Digital Commons Network^™

Clinical Application Of Midline Catheters In An Acute Care Ward: A Single-Center Retrospective Observational Study, Miki Sato Rn, Yusuke Makio, Taku Harada, Kenta Shukuya, Hiroki Taira, Shintaro Kosaka

Journal of Community Hospital Internal Medicine Perspectives

Introduction

Midline catheters are a promising alternative to central venous access devices for intermediate-term therapy, with reduced risks of catheter-related bloodstream infections (CRBSI) and deep vein thrombosis (DVT). Their inclusion in the 2024 World Health Organization guidelines reflects increasing global interest. However, their use remains limited to select countries, and real-world clinical data are scarce. This study evaluated the safety and effectiveness of midline catheters in an acute care setting.

Methods

We retrospectively analyzed 68 midline catheter insertions in 50 patients between November 2023 and April 2024 in a general internal medicine ward of a 400-bed hospital. Collected data included …

Artificial Intelligence In Medicine: A Definition Of Terms, Teray Johnson, Melvin Blanchard

Journal of Community Hospital Internal Medicine Perspectives

As artificial intelligence (AI) tools gain traction in clinical, operational, and administrative settings, healthcare professionals must develop a foundational understanding of key AI concepts to engage with these technologies responsibly and effectively. This perspective outlines essential AI terminology—such as machine learning, generative and agentic AI, large language models, artificial neural networks, and prompt engineering—paired with concrete clinical examples to illustrate their relevance in modern medical practice. By clarifying these terms and exploring their applications, this paper aims to equip healthcare leaders with the vocabulary and context necessary to evaluate, implement, and oversee AI systems within their organizations. Such literacy is …

Predicting The Future Past: Human Cognitive Limits And Proximate Cause Determinations In Civil Actions, Dr. Molly Wilson, Helen Webster

New Mexico Law Review

Juror decision-making is inherently influenced by psychological biases, which pose a significant challenge to the fairness and accuracy of proximate cause determinations in tort cases. This Article explores the cognitive and social biases—such as hindsight bias, primacy, anchoring, belief in a just world, and moral outrage—that affect jurors as they engage in the complex reasoning required to assess foreseeability and causation. Given that jurors must disregard their knowledge of actual harm and set aside emotional responses to tragic injuries, the risk of bias is substantial. Traditional jury instructions have proven insufficient in mitigating these effects. As a solution, this Article …

Primary School Physical Activity Culture In The Uk: Findings From A Four-Month Rapid Ethnography In Three Schools, Robert Walker, Lydia Emm-Collison, Danielle House, Simoona Kent-Saisch, Ruth Salway, Alice Porter, Abi Howard, Tom Reid, Michael Beets Med, Mph, Phd, Frank De Vocht, Russell Jago

Faculty Publications

Introduction: Physical activity is fundamental for children’s health and well-being, yet most children are not active enough. School-based interventions aiming to increase children’s physical activity have largely been ineffective, perhaps due to a lack of consideration of the unique culture within each school. The aim of this paper is to understand the key aspects of physical activity culture in English primary schools using the organizational culture framework.

Methods: A four-month rapid ethnography study was conducted within three primary schools in Bristol, UK, between March and July 2024. The findings draw on observations, interviews, documentary data, photo elicitation, informal conversations and …

Generalizing Networks To Address Data Imbalance For Facial Action Unit Recognition, Andrew W. Sumsion

Theses and Dissertations

Facial action unit (AU) recognition is used in a variety of downstream applications, including sign language translation, dementia detection, pain detection, and other high-impact tasks that require understanding facial motion. Although AU recognition is a well-established field, a number of unresolved issues remain. An initial problem is the need to improve overall performance on the benchmark datasets, as measured by the average F1 score. Also, the performance across all individual AUs, not just the average F1 score, needs to be increased. Recently, the field has shifted its attention towards ensuring that AU recognition models generalize beyond the distributions represented in …

Equity And Diversity Minutes 03/17/2026, Equity And Diversity Committee

Equity and Diversity Committee

No abstract provided.

Geology Lab Activities An Open Educational Resource For Community College Students And Instructors, Rondi Davies, Ari Nakamura

Open Educational Resources

I'm delighted to present the updated version of Geology Lab Activities, initially developed during the COVID-19 pandemic for online learning. As we have returned to the classroom, this revised edition remains a versatile educational tool for community college students, adaptable for both online and in-person classes.

This manual combines my preferred open-access materials with my own contributions, forming a cohesive resource for non-major geology students. Thanks to a CUNY OER grant, I partnered with graphic designer Ari Nakamura, whose innovative and elegant design has truly elevated the book.

Our labs are crafted to be engaging and relevant for non-major …

A Spiritual Passage From Santiago To Sligo: Celtic Pilgrimage From St. John’S Eve To Queen Maeve’S Procession, Nichole Lariscy Ph.D.

International Journal of Religious Tourism and Pilgrimage

This paper explores the spiritual dimensions of Celtic pilgrimage through a comparative analysis of two journeys: the Celtic Camino, primarily known as the English Way to Santiago, in Galicia, Spain, and the pilgrimage to Queen Maeve’s Cairn in Sligo, Ireland. It examines how invented traditions and mythological narratives contribute to a sense of ancestral connection and spiritual homecoming. The study employs autoethnographic narrative and theoretical frameworks including Simon Coleman’s concept of laterality and Jenny Butler’s observations on neo-pagan re-sacralisation of the landscape. Field observations, personal reflections, and literature review inform the analysis. The paper identifies ritual, festival, and storytelling as …

Petroleum Potential Of The Middle–Late Jurassic Source Rocks (Sargelu And Naokelekan Formations) In The Kurdistan Region, Northern Iraq., Karwan Taha Chicho Zebari, Ayad Nuri Faqi Edilbi, Azad Tahir Saeed

Polytechnic Journal

This study evaluates the petroleum generating potential of the Middle-Late Jurassic Sargelu and Naokelekan Formations across distinct tectonic zones in the Kurdistan Region, Iraq. Source rock quality is assessed through geochemical analyses of organic matter (OM) quantity, type, thermal maturity, and key factors influencing hydro-carbon generation. Rock-Eval pyrolysis was performed on outcrop samples from five sections located within the Imbricated and High Folded Zones of the Zagros Fold-Thrust Belt. Results demonstrate significant variability in total organic carbon (TOC) content, hydro-carbon generation potential (as reflected by S1, S2, and genetic potential values.), and kerogen types across these zones. The Sargelu and …

Presidential Search Committee Minutes, Clemson University Board Of Trustees, 2026 March 17, Clemson University Board Of Trustees

Minutes

No abstract provided.

Learning From The Storm: The Impact Of Hurricane Experience On Future Disaster Preparedness, Eren Bilen, Tamara Sheldon, Crystal Zhan

Faculty Publications

Hurricanes and tropical cyclones have become more severe over the past 40 years and are expected to intensify in the future due to climate change. In this paper, we seek to understand how natural disaster experiences shape precautionary economic behaviors in response to future risks. We combine daily, household-level consumer goods purchase data from 2008-2018 with hurricane hit and warning data and use propensity score trimming to obtain a sample of households with a similar probability of receiving a hurricane warning to mitigate the problem of endogenous residential sorting. Using a triple difference-in-differences model, we find that past hurricane experience …

Learning From The Storm: The Impact Of Hurricane Experience On Future Disaster Preparedness, Eren Bilen, Tamara Sheldon, Yi Crystal Zhan

Faculty Publications

Hurricanes and tropical cyclones have become more severe over the past 40 years and are expected to intensify in the future due to climate change. In this paper, we seek to understand how natural disaster experiences shape precautionary economic behaviors in response to future risks. We combine daily, household-level consumer goods purchase data from 2008-2018 with hurricane hit and warning data and use propensity score trimming to obtain a sample of households with a similar probability of receiving a hurricane warning to mitigate the problem of endogenous residential sorting. Using a triple difference-in-differences model, we find that past hurricane experience …

Infectious Aortitis Secondary To Gastrointestinal Pathogens: A Case Series And Syndromic Review, Natasa Kostic, Ilana Goldberg, Devin Weber

Division of Internal Medicine Faculty Papers & Presentations

Aortitis is a rare but serious complication of infection that results in high morbidity and mortality. The most common location is in preexisting aneurysmal disease in a patient with multiple chronic comorbidities. The pathogens often reflect gastrointestinal bacteria, the classic example being Salmonella spp., but also include other enteric flora, Staphylococcus aureus, Streptococcus spp., and more. Herein, we describe 2 cases of aortitis caused by gastrointestinal bacteria and review management of this complex syndrome.

Contextualized Divergence Detection In Health Advice: A Benchmark And Analysis, Reet Kothari

Dartmouth College Master’s Theses

Large language models (LLMs) are increasingly used as sources of health advice, raising urgent concerns about reliability, safety, and personalization. While prior work has studied health advice conflicts, these efforts typically ignore patient context and treat contradictions as universal. In this paper, we propose the task of contextualized divergence detection, which frames divergence not only as strict contradictions but also as context-dependent mismatches. To support this task, we introduce a novel dataset of 10,545 samples that combines user profiles, consumer medication guideline documents, and advice statements, with divergences synthetically generated across four categories: direct, conditional, temporal, and sub-typical. We benchmark …

Path Odd-Covers Of Graphs, Steffen Borgwardt, Calum Buchanan, Eric Culver, Bryce Frederickson, Puck Rombach, Youngho Yoo

Mathematics: Faculty Scholarship

We introduce and study “path odd-covers,” a weakening of Gallai's path decomposition problem and a strengthening of the linear arboricity problem. The path odd-cover number  of a graph G is the minimum cardinality of a collection of paths whose vertex sets are contained in  and whose symmetric difference of edge sets is. We prove an upper bound on  in terms of the maximum degree Δ and the number of odd-degree vertices  of the form . This bound is only a factor of 2 from a rather immediate lower bound of the form . We also investigate some natural relaxations of …

Living In Liberal Areas Reduced Covid-19 Vaccine Hesitancy Among Conservatives, Brittany L. Kmush, Rachel E. Dinero

Population Health Research Brief Series

Political divisions shaped public health responses throughout the COVID-19 pandemic, with conservatives expressing higher vaccine hesitancy than liberals. But does where conservatives live matter? This brief summarizes findings from a study using survey data from 683 U.S. adults (ages 18-94) collected March-April 2023, combined with 2020 presidential election results by zip code. The authors found that liberals consistently had low vaccine hesitancy and high uptake regardless of where they lived, but conservatives living in lower Trump vote share communities reported lower vaccine hesitancy and higher vaccination and booster uptake than conservatives in high Trump vote share communities. This pattern was …

Remote Language Assessment In School-Age Children With Phelan–Mcdermid Syndrome And Genotype–Phenotype Correlation, Sarah Quadri-Valverde, Jessica Klusek Ph.D., Ccc-Slp, Linda D. Ward, Diana Ivankovic, Nancy Powers, Vijay Shankar, Rachel A. Lyman, Trudy F.C. Mackay, William Bridges, Katy Phelan, Chris Rogers, Luigi Boccuto, Sara M. Sarasua

Faculty Publications

People with Phelan–McDermid syndrome (PMS) have reduced speech and language abilities, yet little research has profiled the communication abilities in this population. The purpose of this study was threefold: identifying the language and communication profiles of school-aged children with PMS, identifying genetic contributions to language and communication abilities, and determining the feasibility of remote data collection for research purposes. A speech language pathologist used standardized assessments and direct evaluations by video conferencing to evaluate language and communication abilities. Sixteen children and adolescents were evaluated: 5 with SHANK3 pathogenic variants, 9 with 22q13 deletions including SHANK3 (PMS-SHANK3 related), and 2 …

Tusqh: Topological Control Of Volume-Fraction Meshes Near Small Features And Dirty Geometry, Brian Reese Shawcroft

Theses and Dissertations

This work develops a framework to create meshes with user-specified homology from potentially dirty geometry by coupling background grids, persistent homology, and a generalization of volume fractions. For a mesh with fixed grid size, the topology of the output mesh changes predictably and monotonically as its volume-fraction threshold decreases. Topological anti-aliasing methods are introduced to resolve pinch points and disconnected regions that are artifacts of user choice of grid size and orientation, making the output meshes suitable for downstream processes including analysis. The methodology is demonstrated on geographical, mechanical, and graphics models in two-dimensions (2D) and three-dimensions (3D) using a …

Whole-Blood, Concentrated, And Micro–Dose Del Nido Cardioplegia In Adult Cardiac Surgery: A Scoping Review, Christian Iulianelli

Student Works

1. A.     Background/Introduction: Del Nido cardioplegia was originally developed for pediatric cardiac surgery to provide prolonged myocardial protection with a single-dose strategy. Its adoption in adult cardiac surgery has led to multiple modified formulations, including whole-blood, concentrated, and bloodless strategies. Given expanding clinical use and variation in technique, a structured mapping of the adult evidence base is warranted.
2. B.     Methodology: This scoping review followed PRISMA-ScR guidance. PubMed and CINAHL were searched, yielding 88 records. After duplicate removal and screening, 18 studies met inclusion criteria. Data were charted on study design, cardioplegia formulation, patient population, myocardial biomarkers, arrhythmias, renal outcomes, transfusion requirements, …

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …

Spartan Daily, March 17, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 166, Issue 23

Young Granite Staters Wary Of Prediction Markets, Older Residents Unaware 3/17/2026, Unh Survey Center

All UNH Survey Center Polls

Few Granite Staters have participated in prediction markets and nearly half of state residents have never heard of them. However, three-quarters of those under 35 have at least heard of prediction markets and a majority say they understand how they work. Granite Staters believe it should be legal to bet on sports using prediction markets but think it should be illegal to bet on elections, the economy, or political events like war. A plurality are unsure about the federal government regulating prediction markets, with those on the political left in favor of more regulation. Nearly two-thirds of Granite Staters under …

Few Vermonters Have Used Prediction Markets, Majority Want More Federal Regulation Of Industry 3/17/2026, Unh Survey Center

All UNH Survey Center Polls

A majority of Vermonters have heard of prediction markets like Kalshi and Polymarket, but very few state residents have actually participated in them. Vermonters believe it should be illegal to use prediction markets to bet on elections, the economy, or political events like war, but are split over whether it should be legal to use them to bet on sports or cultural events. A majority support further federal government regulation of prediction markets. Nearly half of Vermonters expect prediction markets to have a negative effect on the country over the next decade.

Schneider, Phil, Evelyn Burkholder

Bronx Jewish History Project

Summarizer: Sophia Maier

Phil Schneider was born to American-born parents of Ashkenazi descent in 1948. After World War Two, his parents moved to Parkchester, where Schneider lived until he married. He describes Parkchester as racially segregated, with Irish and Jewish communities who were generally “friendly,” except when he was chased on Sunday mornings after Hebrew school. Despite ethnic divisions among the children, his parents identified as American first. Schneider grew up more closely identified with his Jewish cultural identity than his religious one, while his grandparents, from Eastern Europe, spoke Yiddish and were religiously observant. Shneider, who was an anti-religious …

Development And Validation Of The Emergency Department Transitions Measure, Sara Beachy, Danielle M. Mccarthy, Julianna Lenoir, Alexzandra Gentsch, Richard W. Hass, Marissa Witmer, Paula Ostroff, Melissa Tupas, Lindsey Shughart, Hailey Shughart, Kristin L. Rising

Jefferson Center for Connected Care Faculty Papers

BACKGROUND: Transitions of care are high-risk periods for patient safety in the emergency department (ED), particularly for patients who are still in the diagnostic process and are discharged with diagnostic uncertainty. Care transitions must be improved for these patients, as one third of discharged ED patients have diagnostic uncertainty. Yet there are no validated measures that assess the quality of care transitions from the ED, limiting the ability to assess the impact of interventions. Thus, we developed and validated the ED Transitions (EDT) measure.

METHODS: This mixed methods study was conducted across a large healthcare system in three phases: item …

Legal Decision Biases In Gpt: A Comparison With Human Judgment, Toscane F. Bessis, Andy J. Wills, Bartosz W. Wojciechowski, Lee C. White, Emmanuel M. Pothos

School of Psychology

Legal decision-making is expected to meet high standards of consistency and rationality, yet human judgments in this domain are known to be influenced by procedural factors such as evidence order and intermediate evaluations. Recent work has shown that even legal professionals, including judges, are susceptible to such biases when assessing criminal cases. This raises a critical question: do large language models, which are increasingly proposed as decision-support tools in legal contexts, exhibit similar procedural biases—and if so, can these biases be mitigated? To address this question, we tested GPT-4o and GPT-5.2 using a controlled legal judgment task adapted from prior …

Is The Long-Horned Grasshopper Ruspolia Differens (Orthoptera: Tettigoniidae) A Novel, Nutritious, Functional, And Safe Alternative Food Product? A Review, Margaret Kababu, Collins Mweresa, Dorothy Nakimbugwe, Geoffrey Ssepuuya, Karlmax Rutaro, Nicodemus Matojo, Faith Nyamu, Robert Mbeche, Sevgan Subramanian, Sunday Ekesi, Chrysantus Tanga

All Peer-Reviewed Publications

Ruspolia differens Serville (Orthoptera: Tettigoniidae) is among the most widely consumed edible insect in Eastern and Central Africa, where it contributes to both household nutrition and income generation. As a nutrient-dense food source, it offers a promising alternative to curb food insecurity and malnutrition. Despite this, the consumption and use of the grasshopper is limited to its seasonal availability when it is collected from the wild. Coupled with this, is limited evidence on its domestication despite research advances to optimize conditions for mass production. This review was conducted to highlight research advances and gaps on production, processing, nutritional profile, and …

A Tibial Osteotomy Of The Medial Collateral Ligament Insertion To Improve Visualization Of The Medial Tibial Plateau: A Cadaveric Study, Kathryn A Barth, Ricardo R Tijerina, Adeet Amin, Avrey A Novak, Erik N Mayer, Sabir K Ismaily, John W Munz, Andrew M Choo, Timothy S Achor, Steven J Warner, Jonathan G Eastman, Patrick J Kellam

Faculty, Staff and Student Publications

Objectives: To compare visualization of the medial tibial plateau articular surface using three surgical approaches: medial collateral ligament (MCL) split, femoral epicondyle osteotomy of the MCL origin, and tibial osteotomy of the MCL insertion.

Methods: Seven matched pairs of fresh-frozen adult cadaveric lower extremity specimens (14 knee specimens total) with no evidence of previous surgery were utilized. Through a medial approach to the proximal tibia, the MCL split technique was performed followed by a sub-meniscal arthrotomy. Standardized distraction of the joint was applied using a universal distractor. A three-dimensional digitizer probe was utilized to map the visible articular surface. These …

Fungal Meningitis In Us Patients Who Received Epidural Anesthesia In Matamoros, Mexico, Dallas J Smith, Elizabeth Misas, Jeremy A W Gold, Nicole Evert, Thi Dang, Emilie Prot, Simone Godwin, Julieanna Rivas, Jessica Pearson, Lori Koenecke, Nirma D Bustamante, Maria Julia Marinissen, Gabriel Garcia Rodriquez, Irma López-Martínez, Caitlyn Lutfy, Samantha Williams, Axel A Vazquez Deida, Katrina M Byrd, Julian A Villalba, Sarah Reagan-Steiner, Lindsay Parnell, Lalitha Gade, Romney M Humphries, Nathan P Wiederhold, Charles Y Chiu, Joshua A Lieberman, Anastasia P Litvintseva, Tom Chiller, Luis Ostrosky-Zeichner, Fungal Meningitis Response Team

Faculty, Staff and Student Publications

Background: Fungal meningitis outbreaks are rare and entail high mortality rates. Beginning May 2023, we investigated fungal meningitis caused by Fusarium solani species complex occurring in US patients who received epidural anesthesia in Matamoros, Mexico.

Methods: Early epidemiological information suggested US patients with suspected fungal meningitis had undergone mostly cosmetic procedures under epidural anesthesia performed in 2 Matamoros clinics. US patients known to have received surgery at these clinics during 1 January-13 May 2023 (clinic closures date) were identified and notified by public health officials. Epidemiological and clinical data were used to update diagnostic and clinical guidance for outbreak response, …

Efficacy And Safety Of Approved Cellular Therapies And Bispecific Antibodies In Solid Tumors: The Current State, Rabab Zehra Jafry, Saba Bilal Qamar, Sohaib Irfan, Muhammad Abbas Abid, Virginia Mohlere, Neha Maithel, Syed Hassan Jafri, Sanjay Awasthi, Samer Srour, Irfan A Vaziri, Muhammad Bilal Abid

Faculty, Staff and Student Publications

Cancer immunotherapy is a broad term including naked antibodies, bispecific antibodies (BsAbs), immune-checkpoint inhibitors (ICIs), chimeric antigen receptor T-cell (CAR-T) therapy, cancer vaccines, activated immune cells, and allogeneic hematopoietic cell transplantation. Recent advances in immune-engaging T-cell therapies have led to significant progress in novel treatments across various cancer types, resulting in prolonged patient survival, mainly in patients with hematologic malignancies. Several CAR T-cell constructs and BsAbs have been approved by regulatory authorities worldwide for relapsed, refractory leukemia, non-Hodgkin lymphoma, and multiple myeloma. Solid tumors are characterized by an immunosuppressive, fibroinflammatory tumor microenvironment (TME) and immune-suppressive cells, such as regulatory T-cells …