Digital Commons Network^™

Gabapentin Induced Seizures: A Rare Presentation Of Toxicity, Muhammad Umer Mukhtar, Akaansha Varma, Abdullah M. Firoze Ahmed

Advances in Clinical Medical Research and Healthcare Delivery

Gabapentin is a medication used for the management of neuropathic pain, focal seizures, and several other medical conditions. We report a case of a young male who experienced generalized tonic clonic seizures following the intentional ingestion of 31 grams of gabapentin. This case describes an unusual manifestation of gabapentin toxicity, namely seizures, and highlights the overdose of gabapentin for recreational purposes. Furthermore, this report emphasizes the rising misuse of gabapentin and underscores the importance of providers remaining vigilant in recognizing potential substance use disorders.

Idiosyncratic Drug Induced Liver Injury Secondary To Ciprofloxacin: A Reminder To Always Check Medication History, Xavier Zonna, Conor Banta, Erika Anson Md

Advances in Clinical Medical Research and Healthcare Delivery

A 38-year-old Caucasian male with no significant past medical history presented to the emergency department with complaints of nausea, vomiting, abdominal pain, and jaundice of 2 days duration. He noticed this in addition to pruritus, fever, and malaise. He had severe transaminitis and hyperbilirubinemia on laboratory evaluation. He was admitted for acute liver injury of an unknown etiology. He had taken a course of ciprofloxacin days prior to presentation for UTI at an outlying facility. Serologies were also concerning possible autoimmune liver disease with elevated Anti-Nuclear Antibody and equivocal Anti Smooth Muscle Antibody. Liver biopsy was negative for any autoimmune …

Rare Presentation Of Omental Tuberculosis With Drug-Induced Jaundice In A Teenage Female: A Case Report, Archana Venkatesan, Krishna Ravi

Advances in Clinical Medical Research and Healthcare Delivery

Omental tuberculosis (TB) is a rare form of abdominal TB, often presenting with nonspecific symptoms that mimic malignancies. We report a case of a 16-year-old female from India who presented with abdominal distension, vomiting, weight loss, and amenorrhea. Imaging revealed an abdominal mass, and a diagnosis of omental TB was confirmed via histopathology. This case highlights the diagnostic challenge posed by such atypical presentations, especially in TB-endemic regions. The patient also developed rifampicin-induced jaundice, which resolved upon drug cessation and supportive care. Anti-TB therapy was cautiously reintroduced at a modified dose. This report underscores the need for high clinical suspicion, …

Literally Heartburn: A Case Report Exploring Potential Preventive Measures Of Esophageal Injury After Radiofrequency Ablation For Atrial Fibrillation, Venkat Arutla, Chengu Niu, Prajjwol Bhatta, Basil George Verghese

Advances in Clinical Medical Research and Healthcare Delivery

Esophageal injury (EI) after radiofrequency ablation (RF) for atrial fibrillation (AF) is a feared complication due to its extreme variability in presentation and very high mortality rate. The incidence of EI after RF ablation also varies widely among the literature. The diagnosis and management of EI is a combination of swift clinical recognition, confirmatory computed tomography (CT) imaging, and prompt surgical repair. This case discusses a 56-year-old male with past medical history of AF who presented to the hospital with complaints of chest pain, shortness of breath and nausea after undergoing recent RF ablation for AF. Imaging revealed an esophageal …

Bilateral Nephrectomy For Refractory Hypertension In A Patient With Esrd On Intermittent Hemodialysis, Kavya Balusu, Vijay Sheldon, Arjun Sekar

Advances in Clinical Medical Research and Healthcare Delivery

In nearly 20 percent of patients with end-stage renal disease (ESRD), hypertension remains poorly controlled despite pharmacological therapy and volume reduction through dialysis. Further, morbidity from hospitalization for hypertensive crisis is significantly higher in patients with ESRD than in patients without ESRD. For those who fail conventional therapies for hypertension, therapeutic bilateral nephrectomy can be considered as a last resort option. With appropriate candidate selection, patients are expected to have improved quality of life. We describe the case of a 37-year-old African American male with ESRD on intermitted hemodialysis who underwent bilateral nephrectomy for the management of hypertension refractory to …

Bilateral Congenital Radioulnar Synostosis - Case Report, Derek A. Diangelis, Matthew J. Hudson

Advances in Clinical Medical Research and Healthcare Delivery

A 2-year-old male presented to an orthopedic outpatient office due to a supination defect in both of his upper limbs. X-rays of the affected limbs revealed fusion of the proximal radioulnar joints indicating congenital radioulnar synostosis (CRUS). CRUS is abnormal development of the upper limbs occurring during weeks 3—7 of embryological development. Causes of CRUS include genetic syndromes and spontaneous mutations. Treatment options include nonoperative and surgical treatments, however, treatment is controversial due to a lack of clinical evidence. Proposed screening methods could help improve detection rates and improve clinical management. This report aims to increase awareness of CRUS and …

Pembrolizumab-Induced Primary Adrenal Insufficiency: A Rare But Life-Threatening Endocrine Irae, Syeda Sarah Raza, Mehr A. Orakzai, Abdullah A. Orakzai

Advances in Clinical Medical Research and Healthcare Delivery

Pembrolizumab, a PD-1 checkpoint inhibitor, is widely used in the treatment of various malignancies. While it improves overall survival, it can lead to immune-related adverse events (irAEs), including rare endocrine disorders such as primary adrenal insufficiency (PAI). We present a case of PAI induced by Pembrolizumab in a 75-year-old man, emphasizing the importance of early recognition and timely management.

‘Is The Patient Clear For Surgery?’ Takotsubo Cardiomyopathy Presenting As T-Wave Inversions In A Pre-Operative Ekg: A Case Report, Muhammad Hammad Sharif, Madeeha Khaleeque, Syed Faiz Abbas, Gaurav Sharma, Aditya Sanjeevi, Muhammad Hassan Jan, Atif Ahmed

Advances in Clinical Medical Research and Healthcare Delivery

Takotsubo cardiomyopathy (TC) can cause dynamic changes in the electrocardiogram (EKG) and troponin elevation which can be misinterpreted as an acute coronary event that can cause an unnecessary delay in the surgery and affect the outcomes of a non-cardiac surgery. We present a case of a patient with pre-operative T-wave inversions diagnosed with TC. A 90-year-old female presented with a femur fracture. Pre-operative EKG showed symmetric T-wave inversions in the inferior and pre-cordial leads. Delta troponin was unremarkable and she remained chest pain-free. Transthoracic echocardiogram (TTE) showed an ejection fraction of 60% with apical ballooning and basal hyperkinesis concerning for …

Incidence And Predictors Of Encephalopathy In Patients Admitted With Lower Urinary Tract Infections: A Nationwide Analysis, Purva Shah, Shiamak Cooper, Ali Jaan, Basil George Verghese

Advances in Clinical Medical Research and Healthcare Delivery

Background. There are no large-scale study assessing the incidence and predictors of encephalopathy in patients with UTI. Also, there is a lack of data on encephalopathy outcomes in patients hospitalized with UTI. We aim to evaluate the incidence, predictors, and impact of encephalopathy on the outcomes of LUTI hospitalizations

Methods. Retrospective cohort study using data from the National Inpatient Sample (NIS) database (2017–2020). We included adult patients (aged ≥18 years) admitted with a principal diagnosis of lower urinary tract infection (LUTI), utilizing the International Classification of Diseases, Tenth Revision, and Clinical Modifications (ICD-10- CM) codes. Multivariate logistic and linear regression …

Nstemi Or Pericarditis: Which Came First?, Trisha K. Mehta, Steven Clark, Garrett Barb, Magdelynn Mege, Umber Waseem

Advances in Clinical Medical Research and Healthcare Delivery

Myocardial infarction (MI) is a common cardiac event often occurring in patients with a history of cardiovascular disease. MI is classified by the presence of ST segment elevation (STEMI) or non-ST segment elevation (NSTEMI). Pericarditis is inflammation of the pericardium usually caused by a bacterial or viral infection. The patient under discussion is an 86-year-old male with a previous history of coronary artery disease (CAD), hypertension (HTN), hyperlipidemia, and percutaneous coronary intervention (PCI). He presented with a three-week history of exertional chest pain that abated with rest and worsened while supine. EKG and laboratory findings supported a diagnosis of NSTEMI, …

A Case Of Fatal Herpes Zoster Ophthalmicus And Encephalitis In An Immunocompetent Host With A Review Of Literature, Kellyn E. Wilkes, Rutwik Pradeep Sharma, Laurie Proia

Advances in Clinical Medical Research and Healthcare Delivery

Herpes zoster is a common disease that can have several complications. Here, we present a case of herpes zoster ophthalmicus with coexisting encephalitis that unfortunately resulted in patient mortality. A 70-year-old male with a past medical history of Parkinson’s disease and schizophrenia presented to the emergency department after being found altered at home. Physical exam was notable for left-sided crusted facial rash, left conjunctival injection, and purulent drainage coming from the right eye. Given the location and appearance of his rash, he was diagnosed with herpes zoster ophthalmicus. There was suspicion for encephalitis given his altered mental status but unfortunately, …

Ensuring Successful H. Pylori Test Of Cure: A Quality Improvement Initiative Focused On Post-Treatment Testing, Prajjwol D. Bhatta, Smriti Bhetuwal, Asim Pandey, Ahmed Shehadah, John Shrestha, Venkat Arutla, Chengu Niu, Himal Kharel, Abdullah Ahmed

Advances in Clinical Medical Research and Healthcare Delivery

Background

Eradication of Helicobacter. Pylori (HP) infection is crucial for preventing serious sequelae, such as peptic ulcer disease and gastric malignancies. The ACG guideline recommends mandatory re-testing to ensure HP eradication. However, studies have shown that only less than 25% of patients undergo eradication testing.

Objectives:

The main objective of this study is to evaluate the effectiveness of a simple educational intervention on test of cure compliance rate. Our target population includes patients with confirmed HP infection who were treated with HP eradication therapy.

Design: Quality improvement pre-post intervention

Participants: Internal Medicine residents

Intervention: Educational training on the importance …

Mycobacterium Shimoidei: A Case Report Of A Rare Nontuberculous Mycobacterial Infection In An American Patient With A Favorable Outcome, Madison Baker, Farah Majdoub, Asad Nasir

Advances in Clinical Medical Research and Healthcare Delivery

Non-tuberculous mycobacteria (NTM) are common environmental pathogens, but they are an uncommon cause of illness. One such mycobacteria, Mycobacterium shimoidei, was discovered in 1968 and found to cause a respiratory illness in 1975. Since then, fewer than 100 cases have been reported worldwide. Symptoms can include cough, fever, weight loss, and hemoptysis This report describes an American patient with no travel history who was found to have significant pulmonary disease caused by this rare non-tuberculous mycobacteria.

Analysis Of Superior Economic Potential In South Tangerang City With Banten Province Comparator Using Location Quotient, Dynamic Location Quotient, And Shift Share Analysis Methods, Muhammad Qabus Abid Khairullah, Rastika Widiastuti, Cindy Adria Ananda Putri, Hayuning Anggrahita

Jurnal Geografi Lingkungan Tropik (Journal of Geography of Tropical Environments)

Gross Regional Domestic Product (GRDP) is a key indicator for understanding regional economic structure and dynamics. Differences in sectoral contributions reflect levels of specialization, competitiveness, and growth potential, making comparative and dynamic sectoral analyses essential for regional development planning. This study aims to identify leading, supporting, potential, and lagging economic sectors using Location Quotient (LQ), Dynamic Location Quotient (DLQ), and Shift Share Analysis by comparing the economic performance of South Tangerang City with Banten Province. The analysis is based on GRDP at constant prices by industrial sector for the period 2019-2023. LQ is applied to identify sectoral comparative advantages, DLQ …

Proceeding Book Of The 17th Indonesian Occupational Medicine Updates (Iomu), Perdoki .

Occupational and Environmental Medicine Journal of Indonesia

Bali, Indonesia, 16th - 18th May 2025

Who Pays For Preparedness? Valuing Disaster App Features Through A Factorial Survey Experiment In Flood-Prone Communities, Katsuya Tanaka, Tadashi Kito, Kohji Tanaka

Center for Public Service Publications and Reports

This study evaluates public preferences for next-generation disaster preparedness apps using a factorial survey experiment in flood-prone Japanese communities. The analysis first reveals a fundamental heterogeneity in public receptiveness, identifying two distinct segments: a small "receptive" minority (approx. 20 %) willing to consider adoption, and a large "unreceptive" majority (approx. 80 %) that rejects the app regardless of its features or price. Consequently, focusing on the receptive segment, the study estimates the economic value of specific app features. Results show that functions for immediate personal safety and family security—such as Rescue Request and Family Status Confirmation—are most highly prized. These …

Effective Education Prevents Readmission Rates, Taylor Johnson, Gabby Belanger, Ben Mittleman, Bella Ferguson

Nurse Residency

PICOT Question: In older adult patients, does nurse-driven education, compared with standard care, reduce hospital readmission rates?

Biomechanical Trade-Offs Between Root Tensile Strength And Porosity In Coastal Marshes, M. O. Hassan, N. H. Jafari, A. S. Rovai, R. R. Twilley

Faculty Publications

Root biomechanics play a fundamental role in stabilizing wetland soils and sustaining coastal ecosystems under increasing environmental stress. This study investigates the tensile strength (TS) and internal porosity (n) of roots from two dominant marsh grasses, Spartina alterniflora and Spartina patens, across four sites in the Mississippi River Delta Plain (MRDP), spanning active (Atchafalaya) and inactive (Terrebonne) basins. Through approximately 300 tensile strength tests conducted on live roots across diameter classes and depths, we observed a consistent decline in strength with increasing root diameter and depth. Fine roots (< 2 mm), particularly those in the upper 15 cm, showed the highest tensile resistance, reinforcing their critical role in erosion control. To assess morphological drivers, we employed high-resolution scanning electron microscopy (SEM) with a machine learning (ML) segmentation pipeline to quantify porosity and visualize aerenchyma. Coarse roots exhibited significantly higher porosity due to large central lumens and expanded aerenchyma, while fine roots maintained denser tissue structures. An exponential decay relationship emerged between porosity and tensile strength, indicating a trade-off: increased void space enhances oxygen diffusion in waterlogged soils but compromises mechanical integrity. This inverse relationship was most pronounced in saline environments, suggesting that stress amplifies structural compromises in root traits. This integrative approach, combining precision mechanical testing, advanced imaging, and ML-based analysis, provides a scalable and reproducible framework for characterizing root biomechanics. Findings advance understanding of plant contributions to belowground stability in coastal wetlands and offer practical insights for restoration strategies to enhance shoreline resilience.

The Information Edge - Library Newsletter - February 2026, Sarah Burns-Feyl, Jennifer Rosenstein

University Library Newsletter

No abstract provided.

Fy2025 Association Of College And Research Libraries (Acrl) Statistical Survey: University Of Rhode Island Data, Julia Lovett

University Libraries Reports & Statistics

The report contains FY2025 data as submitted by the University of Rhode Island Libraries for the 2025 Association of College and Research Libraries (ACRL) Annual Survey.

Caremark Claims Following Disasters: Why Plaintiffs Should Sue The Board When It Causes A Disaster, Eli Mizock

UC Law Journal

Fire disasters have become an inevitability for California residents. After a fire disaster, the public is primarily concerned with compensating the victims. However, securities fraud class actions brought by shareholders of the responsible utilities companies also accompany fire disasters. This Note argues that, instead of securities class actions, derivative claims under the Caremark jurisprudence may better serve corporate litigants following fire disasters. Historically, surviving the initial motion to dismiss under the Caremark standard has been a challenging hurdle for plaintiffs. However, under Marchand v. Barnhill and In re Clovis Oncology Derivative Litigation, “mission critical” risks of life and limb, or …

The Equal Protection Problem: The Right To Vote, Gerrymandering, And Lessons From Canada, Gabriel Renneisen

UC Law Journal

In the wake of Rucho v. Common Cause, partisan gerrymandering remains a nonjusticiable political question. This retreat from judicial oversight leaves a significant gap in the protection of democratic governance. The United States Constitution, as currently interpreted, offers little substantive support for voters’ rights as such. Courts locate the right to vote in the Equal Protection Clause of the Fourteenth Amendment, but that Clause protects equal access to voting rights—not meaningful participation, representation, or influence; it requires scrutiny only where legislatures rely on unconstitutional criteria to classify voters. Notably, at the time of this writing, California and Texas are in …

Three (Unfashionable) Words About Rick Marcus, Steve Gensler

UC Law Journal

No abstract provided.

Rick Marcus, Andrew Bradt

UC Law Journal

No abstract provided.

Richard Marcus: An Encomium, Deborah R. Hensler

UC Law Journal

No abstract provided.

Motivating And Retaining Student Assistants: A Case Study, Catherine Paolillo, Christopher Marcum

Copley Library: Faculty Scholarship

This paper offers specific recommendations for effectively motivating and retaining student employees at an academic library that practitioners may consider as they develop and implement programs for hiring, training, and retaining student assistants at their institutions. It describes a methodology that can be replicated for similar studies at other universities. This paper contributes new knowledge to the subject of academic library employee retention by reporting on the opinions of library student assistants at a small private liberal arts university in Southern California to gain insight into the kinds of retention program elements that students recommend. This study used an online …

Corrigendum To “Interim Rationalizable Implementation Of Functions” (Kunimoto T, Saran R, Serrano R (2024) Mathematics Of Operations Research 49(3):1791–1824), Takashi Kunimoto, Rene Saran, Roberto Serrano

Research Collection School Of Economics

This is the brief corrigendum to “Interim rationalizable implementation of functions” [Kunimoto T, Saran R, Serrano R (2024) Interim rationalizable implementation of functions. Math. Oper Res. 49(3):1791–1824].

Library News February 2026, Research Medical Library

Library News 2026

• Tips for Using Track Changes in Microsoft Word
• How to Navigate Author Instructions (part 2): 10 Tips for Formatting Your Manuscript
• FWCI: a Level Playing Field for Article Impact
• When to Use Latin Abbreviations, eg, "ie" versus "eg"

Trump Country: The Role Of Alienated Voters In Alabama And Georgia, Scott E. Buchanan, Bruce L. Blair

Commonwealth Review of Political Science

Abstract Since 2016, U.S. politics has galvanized by the Trump presidency. During his two previous, and now third, campaigns for president, Donald Trump has been successful in appealing to rural white voters through the nation, but most especially in the South. Methods. Using a variety of socioeconomic variables, we examined the 2016 and 2020 election cycles to see where Donald Trump was performing the best, and worst, in Alabama and Georgia. Results. Our analysis indicates that the oft-discussed rural/urban divide is alive and well in both states, with rural counties being much more supportive of Donald Trump in …

Chmy 121n.H53: Introduction To General Chemistry / Hamilton, Jennifer A. Corbin

University of Montana Course Syllabi, 2026-2030

No abstract provided.