Digital Commons Network^™

Annual Quality And Safety Summit Abstract Booklet 2026, Elizabeth A. Saunders, Amanda Jones, Paulette A. Wehner

Marshall Journal of Medicine

The Annual Quality and Safety Summit is a cornerstone event dedicated to advancing excellence in health care delivery, bringing together a diverse community of health care professionals, educators, researchers, and learners. Each year, the summit serves as a dynamic platform to showcase innovative initiatives, evidence-based practices, and transformative ideas that aim to enhance patient care, improve safety, and drive better system-wide outcomes across the health care continuum.

Jointly sponsored by the Joan C. Edwards School of Medicine and Marshall Health Network, the Summit features abstracts spanning a wide range of topics, including innovative care delivery models, quality improvement strategies, patient …

Professional Identity Changes During The Covid-19 Era Among Pre-Medical College Students: Insights For Medical Educators, William J. Crump, Jordan Harbin, Lauren Trout, Cierra Woodcock, Kristin Wickham, Craig Ziegler

Marshall Journal of Medicine

Abstract

Introduction

Professional identity formation is known to be responsive to outside forces. Previous longitudinal research has shown changes occurred pre-and post-COVID-19 pandemic among medical students. The purpose of this longitudinal study was to assess changes among pre-medical students.

Methods

With a 100% response rate, 85 Career Eulogies (CE) from 2015 through 2025 recorded a free text response to the prompt: "Imagine that you are ready to retire from medicine in the distant future. In about 50 words, write a short speech outlining what you would like to be said about you at the retirement ceremony."  The responses were coded …

The Effect Of Elevated Blood Pressure And Stage One Hypertension On Perinatal Outcomes In Appalachian Gravidas: A Retrospective Cohort Study, Caroline Briggs, Austin L. Loop, Grace E. Montgomery, David G. Chaffin, Jesse Cottrell

Marshall Journal of Medicine

Introduction:  There is literature in the obstetric population that suggests any degree of hypertension (blood pressures greater than or equal to 120 systolic or 80 diastolic) can lead to adverse maternal and fetal outcomes.  We sought to determine if pregnant patients in our Appalachian population with elevated blood pressure or stage 1 hypertension have an increased risk of gestational hypertension and preeclampsia.

Methods:  A retrospective chart review was performed on patients who received obstetric care with the Marshall University OB/GYN department and delivered at Cabell Huntington Hospital.  Delivery outcomes were obtained for 233 deliveries from March 30, 2020 to September …

Rare Case Of Subcutaneous Panniculitis-Like T-Cell Lymphoma In A Pediatric Patient, Jasmine Kaur, Omar Abdelaal, Ammar Masood, Aaron Mcguffin, Kathleen Martin

Marshall Journal of Medicine

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare subtype of primary cutaneous T-cell lymphoma that has clinical overlap with common benign conditions, thus making diagnosis challenging. SPTCL primarily affects younger adults with a female predominance. Pediatric cases are exceedingly rare and often misdiagnosed as bacterial infections, delaying proper clinical diagnosis and treatment.

In this case study, we report on a 9-year-old female who initially presented to an urgent care clinic with two weeks of an itchy, painful nodule on her right buttock and thigh. The nodule was initially misidentified as a skin abscess, and the patient was prescribed sulfamethoxazole/trimethoprim. The …

Clinical Perspective On The Timing Of Coronary Artery Bypass Grafting In Patients With Nstemi: Commentary On Tran Et Al., Anmol Multani, Sakshi Dixit, Fnu Anamika

Marshall Journal of Medicine

No abstract provided.

Finding And Using Validated Surveys In Health Science Research, Tracy Ashby

Library Class: Lunch & Learn

Join us as we introduce techniques for identifying and using validated surveys in health sciences research. Learn strategies for finding reliable, evidence-based measurement tools in the databases and gain tips on how to evaluate their quality and relevance.

Long-Term Changes In Ground-Level Ozone And Nitrogen Dioxide, Blake Bixby, Kevin Du, Noah Teske

Summer Undergraduate Research Program (SURP) Symposium

Ground-level ozone (O₃) is a secondary pollutant formed through photochemical reactions involving nitrogen oxides (NOₓ), volatile organic compounds (VOCs), and sunlight. This study combines satellite observations from NASA OMI with surface monitoring data from the Texas Commission on Environmental Quality (TCEQ) to evaluate long-term changes in NO₂ and ozone between 2005 and 2025. Global NO₂ distributions, Houston monitoring stations, and hourly pollutant concentrations were analyzed to investigate temporal and seasonal variations. Results indicate declining NO₂ concentrations over many developed regions, while ozone continues to exhibit strong photochemical and seasonal behavior.

Re-Examining Endemic Smoky Dace As An Indicator Species In The Upper Little Tennessee River Index Of Biological Integrity, Tayton C. Alvis, William O. Mclarney, Radmila Petric, Jason P. Love

Southeastern Fishes Council Proceedings

Fish communities can be used to evaluate water quality and stream ecosystem health, helping resource managers understand the effects of anthropogenic disturbance. Fish species inform indexes of biological integrity through their ecological traits and tolerance to stressors (e.g. tolerant of disturbance, intolerant of disturbance), but these designations are difficult to determine without localized, species-specific information. The Upper Little Tennessee River watershed is subject to long-term aquatic biomonitoring, applying an index of biological integrity tailored to the region. In this index, the undescribed endemic Smoky Dace (Clinostomus sp.) is classified as intolerant based on a previous designation for the Rosyside Dace …

Pharmaceuticals Acetaminophen, Cephalexin And Levofloxacin: Elimination And Toxicity Study Via Carbon Nitride-Based Photocatalyst, Faisal Al Marzouqi, Bunsho Ohtani, Hlengilizwe Nyoni, Fahad Al Shidi, Alex T. Kuvarega, Bhekie B Mamba, Rengaraj Selvaraj

Sultan Qaboos University Journal For Science

In recent times, investigators have conducted extensive studies on carbon nitride-based photocatalytic materials. Earlier research mainly concentrated on the poly-condensation technique and the uses of the produced materials, whereas less attention was given to the starting precursors, which were broadly classified as nitrogen-rich. This research offers a complete examination of the appropriate precursors, highlighting their large-scale, economical, and safe production for carbon nitride-based materials. Safety evaluations of the precursors were examined, and a cost analysis was conducted to refine the choice of accessible precursors. Afterward, the surface area, photophysical, SEM, and electrochemical properties of the materials were characterized. The differences …

Green Synthesis Of Nanomaterials For Carbon Capture And Clean Energy Applications, Ranjana Rayaraddi, Sathyabama Balaji, Blessy Babukutty, Mahendra Kolya, Sunil Meti, Sabu Thomas

Sultan Qaboos University Journal For Science

The rapid increase in anthropogenic carbon dioxide (CO2) emissions and the growing global energy demand have intensified the search for sustainable carbon mitigation and clean energy solutions. Nanomaterials have emerged as promising candidates for carbon capture, energy conversion, and storage technologies due to their high surface area, tunable physicochemical properties, and superior catalytic performance. However, conventional nanomaterial synthesis routes often involve toxic chemicals, harsh reaction conditions, and high energy consumption, limiting their environmental sustainability. In this context, green synthesis of nanomaterials has gained significant attention as an eco-friendly alternative that aligns with the principles of green chemistry. This review presents …

Synthesis Of Nio/Coo Photocatalyst For Enhanced Visible Light Assisted Photodegradation Of Congo Red Dye – A Comparative Study, Mohamed Siddiq, Akash Rajasekhar, Rajeswari Alagar, Mangalaraja Ramalinga Viswanathan, Sambandam Anandan

Sultan Qaboos University Journal For Science

Serious health issues, including cancer, redness, skin irritation, and allergic reactions, have been linked to factories releasing Congo red dye into water supplies. Therefore, this study focused on the simple production of NiO/CoO (NCO) metal oxide nanocomposites using the reflux-assisted chemical precipitation method. Subsequently, these metal oxide nanocomposites were employed for effective photocatalytic degradation of Congo red dye. The crystalline structure and phase purity of the synthesized materials were analyzed using X-ray diffraction, confirming the formation of highly crystalline cubic phases of NiO, CoO, and NCO nanocomposite. Morphological studies showed that the NCO composite exhibited a mixed spherical and square-shaped …

Biobloom Tio2: Green Synthesis Of Titanium Dioxide Nanoparticles Using Clitoria Ternatea Flower Extract For Bioremediation Of Textile Dyes, Nijasritha Jayaprakash, Kishore Parthasarathy, Varshana Prabhu, Sowparnika Lakshmidass, Koyeli Girigoswami

Sultan Qaboos University Journal For Science

Nanotechnology is essential in many scientific disciplines, particularly materials science, where titanium dioxide (TiO2) nanoparticles are widely studied for their stability and high photocatalytic performance in environmental applications. This study reports the green synthesis of TiO2 nanoparticles using Clitoria ternatea (butterfly pea) flower extract as a natural reducing and stabilizing agent. Phytochemicals, such as alkaloids, glycosides, and coumarins, facilitate nanoparticle formation and stabilization. The synthesized nanoparticles were characterized by ultraviolet (UV)–vis spectroscopy, X-ray diffraction (XRD), zeta potential analysis, DLS, FTIR, scanning electron microscopy (SEM), and EDX, confirming their structural, morphological, and surface properties. Biocompatibility was evaluated using MTT, hemolysis, and …

The State’S Responsibility To Prevent And Investigate Violations Of The Right To Life In The Beirut Port Explosion, Ali Wehbi Dib

BAU Journal - Journal of Legal Studies - مجلة الدراسات القانونية

The right to life is recognised in International Human Rights Law (IHRL) as the "supreme right." It is considered a jus cogens norm, fundamental for both individuals and society as a whole. IHRL provides a general guarantee of the right to life. To effectively protect it, the state must take all feasible measures to prevent violations of the right to life and to respond to them. This includes investigating incidents and, when appropriate, prosecuting and punishing those responsible.

The Beirut Port explosion on 4 August 2020 was one of the most powerful non-nuclear explosions in history. It resulted in the …

The Representation Of Suicide In Spanish Teen Fiction Tv Series: Narrative Trends And Media Literacy Implications, Patricia Palomares-Sánchez, Victoria Soto-Sanz

Journal of Media Literacy Education Pre-Prints

The present study analyses the narrative treatment of suicide in Spanish youth fiction television series produced between 2015 and 2024, aiming to identify representation trends in relation to the recommendations for responsible media coverage and their implications for media literacy. The methodology underpinning this study encompasses eight fiction TV series and combines quantitative research, derived from data collection and analysis, with a qualitative component, focusing on the interpretation and analysis of the results. Findings indicate that the representation lacks due caution in depicting the method and location of suicide, which increases the risk of imitation. Although the narratives present alternatives …

Phytochemical Analysis And Safety Assessment Of Watercress Nasturtium Officinale: Antioxidant Capacity, Heavy Metal Profiling, And Toxicity Using Brine Shrimp Model, Qurrota A’Yunin, Chamini Kasun Hemachandra, Muhaimin Rifa’I, Yoga Dwi Jatmiko, Maftuch Maftuch, Rizky Fadilla Agustin Rangkuti, Cucun Herlina, Zulfa Mahdiatur Rasyida, Moh Dliyauddin

Karbala International Journal of Modern Science

Medicinal plants have attracted growing attention as sources of natural bioactive compounds for sustainable aquaculture and health. This study evaluated the phytochemical composition, antioxidant activity, heavy metal profile, and acute toxicity of watercress (Nasturtium officinale W.T. Aiton) methanol extract using maceration, qualitative and quantitative (TPC, TFC, antioxidant DPPH) phytochemical assay, XRF, and BSLA. Phytochemical screening of plant extracts showed the existence of flavonoids, alkaloids, phenols, tannins, triterpenoids, and saponins, but not steroidal. The TPC and TFC were 20.6 mg GAE/g and 10.8 mg QE/g, respectively. The extract displayed significant antioxidant activity (IC₅₀ = 64.78 µg/mL in DPPH assay). …

Long-Term Outcomes Of Asymptomatic Microscopic Haematuria In An Outpatient Department, Chidjan Prommajan, Tharntip Sangsuwan, Silom Jamulitrat

Journal of Health Research

Background: Asymptomatic microscopic haematuria (AMH) is frequently detected in outpatient settings. However, its long-term outcomes and association with serious urological conditions; such as genitourinary cancer, urolithiasis, and glomerular disease, remain underexplored. Understanding these associations is essential for improving the diagnostic and management strategies within public health settings.

Methods: This study aimed to determine the underlying causes of AMH in an outpatient department after long-term follow-up. It is a descriptive longitudinal study on outpatients with AMH. Medical records from January 1, 2012., were reviewed: in total of 410 patients were included and followed up until 31 December 2022; or until a …

Analysis Of Infectious Waste Management In Hospital X Based On The Minister Of Health Regulation Number 02 Of 2023, Carissa Gianika

Cities and Urban Development Journal

Background: Infectious waste management is a crucial aspect in preventing cross-infection and protecting the hospital environment. Hospitals, as healthcare facilities with high levels of medical activity, generate large amounts of infectious waste that can potentially pose health and environmental risks if not managed according to standards. Hospital X, South Jakarta, as a referral hospital with a high patient volume.

Aims: This study aims to analyze the implementation of infectious waste management at Hospital X, South Jakarta based on the provisions of Minister of Health Regulation Number 2 of 2023, and to identify the obstacles faced in its implementation.

Methods: This …

Land Use Assessment In The Concept Of Green Housing: A Case Study Of Mulia Gading Kencana, Serang, Banten, Dwiky Fajar Ramadhan, Lita Sari Barus

Cities and Urban Development Journal

Background: The application of the green housing concept in housing estates is important for maintaining environmental balance amidst the issue of global warming, which can accelerate the rate of environmental degradation.

Aims: This article aims to assess the application of the green housing concept in relation to land use and management at the Mulia Gading Kencana housing estate..

Methods: The research was conducted using observation, interviews and document review, based on the Green Neighbourhood 1.1 framework..

Results: The assessment results show that the Mulia Gading Kencana housing estate scored 6 out of a total of 10, with a score of …

A Systematized Review Of The Effectiveness Of Sbirt On Reducing Adolescent Substance Use In School Settings, Mallory L. Mcivor

Educational Specialist, 2020-current

As substance use remains a pressing public concern for adolescents, the academic, social, and neurological consequences are extensive. Schools are uniquely situated to support large populations of youth during their critical developmental periods, and schools act as the ideal location for substance use prevention and intervention. This study explored the prevalence and influence of substance use on adolescents, the role of school climate in prevention and intervention efforts, and assessed the model Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a suitable framework for school-based interventions. Following a structured search across two databases, 20 studies met inclusion criteria and …

Evaluating Machine Learning Models On Classification Of Novel Cyber Attacks In The Healthcare Domain, Promise Ehimen

Dissertations, Theses, and Projects

The increasing adoption of the Internet of Medical Things (IoMT) has improved healthcare delivery through connected medical devices while simultaneously expanding the cybersecurity risks facing healthcare organizations. Although machine learning based intrusion detection systems have demonstrated high detection accuracy, their ability to respond reliably to previously unseen cyberattacks remains uncertain. This study investigated how a Neural Network model and a Logistic Regression model classified novel cyberattacks within the IoMT environment. The Neural Network and Logistic Regression models were both trained and tested using a subset of the CICIoMT2024 benchmark dataset. The Neural Network achieved 99.82% test accuracy and a 0.94 …

From Minimum To Meaningful: A Use Of Force Training Regimen For Rural Police Departments, Joseph Corley

Dissertations, Theses, and Projects

This paper examines how small and rural law enforcement agencies can improve use of force training despite limited staffing, budgets, and training opportunities. Current Minnesota POST Board minimum standards establish baseline requirements but allow significant variation in how agencies develop and deliver training, contributing to inconsistent officer preparedness and skill retention. Drawing on current research in police training, motor skill retention, and scenario based learning, this paper argues that infrequent, skills based training is insufficient for preparing officers to manage dynamic, high risk encounters. The paper proposes an evidence based training regimen centered on two department led use of force …

The Impact Of Enhanced Pediatric Asthma Simulation Prebriefing On Perceived Psychological Safety In Associate Degree Nursing Students, Amy G. Burtram

Theses

Background: Simulation is a core teaching strategy in nursing education, yet student anxiety may negatively impact learning outcomes. Psychological safety has been identified as a critical factor in effective simulation-based student learning.

Purpose: The purpose of this project was to examine whether an enhanced simulation prebrief improved perceived psychological safety among second-semester associate degree nursing students during a high-fidelity pediatric asthma scenario at a rural community college in Alabama.

Methods: A quasi-experimental one-group pretest–posttest design evaluated changes in psychological safety following a structured, evidence-based prebrief grounded in the International Nursing Association for Clinical Simulation and Learning (INACSL) Healthcare Simulation Standards …

July 31, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Morocco’S Sand Wall Construction: Challenges In Peacemaking Efforts In Western Sahara, Tarasyah Faz'lin, Apipudin Apipudin

Journal of Strategic and Global Studies

The Sahrawi ethnic conflict in Western Sahara has been ongoing for decades. Although various international efforts have been made to resolve it peacefully, they have not yielded results. This study focuses on the construction of a sand wall by Morocco and the involvement of international actors in the Western Sahara conflict. It explores the legal implications of Morocco’s construction of the sand wall, the role of international actors, the causes of the UN’s failure in achieving a peaceful resolution, and the impact of the conflict on the younger generation of Western Sahara. This research uses qualitative methods and primarily employs …

Housing Precarity Among Marginalized Women In Neoliberal Contexts: A Systematic Literature Review, Faza Nur Syahida, Joko Adianto

Journal of Strategic and Global Studies

This study presents a Systematic Literature Review (SLR) investigating the lived experiences of women from vulnerable groups in securing access to housing within the ideological contours of neoliberal capitalism. The inquiry delves into the layers of exclusion, precarity, and structural silencing that frame their trajectories. The study identifies five intersecting identities among vulnerable women: (1) single women; (2) single mothers; (3) survivors of gender-based violence; (4) elderly women; and (5) migrant women laborers. Through a rigorous database search guided by predetermined selection criteria, fifteen scholarly articles were selected for review. These were organized into the five categories, each containing two …

Ethics Under Siege: The Conflict In Tigray Through The Lens Of Just War Theory, Daniela Widya Purba

Journal of Strategic and Global Studies

This research article explains the ethical principles of the conflict in Tigray based on the Just War Theory. By using the descriptive qualitative methodology, this research article draws data from secondary sources which includes; academic journals, news reports, as well as international legal instruments to analyze the moral trajectory of the conflict. This research begins with jus ad bellum, to assess Ethiopia’s government justification in declaring conflict within Tigray. While the government fulfilled the criteria of just cause and legitimate authority, the question stands on the ambiguous political intentions and the failure to enact peaceful alternatives before resulting in waging …

Ripples Of A Global Health Crisis: 2019’S Pandemic And Its Impact On Sharia-Compliant Equities In Oic Countries, Windiya Saputri, Nur Fatwa, Nurwahidin Nurwahidin

Journal of Strategic and Global Studies

The outbreak of COVID-19 marked not only a global health emergency but also a strategic shock with profound economic implications, particularly for developing economies. This study investigates how Sharia-compliant stock markets in selected OIC countries responded to the World Health Organization’s declaration of COVID-19 as a global pandemic on March 11, 2020. Using an event study approach, the analysis focuses on abnormal returns (AR) from six major Islamic indices representing Indonesia, Malaysia, Saudi Arabia, the United Arab Emirates, Pakistan, and Qatar. The results reveal that the pandemic announcement carried significant informational content, as reflected in the notable ARs across all …

Comparative Effectiveness Of Antiseptic And Antibiotic Irrigation Versus Normal Saline In Infected Total Ankle Arthroplasty: A Systematic Review, Madelaine Adkins, Yahan Wei, Amanda Killeen

School of Podiatric Medicine - Student Research

Introduction: Periprosthetic joint infection (PJI) is a rare but devastating complication following total ankle arthroplasty (TAA). Acute infections are commonly managed with debridement, antibiotics, and implant retention (DAIR), in which irrigation plays a critical role in reducing bacterial burden. Although irrigation protocols have been investigated in total hip and total knee arthroplasty, evidence specific to infected TAA remains unclear. This systematic review evaluated the available literature regarding irrigation practices in the surgical management of infected TAA.

Methods: A systematic review was conducted in accordance with PRISMA guidelines. PubMed and Scopus were search for English-language studies published between December 2005 and …

Unlocking The Past: Chemical Cleaning And Xrf Analysis In The Restoration Of A Renowned Work Of Art, Crisencio M. Paner

DLSU Arts Congress Conference Proceedings

This study presents the conservation and scientific analysis of a painting by Ang Kiukok, a prominent Filipino National Artist. The project emphasized preventive and restorative conservation, focusing on cleaning methods and pigment identification using X-ray Fluorescence (XRF) analysis. The findings provide valuable insights for developing effective preservation strategies and enhance our understanding of the artist’s materials and techniques, thereby contributing significantly to the documentation and advancement of Philippine art history. Conservation trainees, under expert supervision, followed a structured restoration process. For initial cleaning, three standard materials were used: Vulpex (a non-acidic liquid soap), Artist’s Picture Cleaner, and purified beeswax. These …

Strong Job Markets Don’T Just Raise Pay, They Improve Job Quality, Brad J. Hershbein, Katherine Lim, Douglas Webber, Mike Zabek

Employment Research Newsletter

No abstract provided.