Digital Commons Network^™

Pharmacological Considerations For Healthcare Providers When Caring For Muslim Patients: A Practical Guide, Layla Abubshait, Nissa Tasnim, Taha Cangoz

Einstein Health Papers

Healthcare providers increasingly encounter Muslim patients with unique pharmacological considerations influenced by religious beliefs and practices. Islam, as the world's second-largest religion, includes specific guidelines affecting medication permissibility, particularly regarding alcohol and pork-derived ingredients. This educational guide examines the intersection of Islamic teachings with pharmacotherapy, providing examples of commonly prescribed medications containing alcohol or porcine-derived gelatin from our academic medical center's inpatient and outpatient formulary. We document alcohol content percentages in various medications and suggest possible alternatives as illustrative examples. Most importantly, we present a step-by-step practical framework for using National Drug Code (NDC) numbers and the DailyMed database, enabling …

Impact Of Race On Admission, Clinical Outcomes, And Disposition In Cholangiocarcinoma: Insights From The National Inpatient Database, Tijin A. Mathew, Teresa M. Varghese, Nithya Krishnakumaran, George M. Varghese, Khwaja S. Haq, Akshita Khosla, Rojymon Jacob, Gina Vaccaro

School of Medicine Faculty Publications

BACKGROUND: Cholangiocarcinoma, malignancies arising from the intrahepatic and extrahepatic bile ducts, has increased in incidence in the United States over the past few decades. The reported incidence of cholangiocarcinomas is high, particularly in specific racial groups such as Asian and Pacific Islander patients. Race also significantly impacts disparities in healthcare utilization and clinical outcomes. Our study focused on the impact of race on admission, clinical outcomes, and disposition of cholangiocarcinoma. METHODS: We performed a retrospective analysis of cholangiocarcinoma-related hospital admissions, using the National Inpatient Sample for the year 2022. Patients were stratified according to race into the following groups: White, …

Effect Of Exclusive Bottle Feeding On Infant‘S Serum Calcium And Serum Vitamin D3 And Its Comparison With Other Types Of Feeding In Diyala Governorate, Iraq, Hailah Othman Habeeb, Saif Hakeem Tofiq, Haider Jwad Dawod

Hilla University College Journal For Medical Science

Background: The mixed feeding means that the infant gets bottle milk and breast milk. Bottle feeding serves as incomplete nutritional source for the first six months of infant’s life because bottle feeding not contains all essential nutrients that necessary for the physiological growth and development of infants.

Objectives: The aim of this research is to determine impact of breastfeeding feeding other than formula feeding,, or a mixed feeding ,on serum calcium and blood vitamin D3 levels in infants.

Materials and Methods: Fifty patients were enrolled in this study. We collected the sample from the infants and children (first 2 years …

Evaluation Of Triglyceride/High Density Lipoprotein Ratio As A Diagnostic And Prognostic Marker For Reduced Ejection Fraction Heart Failure In Comparison To Brain-Natriuretic Peptide, Safa Mohammed Hassan, Rawaa Hadi Shareef

Hilla University College Journal For Medical Science

Background: heart failure is a condition that heart cannot pump blood in efficient way and this result in building up fluid and a reduced supply of oxygen to organs. Also, it can result from conditions like heart disease, hypertension, or diabetes. Brain natriuretic peptide (BNP) can be used in the diagnosis and evaluation of heart failure severity. The triglycerides-to-HDL ratio is a key marker of cardiovascular risk in heart failure, reflecting insulin resistance and metabolic health. A high ratio is associated with worse outcomes, including increased inflammation and arterial stiffness.

Objectives: To evaluate the diagnostic and prognostic value of Triglyceride …

Plant-Based And Plant-Predominant Diets Among Healthcare Students: A Systematic Review, Raman Abbaspour, Sarah Weisbrodt, Samal Nauhria, Madeline Chan, Ali Kasim Rawji, Parham Bokaei Jazi, Sabyasachi Maity

School of Podiatric Medicine Publications

This systematic review explores the effects of vegetarian diets on the physical and mental well-being of health sciences students, a demographic known for high academic and psychological stress. We conducted a comprehensive search across major databases, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and identified 22 relevant studies. Our findings suggest that vegetarian diets are associated with lower incidences of chronic diseases such as coronary heart disease and obesity and promote better cardiovascular and metabolic health outcomes compared to non-vegetarian diets. Notably, vegetarian students could display lower systolic blood pressure and waist circumferences. Contrary to …

Staff Education On Colorectal Cancer Screening To Improve Knowledge And Usage, Mary Tessie Thullah Bangura

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education on Colorectal Cancer Screening to Improve Knowledge and Usage

Healthcare Professionals’ Experiences Regarding Barriers And Facilitators Of The Hospital Readmissions Reduction Program, Abrin Jacobson

Walden Dissertations and Doctoral Studies

The Hospital Readmissions Reduction Program (HRRP), developed by the Centers for Medicare and Medicaid Services, aims to reduce avoidable readmissions through financial penalties. While HRRP has been associated with modest reductions in readmissions, it has also been linked to the problem of unintended outcomes such as increased mortality and inequitable penalties for hospitals serving socioeconomically disadvantaged populations. The literature presents a limited understanding of how hospital-based healthcare professionals (HHPs) implement HRRP. The purpose of this generic qualitative study was to explore how HHPs perceive the implementation of HRRP requirements and the barriers and facilitators that influence compliance. Grounded in Lipsky’s …

Big Five Personality Traits As Predictors Of Funeral Directors’ Job Satisfaction, Teresa Busick

Walden Dissertations and Doctoral Studies

By 2037, annual deaths in the United States are expected to exceed 3.6 million, over 1 million more than in 2015. At the same time, the funeral service industry faces a serious staffing problem, with about 50% of funeral directors leaving the profession within 2 years. These combined challenges highlight the need to understand what contributes to job satisfaction and helps to retain these workers in this essential field. This quantitative correlational study examined whether the Big Five personality traits predict job satisfaction among funeral directors. Thus, the Big Five model of personality traits was used to guide the study. …

Communication Enhancement Strategies To Mitigate Functional Siloes In Head Start Programs, Maryom G. Mccloud

Walden Dissertations and Doctoral Studies

Inefficient internal communication between program and financial operations may negatively affect organizational performance and profitability. Some Head Start Program (HSP) leaders are concerned with communication failures because of the potential to negatively impact business productivity and profitability. Grounded in business process re-engineering, the purpose of this qualitative single case study was to explore strategies used by HSP leaders to increase communications between program and financial operations to increase profitability. The participants were four HSP leaders located in the Northern Region of the United States, who successfully implemented such strategies. Data were collected from semistructured interviews and company documents. Through thematic …

Supporting Patients With Advanced Cancer And Their Spouses In Parenting Minor Children: Results Of A Randomized Controlled Trial, Kathrin Milbury, Sujin Ann-Yi, Meagan S Whisenant, Morgan Jones, Yisheng Li, Victoria Necroto, Sania D Yousuf, Mariana Chavez-Macgregor, Larrisa Meyers, Eduardo Bruera

Faculty, Staff and Student Publications

Introduction: Patients with advanced cancer and their spousal caregivers who parent minor children report unmet parenting concerns and increased psychological distress. Seeking to address these important supportive care needs, this RCT examined the feasibility, acceptability, and initial evidence for the efficacy of a novel psychosocial intervention.

Patients and methods: Patients with a metastatic solid malignancy and their spouses completed self-reported validated assessments of psychological symptoms and cancer-related parenting outcomes and were then randomized to the parent support intervention or a usual care (UC) group. Both groups were reassessed 6 and 12 weeks later. Dyads randomized to the counselor-led intervention attended …

The Jury Is In: A Comparison Of Perceptions Of Criminal Responsibility Evaluations Completed In Person Vs. Using Videoconferencing Technology, Thomas Ryan Eddy

Electronic Theses and Dissertations Archive

Perceived expert witness credibility is one of many factors that can impact juror decision making behaviors. In cases where the insanity defense has been raised, an expert witness assess the defendant, and may later testify about the defendant’s criminal responsibility (CR). The use of videoconferencing (VC) software to complete forensic mental health assessments has increased. Yet, research examining how jurors perceive the practice of a videoconferenced forensic mental health assessment remains unclear. The present study addressed the dearth in the literature by examining whether the source of assessment (in-person vs. VC) used to conduct a criminal responsibility evaluation impacted perceptions …

Us Natl. Bank Trust N.A. V. Felix

All Decisions

In a post-foreclosure holdover proceeding; the court denied the tenant's motion for pretrial discovery aimed at determining the landlord's status under the Good Cause Eviction Law (GCEL). The tenant sought to discover the landlord's real estate holdings to ascertain if GCEL protections applied. The court ruled that GCEL is inapplicable to holdover proceedings under RPAPL § 713 because such actions presume no landlord-tenant relationship exists; thus eliminating the tenant's "ample need" for disclosure. The landlord's cross-motion to amend the petition to reflect the omission of GCEL language was granted.

Development And Characterization Of Pmma/Pvp Nanofiber-Loaded Bioactive Agents With Enhanced Breast Cancer Activity, Samar A. Salim, The British University In Egypt, Esraa Abdelazim, Marwa Abdel Aleem

Nanotechnology Research Centre

Breast cancer remains a leading cause of cancer-related mortality globally, driving the need for novel effective and less toxic therapeutic agents. This study explores the synthesis and characterization of bioactive compounds: 1-(4-methoxyphenyl)-N- (p-tolyl)methanimine (MPTI), N-(4-methylphenyl)benzamide (MPB), and 4-methyl-N-(p-tolyl)benzenesulfonamide (MTS), and their incorporation into a PMMA/PVP polymer matrix for potential anticancer applications. Morphological analysis of the PMMA/PVP-loaded agents via SEM depicts structural modifications in the PMMA/PVP nanofibrous matrix upon incorporation of the bioactive agents. The FTIR analysis of the synthesized compounds before and after loading into the 7PMMA:3PVP nanofibers reveals successful incorporation of MPTI, MPB, and MTS, with characteristic absorption bands …

Feeling Underqualified And Out Of My League: Motivational And Affective Paths To Adaptive And Maladaptive Behaviors, Gamze Koseoglu, Sejin Keem, Aysegul Karaeminogullari, Berrin Erdogan, Talya N. Bauer, Eyup Burak Sancak

Business Faculty Publications and Presentations

This study explored the motivational and affective implications of perceived underqualification, specifically examining how it leads to increased levels of envy and help-seeking behaviors. We predicted that envy and help seeking behaviors would in turn indirectly relate to interpersonal deviance and task performance. We further hypothesized that two psychological resources, hope and self-efficacy, would moderate the relationships between perceived underqualification, envy, and help seeking. We tested our model with a sample of 149 medical school students who were undergoing a clinical rotation as well as their rotation coordinators at a university hospital located in northwestern Turkey. Data collection spanned four …

Pan-Cancer Immune And Stromal Deconvolution Predicts Clinical Outcomes And Mutation Profiles, Bhavneet Bhinder, Verena Friedl, Sunantha Sethuraman, Davide Risso, Kami E Chiotti, R Jay Mashl, Kyle P Ellrott, Jordan A Lee, Christopher K Wong, Kofi Gyan, Aditya Deshpande, Marcin Imielinski, Rohan Bareja, Josh Stuart, Myron Peto, Katherine A Hoadley, Alexander J Lazar, Andrew D Cherniack, Jingchun Zhu, Shaolong Cao, Mark Rubin, Wenyi Wang, Oliver F Bathe, Nicolas Robine, Li Ding, Peter W Laird, Wanding Zhou, Hui Shen, Vésteinn Thorsson, Jen Jen Yeh, Matthew H Bailey, Daniel Cui Zhou, Xianlu L Peng, Mary Goldman, Yongsheng Li, Anil Korkut, Nidhi Sahni, D Neil Hayes, Michael K A Mensah, Ina Felau, Anab Kemal, Samantha Caesar-Johnson, John A Demchok, Liming Yang, Martin L Ferguson, Roy Tarnuzzer, Zhining Wang, Jean C Zenklusen, Paul Spellman, Olivier Elemento

Faculty, Staff and Student Publications

Traditional gene expression deconvolution methods assess a limited number of cell types, therefore do not capture the full complexity of the tumor microenvironment (TME). Here, we integrate nine deconvolution tools to assess 79 TME cell types in 10,592 tumors across 33 different cancer types, creating the most comprehensive analysis of the TME. In total, we found 41 patterns of immune infiltration and stroma profiles, identifying heterogeneous yet unique TME portraits for each cancer and several new findings. Our findings indicate that leukocytes play a major role in distinguishing various tumor types, and that a shared immune-rich TME cluster predicts better …

Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix

Walden Dissertations and Doctoral Studies

Falls in nursing home facilities are prevalent, and numbers continue to rise as residents grow older and antipsychotic (AP) medications are prescribed more frequently. The purpose of this quantitative study was to investigate whether frequency of falls was related to the use of AP medications. Data (N=100) were collected from 2020 incident reports, investigation sheets, and patient charts generated by the State Department of Public Health regarding resident falls and the use of AP medications in a nursing home Facility located in the Southern United States. Social Cognitive Theory (SCT) was used to understand specific behavior patterns such as personal, …

Experiences Of Managing And Living With Autoimmune Addison’S Disease In The Younger And Newly Diagnosed Adults: An Interpretative Phenomenological Analysis, Mathew Horodner

Walden Dissertations and Doctoral Studies

There is a lack of knowledge regarding the experiences of managing and living with autoimmune Addison’s disease (AD) in the younger and newly diagnosed adults. AD research usually focuses on biological or medication studies. Thus, the purpose of this qualitative study was to understand the lived experiences of the younger and newly diagnosed adults living with autoimmune AD. Consisting of the complex integration of biological, psychological, and social factors, Engel’s biopsychosocial model served as the study’s conceptual framework. I conducted this study to include the experiences of managing and living with autoimmune AD in the younger (18–35) and newly diagnosed …

Strategies Used By Public Relations And Communications Executives To Implement Ethical Use Standards For Ai, Karl Bateson

Walden Dissertations and Doctoral Studies

Public relations and communications (PR&C) executives’ ineffective artificial intelligence (AI) strategies to develop and apply ethical frameworks for AI implementation can negatively impact organizations’ brand reputation. Grounded in AI4People and stakeholder theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective AI strategies PR&C executives used to develop and apply ethical frameworks for AI implementation while maintaining their organizations’ brand reputations. The participants were six PR&C executives who used effective strategies to develop and apply ethical frameworks for AI implementation while maintaining their organization’s brand reputation. Data were collected using semistructured interviews, public websites, …

Seasonal Sea Ice Characterized The Glacial Arctic-Atlantic Gateway Over The Past 750 000 Years, Monica Winsborrow, Pengyang Song, Simon Belt, Jochen Knies, Henning A. Bauch, Lukas Smik, Gerrit Lohmann

School of Geography, Earth and Environmental Sciences

The past occurrence of an extreme ~1-kilometer–thick Arctic Ocean–Nordic Seas ice shelf has been inferred from submarine landscape features and geochemical records, although fundamental aspects of its characteristics, impacts, and timing remain highly debated. Here, we challenge this pan-Arctic glaciation hypothesis by investigating two sites from the Arctic-Atlantic gateway (AAG) and the Nordic Seas. Suborbital to millennial-scale surface water bioproductivity changes provide no evidence for a continuous ice shelf in the AAG and the Nordic Seas over the past ~750,000 years. Instead, proxy data and model simulations reveal the persistent presence of seasonal sea ice cover and open water phytoplankton …

An Optimized Model For Identification Of Cerebral Palsy Using Deep Learning, Anjar Ahsan, Hassan Bin Mohammed, Abhilash Maroju, Nurhafizah Moziyana Mohd Yusop, Wan Su Emi Yusnita Wan Yusof, Najjah Salwa Abd Razak, Mohd Arif Dar

Polytechnic Journal

Cerebral palsy (CP), a neurological disorder that affects children and can occasionally result in cognitive problems as well as deficits in motor function can be caused by prenatal, perinatal, or postnatal factors. Each subtype of cerebral palsy (CP), such as spastic and non-spastic cerebral palsy, has distinct symptoms based on the location of the brain lesion and how it affects muscle tone. Individualized therapy and rehabilitation programs are necessary to treat these differences effectively. Therefore, early-stage CP categorization is crucial to ensuring timely and targeted treatment efforts. The functional magnetic resonance imaging (fMRI) of the infant's brain is a helpful …

Vigorous Physical Activity As A Potential Environmental Risk Factor In Renal Medullary Carcinoma, Daniel D Shapiro, Sagar S Mukhida, Andrew W Hahn, Ayman Isahaku, Schyler M Turner, Jessica P Cheng, Pankaj K Chauhan, Susan S Thomas, Beei Chan, Zita D Lim, Nizar M Tannir, Maria Chang Swartz, Pavlos Msaouel

Faculty, Staff and Student Publications

Purpose: Renal medullary carcinoma (RMC) is a rare but aggressive kidney cancer affecting young individuals with sickle hemoglobinopathies. Prior retrospective case-control and mouse modeling studies suggest a mechanism linking vigorous intensity physical activity to increased RMC risk in individuals with sickle hemoglobinopathies. This study aimed to prospectively investigate the association between vigorous intensity exercise and RMC.

Materials and methods: This study used a validated questionnaire to prospectively assess reported physical activity in a large cohort of patients with RMC compared to the activity of individuals without RMC. Between 2022 and 2024, patients with RMC (N = 39) were prospectively surveyed …

Synthesis And Characterization Of Temperature- And Ph-Responsive Pia-B-Pnipam@Fe3o4 Nanocomposites, Swati Kumari, Cayla Cook, Fatema Tarannum, Erick S. Vasquez-Guardado, Olufermi Ogunjimi, Keisha Walters

Chemical Engineering Faculty Publications and Presentations

Stimuli-responsive polymers (SRPs) have garnered significant attention in recent decades due to their immense potential in biomedical and environmental applications. When these SRPs are grafted onto magnetic nanoparticles, they form multifunctional nanocomposites capable of various complex applications, such as targeted drug delivery, advanced separations, and magnetic resonance imaging. In this study, we employed a one-step hydrothermal method using 3-aminopropyltrimethoxysilane (APTES) to synthesize APTES-modified Fe3O4 nanoparticles (APTES@Fe3O4) featuring reactive terminal amine groups. Subsequently, via two consecutive surface-initiated atom transfer radical polymerizations (SI-ATRP), pH- and temperature-responsive polymer blocks were grown from the Fe3O4 surface, resulting in the formation of poly(itaconic acid)-block-poly(N-isopropyl acrylamide) …

Improving Genetics Equity: Identifying Women Eligible For Genetic Care Services Using Mammography Clinics In Underserved Areas As Screening Hubs, Darya Kizub, Rachel Bluebond, Sierra Green, Jessica Duckworth, Sreejesh Shanker, Autumn Vara, Banu Arun

Faculty, Staff and Student Publications

PURPOSE: Fewer than 20% of underserved individuals undergo guideline-concordant hereditary breast and ovarian cancer (HBOC) genetic testing (GT). Our study aimed to determine the proportion of women eligible for HBOC GT using a cancer genetics risk assessment (CGRA) tool at breast cancer (BC) screening clinics in underserved communities and to describe the program's impact.

METHODS: Participants were women who presented for BC screening at The Rose clinics, serving low-income underserved communities in southeast Texas, and completed the CGRA. High-risk individuals received bilingual educational materials and a saliva-based GT kit. Those with a pathogenic variant (PV) or a variant of uncertain …

An Interview With Anthony Viola, Anthony Viola, John Van Kirk

Critical Humanities

Anthony Viola interviewed by John Van Kirk

The Human Catalyst And Extractivist Fiction: A Close Reading Of Siddhartha Sarma’S Year Of The Weeds And Pundalik N Naik’S The Upheaval, Elwin Susan John Dr

Critical Humanities

Literary narratives have been abetting the various global faces of climate crisis, ever since the disciplines of humanities and social sciences have become vocal about the Anthropocene. The discussions have been mostly centered around the discourses of capitalism, imperialism, rights and subalterity. By reading some of these foundational grips on ecological crisis, the present essay analyses literary narratives on mining and extraction in India from the standpoint of a human catalyst; which is defined as an entity that can cause a chain reaction, that may or may not result in the annihilation of the initial catalyst. The essay will begin …

Towards An Indigenous Climate Epistemology: Bringing The Newa Literary Tradition Of The Swasthani Vrata Katha In Conversation With The Festival Tradition Of The Macchindra Nath Jatra, Shangrila Joshi Dr.

Critical Humanities

This paper brings into conversation two Newa cultural traditions to articulate notions of climate adaptation, resilience, and mitigation, to illustrate how ways of knowing, ways of being, and ways of governing are inherently linked. These articulations offer a framework for developing what the author calls an Indigenous Climate Epistemology. The two cultural traditions reviewed include: a 17^th century Newa literary tradition that advocates for keeping oil in the ground, and that instructs ordinary people to engage in ritual acts seemingly designed to develop personal and community resilience; and a 1700 year old annual community festival designed to avert catastrophes …

On The Edge Of The Abyss: Cultural Responses To Extractivism In The Andes, Jack Martinez Arias

Critical Humanities

This work examines the contemporary cultural productions of Cerro de Pasco, a city in constant destruction due to an ever-expanding open pit mine that has grown to over a mile wide since the 1950s. Drawing on Latin American environmental humanities and discursive analysis, I conduct a close reading of poems, stories, performances, and audiovisual works by local artists responding to this largely overlooked apocalyptic scenario. By analyzing narrative strategies such as repetition and irony, I identify recurring themes and establish common concerns related to extractivism, urban extinction, illness, and death. This study seeks to understand how these cultural productions envision …

Introduction: Volume 3 Issue 2, Critical Humanities

Critical Humanities

An Introduction to Vol 3, Issue 2

Blood Flow Occlusion Superimposed On Low-Volume, Low-Intensity Knee Extensions Does Not Evoke Hypoalgesia: A Pilot Study, Sophie-Jayne Morgan, Jenny Zhang, Neil Lemay, Neda Khaledi, Saied J. Aboodarda

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 9, 2025. Exercise-induced hypoalgesia (EIH) is a transient decrease in pain perception that can be observed following various tasks, including low-intensity and high-intensity exercise. The application of blood flow occlusion (BFO) can help enhance exercise adaptations while being able to exercise at a low intensity, which has important implications for clinical and rehabilitative settings. Through descending inhibitory pathways, BFO-induced pain can potentially alleviate exercise-induced pain. This study aimed to assess whether the superimposition of BFO – and its associated augmented perceived responses – during low-intensity, low-volume resistance exercise could …

José Mariano Mociño (1757-1820): Heroic Botanist/Physician Of New And Old Spain, Thomas Milan Janota Wasik

Homage to Alexander von Humboldt: Travels to and from Spain Throughout the Centuries / Homenaje a Alexander von Humboldt: Viajes hacia y desde España de todos los siglos

José Mariano Mociño traveled extensively in New Spain and helped to collect and classify thousands of plants according to modern scientific protocols. In addition, Mociño made significant contributions to science in geology, ethnology, epidemiology, ornithology and horticulture. He was in the vanguard of the study of native Mexican medicinal plants and played a crucial role in the control of infectious disease in the colony and the mother country. Although a contemporary of Alexander von Humboldt, the two never met. Nonetheless, the Prussian traveler was well aware of the accomplishments of Mociño. In his Ensayo politico sobre el Reino de la …