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September 3, 2026

The Breeze, 2020-

No abstract provided.

Montana Kaimin, September 3, 2026, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Midweek Memo, Georgia Southern University

Midweek Memo

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Pulmonary Adenocarcinoma Arising From Somatic-Type Malignant Transformation Of A Nonseminomatous Germ Cell Tumor: A Case Report, Abdel Martinez Borrego, Brandon Cantazaro, Fatimah Bello, Christine Vega, Natacha Vargas, Payal Bhakta, Renzo Arauco

School of Medicine Publications

Somatic-type malignant transformation (STM) is a rare but aggressive complication of nonseminomatous germ cell tumors (NSGCTs), most commonly arising from the teratomatous component and frequently occurring in metastatic sites. We report the case of a man in his 20s with a history of mixed NSGCT (50% yolk sac tumor, 40% teratoma, and 10% embryonal carcinoma) treated with left orchiectomy and chemotherapy in 2023, who initially responded to treatment but was subsequently lost to follow-up. He presented with one week of progressive dyspnea and pleuritic left-sided chest pain. Serum alpha-fetoprotein was markedly elevated at 2,966.7 ng/mL. Computed tomography demonstrated a progressive …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that local school districts in Texas do not offer a visual arts-integrated curriculum despite the known academic and social-emotional benefits for K–12 students. The purpose of this basic qualitative study was to explore the perceptions of Texas K–12 visual arts teachers regarding arts integration to enhance core content learning. Grounded in Gardner’s multiple intelligences theory, the research questions focused on teachers' perceptions of arts integration and their recommendations for implementation. Data were collected through semistructured interviews with 10 K–12 visual arts teachers in Texas who had at least 1 year of teaching experience. …

Youths' Responses To Street-Level Bureaucratic Failures In Lebialem, Division Cameroon, Forchenmbin Charles Abessoh

Walden Dissertations and Doctoral Studies

No abstract provided.

Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian

Walden Dissertations and Doctoral Studies

Black American female business owners remain underrepresented in government contracting despite the availability of federal, state, and local procurement opportunities. Some Black American female business owners lack effective strategies to secure government contracts, which may limit business growth and profitability. Grounded in innovation and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies Black American female entrepreneurs use to secure government contracts. The participants were six Black American female entrepreneurs who had successfully secured government contracts and possessed experience navigating government procurement processes. Data were collected using semistructured interviews and organizational documents. Through …

Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson

Walden Dissertations and Doctoral Studies

Parental incarceration is an adverse childhood experience that can influence children’s emotional, educational, relational, and developmental outcomes into adulthood. Although previous research had examined the effects of parental incarceration on children, limited research had explored how young adults perceive their life course development when a parent was incarcerated for a violent crime. The purpose of this generic qualitative study was to explore the perceptions of young adults, age 18–25, regarding their life course development following parental incarceration for a violent crime. Elder’s life course development theory was the framework for this study. Data were collected through semistructured interviews with three …

Isolated Perianal Fistulizing Crohn's Disease In Contemporary Clinical Practice: A Multicenter Ecco-Confer Cohort Study, Kumarini Basnayake, Parakkal Deepak, Sami Samaan, Et Al.

2020-Current year OA Pubs

BACKGROUND AND AIMS: Isolated perianal fistulizing Crohn's disease (IPFCD) is an uncommon presentation of Crohn's disease with an uncertain natural history. We aimed to characterize contemporary diagnostic strategies, management approaches, and long-term outcomes, including progression to luminal Crohn's disease.

METHODS: We conducted a retrospective multicenter cohort study across 25 centers within the ECCO-CONFER network. Adult patients with IPFCD and no evidence of luminal Crohn's disease at baseline were included. The primary outcome was progression to luminal Crohn's disease. Secondary outcomes included clinical and radiological fistula response and patterns of medical and surgical management. Time-to-event analyses were performed using Kaplan-Meier methods. …

Single-Session Robot-Assisted Removal Of A Retained Ureteral Stent With Complex Proximal And Distal Encrustation: A Case Report, Maximo Alvarez, Cole Freedman, Emma Romero, Paul Kim, Alexis Garza, Harras Zaid

School of Medicine Publications

Retained encrusted ureteral stents represent a complex urologic problem, particularly in patients with limited healthcare access. We present a 28-year-old undocumented female with a 10-month retained ureteral stent who developed massive right-sided encrustation, including a 3 cm proximal renal stone near the renal pelvis and a 5-6 cm bladder stone, classified as FECal Grade IV-V. A single-session combined approach consisting of robot-assisted cystolithotomy, intraoperative ureteroscopy with stent exchange, and robot-assisted pyelolithotomy was performed successfully. Intraoperative ureteroscopy between operative phases confirmed ureteral clearance and enabled immediate stent placement without repositioning delay. This case supports the use of combined robotic approaches for …

Social Interactions Between People Living With Dementia And Staff In Health And Social Care Settings: A Scoping Review, Stephanie Janka-Spurlock, Georgia Page, Gary Hodge, Helen Lloyd, Susie Pearce

School of Nursing and Midwifery

Dementia is an umbrella term for progressive conditions affecting memory, thinking, communication and other cognitive functions. These changes can make social interaction challenging, particularly in unfamiliar or overstimulating environments. Although social interactions between staff and people living with dementia are recognised as an aspect of care, existing literature across health and social care settings largely focuses on general care needs and experiences rather than social interaction specifically. Consequently, there is limited understanding of the types of social interactions that occur and the contextual factors influencing them. This scoping review aims to address this gap by mapping existing research on social …

Patient-Centered Summarization Framework For Ai Clinical Summarization: Mixed Methods Study, Maria Lizarazo Jimenez, Ana Gabriela Claros, Kieran Green, David Toro-Tobon, Felipe Larios, Sheena Asthana, Camila Wenczenovicz, Kerly Guevara Maldonado, Luis Vilatuna-Andrango, Ana Cristina Proano, Satya Sai Sri Bandi, Shubhangi Bagewadi, Megan E. Branda, Misk Al Zahidy, Saturnino Luz, Mirella Lapata, Juan P. Brito, Oscar J. Ponce-Ponte

School of Nursing and Midwifery

Background: Large language models (LLMs) are increasingly demonstrating the potential to reach human-level performance in generating clinical summaries from patient-clinician conversations. LLMs are usually evaluated against clinical summaries that focus mainly on patients’ biology and not on their biography (eg, preferences, values, wishes, and concerns). To achieve patient-centered care, artificial intelligence clinical summarization must incorporate patient-centered domains, implemented through patient-centered summaries (PCSs). Objective: This study aimed to develop a framework to generate PCS that capture patients’ values, preferences, and wishes while ensuring clinical utility for clinicians, and assess if current open-source LLMs can achieve human-level performance in generating PCS. Methods: …

Hidden In Plain Sight: Uk Social Work Educator Views Of Preparedness To Work With Individuals And Families Affected By Abi., Caroline Bald, Alyson Norman, Akudo Amediegwu, Talis Spirit, Temi Ademakinwa, Mark A. Linden, Mark Holloway, Michael Clarke, Andrew Bateman

School of Psychology

Acquired brain injury (ABI) is the leading cause of adulthood injury-related death and disability worldwide. Despite ABI’s prevalence, little is known about the extent to which social workers are prepared for brain injury working and specifically pre-qualifying brain injury curricula. This study employed a nine-item survey regarding brain injury social work knowledge. The survey asked about curricula inclusion within social work pre-qualification via multiple education providers to understand the extent to which brain injury training is incorporated within UK courses. This included a series of open-ended questions. Data from 36 survey respondents identified that 1) there was an acknowledged gap …

Training For Social Prescribing Link Workers: A Scoping Review, S. Tierney, G. Hanley, H. Napierala, L. Burns, K. Husk

Peninsula Medical School

Background: Social prescribing involves connecting people to community-based resources to address non-medical determinants of health. Central to its delivery are link workers; their effectiveness depends, in part, on the availability and quality of training. Despite rapid expansion of the link worker role on an international scale, training provision for this workforce remains fragmented and poorly mapped. Aim: To identify and describe training programmes for link workers reported in the published and grey literature. Methods: We followed the Joanna Briggs Institute methodology on scoping reviews. Six electronic databases were searched alongside targeted grey literature searching. Sources were included if they described …

Benchmarking Institutional Support For Point-Of-Care Testing Programs: Scale, Staffing, And Operational Challenges, Min Yu, Nam K Tran, Julie L V Shaw, Nicholas E Larkey, Nicole V Tolan, Andrew Szczembara, Leslie J Donato, Robert D Maynard, Adil I Khan

2020-Current year OA Pubs

BACKGROUND: Point-of-care testing (POCT) has expanded rapidly across healthcare systems, increasing both program scale and operational complexity. However, quantitative benchmarking data describing how POCT programs are structured and supported across institutions remain limited.

METHODS: We conducted a cross-sectional survey to characterize POCT program support, including program scope, staffing, operational practices, governance, and challenges. The survey was distributed electronically through professional networks, and 93 institutional responses were analyzed. Descriptive analyses were performed, and derived metrics, including sites per point-of-care testing coordinator (POCC), were used to evaluate the relationship between program scale and staffing.

RESULTS: POCT programs demonstrated substantial variability in scale, …

Current State And Needs Of Clinical Laboratories In Selected Countries In Africa, Merih Tesfazghi, Anne E Tebo, Roa Harb, Anthony O Okorodudu, Lee Schroeder, Jeannette Guarner, Christine Bales, Jack Ladenson, Allison Targowski, Kerry Cosby, Olajumoke Oladipo

2020-Current year OA Pubs

The Africa Working Group, under the auspices of the Global Laboratory Quality Initiative of the Association for Diagnostics & Laboratory Medicine (ADLM), conducted several educational workshops in Africa to promote laboratory quality in the region. The challenges faced in maintaining quality in clinical laboratories in low-resource countries may differ from region to region and country to country. To better understand current gaps and inform our engagement with partners in Africa, a needs assessment survey was distributed to 1427 ADLM members in Africa and further disseminated through local partners, resulting in 121 responses from participants across 8 countries in the region. …

Complementary Vertebrate Wac Models Exhibit Phenotypes Relevant To Desanto-Shinawi Syndrome, Kang-Han Lee, Marwan Shinawi, Et Al.

2020-Current year OA Pubs

Monogenic syndromes are associated with neurodevelopmental changes that result in cognitive impairments and neurobehavioral phenotypes, including autism and seizures. Limited studies and resources are available to make meaningful headway into the underlying molecular mechanisms that result in these symptoms. One such example is DeSanto-Shinawi Syndrome (DESSH), a rare disorder caused by pathogenic variants in the

Assessment Of Timp1, Transgelin-2, And Procalcitonin As Protein Biomarkers For Diagnosis And Prognosis Of Bloodstream Infection In A Critically Ill Cohort, Sajal Tiwary, Caroline A O'Neil, Sydney Lawless, Olivia Arter, Meghan Brown, Brittany Roemmich, Carleigh Samuels, Jennie H Kwon, Christopher W Farnsworth

2020-Current year OA Pubs

BACKGROUND: Bloodstream infections (BSI) are a significant contributor to morbidity and mortality among hospitalized patients. Rapid diagnosis of BSI is critical for timely and appropriate clinical management, but current diagnostic strategies have a prolonged turnaround time or only identify select pathogens with minimal prognostic information.

METHODS: We examined serial serologic samples from 77 intensive care unit (ICU) patients at time points before, during, and after diagnosis of presumptive BSI to identify host-derived protein biomarkers associated with specific organisms and with clinical outcomes in BSI. ICU patients with and without BSI were included. Two candidate biomarkers, tissue metalloproteinase 1 (TIMP-1) and …

Artificial Intelligence In Food Engineering For Food Safety, Quality Assurance, And Human Health, Ayad Abbood Abdulhasan, A. M. Mustafa, F. F. Sayyid, Marwan B. Hussein, Mohanad Muzahem Khalaf

AUIQ Technical Engineering Science

Artificial intelligence (AI) is increasingly reshaping food engineering by providing data-driven tools for safeguarding food safety, ensuring quality assurance, and improving human health outcomes. This review synthesizes current evidence on the application of machine learning, deep learning, computer vision, and the Internet of Things (IoT) across the food production continuum, from raw material inspection to consumer-facing nutrition guidance. We examine how convolutional neural networks, hyperspectral imaging, and sensor-fusion approaches enable rapid, non-destructive detection of contaminants and pathogens, and how predictive models support shelf-life estimation and quality grading. We further discuss AI-enabled traceability systems, including blockchain-integrated supply chains, and the growing …

The Purity Crusader, Volume 24. Number 6, September 1927

Berachah Home Collection

"The Purity Crusader" published by Berachah Rescue Society in Arlington, Texas. Volume 24, Number 6. A newsletter with articles written from various persons regarding purity and life at Berachah Home. Published in September 1927.

Management And Outcomes Of Pediatric Necrotizing Pneumonia In The United States, Manette Ness-Cochinwala, Kaitlin Kobaitri, Paul Martinez, Balagangadhar R. Totapally

Journal of Pediatric Intensive Care

Introduction: Necrotizing pneumonia, an uncommon but serious condition in children, lacks comprehensive multicenter pediatric data. The objective was to assess treatment strategies and outcomes of necrotizing pneumonia in children. Methods: The Pediatric Health Information System was queried for patients, ages 30 days to 19 years, with lung necrosis. Children who received alteplase were compared with those who did not. The chi-square test, Mann-Whitney-U test, multivariable regression analysis, and propensity score matching were performed. Results: Out of a total of 2,177 children with necrotizing pneumonia, 59% had pleural effusion. A complex chronic condition (CCC) was present in 51% of patients. Resources …

Enteral Nutrition Practices During Non-Invasive Ventilation In Critically Ill Children: Secondary Analysis Of The Niv Dex En Study, Charlene P. Pringle, Peter Chang, Joie Cavazos, Tristan Dorn, Christine Allen, K. Leslie Avery, Torrey Baines, Samantha Gee, Nekaiya Jacobs, Jodi J. Bloxham, Elizabeth M. Brothers, Elizabeth Elliott, Shannon Faulkinberry, Emily F. Goldhar, Stephanie C. Hsu, K. Meghan Kendall, Christine Koshel, Ada T. Lin, Kristin K. Magner, Krishna S. Siruguppa, Kitman Wai, Anna Wanzenberg, Ann-Marie Brown

Journal of Pediatric Intensive Care

Introduction: Despite the widespread use of non-invasive ventilation (NIV) in pediatric intensive care units (PICUs), little has been published regarding enteral nutrition (EN) in this setting. This pre-planned secondary analysis of the Association of Enteral Nutrition and Dexmedetomidine Usage for Critically Ill Children Requiring Non-Invasive Ventilation study aimed to describe current feeding practices during NIV in a large sample, including differences in timing, energy and protein delivery across NIV modes and interfaces. Methods: Secondary analysis of a retrospective study of 1763 patients acutely supported with NIV over one year in fourteen PICUs in the United States. Results: 1065 subjects (60.4%) …

Understanding The Educational Needs Of Primary Care Providers Around Post-Intensive Care Syndrome In Pediatrics (Pics-P)- A Cross-Sectional Survey, Sarah Rubin, Katie Joy, Sarah Springer, Ericka Fink, Jessica Jarvis

Journal of Pediatric Intensive Care

Introduction: Pediatric Intensive Care Unit (PICU) survivors often experience new functional impairments after hospital discharge, known as Post-Intensive Care Syndrome in pediatrics (PICS-p). Unaddressed impairments may lead to life-long developmental delays. Primary Care Providers (PCPs) are responsible for recognizing and managing PICS-p. Understanding PCP preparedness for this role is critical to optimizing recovery after critical illness. Objectives: To characterize PCP’s 1) awareness and understanding of PICS-p, 2) access to resources for PICS-p impairments, 3) barriers to post-PICU care, 4) preferred educational strategies. Methods: Cross-sectional survey of university-affiliated PCPs from October to December 2023. An anonymous, 18-item Microsoft Forms survey was …

Multicenter Quality Improvement Project To Prevent Acute Kidney Injury After Pediatric Cardiac Surgery, Jamie S. Penk, Tara C. Cosgrove, Katja M. Gist, Mathew G. Clark, Samir Q. Latifi, Caroline A. Rodeman, Angela M. Jarden, Matt Barhight, Christina Laternser, Rajit K. Basu, David S. Cooper, Santiago Borasino, Catherine D. Krawczeski, Bradley S. Marino

Journal of Pediatric Intensive Care

Objective: Acute kidney injury (AKI) is common after pediatric cardiac surgery and is associated with morbidity. We hypothesized that the incidence and severity of AKI could be decreased by a bundle of preventative interventions. Our aim was to decrease the incidence of post-operative AKI from a baseline of 41% to <30%. Methods: Prospective multicenter quality improvement project implemented in five pediatric cardiac intensive care units. The inclusion criteria were patients under 18 years of age undergoing a Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STAT) ≥3 or Fontan operation. The bundle included: 1) Daily creatinine with AKI staging 2) Balanced fluids 3) Scheduled acetaminophen 4) Age-appropriate renal perfusion pressure 5) Nephrotoxin reduction. The primary outcome measures were incidence and severity of AKI. Results: There were 599 eligible patients in the baseline period and 480 in washout/implementation. Compared to baseline, the patients receiving the bundle underwent cardiac transplantation more frequently (10.0% versus 5.8% of total cases, p=0.01). The baseline aggregate mean incidence of any AKI was 41% and severe AKI 15%, respectively. Despite adequate bundle compliance, we observed no reduction in AKI. Conclusions: This bundle of CICU interventions did not reduce the incidence or severity of AKI in this cohort. Targeting a higher risk cohort, or starting interventions in the operating room, may be areas for future investigation.

The Development And Preliminary Exploratory Validation Of The Pediatric Delirium Scale: Assessing The Feasibility And Accessibility Of A Novel Delirium Scale, Emily C. Dodenhoff, Neha Gupta, Lauren Craig, Marjorie L. Pate, Sarah D. Petrusnek, Nianlan Yang, Kimberly Smith, Allison Wooley, Yesie Yoon, Tapan Mehta, Leslie W. Hayes

Journal of Pediatric Intensive Care

Introduction: Delirium screening and identification in the pediatric intensive care unit (PICU) can be a diagnostic challenge. Primarily, the burden of screening falls on the bedside nurses, who are juggling countless tasks throughout their shift. The nursing staff was concerned that the existing screen, Cornell Assessment for Pediatric Delirium (CAPD), detracted from workflow. The Pediatric Delirium Scale (PEDS) was developed to accurately identify delirium in children of all developmental abilities and improve nursing workflow. This is a single-center, double-blinded, preliminary exploratory validation study that assesses the feasibility and accessibility of PEDS. This study was performed in a busy 24-bed quaternary …

Barriers To Adherence Of Early Mobilization Protocols In The Picu, Katherine M. Rodriguez, Taemyn Hollis, Valerie Kalinowski, Marylouise Wilkerson

Journal of Pediatric Intensive Care

Objective: Children who survive critical illness suffer many sequelae of prolonged hospitalization. National guidelines recommend pediatric intensive care units (PICUs) employ ICU care bundles to combat acquired delirium, pain, and weakness. While use of early mobility (EM) protocols has increased in PICUs, there remain challenges with adherence. Here we describe the results of a cross-sectional survey conducted at a single center tertiary PICU. The aim of this study is to better understand perceived barriers to EM in the PICU. We hypothesized that providers would be most concerned about safety of EM. Methods: A total of 94 PICU providers were included …

Prescription Practices And Outcome Analysis Of Picu Patients At A Newly Established Tertiary Care Hospital – A Retrospective Study, Madhavi Eerike, Leo Francis Chalissery, Madhusudan Samprati, Mounika Reddy V, Chandru Elango, Kalpana Mali Ramanna, Jhilmil Gupta

Journal of Pediatric Intensive Care

Introduction: Prescription analysis studies play a crucial role in monitoring prescription patterns and establishing guidelines for effective drug delivery and healthcare management. Given the physiological differences between the paediatric and adult populations, it is essential to analyze the prescription records specifically for paediatric patients, considering their unique diseases, drugs, and dosages. Objectives: To analyse the prescribing patterns of drugs, rationality, outcomes and antimicrobial use and drugs from National List of Essential Medicines (NLEM) in Paediatric Intensive Care Unit (PICU) patients. Methodology: A retrospective study design was employed, and data was collected from medical records, including demographic information, diagnoses, drug details …

Analyzing Mortality Trends In A Uk Pediatric Critical Care Long-Stay Patient Cohort, Trishul Kothari, Nicola Kelly, Hari Krishnan Kanthimathinathan

Journal of Pediatric Intensive Care

Objectives: Long-stay patients in PICU are at-risk of higher mortality. The long-stay PICU population is growing larger. Identification of indicators of adverse outcomes in this cohort may provide opportunities for timely counselling and support. We aim to analyse the factors associated with higher mortality in the long-stay PICU patient cohort. Methods: Retrospective single centre study of long-stay PICU admissions defined as a PICU length of stay of at least 28 days during a three-year study period (1st April 2017 to 31st March 2020). Outcomes analysed included in-PICU mortality, and mortality within 12 months of PICU discharge. Variables analysed for association …

Iatrogenic Withdrawal Syndrome In Critically Ill Neonates: A Review Of Mechanisms, Assessment, Management, And Prevention, Isaque Nilton Dos Santos, Carolina Teixeira Goulart Peano, Ericks Sousa Soares, Helena Iturvides Cimarosti

Journal of Pediatric Intensive Care

Considering that neonatal pain is a relevant matter given its implications and consequences, many neonates, particularly those undergoing critical care, are subjected to analgo-sedation therapies, which commonly include treatment with opioids and benzodiazepines. These drugs, however, can induce tolerance and dependency, leading to the development of the so-called iatrogenic withdrawal syndrome (IWS) which is observed following discontinuation of these therapeutic agents particularly when utilized for a prolonged period of time (>= 5 days). IWS consists of signs and symptoms manifested especially in young children, such as term and premature newborns in the neonatal intensive care unit (NICU), who are …