Digital Commons Network^™

War On Walls: The Role Of Political Murals In Northern Ireland, Julianne Martin

Voces Novae

No abstract provided.

A Century Of Safer Skies: Statistical Insights Into Aviation Accidents And Death Rates, Abhijeet Regmi

Journal of Aviation Technology and Engineering

The purpose of this study is to determine whether the recent advancements in the technology used for aircraft maintenance and repair have resulted in an increase or decrease in the accident and fatality rates of aviation incidents and accidents. The primary concerns are the extremely low survival rates in aviation accidents and the necessity to determine whether or not the accident and fatality rates are declining in light of recent technological advancements. If the rate is rising, we must prioritize passenger and crew safety more and adhere to tight regulations when performing repairs and maintenance. The data were compared for …

The Open Wiki Of Electrochemical Methods (Owem): A Community-Driven Educational Resource, Anderson Fuller, Devin Rappleye

Reviews, Analyses, and Instructional Studies in Electrochemistry (RAISE)

The traditional resources for learning electrochemical methods—textbooks, academic literature, and university coursework—remain essential but are limited in accessibility, update frequency, and practical usability. This paper introduces the Open Wiki of Electrochemical Methods (OWEM), an open-access, community-driven platform designed to complement these resources. OWEM organizes content into equations, definitions, methods, tutorials, and supplementary articles, with a heavy emphasis on experimental relevance. A case study on cyclic voltammetry demonstrates how OWEM consolidates foundational theory, lesser-known results, and practical guidance within a continuously maintainable framework to benefit the broader electrochemistry community.

Diastole, Charlaine Chen

HCA Healthcare Journal of Medicine

Diastole is the space between heartbeats. It is in this space that the heart actively rests, refills. These periods of relaxation are what allow the next heartbeat to occur. A heart without diastole is in heart failure. In medical training, we are raised on the myth that constant effort equals devotion, that rest is a luxury. A sense of guilt riddles me when I take a sick day, or when I feel I am not doing enough, fast enough. This work is a meditation on the nature of rhythm, and the rhythm of nature. These quiet spaces are not signs …

Between Rounds And Resolve, Faizan Sheraz

HCA Healthcare Journal of Medicine

“Between Rounds and Resolve” is a narrative poem chronicling the introspective journey of an internist transitioning toward a subspecialty in gastroenterology. Through poetic reflection, the piece captures the emotional cadence of clinical rounds, the quiet resilience forged in patient care, and the evolving sense of purpose that guides a physician toward deeper specialization. This work explores themes of identity, transformation, and professional growth, offering a humanistic lens on the road less traveled within medicine. It aims to resonate with readers, navigating their own paths of change, reaffirming the value of reflection and resolve in shaping a meaningful career in health …

An Education In Medicine, Angelina Hong

HCA Healthcare Journal of Medicine

The path to becoming a doctor is an arduous and transformative process, and this poem attempts to illustrate a window into it. From the busy pre-med courses in college, to the rigorous academic expectations of medical school, the long work hours in residency, to finally trying to balance life and medicine as a busy attending physician—looking back, I am grateful for the unique opportunity. Not every day seemed positive at the time, but I now see that all the experiences, both good and bad, shaped who I am today and influenced my perception of the world and medicine.

The Phd In Graduate Medical Education: Leveraging Doctoral Training For Educational Innovation, Rémy Roe

HCA Healthcare Journal of Medicine

The field of Graduate Medical Education (GME) increasingly employs PhD-trained professionals in roles including simulation directors, education researchers, program coordinators, and assessment specialists. These professionals bring valuable expertise in educational theory, research methodology, and interdisciplinary perspectives that complement physician leadership. However, role ambiguity, hierarchical positioning, and underutilization of scholarly expertise remain common challenges. This article examines the growing population of PhD-trained professionals in GME, identifies their unique contributions, and proposes strategies for better integration. Recommendations include clarifying faculty appointments, recognizing doctoral credentials appropriately, leveraging interdisciplinary expertise in strategic planning, providing protected time for scholarship, and building professional community. As GME …

Enhancing Clinical Care Quality Through 1-On-1 Quality Improvement Education In Family Medicine, Jude K A Des Bordes, Shira K. Goldstein, Nahid J. Rianon

HCA Healthcare Journal of Medicine

Background

Ongoing improvement and evaluation of clinical care are essential to maintaining high standards. The Accreditation Council for Graduate Medical Education (ACGME) requires all accredited family medicine programs to provide quality improvement (QI) education. Given competing educational demands, residency programs must adopt innovative approaches to teaching QI. This article describes an individualized approach to QI education that we implemented in our family medicine residency program and the outcome of its evaluation.

Methods

Guided by a logic model and evaluated using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, this quasi-experimental 1-group pre-test-post-test study (July 2022-June 2023) involved all second-year …

Assessment And Intervention For Health Behavior Change In Primary Care Across The Lifespan: A Guide For Residents In Primary Care Specialties, Stacy A. Ogbeide, Alexis Ramos, Bridget Murphy, Angel Ogbeide

HCA Healthcare Journal of Medicine

More than 45% of Americans have at least 1 chronic disease, with chronic disease also being a leading cause of death in the United States. In primary care settings, about 75% of visits are for management of multiple chronic diseases. Due to the increasing medical complexity of patients who present to primary care, these numbers make it more challenging for Primary Care Clinicians (PCCs) to manage these conditions alone and point to the need for innovative solutions to chronic disease care. One evidence-based innovation is team-based care to improve the treatment of these conditions. Clinicians such as clinical pharmacists, registered …

Autoimmune Hemolytic Anemia Associated With Leptospirosis: A Rare Complication, Anum Waqar, Furqan Mazhar, Mahrukh Afzal, Sadia Razzaq, Sana Ijaz

HCA Healthcare Journal of Medicine

Introduction

Autoimmune hemolytic anemia (AIHA) is rare but potentially life-threatening complication of leptospirosis, a zoonotic infection caused by the Leptospira species. Autoimmune hemolytic anemia occurs when the immune system targets red blood cells, resulting in hemolysis and anemia. The relationship between leptospirosis and AIHA is uncommon and often under-recognized, which can delay diagnosis and management. This case highlights the importance of considering hematologic complications in leptospirosis.

Case Presentation

A 23-year-old male presented with low-grade fever, productive cough, shortness of breath, jaundice, and pallor for 15 days. On examination, he was pale and icteric with bilateral chest crepitations. Laboratory studies showed …

A Case Report Of Mesalazine-Induced Pulmonary Injury In A Patient With Ulcerative Colitis, Vasileios Paraschou, Vasileios Papavasileiou, Ilektra Voulgareli, Vasilios Tzilas

HCA Healthcare Journal of Medicine

Introduction

Mesalazine (5-aminosalicylic acid) is widely used as a first-line therapy for ulcerative colitis (UC) due to its efficacy and safety profile. Rarely, it can cause pulmonary toxicity with variable clinical and radiologic manifestations, making diagnosis challenging.

Case Presentation

We report the case of a 52-year-old woman with UC who developed persistent fever and progressive exertional dyspnea following escalation of mesalazine dosage. Imaging revealed diffuse bilateral ground-glass opacities, while infectious and UC-related pulmonary causes were excluded. Pulmonary function testing demonstrated restriction and markedly reduced diffusing capacity. Following mesalazine discontinuation and initiation of corticosteroid therapy, the patient experienced rapid symptomatic, functional, …

An Unusual Case Of Bilateral Upper And Lower Oral Cavity Cysts In A Newborn, Frances Rodriguez Lara, Jillian L. Chen, Jennifer N. Shehan, Jessica R. Levi

HCA Healthcare Journal of Medicine

Background

Oral mucosal lesions in newborns have a broad differential diagnosis, ranging from benign, transient conditions to potential early signs of systemic disease. Most of these lesions are resolved without intervention, but delayed recognition can lead to complications, such as airway obstruction. Early identification is crucial for appropriate management. This case report discusses an unusual presentation of multiple oral mucosal cysts in a newborn, emphasizing the challenges of diagnosis and management.

Case Presentation

A 1-day-old male was evaluated at Boston Medical Center for cystic oral lesions identified during newborn screening. The infant was born at 36 weeks and 2 days’ …

Navigating Complex Esophageal Perforations: A Case-Specific Approach To Successful Outcomes, Harsimran Kalsi, Anushree Rai, Kobina Essilfie-Quaye, Neeka Akhavan, Yaseen Perbtani, Tony S. Brar

HCA Healthcare Journal of Medicine

Esophageal perforation is a life-threatening condition requiring prompt diagnosis and effective management. While self-expanding metal stents (SEMS) are a first-line treatment, persistent leaks often necessitate adjunctive endoscopic interventions. A structured, multimodal approach is critical for optimizing outcomes and avoiding surgical intervention. A 44-year-old man developed an iatrogenic esophageal perforation following surgical leiomyoma enucleation. Initial treatment with overlapping fully covered self-expanding metal stents (FC-SEMS) failed to achieve closure, necessitating endoscopic suturing for defect reinforcement. Despite suturing, persistent leakage required placement of a larger-diameter FC-SEMS, secured with an endoscopic fixation system to prevent migration. Serial imaging confirmed successful defect closure, allowing the …

Using Mohs Micrographic Surgery To Treat A Large, Pedunculated Trichoblastoma On The Upper Cutaneous Lip, Richard G. Bindernagel Jr., Addie Walker, Richard Miller

HCA Healthcare Journal of Medicine

Trichoblastomas are uncommon adnexal tumors that usually occur on the face. We report a case of a 62-year-old White man with a large, asymptomatic, slow-growing lesion that had been on his right upper cutaneous lip for 15 years. A 2 cm pink, pedunculated nodule with telangiectasia was seen on examination. A shave biopsy was consistent with trichoblastoma: a circumscribed-appearing dermal tumor of basaloid cells arranged in cords and islands within a cellular stroma, focal epidermal connection, and papillary mesenchymal bodies. The patient elected for treatment with Mohs micrographic surgery (MMS) given the length of time that the tumor had been …

Impact Of Pre-Existing Psychiatric Conditions On Trauma Outcomes: A National Analysis, Kelly Mckenney, Marie Ugo, Sindhura Kompella, Clara Alvarez, Ilko Luque

HCA Healthcare Journal of Medicine

Background

Understanding the impact of psychiatric pre-existing conditions (PsyPECs) on trauma outcomes is crucial, as trauma is the leading cause of mortality for Americans aged 1-45. Although previous regional studies have shown higher mortality rates and longer hospital length of stay (H-LOS) for injured patients with PsyPECs, this has not been studied at the national level. The purpose of this study is to identify the PsyPECs associated with mechanism of injury and other outcomes in adult patients admitted for trauma in the United States’ trauma centers.

Methods

Data were extracted from the National Trauma Data Bank (NTDB). There were 5301 …

Time For A New Whole-Person Care Pathway For Chest Pain Admissions, Dana Kajan, Sabbir Mirza, Alexander M. Ruiz, Anthony Degennaro, Mohamad S. Saad

HCA Healthcare Journal of Medicine

Background

Emergency department (ED) visits for chest pain are common and costly, and ED workup often shows no clear cardiac etiology in low-risk patients. Emerging evidence suggests that social determinants of health (SDOH) such as loneliness, social isolation, and food insecurity contribute to cardiovascular outcomes and chest pain presentations.

Methods

We interviewed 114 patients (>18 years) presenting with chest pain and a thrombolysis in myocardial infarction (TIMI) score less than 4 at our community teaching hospital ED. Structured questionnaires assessed the SDOH triad of loneliness, social isolation, and food insecurity. Dependent variables included systolic blood pressure (SBP) at admission, …

Does Staff Education Increase Sequential Compression Device Utilization: A Retrospective Study, Devin Q. John, Vincent Lee, Akshay V. Daji, Hans Lapica, Connor Donley, Matthew J. Mccrosson, Nino Coutelle, Carlos Fernandez, Diego Lima

HCA Healthcare Journal of Medicine

Background

Venous thromboembolism (VTE) is a significant perioperative safety concern among orthopedic patients, with an incidence of 0.4%-1.0% and a substantial risk of chronic complications. Sequential compression devices (SCDs) are recommended for VTE prophylaxis, yet compliance remains suboptimal due to staff misconceptions. This study evaluates the impact of a resident-led educational intervention on SCD utilization among nursing staff in orthopedic postoperative care.

Methods

This retrospective study was conducted at 2 hospitals (HCA Florida JFK Hospital and HCA Florida Palms West Hospital). Nursing staff participated in a single educational session addressing SCD benefits, application techniques, and operational protocols. Data on SCD …

Trends In Emergency Department Utilization After Metabolic And Bariatric Surgery In The United States, Andrew Sanders, Isabella Moncada, Sabrina Avanzato, Michelle Fakler, Michael Dombek, R. Wesley Vosburg

HCA Healthcare Journal of Medicine

Background

In this article, we sought to understand the factors associated with emergency department (ED) utilization by patients after metabolic and bariatric surgery (MBS). The hopes were that modifiable risk factors could be identified to reduce ED visits after MBS.

Methods

We analyzed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database (MBSAQIP) which is comprised of data from all nationally accredited bariatric centers in the United States. For our study, we included a population of 681 743 patients having undergone the 2 most common MBS procedures: sleeve gastrectomy (SG) and gastric bypass (GBP). Using logistic …

Organizational Psychology Theories In Graduate Medical Education: A Narrative Review, Mohamad S. Saad, Naim El-Aswad, Zeina Ghossoub, Relly Nadler, Serena Wasilewski

HCA Healthcare Journal of Medicine

Physicians and educators tend to be more versed in recognizing disease patterns and medical problems than in identifying malfunctioning patterns in the psychological aspects of their mentees and work environments. Just as hypertension and diabetes are the common soil for many acute medical problems, agency problems and organizational silos can lead to many acute managerial problems in graduate medical education (GME) settings.

Data show that most workers are lonely at work, which leads to negative emotions and undermines performance. Organizational problems seem to stem from an individual’s inability to align one’s motivation with the organization’s shared value. This can cause …

"I Don’T Know That You Can Do That Anywhere Else": The Role Rural College Towns Play In The Formation Of Queer Identity, Amy Mcdowell, Ryan J. Parsons, Julia Kraus

Journal of Queer and Trans Studies in Education

Challenging dominant narratives suggesting that rural spaces are inhospitable to LGBTQ+ identities, this study examines how queer individuals navigate space, rurality, and queerness in Oxford, Mississippi, a historically conservative college town. Drawing on oral histories from the Queer Mississippi digital archive, we argue that rural institutions of higher learning (rural IHLs) and the college towns they are embedded in serve as critical sites of queer identity formation. The rural college town provides a unique space where LGBTQ+ individuals from both within and outside the South navigate self-discovery, social networks, and belonging. We highlight the transformative role of these spaces in …

Aspirational Mirrors: A Conceptual Model Of Alumni-Led Near-Peer Outreach For Precollege Engagement In Ocean Engineering, Habibi Palippui, Juswan Sade

Journal of Pre-College Engineering Education Research (J-PEER)

Precollege students in Indonesia, especially in rural and coastal regions, often lack exposure to engineering disciplines due to social, geographic, and informational barriers. This essay proposes a conceptual model of alumni-led near-peer outreach as an affective and culturally grounded mechanism to engage high school students in ocean engineering. Drawing from theories of social similarity, possible selves, and engineering identity, the model conceptualizes alumni as “aspirational mirrors” who influence students not merely through information but also through identification. The model outlines four primary mechanisms—social connection, narrative engagement, aspirational mirroring, and early identity activation—and also accounts for contextual variables such as school …

Electronic Surveillance: National Security And The Preservation Of The Rights Guaranteed By The Fourth Amendment, Valentín I. Arenas

Journal of Technology Law & Policy

No abstract provided.

Internet Ethics, American Law, And Jewish Law: A Comparative Overview, Gertrude N. Levine, Samuel J. Levine

Journal of Technology Law & Policy

Societies are governed by codes of ethics. In developed societies, parts of these codes form a set of laws, enforceable by legal authorities, with or without assistance from the populace. At times, laws are crafted for the benefit of the powerful members of the society, ensuring preservation of their positions and property, while other constituents may ignore, actively disobey, or challenge laws they believe do not support their ethics. Developing and maintaining appropriate social norms is thus particularly critical for sustaining rapidly changing heterogeneous populaces.

The Internet, devised for the purpose of interconnecting diverse computer networks of research and educational …

Fintech And Disruptive Business Models In Financial Products, Intermediation And Markets-Policy Implications For Financial Regulators, Iris H-Y Chiu

Journal of Technology Law & Policy

A recent Financial Times survey indicates that the financial services sector (in mainstream terms) is concerned about the disruptive potential of several digital-based technologies as applied to financial services, such as blockchain, big data and robo-advisers. Not to mention that we have already of late witnessed the emergence of high frequency algorithmic trading, novel consumer payment devices, online crowdfunding and peer-to-peer lending. Financial technology, which seems to be ushering in an order for upheaval, is defined by Price Waterhouse Coopers as "a dynamic segment at the intersection of the financial services and technology sectors where technology-focused start-ups and new market …

You Can't Hack This: The Regulatory Future Of Cybersecurity In Automobiles, Liz Allison

Journal of Technology Law & Policy

This Note argues that any new legislation imposing new safety regulations on car manufacturers is unnecessary, and will ultimately create more problems than it solves. First, there are numerous established laws that either already require what some of these propose, or address the issues involved in car hacking. Secondly, as vehicular technology becomes more advanced, so too will the methods available to fix the vulnerabilities within their systems. Finally, the government's inefficiencies and inability to stave off its own cyberattacks makes any type of federal regulations requiring minimum safety protocols a cumbersome option. For these reasons, this Note argues private …

The Most Amazing Masks For Ali Bay!, Chouaib Halifi

SOROUD: The journal of Literacy Criticism

This article is a detailed introduction to a play which Domenico Badia Leblich wrote about Morocco in 1803 under the pseudonym of Ali Bey Al-Abbasi. It will deal with the mask and the ideological knowledge it implies to achieve ready-made results. All this is achieved through language and theatricalization, which require a fictional structure concealing the writer’s identity and the identity of the discourse inner circle where the political, the historical and the cultural are interwoven. The article will examine this issue through the biography of Domenko Badia the spy, and his biography in which he chose to disguise himself …

The Traveller And His Masks: The Example Of Pierre-Jean Grosley's Swedes, Antoine Eche

SOROUD: The journal of Literacy Criticism

In this article, Antoine Eche will elucidate the motives that lead the writer- traveler to concealing his identity during the journey to a foreign country, and also after the publication of his travel narrative. He will therefore analyze the case of Pierre-Jean Grosley's account: Observation sur l'Italie et les italiens, by two Swedish gentlemen, translated from Swedish into French and published in 1764, by exploring in particular the relationship between the reader and the narrative text, which is established by the use of a pseudonym or an anonymous name. Thus, he will examine the question of manipulation and connivance, which …

Who Are Pessoa’ English Heteronyms? A Review Of Maria Colom Jiménez’ Thesis Fernando Pessoa’S English Literary Characters, Mohamed Jalid

SOROUD: The journal of Literacy Criticism

This paper aims at introducing Maria Colom Jiménez[1]’ thesis Fernando Pessoa’s English Literary Characters: A critical Study and Assessment of Personalities and Texts, which was presented in 2016 at Universidad Complutense de Madrid in partial fulfillment of the requirements for the doctorate degree. Pessoa’s heteronyms (literary characters/ personalities) is presented herein not as pseudonyms, but rather as fictional characters that undertake, alongside or on behalf of him, the task of planning, thinking, creating and writing. Such an imaginary world is, according to Jiménez, the first literary endeavor that allowed him to develop what he called ‘drama emgente’ (drama in people). …

Editorial (English) Disguise Representations(S), Chouaib Halifi

SOROUD: The journal of Literacy Criticism

No abstract provided.

Regarding World(S): A Review Of Elisha Cohn’S Milieu: A Creaturely Theory Of The Contemporary Novel (2025) And Daniel Wright’S The Grounds Of The Novel (2024), Katarzyna Bartoszyńska

CLCWeb: Comparative Literature and Culture

No abstract provided.