Digital Commons Network^™

Effects Of Acepromazine On Intraocular Pressure, Anterior Chamber Depth In Horses: A Prospective Randomized Controlled Study, Abdelhaleem Elkasapy, Magdy Elgioushy, Mohamed Marzok, Sayed Elhawari, Adel Almubarak, Mohamed Rizk, Sabry El-Khodery, Adel Al-Akraa

The Thai Journal of Veterinary Medicine

This study aimed to evaluate the effects of acepromazine on intraocular pressure (IOP), anterior chamber depth (ACD), cardiovascular and respiratory rates in horses. In a prospective, randomized, controlled trial, twelve horses were equally allocated randomly into two groups: treatment and control (n = 6 each). Horses of the treatment group received 0.1 mg/kg body weight (bwt) of acepromazine intravenously, while those in the control group received 0.4 mL/100 kg bwt of 0.9% sodium chloride intravenously. IOP, ACD, heart rate, and respiratory rate were recorded before (T0) and then at T10, T20, T30, T40, T50, T60, T70, T80, and T120 min …

Parental Perspectives On Their Children’S Mental Health Changes During And After The Covid-19 Pandemic In A Florida Community, Brianna Yumul

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploring Low Birth Weight In The Metro Atlanta Area Using The Urban Institute’S Social Mobility Dashboard, Jason Davis, David Pena, Lisa Holland-Davis

The Journal of Public and Professional Sociology

Infant birth weight is the foundation for childhood and adult health outcomes, and health, according to the Urban Institute, is an important predictor of upward social mobility. Prior studies have found that infants with low birth weight are susceptible to a host of physical, cognitive, and social deficiencies that can adversely impact the ability to achieve upward mobility. The current study utilizes the Urban Institute's Mobility Metrics to explore low infant birth rates among the 11 counties that comprise the Metro Atlanta area. We focus on the average rate of low birth weight from 2021-2023 overall and disaggregated by mothers’ …

Antimicrobial Resistance In Pediatric Infections: Current Status, Challenges, And Future Directions, Clare Dinh, Keykavous Parang

Pharmacy Faculty Articles and Research

Background/Objectives: Antimicrobial resistance in pediatric infections presents a worsening global public health challenge, with antimicrobial resistance (AMR) accounting for more than one million deaths annually and disproportionately affecting children younger than 5 years of age. Neonates and critically ill children face heightened risk owing to immature immunity, frequent healthcare exposures, and limited therapeutic options. This review synthesizes evidence on the epidemiology, mechanisms of resistance, clinical outcomes, and management of AMR across the full pediatric age range. Methods: PubMed/MEDLINE and Google Scholar were searched for literature from 2014 to 2026 using terms covering antibiotic resistance, pediatric populations, and key …

How Do Veterans Describe Their Experiences With Homelessness In Rural Areas Within Virginia?, V'Tessa J. Watson

Doctoral Dissertations and Projects

Homelessness is a complex issue affecting individuals across the United States and can be understood as a significant public health concern. Veterans are not exempt from this crisis; in fact, veteran homelessness has increased nationwide since the pandemic. In Virginia alone, it is estimated that over 400 veterans are experiencing homelessness, although this figure remains approximate. Previous studies have failed to incorporate veterans’ perspectives on this issue; therefore, the purpose of this phenomenological study is to describe veterans' experiences of homelessness in rural areas throughout Virginia.

Twelve veterans participated in this study, which employed a semi-structured interview approach. A criterion …

Detection, Persistence, And Rising Prevalence Of Oncogenic Viruses Revealed By Wastewater Metagenomics, Harihara Prakash, Ryan K Perez, Matt Ross, Michael Tisza, Sara J Javornik Cregeen, Jennifer Deegan, Joseph F Petrosino, Eric Boerwinkle, Justin R Clark, Anthony W Maresso

Faculty, Staff and Students Publications

Oncogenic viruses cause high-risk cancers in humans and are responsible for nearly 20% of all cancer cases worldwide. Currently, very limited data exist in the realm of wastewater-based viral epidemiology (WBE) for cancer-causing viruses, with existing studies using targeted approaches (i.e., PCR-based approaches) that lack genomic resolution. In this study, we used a hybrid-capture approach to detect, filter, and sequence all known oncogenic virus signals from wastewater samples collected over 3 years (May 2022-May 2025) in 16 Texas cities, covering nearly 25% of the state's population. Once sequenced, we used custom computational tools designed for wastewater metagenomics to assign reads …

Adaptive Intervention Strategies In Co-Evolving Multiplex Networks: A Reinforcement Learning Approach To Real-Time Misinformation Containment, Anjali Ashokrao Bhadre Dr., Harshvardhan Prabhakar Ghongade Dr.

Northeast Journal of Complex Systems (NEJCS)

The growing transmission of misinformation via social media creates serious challenges to public health, democracy and social cohesion. To date, methods used to contain misinformation rely upon static representations of networks and set rules for interventions. In contrast, this study presents the first Multiplex Adaptive Reinforcement Intervention Network (MARIN), a framework for real-time adaptive intervention in the context of dynamic misinformation transmission using co-evolving multiplex networks and deep reinforcement learning. Unlike past studies that have assumed static network structures, MARIN has the ability to allow for dynamic changes in network topology as a result of both misinformation transmission and intervention …

Evaluating The Efficacy Of Green-Method-Prepared Zinc Oxide Nanoparticles On Gene Expression Of Efflux Pumps In Klebsiella Pneumoniae Bacteria Isolated From Women With Gestational Diabetes, Wissam Qadry Mutaab, Rana J. Shaker

Al-Bahir

Vaginitis is one of the most common women's health problems, and its severity increases in pregnant women with gestational diabetes due to higher susceptibility to infection and increased rates of antibiotic resistance. The research problem: The increasing prevalence of multidrug-resistant isolates of Klebsiella pneumoniae and its association with AcrAB-TolC ejaculation pumps limits treatment efficacy, while the effect of green-method nanoparticles on gene expression of these pumps remains unclear. This paper aimed to detect the acrA and acrB genes in K. pneumoniae isolates and evaluate the effect of zinc oxide nanoparticles prepared with garlic and rosemary extracts on their gene expression. …

Omega-3–Rich Fish Oil Lipid Emulsions Significantly Prevent Sepsis-Driven Mesenteric Hypoperfusion And Multi-Organ Injury In Murine Models, Gökşen Öz, Esi̇n Özçelebi̇, Ayşe Yeşi̇m Göçmen, Cenk Sükmensüer, Selma Yildirim, Arzu Topeli̇, Alper Bektaş İski̇t

Turkish Journal of Medical Sciences

Background/aim: Parenteral feeding is used in critically ill patients when enteral nutrition is inadequate or intolerable, and the gastrointestinal tract is not functioning properly. Lipid emulsions play a major role in parenteral nutrition because they supply necessary fatty acids and a high-calorie density. We investigated the effects of parenteral lipid emulsions on mesenteric perfusion, inflammation-induced oxidation, and organ damage in lipopolysaccharide-induced mice endotoxemia model.

Materials and methods: In septic mice, organ damage induced by lipopolysaccharide was assessed by histopathology and biochemical examination. Additionally, an ultrasonic blood flowmeter was used to measure the impact of lipid emulsions on mesenteric blood flow. …

The Power Of Proximity: Driving Hand Hygiene Compliance Through Sanitizer Placement, Jennifer E. Jones, Eric Van Middendorp, Leanne Wendt

Posters

Hand hygiene is the cornerstone of infection prevention in healthcare settings and is particularly critical in the Neonatal Intensive Care Unit (NICU) where patients are highly vulnerable due to immature immune systems and frequent exposure to invasive procedures. Healthcare associated infections (HAIs) remain a significant cause of morbidity and mortality among neonates. Evidence consistently identifies proper hand hygiene as the single most effective intervention to reduce HAIs in NICUs. Despite its simplicity, compliance among healthcare workers is often suboptimal, influenced by factors such as workload and accessibility of hand hygiene resources.

Quality In Action: A Systematic Approach To Central Line Associated Bloodstream Infection Prevention, Jennifer E. Jones, Maggie Simons, Sherri Hoard, Gabriel Laney, Adam Nicholson, Victoria Springvloed, Tracy James, Erica Tuffs

Posters

Central line associated bloodstream infections (CLABSIs) are a major source of morbidity, mortality, and increased healthcare costs in hospitalized patients. Reducing CLABSI rates requires more than isolated interventions; it demands a coordinated, multi-disciplinary strategy that addresses clinical practice, workflow and organizational culture.

Operation No Noro: A Multidisciplinary Approach To Containing A Norovirus Outbreak In An Inpatient Rehabilitation Unit, Donika Marko, Roula Hilli, Priscila Bercea, Pamela S. Bozigar, Levi Launder, Stephanie Robertson, Trini A. Mathew

Conference Presentation Abstracts

Norovirus is a highly contagious viral gastroenteritis and can rapidly spread in healthcare settings, particularly in congregate environments such as inpatient rehabilitation units. In March 2025, a cluster of acute gastrointestinal illness was identified on a 34-bed inpatient rehabilitation unit within a 150-bed acute care hospital. Eight patients developed: • Nausea • Vomiting • Diarrhea • Abdominal pain Due to shared spaces, communal therapy activities, and high patient interaction, rapid intervention was initiated to prevent further spread.

The Helminthic Status Of Selected Tanzanian Subterranean Rodents, The Root-Rats (Spalacidae: Tachyoryctes Splendens) And Emini Silvery Mole-Rats (Bathyergidae: Heliophobius Argenteocinereus Emini), Jestina V. Katandukila

Tanzania Journal of Science

Root-rats (Tachyoryctes splendens) and emini silvery mole-rats (Heliophobius argenteocinereus emini) are common subterranean rodents that are essential component of the ecosystem. They serve as prey for small to medium-sized carnivores and birds of prey but their role as hosts to parasites is limited. The present study, explored the Gastrointestinal Tract (GIT) contents of 40 rodents (20 T. splendens and 20 H. a. emini, respectively) to acquire information on parasites diversity of these mammals. The GIT contents from subterranean rodents in a sex ratio of 1:1 were examined under a compound microscope to isolate helminths. The isolated helminths belonged to the …

Help Needed For A Neotropical Migratory Bird Tick Collection Project, Danielle Kaschube

North American Bird Bander

No abstract provided.

Pa Dent J March 2024

Pennsylvania Dental Journal

The Pennsylvania Dental Journal is produced by the Pennsylvania Dental Association six times a year, in January, March, May, July, September and November. Issues include regular columns with regional news impacting the Pennsylvania membership including editorial and government relations news, association activities, member updates, continuing education opportunities, and classifieds.

From Skin To Spleen To Brain: Full-Spectrum Embolic Complications In Staphylococcus Aureus Endocarditis, Jose J. Loayza Pintado, Jorge Aboytes Trevino, Julian Galindo, Mohammad Aqeel, John Cauba, Joshua Nwose, Andres Suarez Parraga

Research Symposium

Background: Infective endocarditis (IE) results from bacterial adhesion to endocardial tissue and valvular apparatus. While viridans group streptococci and Enterococcus species are associated with subacute disease, Staphylococcus aureus, including methicillin-resistant strains (MRSA), is a leading cause of more acutely destructive presentations. The entry of these pathogens can occur through surgical and dental procedures, intravenous drug use, or less apparent etiology. Classic peripheral stigmata (Osler nodes, Janeway lesions, splinter hemorrhages, Roth spots) are now uncommon but clinically meaningful. Current guidelines emphasize rapid multimodality imaging to detect cerebral and systemic emboli in symptomatic IE. We present a 50-year-old man with S. aureus …

Barriers To Essential Services On Construction Sites: A Reflection Of Sexual Health Services., Henerico Henerico, Geraldine Kikwasi, Joel Zambi

CIB Conferences

Sexual health services being are critical for the well-being of construction workers, however, it has been lacking attention in many occupational settings. In Tanzania, construction workers, many of whom operate under informal or temporary conditions, face various sexual health challenges. This study examines the barriers to providing sexual health services on construction sites. Data was obtained from 80 randomly selected respondents on ongoing construction sites using questionnaires. The main barriers to providing sexual health are lack of funding for sexual health education, exclusion of sexual health from occupational health and safety, absence of collaborations between workplace with clinics or NGOs, …

Stopping Infections At The Door: The Home Health Infection Preventionist's Role, Valerie Martin

Nursing

No abstract provided.

Community - Volume 11

be Still

No abstract provided.

Namaste, Kem Chho, Jason Nguyen

be Still

No abstract provided.

Hiv-1 Tat-Driven Glutamate Dysregulation: Implications For Cognitive Impairment In Hand, Brenna Duffy, Michael Nonnemacher, Sandhya Kortagere

Kimmel Cancer Center Faculty Papers

PURPOSE OF REVIEW: HIV-1-associated neurocognitive disorders (HAND) manifest in 15% to 50% of people with HIV, impairing learning and memory and executive function. The chronic generation of HIV-1 Transactivator of transcription (Tat) likely contributes to HAND via direct neuronal toxicity and glial-mediated toxicity. This review summarizes our current understanding of how chronic Tat generation from microglia and astrocytes promote glutamate excitotoxicity.

RECENT FINDINGS: In recent years, the indirect effects of Tat through the activation of glial cells have gained significant interest. This review highlights microglia and astrocytes as HIV-1 reservoirs that release Tat protein in the central nervous system. Specific …

Proactive Strategies For Catheter-Associated Urinary Tract Infection (Cauti) Reduction: Leveraging Audit Tools And Interdisciplinary Collaboration, Mica Blauw

Posters

Catheter-associated urinary tract infections (CAUTIs) are a known cause of harm to patients. Policies enforcing infection prevention measures may help minimize the risk of harm to patients, but written policies do not always translate to bedside practice. We implemented a proactive daily audit to increase awareness of, and compliance with, CAUTI prevention tactics.

Code Wet: Navigating Water Leak Mitigation And Remediation Behind The Red Line, Mica Blauw

Posters

Water leaks in the hospital setting are concerning because of the possibility of mold growthon porous materials such asdrywallthatmaylead toinfections. Water leaksbehind the line of demarcation in the surgical services suiterequire extra care during the remediation processdue to the high-risk nature of surgical patients. We navigated water leakmitigation and remediation in a surgical suite while keeping surgical operations funning safely.

Severe Cold Agglutinin Hemolytic Anemia Secondary To Mycoplasma Pneumoniae And Epstein-Barr Virus Co-Infection In An Elderly Patient, Aura Mc Calderon, Jose Loayza, Luis Salcedo, Ivan Mogollon, Asmik Asatrian

Research Symposium

Introduction: Cold autoimmune hemolytic anemia (AIHA) is an uncommon, complement-mediated hemolysis typically driven by IgM autoantibodies; secondary forms are often infection-related. Severe, transfusion-refractory presentations are rare in older adults. We present an elderly patient with Mycoplasma pneumoniae and Epstein–Barr virus co-infection complicated by life-threatening cold agglutinin hemolysis.

Case report: Upon admission, a 79-year-old male patient presented with a one-week history of fatigue, pyrexia, nasal congestion, and dyspnea; examination findings revealed pallor, bibasilar crackles, and mild splenomegaly. Laboratory investigations indicated the presence of severe hemolytic anemia accompanied by compensatory reticulocytosis and thrombocytosis (hemoglobin 5.5 g/dL, hematocrit 17.2%, MCV 100 fL, reticulocytes …

Rural–Urban Disparities In Monkeypox-Related Behaviors And Attitudes Among Men Who Have Sex With Men, Patcharaporn Krainara, Benjamas Klahan, Rungrot Jaiyong, Jitti Hanprasertpong

Journal of Health Research

Background: Monkeypox (Mpox) is a global health threat, particularly among men who have sex with men (MSM). Despite the predominance of urban cases in Thailand, rural–urban disparities in Mpox-related attitudes and behaviors remain underinvestigated. This study aimed to compare Mpox-related attitudes and preventive behaviors among urban (Chonburi) and rural (Nakhon Nayok) MSM and identify their influencing factors.

Method: This cross-sectional study was conducted between March and April 2025. A total of  842 MSM (421 urban; 421 rural) were recruited via convenience sampling. Data were collected using paper-based, self-administered Health Belief Model (HBM) questionnaires and analyzed using descriptive statistics and multivariable …

Escaping Quarantine: Marine Hospitals, The Constitution Act, 1867 And Canada’S First Federal Health Care Program, Dan Dwyre

Dalhousie Journal of Legal Studies

Previous scholarship has argued that the enumeration of marine hospitals as a federal head of power in the Constitution Act, 1867 reflected a national concern over immigration and quarantine. This article disputes that. Using primary sources, this paper demonstrates that Canadian marine hospitals were established in port communities to provide for the general health of itinerant merchant sailors, who would otherwise be a burden on local hospitals and charitable organizations. The article concludes that marine hospitals can be viewed in retrospect as one of Canada’s first federal health care programs.

Association Between Food Insecurity And Mental Health Of Active-Duty Service Members And Their Families, Ashley Harr

Walden Dissertations and Doctoral Studies

No abstract provided.

Aid As Leverage: How Humanitarian Assistance Shapes The Health Power Dynamics In Eastern Democratic Republic Of Congo, Emmanuella K. Mbuyu

University Honors Theses

This paper examines humanitarian aid in the Eastern Democratic Republic of Congo, where it serves as both relief and a force reshaping local power dynamics within ongoing conflict. Humanitarian organizations provide essential services in contexts of state collapse, but aid delivery is deeply embedded in systems of coercion, negotiation, and external influence. Drawing on critical humanitarianism and the aid economy, this study analyzes how humanitarian access is negotiated, how donor priorities shape definitions of need, and how temporary interventions create dependency and instability. The paper explores how humanitarian action can reinforce alternative structures of authority, particularly in weak or absent …

Helicobacter Pylori-Associated Gastric Malt Lymphoma: Pathogenesis, Diagnosis, And Contemporary Management, Vasisht Karri, Janvi N. Patel, Samir M. Dalia

Student Publications

Gastric mucosa-associated lymphoid tissue (MALT) lymphoma is an indolent extranodal B-cell lymphoma that arises in close association with chronic Helicobacter pylori (H. pylori) infection and represents a unique paradigm of infection-driven oncogenesis. Persistent H. pylori colonization induces organized lymphoid tissue within the normally lymphoid-poor gastric mucosa, promoting sustained antigen-dependent T-cell-mediated B-cell proliferation and eventual clonal transformation. In contrast to many other lymphoid malignancies, early-stage gastric MALT lymphoma often regresses following microbial eradication, highlighting the central role of antigenic stimulation in disease pathogenesis. This review provides a contemporary overview of H. pylori-associated gastric MALT lymphoma, integrating epidemiology, molecular …

Intestinal Transplantation: How I Learned To Stop Worrying And Love The Bomb, Andres J. Gonzalez Salazar

Grand Rounds

At the conclusion of this activity, learners will be able to:

1. Trace the historical evolution of intestinal transplantation from experimental procedure to clinical reality.
2. Identify clinical indicators for transplant referral in pediatric patients with intestinal failure refractory to rehabilitation.
3. Interpret current intestinal transplant survival data and evaluate emerging innovations in rejection monitoring and immunosuppression.
4. Propose the programmatic requirements for establishing a pediatric intestinal transplant program using national benchmark centers as a framework.