Digital Commons Network^™

Infective Endocarditis With Coronary Artery Embolization And Multisystem Involvement In A Patient With A History Of Iv Drug Use: A Case Report, Abdul Moiz, Khawaja Owais Omar

Journal of Community Hospital Internal Medicine Perspectives

Background: Infective endocarditis (IE) is a rare cause of myocardial infarction (MI). In contrast to other embolic phenomena associated with IE, the incidence of coronary embolism is65%. Common risk factors of IE include intravenous drug use (IVDU), hemodialysis and the use of cardiac devices. We present a unique case of multiple coronary artery involvement on 2 separate occasions highlighting the need for increased awareness among healthcare professionals.

Case Report: A 38-year-old female with history of IVDU, hepatitis B and C presented with acute chest pain and was found to have NSTEMI and active aortic valve vegetation. Left heart catheterization (LHC) …

A Not Too Fragile Bacteroides, Siddartha Guru, Nadim Jaafar, Rahul Sharma, Poonam Bai

Journal of Community Hospital Internal Medicine Perspectives

We present a rare case of Bacteroides fragilis vertebral osteomyelitis, in a 20-year-old female with no underlying medical conditions. She presented with a three-week history of lower back pain, myalgias, rigors, and night sweats. The patient was febrile and tachycardic, with borderline low blood pressures. Her initial labs showed elevated inflammatory markers with no leukocytosis. MRI of the thoracic and lumbar spine demonstrated T12/L1 discitis/osteomyelitis with phlegmonous changes and concerns for epidural abscess, causing mild to moderate spinal stenosis. Bacteroides fragilis grew in an anaerobic bottle, and a CT-guided biopsy of the T12/L1 lesion grew Bacteroides fragilis. E-test sensitivities revealed …

A Unique Metastatic Spread Of Lung Adenocarcinoma To The Stomach: A Case Report And Literature Review., Aniqa Faraz, Ammad Naeem, Hafiz Muhammad Aslam

Journal of Community Hospital Internal Medicine Perspectives

Lung cancer is a leading cause of cancer-related deaths and commonly spreads to the brain, bones, liver, and adrenal glands. Gastric metastases from lung cancer are uncommon and can occur in melanoma, breast cancer, and lung cancer. Most patients show no symptoms at presentation; however, metastasis from lung cancer portends a poor prognosis. This case report highlights a rare instance of lung cancer metastasizing to the stomach in a 60-year-old female that was detected incidentally on a PET scan. The scan showed two new stomach masses with increased FDG uptake and contrast enhancement. The patient had chemoimmunotherapy after receiving palliative …

Two Cases Of Intramyocardial Dissecting Hematoma Diagnosed By Echocardiography, Jianbo Wu, Fei Bian, Xijun Zhu, Xin Du, Tao Hao, Qian Liu

Journal of Community Hospital Internal Medicine Perspectives

Intramyocardial dissecting hematoma (IDH), a rare complication of myocardial infarction, was investigated through two unique clinical cases in this study. We demonstrate echocardiography's pivotal role in emergency diagnostics by detailing its critical contribution to rapid identification. Furthermore, we propose a hypothesis regarding the anatomical subtypes of IDH, potentially offering new perspectives and insights into this rare cardiac condition.

Unravelling The Downhill Spiral: A Tale Of Alcohol, Varices, And A Hidden Stenosis, Edris Adel, Urwah Ahmad, Ramya Vasireddy, Jasmine Barrow

Journal of Community Hospital Internal Medicine Perspectives

Downhill esophageal varices (EVs) were first described in 1964 by Felson and Lessure.¹ They are rare with an incidence rate of 0.5% in the general population.¹ They usually develop due to an increase in pressure and/or obstruction of the superior vena cava (SVC) and rarely present with hematemesis. SVC syndrome, surgical ligation of the SVC, Castleman syndrome, pulmonary hypertension, and hypercontractile esophageal motility disorders can cause this.¹ We report a case of downhill EVs in an older male with alcohol use disorder with incidental finding

of SVC stenosis secondary to an old, unused chemotherapy port.

Utilization Of Antiviral Treatment For Hospitalized Patients With Mild-To-Moderate Covid-19 At High Risk For Disease Progression, Michael P. Iannetti, Katie Barnes, Stephen Varga, Suzanne Kemper, Elaine Davis Mattox

Journal of Community Hospital Internal Medicine Perspectives

Clinicians frequently encounter patients in the hospital with mild-to-moderate COVID-19 who are at high risk for disease progression. Antiviral drugs reduce the rate of progression to severe COVID-19 when given to these patients within 5-7 days of symptom onset. To look at the utilization of antiviral medications in hospitalized patients with mild-to-moderate COVID-19, a detailed chart review was conducted of 500 randomly selected patients from the Charleston Area Medical Center COVID-19 Registry. We identified 124 patients with mild-to-moderate COVID-19 who were eligible for antiviral treatment. Only 41 of the 124 patients (33.1%) received antiviral treatment. Providers listed mild symptoms as …

Psychological Impact Of Pulmonary Embolism: A Narrative Review., Farooq Hyder, Hina Pervaiz, Fnu Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari Vishal Nenwani, Allah Warayo, Kishor Kumari, Muhammad Salman, Abida Parveen, Mubeena Javid, Raveena Bai Bansari

Journal of Community Hospital Internal Medicine Perspectives

Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health …

Iron Deficiency—Challenging To Diagnose: A Retrospective Chart Review Of Referrals To Classical Hematology Clinic, Arianna S Moss, Melissa Thomas, Spencer Gibson, Ray Quy, Eva Zhao, Angelina Wang, Ben P Debeusscher, Zahra Pakbaz

Journal of Community Hospital Internal Medicine Perspectives

Background: Iron deficiency (ID) is the leading nutritional deficiency and a major public health concern globally. Although anemia is the most widely known consequence of ID, ID is also an underrecognized cause of white blood cell and platelet count abnormalities.The primary objective of the current study is to assess physicians’ abilities to diagnose ID. Methods: This study is a retrospective chart review of 862 adults (mean age +/- SD of 52.5 ± 18.4, 447 female) seen by a classical hematologist at an academic center. Data analysis included specialty type of referring provider, referral reason, and the diagnosis made by the …

Quality Of Life Changes Post-Pci With Contrast-Induced Nephropathy, Uzair Nisar Malik, Kashif Iltaf, Maria Mohamed Ahmed Babiker, Prem Chand, Rakesh Kumar, Areesha Qureshi, Aajay Kumar, Muhammad Hassan Bari, Ali Karim, Sameet Kumar, Fnu Shweta, Fnu Rumela, Fnu Payal, Abida Parveen

Journal of Community Hospital Internal Medicine Perspectives

Objective: This study aimed to evaluate the impact of contrast-induced nephropathy (CIN) on quality of life (QoL) in patients undergoing percutaneous coronary intervention (PCI) in Pakistan. Methods: A retrospective cohort study was conducted involving 5,325 patients who underwent PCI, divided into CIN (n = 1,250) and non-CIN (n = 4,075) groups. Demographics, clinical characteristics, and procedural details were recorded. QoL was assessed using a standardized questionnaire before and after PCI, covering physical functioning, pain, mobility, anxiety/depression, and overall health. Statistical analyses compared QoL scores between groups and identified predictors of change. Results: Patients who developed CIN exhibited a significant decline …

Jchimp 15th Anniversary Issue: Peer Review, Authorship And Scholarly Activity, Surendra Marur, Lucien J Cardinal, Gillian Junker

Journal of Community Hospital Internal Medicine Perspectives

JCHIMP's Editor-in-Chief and a Member of the Board review the value of peer review and its compliance with ACGME rules, touch upon the cost of publications and potential sources for publication funding and acknowledges the contributions of authors and peer reviewers to the success of JCHIMP in 2024.

A Novel Hybrid Intrusion Detection Model: A New Metaheuristic Approach For Feature Selection Based On Ai Techniques For Cyber Threat Detection, Maryam Mahdi Alhusseini, Alireza Rouhi

Iraqi Journal for Computer Science and Mathematics

The rapid increase in internet usage, digital transformation, and the rise of interconnected devices have greatly expanded the attack surface, introducing new and evolving cybersecurity challenges. Conventional security solutions frequently have difficulty adjusting to complex threats and the vast dimensionality of network traffic data, particularly in the case of imbalanced datasets. To tackle these challenges, this research introduces a Hybrid Intrusion Detection System (HyIDS-EVO) that combines the Energy Valley Optimizer (EVO) for feature selection and dimensionality reduction with machine learning classifiers, which include Support Vector Machine (SVM), Random Forest (RF), Decision Tree (DT), and K-Nearest Neighbors (KNN). The system’s effectiveness …

Mmp-7 Expression And Rs11225307 Polymorphism In Breast Cancer And Fibroadenoma: A Molecular Study In Basrah, Iraq, Heba Jassam, Wijdan Nazar Ibraheim, Mazin Hawwaz Abdulridha, Rafid Adil Abood, Karam B. Nanjem

AUIQ Complementary Biological System

Breast cancer (BC) progression relies heavily on extracellular matrix degradation, mediated in part by matrix metalloproteinase-7 (MMP-7). While overexpression of MMP-7 has been implicated in multiple cancers, data from Middle Eastern populations remain limited.

This study examined MMP-7 gene expression and polymorphism patterns, with emphasis on rs11225307, in breast cancer versus benign fibroadenoma (FA) tissues among women in Basrah, Iraq. Thirty-seven BC and twenty-three FA patients were enrolled. MMP-7 mRNA expression was quantified using qRT-PCR and normalized to β-actin, while polymorphisms were analyzed through Sanger sequencing of eight SNPs and allele-specific PCR for rs11225307. Statistical significance was set at …

Cv: Donna Martin (Nursing), Donna Martin

Nursing Department Faculty Curricula Vitae

No abstract provided.

Southeastern Librarian 73(3) Fall 2025 (Full Issue), John H. Barnett

The Southeastern Librarian

Complete issue of The Southeastern Librarian Volume 73 Number 3

Black Hibiscus: African Americans And The Florida Imaginary, Austina Jordan

The Southeastern Librarian

John Wharton Lowe, Ed.

Jackson: University Press of Mississippi, 2024

ISBN: 9781496848604

314 pp. $30.00 (Pbk)

Hell's Not Far Off: Bruce Crawford And The Appalachian Left, Loren Mixon

The Southeastern Librarian

Josh Howard

Morgantown: West Virginia University Press, 2024

ISBN: 9781959000105

208 pp. $26.99 (Pbk)

Mommy Goose's Appalachian Melodies, Kathelene Mccarty Smith

The Southeastern Librarian

Mike Norris

Lexington: University Press of Kentucky, 2024

ISBN: 9781985901155

64 pp. $24.95 (Hbk)

Nowville: The Untold History Of Nashville's Contemporary Art Scene, Sarah Grace Glover

The Southeastern Librarian

Joe Nolan

Nashville: Vanderbilt University Press, 2024

ISBN: 9780826507396

272 pp. $24.95 (Pbk)

Southerners Acting Southern: On Celebrities And Their Star Personas In The Imagined South, Chantelle Swaren

The Southeastern Librarian

Tison Pugh

Baton Rouge: Louisiana State University Press, 2025

ISBN: 9780807184011

276 pp. $34.95 (Pbk)

This Southern Metropolis: Life In Antebellum Mobile, Kristine Stilwell

The Southeastern Librarian

Mike Bunn

Athens: NewSouth Books, 2024

ISBN: 9781588385246

162 pp. $27.95 (Pbk)

Sela Officers And Executive Committee, State Representatives, Committees, Sections, And Round Tables, John H. Barnett

The Southeastern Librarian

Current SELA officers and representatives.

Playa Sediment Bioaccessibility Presents Previously Unknown Risks To Population Health In A Water-Stressed Region Undergoing Lake Desiccation: Salton Sea, Usa, Jordan Jaeger

Theses

Globally, drylands are expanding, and endorheic basins are in rapid decline. Saline lake desiccation exposes lakebed playa likely to become dust, posing potential health risks to surrounding communities. Studies investigating health risks from playa dust exposure often focus on health effects associated with the presence of airborne particulates, but fewer studies investigate health risks associated with dust source chemistry. This study examines dust source particle composition in a desiccating inland sea in a water-stressed agricultural region of California. Specifically, chemical bioaccessibility of bound trace elements uncovers risks to children, adults, and agricultural worker health. Arsenic exposure via sediment ingestion poses …

Evaluating And Supporting Transformative Agreements: Five Institutional Perspectives In Discussion, Anna R. Craft, Peggy Kain, Danica Lewis, Camille Mccutcheon, William Joseph Thomas

Libraries Professional Work

Transformative—or Read and Publish—deals are impacting the open access (OA) publishing landscape, allowing libraries to test new models for funding and incentivizing OA publishing, while also providing direct benefits for authors, including discounts and waivers on article processing charges (APCs). But how sustainable are transformative deals in light of library materials budgets and workloads for personnel who negotiate these deals, manage the implementations, and support campus authors? And how can libraries evaluate the perceived value of these deals in relation to the specific needs of their institutional users?

A Boost Of Confidence: Improving Perinatal Bereavement Care, Kimberly Winn

Student Scholarly Projects

Practice Problem: Perinatal loss can have a profoundly distressing impact on families. Nurses play a crucial role in supporting care during this challenging period and must be confident in perinatal bereavement care.

PICOT: The PICOT question that guided this Doctor of Nursing Practice (DNP) Scholarly Project was, in inpatient hospital Maternal Child Health (MCH) nursing staff (P), does implementing a standardized perinatal bereavement care checklist (I), compared to current practice (C), improve nurse confidence in perinatal bereavement care as evidenced by the Perinatal Bereavement Care Confidence Scale (PBCCS) (O) in eight weeks (T)?

Evidence: Ten evidence-based articles were included in …

Beyond Words: Analyzing The Effectiveness Of Land Acknowledgements, Kendall A. Trevino

2025 Fall Honors Capstones Projects - Archive

Land Acknowledgements (LAs) have become common in recent years across cities, sports organizations, universities, and other institutions. However, many were created to avoid criticism rather than to pay genuine respect. Tribal members and both Indigenous and non-Indigenous scholars emphasize that LAs have specific criteria they must meet to be considered meaningful. These criteria include recognition of the past, promoting tribal sovereignty, emphasizing that Natives are still here, and a relationship is established with the tribes being acknowledged. LAs should promote tribal sovereignty and establish strong relationships with the communities they acknowledge. The research in this paper draws on academic articles, …

The Tax Rebate Trade-Off, Salvatore Ciucci

Fondazione Eni Enrico Mattei Working Papers

This study extends the theory of tax evasion by presenting a model of collaborative tax evasion between buyers and sellers. Buyers differ only in their level of tax morale, and tax evasion occurs when the seller fails to issue a receipt for the transaction. To counteract this, the government can disrupt the collusion between sellers and buyers by offering a tax rebate to buyers who request and retain the transaction receipt. The theoretical findings show that the tax rebate introduces a policy trade-off for the government between aggregate quantity and tax revenue. Furthermore, the marginal effect of the rebate on …

The Mediating Role Of Supply Chain Disruption Between Supply Chain Resilience Practice And Competitive Advantage Of Manufacturing Companies, Solomon Amsalu Gesese, Rajwinder Singh

International Journal of Applied Management and Technology

The global expansion of supply chain (SC) networks improves the overall performance of the SC and increases an organization’s susceptibility to disruptions within the chain. This study examines the mediating role of supply chain disruption (SCD) between supply chain resilience practice (SCRP) and competitive advantage (CA) of manufacturing companies in Ethiopia. We employed descriptive and explanatory research designs and analyzed the data collected from 347 participants using SEM methods. The findings show that SCRP significantly affects SCD and CA. Moreover, SCRP significantly influences CA, mediated by SCD. Building and maintaining SC resilience reduces disruptions and enhances competitiveness in the ever-changing …

Investigating The Impact Of Health Information Exchange On Hospital Performance: Evidence From The United States, C. Christopher Lee, Ruoqing Zhang

International Journal of Applied Management and Technology

This study examines the impact of health information exchange (HIE) participation on hospital performance in the United States, focusing on profitability, efficiency, and quality. Analyzing data from 3,294 hospitals over 3 years (2014–2016) and using multiple regression models, the results showed a positive association between HIE participation and improved performance. HIE membership is linked to increased profitability, enhanced efficiency, and certain quality enhancements, particularly in larger, metropolitan, for-profit hospitals. However, the relationship with quality outcomes is less conclusive. The comprehensive analysis considers various control variables, and the findings of this study offer valuable insights for hospital managers and policymakers and …

Golden Compass For Bears [Executive Summary], Jieun Lee

Division of Diversity, Equity and Inclusion

The project Golden Compass for Bears aims to offer professional development and advancement initiatives for women faculty of color, specifically foreign-born women faculty, and provide a safe space for sharing experiences and challenges with the meaningful professional networks.

Investigating The Effectiveness Of Technology On The Enhancement Of Independent Living Skills For Individuals With Intellectual Developmental Disabilities (Idd) In The Moka Smart Home., Kelsey Alexander, Jadyn Boogaard, Grace Mccartney, Madison Maziasz, Nicolette Werner

Masters Projects

This study explored the effectiveness of technology on the enhancement of independent living skills for individuals with intellectual developmental disabilities (IDD) in two MOKA smart homes. Using a quantitative research approach, the study examined how assistive technology can aid individuals with IDD to increase independence in their living skills. This research was conducted in two pilot residential homes, a men's home and a women's home. Three women and two men participated in the study. Data was collected through observation and client report utilizing the Routine Task Inventory Expanded version (RTI-E). RTI-E sections assessed for this study were the Physical (ADL), …