Digital Commons Network^™

Comparative Assessment Of Land Surface Temperature In Urbanized Areas Of The Saudi Arabia, Rauf Khan, Syed Ilyas, Ziaul Haq Doost

AUIQ Technical Engineering Science

Land Surface Temperature (LST) has become a critical urban climate concern due to rapid urbanization and land cover transformation in Saudi Arabian cities. This study aimed to analyze the spatial and temporal variability of LST in three climatically distinct cities encompassing Riyadh (hot desert), Dhahran (hot humid), and Abha (cold desert) over the summer months (May to September) from 2017 to 2021. LST was retrieved through the RSLab Landsat LST web application. A total of 80 samples per year were compiled for each city using a structured sampling approach, and results were aggregated using the RS-LST Aggregation Framework (RSLAF). The …

Surface Urban Heat Island Effects Analysis In The Most Populated City In Thailand: Towards Sustainable Urban Development, Abdul Maulud Khairul Nizam, Muhammad Noor, Zafar Iqbal

AUIQ Technical Engineering Science

The fast and unprecedented urban growth process may violate cities' responsibilities by causing an urban heat island (UHI) and increasing the public's risk of heat-related illnesses due to vegetative area reduction and urban area inclination. The Bangkok Metropolitan Area (BMA)'s variations in Land Use Land Cover (LULC), Land Surface Temperature (LST), UHI, and several geospatial indicators, as well as the daytime and nighttime LST, are the main subjects of the study. Between 2015 and 2021, the highest Daytime LST (DLST) rose consistently from 36.77°C to 38.14°C, then slightly decreased to 37.22°C in 2023. There is a general increase in the …

The Translucent Fortress, Owen Phillips, Robin Puttock

Symposium of Student Scholars

Domestic violence is a nationwide crisis affecting millions of women, with severity increasing since COVID-19. In Georgia, over a third of women report experiencing physical violence by an intimate partner, with rural victims facing even greater risks. They experience abuse more frequently, must travel farther for help, and are more likely to be turned away due to limited shelter capacity. Existing shelters often fall short due to poor design and security.

Several factors complicate the issue, including geographic isolation, religious and familial pressures to stay with an abuser, and financial barriers limiting transportation access. Addressing these challenges requires reimagining the …

Affirmative Action Ban And Fafsa Delay Impact On Multi-Marginalized Students, Prevailer Idowu, Debalina Maitra, Angelie Santos-Silvano

Symposium of Student Scholars

The FAFSA has introduced what was initially seen as a beneficial policy aimed at improving students' access to financial aid. However, the plan has backfired, making it increasingly difficult for students to file their FAFSA applications. At the same time, the Supreme Court's 2023 decision to ban Affirmative Action has removed race as a factor in college admissions, further complicating access to higher education for historically disadvantaged groups. This project investigates key questions related to these developments: “How do the removal of Affirmative Action and the challenges associated with FAFSA affect the experiences of multi-marginalized undergraduate students? In what ways …

Pathways To Possibilities, Melanie Nin, Robin Puttock

Symposium of Student Scholars

Pathways to Possibilities explores the importance of establishing a Montessori Pre-K through 8th grade school for a large population of children, highlighting the unique challenges they face in accessing an education that meets their fundamental needs. By incorporating Montessori design principles and learning theories, the proposed school aims to create an inclusive, supporting environment that fosters self-directed learning, creativity, and social engagement. It advocates expanding the Montessori model to a larger school that fosters an inclusive environment that supports diverse students’ needs

Reviving Humanity, Ana Gomez

Symposium of Student Scholars

The surge in female incarceration rates in the United States has heightened concerns about the mental health challenges faced by women within correctional facilities. This thesis research explores the intersection of women's incarceration, mental health, and sustainable architectural design aimed at improving outcomes for female inmates. Factors contributing to the increase in female incarceration rates, including changes in sentencing policies, socioeconomic disparities, and the criminalization of mental illness and substance abuse, are critically examined. Research indicates a disproportionately high prevalence of mental health disorders among female inmates, often rooted in past trauma, domestic violence, and systemic inequalities. These issues are …

Eos Wellness Center: Circadian Rhythm & Mental Health Facility Design, Emily Simms

Symposium of Student Scholars

The design of mental health facilities significantly impacts patient outcomes, especially for individuals with depression. Environmental factors such as lighting, thermal comfort, and access to nature influence mental health. This research explores how architectural design can reduce self-harm incidents and enhance recovery outcomes for patients with depression. The project hypothesizes that synchronizing light patterns and thermal comfort with patients' circadian rhythms will reduce self-harm incidents and improve recovery.

The problem established in the research is that disruptions to circadian rhythms increase the risk of depression, PTSD, and anxiety by 30% (Burns et al., 2022). Suicide is also the second leading …

Generative Ai In South African Healthcare: Navigating Challenges And Harnessing Opportunities For Industry And Research, Linda Paul, Ravinder Rena

Management Dynamics

This research seeks to evaluate how Generative Artificial Intelligence (GAI) can be used to disrupt and revolutionise the South African healthcare sector in addressing anomalies and utilising opportunities. This study employed a qualitative approach using secondary data analysis, drawing on policies formulated from the years 2015-2024, the study combines findings from published literature, institutional reports, and reputable databases to explore the potential opportunities, applications, and challenges of integrating generative artificial intelligence (AI) in South Africa's healthcare system. Thematic analysis and trend mapping were used to investigate GAI in diagnostics, drug discovery, personal medicine, data clerking, and medical training. The results …

Rooster, Taylor J. Templeton-Jager

HCA Healthcare Journal of Medicine

I painted this rooster during my first semester of graduate school while relaxing after a long day of research. It was my first time using oil paint and a palette knife. I kept it because it brings me joy and reminds me to try new things.

How To Write A Successful Research Manuscript: Back To Basics, Nayda Parisio Poldiak, Nancy Crossley

HCA Healthcare Journal of Medicine

Writing a research manuscript is a meticulous process necessary for effective communication of scientific findings. In this article, we cover the key concepts and steps involved in crafting a well-structured manuscript. Research manuscripts use a formal structure with discrete sections that facilitate data review and interpretation. The opening section is a structured abstract, which summarizes the entire manuscript in about 300 words and highlights the research problem, using the headings Background, Methods, Results, and Conclusion. The introduction provides context, states the research question and justifies its significance. The methods section details the study design, data collection, and analysis procedures. The …

From Molars To Bronchus; The Tale Of An Aspirated Dental Instrument, Yisroel Grabie, Sudeep Acharya, Fasih Sami Siddiqui, Gabriel A. Chavez Reyna, Michel Chalhoub

HCA Healthcare Journal of Medicine

Background

Aspiration of dental instruments is a rare event that carries potentially serious complications when it occurs, especially in older patients, where protective reflexes are diminished. Clinical management may be difficult because of the risk of granulation tissue and different retrieval strategies according to the object’s characteristics. In this report, we describe the case of an 84-year-old man who aspirated a dental bur during a routine dental procedure, necessitating immediate intervention. Timely and precise management was essential to avert severe complications.

Case Presentation

During a routine dental procedure, an 84-year-old man aspirated a bud-shaped cross-cut carbide dental bur. Despite initial …

Using Point-Of-Care Ultrasound For The Medical Management Of Marathoners And Spectators: A Case Series, Jacob D. Pope, Casey Wilson, Kelsey Daller, Jonathan Hardin, Steven Rickett

HCA Healthcare Journal of Medicine

Background

Temporary field hospitals play a crucial role in providing medical care to individuals who experience illnesses and injuries during mass gathering events. Handheld point-of-care ultrasound (POCUS) devices offer an affordable and portable adjunct for emergency care. We present multiple patients from a field hospital during a marathon event in which handheld POCUS devices changed clinical management.

Case Presentation

A 75-year-old man who had fallen was able to be discharged after a lung exam confirmed no rib fractures or pneumothorax. A hypotensive and hypoglycemic 21-year-old man had an echocardiogram confirming volume depletion. He received treatment, and a repeat exam demonstrated …

A Case Of A Massive Right Atrial Thrombus Removal Under Transesophageal Echocardiographic Guidance, Justin Phillips, Max Kabolowsky, Alex M. Hendon, Samantha Arzillo

HCA Healthcare Journal of Medicine

Background

With the advent of catheter guided interventions, practitioners have added another tool alongside chemical lysis and surgical removal to reduce the clot burden of patients with large emboli and thrombi. Due to comorbid conditions, many patients are poor candidates for surgical or chemical clot treatment but may present optimally for catheter-based thromboembolectomy. In this case, we highlight the benefits of mechanical thrombectomy with transesophageal echocardiographic guidance to reduce the clot burden of a patient who would otherwise be considered a poor candidate for surgical or chemical treatment.

Case Presentation

This case follows a 78-year-old man with a past medical …

Resolution Of Patient’S Anaphylaxis To The Moderna Covid-19 Vaccine By Desensitization, Stefan M. Pienkowski, Marek M. Pienkowski

HCA Healthcare Journal of Medicine

Introduction

Management of patients with rare anaphylaxis to COVID-19 vaccines creates a challenge. Desensitization to medications and vaccines has proven to be effective in managing anaphylactic reactions in selected individuals with a high benefit-to-risk ratio. A previous report described the successful administration of the Moderna modified messenger RNA (MmRNA) COVID-19 vaccine via a graded dose protocol to a patient with previous anaphylaxis to the MmRNA vaccine. Our report describes successful desensitization to the MmRNA vaccine followed by administration of the full dose MmRNA vaccine.

Case Presentation

A patient with a history of chronic allergies and anaphylaxis due to insect sting …

Guillain-Barré Syndrome Following Moderna Spikevax Messenger Rna Covid-19 Vaccine: A Case Analysis, Jamie Lee Aldakkour, Alvin Boyd Newman-Caro, Hector Gonzalez-Montalvo, Usama Bardan, Guruswamy Ramamurthy

HCA Healthcare Journal of Medicine

Background

Guillain-Barré Syndrome (GBS) is an acute autoimmune polyneuropathy. Cases of GBS have been reported following administration of the vaccines for swine influenza, seasonal influenza, hemagglutinin type 1 and neuraminidase type 1, and meningococcal disease. Despite these links, a causal relationship has not been confirmed.

Case Presentation

We present a case of a 70-year-old woman who presented with progressive bilateral ascending weakness and numbness and reported receiving the first dose of the Moderna COVID-19 vaccine 2 weeks prior to presentation.

Conclusion

At the time of writing, this is the first reported case of GBS following the Moderna Spikevax COVID-19 vaccine. …

Intracolonic Migration Of A Dislocated Acetabular Cup Prosthesis, Jack R. Lubka, Cyrus Tamboli, Philip Brunetti, Sarosh Tamboli, Alex Davis, Hamish Patel, Olugbenga Oyesanmi, Michael Strobbe, Shaival Thakore, Subhasis Misra, Jeffrey Mino

HCA Healthcare Journal of Medicine

Background

Acetabular cup migration is a rare complication of hip replacement surgery. If the acetabular socket of the ilium is weak, the prosthesis can erode or pass through it. There have been multiple reports of acetabular cup prosthesis migration to the colon, creating a coloarticular fistula between the hip joint and the cecum, sigmoid colon, or rectum. We report a rare presentation of a complete intracolonic migration of a prosthetic acetabular cup without creating a fistula.

Case Presentation

A 53-year-old female patient with a remote history of a total right hip replacement presented with abdominal pain and rectal bleeding. Computed …

A Rare Instance Of Streptococcus Agalactiae Pyomyoma In A Postmenopausal Patient: A Case Report, Mariah Piazza, Sai V. Nagula, Madeleine Salzberg, Darren Preuninger

HCA Healthcare Journal of Medicine

Background

Pyomyoma is a rare, but potentially fatal, complication of uterine leiomyoma. Most cases occur in postpartum or postmenopausal patients with vascular disease and arise due to infarction and infection of existing fibroids. The proposed diagnostic triad for pyomyoma includes 1) sepsis or bacteremia; 2) uterine leiomyomata; and 3) no other apparent source of infection. We present a case of a postmenopausal patient who presented with the aforementioned triad and was found to have a pyomyoma, positive for Streptococcus agalactiae.

Case Presentation

A 67-year-old woman with no known past medical history presented to the emergency department for altered mental …

An Examination Of Health Coaching As A Developing Profession, Katie Suleta, Jonathan M. Davis

HCA Healthcare Journal of Medicine

Background

Health coaching is a field that is growing in popularity. Health coaching is not regulated and there is no standard for background, education, or training for those acting as health coaches. The purpose of this study was to investigate the burgeoning field of health coaching: who is performing it and common practices.

Methods

A total of 560 health coaching websites were reviewed to record educational backgrounds, recommendations for supplements, and the sale of supplements and/or other wellness products. Multivariable logistic regression was used to test associations between characteristics of health coaches and whether they recommend supplements, sell supplements, or …

Combating Physician Burnout And Fostering Wellness In Graduate Medical Education For Resident Physicians, Abdulaziz Mheir, Zohare Khan, Franklin Hernandez, Alaa Mohamed, Chandan Mitra

HCA Healthcare Journal of Medicine

Background

Over the last 2 decades, there has been a cultural shift in the graduate medical education (GME) space, focusing on an important facet: physician burnout. Burnout is defined as a combination of emotional exhaustion, depersonalization, and a lack of personal accomplishment. With increasing awareness of physician burnout, various wellness initiatives have begun to be implemented throughout training programs, and their results have been measured for effectiveness in reducing burnout rates. Due to the increasing rates of burnout emerging throughout GME programs, an initiative to evaluate our internal medicine (IM) residency on this matter was discussed with all residents at …

Severity Of Sars-Cov-2 Illness In Patients With Type 1 And Type 2 Diabetes Mellitus, Anthony Shadiack, Alexis White, Prasad Munusamy, Jessica Oleske, Parisa Biazar, Serena Mitchell, Michael G. Flynn, Nayda Parisio Poldiak

HCA Healthcare Journal of Medicine

Background

Diabetes is a well-known risk factor for the severity of illness in patients with SARS-CoV-2 infection (COVID-19). However, there is less published data on illness severity differences between patients with type 1 (T1D) and type 2 (T2D) diabetes mellitus.

Methods

We performed a retrospective review of records of patients with COVID-19 (March 2020 - November 2020) extracted from a large, private hospital system database. Of the 76 467 patients with COVID-19, 54 007 (70.6%) did not have a diabetes diagnosis (NON), 22 084 (28.9%) had T2D, and 376 (0.49%) had T1D. We further subgrouped diabetic patients into groups with …

Portable Head Computed Tomography Protocol For Trauma, Christian Quinones, Alexander Bolufer, Cory Hewitt, Sagun Tuli

HCA Healthcare Journal of Medicine

The use of portable computed tomography (CT) scanners has been shown to reduce risks associated with intrahospital transport and to expedite imaging in critically ill patients. While their use is established in intensive care units, their utility on intraoperative trauma patients remains underexplored. This paper reviews existing literature on portable CT use, defines appropriate clinical indications, outlines contraindications, and identifies quality metrics and implementation challenges. It also presents a proposed protocol for integrating portable head CT imaging into trauma workflows, focusing on early identification of intracranial or spinal injuries in the operating room. The development and analysis of standardized protocols …

Opioid Epidemic In Maine: An Analysis Of Increasing Overdose-Related Deaths Following The Coronavirus, Aysel S. Hamlin

Thinking Matters Symposium

The rate of drug overdose resulting in death doubled in Maine following the COVID-19 pandemic from the onset of the COVID-19 pandemic in late 2019 through 2022. The correlation between increased isolation during the pandemic and overdose death rates sheds a concerning light on the insufficient resources for people struggling with Opioid Use Disorder (OUD) throughout Maine. The increasing trade and access to fentanyl following the pandemic accounted for the majority of drug-related deaths in Maine in 2021 and 2022. This study examines the need for long-term access to drug treatment in rural and urban Maine, both environments with varying …

Regenerative Voice Coil

Defensive Publications Series

In implementations of the disclosure, the elastic energy is recovered from a spring of a VCM. There may be a low mechanical damping and friction of the VCM design that reduces the energy waste while using the VCM regenerative mode as a magnetic damper. The recovered energy can be stored temporarily and used to drive the actuator again when needed (short term energy recovery and storage). An energy recovery circuit, such as a rectifier circuit, can be retrofitted to the existing VCM driver or integrated in a new VCM driver. The recovered energy can be sent back to the battery …

“Silence Is Golden:” Explaining The Silent Majority Based On Fatalism, Culture, And National Attachments, Ali Mashuri, Sukma Nurmala, Esti Zaduqisti

Psychological Research on Urban Society

Why do citizens tend to be silent about a country’s social, political, or economic problems? The silent majority refers to most members of society not support or engage in collective action to protest injustice. This study aimed to explain the silent majority’s psychosocial dynamics and fill the research gaps in the psychology literature that focuses on collective action and its determining factors. The study’s participants (N = 349), recruited using convenience sampling, were undergraduate and graduate students from several universities in Indonesia. In our study, the psychosocial characteristics of the silent majority included fatalism, cultural dimensions (i.e., power distance, …

Evaluation Of The Accuracy And Reliability Of 3d Cameras For Craniofacial Anthropometry Compared To Conventional Methods: A Systematic Review, Akanksha Chandiwala, Kanhoba Keluskar

Taiwanese Journal of Orthodontics

Objectives: To assess the reliability and accuracy of three-dimensional (3D) camera for Craniofacial Anthropometry in comparison with direct measuring methods. Materials and methods: A comprehensive search of the specialized databases Pubmed/ MEDLINE, Science Direct, Google Scholar, OpenGrey, and other institutional repositories was performed for including the studies which assess the reliability and accuracy of various 3D Cameras for Craniofacial Anthropometry in comparison with direct Anthropometric measurements. Quality assessment was carried out with JBI critical appraisal checklist for analytical cross sectional studies. Results: Seven studies evaluating the accuracy and reliability of 3D cameras were included in this study. Studies comparing 3D …

Investigation Of Factors Influencing Craniofacial And Dental Morphological Changes In Skeletal Class Iii Orthognathic Surgery With Machine Learning Approach: Literature Review, Muhammad Izzah Abdillah, Johnson Hsin-Chung Cheng, Daniel De-Shing Chen, Sam Li-Sheng Chen, Baharuddin M Ranggang, Ardiansyah S Pawinru

Taiwanese Journal of Orthodontics

Objective Orthognathic surgery is a transformative solution for skeletal Class III malocclusion. This review explores factors affecting skeletal, dental, and soft tissue changes in these patients and examines the integration of machine learning (ML) in treatment management to uncover patterns within large datasets. Materials and Methods Studies were selected from Google Scholar, PubMed, and ScienceDirect using keywords such as "(affecting factor OR predisposition) AND (skeletal class III OR skeletal class 3) AND (orthognathic surgery OR surgical orthodontics)," "Morphology changes in skeletal class III orthognathic surgery," "Machine learning in dentistry," and "Machine learning in orthodontics." Most reviewed articles were published in …

Timing Of Orthodontic Treatment (Part Ii), Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The best time for orthodontic treatment of a particular malocclusion is an often-debated topic. There is great disagreement in the literature with respect to the ideal treatment time for certain malocclusions that we shall discuss in this review. Much has been said about the timing and in recent years several studies have addressed this challenging problem. In this review we shall look at several common types of malocclusions and suggest the most appropriate time for their correction based on several important factors that we aim to discuss in the following. It is our experience that in some cases treatment is …

Predicting Healthcare Service Quality Based On A Kalman-Optimized Bi-Lstm-Inspired Deep Learning Model, Mohammed K. Al-Khafaji, Eman S. Al-Shamery

Karbala International Journal of Modern Science

Health is one of the most important aspects of human well-being, and access to high-quality healthcare is essential for a good quality of life. Providing top-level health services at all times is crucial. However, the research in healthcare poses significant challenges due to the diversity and variations of medical practices across different hospitals. This paper aims to tackle the challenge of data missing and scattering during data collection. Then, the quality of services (QoS) offered by healthcare facilities will be analyzed and predicted from the patient's perspective. The model begins preprocessing data by data cleaning, handling missing values, and scattering …

Hope Experience Essentials: The Next Generation Of Service Standards At Mayo Clinic, Jennifer Packard, Richard M. Elias, Thomas J. (Tripp) Welch, Karee A. Munson, Jonathan A. Leighton

Patient Experience Journal

Engaging employees in providing exemplary patient experience has been challenging for healthcare leaders in recent years given the pressures of the regulatory environment, increases in staff burnout and rising patient expectations. Amid these challenges, addressing patient experience remains a top priority for healthcare organizations. A novel intervention has been applied at Mayo Clinic with the goal of improving both employee engagement and patient experience. Previous efforts to teach service excellence involved customer service trainings, sometimes purchased through outside vendors. This new initiative is based on our organizational culture and values, input from our employees and patients, and considers the changing …

Cancer Partnerships Hub (Cph) Model: Implementing An Organizational Innovation To Enhance Engagement Of Patient-Partner In Cancer Care Services, Deborah Pascale, Sandie Oberoi, Charlotte Gélinas-Gagné, Pegah Torabi, Ludovic Tamaro, Karine Bilodeau

Patient Experience Journal

Patient partnership is rapidly becoming a cornerstone of effective care, with healthcare professionals recognizing the immense value of collaboration. This case study delves into the innovative Cancer Partnership Hub (CPH) model implemented at the Integrated University Health and Social Services Center of East Montreal Island (CIUSSS-EMTL) in Quebec, Canada. The CPH model exemplifies the integration of patients as active agents within the cancer program. The CPH Model is designed to offer comprehensive support and information services, providing a diverse array of resources crafted ``by and for'' people living with and beyond cancer (PLC). Rooted in the project's motto ``Engage. Share. …