Digital Commons Network^™

Bilateral Pulmonary Emboli Requiring Emergent Thrombectomy In A Pediatric Patient, George C. Michalopoulos Md, Viktoriya Bikeyeva Md, Joseph Adams Do, Andrii Labchuk Md, Giovanni Paollela Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Pediatric Pulmonary Emboli (PE) are rare but have a high mortality rate. Evidence based guidelines for PE management in children are limited, and most recommendations stem from adult populations. Decisions regarding pursuing systemic thrombolysis, surgical embolectomy, catheter-based interventions, or medical management are often made on a case-by-case basis by a multidisciplinary team after careful consideration of the risks and benefits. We present a case of a 17-year-old female who was successfully treated with mechanical thrombectomy for bilateral PE after recent initiation of oral contraceptives.

Description:

Patient presented to the ED with dyspnea. Vital signs showed tachycardia, hypoxia, and hypotension. …

The Price Of A Pause: Pe In A High-Risk Surgical Patient, Alexander Ellyin Md, Giovanni Paolella Md, Viktoriya Bikeyeva Md, Christopher Bentsen Md, George C. Michalopoulos Md, Danny Cho Do, Joseph Adams Do, Andrii Labchuk Md, Adib Chaus Md, Parag Patel Do

Scientific Day

Introduction/Background:

Acromegaly is an endocrine disorder characterized by excess growth hormone secretion, typically from a pituitary adenoma, resulting in elevated insulin-like growth factor 1. It is associated with several cardiovascular complications, including hypertension, cardiomyopathy, and arrhythmias. While less commonly recognized, a prothrombotic state may also exist, possibly due to increased thrombin generation and elevated fibrinogen and factor VIII levels. Literature on the risk of venous thromboembolism (VTE) in acromegaly remains sparse, and documented cases of pulmonary embolism (PE) in this population are rare. This case highlights a massive PE in a patient with acromegaly and prior VTE following brief perioperative …

A Rare Complication Of Gallstone Pancreatitis: Cholecystocolonic Fistula, Gregory Capelli Do, Adil Ghafoor Md, Nalini Guda Md, Facg

Scientific Day

Introduction/Background:

Cholecystocolonic fistulas are rare, occurring in less than 0.5% of patients undergoing cholecystectomy. However, when they do develop, they can lead to complications such as colonic perforation, gallstone ileus, and infection. Here, we present a case of a patient who developed a cholecystocolonic fistula alongside gallstone-induced pancreatitis.

Description:

An 81-year-old woman with a history of hyperlipidemia and hypertension presented to the emergency department with acute onset abdominal pain. Laboratory results revealed a total bilirubin of 1.0 mg/dL, AST of 103 U/L, ALT of 119 U/L, ALP of 880 U/L, lipase of 6,421 U/L, and a WBC count of 11.8 …

Maternal Fever And Pprom Are Associated With Early Neonatal Illness Severity: A Composite Score Analysis In Nicu Admissions, Zoya Khan Do, Alexandra Wilson Md

Scientific Day

Background/Significance:

Maternal complications during delivery may predispose neonates to early clinical instability. Identifying specific maternal risk factors can help stratify neonatal risk and guide early postnatal care.

Purpose:

To assess the relationship between maternal complications and early neonatal illness severity using a composite clinical illness score.

Methods:

This retrospective cohort study included neonates admitted to a level IV NICU. Maternal factors analyzed included chorioamnionitis, fever, PPROM, preeclampsia, and intrapartum antibiotic exposure. Neonatal illness severity was defined using a 5-point composite score incorporating hypotension, need for hydrocortisone, elevated CRP, presence of multiple central lines, and ≥5 days of central line use. …

Population Health "Pop Spotting", Glenda Sundberg Fnp-Cs, Apnp, Zeeshan Yacoob Md, Mph, Stephenie Quirke Do, Devanshi Patel Do, Tien Vo Bs,Ba

Scientific Day

Background/Significance:

Various gaps persist across communities due to barriers that prevent patients from accessing their healthcare needs. Aurora St. Luke’s Family Practice Clinic, which serves a diverse and underserved population, developed an interdisciplinary outreach model called “Pop Spotting”

Purpose:

We aim to create a model that allows the clinic team to identify patients who have multiple care gaps and have been lost to follow up. By reaching out to these patients and scheduling visits, we hope to meet health care needs efficiently and improve patient outcomes.

Methods:

This project utilizes Population Health Indicator (PHI) scores to identify established clinic patients …

Baseline Ntprobnp As A Predictor Of 1-Year Heart Failure Hospitalizations In Cardiac Amyloidosis, Hannah Runnoe Do, Anne Marie Bonaguro Do, Valentina Turbay Caballero Md, Cindy Ndiaye Mph, Mark Dela Cruz Md

Scientific Day

Background/Significance:

Patients with cardiac amyloidosis (CA) are at high risk for morbidity. It remains unclear which biomarkers or echocardiographic parameters can help identify CA patients at the highest risk of short-term hospitalization.

Purpose:

We investigated whether biomarkers or echocardiographic parameters could help identify CA patients at the highest risk of hospitalization within one year.

Methods:

We performed a single-center cohort study of all CA patients from 2019 to 2025 who had a left ventricular ejection fraction (LVEF) and right ventricular- pulmonary arterial pressure coupling (RV-PA coupling ratio) reported at baseline. Patients were divided into groups based on number of heart …

A Reappraisal On The Use Of Mechanical Circulatory Support In Acute Coronary Syndrome And High-Risk Percutaneous Coronary Intervention—Lessons From Stemi-Dtu And Chip-Bcis3, Marwan F. Jumean, Mir Babar Basir, Biswajit Kar

Journal of Shock and Hemodynamics

None.

Employee Engagement And Its Motivational Drivers: Lived Experiences Of Generation Y Employees In The Workplace, Ololade Dorcas Afolabi

Masters Theses, 2020-current

This qualitative study sought to explore the meaning of employee engagement among Generation Y employees in the United States. Specifically, this research aimed to understand how Generation Y employees described their lived experiences of engagement and the motivational drivers that influence their engagement at work. The researcher interviewed five Generation Y employees. Two of them work in retail industry, two work in healthcare technology, and one works in higher education. The findings show that the participants have a shared meaning of engagement, defining engagement as alignment between their personal goals and organizational goals. In addition, participants shared lived experiences of …

Front Matters

Seattle Journal for Social Justice

No abstract provided.

Why Libraries Matter Now More Than Ever To Democracy: Legal And Policy Issues Affecting The Future Of Public Knowledge, Margaret Chon

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

Beyond The Library Of Congress: The Federal Library Ecosystem As Democratic Information Infrastructure, Nancy E. Weiss

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

The Library Of Congress At A Crossroads: Executive Overreach And The Future Of Public Knowledge, Leslie A. Street, Amanda Runyon

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

The Library Of Congress’S Essential Role In Digital Preservation: Reconceiving Mandatory Deposit After Valancourt, Dave Hansen

Seattle Journal of Technology, Environmental, & Innovation Law

As the published record shifts to digital formats, the mechanisms that have ensured long-term preservation are breaking down. Most libraries acquire digital materials through licensing agreements that prohibit preservation copying, format migration, and interlibrary loan—contractually overriding the exceptions Congress enacted in the Copyright Act. The Library of Congress occupies a unique position: Through statutory deposit under 17 U.S.C. §§ 407 and 408, it collects copyrighted works pursuant to federal law rather than license agreements, and deposited copies become federal property under § 704, free from contractual restrictions. This Article examines how the Library’s deposit authority can be strengthened after the …

How Licensing Compromised The Library, Aaron Perzanowski

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

China’S S&T Think Tank Transformation For Building A World-Class Science And Technology Power: Trends And Prospects, Dongmei Liu, Ning Huang, Yangxu Lu, Zhe Li

Bulletin of Chinese Academy of Sciences (Chinese Version)

To address the strategic demands of establishing China as a world-class science and technology power, the transformation of its S&T think tanks has become an urgent priority. The unique knowledge products generated by these think tanks in supporting decision-making for national S&T advancement constitute a vital component of China’s independent knowledge system. Consequently, the transformation of S&T think tanks and the development of this domain’s independent knowledge system form a mutually reinforcing and coupling process. This study analyzes the imperatives and positioning of think tank transformation and independent knowledge system development through the renewal of intellectual foundations, the articulation of …

Decade Review And Prospect Of New-Type Think Tanks With Chinese Characteristics—Based On Practice And Enlightenment Of High-End Think Tanks In Social Sciences, Ping Li, Wanyue Hou, Hongwei Wang

Bulletin of Chinese Academy of Sciences (Chinese Version)

Reviewing the decade-long journey of building new-type think tanks with Chinese characteristics, under the guidance of national strategies, China’s think tank system has undergone a sequential evolution from top-level design and concept establishment, to system construction and comprehensive advancement, and finally to functional deepening and quality enhancement. It has achieved a phased leap from scale expansion to connotative improvement, fostering a healthy ecosystem where various comprehensive think tanks, professional think tanks, enterprise think tanks, and social think tanks develop with differentiated yet complementary and collaborative manner. This has realized a fundamental shift in the decision-making support function from “peripheral advice” …

Social Think Tanks In China: Ten-Year Review And Development Prospects, Jinlian Zheng, Zhiguang Liu

Bulletin of Chinese Academy of Sciences (Chinese Version)

Over the past decade, in response to national top-level design, social think tanks in China have undergone a historic transformation from scale expansion to quality enhancement, and from marginal exploration to mainstream participation. As a key component of the new-type think tank system with Chinese characteristics, social think tanks have played an irreplaceable role in policy consultation, innovative governance, and public diplomacy. This study systematically summarizes the development status of social think tanks over the past ten years, deeply analyzes the multiple challenges faced currently, and charts the course for their future development. It proposes pathways for promoting their high-quality …

Decade Of Local Think Tank Development In China: Retrospective And Prospective Analysis, Xiangzhi Zhou

Bulletin of Chinese Academy of Sciences (Chinese Version)

Since mid-2015, when the CPC Central Committee and State Council issued “Opinions on Strengthening the Building of New-type of Think Tanks with Chinese Characteristics”, local think tanks in China entered a decade of rapid growth, divided into three phases: initial exploration, deepening differentiation, and quality innovation. A preliminary system has been established, with progress in institutionalization and demonstrated impact. Nevertheless, challenges persist, such as narrow vision, underutilized advantages, regional imbalances, low professionalization, and weak support. Future efforts should focus on improving the system, optimizing functions, emphasizing localized research, strengthening organized research, accelerating digital transformation, advancing scientific methods, and fostering an …

From Indicators To Systems: Logical Evolution, Practical Challenges, And Policy Recommendations Of Think Tank Evaluation In China, Gang Li, Zihao Ge

Bulletin of Chinese Academy of Sciences (Chinese Version)

Over a decade has passed since the issuance of the “Opinions on Strengthening the Construction of New Types of Think Tanks with Chinese Characteristics”. During this period, the number of think tanks in China has continued to grow, and evaluation activities have evolved from spontaneous exploration to institutionalized practice. Examining think tank evaluation from both the supply and demand sides of think tank development, this study systematically reviews the practical progress and theoretical exploration of think tank evaluation in China over the past decade. Building upon an analysis of the conceptual connotation of think tank evaluation, the study argues that …

Technological Innovation, Industrial Development And Financial Support, Yiming Wang

Bulletin of Chinese Academy of Sciences (Chinese Version)

Currently, the new round of technological revolution is accelerating its breakthroughs, and scientific and technological innovation has become the main battlefield for the competition among major countries. Facing increasingly fierce international competition in science and technology, China must strengthen the orientation of original innovation in scientific research and technological development, shift from “catching up” to “keeping pace” and “taking the lead” in more fields, from innovation in terminal products to breakthroughs in key core technologies, and from integrated innovation to original innovation. In recent years, China’s industrial competitiveness has significantly enhanced, mainly due to the gradual formation of advantages such …

Characteristics And Implementation Paths Of Goal For Building Energy Powerhouse, Liye Xiao, Jiaofeng Pan, Xiaojiong Wang, Deqiang Sun, Mingliang Qi, Jianlei Mo, Huimin Li, Ting Wang, Jie Yang, Jie Lin, Yuchao Wang, Haiting Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

China is a major energy-consuming country, and ensuring effective energy supply is one of the core tasks for promoting national development and national rejuvenation. To guarantee national energy supply and energy security, and to vigorously develop and utilize clean and low-carbon energy, the Outline of the 15th Five-Year Plan for National Economic and Social Development of the People’s Republic of China clearly states: “We will thoroughly implement the new energy security strategy, accelerate the construction of a clean, low-carbon, safe, and efficient new energy system, and build a strong energy nation. We will promote the safe, reliable, and orderly replacement …

Logic And Pathways Of Higher Education In Supporting Science And Technology Innovation In Big Science Era, Yiran Song, Ying Wang, Yijun Liu

Bulletin of Chinese Academy of Sciences (Chinese Version)

The new wave of technological and industrial transformation is propelling scientific and technological innovation from isolated breakthroughs toward ecosystem-based collaboration. Deepening interdisciplinary integration and accelerated data-driven and AI-powered processes present fresh challenges to talent cultivation in higher education, demanding a systemic shift in higher education to align with the demands of scientific and technological innovation. This study analyzes the co-evolutionary relationship between higher education and scientific and technological innovation from a historical perspective; examines the defining features of scientific and technological innovation in the era of big science and the new requirements it places on higher education; elucidates the practical …

Staff Education On Nonpharmacological Sleep Hygiene Strategies, Miranda Akateh Morfaw

Walden Dissertations and Doctoral Studies

No abstract provided.

Clinical Practice Guideline Emergency Department Discharge Acuity Scale To Improve Care Transitions, Charlisa Hedrick

Walden Dissertations and Doctoral Studies

No abstract provided.

Hmong Individuals Practicing Animism And Their Engagement With The Mental Health System, Bao Lee

Walden Dissertations and Doctoral Studies

No abstract provided.

Language And Cultural Barriers Affect Access To Mental Health Care For Hispanics, Maria T. Nieves

Walden Dissertations and Doctoral Studies

No abstract provided.

Determinants Of Pre-Exposure Prophylaxis Medication Use Among People Aged 18–29 Years Living In Florida, Jeremiah Magraubin Mchaka Wandabwa

Walden Dissertations and Doctoral Studies

No abstract provided.

Innovation Strategies For Small And Medium-Sized Construction Companies In Nigeria, Olabode Akinkunmi Akindele

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Early Identification And Management Of Clinical Deterioration In Pediatric Patients Using A Standardized Assessment Protocol, Sarabjit Chahal

Walden Dissertations and Doctoral Studies

No abstract provided.

A Community College Entry Apparatus, Ann Knezetic

Dissertations

This study explores the conceptualization, enactment, and navigation of a community college entry apparatus. This research views these questions through a single institution case-study, with 17 participants - eight faculty/staff and nine students. Each participant groups brings a distinct view as faculty/staff conceptualize and enact entry as students navigate and experience entry. Findings illuminate how faculty/staff conceptualize entry through offices or programs while students experience entry through their needs being met. Further, these findings complicate entry, particularly in the ways students experience entry multiple times during their college career such as when moving locations across a multi-campus college or when …