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A Rare Price Of Pain Control: Methemoglobinemia From A Lidocaine Patch, Sushmita Mantravadi, Kesava Mankikanta Achuta, Aaron Goyal, Amin Pasha, Abed L. Dabaja

Conference Presentation Abstracts

Introduction The overall prevalence of methemoglobinemia is around 0.035%. Methemoglobinemia is a rare but potentially life-threatening complication of local anesthetic use. While all patients are at risk, those with cardiac or pulmonary compromise are more susceptible to developing clinical manifestations. We report a case of acquired methemoglobinemia following topical lidocaine patch application for post-operative pain management in an elderly patient. Case Presentation 84-year-old male with a past medical history of aortic stenosis status post Transcatheter aortic valve replacement, Coronary artery disease, gastrointestinal bleed due to colon polyps, obstructive sleep apnea, chronic kidney disease, trigeminal neuralgia, obesity, essential hypertension, chronic atrial …

Mycobacterium Chimaera In A Young Patient Without Underlying Cardiac Surgery History, Kate A. Szczesniak, Rakesh Shah, Malitha Hettiarachchi

Conference Presentation Abstracts

Introduction/Objective Mycobacterium chimaera (M. chimaera), within the Mycobacterium Avium Complex (MAC), is a slow-growing nontuberculous mycobacterium (NTM) species that is most often characterized by nonspecific symptoms of night sweats, fever, and fatigue. Due to the nonspecific symptoms of M. chimaera and the rarity of this infection, delayed or misdiagnosis occurs in these patients. Risk factors of contaminated heater-cooler units used in cardiac surgery have been reported; however, cases without this exposure, such as this case, have been cited less commonly. This case of M. chimaera will present a young patient initially presenting with dyspnea who was found to have a …

Esophageal Diverticulum Presenting As Chest Pain In A Patient With Significant Cardiac History: A Diagnostic Challenge, Sujan Shrestha, Alnimer Khabbab, Kamal Khalil, Malitha Hettiarachchi

Conference Presentation Abstracts

Introduction: Esophageal diverticula are uncommon structural abnormalities that may present with nonspecific symptoms such as dysphagia, regurgitation, and chest discomfort. It accounts for < 5% of all cases of dysphagia. In elderly patients with significant cardiac comorbidities, chest pain and dysphagia may be initially attributed to cardiovascular pathology, potentially delaying the correct diagnosis. This case highlights the importance of comprehensive history taking in identifying esophageal diverticulum as an alternative etiology of chronic symptoms. Case presentation: A 77-year-old female with a history of atrial fibrillation, unstable angina, chronic obstructive pulmonary disease, hypertension, and diastolic heart failure presented with chest pain. Given her significant cardiac history, she underwent extensive cardiac evaluation, including serial troponins, electrocardiography, echocardiography, and stress testing, all of which showed no evidence of acute ischemia. Further history revealed intermittent dysphagia to both solids and liquids for over three years, occurring approximately twice weekly. The patient described a sensation of food getting stuck in her throat, occasionally requiring expectoration. Gastroenterology was consulted, and esophagogastroduodenoscopy revealed minimal esophagitis with a distal esophageal diverticulum. The patient was managed conservatively with pantoprazole 40 mg daily, resulting in symptomatic improvement. Discussion: Esophageal diverticula are often associated with underlying esophageal motility disorders and can present with dysphagia to both solids and liquids. Symptoms may mimic or coexist with cardiopulmonary complaints, particularly in elderly patients with multiple comorbidities. While barium esophagography remains the diagnostic modality of choice, endoscopy can identify associated mucosal pathology and confirm the diagnosis. Management is individualized based on symptom severity and diverticulum size, with conservative therapy appropriate for mildly symptomatic patients. Conclusion: This case underscores the importance of considering esophageal diverticulum in the differential diagnosis of chronic dysphagia and chest discomfort, even in patients with significant cardiac disease. Careful history taking and multidisciplinary evaluation are essential to avoid misattribution of symptoms and to ensure timely diagnosis and appropriate management.

“It’S Hard To Look At All Our Trauma All At Once”: What Personal Narratives Reveal About The Triple Burden Of Intimate Partner Violence, Substance Use, And Homelessness, Céline E. Guedj

All Student Scholarship

Scope of the Problem

Intimate partner violence constitutes a pervasive public health issue, impacting nearly half of all women in the United States, about 61.7 million, over the course of their lifetime (Leemis et al., 2022). For Black, Latina, Indigenous and Asian Women, these rates are even higher. The majority of women of color will experience intimate partner violence, including nearly 2 out of 3 mutiracial women, demonstrating a grave overrepresentation amongst victims (Leemis et al., 2022). A study of college students found that LGBTQ women are even more likely to be targeted by abusive partners than their cis and …

Rising Numbers In Achilles Tendon Ruptures In The Nba, Katelyn Delap

All Student Scholarship

Achilles tendon ruptures (ATRs) are increasingly recognized as one of the most severe injuries in professional basketball, with recent National Basketball Association (NBA) seasons demonstrating a notable rise in incidence. This review examines the epidemiology, biomechanical mechanisms, risk factors, and prevention strategies associated with Achilles tendon ruptures in NBA athletes. Video-based biomechanical studies reveal that most NBA Achilels ruptures are non-contact injuries occurring during offensive play, particularly during rapid acceleration, directional changes, and explosive basketball-specific movements such as crossovers, push-offs, and layups. Common injury patterns include forced ankle dorsiflexion, forefoot loading, trunk flexion, and lower-extremity extension occurring during a “false-step” …

Generative Ai In Higher Education: A Survey Analysis Of Ethics And Adoption Patterns Across University Faculty, Staff, And Students, Michele Gibney, Sinky Zheng, Cory Davia, Lindsay Gietzen, Karen M. Sarafian, Jennifer Helgren, Rajvinder Bains, Jonas Bianchi, Andrew Lloyd, Bhavana Raja

University Libraries Librarian and Staff Articles and Papers

As generative artificial intelligence (GenAI) emerges as a provocative new innovation in higher education, institutions require practical, evidence-based strategies for its integration. This study provides a comprehensive evaluation of GenAI adoption, usage patterns, and attitudes by surveying the complete range of campus constituents – students, faculty, and staff – at one United States university (N=355). Moving beyond prior research that has focused predominantly on student or faculty perspectives, this multi-constituent approach reveals a more holistic view of institutional AI dynamics and uncovers a notable "ethics asymmetry," where individuals trust their own AI use more than others'. The findings offer actionable …

Acute Myocardial Injury And Vasospastic Stunning Following A Grand Mal Seizure, Aaron Goyal, Kirill Ruban, Ishan Kirti, Karina Ruban, Fadi Saab, Pranay Gupta, Sujata Kambhatla

Conference Presentation Abstracts

Acute non-ischemic myocardial injury results from myocardial oxygen supply-demand mismatch in the absence of critical coronary stenosis or atherothrombotic plaque rupture, and may be precipitated by acute physiologic stress, including sustained sympathetic overactivity. Troponin elevation may occur in 6.7-10.9% of post-seizure cases, with higher incidence among the elderly and individuals with cardiovascular risk factors. We present the case of a 55-year-old woman with long-standing epilepsy, dyslipidemia, multiple sclerosis treated with ocrelizumab, and significant cardiovascular risk factors (20 pack-year smoking history, occasional alcohol use, family history of early myocardial infarction) who presented to the emergency room after a witnessed generalized tonic-clonic …

Connecting With Augmentative And Alternative Communication Users: An Internship Report, Karaline Kerzie

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This article evaluates and reflects on personal experiences working with children with autism in an early intervention, multidisciplinary setting. Implementation of Applied Behavior Analysis, Speech-Language Pathology, Augmentative and Alternative Communication, and Occupational Therapy techniques created a multifaceted and comprehensive intervention environment in a free-clinic setting.

Supporting An Inclusive Summer Camp For Children With Developmental Disabilities Who Use Aac And Their Neurotypical Peers: A Practice-Based Report, Jessica Hicks

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

For my honors research, I completed an internship in an augmentative and alternative communication (AAC) lab at the University of Arkansas. For most of my internship work, I helped support an inclusive AAC summer camp for children with and without developmental disabilities, such as autism, for whom speech does not fully meet their communication needs. AAC includes high-tech tools such as communication apps on tablets that serve as speech-generating devices (SGDs). SGDs were used by many of the AAC summer camp participants with developmental disabilities. In this report, I will provide background information on AAC and developmental disabilities. I will …

Sleep In Children In Foster Care: A Scoping Review, Juan Castellanos, Anna Wani, Jill Mcleigh

Health Status, Outcomes, and Literacy and Healthcare Utilization

Although the focus on sleep disturbances in children who have experienced adversity has increased, little is known about sleep among children in foster care (CFC). This study aimed to review what research tells us about the relationship between foster care experience and sleep disturbances and to identify knowledge gaps.

For questions about this study or others, please email [email protected]

childrens.com/fostercare

Exploring Urban School Counselors' Lived Experiences Engaging As Advocacy Leaders And Change Agents To Empower And Support Black And Brown Students, Linda M. ColóN

Theses, Dissertations and Culminating Projects

To make a difference in Black and Brown students' educational experiences, school counselor advocacy is crucial. A qualitative phenomenological study was conducted to explore the practices urban school counselors incorporate to engage as social justice leaders, advocates, and change agents to empower and support Black and Brown students. The goal was to identify practices urban school counselors utilized to create greater equity for Black and Brown students. Also, from school counselors’ lived experiences, the goal was to learn how they engaged key-school stakeholders in advocacy. In addition, the hope was to bring to the forefront how the intersecting cultural identities …

Understanding How Latinx Millennials Attend To Their Mental Health And Emotional Well-Being: A Phenomenological Study, Natalie A. Nieves

Theses, Dissertations and Culminating Projects

Latinx millennials represent over half of the millennial population in the United States. Yet, existing research on how this population attends to their mental health and emotional well-being remains largely absent from the counseling literature. This descriptive phenomenological study asked: How do Latinx millennials attend to their mental health and emotional well-being? Twelve participants, identifying as Latinx millennials born between 1981 and 1996, residing in the United States, and actively engaging in practices supporting their mental health and emotional well-being, participated in a two-part, semi-structured interview process. Data were collected and analyzed using Colaizzi's phenomenological data analysis method. The findings …

Artificial Intelligence In Dental Education: A Literature Review Of Global Adoption, Pedagogical Outcomes, And Ethical Implications, Betti Shahin, Jeremiah D. Ghodsi, Toleen Mazloum, Denise Hale

Journal of Educational Leadership in Action

Background: Artificial intelligence (AI) is revolutionizing many fields by enabling machines to accomplish tasks that previously required human intelligence, such as learning, decision-making, and problem-solving. In dentistry, AI is increasingly applied to diagnostics, treatment planning, and clinical training. Its integration enhances educational experiences for students while supporting more accurate and efficient patient care.

Objective: This review synthesizes recent research on AI in dental education, highlighting global adoption trends and key pedagogical, ethical, and practical considerations.

Conclusion: AI has significant potential to enhance dental education through innovative teaching, clinical training, and data-driven decision-making. Effective integration depends on institutional …

The Cobalt Curse: Cobalt’S Role And Risks, Marley Jackowitz

Student Theses 2015-Present

This paper examines the hidden environmental, geopolitical, economic, and social costs of the cobalt supply chain. Fueled by the demand for battery technology and electric vehicles, cobalt has become an essential element to the green energy transition. With the largest share of global cobalt deposits, the Democratic Republic of the Congo bears a disproportionate share of the industry’s harms. Cobalt mining in the DRC is marked by environmentally degrading practices and inhumane working conditions, compromising Congolese health, safety, and well-being. Chapter 1 discusses the environmental impacts of DRC cobalt mining and its adverse effects on public health. Environmentally degrading mining …

Consumerism In The Digital Age: Environmental And Cultural Consequences, Danielle Andrea Montoya

Student Theses 2015-Present

Overconsumption has emerged as a significant environmental problem, characterized by persistent patterns of buying, using, and discarding goods at rates that exceed ecological limits. In the digital age, these patterns of consumption are reinforced by economic systems, technological advancements, and cultural norms that make constant consumption feel normal and convenient. While consumption is necessary for everyday life, consumption beyond basic needs contributes to increased waste, resource depletion, pollution, and climate change. Overconsumption is embedded in daily habits such as online shopping, food consumption, and frequent product replacement. Therefore, understanding and addressing overconsumption is crucial for achieving environmental sustainability and social …

Personalized Learning Instructional Strategies And Student Engagement, Trisha J. Doverspike

Master of Education Program Theses

This action research project sought to determine the effect of implementing personalized learning instructional strategies on student engagement. Over a six-week period, students were observed for on-task behavior to measure engagement in the Social Studies lessons. Data was collected through observation. Results indicate that implementing personalized learning instructional strategies showed an increase in student engagement and suggest that implementing personalized learning instructional strategies are an effective method of increasing student engagement when compared to teacher-centered instruction.

The Expectation Of Pain: Effects On Threshold, Tolerance, And Perception, Emma Paulus

Mechanical Engineering Undergraduate Honors Theses

Brain activity in pain-related regions of the cortex is thought to be influenced by interactions between expectations and incoming sensory information. However, the subjective experience of pain based on expectation has not been thoroughly explored. By changing visual and auditory cues to set expectation levels, a relationship between unconscious expectation of pain and actual sensory pain experienced was characterized. With IRB approval, volunteers were randomly and blindly grouped into low and high pain expectancy groups. Each group completed a survey about initial pain expectations before the muscle stimulation tolerance test, followed by a survey about actual pain perception after the …

Strengthening Cyber Resilience In Critical Infrastructure: Lessons From Major Attack Case Studies, Jodi Barnes

Data Science Undergraduate Honors Theses

This comparative case study research paper analyzes the Colonial Pipeline attack, the Oldsmar Water Treatment Plant attack, and related case studies to identify past and current gaps in cyber resilience in critical infrastructure.  It provides insights into the importance of cybersecurity and opportunities to enhance protection in an increasingly digital world.  Findings include unsecure practices, limited communication between sectors, outdated technology, and weaknesses in security processes and employee training. These vulnerabilities are interconnected and are largely driven by limited funding within critical infrastructure systems, which restricts the ability to address them effectively.

Developing Tracking Compliance Standards For Inbound Freight: A Data-Driven Industry Application At O’Reilly Automotive, Jackson Endacott

Data Science Undergraduate Honors Theses

Visibility of inbound freight is critical for managing operational efficiency, yet many organizations lack standardized compliance metrics for third-party carriers to uphold, preventing them from utilizing tracking data to make data-driven decisions. During a summer internship with the Transportation Department at O’Reilly Automotive, data inconsistencies were addressed in the Transportation Management System (TMS), and that data was utilized to create tracking compliance standards for third-party carriers. Data populated from various sources within O’Reilly’s TMS was cleaned, validated, and utilized to create a Tracking Scorecard that evaluates message transmission rates, timeliness, and errors. This tool provides actionable insights to improve tracking …

Exergames And Motivation To Exercise, Nathaniel Clark

Theses & ETDs

Physical inactivity is a significant public health concern, and motivation has been identified as a key barrier to regular exercise. This thesis investigates exergames, video games that require physical activity to play, as a means of increasing exercise motivation and physical activity. Chapter 1 describes the Exertron 5000, a custom exergame system developed in Godot, a free and open source node and scene-based game engine. The system uses a lightweight wearable interface to track physical activity to control the game. Movement data is processed through a multi-stage filtering and smoothing pipeline to extract pedaling speed. The exergame is an asteroids-like …

An Investigation Of Entamoeba Histolytica Chitin Synthases And Other Encystation Factors In Early Encystation, John N. Talledo

All Theses

Entamoeba histolytica is a food-and-water-borne human protozoan pathogen that relies on a two-stage life cycle for successful proliferation outside of the host. E. histolytica exists in its dormant cyst form while outside of its host and converts to the motile trophozoite (amoeba) form in the small intestine. The trophozoites colonize the large intestine to cause symptomatic disease in ~10% of infections, resulting in ~100 million cases of amoebic dysentery each year. Trophozoites can convert back to the cyst form, which is shed in feces to continue the infection cycle.

Currently, there is a lack of understanding of the exact molecular …

The Moral Influences On Non-Denominational Christian Students’ College Major Decision And Future Career Outlook, Makayla Frame

Honors Projects

This is an undergraduate research project for the Honors College. A qualitative research project in the form of case studies was conducted on the influence of Non-Denominational Christian morals and values on how college students decide college major and future career. Non-Denomination students in particular were chosen for this study because of the recent rise in popularity of the Non-Denominational belief in the US, especially among young adults.

The study outlines previous research on the Christian religion, the history of Non-Denominationality, and how typical college students decide their major. The conclusions of the study are that Non-Denominational Christian college students …

Household Air Pollution Is Associated With Disease Severity In Ugandan Children Hospitalized With Hypoxemic Pneumonia, Ayla Ahmed, Sehaj Sandhu, Sophie Namasopo, Juliet Nabwire, Qaasim Mian, Andrea Conroy, Jackson Amone, Charles Olaro, Robert Opoka, Michael Hawkes

Paediatrics and Child Health, East Africa

Background Household air pollution (HAP) due to biomass fuel use is a risk factor for childhood pneumonia, a leading cause of under-five mortality globally. This study examined the relationship between HAP and disease severity in Ugandan children hospitalized with hypoxemic pneumonia.

Methods We conducted a retrospective case-control study across 20 Ugandan hospitals. PM2.5 exposure was estimated using caregiver-reported fuel use, cooking duration, kitchen structure, and ventilation. Pneumonia severity was assessed clinically, and associations were analyzed using non-parametric tests.

Results We included 735 children (median age 9 months, 42% female) hospitalized with hypoxemic pneumonia. Most households used firewood (84%) or charcoal …

A Response To Executive Order 14321, Latonya L. Agard

North Carolina Civil Rights Law Review

No abstract provided.

Supremacy Politics: The Coding Of Power In Artificial Intelligence (Ai), Dana G. Jones

North Carolina Civil Rights Law Review

No abstract provided.

School Resource Officers: Why And How We Should Demand Change, Jillian La Serna

North Carolina Civil Rights Law Review

No abstract provided.

Protecting Abortion By Protecting Speech: Revisiting North Carolina's Mandatory Ultrasound Law After Dobbs And Nifla, Kathryn S. Rowe

North Carolina Civil Rights Law Review

No abstract provided.

More Than Just An "Atypical" Hardship: How Courts Are Missing The Mark On Solitary Confinement, Kyra Goins

North Carolina Civil Rights Law Review

No abstract provided.

Discrimination Disguised As Parental Empowerment: A Title Ix Challenge To North Carolina's Bill Of Rights, Beth Lecroy

North Carolina Civil Rights Law Review

No abstract provided.

Forgotten Campesinos, Forgotten Counties: The Rampant, Fatal Civil Rights Abuses Against H-2a Laborers In North Carolina And Their Fight For Bargaining Power In N.C. Farm Bureau Federation V. U.S. Department Of Labor, Luke O. Smith

North Carolina Civil Rights Law Review

No abstract provided.