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Novel Treatments For Adolescent Vaping Cessation: Are We There Yet?, Jasleen Kaur, Amanda Rossi, Sofia Adams, Mariginder Singh Varowal, Lakshit Jain, Mohsin Raza, Zouina Sarfraz

Journal of Community Hospital Internal Medicine Perspectives

E-cigarette use among adolescents is a growing public health concern, driven by discreet designs, appealing flavors, and social influences. Despite high addiction rates, most teen users express a desire to quit, though evidence-based cessation tools remain limited. Behavioral interventions, including tech-based programs like This Is Quitting and smokeSCREEN, show promise. Pharmacotherapy, particularly varenicline, may support quitting, though its role in adolescents is still under investigation. Pediatricians must address this issue through empathetic, multifaceted approaches that combine education, behavioral support, and emerging treatments to curb early nicotine dependence and its long-term health consequences.

Malabsorption Of Thyroid Hormone After Small Bowel Resection, Nathaniel Lin, Marilyn Temkin, Ella Rosenbloom, Alan Kaell

Journal of Community Hospital Internal Medicine Perspectives

Hypothyroid patients on stable long-term oral levothyroxine (T4) dosage are at risk of developing overt hypothyroidism after small bowel (SB) resection. This can happen despite equivalent peri-operative intravenous (IV) supplementation and resumption of preoperative oral T4 dosage when post-operative oral medication is tolerated. This situation is not specifically addressed in any of the major guidelines for T4 oral replacement in this setting and may be underrecognized, leading to diagnostic and management challenges.

Methotrexate Toxicity Management In Polymyalgia Rheumatica: A Case Report, Devi Meghana Kotharu, Sai Diksha Vutukuru, Prafullkumar Patel, Athmananda Nanjundappa, Sumanth Kumar Bandaru

Journal of Community Hospital Internal Medicine Perspectives

Methotrexate (MTX) is an anti-folate drug with anti-inflammatory and anti-proliferative properties. Low-dose methotrexate (10-25mg/week) is widely recognized as a safe and effective treatment for various autoimmune disorders. While toxicity from low dose methotrexate is uncommon it can lead to severe complications like pancytopenia. We present a case of a 68-year-old male with a history of steroid-resistant Polymyalgia Rheumatica on methotrexate (20 mg weekly) and prednisone. He presented to the emergency room with oral mucosal lesions and reduced oral intake. Upon evaluation, he was found to have pancytopenia and transaminitis, raising concern for methotrexate toxicity. Treatment included folinic acid rescue therapy …

Isolated Gastrointestinal Kaposi’S Sarcoma: A Case Report, Sandesh R. Parajuli, Maya Pillai, Bidisha Baral, Fikru Merechi, Anish Paudel

Journal of Community Hospital Internal Medicine Perspectives

Introduction Kaposi sarcoma (KS) is an AIDS-defining malignancy of the vascular endothelium. Gastric KS without skin lesions is rare. We present a case of a newly diagnosed HIV-positive male with gastric KS in the absence of dermatological involvement.

Case Description A 25-year-old male with no prior medical history presented with intermittent headaches, weakness, nausea, and abdominal fullness. Examination revealed temporal wasting, conjunctival pallor, and oral thrush. There were no skin manifestations. He was newly diagnosed with human immunodeficiency virus (HIV) (CD4/µL, viral load 276,000 copies/mL) complicated by cryptococcal meningitis and CMV colitis and had lesions suggestive of KS on esophagogastroduodenoscopy …

Concurrent Histoplasmosis & Blastomycosis In A Young Woman, Gizem Reyhanoglu, Mohsan Khan, Andrea Venturini

Journal of Community Hospital Internal Medicine Perspectives

Background:

Histoplasmosis capsulatum and Blastomyces dermatitidis are fungi that are uniquely distributed across the United States. Co-infection with both fungi remains uncommon. The literature review of coinfection was limited to three cases. Only two cases were recorded in humans. Infection can yield symptoms ranging from asymptomatic to life-threatening. On radiographic imaging, diffuse reticulonodular infiltrates with hilar or mediastinal lymphadenopathy can be seen. Management depends on the severity of the disease and the patient’s immune state.

Case Description:

A 35-year-old female with a medical history significant for HIV and substance use disorder presented to the hospital with severe lower abdominal pain, …

Thyrotoxicosis Triggering Takotsubo Cardiomyopathy And Acute Coronary Syndrome: A Case Of Severe Cardiovascular Manifestations In Hyperthyroidism, Raiyan Ali, Nathaniel Lin, Taha Siddiqui, Mohit Sharma

Journal of Community Hospital Internal Medicine Perspectives

Hyperthyroidism can lead to serious cardiovascular complications, including arrhythmias, high-output heart failure, and myocardial ischemia. Thyrotoxicosis, a hypermetabolic emergency, may mimic or exacerbate acute coronary syndrome (ACS) and, though rare, has been associated with takotsubo cardiomyopathy. We present a case of a 54-year-old thyrotoxic female without significant cardiovascular history who presented with atypical chest pain complicated by both takotsubo cardiomyopathy and myocardial infarction. This case not only emphasizes the diagnostic challenge posed by thyroid-induced cardiac dysfunctions but also highlights the importance of multidisciplinary management in these patients.

Fecaloma In Chronic Opioid-Induced Constipation: A Fatal Case Of Stercoral Colitis, Claudia Georges, Simardeep Singh, Eskandar Alex Yazajiadepartment Of Medicine, Medstar Health Georgetown University (Baltimore) Program, Baltimore, Md, Usa

Journal of Community Hospital Internal Medicine Perspectives

Stercoral colitis (SC) is a rare and potentially lethal condition characterized by severe colonic inflammation resulting from fecal impaction. This disorder is more prevalent among the elderly and vulnerable groups, especially those on chronic opioids. Our case study involves a 56-year-old male with a history of chronic opioid use who faced an acute colonic obstruction due to longstanding constipation. Despite receiving surgical treatment, the patient dies from ischemic bowel complications and multiorgan failure. The case accentuates the complexities of diagnosing and treating stercoral colitis, highlighting the critical need for early identification and proactive therapeutic intervention to prevent fatal outcomes.

Investigation Of The Optimal Length Of Discharge Summaries In Care Transitions: A Cross-Sectional Study, Taku Harada, Shintaro Kosaka, Aki Morishima, Seitaro Iguchi

Journal of Community Hospital Internal Medicine Perspectives

Introduction

Discharge summaries are essential documents that support continuity of care during patient transitions between inpatient and outpatient settings. They help ensure that crucial clinical information is conveyed accurately and completely. However, while their clinical significance is well established, there is little consensus on the optimal format, particularly in terms of length and structural clarity. Excessively brief summaries may omit key details, while overly lengthy ones can hinder efficient information transfer. Despite varied suggestions in the literature—ranging from half a page to four pages—empirical data on physician preferences are limited.

Methods

We conducted a cross-sectional, web-based survey among physicians who …

Fluid Resuscitation Choice And Its Effect On Plasma Chloride And Acute Kidney Injury In Severe Acute Pancreatitis: A Randomized Study Of Normal Saline Vs. Balanced Crystalloids (Physiomax), Mandip Singh Bhatia, Ritu Attri, Ashok Kumar Pannu, Atul Saroch, Saurabh C Sharda, Neeraj Singla, Sakshi Mehta

Journal of Community Hospital Internal Medicine Perspectives

Background: Acute pancreatitis (AP) is a potentially fatal gastrointestinal condition, often associated with organ failure and acute kidney injury (AKI). Early fluid resuscitation with Normal saline (NS) may lead to hyperchloremia and AKI, which prompted interest in using balanced crystalloids. However, the optimal choice of crystalloid fluid remains uncertain. This study aimed to compare the effects of NS versus Physiomax on plasma chloride levels and AKI incidence during early resuscitation in patients with predicted severe AP (pSAP).

Methods: A single-center, prospective, randomized study was conducted between November 2022 and December 2023 at PGIMER, Chandigarh, India. 112 patients with pSAP were …

Reassessing D-Dimer Cut-Offs For Pulmonary Embolism: A Path Toward Safer And More Cost-Effective Diagnosis, Amer Abu-Shanab, Montaser Alrjoob, Zain Albdour, Alaa Alkhatib, Apurva Ketkar, Ahmad Al-Alwan, Charmee Vyas, Husam Bader, Sohini Sarkar, Doantrang Du

Journal of Community Hospital Internal Medicine Perspectives

Background

Pulmonary embolism (PE) is a life-threatening condition requiring early and accurate diagnosis. The Wells and Geneva scores, along with D-dimer testing, are key tools in assessment. However, the standard D-dimer cut-off of 0.5 mg/mL, while highly sensitive, has low specificity, leading to excessive imaging. This study examines whether modifying the D-dimer threshold can improve diagnostic efficiency and reduce unnecessary testing.

Methodology

This retrospective study analyzed 878 patients who underwent computed tomography pulmonary angiography (CTPA) at Monmouth Medical Center from January 2022 to December 2023. Statistical analysis, including ROC curve assessment, was conducted using IBM SPSS, with significance set …

Role Of Addiction Medicine Consultation Service In A Community Hospital: Evaluation Of The Novel Service, Srikrishna Varun Malayala, Wesley Cervantes Perez, Rukshar Thapa, Archie Madan, Kushagar Singla, Pragyat Singh, Pelash Kumar, Akshay Thaper

Journal of Community Hospital Internal Medicine Perspectives

Objectives: Fewer than 2,500 physicians nationwide are certified in addiction medicine. Inpatient addiction hospitalist services have been shown to improve patient outcomes, but their capabilities and impact are underexplored in community hospitals. This study evaluates the role of an addiction medicine hospitalist service in enhancing patient outcomes in two community-based hospitals.

Methods: A retrospective chart review was conducted on patients who received care from addiction medicine service in two hospitals. The data were collected within the first 120 days of the establishment of service. The reason for consultation, substances used, types of management, impact on transition of care, readmissions and …

The Impact Of Covid-19 On Alcohol-Related Morbidity And Mortality: A Multicenter Study, Abhinav K. Rao, Erica Paulos, Nancy Crossley, Don C. Rockey

Journal of Community Hospital Internal Medicine Perspectives

Background:

During the COVID-19 pandemic, there was a rise in alcohol (ethanol) use nationwide. In this study, we investigated the effect of COVID-19 on alcohol-related hospital outcomes.

Methods:

Deidentified claims data spanning 2018 through 2022 from HCA’s Enterprise Data Warehouse (South Atlantic Division) were examined. The population included adults aged > 18 years who had an encounter at an HCA facility and a diagnosis of alcohol use disorder or alcohol-related illnesses. Two time frames were evaluated: 2018-2019 (pre- COVID-19) and 2021-2022 (COVID-19). Statistical analyses were performed to evaluate LOS, home discharge, and mortality.

Results:

Of the 72,575 patients (26,678 during the …

Practical Pre-Rotation Resources Enhance Knowledge And Attitude Towards Discharge Planning For Medical Students, Ho-Man Yeung

Journal of Community Hospital Internal Medicine Perspectives

Interdisciplinary discharge planning is known to be a difficult subject for medical students to comprehend given its convoluted nature. There is no standardized curriculum for students and there is a large variety between every inpatient rotations. Internal Medicine in particular sees variety of patients with unique psychosocial challenges. We previously proposed tools that are simple and specifically designed for learners and students including pyramid of discharge needs and disposition flow chart. Our current work examines the efficacy of using these resources by fourth year medical students during their subinternship rotation. Between May and September 2023, 54 students completed the rotation. …

Educational Development For New Gme Programs At Community Hospitals: Process, Outcomes And Recommendations, Ebun O. Ebunlomo, Christine Ford, Kamilla Guinn, Lauren Irwin

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Changes in the U.S. healthcare system have led to graduate medical education (GME) programs expanding beyond academic medical centers to community hospitals. Direct-care physicians at these hospitals are now responsible for supervising trainees, requiring them to develop new skills in education. This article describes how our educational development office collaborated with community hospital GME program directors to pilot faculty development programming to integrate community hospital physicians into trainee education.

Methods: We met with program directors for two GME community programs, reviewed topics that would be most helpful to clinicians who are unfamiliar with education, and organized workshops …

Optical Signature As A Modern Means Of Judicial Evidence A Comparative Study, Fadia Mohamed Ismail

Imam Ja'afar Al-Sadiq University Journal of Legal Studies

In light of the development taking place in information technology, the patterns of contracts began to shift from the physical (traditional) pattern to the technological (immaterial) pattern, which is carried out through the Internet and is called electronic contracts. These contracts include optical signature, which is a prerequisite for their validity and enforcement. In the light of electronic commerce, if disputes arise related to these electronic contracts, the signature has an important role in proving and resolving these disputes before the courts. Also, the biggest problem facing the litigants to establish disputes that take place over the Internet is information …

Civil Confrontation Of The Phenomenon Of Building On Agricultural Land For Residential Purposes, Mahmoud Adel Mahmoud

Imam Ja'afar Al-Sadiq University Journal of Legal Studies

The growing population is making city centers housing inadequate for residents, leading to urban spread that takes away green areas. This situation creates problems, mainly an imbalance in the urban environment and a risk to agricultural land, which is essential for food security. In Iraq, lawmakers have established ways to protect agricultural land from development. Still, poor enforcement of these laws has worsened these issues, resulting in the loss of green spaces with each new residential expansion. From this view, our study's issue has come up, focusing on whether the rules made by the Iraqi legislator are good enough to …

"Elements Don’T Mix!": Unearthing Racial Scripts And A Rhetorical Economy Of Whiteness In Disney And Pixar's Elemental, Linsay M. Cramer, Gabriel A. Cruz

Communication, Media, and Culture

Using a narrative rhetorical approach, we map how Disney and Pixar’s 2023 film, Elemental, sustains a rhetorical economy of whiteness, as theorized by Asen and Kelly, which emphasizes the degree to which rhetorical constructions of racial difference are foundational to whiteness and economic systems. We identify and critique how Elemental discursively contributes to a system of exclusivity for those within the bounds of whiteness concerning economic mobility via racial scripts. Created and produced during Joe Biden’s United States (U.S.) presidential term (2021–2025), Elemental offers a metaphorical tale that engages the fractious, politically conservative anxieties concerning diversity, equity, and inclusion (DEI) …

2025 September 12 - Finance And Administration Committee Agenda And Minutes, Board Of Trustees, East Tennessee State University

Board of Trustees Agendas and Minutes

No abstract provided.

Brian Gegel '94 To Receive Alumni Nursing Award, Chris Francis

News and Events (Discontinued Series)

No abstract provided.

New Fiber And Graph Combinations Of Convex Bodies, Steven Hoehner, Sudan Xing

Mathematical Sciences Faculty Publications and Presentations

Three new combinations of convex bodies are introduced and studied: the fiber, chord, and graph combinations. These combinations are defined in terms of the fibers and graphs of pairs of convex bodies, and each operation generalizes the classical Steiner symmetral, albeit in different ways. For the fiber and chord combinations, we derive Brunn-Minkowski-type inequalities and the corresponding Minkowski's first inequalities. We also prove that the general affine surface areas are concave (respectively, convex) with respect to the graph sum, thereby generalizing fundamental results of Ye (Indiana Univ. Math. J. 14 (2014), 1-19) on the monotonicity of the general affine surface …

Observations On Predation Of The Flatback Turtle Natator Depressus By The Saltwater Crocodile Crocodylus Porosus At A Major Rookery In Northern Australia, Casper Avenant, James Gee

Research outputs 2022 to 2026

Context: We examined predation by the saltwater crocodile (Crocodylus porosus) on the flatback turtle (Natator depressus), an Australian endemic, at Cape Domett, a significant nesting site in Cambridge Gulf, northern Australia, where crocodile populations have recovered since legislative protection was implemented in the 1970s. Aims: The investigation aimed to document crocodile predation on flatback turtles across hatchling and adult life stages, assess predation strategies, and evaluate ecological impacts on this genetically distinct turtle stock. Methods: Conducted over three Austral winters (2021–2023), the study utilised infrared videography, unmanned aerial vehicles, and beach patrols to observe predation events in a population of …

Thermo-Driven Structural And Optical Variations For The Improved Bidirectional Photodetection Of Ag2o@ Cdte Thin Films, Ahmed M. Nawar, Ahmed Ramzy, Shehab E. Ali, A. A.M. Farag, Ahmed M. El-Mahalawy

Nanotechnology Research Centre

Bidirectional photodetection is an emerging functionality in advanced optoelectronic systems, characterized by the ability of a photodetector to respond to the incident light under both forward and reverse biasing voltage. For this aim, a layer of silver oxide (Ag2O) is deposited on CdTe thin films, and then, directly, the fabricated Ag2O@CdTe samples on quartz and n-Si substrates are thermally annealed (from 100 to 400◦C). In general, the surface topography is driven by the post-annealing process; besides that, the crystallinity of Ag2O@CdTe samples is improved at 200◦C. The optical characteristics of transmittance and reflectance spectrophotometric measurements at normal incidence revealed a …

September 12, 2025 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Cover And Contents

Turkish Journal of Mathematics

No abstract provided.

Improved Berezin Radius Inequalities For Functional Hilbert Space Operators, Mojtaba Bakherad, Ulaş Yamanci, Mohammad W. Alomari

Turkish Journal of Mathematics

The Berezin number of an operator S is defined by ber(S) = sup_λ∈Θ |Ŝ(λ)| = sup_λ∈Θ |⟨Sĸ̂_λ, ĸ̂_λ⟩|, where Ŝ(λ) = ⟨Sĸ̂_λ, ĸ̂_λ⟩ (λ ∈ Θ) is the Berezin transform of an operator S on the functional Hilbert space ℋ = ℋ(Θ) and ĸ̂_λ = ĸ_λ / ‖ĸ_λ‖ is the normalized reproducing kernel of ℋ. In this paper, we show an improvement of the classical Cauchy–Schwarz inequality involving the Berezin number. Moreover, some Berezin numbers inequalities are proven for invertible operators.

On Multiplicative Order Convergence And Multiplicative Order Continuous Operators, Hüma Gürkök, Bahri̇ Turan

Turkish Journal of Mathematics

Let A and B be two f-algebras. This paper establishes the theoretical framework for multiplicative order convergence, clarifying its definition, properties, and relations to other convergence types. This includes a detailed discussion on the conditions under which multiplicative order convergence and order convergence, as well as unbounded order convergence, mutually imply each other. We establish an extension theorem for multiplicative order continuous operators, similar to Veksler’s theorem for order continuous operators. As a result of this theorem, we derive the order structure of the space of multiplicative order continuous operators. We show that the space L_mo(A, …

The Action Of The Superposition Operator On Weighted Banach Sequence Spaces LP,Σ, Nermin Okičić, Fehim Dedagić

Turkish Journal of Mathematics

We consider a nonlinear superposition operator on weighted Banach spaces l_p,σ, where σ is the weighted function with the property that (∀n ∈ ℕ) σ(n) ≥ 1. We present the necessary and sufficient conditions for the action of the superposition operator from l_p,σ to l_q,τ, 1 ≤ p, q ≤ ∞, as well as the L-characteristic of the action of the considered operator.

Nonoscillatory Solutions Of Third-Order Nonlinear Dynamic Equations: Existence And Nonexistence, Özkan Öztürk, Elvan Akin, Nesli̇han Nesli̇ye Pelen

Turkish Journal of Mathematics

This paper investigates a third-order nonlinear dynamic equation on arbitrary time scales, a nonempty closed subset of the real numbers, unifying continuous and discrete analyses. We study the qualitative behavior of nonoscillatory solutions and their quasi-derivatives, focusing on their limiting behaviors. The existence of such solutions are established using improper integral criteria and Schauder’s and Knaster’s fixed point theorems. In addition, we establish the criteria for the nonexistence of nonoscillatory solutions. Furthermore, we prove the existence of Kneser-type solutions of the corresponding linear dynamic equation on isolated time scales, addressing an open problem in the literature. Several examples of theoretical …

Majorization Properties For Analytic Functions With Positive Real Part, Oya Mert

Turkish Journal of Mathematics

The majorization feature is important when investigating analytical functions’ geometric properties. The present work focuses on the majorization property for a general Ma-Minda type function class S^*_φ(γ, λ) of starlike functions of complex order, which is described with the Ruscheweyh differential operator. In the context of the main theorem, consequences are presented for various special functions φ having a positive real part. Furthermore, the Ruscheweyh differential operator extends a representation formula and investigates an upper-bound formula. Examples of upper bounds for analytic functions are also presented.

Structural Stability For Damped Nonlinear Wave Equations, Sevda Isayeva, Varga Kalantarov

Turkish Journal of Mathematics

We study the problem of continuous dependence on parameters for solutions to initial-boundary value problems for nonlinear strongly damped wave equations. Specifically, we consider three classes of equations: a strongly damped wave equation with a nonlinear damping term; a strongly damped wave equation incorporating both a nonlinear damping term and a nonlinear source term; and a strongly damped wave equation with a nonlinear source term and a linear weak damping term. For each class, we establish structural stability results, showing that the solutions depend continuously on the relevant parameters.