Digital Commons Network^™

Trophic Niche Of North American Great Horned Owls, Lee A. Cromrich, Denver W. Holt, Shawne M. Leasure

Journal of Raptor Research

No abstract provided.

Dispersing Vulture Roosts On Communication Towers, Michael L. Avery, John S. Humphrey, Eric A. Tillman, Kimberly O. Phares, Jane E. Hatcher

Journal of Raptor Research

No abstract provided.

Survival Of Florida Burrowing Owls Along An Urban-Development Gradient, Brian A. Millsap

Journal of Raptor Research

No abstract provided.

Editor's Page : Working Toward Excellence, James G. Bednarz

Journal of Raptor Research

No abstract provided.

Perfectionism And Stress During Student-Teaching: Managing Uncertainty With Overcompensation, Peter V. Oliver

Journal of Educational Research and Practice

Student teachers who are unclear about their performance expectations may be driven toward perfectionism. This possibility is discussed as an over-compensation strategy to manage uncertainty and a perceived lack of clarity regarding student teachers’ roles in the classroom. In this case study, I examined perfectionism and stress among six female student teachers enrolled in senior-year student teaching at a small private New England university. I conducted interviews regarding perfectionism, stress, and the coping strategies student teachers used to manage the stress of teaching. Response themes are identified, and strategies to manage perfectionism and stress-related behaviors for student teachers are provided. …

Peer Observation To Improve Teacher Self-Efficacy, Bethany R. Mather, Jeremy D. Visone

Journal of Educational Research and Practice

This qualitative descriptive study explored teachers’ perceptions of a peer observation structure, collegial visits (CVs), and CVs’ connection to teacher self-efficacy (TSE). The research question was: How do teachers perceive CVs, particularly with respect to their influence on TSE? Semi-structured interviews and a focus group were utilized to collect data from 13 K–12 educators from urban and suburban public school districts in the United States. The theoretical foundation included Bandura’s social cognitive theory and the triadic reciprocal causation model. Thematic analysis was used to analyze the data, and four themes emerged: (1) cultural drivers and effects of CVs; (2) impact …

A Comparative Analysis Of The Origin And Formation Between Chinese Characters And English Alphabets, Xuan Song

Chinese Language Teaching Methodology and Technology

This research is based on the framework of social constructivism, utilizing the principle of Human Universals as a methodology to compare the similarities and differences between the ideation and formation methods of Chinese characters and English alphabets. Through comparative analysis of the ideation of English letters (pictogramme) and the origin of Chinese characters, known as the "Six Categories Theory," we discover their alignment in terms of social, traditional, and cultural aspects. This suggests that different ethnic groups share common features in terms of life experience, learning cognitive development, and thinking habits. This study also finds that the origins of English …

Task-Based Language Teaching In The Chinese Classroom, Jing Gao

Chinese Language Teaching Methodology and Technology

This article discusses Task-based Language Teaching (TBLT) implemented in the Chinese classroom. TBLT involves a three-phase pedagogical sequence, including pre-task, on-task, and post-task. Different task-based learning activities are designed to promote learners’ language acquisition through the performance of tasks. Learners are engaged in interactive and collaborative communication to accomplish meaningful and relevant real life tasks. This article explores the application of one TBLT unit in Chinese for learners’ language development in terms of both fluency and accuracy.

Sports-Related Concussion Management And Guideline Awareness In The Primary Care Setting, Stephanie K. Eble, Oleksandra Pashchenko, William Patterson, Christina T. Holt, William Dexter, Kristine Karlson

Journal of Maine Medical Center

No abstract provided.

Use Of Syringe Service Programs In Rural Vs Urban Maine: A Harm-Reduction Study, Lisa W. Miller, Kim Murray, Emma Daybranch, Kinna Thakarar

Journal of Maine Medical Center

Introduction: Syringe service programs (SSPs) reduce HIV and viral hepatitis transmission, as well as the prevalence of improperly disposed needles and needle stick injuries among first responders. Infections associated with injection drug use are rising in rural areas, including Maine, leading to concerns that SSP services are difficult to access for rural residents.

Methods: A cross-sectional survey of 101 participants hospitalized with infections associated with injection drug use at 4 hospitals in Maine was collected over a 15-month period. Descriptive analyses were performed. Statistical analyses were completed using Fisher’s exact tests, Pearson’s chi-squared tests, and Student’s t tests.

Results: Of …

Meeting Minutes, Wku Staff Council

Staff Council

Minutes of January 2024 meeting.

Barriers To Care For Children With Cerebral Palsy In The Rural State Of Maine: A Mixed-Methods Study, Rayne L. Whitten, Anya K. Cutler, Alexa K. Craig

Journal of Maine Medical Center

Introduction: Guidelines on orthopedic hip surveillance in children with cerebral palsy have been published to minimize the effects of cerebral palsy and maximize quality of life. Researchers aimed to identify barriers to cerebral palsy care and to assess adherence to national hip-surveillance guidelines among a small subset of children with cerebral palsy who live in a rural state.

Methods: Parents of children with cerebral palsy were interviewed, and thematic analyses were performed on the recorded transcripts. Patient-specific data about imaging and demographics were manually extracted from the electronic health record to perform a mixed-methods analysis.

Results: Twenty-one parents were interviewed, …

Victor A. Mckusick, Md And The Osler Medical Service – Firm System Threads Between Baltimore And Maine: The 15th Annual Mckusick Lecture, Scot C. Remick

Journal of Maine Medical Center

No abstract provided.

The Epidemic Of Gun Violence And The Role Of Health Care Professionals, Daniel Meyer, Kurt Granhke

Journal of Maine Medical Center

No abstract provided.

Results Of A Needs Assessment: Use Of Sexual Orientation And Gender Identity Data In Health Systems In Maine, Lucy Soule, Melissa Fairfield, Sivana Barron, Natalie Kuhn, Brandy Brown

Journal of Maine Medical Center

Introduction: Lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) patients experience significantly more health care disparities than non-LGBTQ+ patients. Although sexual orientation and gender identity data (SOGI) would help quantify and track these known disparities, there are no standardized methods for routinely and consistently including SOGI into health care management in Maine. Our needs assessment (1) evaluates the comfort of health care professionals (HCPs) in collecting SOGI and incorporating it into the medical record and (2) identifies barriers to SOGI collection.

Methods: An interprofessional team conducted a survey of Maine HCPs who identified as working directly with patients or patient …

E-Commerce And The Digital Economy: The Place Of Nigerian Libraries, Rebecca Chidimma Ojobor Dr., Scholastica C. Ukwoma Dr., Victoria N. Okafor Prof.

Library Philosophy and Practice (e-journal)

Abstract

The paper takes a literature-based approach to examine the state of academic libraries in Nigeria in the implementation of e-commerce in the digital economy with the goal of identifying the barriers to e-commerce practices and proffering recommendations for better e-commerce applications in Nigerian libraries. E-commerce is becoming a fundamental mode of exchange as a result of the development of information and communication technologies (ICT), and is providing the digital economy with many exciting opportunities. The efficiency and productivity of many organizations, including the library, could be increased through e-commerce. It gives the library an outstanding opportunity to lessen the …

A Life-Threatening Emergency Exacerbated By Untreated Mental Illness In A Low-Barrier Health Center, Brendan J. Prast, Byron Marshall

Journal of Maine Medical Center

Introduction: We report on a patient with untreated severe mental illness who presented with a life-threatening emergency: retained products of conception and hemorrhage.

Clinical Findings: A female patient experiencing homelessness developed life-threatening hemorrhage. Her mental illness impaired effective communication and treatment.

Clinical Course: The patient presented with fatigue, vaginal bleeding, and known retained products of conception. Her active mental illness complicated the situation as it limited effective communication and treatment due to delusions. She requested only treatment for an infectious cause of her symptoms. She refused most interventions and had a self-directed discharge from the hospital. Throughout this process, we …

Association Of Depression With Myocardial Infarction With Non-Obstructive Coronary Arteries: A Systematic Review, Sarim Rashid, Khawaja Usama Maqbool, Umer Hassan, Subhan Ahmed, Hamayle Saeed, Fnu Avanteeka, Syed Muhammad Jawad Zaidi, Jahanzeb Malik, Amin Mehmoodi

Journal of Community Hospital Internal Medicine Perspectives

This systematic review examined the association between depression and myocardial infarction with non-obstructive coronary arteries (MINOCA). A comprehensive literature search was conducted using electronic databases, resulting in the inclusion of six small case-control and cohort studies reported from Spain, Australia, China, and Pakistan. The studies included various study designs, such as cohort studies, case-control studies, and prospective cohort studies. The results of the systematic review indicate a significant association between depression and MINOCA. Several studies reported a higher prevalence of depression among MINOCA patients compared to those with obstructive coronary artery disease. Additionally, depression was found to be associated with …

Bronchoscopy-Guided Cryotherapy For Airway Obstruction From Bronchial Cast, Michelle M. Ojard, Siva Naga S. , Yarrarapu, Pramod K. Guru, Lauren K. Ng Tucker, Devang K. Sanghavi

Journal of Community Hospital Internal Medicine Perspectives

The application of cryotherapy in the extraction of airway blood clots has gained increased precedence over Fogarty catheter and biopsy forceps. The cryoprobe, passed through a flexible bronchoscope, adheres and aids in the removal of foreign body through cryoadhesion within minutes. Besides blood clots, this method was found to be extremely efficient in removing different kinds of foreign bodies including food particles like peanuts, pills, and inspissated mucus.

Pilot Study On Safe Score - A Novel Quantitative Metric For Evaluation Of Patient Well-Being In Crawfurd Hospital Transitional Care Facility (Cfh Tcf), Lee Jian Wei Desmond, Kweh Ren Hao Clement, Chan Teck Tsin Kevin, Sng Zixiong Ben, Chong Cher Cheong Wilson

Journal of Community Hospital Internal Medicine Perspectives

Crawfurd Hospital (CFH) set up a Transitional Care Facility (TCF) in November 2022 as an interim holding facility for medically stable patients awaiting a long-term discharge disposition. The team invented the SAFE score, to monitor 4 main domains commonly impacted in long-term stays – namely Skin, Action (Behaviour), Function and Emotion. A sample size of 50 patients met the inclusion criteria and were scored by the nurses on day 7, day 14, and monthly thereafter during their TCF stay, and once more within 72 hours prior to their discharge. There was no significant improvement or worsening noted across all 4 …

Cases From A Community Hospital…Jchimp Series #2: 66-Year-Old Man With Recurrent Painful Rashes And Oral Ulcerations, Fatima Halilu, Jing Wu, Joseph Fuscaldo, Nathan Dunsmore, Zain Syed, Pauline Daley

Journal of Community Hospital Internal Medicine Perspectives

This is part of a series of case reports detailing scenarios from our community hospital. The cases are selected to feature clinical dilemmas, provide a review on what is currently known about the topic with expert perspective. A 66-year-old black man presented to the primary care clinic with his fourth episode of generalized painful rash and oral ulcerations without a diagnosis despite two emergency room (ED) visits alongside doxycycline treatment. Symptoms interfered with daily activities with skin exam notable for widespread erythematous patches and plaques. In office biopsies were obtained with final diagnosis of erythema multiforme. Etiologic workup revealed positive …

Subacute Thyroiditis Due To Covid-19 Vaccine, Nishant Kumar, Dina Zeki, Mihail Zilbermint

Journal of Community Hospital Internal Medicine Perspectives

In this report, we present a case of a 90-year-old female who exhibited a sudden onset of confusion and severe generalized weakness after receiving her second dose of mRNA SARS-CoV-19 vaccination 19 days prior to her admission in 2021. Her thyroid-stimulating hormone (TSH) levels were low, while her thyroxine (T4), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels were elevated. Triiodothyronine (T3) level was not measured. Ultrasonography of the thyroid revealed multiple nodules with heterogeneous tissue, and a nuclear medicine thyroid uptake scan showed very low uptake. These findings indicated limited thyroid destruction in the form of subacute thyroiditis, …

Rare Case Of Mycobacterium Avium Complex Peritonitis In A Patient With Multiple Myeloma Undergoing Peritoneal Dialysis, Sacide S. Ozgur, Nida Ansari, Dhruv Patel, Ryan Rahman, Raymond Shih

Journal of Community Hospital Internal Medicine Perspectives

Mycobacterium avium complex (MAC) infections can present as a variety of severe diseases. While it has a predilection for immunocompromised patients such as those with Human immunodeficiency virus (HIV), it can also affect immunocompetent patients as well. One of the rare yet severe diseases that MAC infections can present is MAC peritonitis. Often hard to distinguish from other causes of peritonitis, high clinical suspicion should be maintained for those who are susceptible. Here we present an 85-year-old female with a past medical history of end-stage renal disease on peritoneal dialysis who presented with nausea and vomiting. She was found to …

A Rare Case Of Brodie’S Abscess In The Tibial Diaphysis Masquerading As A Vaso-Occlusive Sickle Crisis, Shefali Amin, Manish Shrestha, Suril Amin, Sahil Amin, Katherine Dipastina

Journal of Community Hospital Internal Medicine Perspectives

We present the case of a 19-year-old male with a history of sickle cell cell anemia who presented to the hospital with worsening lower extremity pain. Given his acute presentation and history of recurrent pain crises, he was admitted to the hospital for management of a suspected acute pain crisis. However, due to continued pain, imaging was obtained which revealed a different diagnosis for the cause of his symptoms. MRI of the left lower leg revealed heterogenous T1 and T2 hyperintense signals within the proximal tibial diaphysis measuring 6.6 x 1.6 x 2.2 cm with a thick rim of peripheral …

Pulmonary Embolism In A Patient With Rheumatoid Arthritis On Etanercept Therapy., Moni Roy, Himanshu Rathore, Ashish Kumar Roy

Journal of Community Hospital Internal Medicine Perspectives

Pulmonary embolism (PE) represents mechanical obstruction of one or more branches of pulmonary vasculature due to thromboembolism from a deep vein thrombosis. Hormonal contraceptives, hormonal replacement therapy, antipsychotics and fibrates are medications that are associated with increased risk of venous thromboembolism(VTE). Etanercept is a TNF alpha and beta receptor blocker. Rarely this medication has been identified as a risk factor for VTE. There is a possible correlation between rheumatoid arthritis(RA) and risk of VTE in patients with RA. Use of medication that can increase risk of VTE in a patient with systemic inflammatory condition that in itself may be a …

Pulmonary Clostridium Perfringens: Seeding Beyond The Gastrointestinal Tract, Thilini Delungahawatta, Shiavax J. Rao, Marcos Wolff, Christopher J Haas

Journal of Community Hospital Internal Medicine Perspectives

Clostridia perfringens infection outside the gastrointestinal system is rare. Here, we report on a 75-year-old man with history of end-stage renal disease presenting after a syncopal event with lactic acidosis, leukocytosis, and mild hyperbilirubinemia. Chest imaging revealed a loculated, left-sided pleural effusion; diagnostic thoracentesis identified Clostridia perfringens, consistent with an empyema. Video-assisted thoracic left lung decortication was performed; tissue culture also speciated Clostridia perfringens. Further imaging revealed concomitant acute cholecystitis, suggesting hematogenous seeding or transdiaphragmatic extension of Clostridia perfringens to pleural space from an abdominal source. The patient was successfully managed with laparoscopic cholecystectomy and discharged on a one-month course …

Comparative Study Of The Effects Of Duloxetine And Venlafaxine On Acute Symptomatic Taxane-Induced Neuropathy In Breast Cancer Patients: A Randomized Clinical Trial, Hanieh Radkhah, Mohsen Esfandbod, Mohammad Amin Khadembashiri, Mohammad Eslami, Farnaz Etesam, Farhad Shahi, Parnian Shobeiri, Melika Rafiemehr

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Chemotherapeutic agents have the potential to induce neurotoxicity, resulting in a range of symptoms, including mild paresthesia, neuropathic pain, pronounced ataxia, and significant impairment. Taxane-induced neuropathy (TIN) is a prevalent adverse effect and a significant constraint of Taxane-based chemotherapy protocols in treating breast cancer. In this current study, we aim to compare the effects of Venlafaxine and Duloxetine in taxane-induced Neuropathy as well as the quality of life, Depression, and Anxiety in Breast cancer Patients. Methods: The present study investigated breast cancer patients who experienced acute neuropathic pain after receiving paclitaxel treatment, a chemotherapeutic agent. The participants were allocated …

A Stitch In Time Saves Nine: Planning For Artesunate Supply With Malaria On The Rise, Barath Prashanth Sivasubramanian, Viraj Panchal, Diviya Bharathi Ravikumar, Srikanth Puli, Aalok Khole, Gerard Kiernan, Vikramaditya Samala Venkata

Journal of Community Hospital Internal Medicine Perspectives

Background: Malaria is extremely rare in the United States. Physicians should not only be familiar with signs and symptoms, but also be aware of the available resources at their respective institutions to be able to effectively treat it. Presentation: 52-year-old female presented with worsening generalized fatigue. Vitals were stable. Labs were significant for anemia and thrombocytopenia. Peripheral smear showed ring formed parasitic trophozoites consistent with Plasmodium falciparum. Due to unavailability of antimalarial agents at our hospital, the patient was transferred to a tertiary care center. Patient was started on IV artesunate therapy. Repeat smear after 3 days showed

Contrasting Tick Species Behaviors: A Course-Based Undergraduate Research Experience (Cure), Sara Benham, Shovan Dutta, Rohan Maddamsetti, Clayton Wright, Alena Anderson, David T. Gauthier, Holly D. Gaff

Spora: A Journal of Biomathematics

Tick-borne diseases are on the rise throughout the world, and there is a need to better understand tick behavior in order to identify potential new interventions. Ticks have a complex life history and can survive months off-host. There is a lack of large-scale data on off-host tick behavior, which leaves a gap in understanding of tick biology outside of tick-host interactions. Introducing undergraduate students to authentic research early in their studies can help prepare them for independent inquiry in upper-level classes. To address the student needs and fill gaps in tick research, students in introductory biology courses recorded observations of …

System And Method For Redeeming Issuer Reward Currency For A Consumer Benefit Supplement, Michelle Dollin, Raja Veeramani

Defensive Publications Series

The present disclosure provides a method for redeeming issuer reward currency. Initially consumer books travel and logs into issuer application. The present disclosure calls Card Eligibility Service (CES) by sending cardholder travel information to check for eligible lounges. The CES pulls all lounges in airport and checks if cardholder is eligible for any of the lounges. The CES returns the cardholder list of lounges eligibility information and redemption limits and prices. The present disclosure offers to purchase additional guests for the lounge using points. The present disclosure calls CES and Pay with Points APIs to purchase additional guest access using …