Digital Commons Network^™

Clinical And Non-Clinical Factors Associated With Early Discharge In Pediatric Non-Trauma Patients Transported By Rotor Wing, Jordon Mitzelfelt, Lisa Pruitt, Amy Papa, Ashley K. Sherman, David Juang, Sarah Brunner, Asdis Finnsdottir Wagner, Jennifer Flint

Posters

Objective: Helicopter emergency medical services (HEMS) are crucial for transporting critically ill children to definitive care, however, rising costs and relative risks of this type of transportation necessitate careful evaluation of potential over-utilization. Current literature primarily focuses on pediatric trauma patients, leaving a significant gap in data regarding non-trauma pediatric HEMS transports and the influence of non-clinical factors such as referral hospital distance, resources, and capabilities on transport decisions. This study aims to address these gaps by examining non-trauma pediatric HEMS patients and identifying associated clinical and non-clinical factors related to early hospital discharge (< 24 hours). Methods: This retrospective, single-center study includes pediatric patients with medical and non-trauma surgical diagnoses transported by HEMS between April 1, 2021 and March 31, 2024. Clinical data were extracted from transport team records and the hospital’s electronic health records. Analyses were performed to identify factors associated with discharge within 24 hours of admission. To identify predictors of early discharge, we analyzed clinical factors including chief complaint, pre-transport vascular access, transport crew interventions (medication administration and procedures), respiratory assistance, and Pediatric Age-Adjusted Shock Index (SIPA) scores. Additionally, we examined the impact of the initial admit unit, and medical support required within the first 24 hours of hospitalization. Non-clinical predictors included the referring hospital’s status (critical access and/or rural designation) and the time of transport. Results: A total of 568 patients were transported by HEMS, of whom 88 (15%) were discharged within 24 hours. Patients in the early discharge group were more likely to present with neurologic chief complaints (40%), whereas those remaining hospitalized beyond 24 hours more frequently presented with respiratory complaints (40%). Normal SIPA scores both prior to and at the conclusion of transport were significantly associated with early discharge (p=0.012 and p=0.011, respectively). Furthermore, patients requiring no medications or respiratory assistance during transport, or no respiratory support within the first 24 hours of admission, were significantly more likely to be discharged early (p< 0.001). Notably, all patients with central access prior to transport remained admitted for more than 24 hours (p=0.004). Regarding non-clinical factors, patients transported from designated rural hospitals were more likely to experience early discharge (p< 0.001). Conclusion: These results characterize the pediatric non-trauma HEMS population and identify key predictors of early hospital discharge. This data is essential for developing standardized dispatch criteria to mitigate over-utilization and ensure high-acuity transport is reserved for the most appropriate patients.

Does Variation In Systemic Steroid Use Impact Outcomes In Preschoolers Hospitalized With Viral Respiratory Tract Infection?, Smit Shah, Kathryn Kyler, Matt Hall, Jessica Markham

Posters

Background: Systemic corticosteroids (SCS) are a cornerstone of treatment for acute asthma exacerbation. However, the role of SCS in preschool-aged children hospitalized with viral respiratory tract infection (vRTI), including viral induced wheezing, remains uncertain. Clinical trials have reported conflicting results about the benefits of SCS in this population. Objectives: To evaluate hospital-level variation in inpatient management of preschool-aged children admitted with vRTI and to compare clinical and utilization outcomes based on hospital-level SCS use. Methods: We conducted a retrospective cohort study of children aged 24-59 months admitted to US children’s hospitals with vRTI from July 2022-July 2024 using the Pediatric …

Reducing Waste And Cost By Utilizing Tap Water For Laceration Irrigation In The Emergency Department: A Quality Improvement Approach, Alison L. Fowler, Rohan Akhouri, Josaih Galdean, Isabella Dunt, Christopher Kaberline, Viktoriya Stoycheva Mha, Rn, Cpn, Sarah Nienhaus, Leslie Hueschen

Posters

Purpose/Objective: Lacerations requiring closure make up 8 million emergency department (ED) visits annually. Irrigating prior to closure with potable tap water decreases cost and waste without increasing rates of infection compared to sterile fluids. Currently, only 3.5% of lacerations closed in our ED are irrigated with tap water. This project aims to increase the percent age of lacerations closed by ED providers irrigated with tap water from 3.5% to 60% by March 2026 in a freestanding pediatric emergency department across two sites (ED 1, ED 2). Design/Methods: A multidisciplinary team (physicians, nurses, QI consultant, parent advisors) formed in November 2024. …

The Varying Strength Of Parental Rights, Mark Strasser

Missouri Law Review

The United States Supreme Court has recognized that parental rights implicate fundamental interests and that statutes adversely affecting those rights require close examination. However, the Court has been inconsistent in both its analysis and results when deciding which statutes burdening parental rights nonetheless pass constitutional muster. The Court’s ambivalence and lack of clarity have made parental rights jurisprudence confused and confusing, as illustrated by the dissensus among the state supreme courts regarding which visitation statutes are constitutional. Yet, this jurisprudential quagmire cannot be blamed on one particular decision, as if a single clarification or modification could resolve the problem. Rather, …

Deliberate Indifference Reimagined: Towards An Objective Standard For Eighth Amendment Prison Condition Violations, Lane Hines Woodke

Missouri Law Review

This Article critiques the existing standard for establishing deliberate indifference under the Eighth Amendment, which primarily relies on the subjective intent of correctional officials. It argues for a shift towards an objective standard that assesses the reasonableness of state responses to known risks, particularly in light of persistent unconstitutional conditions within correctional facilities, such as inadequate living conditions and unchecked violence. The Article contends that the current subjective approach creates an insurmountable evidentiary burden for incarcerated individuals and fails to ensure meaningful compliance with constitutional protections. By advocating for an objective framework akin to standards used in Fourth and Fourteenth …

An Unnecessary Burden: Why It Is Time To Eliminate Mcdonnell Douglas From Ada Failure-To-Accommodate Claims, Jonathan G. Jain

Missouri Law Review

Several strangers sit together in a room, staring at three black lines on a white card. Their task seems simple: choose the line that matches the length of a line printed on a second card. One by one, the strangers correctly choose the matching line, and the task repeats with new white cards and new black lines. The correct answer is always obvious, but after a few rounds, one man suddenly finds himself alone in giving the correct response. What he does not know is that the others have been instructed to begin choosing incorrect lines. Eventually, despite what his …

Impact Of Gender Trends On Plastic Surgery Fellowship Match: Implications For Surgical Education, Irene Helenowski, Emily Miller, Bridget Foley, Victoria Hodkiewicz, Christopher Kujalowicz, Parinaz Jila Siemers, Bianca Di Chiaro, Eleanor Bucholz

Biostatistics Collaborative Core: Faculty Publications and Other Works

Background:

No prior study has evaluated gender trends within the plastic surgery subspecialty fellowship match. The purpose of this study is to examine gender trends across fellowship trainee demographics to assess and characterize existing disparities between male and female plastic surgeon counterparts.

Methods:

A review of the new board diplomates listed in the annual newsletter to diplomates of the American Board of Plastic Surgery from 2015 to 2019 was used to identify physicians who pursued various plastic surgery subspecialties. Fellowship match data, including sex, practice type, and prior residency training, were obtained from publicly accessible institutional and private practice websites, …

Digital Assessment Of Subtractive And Additive Cad/Cam Fabrication Methods On The Fit And Accuracy Of Lithium Disilicate Veneers, Sara Fikry Elshafei Dr, Islam Heiba Dr, Basma Fayyad, Maha Nagy

Dentistry

No abstract provided.

Prevalence Profile Perceived Stress And Impact On Quality Of Life For Recurrent Aphthous Ulcers: A Cross-Sectional Epidemiological Study In Egypt, Dalia Ghalwash

Dentistry

Recurrent Aphthous Ulcerations (RAU) are among the most frequent oral ulcers with unknown etiology and multiple risk factors. This study assessed the prevalence profile of aphthous ulcers, risk factors, levels of perceived stress, and their impact on quality of life in an Egyptian sample. This study involved screening 4100 individuals from the outpatient clinic, Faculty of Dentistry, The British University in Egypt, and several Egyptian governorates. Patients were subjected to clinical examination and patient interviews for accurate diagnosis and collection of data. The Perceived Stress Scale (PSS) was used to assess levels of perceived stress, and the Oral Health Impact …

New Book Explores Small Talk, Big Silence In Evangelical Communities, Clara Turnage

University of Mississippi News

OXFORD, Miss. – In a new book, University of Mississippi sociologist Amy McDowell says small talk can be used as a tool to block meaningful conversation in the evangelical church, leaving some people feeling isolated in their beliefs that conflict with Christian nationalism.

Retreat, Renew, Reflect: Exploring Digital Marketing Strategies For Faith-Based Retreat Centers, Rebecca A. Mickler

Electronic Theses and Dissertations

In today’s fast-paced world, retreat centers offer a vital opportunity for rest, reflection, and spiritual renewal. Despite growing societal awareness of mental health and wellness, many religiously affiliated retreat centers face stagnant participation, aging leadership, and operational challenges that threaten their long-term sustainability. This qualitative-dominant mixed methods study uses bright spots analysis to examine how Villa Maria Education and Spirituality Center (VMESC), a Catholic retreat center, can strengthen its digital marketing strategies to attract new audiences while maintaining mission alignment.

Bright spots analysis examines positive outliers, organizations that achieve notable success despite operating within similar constraints, to identify practices that …

Appellate Review Of Child Custody In Mississippi, 1994-2024, Eleanor Detweiler

Honors Theses

This study examines changes in child custody decision-making within the Mississippi appellate court system over a thirty-year period, with a particular focus on the role of legal custody as a separate consideration from physical custody. Using a longitudinal empirical research design, appellate court decisions from 1994, 2004, 2014, and 2024 were analyzed using Nexis Uni. Cases were identified using the search term “child custody” with emphasis on case headnotes indexed under “child custody” as the area of law. Variables including party roles, types of custody sought, reasons for appeal, and case outcomes were recorded and evaluated to identify trends over …

Lingnan Gardeners Newsletter (No. 78) = 彩園通訊 (第78期), Lingnan Gardeners, Centre For Cultural Research And Development, Lingnan University

Lingnan Gardeners Newsletter 嶺南彩園通訊

No abstract provided.

Sustaining The Maternity Care Workforce: Burnout And Peer Support Among Midwives And Doulas In The Dmv, Kayla Blades

GW Research Showcase 2021-2026

No abstract provided.

The Cost Of Repeal: Climate-Related Public Health And Economic Impacts Of The Endangerment Finding Rescission, Gaige Kerr, Lulu Chen, Neal Fann, Jordi Fischbach, Bryan Hubbell, Marcus Sarofim, Susan Anenberg

GW Research Showcase 2021-2026

No abstract provided.

Organizational Readiness And Downside Risk Adoption In Medicare Accountable Care Organizations, 2013-2024, Jing-Jer (Amadeus) Chen, Salama Freed

GW Research Showcase 2021-2026

No abstract provided.

Lead Exposure And Cardiovascular Disease In Women: A Systematic Review, Lindie Metayer, Kate Applebaum

GW Research Showcase 2021-2026

No abstract provided.

The Relationship Between Academic Stress And Menstrual Health Among Undergraduate Students At The George Washington University, Vesna Pasetto, Leslie Davidson

GW Research Showcase 2021-2026

No abstract provided.

Children's Evaluation Of Gw George Reads, A Food And Nutrition Literacy Experiential Learning Program, For Preschoolers, Lisbeth Vargas Ramos, Karina R. Lora

GW Research Showcase 2021-2026

No abstract provided.

Targeted Curriculum Reform: Recommendations From A Longitudinal Health Equity Study, Shayna Block, Veena Reddy, Maranda C. Ward

GW Research Showcase 2021-2026

No abstract provided.

Hospital-Based Validation Of Bili-Ruler, A Low-Cost Icterometer For Newborn Jaundice Screening, Alyssa Shapiro, Afia Tariq, Zahra Hoodbhoy, Helga Naburi, Emily Smith

GW Research Showcase 2021-2026

No abstract provided.

Mapping Alignment Of National Community Health Worker Programs With Who Guidelines: A Document Analysis Across 137 Countries, Molly Lauria, Madeleine Ballard, Lennie Bazira, Jordan Downey, Zuhrat Inam, James O'Donovan

GW Research Showcase 2021-2026

No abstract provided.

Perinatal Mood And Anxiety Disorder In U.S. Military Women, Veterans, And Spouses: A Scoping Review Of Screening, Identification, And Management, Myrka Patricia Guevara

GW Research Showcase 2021-2026

No abstract provided.

A Maternal Foundation: Framing The Global Development Agenda, Mikayla Mason, Bridget Kelly, Jessica Deutch, Abigail Quashie, Emily Schlipp, Cassandra Smith, Karen Mcdonnell

GW Research Showcase 2021-2026

No abstract provided.

A Cycle Of Dependency: Resource Wealth And Institutional Weakness In Nigeria, Zaheen Chowdhury

The Dialogue

No abstract provided.

League Of Women Voters' Of The Huntington Area E-Mail Bulletin, April 2026, League Of Women Voters Of The Huntington Area

League of Women Voters of the Huntington Area Bulletin 2020 - Present

The periodical is published by the League, which is a nonpartisan political organization that encourages the informed and active participation of citizens in government and influences public policy through education and advocacy.

Dean's Report- Spring 2026, Marina K. Holz

GSBMS Dean’s Report

No abstract provided.

Patients As Stakeholders, Isaac D. Buck

William & Mary Law Review

Once a provider of public support and charity, the American hospital is now a source of dividends for private actors. Profit interests have encroached on, and increasingly replaced, the publicly minded heroism of the American hospital, the central hub of a complex and disordered health care system. This new profit-first posture creates ill effects for the people who rely on health care delivery: those who work within it, those who are treated within it, and those who pay for it. When hospitals need to deliver for their corporate shareholders, legitimate questions arise about how much they are delivering for patients …

Wcsa Alumnews: Spring 2026, Office Of Alumni Relations

WCSA AlumNEWS

Contents include: WCSA's agriculture legacy continues: UMN Morris alumni find agriculture as part of their liberal arts education; In your words; From the dining hall to third floor Behmler: Michael Rodriguez is UMN Morris chancellor; Fondly remembered... ; WCSA Legacy Memorial in Horticulture Garden ; 2026 WCSA All-School Reunion

Pastoral Listening Skills Training In The Black Baptist Church: Equipping Clergy To Better Support Congregants, Regina Pair Allen

Doctor of Ministry Projects and Theses

This study engages a historical survey of qualitative studies of perspectives of Black pastors regarding pastoral care, examining various avenues for training in pastoral listening and the role of ministers as theological clinicians in supporting church ministries and community needs. The findings highlight the ongoing need for professional development among pastors as primary educators and theological clinicians. The study underscores the importance of equipping Black Baptist pastors to address the clinical pastoral needs of African American congregants. The significance to this field of study is providing Black Baptist clergy with practical skills and tools, grounded in theological principles, to better …