Optimizing Antibiotic Strategies With A Clinical Pathway Approach: Enhanced Initiation And De-Escalation In Community-Acquired Pneumonia, Ahmad Behzadpour

HCA Healthcare Journal of Medicine

Background

Community-acquired pneumonia (CAP) remains a leading cause of hospitalization, mortality, and health care expenditure worldwide. Inappropriate use of broad-spectrum antibiotics contributes to antimicrobial resistance, adverse drug events, and increased costs. Antibiotic stewardship and standardized clinical pathways are key strategies to improve prescribing practices.

Methods

This quality improvement (QI) initiative was conducted at a 240-bed tertiary care teaching hospital from January 2023 through January 2025. A CAP-specific digital clinical pathway was developed using Curbside Health® and integrated into the electronic health record (EHR), accessible through a structured order set to support real-time clinical decision-making. The intervention included provider education and …

Impact Of Innovative Interprofessional Practice And Education Intervention Led By Graduate Medical Education Resident Physicians With School-Based Nursing In 32 School Districts, Christoffer A. Amdahl, Hans Drawbert, Sadra Forati, Tyler Fields, James Mantil, Afsha Rais Kaisani, Marci Ayers, Michele L. Mccarroll Phd

HCA Healthcare Journal of Medicine

Background

School nurses play a critical role in student well-being, underscoring their growing importance in both education and health care systems. Research consistently demonstrates their contributions to individual student care and broader population health.

Methods

This resident-led project explored community-based partnerships to facilitate mutual learning between school nurses and graduate medical education (GME) physicians. Conducted during the 2023–2024 academic year, this quality initiative (QI) involved the Medical City Healthcare (HCA Healthcare) GME programs and North Texas school districts. Educational resources were delivered through in-person teaching sessions led by resident physicians and hands-on medical simulations. School nurses who attended the Continuing …

Establishing Nurse Innovator Competencies: A Collaborative Initiative, Lori M. Brodie, Susan B. Patton, Dara Lanman, Ismail Dilek, Noah R. Zanville, Tracy A. Ortelli

HCA Healthcare Journal of Medicine

Background

Rapid advancements in augmented and artificial intelligence (AI) are reshaping health care, necessitating a strategic approach to integrating innovation into nursing education and practice. This article details a collaborative initiative between academic and practice partners aimed at the initial steps towards establishing the required knowledge, skills, and abilities for nurses to lead change through the creation of Nurse Innovator Competencies.

Methods

After an extensive review of literature, the team identified the absence of established Nurse Innovator Competencies. Through a collaborative and iterative process involving subject matter experts (SMEs) in both innovation and academia, key domains for the competencies, including …

Improving Scholarly Activity Through A Bundled Intervention Of Resident-Faculty Connection And Research Ideas, Katie Suleta, Norman W. Gill

HCA Healthcare Journal of Medicine

Background

Residents report barriers to engaging in scholarly activity despite this being a common requirement across residency programs. Two commonly reported barriers are a lack of mentorship by faculty and a lack of ideas for projects that meet the criteria for scholarly activity. The study objective is to describe the effect of an intervention to address a lack of mentorship and a lack of ideas for scholarly activities.

Methods

A retrospective cohort design was utilized to investigate changes in scholarly activity between 2 academic years. An internal medicine residency program with 30 residents and 17 faculty members participated in an …

Enhancing Resident Preparedness For The American Board Of Surgery Certifying Exam Through Low-Stakes Mock Oral Sessions, Camila R. Guetter, Taylor Locklear, Omar Haque, P Nina Scalise, Saptarshi Biswas, R. Wesley Vosburg

HCA Healthcare Journal of Medicine

Background

The American Board of Surgery (ABS) requires trainees to pass both a written qualifying examination (ABSQE) and oral certifying examination (ABSCE) to achieve board certification. The high-stakes nature of the ABSCE, which assesses knowledge, clinical judgment, and decision-making, necessitates extensive preparation. To address the challenges of the ABSCE format and associated trainee stress, structured mock oral programs have been developed. Here we evaluate the impact of structured mock oral sessions on residents' comfort levels and familiarity with the ABSCE at a single institution.

Methods

A mixed-methods survey was given to 50 general surgery residents in different training years who …

Medical Education As Both Process And Environment For Innovation, Gerald Wickham

HCA Healthcare Journal of Medicine

The promise of better medicine, better health outcomes, and better lives depends on a culture of innovation and implementation in medical education. HCA Healthcare Graduate Medical Education continually strives to achieve this environment, to identify the health breakthroughs of tomorrow by fostering innovation in the daily work of the residents, scientists, and physicians of our enterprise. This special issue highlights some of this important work and shares actionable programs to elevate and inspire the next generation of physicians.

Beyond Tacit Consent: Rethinking Immigrant Membership In Locke’S Social Contract, Claire A. Orfield

Bates College Undergraduate Law Review

This thesis considers the tension in Locke’s writings between universal natural-rights obligations required of a state and the exclusion of foreigners from the potential to become express consenters, thereby becoming permanent members of a state and receiving more than just baseline legal protection. Although other scholars certainly acknowledge this tension, most of them utilize it to support the abandonment of Locke’s framework of tacit and express consent altogether. This thesis, on the other hand, conducts an immanent critique of John Locke’s theory of consent by demonstrating that his own conceptual framework contains the resources for a more expansive understanding of …

A Constitutional Black Box: Critically Assessing The Constitutional And Algorithmic Implications Of The Netchoice Cases, Sam Merkatz

Bates College Undergraduate Law Review

In 2024, the Supreme Court of the United States jointly heard Moody v. NetChoice, LLC and NetChoice, LLC v. Paxton, cases challenging Florida and Texas statutes that restricted the capacity of social media platforms to moderate content. While remanding the cases, the Court reaffirmed that content moderation and curation qualify as protected expression under the First Amendment. This paper critically assesses the Court's majority opinion and its nonbinding dicta regarding the expressive nature of algorithmic moderation.

Specifically, drawing on Justice Alito’s concurrence in judgement only, this paper argues that the Court fails to account for fundamental differences between traditional …

Public Opinion And State Abortion Policy, Gender, Age, And Ideology: Agreement With Dobbs Vs. Jackson Women’S Health Organization (2022), Jack Mcroberts

Bates College Undergraduate Law Review

No abstract provided.

Chicago, Arbitrary Detention And Torture: An Examination Of Human Rights Violations And Legal Responses Under The Second Trump Administration, Gianna Keuer

Bates College Undergraduate Law Review

This paper uses a human rights-based analysis to explore the legal implications of the second Trump administration’s deportation policies, using frameworks enacted by international legal organizations and state-level bodies. Drawing upon the Convention Against Torture, the International Covenant on Civil and Political Rights, and established state policies, the paper identifies important jus cogens norms against arbitrary detention and torture. With Chicago serving as a case study, the paper explores different avenues that have been employed to counter violations of prohibitions of arbitrary detention and torture, ultimately concluding that state-level policy responses and impact litigation cases serve as a more efficacious …

How Maine Beat Strict Scrutiny, Nicholas Glover Esq.

Bates College Undergraduate Law Review

No abstract provided.

Understanding Government Regulation On Food And The Constitutionality Of Banning High Fructose Corn Syrup For National Defense, Charlotte Bernhard

Bates College Undergraduate Law Review

The following work explores a hypothetical scenario in 2029 where President Gavin Newson  hopes to decrease obesity to increase the number of Americans eligible for the draft. As tensions rise in North Korea, the President considers sending around 200,000 troops to South Korea and Japan, yet with high levels of obesity in the United States, a low number of eligible Americans for deployment may put unnecessary strain on troops. Therefore, the President considers banning high fructose corn syrup-containing products to decrease obesity rates.

This work explores how the President and American government can constitutionally limit foods containing high fructose corn …

An Interdisciplinary, Case Study-Based Approach To Teaching The Un's Sustainable Development Goals, Allison Bellaire, Meghan Mcdonough, Becky Tugman, Julia Sherry, Claire Dancz, Jim Strickland

Land-Grant Press — Teaching Section

Collaborative learning across disciplines can be advantageous. A Creative Inquiry (CI) course paired Animal and Veterinary Sciences and Public Health Sciences students to compete in a Global Solution Competition. This CI challenged the student pairs to develop solutions toward the United Nations Sustainable Development Goals (SDGs) in a low-income nation. Course participants reported a deeper understanding of SDGs through collaborating with non-discipline peers, as reflected in survey and focus group findings.

Lost In The Fine Print: A Phenomenological Inquiry Of Adhd, Student Loans, And Scarcity, Gaurav R. Sinha, Lakshya Kadiyan, Leon Banks, Kannappa V. Shetty

Journal of Student Financial Aid

The primary objective of this phenomenological study was to explore the cognitive and affective challenges faced by individuals experiencing ADHD and their student loans, particularly through the lens of “scarcity theory”. We analyzed 250 posts (~86 pages/67,000 words) from an online community on Reddit, where individuals experiencing ADHD shared experiences related to student debt. Thematic analysis was employed to identify key themes in these posts. Four key themes emerged: (1) ADHD and baseline mental bandwidth, highlighting preexisting executive functioning challenges that limit cognitive and affective capacity; (2) demands of student loan debt, which intensify stress through complex repayment systems and …

Eating Trees To Save The World, Belle Breyanna Li

Pepperdine Journal of Communication Research

This essay posits that all climate solutions will require change, an important one being eating more trees. While our current crisis is the result of indifference and inaction, we must consider innovative solutions. Like all the other possibilities, investing in more trees will require the joint efforts of our communities. As we allocate effort, time, and resources to climate solutions, the benefits will return tenfold in numerous ways. By prioritizing trees as a food source, we can empower our communities and increase their resilience. At the same time, we will positively contribute to the global climate by sequestering carbon. This …

Interprofessional Palliative Care: Implementation Of What Matters Most, Nicole Moran, Madeleine A. Keppel, Madison E. Markey, Alicia Naccarato, Kristen Cumming, Lori Boright

Oncology Rehabilitation in Practice

Palliative care (PC) is defined as specialized care plans for people with serious, life-limiting illnesses, emphasizing comfort care and management of complex symptoms. Rehabilitation professionals such as physical and occupational therapists have unique skills and perspectives towards managing and contributing to this population though are often under-represented on interprofessional palliative care teams. The Guide to What Matters (The Guide) was created upon recognition of the need for an increased presence of rehabilitation services in PC.

Severe Chemotherapy-Induced Peripheral Neuropathy Presenting With Paraplegic Symptoms: A Rehabilitation Case Report, Cecilia Hammond, Elizabeth Campione

Oncology Rehabilitation in Practice

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is characterized by sensory and/or motor symptoms in distal extremities starting within 24 hours of receiving chemotherapy and can potentially last for years. Management of CIPN may include medication (i.e. Duloxetine) and physical therapy (PT). The purpose of this case report is to describe the rehabilitation process and adjustments to the plan of care for a patient with severe CIPN. This case underscores the importance of a proper diagnosis and the need for research to develop evidence-based guidelines for PT interventions for non-ambulatory patients with severe CIPN.

Case description: The patient was a 53-year-old female …

Clinical Management Of A Patient With Lipo-Lymphedema Using Adjustable Compression Wraps: A Case Report, Candace Alexander, Claire Davies, Martha Monroe

Oncology Rehabilitation in Practice

Background: Lipo-lymphedema indicates the presence of lipedema and lymphedema. Compression is used to achieve volume reduction and assist with long-term management. Adjustable compression wraps (ACWs) have been used in lymphedema care to replace traditional compression bandaging and facilitate patient self-care.

Case Description: This patient reported issues with bilateral leg edema for more than 35 years. She reported poor experiences with compression garments and had tried self-management with a compression pump only. She was referred for lymphedema care when her malfunctioning compression pump enabled her edema to worsen.

Assessment and Treatment: Lipedema may have been present for many years …

Recurring Axillary Web Syndrome (Aws) Following A Strenuous Increase In Upper Extremity Strengthening Exercise: A Case Report, David Locke, Linda Koehler

Oncology Rehabilitation in Practice

Background: Axillary web syndrome (AWS) refers to cords presenting in the axilla, upper extremity, and lateral chest wall after breast cancer surgery with axillary lymph node dissection. This unique case demonstrates the onset of AWS 2 weeks post-operatively with recurrence at 4 and 21 months, following rapid progression in upper extremity strengthening exercise.

Case Description: A 33-year-old athletic woman with invasive ductal carcinoma underwent a left mastectomy with sentinel node biopsy (6 nodes removed). Cord development occurred at 2 weeks after surgery. She sought physiotherapy consisting of AWS education, myofascial pin-and-stretch techniques applied to the cord in end-range abduction, a …

Physical Therapy Management Of An Adult Patient Diagnosed With Spindle Cell Rhabdomyosarcoma: A Case Report, Jennifer Carrano

Oncology Rehabilitation in Practice

Background: Rhabdomyosarcoma (RMS) is a rare soft tissue sarcoma that primarily affects children and adolescents. Adult RMS is uncommon and associated with poorer prognosis and limited evidence to guide rehabilitation.

Case Description: A 29-year-old male presented with right facial pain, hearing loss, tinnitus, and right facial and tongue paresthesia. Imaging and biopsy revealed spindle cell RMS of the right masticator space. He had no cancer-related family history, did not smoke, and used alcohol occasionally. Treatment included neoadjuvant chemotherapy, major oncologic resection with scapular free flap reconstruction, and adjuvant radiation. He was referred to outpatient physical therapy with trismus, restricted …

Navigating Care In Cancer: Aligning Rehabilitation And Exercise To Support Patients, Christopher M. Wilson

Oncology Rehabilitation in Practice

The growing evidence base supporting both exercise oncology and cancer rehabilitation highlights their complementary roles across the cancer continuum. Research consistently demonstrates that physical activity improves physical function, fatigue, quality of life, and survival, while rehabilitation addresses impairments and restores participation in meaningful activities. Despite these advances, current care models often lack coordination, resulting in fragmented services, inappropriate referrals, and missed opportunities for optimal patient outcomes. Some individuals are directed to exercise programs without adequate screening for underlying impairments, while others may receive rehabilitation services when supervised, independent or community-based activity would suffice.

To address these gaps, there is a …

Editorial Board Message: About This Issue, Bryan A. Spinelli

Oncology Rehabilitation in Practice

Bryan Spinelli provides a summary of the contents of the issue.

Cover And Front Matter, Volume 3, Issue 1

Oncology Rehabilitation in Practice

Cover and front matter, Volume 3, Issue 1

36th Annual Young Historians Conference Program, Portland State University History Department, Portland State University Challenge Program

Young Historians Conference

This is the 2026 Young Historians Conference schedule and abstracts.

Psychological Expert Witness Work In Indonesia, Nurul Arbiyah, Nathanael Sumampouw, Henry Otgaar

Psychological Research on Urban Society

In the current manuscript, we describe how forensic psychology evolved in Indonesia in research and practice settings and how psychologists work as expert witnesses in legal cases. We performed a literature search using SINTA (the portal of Indonesian accredited journals) to retrieve publications on "Forensic Psychology," "Legal Psychology," or "Law Psychology" to search for papers in Indonesian journals. We also explored relevant publications about forensic psychology in Indonesia in international journals using the Web of Science (WoS) database, which showed findings concerning the lack of publication. Additionally, a literature search using WoS resulted compared with other areas of psychology in …

Unraveling The Path From Stress To Coping Among Indonesian Emerging Adults: The Role Of Cognitive Flexibility, Stephanie Yuanita Indrasari, Sri Hartati Suradijono, Lucia R.M. Royanto

Psychological Research on Urban Society

Abstract

Emerging adulthood (ages 18-25) is a developmental stage marked by significant life transitions, which can heighten stress levels. In Indonesia, urban dynamics and socio-cultural pressures further intensify this stress among emerging adults. Cognitive flexibility, the ability to adaptively shift thoughts and strategies in response to changing circumstances, is an important factor in effective coping. This study examined the relationships among stress and adaptive coping, with cognitive flexibility playing a role as a mediator, among Indonesian emerging adults over three months (Time 1: N = 512; Time 2: N = 166) using a two-wave cross-lagged panel model (CLPM). Results indicated …

The Effect Of Shinrin Yoku (Forest Bathing) Concept On Decreasing Academic Stress Of College Students: A Pre-Experimental Study, Shinta Mustika, Witrin Gamayanti, Fitri Kurniawati, Ujam Jaenudin

Psychological Research on Urban Society

Academic stress is a common issue among university students due to heavy academic demands and performance pressure, affecting both physical and mental well-being. This study examines the effectiveness of shinrin-yoku (forest bathing) in reducing academic stress. Using a quantitative pre-experimental one-group pretest-posttest design, stress levels were assessed before and after a session of shinrin-yoku among six Cianjur students with high academic stress. The research was conducted in locations within the scientific collection area of Cibodas Botanical Garden, identified as suitable for health and well-being interventions. The Profile of Mood States (Indonesian version) and Perception of Academic Stress Scale were used …

2026 - Dr. Jay W. Boland Research Day Oral Award Winners, Dr. Jay W. Boland Research Day, East Tennessee State University

Dr. Jay W. Boland Research Day

No abstract provided.

2026 - Dr. Jay W. Boland Research Day Poster Award Winners, Dr. Jay W. Boland Research Day, East Tennessee State University

Dr. Jay W. Boland Research Day

No abstract provided.

The Role Of Commuting Stress On Job Satisfaction: Burnout As Mediator, Andreas Ari Kristiyanto, P. Tommy Y. S. Suyasa

Psychological Research on Urban Society

Abstract

This study examines the role of commuting stress on job satisfaction, with burnout as a mediating variable. Data were collected from 113 commuting employees in urban areas, primarily within Greater Jakarta, an area known for severe traffic congestion, using a quantitative approach. Participants completed three validated questionnaires: the Minnesota Satisfaction Questionnaire (MSQ) for job satisfaction, the Multimodal Commuting Stress Scale (MCSS) for commuting stress, and the Maslach Burnout Inventory (MBI) for burnout. Data were analyzed using SEM-PLS and processed using SmartPLS 4.0. The results indicate that CS has a direct negative effect on job satisfaction and is positively associated …