Breaking Age Barriers: Neuraxial Anesthesia For An Intramedullary Rod Insertion Of Right Femur In A 99-Year-Old Patient, Aisha Patel, Moez K. Sumar, Rishi Gaiha, Nebojsa Nick Knezevic

Advocate GME

No abstract provided.

"What's A Computer?" Exploring Insurance Agents' Role In Small Business Cyber Insurance Transactions, Dalton A. Crabtree

USF Tampa Graduate Theses and Dissertations

This mixed-methods study examined how insurance agents' role identity impacts cyber insurance transactions, addressing gaps in professional practice and academic literature. Small businesses increasingly rely on cyber insurance for protection as cyber risk continues to evolve. The study employed sequential explanatory methodology with 25 interviews across three groups: insurance agents (n=15), corporate cyber insurance professionals (n=5), and small business owners (n=5). Thematic analysis using Katz and Khan's Role Episode Model informed development of the Cyber Insurance Role Identity Scale (CIRIS), tested with 100 agents. Six themes emerged. Key findings reveal that successful cyber insurance transactions require agents to transition from …

Genetic Engineering Of Esophageal Organoids: Crispr-Based Knock-In For Cell Lineage Tracing, Kyung-Pil Ko, Jae-Il Park

Faculty, Staff and Student Publications

Esophageal organoids serve as powerful systems to study epithelial lineage hierarchies and cancer biology. Gene manipulation in these organoids has traditionally involved overexpression or knockout strategies. However, CRISPR-/Cas9-based knock-in (KI) approaches now enable precise cell lineage tracing and live imaging. Here, we describe protocols to generate fluorescent KI organoids from murine esophageal epithelium by tagging Krt13 (BFP) and Sox2 (mNeon). These dual-reporter organoids allow direct monitoring of growth dynamics and differentiation trajectories. We outline CRISPR/Cas9 design, donor construction using homology-independent approaches (CRISPaint), delivery into organoid cells, enrichment and single-clone isolation, and validation by fluorescence. For organoids, homology-directed repair (HDR) can …

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study, Harry Obeng, Emmanuel Tetteh, Sara Malone, Matthew Sattler, Monica Abdelnour, Virginia R Mckay, Et Al.

2020-Current year OA Pubs

BACKGROUND/OBJECTIVES: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

METHOD: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study, Harry Obeng, Emmanuel Tetteh, Sara Malone, Lauren Walsh, Tyler Walsh, Fernando J Bula-Rudas, Ritu Banerjee, Adam W Brothers, Joshua C Herigon, Katie Namtu, Scott Weissman, Daniel Riggsbee, Jared Olson, Debra Lynn Palazzi, Ann Wirtz, Matthew Sattler, Jessica Tansmore, Brittany A Rodriguez, Monica Abdelnour, Joshua R Watson, Alison C Tribble, Jessica Gillon, Mari Nakamura, Sarah Jones, Jason G Newland, Virginia R Mckay

Faculty, Staff and Students Publications

Background/objectives: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

Method: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study., Harry Obeng, Emmanuel Tetteh, Sara Malone, Lauren Walsh, Tyler Walsh, Fernando J. Bula-Rudas, Ritu Banerjee, Adam W. Brothers, Joshua C. Herigon, Katie Namtu, Scott Weissman, Daniel Riggsbee, Jared Olson, Debra Lynn Palazzi, Ann L. Wirtz, Matthew Sattler, Jessica Tansmore, Brittany A. Rodriguez, Monica Abdelnour, Joshua R. Watson, Alison C. Tribble, Jessica Gillon, Mari Nakamura, Sarah Jones, Jason G. Newland, Virginia R. Mckay

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND/OBJECTIVES: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

METHOD: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Re-Survey Of Blastocystis Infection In Free-Living Birds From Urban Xinxiang City, Xuehan Liu, Yingying Cao, Di An, Chengshui Liao, Ruibiao Wang, Bo Wen, Chunling Zhu, Huarun Sun, Longfei Zhang, Baoliang Qin, Yanhui Wang, Jianhe Hu, Yueyu Bai, Ke Ding, Lei Wang

The Thai Journal of Veterinary Medicine

Blastocystis is the most ubiquitous intestinal protozoan parasite found in humans and animals worldwide. Commonly, ST7 and ST6 are the major Blastocystis subtypes reported in birds, and their frequencies fluctuate greatly with various factors. However, little literature is available on the prevalence and subtype characteristics of this parasite in free-living wild birds in the same city. For this purpose, a total of 114 fresh fecal specimens were collected from wild free-living birds in urban districts of Xinxiang city and tested for Blastocystis using PCR of the barcoding region of the small subunit ribosomal RNA (SSU rRNA) gene. The positive isolates …

Faculty Perceptions Of Interprofessional Education To Prepare Physical Therapy Students For The Workforce, Marianne Hanover, Heather Pederson

Journal of Educational Research and Practice

Interprofessional collaboration (IPC) aims to enhance patient care by improving outcomes. Interprofessional education (IPE), a teaching approach for IPC, is now mandated in Doctor of Physical Therapy (DPT) curricula. Although faculty perceptions of IPE in other healthcare fields are documented, studies exploring faculty attitudes in entry-level DPT programs remain limited. In this qualitative study, we investigated how DPT faculty perceive IPE as a means to prepare students for clinical practice. Using Rogers’s Diffusion of Innovation (DOI) theory as a guide, we collected data during interviews with PT faculty in DPT programs. Study findings suggest that the advancement of IPE in …

Surprises From The Shadows: Confronting Intrusions From Bots & Generative Ai In Survey Research, Vincent Cho, Sofia I. Duenas

Journal of Educational Research and Practice

Unbeknownst to many researchers, online surveys can be vulnerable to attacks from bots and generative artificial intelligence (AI), which can generate hundreds of fraudulent responses instantly. Confronting this challenge to data integrity, we employed an adaptive approach to test the effectiveness of various anti-fraud tactics (e.g., CAPTCHA; honeypot questions; question pairs; open-ended questions) and to distinguish between good-faith human respondents versus bots or fraudsters. Findings revealed that bots with generative AI capabilities bypassed some conventional defenses, including CAPTCHA, and effectively supplied human-like responses to open-ended questions. Other tactics, like removing response incentives and verifying IP addresses, showed promise but came …

Embedding Social And Emotional Learning Into Educator Preparation Programs: An Alternative Certification Perspective, Valerie Flanagan, Lisa Fulks, Wanetta Morrow

Journal of Educational Research and Practice

This study discusses the impact of integrating social and emotional learning (SEL) curriculum into alternative certification educator preparation programs (EPPs), in response to prior research indicating the lack of SEL strategies in schools. It offers a review of educator preparation students’ thoughts concerning SEL implementation, as well as their selection of and reflection upon embedding SEL skills into lessons. Participants serving as teachers of record during their coursework reported positive outcomes in the classroom resulting from lessons including SEL content. Given the increasing importance of SEL in addressing students’ diverse developmental, behavioral, and academic needs, preparation for educators must go …

Commemorative Monograph: Padma Shri Dr. K.M. Cherian – A Life In Cardiac Surgery And Institution-Building, Gomathi Sundar

Journal Of Indian Physician Associates

No abstract provided.

Vision 2050: India’S Path To Becoming A Global Player, Balasubramanian Mahadevan Dr

Journal Of Indian Physician Associates

This study examines India’s strategic plan to become one of the top three global economies by 2050 through data-driven analysis and comparisons of economic indicators from 2024 to 2050, utilizing data from trusted sources such as the Reserve Bank of India and NITI Aayog. We analyze India’s economic growth in relation to other major emerging economies, focusing on technology, manufacturing, and service sectors. Findings suggest that with strategic policy reforms, investment in innovation, and enhanced infrastructure, India can achieve significant GDP and productivity growth. This article concludes with actionable policy recommendations for local and global stakeholders.

A Twisting Trail To Diagnosis: Unraveling Morvan’S Syndrome In Caspr2-Associated Autoimmune Encephalitis, Yashfeen M

Journal Of Indian Physician Associates

This case snippet describes the diagnostic journey and clinical management of a 72-year-old gentleman who presented with progressive cognitive decline, involuntary myoclonus, and severe insomnia. Through a detailed clinical workup, including electromyography and antibody testing, he was diagnosed with Contactin-Associated Protein-Like 2 (CASPR2) antibody-associated autoimmune encephalitis manifesting as Morvan’s syndrome, a rare but reversible neuroimmunological disorder. Prompt initiation of immunotherapy led to gradual improvement, underscoring the value of clinical suspicion, multidisciplinary care, and early intervention. This case serves as a reminder to consider autoimmune etiologies in atypical neuropsychiatric presentations, especially in elderly patients.

Coronary Stent Infection: A Rare Complication Of Percutaneous Coronary Intervention, Harini Anandan Ms, Balaji Pakshirajan Dr

Journal Of Indian Physician Associates

Background Since the introduction of coronary stents, less than 40 cases of coronary stent infection have been reported worldwide. Although coronary stent infection is rare, the mortality rate is high. We report the first case of coronary stent infection from our institute, presented as pyrexia of unknown origin.

Case Presentation A 48-year-old male was presented with low-grade fever associated with cough and malaise on the 8th day of the PCI procedure. He priorly underwent a multivessel percutaneous coronary intervention (PCI) at another hospital. He was evaluated elsewhere and treated with antipyretics, but he continued to be symptomatic and failed to …

Teaching Medical English To Non-Native Speakers Involved In Healthcare: A Review Of Challenges, Practical Solutions, And Implications, Elisa Nsanzimana

Journal Of Indian Physician Associates

Background Teaching medical English to non-native speakers presents challenges that go beyond standard English language instruction. These include specialized medical vocabulary, complex syntax, and the crucial role of culturally appropriate communication in healthcare settings. Such factors can negatively impact learning outcomes and the quality of patient care.

Objective This review aims to identify the key challenges faced by non-native speakers in learning medical English and explore practical, evidence-based solutions to address these obstacles.

Methodology This is a narrative review conducted to review the various literature concerning medical English teaching for non-native speakers. PubMed, Google Scholar, and Web of Science were …

Revolutionizing Digital Health In Rwanda: Progress Toward Universal Health Coverage, Roméo Bananeza Mr

Journal Of Indian Physician Associates

Rwanda is an African country that is making rapid progress in all sectors, including digital health. This review explores Rwanda’s transformative journey in digital health, highlighting key achievements, ongoing challenges, community involvement, and future prospects. Rwanda’s commitment is evident in using electronic health records, telemedicine, and mobile health applications. Rwandan institutions, including Rwanda Biomedical Center, Rwanda Ministry of Health, Rwanda Health Information Exchange, Rwanda Development Board, Partners in Health, universities, and several nongovernmental organizations, have made significant contributions to revolutionize digital health in Rwanda. However, the country continues to face barriers, including limited digital infrastructure, financial constraints, and disparities in …

Consent For Organ Donation In India: Factors, Challenges, And Opportunities – A Review, Preetha Vijayalakshmi, Yashfeen M

Journal Of Indian Physician Associates

India’s organ donation rate remains under 1 per million population, markedly lower than the consent rates observed in Canada and Spain. This narrative review synthesizes evidence from Indian and global literature to explore systemic, sociocultural, and individual factors influencing consent for deceased organ donation in India. Systemic barriers include delayed referrals, inadequate hospital infrastructure, and a shortage of trained transplant coordinators. Sociocultural factors, such as family decision-making under the Transplantation of Human Organs Act (1994), religious misconceptions, and concerns about bodily integrity, significantly hinder consent. Individual factors, including low awareness and a knowledge–action gap despite altruistic intentions, impede progress. Comparative …

Assessment Of Microbial Contamination On High-Touch Public Surfaces And Its Implications For Community Health: A Cross-Sectional Study From Urban South India, Muhammed Suhail S

Journal Of Indian Physician Associates

Objectives High-contact public surfaces, such as bus seatbacks, mall escalator belts, and theater armrests, may act as reservoirs of opportunistic and antimicrobial-resistant microorganisms, posing a significant but underreported risk to community health. In urban environments like Coimbatore, Tamil Nadu, surface-level microbial surveillance remains poorly characterized. This study aimed to assess the magnitude, composition, and density of microbial contaminants on commonly touched surfaces across transit and commercial hubs.

Methods A total of 30 surface swab samples were collected from five public locations, including intra-city TNSTC buses, inter-state SETC coaches, Brookfields Mall escalator handrails, multiplex theaters and local bus seat-grips. Standardized 25 …

Assessing The Impact: Cerebral Palsy On Domains Of Quality Of Life, Sheetal Malhan

Journal Of Indian Physician Associates

Introduction Cerebral palsy (CP) is characterized by a group of permanent movement and posture disorders resulting from nonprogressive disturbances in the developing fetal or infant brain. CP is a chronic condition affecting approximately 1.2–2.5 per 1000 school-aged children, often accompanied by comorbidities such as visual, auditory, and feeding impairments, delayed language development, and epilepsy. These related challenges can markedly reduce a child’s quality of life (QoL), particularly when compounded by social and environmental limitations. Despite the importance of understanding QoL outcomes in this population, limited region-specific data exist. Understanding domain-specific QoL can guide targeted rehabilitation planning.

Methods A cross-sectional survey …

God’S Vow: A Note On C.S. Lewis’S Idea Of Human Freewill And Divine Omnipotence, Matthew Mckenna

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This note uses G.K. Chesterton’s understanding of vows as a hermeneutical key for a line from C.S. Lewis’ Miracles where Lewis says that God relinquishes part of his power by creating freewill. Chesterton’s idea of vows sees them as acts of power and freedom which paradoxically limit one’s freedom in the future by compelling one to keep one’s vow. The vow is an act of freedom which relinquishes one’s freedom by committing one to certain actions. Viewed through this lens, God’s creation of freewill is seen as an act of power and freedom.

Tolkien’S Exceptional Visit To Holland, Revisited: An Acquaintance With Maartje Draak, Bart Jaski, Kris Swank

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This note revisits J.R.R. Tolkien’s trip to the Netherlands, March 28-31, 1958, including his attendance at the Rotterdam Hobbit-maaltijd (“Hobbit Meal” or “Hobbit Dinner”), and afterwards. It focuses specifically on his interactions with Prof. Dr. Maartje Draak, a prominent Dutch Celticist. Although Prof. Draak is not mentioned in René van Rossenberg’s paper, “Tolkien’s Exceptional Visit to Holland: A Reconstruction” (Mythlore 1996), items from Prof. Draak’s archives at Utrecht University and an offprint paper she sent to Tolkien in 1959 allow us to recover Tolkien’s acquaintance with this important Dutch scholar, to enhance our picture of the famous Hobbit Dinner, …

Elopement And Marriage Among The Shakers, Tom Sakmyster

Communal Societies

No abstract provided.

Communitism’S Hunt For Harmony The Skaneateles Community: 1837-1846, Mitchell K. Jones

Communal Societies

No abstract provided.

2017 - Appalachian Student Research Forum Award Winners, Appalachian Student Research Forum, East Tennessee State University

Appalachian Student Research Forum

No abstract provided.

Review Of Seeing Like A Commons: Eighty Years Of Intentional Community Building And Commons Stewardship In Celo, North Carolina, Deborah Altus

Communal Societies

No abstract provided.

International Herb: The Career Of Shaker Herbalist Elisha Myrick, Christian Goodwillie

Communal Societies

No abstract provided.

Overview Of Post Traumatic Stress Disorder, Grace Ann Steiner

The Kabod

Traumatic events are often unexpected and can be experienced in a variety of ways; individuals may directly be involved, witness the event, or hear about traumatic events occurring to people that they know. Traumatic events can be due to human actions (such as war, terrorism, violence, or sexual abuse), but can also be secondary to nature (such as hurricanes, tsunamis, tornadoes, or flooding); the event itself does not determine if an event is traumatic, but rather, the individual’s perception and experience of such an event. Thus, trauma can occur at any developmental age and vary between individuals due to personal …

Primary Hyperaldosteronism, Joanna Lam

The Kabod

This paper will give an overview of primary hyperaldosteronism, which is a condition characterized by the excess production of aldosterone from the adrenal glands. Since its discovery in 1954 by James Conn, primary hyperaldosteronism has been discovered to have a variety of causes, with the more common ones being either benign tumors or inherited disorders such as congenital adrenal hyperplasia. Affected patients display conditions such as hypertension or hypokalemia, which may lead to symptoms including headaches, blurred vision, or dizziness. This paper will cover the anatomy of the adrenal glands, along with the normal physiology and synthesis of aldosterone. Aldosterone’s …

Types Of Burns And Burn Care, Frances Hagberg

The Kabod

Burn treatment focuses on minimizing tissue damage, preventing infection, managing pain, and promoting optimal healing. The severity of burns—classified as first, second, or third degree—determines the appropriate therapeutic approach, which may include wound cleaning, topical antibiotics, dressings, fluid resuscitation, and surgical interventions such as debridement or grafting. Effective treatment requires careful monitoring and support through each healing stage to reduce complications and improve functional and cosmetic outcomes.

(((Qpie))) Prior Art 2 Of 9 Resonance Science, Teddy Burroughs

Defensive Publications Series

The Grand Unified Theory (QPIE)

Perspective Is Everything – What we are Believing, Expecting and Feeling in Life Matters

(((QPIE))) Prior Art Disclosure Part 2 of 9

(((QPIE))) Prior Art Disclosure - Frontiers & Strategic Coherence

(((QPIE)))33 Resonance Science Edition

(CREDIT: (((QPIE))) Created by Teddy Burroughs with Inspirational contributions by: Aleah Burroughs, Reya Burroughs April Saunders, Claudette Clare, Perry Mason, Shomari Chinnery

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