Digital Commons Network^™

Committees, Hesham Shaban, Amy Sayles, Emily Hurst, Brooke Shankin, Mary Voutt-Goos, Tammy Neil, Angela Murphy, Marla Rowe Gorosh, Bonnie Calcaterra, Sara Santarossa, Michelle Dolan, Sue Piatak, Megan Brady

2024 Patient Advisor Retreat

This poster is a celebration of the Patient Advisors who serve on individual placements throughout the health system. Their contributions are complex, high-level, meaningful, and impactful to the way Henry Ford Health delivers care in all sectors and disciplines. We believe a Patient Advisor should serve on every committee in the health system, because anywhere where healthcare decisions are being made is a place for a patient perspective.

Equipping Church Leadership Through Team Ministry: A Dissertation-In-Praxis Model, Judith Aarian Hawkins

Doctoral Dissertations and Projects

Using teams in the workplace has become an efficient means to employ workers' creativity, productivity, and effectiveness (Ross et al., 2008). Likewise, ministry through teams offers the Church these same outcomes to meet its charge of the Great Commission (King James Bible, 1769/2017, Matthew 28:16-20). This research was implemented with BOLD Deliverance Ministries Incorporated (BOLD), a non-denomination church in Temple Hills, Maryland. The church’s theme of “Where together we equip the saints to serve all people” indicates an existing ideology of collaboration. This project aimed to build on this collaborative mindset by applying team leadership theory within a team ministry …

Vol. 39, No. 6 - Whole No. 243, Eleanor M. Farrell

Mythprint

Mythprint is the monthly bulletin of the Mythopoeic Society, a nonprofit educational organization devoted to the study, discussion, and enjoyment of myth and fantasy literature, especially the works of J.R.R. Tolkien, C.S. Lewis, and Charles Williams. To promote these interests, the Society publishes three magazines, maintains a World Wide Web site, and sponsors the annual Mythopoeic Conference and awards for fiction and scholarship, as well as local and written discussion groups.

Mrs. Lillie Oglesby Dukes

African American Funeral Programs

Mrs_Lillie_Oglesby_Dukes.pdf - Funeral program for Mrs. Lillie Dukes

Relationships Matter: Unpacking Personal And Professional Grief In Archival Labor, Caroline Kinsley, Molly Stothert-Maurer

Journal of Western Archives

Archival donations are often triggered by critical transitions in donors' lives, like the end of a career, the selling of a family home, or the death of a loved one. Because donors approach archives during these transitions, archivists often find themselves in the middle of emotionally charged relationships with donors working through feelings of grief and loss. However, archivists are often unprepared and untrained for this emotionally demanding labor. A literature review reveals that while this is a common experience among archivists, there is very little guidance on how to approach this aspect of donor relations. Other fields that provide …

Those Who Fail To Learn, Jasmine Patera

Floodwall Magazine

No abstract provided.

Core Entrustable Professional Activities And Qualities For Entering Ophthalmology Residency: A National Survey, Shravika L. Chennupati, Janice C. Law, Jennifer L. Lindsey

Journal of Academic Ophthalmology

Background

Little information is available regarding the competencies and qualities expected of incoming ophthalmology residents by ophthalmology residency program leadership. As exposure to ophthalmology in medical school declines, it is necessary to define the ophthalmology-related skills and qualities expected of ophthalmology trainees at the start of the internship period.

Objectives

The aim of this study is to assess which core skills and qualities medical graduates are expected to possess when entering the internship period of ophthalmology residency.

Methods

Development of a 29-question survey was guided by the Association of American Medical Colleges (AAMC)-published list of core entrustable professional activities for …

I’Ll Just Weight On The Lord: The Lived Experience Of Obesity, Spirituality, And Health Behaviors In African American Women, Andrea S. Poynter, Florence M. Weierbach

International Journal of Faith Community Nursing

Obesity is one of the fastest growing health concerns impacting all racial, ethnic, gender, and socioeconomic groups in the United States of America. Obesity has gained nationwide attention due to its health-related disorders such as heart disease, stroke, diabetes, and various cancer types that increase the annual medical cost on a financially stressed health system (Centers for Disease Control and Prevention (CDC), 2022). Obesity has reached epidemic proportions in all races and genders within the US with African American women comprising a majority of those impacted by this chronic health condition (U.S. Department of Health and Human Services Offices of …

Exploration Of The Patient Experiences Of A University Lgbtq+ Community: A Preliminary Analysis, Joelle M. Kidder, Eric G. Waldon, Tracey Delnero, Michelle Brady, Kristine Himmerick, Deepti Vyas, Vienna Sa, Malinda Thao, Lindsay Gietzen

Pacific Journal of Health

PURPOSE: This qualitative study aimed to explore the lived experiences of people from a university LGBTQ+ community to inform health professional training in the interprofessional education setting.

METHODS:

Focus groups and semi-structured interviews from the University of the Pacific LGBTQ+ community were conducted by the researchers. Participants were recruited through campus-wide notification and fliers. Focus groups were held virtually on Zoom. Participants were asked to de-identify any identifying information. Informed consent and basic demographic information were obtained electronically. Participants were asked to reflect on personal experiences of their interactions within the healthcare system. The focus groups consisted of open-ended questions …

Engaging Children In Conversations About Loss With The Help Of A Canadian Activity Book, Giulia Adele Dinicola

Journal of Social, Behavioral, and Health Sciences

In Canada, the practice of medically assisting patients in dying has been legal since 2016. Patients who have been diagnosed with serious diseases or disabilities—including mental illnesses, starting in March 2024—may meet the requirements to seek medically assisted suicide. As a result of this legalization, medical and ethical communities have expressed concerns regarding those who assist their loved ones in the process of dying. To date, little has been written about how children react when someone close to them decides to end their life due to unbearable suffering. In July 2022, the Canadian Virtual Hospice group published the Medical Assistance …

David Davis

African American Funeral Programs

No abstract provided.

The Pressing Need For State Sovereignty Recognition For Post-Territorial States, Benjamin Price

Georgia Journal of International & Comparative Law

This note offers an analysis of the retention of national sovereignty by

states that have lost all of their territory, primarily by analyzing the

international recognition of the Sovereign Military Order of Malta as a post-

territorial state. This analysis will be of increasing pertinence as more nations

face territorial loss due to climate change. This paper traces the development

of the Order's role in world politics and its ongoing international recognition

by various nations.

Exploring Disparities In Palliative Care Utilization For Patients With End-Stage Liver Failure: A Nationwide Cohort Analysis (2016-2020), Sheza Malik, Hajra Khan, Amatul Mueed Taqiyyah Fatima Syeda, Mohammed Faisaluddin, Babu Mohan Md, Asim Mushtaq, Karin Dunnigan

Advances in Clinical Medical Research and Healthcare Delivery

Background: Despite the very high symptom burden, palliative care (PC) services are underutilized in patients with End-stage liver disease (ESLD). Herein, we investigated the disparities in the utilization of PC services among patients with ESLD hospitalized in the United States.

Method: We conducted a retrospective cohort analysis by utilizing the Nationwide Inpatient Sample from 2016 to 2020. All patients greater than 18 years old admitted with ESLD were included in the analysis. A multivariate logistic regression model predicting referral to PC was created.

Results: In our analysis, significant racial disparities were observed in the utilization of palliative care services among …

Acute Mitral Regurgitation Presenting As Unilateral Pulmonary Edema, Jacob Seth Psomiadis, Austin Kim Md, Whitnee Otto Md, Kavitha Vemuri Md

Advances in Clinical Medical Research and Healthcare Delivery

Acute mitral regurgitation caused by papillary muscle rupture is a rare and life-threatening complication of myocardial infarction. This devastating complication can present as unilateral cardiogenic pulmonary edema which can be easily mistaken for other cardiopulmonary pathology, resulting in delay of care. Proper evaluation and diagnosis is key for obtaining timely surgical evaluation. Here we present a case of an 87-year-old male with a past medical history of coronary artery disease status post percutaneous intervention with one stent, cerebrovascular accident status post left carotid stenting, and Alzheimer’s dementia that presented to the emergency department with a chief complaint of exertional dyspnea …

Initial Feasibility Cohort Of Temporally Modulated Pulsed Proton Re-Irradiation (Tmppr) For Recurrent High-Grade Intracranial Malignancies, Alonso Larosa, Zachary Fellows, Andrew Wroe, Len Coutinho, Eduardo Pons, Nicole Mcallister, Ranjini Tolakanahalli, Tugce Kutuk, Matthew Hall, Robert Press, Michael Mcdermott, Yazmin Odia, Manmeet Ahluwalia, Minesh Mehta, Alonso Gutierrez, Rupesh Kotecha

All Publications

Recurrent high-grade intracranial malignancies have a grim prognosis and uniform management guidelines are lacking. Re-irradiation is underused due to concerns about irreversible side effects. Pulsed-reduced dose rate radiotherapy (PRDR) aims to reduce toxicity while improving tumor control by exploiting dose-rate effects. We share our initial experience with temporally modulated pulsed proton re-irradiation (TMPPR), focusing on workflow, safety, feasibility, and outcomes for the first patient cohort. TMPPR was administered to patients with recurrent or progressive central nervous system malignancies using intensity modulated proton therapy with three fields. Patient and treatment data were collected, responses categorized using RANO assessment, and toxicities graded …

Beneath The Surface: Diagnosing Gastric Linitis Plastica, Anurag Marasini, Thilini Delungahawatta, Bryan Szeto, Robert Jones, Christopher J. Haas

Journal of Community Hospital Internal Medicine Perspectives

Gastric Linitis plastica is characterized by extensive infiltration of gastric wall by poorly differentiated tumor cells, creating a "leather-bottle stomach" appearance. We describe a case involving a 71-year-old male presenting with globus sensation, early satiety and weight loss. Recent EGD had revealed chronic gastritis with polypoid mucosa at the GE junction, and subsequent FDG-PET indicated asymmetric FDG localization. On admission, repeat EGD with deep biopsies confirmed invasive poorly differentiated gastric adenocarcinoma with signet ring features. Despite palliative radiation, the patient died within a month, highlighting the disease’s aggressiveness and importance of advanced diagnostic techniques in suspected cases of Linitis plastica.

Recurrent Hypoglycemia In A Patient With Advanced Hepatocellular Carcinoma, Balpreet Chouhan

Journal of Community Hospital Internal Medicine Perspectives

Background

Nonislet cell tumor hypoglycemia (NICTH) is a rare but serious complication of malignancy. Various causes of this type of hypoglycemia include excessive tumor burden resulting in destruction of the liver or adrenal glands, production of autoantibodies against insulin and tumoral production of incompletely processed IGF-2.

Objectives

Objective of this case report is to explore pathogenic mechanisms for hypoglycemia in hepatocellular carcinoma (HCC), and evidence-based treatment options.

Methods

We present a case of recurrent symptomatic hypoglycemia, despite conservative management, in a patient with extensive hepatocellular carcinoma.

Results

Patient developed recurrent hypoglycemia despite attempting treatment with therapies based on limited evidence …

Home Treatment For Low-Risk Pulmonary Embolism: Is It Happening?, Faria Ahmed Nitol, Holman Li Do, Mohammad Raja, Andrew Miele, Craig Thurm

Journal of Community Hospital Internal Medicine Perspectives

Patients with pulmonary embolus (PE) can be stratified into low, intermediate, and high risk based on such factors as hemodynamics and the status of the right ventricle. Low risk patients who meet appropriate criteria can potentially be discharged home with oral anticoagulation, avoiding unnecessary hospitalization and associated complications and costs. However, limited data suggest early discharge of low-risk patients has not gained widespread traction. This retrospective study reviewed 138 patients seen in a high-volume emergency department (ED), 29 of whom were considered low-risk. Of these, 24 (82.7%) were still admitted to the hospital despite meeting appropriate criteria for early discharge. …

Healthcare Delivery Under Alternative Medicare Plans: Insights From Patient Records And Physician Interviews, Steven R. Stout, Laurence Douglas Smith, Michael R. Wieck

Engaged Management ReView

This study investigates differences in annual healthcare services usage by enrollees in various Medicare and Medicare Advantage plans with consideration of the major factors that should account for such differences. Using the Centers for Medicare and Medicaid Services’ detailed patient-encounter and diagnostic records for a random sample of one million Missouri Medicare beneficiaries, we compared healthcare services received by individuals insured under different Medicare and Medicare Advantage plans. With complementary information about patient demographics and access to healthcare resources, we examine the factors affecting healthcare services received. The results show that plan and provider choices relate to significant utilization variances …

Mrs. Dorothy Hilton Wilkerson

African American Funeral Programs

Mrs_Dorothy_Hilton_Wilkerson.pdf - Funeral program for Mrs. Dorothy Hilton Wilkerson

Peaks Island Star : November 2024, Vol. 44, Issue 11, Service Agencies Of The Island

Peaks Island Star, 2024

The Peaks Island Star is the newsletter of the island's service agencies and other community news.

Unl Emeriti And Retirees Association Newsletter, November 2024

UNL Emeriti and Retirees Association: Newsletters and Other Materials

University of Nebraska-Lincoln Emeriti and Retirees Association Newsletter, November 2024

Conceptions Of Latinos And Latinas About The Grieving Process And Associate Concepts Of Dying, Death, Bereavement, And Loss: A Covid-19-Post-Pandemic Case Study, Rosario Garcia Ortiz

Dissertations

The purpose of this study was to recognize the grieving process and the related concepts of Latinos who lost a loved one to the COVID-19 pandemic. Death and dying have been studied in the United States, with limited studies focusing on the Latino culture. The COVID-19 pandemic was a devastating experience for the world and continues to be studied for understanding and lessons in the aftermath. This research included four participants from the Latino culture who lost a loved one during the COVID-19 pandemic. An inductive approach and data analysis were used to form theoretical constructs. Three main categories were …

Mesenchymal-Type Genetic Mutations Are Likely Prerequisite For Glioblastoma Multiforme To Metastasize Outside The Central Nervous System: An Original Case Series And Systematic Review Of The Literature, Bryce J. Laurin, Randall Treffy, Jennifer M. Connelly, Michael Straza, Wade Mueller, Max O. Krucoff

Biomedical Engineering Faculty Research and Publications

Background

Glioblastoma Multiforme (GBM) is the most aggressive and prevalent type of malignant brain tumor, yet it metastasizes outside the central nervous system (CNS) in only 0.4% of cases. Little is known about what enables this subset of GBMs to take root outside the CNS, but genetic mutations likely play a role.

Methods

We conducted a PRISMA-compliant systematic review of metastatic GBM wherein we reviewed 3579 search results and 1080 abstracts, analyzing data from 139 studies and 211 unique patients. In addition, we describe 4 cases of patients with pathologically confirmed GBM metastases outside the CNS treated at our institution. …

Focus, 2024, Summer, Andrews University

Focus

FOCUS (ISSN 1077-9345) is published quarterly, free of charge, for alumni and friends of Andrews University, an institution owned and operated by the Seventh-day Adventist Church.

Trends In The Use Of Biologic Disease-Modifying Antirheumatic Drugs In Patients With Rheumatoid Arthritis And Recently Diagnosed Colorectal, Lung, Or Prostate Cancer, Maria E Suarez-Almazor, Juan I Ruiz, Xiudong Lei, Chi-Fang Wu, Hui Zhao, Suja S Rajan, Sharon H Giordano

Faculty, Staff and Student Publications

INTRODUCTION: Biologic disease-modifying antirheumatic drugs (bDMARD) are often discontinued when a patient with rheumatoid arthritis (RA) is diagnosed with cancer. Our aim was to determine trends in bDMARD utilization in patients with RA and recently diagnosed cancer.

METHOD: We examined two national claims databases to identify adults with RA and recently diagnosed colorectal, lung, or prostate cancer (Optum's de-identified Clinformatics® Data Mart Database 2008-2022, and Surveillance, Epidemiology, and End Results Program (SEER) Medicare-linked 2008-2017). We determined time trends in bDMARD and tumor necrosis factor inhibitor (TNFi) prescriptions during the first 3 years after cancer with Cochram-Armitage tests and multivariable logistic …

Cohort Expansion And Genotype-Phenotype Analysis Of Rab11a-Associated Neurodevelopmental Disorder., Maria Carla Borroto, Heena Patel, Siddharth Srivastava, Lindsay C. Swanson, Boris Keren, Sandra Whalen, Cyril Mignot, Xiaodong Wang, Qian Chen, Jill A. Rosenfeld, Scott Mclean, Rebecca O. Littlejohn, Undiagnosed Diseases Network, Lisa Emrick, Lindsay C. Burrage, Ruben Attali, Gaetan Lesca, Cecile Acquaviva-Bourdain, Catherine Sarret, Laurie H. Seaver, Konrad Platzer, Tobias Bartolomaeus, Cornelia Wünsch, Susann Fischer, Ana Maria Rodriguez Barreto, Jorge L. Granadillo, Elisabeth Schreiner, Theresa Brunet, Ulrich A. Schatz, Isabelle Thiffault, Sureni V. Mullegama, Jacques L. Michaud, Fadi F. Hamdan, Elsa Rossignol, Philippe M. Campeau

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: GTPases of the Rab family are important orchestrators of membrane trafficking, and their dysregulation has been linked to a variety of neuropathologies. In 2017, we established a causal link between RAB11A variants and developmental and epileptic encephalopathy. In this study, we expand the phenotype of RAB11A-associated neurodevelopmental disorder and explore genotype-phenotype correlations.

METHODS: We assessed 16 patients with pathogenic or likely pathogenic RAB11A variants, generally de novo, heterozygous missense variants. One individual had a homozygous nonsense variant, although concomitant with a pathogenic LAMA2 variant, which made their respective contributions to the phenotype difficult to discriminate.

RESULTS: We reinforce the …

Change Of Ownership And Quality Of Home Health Agency Care, Zhanji Zhang, Kun Li, Siyi Wang, Shekinah Fashaw-Walters, Yucheng Hou

Faculty, Staff and Student Publications

IMPORTANCE: The home health agency (HHA) market has seen increasingly more change in ownership transactions. Little is known about the organizational characteristics and quality of care of HHAs after ownership has changed.

OBJECTIVE: To examine whether an HHA change in ownership was associated with different quality-of-care outcomes, patient volume, and staffing levels.

DESIGN, SETTING, AND PARTICIPANTS: Using current HHA change of ownership files linked to publicly available Medicare HHA data, this staggered difference-in-differences analysis evaluated ownership change transactions of Medicare-certified HHAs from quarter 1 of 2016 to quarter 4 of 2019. Pretransaction and posttransaction HHA characteristics and quality-of-care outcomes were …

Measures Of Success: Making The Case For Advanced Practice-Sensitive Quality Indicators, Ruth Kleinpell, April Kapu, Cynthia Borum

HCA Healthcare Journal of Medicine

Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation. APRN-sensitive outcome indicators are an important way to identify the impact of the role. While a number of studies have been conducted that …

Deacon Jacob "Jake" Waldburg

African American Funeral Programs

No abstract provided.