Digital Commons Network^™

Karlester Young V. Kip Hallman

2026 Decisions

USDC for the Eastern District of Pennsylvania

Experiences And Service-Uptake Factors Of Receiving And Providing Care For Meningitis And Its Sequelae: A Qualitative Systematic Review, Margarita Andreeva, Maria Pyatnitskaya, Karina Kochneva, Ekaterina Sviatskaia, Maria Spryshkova, Melissa Meyer, Dina Baimukhambetova, Mark Kosenko, Aigun Mursalova, Nina Avdeenko, Elena Kondrikova, Jonathan Zheng, Ka Yan Cheung, Audrey Dunn Galvin, Tom Jewell, Zoe Moula, Sarah Neill, Mikhail Zinchuk, Alla Guekht, Daniel Munblit

School of Nursing and Midwifery

Background: Meningitis is a life-threatening condition with substantial morbidity and mortality, especially in low- and middle-income countries (LMICs). While quantitative research has enhanced the understanding of diagnostic and treatment efficacy, qualitative data regarding the lived experiences remain underexplored. This systematic review synthesises qualitative evidence on the experiences of patients, caregivers, and healthcare providers regarding meningitis diagnosis, treatment, and care, as well as the barriers and facilitators influencing service uptake and provision. The review aimed to inform the development of World Health Organization guidelines for improving meningitis care. Methods: This systematic review was registered in PROSPERO (CRD42024514413). A comprehensive search of …

The Fact Of Learning Economics At National University Of Laos During The Pandemics Covid-19 In Lao Pdr, Phousith Phongsavath, Agus Hermawan, Imam Mukhlis

Jurnal Pendidikan Humaniora

The out-breaking of Pandemics Covid-19 which is affected to many countries and regions in the world in the term of education. This study uses a qualitative approach which is the type of research is Phenomenology (case study). This type of phenomenological research is used due to it is oriented to the topic of teaching-learning economics course of teachers and students in National University of Laos. The determination of this research subject with the Snowball Sampling technique and the data collection techniques with in-depth interview and documentation. The finding results of this research found that learning economics in National University of …

How Do Vaccines Work?, Natalie Small

Osmosis Magazine

No abstract provided.

Structural Transformation Of A Hydrogel-Forming Cell Division Protein Zapb Of Multidrug Resistant Klebsiella Pneumoniae With Small Molecules, Ayesha Khan, M. Iqbal Choudhary, Sumaira Javaid, Humaira Zafar, Innokentiy Maslennikov, Atia-Tul Wahab

Pharmacy Faculty Articles and Research

Septal ring assembly protein ZapB (EMR18431.1) is involved in Z-ring formation, and nucleoid segregation during the bacterial cell division . It promotes cell division in the initial stages of the cell cycle through direct interaction with FtsZ, thus stimulating Z-ring assembly. The ZapB inhibition can make bacterial cell susceptible to primary antibiotics, and therefore considered as an important approach for adjuvent therapy against MDR bacterial infections. Hence in the current study, ZapB protein of multidrug resistant Klebsiella pneumoniae was cloned, and expressed in E. coli system. To understand its role, and to assess the mechanism of ZapB activation, the characteristic …

2026 North Texas Gme Research Forum Program, Hca Healthcare

North Texas GME Research Forum 2026

No abstract provided.

Massive Septic Shock And Complex Survivorship In A Medically Complex Pediatric Patient Following Gastrostomy Tube Malposition With Operative Findings Of Feed Within The Retrorectus Space, Samira R. Haberman, Christopher M. Ahmad, Olivia R. Kaufman, Rae-Anne Kastle, Brett Dunbar

Student Publications

Gastrostomy tube (G-tube) replacement is often routine; however, in children with complex medical needs, misplacement can rapidly lead to life-threatening complications. We describe the case of a 16-year-old male patient with neuronal ceroid lipofuscinosis who developed fulminant septic shock after accidental G-tube dislodgement and malposition. At an outside hospital, reinsertion attempts required tract dilation; bloody aspirate and inconclusive radiographs were overlooked, and feeds were resumed at home. After 48 hours, the patient presented to a community hospital in profound shock (blood pressure 40/20 mmHg, lactate 7.8 mmol/L, procalcitonin >50 ng/mL) with extensive abdominal wall emphysema and feed extravasation into the …

Navigating A Delicate Balance: Antibiotic Allergy In The Setting Of Renal Infection And Diabetic Ketoacidosis, Aun Bangash, Muhammad Bangash, Ruben M. Martinez Meza

School of Medicine Publications

Acute pyelonephritis is a bacterial infection of the renal parenchyma that requires prompt recognition and antibiotic therapy to prevent complications such as sepsis and chronic renal inflammation. We present a case of a 26-year-old woman with poorly controlled type 1 diabetes mellitus and a documented beta-lactam allergy who presented with atypical symptoms, including flank pain without urinary complaints. Laboratory evaluation demonstrated leukocytosis with a negative urinalysis. CT of the abdomen revealed left lobar nephronia with early contralateral involvement of the right kidney. Given her allergy history, she was treated with levofloxacin. During her hospital stay, she developed nausea, vomiting, and …

Factors Related To Self-Care Behaviors Among Older Adults For Communicable Disease (Cd) Protection In The Eastern Economic Corridor (Eec) Of Thailand: A Case Study Of Covid-19, Surasingha Sombat Suranartwatchawong, Sane Saengngoen, Supaporn Sudnongbua

Journal of Health Research

Background: The impact of COVID-19 is particularly severe for older adults, who represent the most vulnerable demographic. Using COVID-19 as a case study, this research investigates the factors influencing self-care behaviors for preventing communicable diseases (CD) among older adults in the EEC.

Methods: The study with a cross-sectional design involving 387 older adults aged 60 years was conducted between January and March 2025. The questionnaire was valid and reliable based on objective congruence (IOC) index and Cronbach’s alpha coefficients. Data analysis utilized both descriptive and inferential statistics.  Frequency, percentage, standard deviation, and multiple linear regression analysis were employed …

Identifying Major Sources Of Leptospira Interrogans In San Juan Bay And Río Grande De Loíza Estuaries Of Puerto Rico, Logan Mccullers, Dave Bachoon

Biology Theses

This study evaluated the presence of pathogenic Leptospira interrogans, potential carriers, and environmental factors influencing their occurrence in the San Juan Bay Estuary (SJBE) and Río Grande de Loíza (RGDL) watersheds of Puerto Rico from 2024–2025. Detection of this pathogen from water samples was performed using the lipL32 PCR assay. The likely hosts of L. interrogans were determined using fecal source tracking (FST) assays for human (HF-183), canine (BacCan-UCD), equine (HoF597), and rat mitochondrial DNA NADH dehydrogenase subunit 2 gene (RatMt) markers. In 2024, 91 samples were collected (March: 50; June: 41), and in 2025, 124 samples were collected …

Exploring Healthcare Career Pathways: Survey Findings From The Unmc High School Alliance Program, Jana L. Wardian Phd, Rachael Jaixen, Jaynie Bird, Heidi Kaschke

Innovations in Health Sciences Education Journal

The ongoing demand for a well-prepared and adequately staffed healthcare workforce in the United States highlights the value of effective educational pipeline programs. The University of Nebraska Medical Center (UNMC) High School Alliance (HSA) was created as an immersive, academic enrichment initiative to expose motivated high school students from a range of educational and socioeconomic backgrounds to health professions, with the long-term aim of strengthening the healthcare workforce in Nebraska. This article evaluates the design, curriculum, and measurable impact of the UNMC HSA over its 16-year history. Students participate daily throughout the school year, engaging in courses such as patient …

Development And Application Of A Multiplex Bead-Based Platform For Quantifying Host-Pathogen Protein-Protein Interactions, Larah Gorayeb

Electronic Theses and Dissertations 2020 - Present

Host-pathogen protein-protein interactions are the key drivers of infectious diseases, where events such as pathogen adhesion and signaling are directly associated with disease severity. One example of this is Malaria, in which the Plasmodium falciparum infected erythrocytes adhere to endothelial receptors to avoid splenic clearance. This study investigated interactions between PfEMP1 CIDR1 field domains and host receptor CD36 using a multiplex platform to quantitatively determine binding affinities. Variants RP18 and RP27 exhibited strong affinity, suggesting a role in cytoadherence and disease severity. To evaluate broader applicability, the platform was expanded to the interaction between host protein SIVA1 and Helicobacter pylori …

Tracking Hiv Through Wastewater: Ethical Considerations In Public Health Surveillance, Faith E Fletcher, Olive R Pertuit, Catherine Troisi, Jelani Kerr, Dakotah Kinsella, Grace Elizabeth White, Steven Vargas, Anthony Maresso, Thomas P Giordano

Faculty, Staff and Students Publications

Ending the HIV epidemic requires timely identification of new HIV infections and promptly linking patients to high-quality care. Innovative methods are needed to capture real-time HIV incidence data to more effectively identify persons in need of HIV care access. Emerging advancements in wastewater surveillance (WWS) offer the potential to identify geographic areas with elevated prevalence of detectable viral loads among people who are undiagnosed or no longer receiving care, enabling more targeted interventions to reduce HIV transmission. The introduction of new public health technologies requires balancing potential risks with the significant clinical and population-level benefits of decreasing the number of …

Harnessing The Gut-Diet Axis To Enhance Chemotherapy And Immunotherapy, Jill Carline

Bryant REDay (Research and Engagement Day)

The human microbiome, a complex ecosystem of trillions of microorganisms including bacteria, fungi, and viruses, represents a critical "gut-diet axis" that significantly influences cancer progression and therapeutic efficacy. While a state of homeostasis supports systemic immunity, dysbiosis is linked to chronic inflammation and can actively promote resistance to standard cytotoxic chemotherapies and modern immune checkpoint inhibitors. Specifically, research indicates that Bacteroides fragilis (ETBF) promotes resistance to 5-Fluorouracil and Oxaliplatin in colorectal cancer by activating Notch1 receptors to inhibit apoptosis and push cancer cells into a resilient, stem-cell-like state. Conversely, the introduction of fiber-rich and fermented foods can cultivate beneficial bacteria …

The Shorthorn: October 23, 1981

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

Tennessee Kindergarten Immunization Compliance Assessment Report 2023-2024 School Year, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Tennessee Kindergarten Immunization Compliance Assessment Report 2024-2025 School Year, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Results Of The 2025 Immunization Status Survey Of 24-Month-Old Children In Tennessee, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Results Of The 2023 Immunization Status Survey Of 24-Month-Old Children In Tennessee, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice quality improvement project, I used a staff education intervention to address nursing knowledge gaps related to catheter-associated urinary tract infection (CAUTI) prevention in a large outpatient urology clinic in the southeastern United States. Registered nurses (N = 28) participated in a single, 45-minute, in-person education session comprising PowerPoint slides, facilitated discussion, and printed job aids based on national guidelines. I used a single-group pre-/posttest design to evaluate the effect of the intervention. The primary outcome was staff knowledge measured using a paper-based, 17-item knowledge test administered immediately before and after the session. The secondary …

Can Speech Policy Protect Public Health?, Irina D. Manta, Cassandra Burke Robertson, Zoë Robinson

Utah Law Review

Government speech shapes public health outcomes, yet political incentives often lead officials to either remain silent about emerging threats or subordinate scientific evidence to partisan goals. This Article examines how three factors interact to influence public health: the constitutional status of health-related speech, the political economy of public health policymaking, and the modern information environment. Drawing on insights from public choice theory, we demonstrate how misaligned incentives lead political actors to avoid communicating about health risks or spread misinformation that serves their short-term interests at the expense of population health. The conventional tools of public health policy were developed when …

Diabetes Mellitus And Its Association With Tuberculosis Clinical Presentation And Treatment Outcomes: Results From A Prospective Cohort Study In Ghana, Monica Baaba Jones, Kwadwo Ansah Koram, Francis Anto, Michael Lauzardo, Blanca I. Restrepo, Margaret Lartey, Hafisatu Gbadamosi, Awewura Kwara

School of Medicine Publications

Background: Tuberculosis (TB)-diabetes is a growing public health threat in TB-endemic settings. We aimed to determine diabetes prevalence among TB patients in Greater Accra and its association with TB clinical presentation and treatment outcomes.

Methods: We enrolled 204 adults (≥20 years) with bacteriologically confirmed pulmonary TB across 14 health facilities. At treatment initiation, participants were screened for diabetes using self-report, fasting plasma glucose, and glycated hemoglobin, following standard diagnostic criteria. Baseline characteristics were recorded, and participants were followed to determine TB treatment outcomes. Associations between diabetes, baseline characteristics and treatment outcomes were assessed using bivariate and multivariate analysis in STATA. …

The Shorthorn: November 14, 1980

The Shorthorn Newspaper Collection: 1980s

No abstract provided.

2026 Abstract Book (Pdf), School Of Public Health

School of Public Health Delta Omega Honors Day Poster Sessions

The collection of abstracts for the 2026 Delta Omega Honors Day Poster Session.

Property Without Shelter: How Anti-Public-Camping Laws Violate The Substantive Due Process Rights Of The Homeless, Aaron Rissman

University of Miami Law Review

In City of Grants Pass v. Johnson, the Supreme Court held that enforcing anti-public-camping ordinances against homeless individuals does not violate the Eighth Amendment’s prohibition on status crimes. While the Court foreclosed the Eighth Amendment as a vehicle for challenging such laws, it suggested that other constitutional protections may remain available. This Note takes up the Court’s invitation and argues that many anti-public-camping laws violate the Fourteenth Amendment’s substantive due process guarantees.

Drawing on historical sources from common-law England through the Founding and Reconstruction eras, this Note demonstrates that the right to acquire, own, control, use, enjoy, and protect …

A Phenomenological Study Of The Lived Experiences Of Members Of Alcoholics Anonymous Which Changes Behavior From Addiction To Recovery, Marie Buchanan Wiles

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the experiences of AA members in rural southern Virginia, leading to behavior changes from addiction to recovery. Exploring these experiences will provide an understanding of how this organization provides recovery capital, reduces rural barriers to addiction treatment, and facilitates a spiritual awakening that supports behavior change. The spiritual awakening is achieved by following the 12-step principles of AA, which results in behavioral changes leading to improved sobriety outcomes. Changes in behavior have been explained by the Social Cognitive Theory, which posits that behavior results from a reciprocal interaction between the …

Reproductive Performance Of Friesian Holstein Crossbred Dairy Cattle After A Foot-And-Mouth Disease Outbreak In Lembang, Indonesia, Hanunghanindito Pamungkas, Septiyani Septiyani, Nurcholidah Solihati

Jurnal Ilmu Ternak Universitas Padjadjaran

Foot-and-mouth disease (FMD) is a highly contagious viral disease that may impair reproductive efficiency in dairy cattle. This study aimed to evaluate changes in the reproductive performance of Friesian Holstein crossbred dairy cows following an FMD outbreak at UPTD BPTSP and HPT Cikole, Lembang, West Java, Indonesia. A retrospective study was conducted using reproductive records collected from 2019 to 2023. The reproductive parameters analyzed were calving interval, service per conception, conception rate, service period, and first mating postpartum. Differences between the pre- and post-FMD periods were assessed using paired sample t-tests. The results showed significant differences in calving interval, service …

Community Perception Of Wild Boar Meat Consumption Based On A Halal Perspective, Roudhotul Jannah, Hamzah Siswara, Yuny Erwanto, Meireni Cahyowati

Jurnal Ilmu Ternak Universitas Padjadjaran

Consuming wild boar meat is still popular among the people of Sekaran Village, Tuban Regency, even though the religion they believe in is Islam. The aim of this research is to investigate people's perceptions of the consumption of wild boar meat, to know the background of people who consume wild boar meat and to know the distribution of wild boar meat in the Tuban area. This research was carried out in several stages, namely observation, interviews using a sample of 100 respondents and documentation. Perception measurement uses a likert scale with an assessment score of 1-3 scores and data processing …

Local-Nonlocal Dispersal, Behavioral Responses, And Intervention Strategies In Infectious Disease And Addiction Dynamics, Ghilmana Sarmad

Thesis/ Dissertation Defenses

This dissertation explores how epidemiological and behavioral processes interact across spatial and temporal scales to shape the dynamics of infectious diseases and addiction. Bringing together mathematical rigor and biological realism, it develops and analyzes a series of nonlinear models that capture the effects of spatial heterogeneity, mobility patterns, behavioral adaptation, and intervention strategies. Using tools from semigroup theory, functional analysis, stability analysis, and numerical simulation, the study provides a unified framework for understanding how awareness programs, fear-driven protection, vaccination, and social reinforcement influence transmission thresholds, persistence, and long-term population outcomes.

awareness-based interventions, where a basic reproduction number is derived and …

Comparison Of Methods For Estimating The Timing Of Linear Enamel Hypoplasia Formation: Clinical Validation Against A Known Systemicevent, Chuan-Hang Yu

Journal of Dental Sciences

No abstract provided.