Digital Commons Network^™

Case Report Of Surgical Management For Charcot Foot Medial Column Beaming With Stj Arthrodesis, Prachi Patel, Randy Semma

Posters

Medial column beaming is a surgical procedure that involves inserting a metallic beam to the medial column of the foot to treat the Charcot deformity of the foot.

A surgeon will use a large diameter screw to insert a beam into medial column which includes the first metatarsal, medial cuneiform, navicular and talus (fig 3) The beam shares the load of weightbearing with the foot's ligaments and joints, reducing the abnormal loss of structural integrity that can occur in Charcot arthropathy of the foot.

Subtalar joint fusion is often performed concurrently with medial column beaming to enhance the overall stability …

Promises Kept And Lives Touched: Local Educators Ignite Hope Through Learning And Literacy, May 9, 2024, Tisa Mason Ed.D.

Heart of a Tiger Columns

No abstract provided.

Direct Hospital Liability As A Legal Path To Improved Safety?, Julie Dickinson

Journal of Health Care Law and Policy

No abstract provided.

Brains Over Bronze, Natalia L. Williams

Whittier Scholars Program

While we as a society have made great strides in rewarding and praising athletes for the shows of great physical display, there is a lack of support or awareness of the mental health aspects of competition, especially at the college and professional level. This project illuminates the dire need for mental health resources and training. Athletes undergo a number of pressures and challenges in their work life as well as their personal development. Through literature review, this symposium aims to offer insight on the experiences of college and professional athletes, then providing mental health and psychological skills training resources that …

Implementing A Clinical Practice Guideline To Reduce Antibiotic Use In Asymptomatic Bacteriuria, Connie Sue Clum

Dissertations

Antibiotic use in asymptomatic bacteriuria (ASB) may not be necessary. At the project site, there was no systematic process to manage ordering antibiotics and urine cultures without first diagnosing a urinary tract infection, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if implementing an antimicrobial stewardship program utilizing the Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Management of Asymptomatic Bacteriuria would impact urine cultures ordering and antibiotic use among adult patients admitted to the general medical service. The project was piloted over 12 weeks in an urban hospital …

Nanograv 15-Year Gravitational-Wave Background Methods, Aaron D. Johnson, Patrick M. Meyers, Paul T. Baker, Neil J. Cornish, ‪Jeffrey S. Hazboun, Tyson B. Littenberg, Joseph D. Romano, Stephen R. Taylor, Michele Vallisneri

Physics & Astronomy Faculty Publications

Pulsar timing arrays (PTAs) use an array of millisecond pulsars to search for gravitational waves in the nanohertz regime in pulse time of arrival data. This paper presents rigorous tests of PTA methods, examining their consistency across the relevant parameter space. We discuss updates to the 15-year isotropic gravitational-wave background analyses and their corresponding code representations. Descriptions of the internal structure of the flagship algorithms enterprise and ptmcmcsampler are given to facilitate understanding of the PTA likelihood structure, how models are built, and what methods are currently used in sampling the high-dimensional PTA parameter space. We introduce a novel version …

Team Presentation Theory Ii: Q&A Management, Daniel Usera, Alex Fuller

SAGE Open Access Agreement Publications-Archive

Effective Q&A management in team presentations is a crucial yet often neglected aspect in academic discourse. Building upon Usera and Fuller’s previous work, this article explores the intricacies of Q&A management for teams. It outlines three key challenges teams face in managing Q&A, introduces two common components (isolated and embedded Q&A) with strategic insights, and proposes techniques for anticipating and responding to questions. By aligning Q&A strategies with the five team presentation formats identified by Usera and Fuller, this article offers a comprehensive framework for enhancing team presentations, with implications for educators, practitioners, and researchers in public speaking.

From Goths To Romans? Changing Conceptions Of Visigothic Kingship In The Reigns Of Leovigild And Reccared, Lance Hungar

Departmental Honors & Graduate Capstone Projects

The historiography of Visigothic Spain has always been relevant, from the days of what is known as the Reconquista, to Franco-era propaganda efforts, and even to the modern day. Scholars have debated the varying qualities of Roman-ness or Gothic-ness that appear in the Visigothic kingdom, the importance of the Visigothic conversion to Nicene Christianity at the Third Council of Toledo in 589, and other details. Leaving those debates to others, this paper focuses on the question why did the Arian Visigothic kingdom abandon the Arian religion that had defined the Visigoths for generations? In examining this question through archaeological …

Shanas, Bert, Sonia Morris

Bronx Jewish History Project

Bert Shanas was born at Hunts Point Hospital in 1944. Having grown up in the Hunts Point neighborhood (residing at 930 Fox Street and attending PS 39, JHS 125, and Morris High School), he spent his childhood writing for the school newspaper, going to the Bronx Zoo and Yankee Stadium, and partaking in street games. In early childhood, Shanas remembers his neighbors and peers all being Jewish, but mentions that around the time of the Great Puerto Rican Migration there were a lot more Spanish speakers in the South Bronx. In high school Shanas recalls observing many interethnic friendships, though …

Constitutions As Constraints, Mark Graber

Maryland Law Review

No abstract provided.

Is Federal Congressional Redistricting In Maryland Governed By Article Iii, Section 4 Of The State Constitution? An Analysis Of The Trial Court Decision In Szeliga V. Lamone, Dan Friedman, Barnett Harris

Maryland Law Review

No abstract provided.

Nothing At Stake But Life’S Essentials: How Sole Reliance On New Textualism Endangers Clean Water, Environmental Justice Communities, And Environmental Law (And A Judicial Framework To Fix It), Samantha Bingaman

Maryland Law Review

No abstract provided.

Congress Could Soon Spell The End Of Employment Arbitration—But It’S Not All Good News For American Workers., Lewis L. Maltby, Theodore J. St. Antoine

Other Publications

Employment arbitration has become a dirty word on Capitol Hill. Congressman Hank Johnson claims that arbitration allows employers to "stack the deck against the little guy" for the 60 million employees bound by arbitration agreements. The Economic Policy Institute calls it an epidemic that is "undermining decades of progress in labor rights."

Philanthropy In The Helping Profession: An Overview And Introductory Workshop Intended To Support Counselors And Counselors In Training, Matthew Higgins

Educational Specialist, 2020-current

Many new counseling professionals enter the field with a deep understanding of the therapeutic relationship but lack knowledge of the financial realities that sustain counseling services. Traditional training prioritizes building rapport with clients, leaving a gap in understanding the business side of the helping profession. As the demand for therapy increases, particularly in the United States, it's crucial for counselors to explore innovative solutions to sustain the field in the long term. Integrating education on philanthropic support into counselor training offers a creative approach that would fall in line with the ACA Code of Ethics. While more research needs to …

A Beginner's Guide To Gerontological Counseling: A Summary Of Considerations For Counselors Providing Psychotherapy To Older Adults In Rural Settings, Kelly D. Higgins

Educational Specialist, 2020-current

The elderly population continues to rapidly increase in the United States, leading to a significant need for mental health care among older adults. While older adults experience significant role changes, increased potential for physical and cognitive limitations, and heightened social isolation, all of which contribute to an increased psychiatric need, very few counselors are specially trained to provide adequate geriatric treatment. This is especially true in rural populations, where accessibility limitations are often more significant and mental health professionals are few and far between. This project provides a brief review of the literature regarding these various considerations, challenges, and areas …

An Exploration Of The Potential Impacts Of Philosophical Idealism On Psychotherapeutic Practice, Ian Richard

Educational Specialist, 2020-current

This study presents a review of the modern ontologies available regarding the nature of the universe and identifies Bernardo Kastrup’s formulation of idealism as a leading model. Idealism theorizes that consciousness is the basis of reality, as opposed to physical objects. The implications of Kastrup’s idealism on psychotherapeutic practice are considered, including conflicts with the medical model, synergies with the contextual model, and suggestions for approaches that align with the findings of idealism.

Let’S Get Creative: Using Creative Arts Interventions To Address Trauma Experiences, Ashley Oginz-Wilson

Educational Specialist, 2020-current

Trauma as a theme in counseling work is something that mental health clinicians are commonly exposed to. While there are standard practices and therapeutic modalities to address trauma in counseling, it is important to maintain flexibility as a clinician to best meet the individual needs of the client. This literature review explores ways to embrace creative counseling interventions in support of clients with trauma experiences. Creative counseling interventions could include art, music, dance and movement, nature, humor, drama, and play. The premise of such interventions is that they offer clients a new way to express their feelings, memories, stories, etc. …

Usa V. Marnell Johnson

2024 Decisions

USDC for the District of New Jersey

Bridging The Gap Between Primary Care And Mental Health: A Quality Improvement Project, Coreyann Fluker

Doctor of Nursing Practice (DNP) Manuscripts

Establishing a robust connection between primary care and mental health services is crucial for fostering a patient-centered healthcare model. This quality improvement project addresses the pressing issue of limited access to mental health services in rural areas of the United States, leading to unmet mental health needs for patients. These challenges were identified within a Federally Qualified Health Center (FQHC) in Southwestern Pennsylvania. Implementing a collaborative care approach seeks to enhance triage practices by facilitating warm handoffs from primary care to mental health providers while integrating an informative triage tool, the SAD PERSONS Scale.

This collaborative approach enhances patient outcomes …

Integrating Health-Related Quality Of Life And Evidence-Based Polycystic Ovarian Syndrome Management: A Quality Improvement Initiative, Kami Beveridge Wast

Doctor of Nursing Practice (DNP) Manuscripts

Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder affecting approximately 10% of women of reproductive age, characterized by symptoms such as irregular menstrual cycles, infertility, and metabolic issues (Fatemeh et al., 2021). Despite its prevalence, the management of PCOS remains challenging due to its manifestations and impact on quality of life. Current treatment paradigms often fail to adequately address the comprehensive needs of this patient population, highlighting a substantial gap in care.

Utilizing the Plan-Do-Study-Act (PDSA) methodology, this quality improvement (QI) project aimed to enhance the management of PCOS and improve the quality of life for patients in a …

Pediatric Dermatologists Versus Ai Bots: Evaluating The Medical Knowledge And Diagnostic Capabilities Of Chatgpt, Charles Y. Huang, Esther Zhang, Marie-Chantal Caussade, Trinity Brown, Griffin Stockton Hogrogian, Albert C. Yan

Student Papers, Posters & Projects

This study evaluates the clinical accuracy of OpenAI's ChatGPT in pediatric dermatology by comparing its responses on multiple-choice and case-based questions to those of pediatric dermatologists. ChatGPT's versions 3.5 and 4.0 were tested against questions from the American Board of Dermatology and the "Photoquiz" section of Pediatric Dermatology. Results show that human pediatric dermatology clinicians generally outperformed both ChatGPT iterations, though ChatGPT-4.0 demonstrated comparable performance in some areas. The study highlights the potential of AI tools in aiding clinicians with medical knowledge and decision-making, while also emphasizing the need for continual advancements and clinician oversight in using such technologies.

A Mind-Body Intervention To Improve Physical Activity For Patients With Chronic Hip-Related Pain: Protocol For A Mixed Methods Study., Kate N Jochimsen, Kristin R Archer, Robin A Pollini, Robert A Parker, Nomin Enkhtsetseg, Cale A Jacobs, Ana Maria Vranceanu

Psychiatry Faculty Publications

BACKGROUND: Pain and dysfunction persist for most patients following hip-related pain treatment. Additionally, individuals with hip-related pain are typically less physically active than individuals without hip pain, despite evidence that regular physical activity reduces chronic musculoskeletal pain. Poor psychological health is common in patients with hip-related pain and further reinforces low physical activity. Mind-body interventions can improve psychological health and activity levels but have yet to be integrated to provide comprehensive, psychologically informed care for patients with hip-related pain. Thus, we are using the NCCIH intervention development framework to develop Helping Improve PSychological Health (HIPS), a novel, multimodal mind-body intervention …

Utilization Of Negative Pressure Wound Therapy And Split Thickness Skin Grafts In The Context Of Complex Skin Closure Via Secondary Intention: A Protocol Approach, Jihan Toma, Eric Li, Randy Semma, Michele Bertelle-Semma, Asif Khan

Posters

Patients with complex, chronic foot wounds or ulcerations are at risk for major amputations. In this quality improvement (QI) initiative, we present an implemented protocol for patients with foot ulcerations and attempt to heal them using a combination of wound vac therapy and split thickness skin grafting. These patients have a history of either diabetes and/or neuropathy that makes wound healing more difficult than an otherwise healthy individual.

The Diagnosis Of Polyarteritis Nodosa In The Setting Of Lower Extremity Lesions: A Case Report, Eric Li, Jihan Toma, George Gopoian

Posters

Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis affecting medium-sized arteries, involving multiple organs, with the most frequently affected tissues being skin and peripheral nerves (1). The distinct pearl neckless pattern led to the naming of this condition (2). Cutaneous polyarteritis nodosa (CPAN) is a variant of PAN confined to the skin, muscles and peripheral nerves in the absence of any systemic involvement (1). This rare form of systemic necrotizing vasculitis is limited to the medium-sized arteries of the skin and has a more favorable prognosis (1). PAN is also linked to Hepatitis B(2). The current diagnostic criteria for CPAN …

Failed Medial Column Fusion Due To Subtalar Joint Instability, Travis Rich, Randy Semma, Michele Bertelle-Semma

Posters

CNA is a destructive complication affecting the bone and joint structure, most often in diabetics w/ longstanding peripheral neuropathy.

High incidence of major amputation associated with Charcot foot.

Toward An Affective-Rhetorical Approach To Biblical Interpretation, Sophie R. Beal

Yale Divinity School Theses

No abstract provided.

A Bioinformatic Analysis Of T-Cell Epitope Diversity In Sars-Cov-2 Variants: Association With Covid-19 Clinical Severity In The United States Population, Grace J. Kim, Jacob H. Elnaggar, Mallory Varnado, Amy K. Feehan, Darlene Tauzier, Rebecca Rose, Susanna L. Lamers, Maya Sevalia, Najah Nicholas, Elizabeth Gravois, Daniel Fort, Judy S. Crabtree, Lucio Miele

School of Graduate Studies Faculty Publications

Long-term immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) requires the identification of T-cell epitopes affecting host immunogenicity. In this computational study, we explored the CD8+ epitope diversity estimated in 27 of the most common HLA-A and HLA-B alleles, representing most of the United States population. Analysis of 16 SARS-CoV-2 variants [B.1, Alpha (B.1.1.7), five Delta (AY.100, AY.25, AY.3, AY.3.1, AY.44), and nine Omicron (BA.1, BA.1.1, BA.2, BA.4, BA.5, BQ.1, BQ.1.1, XBB.1, XBB.1.5)] in analyzed MHC class I alleles revealed that SARS-CoV-2 CD8+ epitope conservation was estimated at 87.6%–96.5% in spike (S), 92.5%–99.6% in membrane (M), and 94.6%–99% in …

A Novel Humanized Mouse Model For Hiv And Tuberculosis Co-Infection Studies, José Alejandro Bohórquez, Sitaramaraju Adduri, Danish Ansari, John Sahana, And Additional Authors

School of Medicine Faculty Publications and Presentations

Background: Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), continues to be a major public health problem worldwide. The human immunodeficiency virus (HIV) is another equally important life-threatening pathogen. HIV infection decreases CD4+ T cell levels markedly increasing Mtb co-infections. An appropriate animal model for HIV/Mtb co-infection that can recapitulate the diversity of the immune response in humans during co-infection would facilitate basic and translational research in HIV/Mtb infections. Herein, we describe a novel humanized mouse model. Methods: The irradiated NSG-SGM3 mice were transplanted with human CD34+ hematopoietic stem cells, and the humanization was monitored by staining various immune cell markers …

Autonomous Bottling And Packaging System - Mechanical Bottling Portion, Kathryn Gray

Honors College Theses

This report details the complete mechanical design of an autonomous bottling automation system. This system is fully integrated with a bottling and packaging system. The scope of the full project is to successfully bottle and cap twelve small bottles (approximately 68 cm3) in under three minutes and thirty seconds. The bottles shall be filled with an “electrolyte” and water mixture, and the mixture should be fully mixed. To complete this task, two tanks will dispense liquid (one electrolyte, and one water) into the bottles. Each tank shall have a measuring chamber, that will fill with the correct amount of volume …

Improving Patient Care For Individuals With Autism Through An Evidence-Based Education Video: A Pilot Feasibility Project, Emily Santillan, Katreena Collette-Merrill, Terisa P. Gabrielsen, Petr Ruda

Student Works

Autism Spectrum Disorder (ASD) affects approximately 1 in 36 children in the United States, presenting challenges in healthcare provision due to varied severity and frequent comorbidities. Despite increased healthcare utilization by individuals with ASD, they often encounter barriers to receiving adequate care, including communication difficulties and untrained healthcare providers. Consequently, there is a pressing need for autism-friendly healthcare environments.

This study aimed to assess the feasibility of improving healthcare provider self-efficacy in caring for patients with ASD through an evidence-based online educational video. Following Bandura's Self-Efficacy Theory, the project developed a video outlining simple accommodations for ASD patients in ambulatory …