Digital Commons Network^™

Rectal Fidaxomicin As Salvage Therapy In Fulminant Clostridioides Difficile Infection After Total Colectomy: A Case Report, Akankcha Alok, Mohamed Ismail, Stephanie Pino Fabara, Mohammed Al Said, Vidya Sagar Kollu

HCA Healthcare Journal of Medicine

Introduction

Clostridioides difficile infection (CDI) is a significant cause of antibiotic-associated diarrhea and colitis, ranging from mild to severe and potentially life-threatening conditions, like fulminant colitis with toxic megacolon and bowel perforation. The 2021 guidelines from the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA) recommend vancomycin and metronidazole for fulminant CDI (FCDI), with consideration of rectal vancomycin for cases with ileus. Fidaxomicin, though preferred for initial and recurrent CDI treatment, is not the first line for FCDI due to limited evidence. Fidaxomicin has a narrow spectrum of activity only targeting C difficile and …

Clinical Images Of Cutaneous Horns In Patients Presenting To A Family Medicine Residency Practice, Julia Fashner, Tillie Schumann

HCA Healthcare Journal of Medicine

We detail 2 cases of cutaneous horn, also referred to as cornu cutaneum, which is a hard-compacted linear outgrowth of keratin that projects above the skin. We present these images to increase awareness for all medical specialties who may see a patient with this skin lesion.

Clinical Characteristics Associated With Hospital Mortality And Length Of Stay Among Older Adults Admitted With Delirium: Retrospective Analysis, Se Won Lee, Jeff J. Kim, Cole Kretchmar, Napatkamon Ayutyanont, Mooyeon Oh-Park

HCA Healthcare Journal of Medicine

Background

Limited information exists on the characteristics of older adults admitted with delirium at risk of poor hospital outcomes. This study aims to identify risk factors present on admission that are associated with hospital mortality and length of stay (LOS) among older adults admitted with delirium.

Methods

This is a retrospective study of 5598 patients 65 years of age or older who were admitted to acute care units at 8 community hospitals with an International Statistical Classification of Diseases, Tenth Revision code of delirium.

Results

Multivariate regression analyses revealed that in-hospital mortality increase was associated with increased age, Asian race, …

Can The Combination Of White Blood Cell Count And C-Reactive Protein Rule Out Pediatric Appendicitis, A Retrospective Analysis?, Scott Gutovitz, Samantha Stoner, Jarrett Koper, Sarah Kleist

HCA Healthcare Journal of Medicine

Background

Pediatric appendicitis (PA) is the most frequent cause of pediatric emergency surgery. Standard PA scoring systems incorporate inflammatory biomarkers (white blood cell count [WBC] or C-reactive protein [CRP]); however, the individual biomarker sensitivities have not been reported beyond single-center sites. We aimed to measure the individual and combined sensitivities of WBC and CRP to rule out PA in a large multicenter hospital system.

Methods

We did a retrospective study of pediatric emergency department patients (age <18) with abdominal pain, using a deidentified electronic health database from a 175-hospital system in the United States, comparing PA versus non-PA patients. Pediatric appendicitis patients were identified by ICD-10 diagnosis codes and had advanced imaging, whereas non-PA patients had advanced imaging and were discharged home with the ICD-10 code for abdominal pain. Using matched propensity matching, we calculated receiver operator characteristics and Youden’s index to find the optimal cutpoints. Sensitivity was calculated at the optimal and traditional cutpoints for each biomarker, also combined in parallel fashion.

Results

We identified 7414 subjects (3707 PA matched to 3707 controls). The WBC in PA patients was 14.99 ± 5.00 k/mm³ versus 9.63 …

Beyond The Norm: Decoding Spontaneous Coronary Artery Dissection As An Unusual Cause Of Acute Coronary Syndrome, Holden Zimmerman, Himanshi Banker, Inder P. Kaur, Jaskaran Munjal, Vasu Gupta, Ayushi Garg, Nikita Garg, Meet Patel, Rohit Jain

HCA Healthcare Journal of Medicine

Spontaneous coronary artery dissection (SCAD) is a rare nonatherosclerotic cause of myocardial infarction among young women, particularly during pregnancy. As the name suggests, SCAD is caused by the spontaneous formation of the false lumen within the coronary artery wall, thus compromising the blood flow to the myocardium. Unlike atherosclerotic acute coronary syndromes, SCAD is not directly associated with diabetes or hypertension; moreover, underlying connective tissue defects and inflammation are considered more contributory towards its etiology. Although its pathophysiology is not well understood, multiple theories have been proposed. Clinically, SCAD has a similar presentation to acute coronary syndromes, including substernal chest …

Response: Letter To The Editor, Exercise Is A Vital Sign, Megan Dannemiller, Anthony Shadiack, Marvin Sineath Jr, Andrew Baird, Marc Poirier, Kevin Thomas, Michael G. Flynn

HCA Healthcare Journal of Medicine

This letter is submitted in response to the letter to the editor regarding the authors’ article “Exercise Is a Vital Sign.”

Exercise Promotes Health But Is Not A Vital Sign, Jacob Draves, Halil Tekiner, Steven H. Yale, Eileen S. Yale

HCA Healthcare Journal of Medicine

The term “vital sign” has been attached to at least 83 conditions, symptoms, or phenomena in the literature to highlight their role and importance in overall health and well-being. This has created considerable confusion and overlapping terms in the medical literature. The 4 time-honored vital signs include temperature, pulse, blood pressure, and respiration. Two other measurements, blood oxygen saturation, and capnography (end-tidal CO2) are considered the fifth and sixth vital signs, respectively. The authors argue that exercise should be named a vital sign, and several authors have designated it as the fifth vital sign. However, not all symptoms or phenomena, …

Three Good Things And Family Process, Julia Prouty

Journal of Undergraduate Research at Minnesota State University, Mankato

There is a need for adaptive and affordable prevention/intervention strategies to promote happiness, health, and well-being in families. Three Good Things (3GT) is a free exercise from the field of positive psychology meant to shift an individual’s focus and perceptions towards gratitude. 3GT promotes focusing on gratitude by reflecting on what an individual is grateful for from the past day/week. Persons are encouraged to write down and share their 3GT with another individual. A mindset of gratitude is closely associated with improved happiness, health, and well-being. The exercise of reflecting on 3GT is adaptive to most individuals/families. To date, most …

A Case Study On The Use Of Cultural Violence And Its Contribution To The Third Reich's 'Euthanasia' Program, Grace Larsen

Journal of Undergraduate Research at Minnesota State University, Mankato

The genocidal actions taken by the Third Reich during the mid-20th century were horrific and dehumanizing. While the Holocaust often focuses on the tragic genocide that occurred against the Jewish people carried out by the Third Reich, the genocide that they carried out against the disabled community is often overlooked. With the deaths of tens of thousands of disabled people occurring through this genocide, it is important to understand how this genocide occurred, without any worldwide protest. Nazi Leaders including Alfred Rosenberg, Adolf Hitler, and Ernest Rüdin used widespread cultural indoctrination to dehumanize the disabled community and horrifically justify their …

Exploring Cultural Perspectives On Autism Spectrum Disorder: A Literature Review, Carly A N Kuhlman

Journal of Undergraduate Research at Minnesota State University, Mankato

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by impairments in personal, social, academic, or occupational functioning. Despite its universal recognition, perceptions and responses to autism vary widely across different cultural contexts. This paper explores the impact of cultural perspectives on the diagnosis, intervention, and support for individuals with autism. It highlights how cultural beliefs, values, and societal norms shape the understanding and management of ASD, revealing significant differences in diagnostic practices and support systems around the world. The paper discusses how cultural factors influence the interpretation of autism, using case studies from diverse settings, including Africa, Southeast Asia, …

What We Watch On Social Media Makes An Impact, Gracie G. Johnson

Journal of Undergraduate Research at Minnesota State University, Mankato

Prior research has demonstrated that certain social media content consumed can create unrealistic expectations of themselves; however, some hypothesize that social media provides empowering and supportive spaces. Unfortunately, many studies rely on cross-sectional data, limiting the ability to infer causality. This study looked at one of the most-used social media platforms by teens in the United States, TikTok. For this study, it was predicted that viewing “body check” videos would negatively affect body image. If significant, we could try and restrict those videos from being posted. The findings supported the hypothesis, but not significantly. However, there were quite a few …

The Art Of Movement, Payton Hedderman

Journal of Undergraduate Research at Minnesota State University, Mankato

I wanted to do this project for my Interdisciplinary Studies Capstone to showcase some of my skills and to articulate what I want to do with my degree. I want to go into Medical Illustration, and I want to make science easier for people to learn. To do this I want to take complicated subjects and remake them into simpler terms. For my capstone, I decided to take anatomy of the arm, leg, and abdominal organs and draw them on professional women athletes. I thought that expressing this anatomy in less of a clinical way is one strategy to make …

Art Therapy In Social Work Practice, Laura Gebur

Journal of Undergraduate Research at Minnesota State University, Mankato

Art therapy is an emerging practice among mental health professionals looking for new ways to engage with their clients and encourage nonverbal communication. Creativity is a means of processing memories, improving relationships, and strengthening the mind-body connection across a variety of age groups and practice settings. The efficacy of art therapy has led to its integration into social work practice, benefitting a diverse range of client populations within the field. While a lack of macro-level research studies has prevented the implementation of standardized art therapy techniques in social work, clinical research trials have examined art therapy across several areas of …

The Student Movement Volume 110 Issue 6: Warming Spirits Through Passion, Service, And Fellowship, Jj Nixon, Kara Shepard, Megan Constantine, Lia Glass, Corinna Bevier, Melanie Webb, Isa Demoraes, Andrew Francis, Samantha Woolford-Hunt, Joey Carrion, Moraya Truman, Madison Vath, Maya Thomas, Sophia Koh, Kaara Harris

The Student Movement V. 110 (2025-2026)

HUMANS

Faith, Friendship, and Purpose: The Spirit of Student Missions, JJ Nixon

VACD Students Experience Communication Conference, Kara Shepard

Finding Her Canvas: Joy Broderick's First-Year Experience at Andrews University, Megan Constantine

ARTS & ENTERTAINMENT

Is Bingeing the Point of Streaming?, Lia Glass

Four Fall Films to Watch This Autumn, Corinna Bevier

Reggie & Ladye Love Smith to Bring Southern Gospel to HPAC, Melanie Webb

NEWS

"Unchanging": AY Service Connects Humility and Growth in God's Word, Isa DeMoraes

Student Movement Archives a Part of Giving Tuesday Initiatives, Andrew Francis

Alumna Discusses Political Threats to Humanities During Campus Lecture Talk, Andrew Francis …

New Frontiers 2024-2025, University Of Nebraska At Kearney Division Of Research And Creative Activity

New Frontiers

New Frontiers 2025 Features:

• Sacred Sounds - Sharon Campbell
• Exploring the Quantum Frontier - EQUATE
• Building Biomedical Excellence - INBRE
• Public History with a Purpose - Will Stoutamire
• Protecting the Nation - NSRI
• Shared Solutions - KNEW

Curriculum Subcommittee Agenda November 6, 2025, Utah State University

Educational Policies Committee

• Approval of Minutes - October 2, 2025
• Program Proposals
• Other Business
• Adjourn: 3:00 pm

Living Property, Joseph William Singer

Seattle University Law Review

The Supreme Court has increasingly defined property rights that are per se exempt from regulation in the absence of compensation, most recently in Cedar Point Nursery v. Hassid (2021) and Tyler v. Hennepin County (2023). The Court claims that it can identify property rights that are categorically protected from regulation by reference to history, tradition, and precedent. Yet this approach is oddly ahistorical; it is inconsistent with the fact that property law changed dramatically over U.S. history, as well as varying tremendously among the states. It is also inconsistent with the historical context of the Founding era. At that time, …

How Fair Workweek Laws Affect Labor Markets: A New York City Case Study, Joseph Pickens, Aaron Sojourner

Employment Research Newsletter

No abstract provided.

Table Of Contents

Seattle University Law Review

Table of Contents

The Roots Of Credit Inequality, Andrea Freeman

Seattle University Law Review

Debt oppression began before the United States became a country. Settlers enslaved Africans and Indigenous people, treating them as property that they could buy and sell for their economic and personal benefit. When enslavement became illegal, new economic systems and laws that included sharecropping, Black Codes, and Jim Crow kept Black people in servitude. Laws that prohibited enslaved people from owning property or selling goods to white people evolved into restrictions on Black people’s occupations and market participation, both formal and informal. When Black entrepreneurs overcame these obstacles and built wealth within Black business enclaves, white people enforced their racist …

“A Plain Denial”: Reclaiming Equal Protection In American Juvenile Law, Addie C. Rolnick, David S. Tanenhaus, Justin Iverson, Danielle L. Silvestri

Seattle University Law Review

Juvenile courts are based on the premise that children are different from adults and should therefore be treated differently. Children may be treated more informally by courts, punished for different purposes, and brought before the court for different behaviors. Since In re Gault, the Supreme Court has been clear that there are limits to how different juvenile courts can be. Juveniles are entitled to many of the same procedural protections as adult criminal defendants, although the Court has preserved some procedural differences where it has determined that their benefit is outweighed by the need to preserve the informality, flexibility, …

The Splintering Of “Catalyst Theory” In New York, Nancy Larcher

Cardozo Journal of Equal Rights and Social Justice (ERSJ) Blog

Some of the New York Supreme Court, Appellate Divisions are now recognizing “catalyst theory” as a part of the New York State Equal Access to Justice Act (“EAJA”). To preserve the intent of the EAJA, it is time for the Court of Appeals to decide in favor of catalyst theory for litigants. Recently, the New York Supreme Court, Appellate Division, Third Department ruled in favor of Peter Markey, a disabled Navy veteran who sued New York State after they denied him rental assistance. The EAJA allows for plaintiffs to obtain attorneys’ fees when they prevail in certain actions against New …

Class Relations And The Law: A Model And Agenda For Research, Brishen Rogers

Law and Contemporary Problems

No abstract provided.

The Scarlet - Volume Civ, No. 4 (October 31, 2025), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The October 31, 2025 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University.

University's Eac Report Card Available, Staff Report

University of Mississippi News

OXFORD, Miss. – The University of Mississippi is once again making its Education Achievement Council report card available to the public.

Analyzing Surface Spectral Signature Shifts In Fire-Affected Areas Of Elko County Nevada, Ibtihaj Ahmad, Haroon Stephen

Civil and Environmental Engineering and Construction Faculty Research

This study investigates post-fire vegetation transitions and spectral responses in the Snowstorm Fire (2017) and South Sugarloaf Fire (2018) in Nevada using Landsat 8 Operational Land Imager (OLI) surface reflectance imagery and unsupervised ISODATA classification. By comparing pre-fire and post-fire conditions, we have assessed changes in vegetation composition, spectral signatures, and the emergence of novel land cover types. The results revealed widespread conversion of shrubland and conifer-dominated systems to herbaceous cover with significant reductions in near-infrared reflectance and elevated shortwave infrared responses, indicative of vegetation loss and surface alteration. In the South Sugarloaf Fire, three new spectral classes emerged post-fire, …

Volume Cxlv, Number 6, October 31, 2025, Lawrence University

The Lawrentian

No abstract provided.

Circulating Inflammatory Biomarkers And Endometriosis Lesion Characteristics In The Wise Consortium, Kathryn L. Terry, Amy Shafrir, Ashley Laliberte, Allison F. Vitonis, Kurtis Garbutt, Mary Depari, Christian Becker, Naoko Sasamoto, Krina T. Zondervan, Stacey A. Missmer

Health Sciences Faculty Publications

Endometriosis is a chronic inflammatory condition requiring surgical or imaging visualization for definitive diagnosis. How endometriotic lesion characteristics relate to circulating inflammatory markers remains unclear. We evaluated 11 inflammatory biomarkers, including interleukin (IL)-1β, -6, -8, -10, -16, tumor necrosis factor (TNF)-α, thymus and activation regulated chemokine (TARC), monocyte chemotactic protein (MCP)-1, -4, and Interferon gamma-induced protein (IP)-10, in 566 participants with endometriosis from the Women’s Health Study: From Adolescence to Adulthood (A2A), Endometriosis Oxford Care & Research (CaRe) study (ENDOX) and Endometriosis: Natural History, Diagnosis, and Outcome (ENDO) study to evaluate associations with endometriosis characteristics, including macrophenotype (superficial lesions only, …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

Redefining Section 230 Immunity, Lucas Dini

Seattle University Law Review

Section 230 of the Communications Decency Act has provided broad immunity to online platforms for third-party content which was the foundation for the internet's growth. However, the rise in the use of artificial intelligence (AI) to produce algorithms to curate content to users of online services has blurred the line between being a passive host of third party content and active editorial control. This Note examines the legal, policy, and constitutional implications of applying Section 230 immunity to platforms that use AI to curate and promote third-party content. This analysis argues that algorithmic promotion of third-party content constitutes a platform's …