Digital Commons Network^™

Intrusive Advising Practices And Community College Credential Attainment In Rural Students, Leslie Reeder

College of Education

This qualitative narrative study addressed the persistent problem of lower postsecondary completion rates among rural students, particularly first-generation students, whose lower educational attainment contributes to economic challenges and diminished quality of life in rural communities. Guided by Bronfenbrenner’s ecological systems theory, this study examined first-generation rural students’ perceptions of their experiences with secondary and postsecondary advisors and the impact of intrusive advising on postsecondary credential attainment. The study explored how students described advising experiences and how intrusive advising influenced persistence and credential completion. Data were collected through semi-structured interviews with first-generation rural students and analyzed using thematic analysis. Five themes …

People Who Use Opioids’ Encounters With Criminal Justice Personnel: A Qualitative Analysis, Barbara J. Costello

Sociology and Anthropology Faculty Publications

There is little research in the U.S. on the interactions of people who use opioids (PWUO) with criminal justice personnel, from their perspective. This study reports on the experiences with police and criminal justice personnel of 27 men and women in treatment for substance use disorder. In-depth interviews revealed that many respondents had had aversive experiences with the criminal justice system, including both physical and verbal abuse. Very few report receiving information on treatment from police. The evidence suggests that many police officers do not view opioid use disorder as a medical condition, and instead stigmatize PWUO. This study reveals …

When Standard Therapy Fails: Refractory Thyroid Storm With Af-Rvr And Cardiomyopathy Requiring Prolonged Plasma Exchange, Nathan Fletcher, Noor Alkhawam, Allison Isabelli, Mehul Shah, Ruchita Patel, Angela Pauline Calimag

Advocate GME

Background: Thyroid storm can precipitate atrial fibrillation with rapid ventricular response and acute cardiomyopathy. While standard medical therapy is effective in most cases, therapeutic plasma exchange (TPE) is infrequently utilized and typically reserved for patients with refractory disease. In severe thyrotoxicosis, concurrent physiologic stressors such as infection or stimulant exposure may exacerbate the hyperadrenergic state and limit responsiveness to conventional therapy. Case Presentation: A 47-year-old man with recently diagnosed atrial fibrillation presented to the emergency department with dyspnea and anasarca. He was febrile to 104.5°F, tachycardic to 190 beats/min, and required high-flow nasal cannula. Thyroid testing showed TSH < 0.008 mcIU/mL (0.35–5.00), free T4 5.0 ng/dL (0.8–1.5), and free T3 14.0 pg/mL (2.2–4.0), with elevated thyroid-stimulating immunoglobulin and thyrotropin receptor antibody, consistent with Graves disease. Urine toxicology was positive for methamphetamines and cannabinoids, and respiratory pathogen testing detected influenza A (H3). The Burch-Wartofsky score was 80–85, consistent with thyroid storm. Transthoracic echocardiography revealed new biventricular systolic dysfunction with left ventricular ejection fraction (LVEF) of 30–35%. Endocrinology initiated methimazole at 10 mg twice daily due to mild baseline transaminitis ( < 2 × upper limit of normal) and cautiously dosed propranolol given reduced LVEF, along with Lugol’s iodine, intravenous stress-dose hydrocortisone, and cholestyramine. Despite these constraints, antithyroid and beta-blocker therapy were systematically escalated as hepatic function and hemodynamics permitted, reaching methimazole 30 mg twice daily and propranolol 40 mg three times daily by hospital day 3. Despite stepwise escalation of methimazole, propranolol, and cholestyramine to 4 g four times daily, thyroid indices worsened, with free T3 rising from 4.9 to 10.8 pg/mL and free T4 from 4.0 to 4.6 ng/dL. Given progressive biochemical thyrotoxicosis despite maximally tolerated medical therapy, TPE was initiated on hospital day three. After seven exchange sessions achieved sustained thyroid hormone control, the patient was stabilized and underwent thyroidectomy. He was transitioned to levothyroxine and cardiac function recovered with improvement of LVEF to 56% during hospitalization. Clinical Lessons: Thyroid storm may remain refractory despite guideline-directed medical therapy, particularly during concurrent infection and stimulant exposure that can amplify adrenergic stress. In cases of objective thyrotoxicosis progression despite appropriate escalation of antithyroid therapy, timely consideration of therapeutic plasma exchange may facilitate stabilization and enable definitive treatment.

Stopping Infections At The Door: The Home Health Infection Preventionist's Role, Valerie Martin

Nursing

No abstract provided.

Community - Volume 11

be Still

No abstract provided.

Asclepius, Lia M. Smerina

be Still

No abstract provided.

Namaste, Kem Chho, Jason Nguyen

be Still

No abstract provided.

In That Space, We Were Communis, Eliana Namen

be Still

In reflecting on my understanding of community, there were many moments I could have chosen to write about. Yet the memory of my grandmother’s death remains the one most deeply etched in me. When I began considering what community truly meant in my own life, I found myself returning to that room. In her illness and eventual passing, she drew together an extraordinary constellation of people: family, friends, neighbors, whose lives she had quietly shaped. Her life created ripples far beyond what any one person could see. In witnessing that gathering, I came to understand community not merely as shared …

The Geography Of Faces, Faith Abraham

be Still

The Geography of Faces takes its title from the idea that a face, seen across decades, becomes a kind of landscape—something you learn to read not at a glance but through accumulated return visits. For Dr. Vasquez, an older physician who has seen so much, her patients' faces are the territory she has spent a lifetime learning to navigate.

The patients are chosen to represent different dimensions of that longevity. They show affection built on years of small battles, continuity across a family, autonomy that is respected. Together, these patients make the case that primary care is less about problems …

Stronger Together: Healing Through Joy, Archana Banda, Nupur S. Kumar

be Still

Volunteering as Family Pals at Boggy Creek throughout medical school has reinforced the profound impact of communities united under a shared vision of uplifting one another. This organization cultivates a supportive camp environment for children with chronic medical conditions. One of the most meaningful aspects of these weekend adventures has been meeting children with conditions such as Type 1 Diabetes and VACTERL courageously navigating the challenges of their diagnoses while discovering new passions through activities including woodcraft, air hockey, boating, fishing, and archery.

Many times these children are excluded from normal camp experiences due to their special needs such as …

Community As Occupation: Finding Belonging Through Participation, Nardia Aldridge

be Still

Community has been one of the most meaningful occupations shaping my journey in occupational therapy. Throughout my experiences as a student, practitioner, and educator, I have come to understand that belonging is cultivated through participation in communities that nurture mentorship, leadership, and shared purpose. Organizations such as the National Black Occupational Therapy Caucus, the American Occupational Therapy Association, the World Federation of Occupational Therapists, Toastmasters, and Tahti’s Social Club represent spaces where individuals gather to support one another and contribute to something greater than themselves. This reflection explores the idea that community itself can be understood as an occupation. Through …

Circle Of Community, Nardia Aldridge

be Still

This photograph captures a moment of collective connection as members of a community gather in a circle holding hands. The circle represents unity, reflection, and mutual support. Through shared cultural expression and participation, community becomes more than a place. It becomes a lived experience of belonging, identity, and care for one another.

It’S Time. Maintaining Personal Relationships In Medical School, Rudayna S. Tabbara

be Still

No abstract provided.

Colorblocks, Marianne Koleng

be Still

The use of several colors to highlight the facial features in the portrait represents the various communities to which an individual belongs, including, but not limited to, their family, their school, religion, career, ethnicity, and more. Each color is used in many shapes within the face to evoke the shared importance of each community in creating identity, one is not superior to the other, and without each of them, we would not have the entire face.

The Making Of Man, Marianne Koleng

be Still

The Making of Man is an abstract ink drawing depicting an individual's face, but at closer look, it is the intricacies that compose it. This goes to show that behind every individual, there is a community holding them together, even if it is not immediately apparent.

A Place Where I Was Finally Seen, Pierina S. Barletti Benel

be Still

This piece reflects on my experience navigating depression during medical training and the unexpected ways community can foster healing. Healing does not always occur within clinical settings. Through this narrative, I explore how returning to faith and the support of a church community helped restore hope during a difficult season of my life. Writing this essay allowed me to reflect on how vulnerability and lived experience can shape a more compassionate and present physician.

Side By Side, Elena L. Richardson

be Still

This photograph captures what I came to understand as the true wealth of Mota Fofalia. In a place with few material resources, community was not just present - it was everything. These boys, arms slung around each other, smiling without hesitation, reflect a kind of belonging that doesn’t depend on circumstance. During my eight weeks there, I realized that while so much was limited, connection was abundant - and it was enough.

What She Carries, Elena L. Richardson

be Still

This image captures the quieter side of community—the unseen labor that sustains it. Though she walks alone, everything she carries reflects a life woven into others: provision, responsibility, continuity. In rural Gujarat, I came to understand that community is not only found in togetherness, but in the everyday acts that hold it up.

More Than My Own Understanding, Danielle Gonzalez

be Still

This reflective essay explores the intersection of faith, community, and medical training through the lens of a medical student navigating imposter syndrome, academic pressure, and clinical rotations. Through personal narrative and patient experiences, it examines how spirituality and shared human presence shape resilience, meaning, and belonging in medicine.

Community Within Medical Universities: Finding Belonging, Elizabeth Cunio

be Still

This piece highlights the importance of community and belonging in higher education, specifically medical education. This piece reflects on how value of the student in the design process ensures a sense of beloning in the community.

The Values Of Sotira, Antea Garo

be Still

This essay explores how my grandmother's rural village, which I have visited my entire life, showcases the incredible power of community.

A Community That Always Welcomes Me Back Like I Never Left, Bibi Chaterpateah

be Still

No abstract provided.

Rooted In Resilience, Pranita Talukder

be Still

This poem reflects my evolving understanding of community—not as a fixed place, but as something shaped by loss, memory, and rebuilding. It draws from my experience of displacement and the quiet search for belonging in unfamiliar spaces.

Through simple, fragmented imagery, I wanted to capture the feeling of being untethered, and the slow, intentional process of finding connection again. The poem moves between past and present, holding both absence and presence at once.

Ultimately, it is about realizing that community is not something we return to, but something we carry and create, wherever we are.

Hiv-1 Tat-Driven Glutamate Dysregulation: Implications For Cognitive Impairment In Hand, Brenna Duffy, Michael Nonnemacher, Sandhya Kortagere

Kimmel Cancer Center Faculty Papers

PURPOSE OF REVIEW: HIV-1-associated neurocognitive disorders (HAND) manifest in 15% to 50% of people with HIV, impairing learning and memory and executive function. The chronic generation of HIV-1 Transactivator of transcription (Tat) likely contributes to HAND via direct neuronal toxicity and glial-mediated toxicity. This review summarizes our current understanding of how chronic Tat generation from microglia and astrocytes promote glutamate excitotoxicity.

RECENT FINDINGS: In recent years, the indirect effects of Tat through the activation of glial cells have gained significant interest. This review highlights microglia and astrocytes as HIV-1 reservoirs that release Tat protein in the central nervous system. Specific …

Exploring Workplace Wellness Programs From A Correctional Officer’S Perspective, Lolita Jeaneen Johnson

Walden Dissertations and Doctoral Studies

No abstract provided.

Development And Validation Of A Harmonized Memory Score For Multicenter Alzheimer’S Disease And Related Dementia Research, Mark Sanderson-Cimino, Alden L Gross, Leslie S Gaynor, Emily W Paolillo, Rowan Saloner, Marilyn S Albert, Liana G Apostolova, Brooke Boersema, Adam L Boxer, Bradley F Boeve, Kaitlin B Casaletto, Hilary W Heuer, Leah K Forsberg, Savannah R Hallgarth, Valentina E Diaz, Lindsay R Clark, Ani Eloyan, Sarah Tomaszewski Farias, Pauline Maillard, Mitzi M Gonzales, Dustin B Hammers, Renaud La Joie, Yann Cobigo, Amy Wolf, Benjamin M Hampstead, Dawn Mechanic-Hamilton, Bruce L Miller, Gil D Rabinovici, John M Ringman, Lina M D'Orazio, Howie J Rosen, Sephira G Ryman, Jillian L Prestopnik, David P Salmon, Glenn E Smith, Charles Decarli, Kumar B Rajan, Lee-Way Jin, Jason D Hinman, David K Johnson, Danielle J Harvey, Myriam Fornage, Maria C Carrillo, Bradford C Dickerson, Joel H Kramer, Adam M Staffaroni, , Leads Consortium, And Diverse Vascular Contributions To Cognitive Impairment And Dementia (Diverse Vcid) Study Investigators

Faculty, Staff and Student Publications

Introduction: List-learning tasks (LLTs) are important for characterizing memory in Alzheimer's disease and related dementias. However, as the Uniform Data Set Neuropsychological Battery (UDS-NB) historically did not require a specific LLT, centers have administered different LLTs. The newest UDS version (v4.0) requires one of two LLTs. To support harmonized UDS memory research, we developed a memory composite incorporating UDS memory tests and multiple LLTs.

Methods: Item-banking confirmatory factor analysis was applied to develop a memory composite in a diagnostically heterogeneous sample (n = 8716) that completed the UDS-NB and one of five LLTs. Construct validity was evaluated through associations with …

Parental Gender Bias In Youth Employment Standards: Evidence From Upper Egypt, Mahmoud Saeed

Theses and Dissertations

Youth unemployment remains a critical challenge in Egypt, with female labor force participation among the lowest globally. While structural factors such as limited job creation and public sector contraction are well-documented, the role of family-level decision-making in constraining women's labor market entry has received limited quantitative attention. This thesis examines parental gender bias in employment standards in Upper Egypt, investigating whether and how parents impose systematically different job requirements for daughters compared to sons. Using primary survey data from 17,284 unemployed youth aged 18-35 across six governorates, paired with responses from their parents, this study analyzes parental preferences across six …

الهجانة في الترجمة الفورية: مسيرة تكيّف, سليمى غريّب البستاني, لينا منعم

Al-Kīmiyā

Linguistic mediation is undergoing profound transformations due to rapid developments in artificial intelligence technologies and automated text processing. Innovations in the field, such as Neural Machine Translation (NMT), Automatic Speech Recognition (ASR), and Computer-Assisted Translation and Computer-Assisted Interpreting (CAT-CAI), have induced new forms of interaction between translators, interpreters, and technological systems. By reviewing how simultaneous interpreting adapts to developments in the labor market and technological innovation through hybridization, this study aims to demonstrate that the integration of modern technology and artificial intelligence into the field is nothing but the emergence of a new form of hybridity, this time embodied in …

Beyond Coiling: A Comparative Analysis Of Survey-Reported Preferences For Endovascular Cerebral Aneurysm Occlusion, Sanjana R Salwi, Thilan Tudor, Oleg Shekhtman, Georgios S. Sioutas, Pious D. Patel, Irina-Mihaela Matache, Mohamed Salem, Sonia Ajmera, Sandeep Kandregula, Jan-Karl Burkhardt, Visish M. Srinivasan

Department of Neurosurgery Faculty Papers

BACKGROUND: Aneurysm treatment options are rapidly evolving, as evidenced by the recent introduction and widespread adoption of flow diversion and intrasaccular devices. However, there is a need to understand how these newer technologies are used for difficult-to-treat aneurysms. The main aims of this study were to investigate the variation in aneurysm treatment recommendations among neurosurgeons, interventional radiologists, and interventional neurologists and to generally describe trends in endovascular treatment.

METHODS: In this survey-based study conducted from June to September 2024, participants were presented with clinical vignettes and asked to choose preferred treatment options, with responses analyzed based on demographic variables including …

Regional Differences Between Puerto Rican And Hispanic Mainland U.S. Parents’ Perceptions Of Childhood Obesity, Kasandra Blanton

Walden Dissertations and Doctoral Studies

No abstract provided.