Digital Commons Network^™

Unraveling The Enigma Of Postablation Rhabdomyolysis: Diagnostic Dilemmas And Therapeutic Strategies, Alex Fernandez, Nicole Nudelman, Ann K. Valencia, Gustavo A. Hernandez, Nishka R. Jakkidi, Jeffrey Valencia Uribe, Brian G. Nudelman

Student Publications

Rhabdomyolysis is characterized by the breakdown of skeletal muscle tissue and the release of intracellular contents into the circulation, and it poses diagnostic challenges due to its heterogeneous presentation and potential for serious complications. We present a case of a 44-year-old male with a history of hypertension, anxiety, and persistent atrial fibrillation (AF) who developed rhabdomyolysis the morning after a scheduled catheter ablation. He presented with myalgias, muscle cramps, weakness, and brown-colored urine; laboratory studies revealed a creatine phosphokinase (CPK) of 23,757 U/L, hyponatremia, and mildly elevated transaminases despite a normal urinalysis. His CPK improved to below 5,000 U/L after …

Breaking The Silence - Moving Beyond Lecture Hall Echo Chambers In Nursing Education, Joshua Michael Kies, Elizabeth Faye Snyder, Cyndi Faudree

International Nursing Research Congress (INRC)

Nursing student silence in higher education undermines active learning and critical thinking development. This literature review examines participation barriers, engagement strategies, and approaches to fostering inclusive discussion environments. Research identifies multiple contributing factors: fear of negative evaluation, cultural differences in communication styles, insufficient content knowledge, and technological challenges in virtual settings. The Student Engagement in Digital Learning Framework reveals four key dimensions—emotional, behavioral, cognitive, and social—that interact to create barriers or facilitators to student voice. Evidence-based solutions include extending wait times to 10-15 seconds for cognitive processing, implementing culturally responsive pedagogies, providing multimodal participation formats, and scaffolding discussions to build …

Optimizing Research To Practice Translation Time Through The Mountain Model: A Delphi Study, Jayne Jennings Dunlap, Julee Waldrop, Staci Reynolds

International Nursing Research Congress (INRC)

Introduction: The Mountain Model (MM) is the first published framework to merge evidence-based practice and quality improvement (EBPQI) paradigms. The primary focus of the framework is to guide practitioners in healthcare and related settings with translating research for sustained practice improvements. The nurse-led MM is in use and being cited in the literature, however the efficacy of the MM is anecdotal and is not yet supported by empirical evidence for its validity.

Design: A Delphi study of currently practicing evidence-based practice (EBP) and quality improvement (QI) experts spanning eight patient-facing disciplines in healthcare was conducted in September and October 2025 …

Monitoring System In The Georeactor Area During The Underground Coal Gasification Process, Aleksandra Tokarz, Jacek Grabowski, Krzysztof Korczak

Journal of Sustainable Mining

Safety control of the underground coal gasification (UCG) process involves ensuring that the process runs smoothly, monitoring changes occurring on the surface and in the rock mass, and counteracting the negative environmental impact of the process. The article presents the application of a monitoring system implemented in Poland, both in pilot tests conducted in shallow coal seams at the Barbara Experimental Mine and in deep coal seams at the Wieczorek mine, where a full-scale gasification process was tested. The analysis of the monitoring results carried out during the gasification experiment in an operating mine allowed for the identification of key …

Neuroimmune Phenotyping As The Next Frontier In Chronic Pain Medicine For Musculoskeletal Back Pain, Samer G. Salman, Rohan A. Phadke, Adithya Nair, Rahul Kumar, Arbaz Momin, Alireza Tavakkoli, James Rizkalla

Department of Neurosurgery Posters

Background: Chronic low back pain encompasses heterogeneous mechanical, neuropathic, nociplastic, and myofascial presentations that may reflect distinct neuroimmune mechanisms. We synthesized evidence linking these phenotypes to measurable biological features and clinically relevant treatment strategies.

Methods: We conducted a structured literature search of MEDLINE, Scopus, Web of Science, and the Cochrane Central Register of Controlled Trials for studies published from January 2005 through January 2025. Systematic reviews, randomized controlled trials, and mechanistic studies addressing neuroinflammation, glial activation, central sensitization, biomarkers, or imaging were organized according to four clinically relevant pain phenotypes and translational readiness.

Results: Neuroimmune findings differed across axial mechanical, …

Ai-Enabled Nudging For Nursing-Led Prevention And Health Equity, Pattama S. Ulrich, Katherine M. Pallas, Michael Joseph Dino, Jean W. Davis

International Nursing Research Congress (INRC)

Health systems face escalating burdens from physical inactivity, poor nutrition, and related noncommunicable diseases (NCDs), which disproportionately affect socioeconomically and clinically susceptible populations [1], [2]. Concurrently, artificial intelligence (AI), digital health technologies, and wearable devices are increasingly shaping health decision making and behavior change interventions [3], [4]. Nudge theory, grounded in behavioral economics, offers a noncoercive approach to influencing behavior through choice architecture while preserving individual autonomy [5], [6]. As AI enables nudges to become more personalized and scalable, conceptual clarity is needed to guide ethical, nurse-led applications that advance prevention and health equity [7], [8].

This work conceptually examines …

From Himalayan Catastrophe To National Resilience: Lessons From The 2026 Bhote Koshi And Trishuli River Floods In Nepal, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

On the morning of 26 August 2026, the mountains above Nepal’s northern frontier delivered a disaster of almost unimaginable speed and scale. A massive mass of ice, rock, and sediment detached in the high Himalayan terrain near the Nepal–Tibet border, descended roughly 1,200 metres, interacted with the Lhende Khola system, and generated a debris-rich flood that surged through the Bhote Koshi and Trishuli river corridors, destroying settlements, markets, roads, bridges, hydropower facilities, and an international border crossing and transforming them into fields of mud, boulders, and wreckage within minutes (ICIMOD, 2026b; Reuters, 2026a). Satellite analysis indicates that a substantial section …

Fast Computation And Model Order Reduction Of The Friction Stir Welding Process With Pod-Deim, Joshua Kay, Zilong Song

Mathematics and Statistics Student Research and Class Projects

Friction stir welding (FSW) is a solid-state manufacturing process widely used in joining aluminum and other metal workpieces. The FSW process can be modeled by a coupled system of non-Newtonian Navier–Stokes and heat-transfer equations. However, solving this non-linear system with high accuracy requires significant computational power. This work refines the system by introducing corrected coefficients and new treatments for boundary conditions near the tool. Then, model order reduction, including the Proper Orthogonal Decomposition (POD) and Discrete Empirical Interpolation Method (DEIM), is applied to efficiently solve the FSW system in a low-dimensional space. To enhance accuracy and effectiveness, two novel treatments …

Simulasi Hidrolika Saluran Terbuka Berbasis Microsoft Excel Sebagai Sumber Belajar Pada Pendidikan Vokasi Teknik, Fahrur Rozi, Linda Winiasri, Ranatika Purwayudhaningsari, Siti Fatimah, Agus Triyono, Wiwid Suryono

Journal of Innovation and Teacher Professionalism

This study aims to model and analyze a Microsoft Excel-based open-channel hydraulics simulation as a contextual learning resource for technical vocational education. A quantitative modeling approach was employed using Manning’s formula with five flow-depth scenarios ranging from 0.70 to 0.90 m, while the channel bottom width of 0.60 m, Manning’s roughness coefficient of 0.01, and channel slope of 0.015 were kept constant. The simulation was used to calculate the wetted area, wetted perimeter, hydraulic radius, flow velocity, and discharge for each scenario. The results showed that increasing flow depth systematically changed the hydraulic characteristics, with discharge increasing from 1.819 to …

Satellite-Based Assessment Of Hydrologic Synchronization Across Western U.S. Basins: Implications For Water Security, Calef Alesse, Thomas Piechota, Josh Fuery, Landon Kauer, Venkataraman Lakshmi

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Study Region

Study Focus

New Hydrological Insights for the Region

Using Approximations Of Practice To Support Calculus Instructors’ Enactment Of Equitable Active Learning Teaching Practices, Kaitlyn Stephens Serbin, Karina Uhing

School of Mathematical & Statistical Sciences Faculty Publications

We implemented a semester-long professional development workshop series to help Calculus I and II instructors implement active learning and equitable teaching practices. The workshops actively engaged instructors in approximations of practice (Grossman et al., 2009) in which they learned to enact various teaching practices like designing tasks; eliciting, noticing, and responding to evidence of student thinking; orchestrating class discussions; fostering inclusive social norms; and equitably managing student participation. After they participated in the workshops, we interviewed the instructors about their decisions to implement the teaching practices from the approximations of practice in their teaching. We analyzed the instructors’ resources, orientations, …

A Collaborative Autoethnography Of Southeast Asian American Women Doctoral Students Navigating Tensions And Building Resolve In The Academy, Jacqueline Mac, Varaxy Yi, Vanessa Na, Latana Thaviseth

Journal of Southeast Asian American Education and Advancement

This critical race collaborative autoethnography explores the experiences of Southeast Asian American (SEAA) women in doctoral programs in higher education. Using a feminist refugee Asian critical approach, findings illuminate tensions that SEAA women encountered during their educational experiences and how these women built resolve. Findings include being seen amidst the invisibilization of SEAA identities, an insistence on the value of their SEAA research agendas, and navigating the unsettled emotions during academic displacement.

More Than A Call: Why The Martha Wright-Reed Act Falls Short In Reforming Prison Communication, Carrington Wilkes

Georgia Criminal Law Review

In response to widespread criticism of exploitative prison communication costs, Congress enacted the Martha Wright-Reed Just and Reasonable Communications Act of 2022 (the “Act”). This legislation tasked the Federal Communications Commission (“FCC”) with establishing fair rates for phone and video calls made by inmates in jails, prisons, and immigration detention centers. While the Act marks a critical step in reducing financial burdens on incarcerated individuals and their families, it does not cover other widely used communication methods, such as electronic messaging, emails, and tablet-based platforms. These newer services remain largely unregulated, enabling private companies to impose excessive fees due to …

Manipulation Leading To Criminalization: The Need To Expand Georgia’S Survivors First Act, Taylor Hoying

Georgia Criminal Law Review

Nicole was seventeen when she met Juan, and they began a romantic relationship. “He was gorgeous and he had charm. I just wanted someone in my life to show me attention . . . .” He suggested that she start seeing other dates for money and sent her out onto the streets. Seven months later, when Nicole was raped by a john, Juan beat her, pepper-sprayed her, and put her in a cold shower for three and a half hours. If Nicole had been told to see another john the next day and was arrested for prostitution, would the arrest …

Sit, Stay, Overturn: How New Canine Science Is Challenging Courtroom Convictions, Kerolls Gadelrab

Georgia Criminal Law Review

Courts increasingly rely on cadaver dog evidence in criminal trials, treating canine alerts as a reliable form of forensic evidence. This naive acceptance of cadaver dog evidence, coupled with courts’ continued application of out-dated admissibility standards, threatens to perpetuate wrongful convictions in an era of rapidly advancing scientific understanding. This Article argues that courts must develop a new framework for evaluating cadaver dog evidence that incorporates modern scientific research on ca-nine olfaction and scent detection capabilities. While scholars have extensively analyzed various forensic evidence standards post-Daubert, the literature has largely over-looked how recent scientific advances in understanding ca-nine olfaction should …

Officer-Created Jeopardy In Corrections: Rethinking Use-Of-Force Review After Barnes V. Felix, Dr. Hayden Smith

Georgia Criminal Law Review

Courts typically evaluate correctional uses of force by zooming in on the last seconds before impact, asking what an officer reasonably perceived at the “moment of threat.” That frame obscures a basic feature of jail and prison operations: officers’ pre-force tactical choices often create or sharply heighten the risks that force is later used to manage. Building on Barnes v. Felix’s rejection of a rigid moment-of-threat rule and the broader state-created-danger line, this Article argues that officer-created jeopardy should be treated as a central component of constitutional and institutional review in corrections. It shows how Barnes, read alongside DeShaney, Kingsley, …

Deepfakes, Deep Trouble: Navigating Legal Boundaries For Child Pornography Prosecution In The Age Of Ai, Alexandra Hoffman

Georgia Criminal Law Review

This Comment explores the evolving legal landscape of child pornography law as it pertains to “nudify” apps and other AI-generated content. It examines foundational cases in child pornography law that allowed child pornography materials to bypass First Amendment constraints, the “lascivious exhibition” standard, and recent precedents allowing courts to prosecute morphed images. This Comment analyzes the viability of prosecuting “nudify” images, arguing that a holistic approach focusing on the child’s overall harm is the best analytical framework rather than one that solely focuses on the sexual nature of the image. In doing so, it emphasizes that the identifiability of the …

Prevalence Of Tooth Loss Among Older Adults With Oral Frailty: A Systematic Review And Meta-Analysis, Wei-Chun Lin

Articles in Press

No abstract provided.

Association Between Root Caries And Gingival Recession Among Middle-Aged And Older Adults In Taiwan, Lin-Yang Chi

Articles in Press

No abstract provided.

Lessons Learned From An Experiential Learning Project In An “Exercise And Wellness For Special Populations” Course, Anita M. Gust

Educational Practices in Kinesiology

Experiential learning (EL) is a vital pedagogical approach in higher education and is an integral part of exercise science; however, research on its effectiveness within the discipline is limited. The purpose of this study was to 1) determine if an experiential learning project designed for an “Exercise and Wellness for Special Populations” course was effective for achieving the learner outcomes, and 2) to identify what additional lessons, beyond the course learning outcomes, were learned from the experiential learning project. In this retrospective study, students’ written reflections using the DEAL (Describe, Evaluate, Articulate Learning) model served as data. A content analysis …

Post-Covid Era Technological Needs Of Teachers For Enhanced Quality Education In Public Senior Secondary School In Ogun State, Kassim O. Ajayi Prof, Rachael O. Agbajeola Dr., Hairat K. Adedeji Mrs.

Academic Leadership Journal in Student Research

The global COVID-19 pandemic has sparked ongoing discussions on how to manage its impact on teaching and learning processes. As a result, the adoption of Information and Communication Technology (ICT) as an alternative to traditional in-person learning has become essential. This study aimed to assess the technological needs of teachers and administrators in the post-COVID era to enhance the quality of education in public senior secondary schools in Ogun State. Four research questions and three hypotheses were addressed using three research instruments, with the reliability of these instruments confirmed via the Cronbach Alpha method (TTPUNAS = 0.85, ATNAS = 0.81, …

Radicular Back And Abdominal Pain With Ileus, Rash, And Siadh In Lyme Neuroborreliosis, Joyce Y. Quon, Roberta Delvy, Kelly Goo, Maureen Haque, Sarita Soares, Donna M. Windish

Journal of Community Hospital Internal Medicine Perspectives

Lyme disease is the most common tick-borne disease in the United States. Lyme neuroborreliosis occurs when systemic infection leads to neurologic involvement. Neuroborreliosis presents with a wide spectrum of clinical manifestations but classically presents with facial nerve palsy. Here, we present a case with a rare constellation of symptoms including radicular back and abdominal pain, ileus, rash, and SIADH due to Lyme disease with suspected neuroborreliosis. This case highlights the importance of recognizing atypical presentations of Lyme disease, especially for patients in Lyme endemic areas.

When Broken Hearts Clot: Takotsubo Cardiomyopathy With Left Ventricular Thrombus, Ramez Alyacoub, Andy Veras Victoria

Journal of Community Hospital Internal Medicine Perspectives

Background: Takotsubo Syndrome (TTS) is a transient, stress-induced cardiomyopathy that mimics acute myocardial infarction in the absence of obstructive coronary artery disease. Although often self-limiting, TTS may lead to serious complications, including left ventricular (LV) thrombus formation.

Case Summary: A 73-year-old woman with a complex medical history was referred to the emergency department for an abnormal electrocardiogram. She reported transient dyspnea and indigestion but denied chest pain. Laboratory evaluation demonstrated elevated high-sensitivity troponin I and B-type natriuretic peptide. Electrocardiography showed new diffuse T-wave inversions. Coronary angiography revealed non-obstructive coronary artery disease. Transthoracic echocardiography demonstrated apical akinesis with a large LV …

Mpox Coinfection With Coxsackie B Virus In A Transgender Host With Well-Controlled Hiv, Ranel Thaker, Ayesha Khan, Tommy Ojukwu Perdomo, Leilah Tisheh,

Journal of Community Hospital Internal Medicine Perspectives

Background: Mpox (formerly monkeypox) is a double-stranded DNA virus with increasing global prevalence, particularly among men who have sex with men (MSM) and individuals living with HIV. Co-infections with other viruses such as HSV and Varicella have been reported, but no documented cases with Coxsackievirus exist to date.

Case: We report the first known case of co-infection with Mpox and Coxsackie B virus in a 30-year-old transgender female with well-controlled HIV. The patient presented with a diffuse painful rash, perianal lesions, rectal pain, and constitutional symptoms. Physical examination revealed characteristic vesiculopustular lesions of Mpox, and laboratory testing confirmed …

The High Cost Of Incomplete Physical Exams: Missed Diagnosis Of Cushing Syndrome In A Patient With Recurrent Hospital Admissions, Tarah M Burton, Miranda K Hunter, Mihail Zilbermint

Journal of Community Hospital Internal Medicine Perspectives

Cushing syndrome is a rare but life-threatening endocrine disorder associated with a classic constellation of physical exam findings (e.g. “moon facies”, abdominal striae, etc.). However, thorough biochemical testing is needed to confirm this diagnosis. We present the case of a 35-year-old male with multiple hospitalizations across a variety of healthcare institutions for heart failure, cellulitis, uncontrolled hypertension, and diabetes.  While an adrenal mass was eventually identified on imaging, classic signs of Cushing syndrome – including violaceous striae, truncal obesity, and facial plethora – were missed during prior admissions.  This case illustrates the diagnostic delay that can result from incomplete physical …

The Hospitalist’S Toolbox: Inpatient Management Of Hidradenitis Suppurativa, Mahaa Ayub, Angela Zaladonis, Sherry Yang

Journal of Community Hospital Internal Medicine Perspectives

Hidradenitis suppurativa (HS) is a chronic dermatologic condition characterized by painful inflammatory nodules, abscesses, and draining sinus tracts, predominantly affecting intertriginous regions and significantly impairing patients' quality of life. These lesions are prone to relapsing, with many patients experiencing painful recurring flares. HS patients frequently visit emergency departments during flares and often end up requiring hospitalization. This may be due to limited access to outpatient dermatologic care. Therefore, hospitalists must possess the knowledge and skills to effectively manage HS flares in the inpatient setting. Optimal management of HS involves a multimodal approach, including wound care, topical and systemic medications, and …

Gender Differences In Presentation And Outcomes Of Spontaneous Coronary Artery Dissection (Scad): A Single Center Case Series Study, Abdul Nadeem Akhtar, Fnu Aisha, Aimen Binte Moazzam, Mohammad Omer Rehman Rana, Abida Perveen, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

Background: Spontaneous Coronary Artery Dissection (SCAD) is an important non-atherosclerotic cause of acute coronary syndrome (ACS), predominantly affecting younger females. Despite increasing recognition, data on gender-based differences in SCAD presentation and outcomes remain limited, particularly in South Asian populations.

Methods: This retrospective case series included 24 patients diagnosed with SCAD at Abbas Institute of Medical Sciences (AIMS) between January 2022 and March 2025. Patient demographics, clinical presentation, angiographic findings, management strategies, and outcomes were analyzed with a focus on gender-based differences.

Results: Of the 24 patients, 17 were female (70.8%) and 7 were male (29.2%). Females were younger and had …

Context-Aware Semantic Method And System For Network-Connected Camera Notification Filtering, Josh Och, Andrew Axley

Defensive Publications Series

A system and method are provided for enhancing the operational intelligence of network-connected cameras through the establishment of camera-specific semantic context. A digital repository is associated with an individual monitoring device to store context metadata representing physical and logical relationships in the device's field of view. The context metadata can be defined via user input or automatically inferred using analytical models that identify historical activity patterns or process environmental feedback. When a monitoring event occurs, the associated context metadata is retrieved and integrated into an evaluation framework, such as an augmented prompt for a generative artificial intelligence model, to analyze …

Data Center Closed Loop Cooling And Water Generator, Daniel Schramm

Defensive Publications Series

Integrating closed-loop microchannel server cooling with an organic Rankine cycle (ORC) and an ambient atmospheric water harvesting (AWH) condensation stage creates a unified system. This architecture uses high-density server waste heat to drive thermodynamic cycles that simultaneously stabilize computing infrastructure and yield pure water as an environmental byproduct.

Studying Extreme Weather Event Impacts For Transit-Reliant Unhoused Populations, Costanza Rampini, Serena Alexander, Jeff Wootton, Amruta Ashish Gandhi

Mineta Transportation Institute

No abstract provided.