, or delirium tremens. Current guidelines from the American Society of Addiction Medicine (ASAM) recommend benzodiazepines as first line agents for alcohol withdrawal with phenobarbital recommended as an adjunct agent or replacement to benzodiazepines by providers who are familiar with its use. Although most evidence supporting phenobarbital in AWS comes from critical care settings, emerging data suggest it may also be safe and effective in general ward patients. …

A Rare And Fatal Complication Of Herpes Simplex Virus (Hsv) Infection, Natalie Bolton, Jeffrey Youker

Books, Presentations, Posters, Etc.

Introduction: Hemophagocytic Lymphohistiocytosis (HLH) is a rare syndrome characterized by overactive immune activation, cytokine storm, and uncontrolled hemophagocytosis. Primary HLH is familial and most often seen in infants, whereas secondary HLH occurs more frequently in adults and is triggered by infections, malignancies, or autoimmune disorders. Clinically, secondary HLH often mimics sepsis but fails to respond to standard therapies, contributing to delayed diagnosis and treatment. Without timely intervention, HLH can result in extensive tissue damage, multiorgan failure, and death. In rare cases, central nervous system (CNS) involvement may occur, manifesting as histiocytic infiltration that can be misinterpreted as malignancy or infection. …

Hypercalcemic Crisis After Open Mitral Valve Replacement, Andrew Sunwood, Do, Jason Heino

Books, Presentations, Posters, Etc.

59. Hypercalcemic Crisis After Open Mitral Valve Replacement Andrew Sunwood, DO Background: Hypercalcemic crisis is a rare manifestation of primary hyperparathyroidism characterized by a sudden increase in serum calcium levels to >14 mg/dL with symptoms of hypercalcemia including adverse gastrointestinal symptoms, abdominal pain, and even predisposition to cardiac arrhythmias. There is only one other documented case of hypercalcemic crisis occurring after open heart surgery. Case information: 69-year-old female with a history of primary osteoporosis on alendronate and valvular heart failure presented for mitral valve replacement. Preoperative lab work did not show evidence of electrolyte abnormalities. She under- went open bioprosthetic …

Snuggles, Not Struggles: Evaluation Of A Post-Operative Pain Management Protocol In A Level Iii Community Nicu, Maleane Chin, Danielle Megano, Aiyana Ooki-Knutson, Deasy Erin Wilson

Books, Presentations, Posters, Etc.

Abstract: Neonates are an extremely sensitive population often subject to painful interventions. This pain can have numerous adverse effects including physiologic instability, altered brain development, and abnormal stress responses, which can persist into childhood. Effective post-operative pain management for neonates is crucial for promoting positive developmental outcomes. No specific post-operative pain protocol for neonatal patients has shown to be most effective, so the American Academy of Pediatrics recommends that healthcare institutions establish a neonatal pain protocol to provide more standardized care. This project is a retrospective, single center observational study determined to be exempt by the institutional review board. Infants …