Heat Stroke Encephalopathy Without The Presence Of Distinct Imaging Findings: Case Report And Review Of Literature, Ryan Sholes, David J. Walz, Julia S. Evans, Tessa Connelly, Joseph Rigotti

Abington Jefferson Health Papers

Heat stroke is a life-threatening emergency characterized by severe hyperthermia and acute central nervous system (CNS) dysfunction. We describe a 72-year-old man who was found unresponsive in his vehicle on a day with ambient temperatures exceeding 90°F. On arrival, his core temperature was 105.8°F, and Glasgow Coma Scale (GCS) score was 5. Despite prompt initiation of active cooling and supportive care with normalization of body temperature, the patient developed persistent and fluctuating encephalopathy. Extensive metabolic, infectious, and toxicologic evaluations were unrevealing. Thyroid-stimulating hormone was normal, arterial blood gases showed no acid-base derangements, ammonia and liver function tests were within normal …

Otologic Manifestations Of Temporomandibular Disorders, Fatemeh Ebrahimi, Ali Akbar, Vivian Jin, Vivian F Kaul, Craig B Pearl

Faculty, Staff and Student Publications

Background/Objectives: Temporomandibular disorder (TMD) affects a third of the adult population and has been associated with otologic symptoms. These symptoms are frequently misattributed to primary otologic diseases, leading to delays in diagnosis and treatment. This review aims to summarize the reported prevalence, proposed pathophysiologic mechanisms, and management strategies of otologic manifestations in patients with TMD.

Methods: A literature review was conducted using the MeSH terms "temporomandibular joint disease" and "otologic symptoms." Five additional searches were performed using "temporomandibular disease/dysfunction" combined with each of the five most common otologic symptoms. Meta-analyses, randomized controlled trials, reviews, and systematic reviews were …

Interview With Rosa Elia Garza, Rosa Elia Garza, Logan Dovalina

Rio Grande Valley Oral Histories

Rosa Elia Garza (née Peña) was born on August 19, 1947, in Arcabuz, Tamaulipas, Mexico, and immigrated to the United States at four months of age with her parents, Porfirio Peña and Elodia González Peña. The youngest of eight sisters in a family with no sons, she grew up in Monte Alto, Texas, where her family built a life centered on hard work, family unity, and the pursuit of a better future after selling their property in Mexico. From age six, Rosa worked in the cotton fields alongside her mother and sisters, eventually traveling seasonally with other Valley families in …

Behavioural Activation For The Prevention Of Poststroke Depression In Low-Income Older Stroke Survivors (Live Wel): Protocol For A Randomised Controlled Trial, Jennifer E S Beauchamp, Sean I Savitz, Anjail Sharrief, Belinda M Reininger, Ronald Acierno, Robert Suchting, Jason Burnett, Lauren Rosales, Jenan Ahmed Albaqali, Rinitha Rajan, Namkee G Choi

Faculty, Staff and Student Publications

Introduction: Poststroke depression (PSD) affects approximately 33% of stroke survivors and is associated with worse outcomes, poor quality of life (QOL) and mortality. Despite its prevalence and consequences, there is no consensus on the most effective strategy for PSD prevention. Behavioural activation (BA) is an effective intervention for depression across diverse populations and is considered safer, better tolerated and a longer-lasting alternative to antidepressant medications. This study aims to test the effectiveness of a remotely delivered BA intervention to prevent PSD (Tele-BA-S).

Methods and analysis: We will conduct a randomised effectiveness trial of 350 low-income adults (≥ 55 years) within …

Non-Negotiable Responsibilities Of Librarians Despite The Presence Of Generative-Ai Powered Chatbots: An Overview, Emmanuel Chidiadi Onwubiko

Library Philosophy and Practice (e-journal)

The presence of AI-Chatbots as linguistic models of Generative AI is one that has sent cold in the spines of librarians for the fear of the unknown.  Against this backdrop, it is received with mixed feelings.  To some librarians, it poses threats to their traditional responsibilities hence the fear of losing their jobs.  This paper conceptualizes the place of generative-AI Chatbots in libraries and their limitations, identifying some non-negotiable responsibilities of librarians regardless of the emergence of AI-Chatbots as well as clearing some doubts as expressed by librarians by reconciling the impacts of Chatbot and how librarians can leverage the …

The Legacy Of Thomas Chalmers In George Macdonald’S Prophetic Imagination, Joyce Mcpherson

North Wind: A Journal of George MacDonald Studies

No abstract provided.

At Eveningtime It Shall Be Light: George Macdonald’S Influence On Lilias Trotter, John Mcneill

North Wind: A Journal of George MacDonald Studies

No abstract provided.

A Christian Romantic In Context: The Theological Environment Of George Macdonald’S Scotland, Daniel Hubin

North Wind: A Journal of George MacDonald Studies

No abstract provided.

Ad Fontes: Kierkegaard And Macdonald On “Original” Christianity, M. G. Piety

North Wind: A Journal of George MacDonald Studies

No abstract provided.

Seeing From Women’S Points Of View: The Female Sight And Body In Lilith, Ayumi Kumabe

North Wind: A Journal of George MacDonald Studies

No abstract provided.

Virtual Patient-Specific 3-Dimensional Specimen Maps For Adjuvant Radiation Therapy Planning In Mucosal Head And Neck Squamous Cell Carcinoma, Whitney Jin, Michael C. Topf, Marina Aweeda, Kavita Prasad, Olivia Prosak, Sindhura Sridhar, Zachary Kohutek, Sean All, D. W. Nathan Kim, Anthony Cmelak, Ryan Whitaker, Alexander Langerman, Kyle Mannion, Melanie Hicks, Sarah Rohde, Robert Sinard, Eben Rosenthal, Natalie A. Lockney

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

PURPOSE: Adjuvant radiation therapy planning for mucosal head and neck squamous cell carcinoma is challenging due to postoperative anatomic changes, contributing to variability in clinical target volume (CTV) delineation and risk of geographic miss or unnecessary dose expansion. Patient-specific 3-dimensional (3D) specimen maps may offer a novel approach to improve the localization of high-risk margins and facilitate multidisciplinary communication.

METHODS AND MATERIALS: In this prospective, noninterventional feasibility study, 3D scanning and virtual pathologic mapping of surgical specimens were performed as part of routine pathologic processing. Annotated 3D maps were integrated into the radiation therapy planning workflow and reviewed by the …

Viewing Machines, Janos Cseh

Theses and Dissertations

By sifting through personal memories, the contemporary media landscape, and seeing the world through the lens of painting, Cseh asks what it means to understand information through images.  The artist unpacks the interwoven relationships between images and memory, feeling and seeing, and the difficulty of seeking truth through an analysis of his paintings.

The Three Sisters And Soil Health (Lesson 1), Mara Johnson, Madhav P. Nepal, Jiyul Chang

iLEARN Teaching Resources

In this lesson, students will begin a week-long unit on soil health that is connected to the chapter The Three Sisters from the book Braiding Sweetgrass by Robin Wall Kimmerer. Students will begin the week by reading the chapter and answering discussion questions, and each subsequent day will build on this introduction with project-based learning activities. This module is designed to bridge traditional Indigenous knowledge with primary scientific inquiry, allowing students to explore soil nutrients, polycultures, and agricultural health in a way they can apply to their own lives and local food sovereignty efforts on the Rosebud Reservation.

Soil Nutrients And Composting (Lesson 3), Mara Johnson, Jiyul Chang, Madhav P. Nepal

iLEARN Teaching Resources

In this lesson, students investigate how nutrient cycling contributes to soil health and agricultural sustainability. Building upon previous lessons on the Three Sisters planting system and soil health analysis, students explore composting as a strategy for restoring nutrients in soils. Students learn the roles of carbon-rich "browns" and nitrogen-rich "greens" in decomposition and construct miniature composting systems using locally available organic materials. Through observation, data collection, and long-term monitoring, students analyze how microorganisms recycle nutrients and convert organic matter into fertile soil amendments. Students connect composting to traditional ecological knowledge, food sovereignty, environmental stewardship, and sustainable agriculture while evaluating how …

Soil Health Analysis (Lesson 2), Mara Johnson, Madhav P. Nepal, Jiyul Chang

iLEARN Teaching Resources

In this lesson, students will build on the previous lesson (reading and analyzing the Three Sisters chapter from Braiding Sweetgrass) by experimenting on soil in their schoolyard. Students will collect soil samples from multiple locations around their school grounds and evaluate soil texture, structure, infiltration, color, organic matter, and pH. Students Through field observations and laboratory analysis, students examine how soil characteristics influence plant growth and ecosystem health. Students connect modern soil science with Indigenous agricultural knowledge, particularly the Three Sisters planting system described in Braiding Sweetgrass by Robin Wall Kimmerer. By exploring how healthy soil supports sustainable agriculture, …

Ml Models For Child-Parent Speech Diarization, Kenneth Kang

Computer Science and Engineering Senior Theses

This senior design thesis presents a machine learning research pipeline for child-parent and child-directed speech diarization. Speech diarization is the task of determining who spoke and when in an audio recording. Although this problem is well studied in adult meeting, broadcast, and conversational speech, child-parent audio is a more uneven setting. Children may speak in short turns, change pitch quickly, vocalize without producing clear words, interrupt adults, overlap with adult speech, cry, laugh, or code switch. These behaviors are normal in real family interaction, but they can confuse diarization systems that were mostly designed and evaluated on adult speech.

The …

Investigation Of Portland Limestone Cement Blended With Biochar From Downdraft Gasification: Hydration Kinetics, Microstructure, Rheology, And Performance Mechanisms, Ugochukwu Ewuzie, Paul C. Ani, Abdulkareem O. Yusuf, Joseph D. Smith, Monday Uchenna Okoronkwo

Chemical and Biochemical Engineering Faculty Research & Creative Works

The widespread adoption of Portland Limestone Cement (PLC) in U.S. concrete production has necessitated research into commercially available supplementary cementitious materials (SCMs) for formulating high-performance, low-carbon blended binders with PLC. This study investigated the influence of biochar (BC) in biochar-PLC composites (CBCs), focusing on hydration kinetics, microstructure, rheology, pore-solution chemistry, compressive strength, and the underlying mechanisms. Biochar was produced via downdraft gasification at 850 °C and incorporated into PLC at 5, 7, and 10% substitution by mass. Isothermal calorimetry and hydration data modeled using the Knudsen equation revealed that BC retarded early hydration but improved hydration degree and later-age heat …

Multidomain Expert Evaluation Of Leading Large Language Models As Providers Of Vaccination And Preventive Medicine Information, Marcello Di Pumpo, Leonardo Villani, Vittorio Maio, Maria Rosaria Gualano, Eleonora Marziali, Lucia De Maio, Rossella Mancini, Stefania Boccia, Walter Ricciardi, Patrizia Laurenti

College of Population Health Faculty Papers

OBJECTIVES: Vaccination is one of the most effective public health interventions. Large language models (LLMs) show great capability for providing health information. This study compared the performance of ChatGPT 3.5 (G3E), ChatGPT 4o in English (G4E), Claude 3.0 (CDE), Gemini 1.5 (GME), and ChatGPT 4o in Italian (G4I) in delivering information on vaccination and preventive medicine.

STUDY DESIGN: Mixed-method analysis evaluating large language models.

METHODS: Twenty-six expert-designed healthcare scenarios were used to evaluate each model through an adapted DISCERN-based instrument. Four experts independently rated outputs across six domains: Information Reliability, Information Quality, Medical Appropriateness, Impact on Vaccine Hesitancy, Potential for …

Evaluating Interprofessional And Cultural Competency: A Community-Mental Health Interprofessional Education Event, Megan A. Whitbeck, Carrie A. Griffiths, William F. Miller, Laura M. Skoronski Chavez, Krisy Elrod, Autumn M. Forgione, Anna L. Grippi, John P. Merchant

Journal of Interprofessional Practice and Collaboration

Purpose: This study examined the effectiveness of a mental health focused interprofessional education (IPE) event, where undergraduate and graduate students from four different healthcare disciplines collaboratively completed a case study activity, that included diversity and mental health components.

Methods: A quasi-experimental, one-group pretest–posttest design was used. Participants included 72 undergraduate and graduate students from nursing, occupational therapy, health administration, and counseling programs at a private university. Students engaged in a structured team-based activity emphasizing communication, collaboration, and cultural responsiveness in a mental health care context. Self-reported measures included the Interprofessional Collaborative Competency Attainment Survey (ICCAS) and the Cultural …

The State Of Interprofessional Education And Collaborative Practice In Ghana: Experts’ Perspective, Amy Bening, Victor Mogre, Yolande Heymans, Christmal Dela Christmals

Journal of Interprofessional Practice and Collaboration

ABSTRACT

Purpose: Interprofessional education (IPE) has gained recognition as the best form of preparing health professionals for Interprofessional Collaborative Practice (IPCP) in the healthcare settings. As such, many countries have inculcated IPE into the training of health professionals, but the state of IPE in the Ghana is unknown. Therefore, this study sought to explore the state of IPE and IPCP in Ghana.

Methods: The study employed a qualitative descriptive study in which 16 key informants were interviewed, and data was thematically analysed to describe the state of IPE and IPCP in Ghana.

Results: Three themes were identified and described: IPCP …

Is There Value In Seeing Mahatma Phule As A Pragmatist?, Vishal Thakare

Dewey Studies

No abstract provided.

Critiquing Class And Caste On Three Continents: Dewey, Ambedkar, And Mosca On Social Endomosis, Emerson Bodde

Dewey Studies

No abstract provided.

Front Matter, Dewey Studies

Dewey Studies

No abstract provided.

Quiet Hills, Restless Hearts: An Intersectional Exploration Of Lgbtq+ Religious Journeys In Appalachia, Allison S. Monroe, Stacey L. Williams

McNair Culminating Research Projects

Many researchers have utilized Meyer’s (2003) minority stress model to examine the social factors influencing the daily lives of LGBTQ+ individuals. Previous research has looked at negative mental health outcomes for LGBTQ+ individuals (McGraw et al., 2023), the presence of religious stress for this community (Page et al., 2013), and religious journeys of these individuals (Halkitis et al, 2009).  However, few studies have examined the intersection of religion, LGBTQ+ identity, social support, and the overarching values of Appalachian culture. The proposed study seeks to add to the literature and understand the breadth of these experiences by employing qualitative semi-structured interviews. …

Antigone And Oedipus In The Early American Theater, Lauren Mceldowney

McNair Culminating Research Projects

The first production of a Greek drama in North America has been a subject of scholarly debate for at least the last century. Some reference late eighteenth-century theater productions of Medea as the origin of the trend, some the Bowery’s 1834 Oedipus, some the 1845 Philadelphia Antigone, and many Harvard University’s 1881 Oedipus Tyrannus. Due to the large number of sources claiming Harvard’s Oedipus as the kickoff production, likely in part because of its massive success and subsequent inspired productions and news articles, there lacks sufficient discussion on what earlier North American stagings of Greek plays can …

Exploring The Link Between Substance Use Severity And Self-Stigma: The Moderating Role Of Enacted Stigma, Alaya Shelton

McNair Culminating Research Projects

Self-stigma has been shown to negatively impact treatment engagement, recovery, and reintegration outcomes among individuals with substance use and criminal histories (Moore et al., 2023). Further, prior research has shown that markers of an individual’s substance use treatment history (e.g., number of prior treatment episodes and perceived substance use severity; Hammarlund et al., 2018; Luoma et al., 2012; Silveira et al., 2016) and negative experiences with medical professionals (Hoover et al., 2022; Muncan et al. 2020) are closely linked to self-stigma. While these factors independently contribute to one’s level of self-stigma, to our knowledge, no prior work has examined how …

In A Cuture Of Shame, Jesus Modeled Honor… And So Should We, John P. Thompson

Witness

No abstract provided.

From Mission Field To Global Mission Force: The Transformative Journey Of The Ethiopian Evangelical Church Mekane Yesus (Eecmy), Dawit Olika Terfassa

Witness

No abstract provided.

The Effectiveness Of Using Ai As A Digital Assistant In Problem-Based Learning On Student Learning Outcomes, Fadil Firdian, Afif Rahman Riyanda, Ghea Chandra Surawan, Rafiqa Rizalita

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study aims to analyze the effectiveness of the use of Artificial Intelligence (AI) based Digital Assistant in the Problem-Based Learning (PBL) model on the learning outcomes of PTI Study Program students in the mobile Programming course. The research method uses a quasi-experimental approach with a pretest-posttest control group. The results showed a significant difference between the experimental and control classes with a p value = 0.001 < 0.05, indicating a significant influence on learning outcomes. The N-Gain value was 0.543 (Moderate) and the results of sser satisfaction questionnaire were 3.30 (Satisfied). These findings prove that the integration of AI as a digital assistant in PBL is effective in improving learning outcomes, conceptual understanding, and student satisfaction with the use of AI.

Examining The Relationship Between Leadership Styles And Staff Retention In Healthcare, Stephanie Michelle Brown

Walden Dissertations and Doctoral Studies

No abstract provided.