Digital Commons Network^™

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

Student Publications

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

Recommencement Of Anti-Thrombotics Following Traumatic Intracranial Haemorrhage; A Preliminary Survey Of Uk Consultant Neurosurgeons Informing The Restart-Ticrh Trial Design, Jack Read, Peter Whitfield, Michael D. Jenkinson, Catherine J. Mcmahon, Ellie Edlmann

Peninsula Medical School

Introduction: Traumatic intracranial haemorrhage (tICH) commonly follows falls in elderly people, around half of whom are taking anti-thrombotic (AT) medications pre-injury. ATs are typically stopped acutely, but guidance on safe recommencement is limited. Research question: We surveyed UK neurosurgical consultants to understand variations in AT recommencement practice and inform trial design. Materials and methods: An online cross-sectional survey was distributed via the Society of British Neurological Surgeons mailing list to assess self-reported consultant practice regarding cessation and recommencement of AT therapy following tICH. Results: Sixty-two consultant neurosurgeons responded. Following tICH most are very likely or likely to stop AT therapy …

Flipbook-Based Media To Prevent Academic Burnout Among Senior High School Students In Yogyakarta, Puan Maharani Fauza, Eva Imania Eliasa, Kun Widya Nurfiani

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Academic burnout is a pressing issue that negatively affects senior high school students, yet conventional counseling services often rely on monotonous, static media that fail to engage today's digital generation. To address this urgent gap, this research aimed to develop an interactive digital Flipbook as a preventive intervention. The study employed a Research and Development (R&D) method using the ADDIE model, consisting of Analysis, Design, Development, Implementation, and Evaluation stages. Product validation was conducted by media experts and subject-matter experts, while the practicality test involved two Guidance and Counseling teachers. The effectiveness test was carried out through an experimental study …

Pre-Service Teachers' Experiences On Teaching Essay Writing To Grade 10 Learners In The Eastern Cape, Ncebazakhe Makhohlisa, Lundi Nomlala

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This paper explores pre-service teachers’ experiences in teaching essay writing to Grade 10 English First Additional Language learners. Despite the significance of essay writing for developing learners' writing skills in multilingual classrooms, writing essays remains a challenge for most English First Additional learners. The extant research has examined the challenges that learners face in essay writing. However, there is limited research examining pre-service teachers’ experiences in teaching essay writing during their teaching practice. This paper employed a qualitative research approach, and data were drawn from 30 pre-service teachers’ reflective journals based on their teaching practice experiences. Cognitive Process Theory was …

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

Journal of Sustainable Mining

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

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

Department of Neurosurgery Posters

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

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

Results: Neuroimmune findings differed across axial mechanical, …

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

International Nursing Research Congress (INRC)

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

This work conceptually examines …

Parent–Child Responses To A Digital Cancer Prevention Game: Pre–Post Changes In Hpv-Related Outcomes, Angela Chia-Chen Chen, Michael Todd, Elizabeth Reifsnider, Ashish Amresh

International Nursing Research Congress (INRC)

Purpose: This presentation examined pre–post changes among parent–child dyads who received HPV Detective, a digital game promoting HPV vaccination and cancer prevention. We compared intervention effects between parents and children to understand how digital tools influence family-centered determinants of HPV vaccination.

Methods: Thirty-one parent–child dyads (n=62) completed online surveys at baseline (T0) and immediately post-intervention (T1) while playing the 10–15-minute game in pediatric clinics before seeing the provider. Surveys included sociodemographic characteristics and validated scales assessing HPV knowledge, attitudes, behavioral control, subjective norms, and vaccination intention. Paired t-tests and descriptive analyses assessed within-person changes, with results confirmed using nonparametric tests. …

Patient-Provider Communication Matters In Telehealth Use, Chanam Shin, Thomas Guffey, Mijin Kim

International Nursing Research Congress (INRC)

Introduction: Telehealth use has rapidly expanded health care access and reshaped patient-provider interactions. Evidence shows that telehealth can be influenced by communication quality between patients and providers. However, little is known about how patient-provider communication relates to telehealth use among minority ethnic populations.

Purpose: This study was to examine associations between patient-centered communication and telehealth use in Asian Americans.

Methods: We conducted a secondary analysis using the 2022 Health Information National Trends Survey 6 data. A total of 265 adults who identified as Asian American were included. Telehealth use was assessed by asking respondents if they used telehealth in the …

Machine Learning In Pediatric Surgery: Validation For Ambulatory Screening, Mary Beth Bass, Jill Kinch, Kimberly Isenberg

International Nursing Research Congress (INRC)

Accurate screening for anesthesia eligibility criteria is crucial for pediatric ambulatory surgery centers (ASCs) to ensure patient safety and optimization of resources [1,3]. Traditional manual chart review by advanced practice providers (APPs) is labor-intensive and subject to variability [2, 3, 7]. Continued growth of the ASC patient volume creates challenges for the APP team to meet the patient safety needs without adding additional support. To address these challenges, we partnered with Brim Analytics (Brim), an Artificial Intelligence (AI) powered chart review tool built on a large language model. Brim interprets unstructured electronic medical record (EMR) data and applies our institutional …

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

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Study Region

Study Focus

New Hydrological Insights for the Region

Phenotypic And Genotypic Risk Factors For Fatigue Trajectories In Early-Stage Breast Cancer Patients, Katrina Carr, Susan M. Sereika, Yvette Conley, Susan Wesmiller

International Nursing Research Congress (INRC)

Introduction: Cancer-related fatigue (CRF) is the most burdensome symptom in early-stage breast cancer (ESBC) patients; up to 30% report severe fatigue one-year post-diagnosis. CRF significantly impairs quality of life and functional status. Identifying risk factors for distinct fatigue trajectories can inform symptom management timing and personalization.

Purpose: Identify distinct trajectories and phenotypic and genotypic risk factors associated with high severity fatigue trajectories in women with ESBC.

Methods: This analysis of a prospective longitudinal study examined genetic underpinnings of symptoms in ESBC patients. Fatigue was assessed using the 29-item Patient-Reported Outcomes Measurement Information System (PROMIS®29) weekly during treatment and monthly thereafter …

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

School of Mathematical & Statistical Sciences Faculty Publications

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

Bahasa, Budaya, Dan Kecerdasan Buatan: Tantangan Pengajar Bipa Di Era Ai, I Made Darma Sucipta, I Made Rai Jaya Widanta, I Made Sujanayasa

Journal of Language, Literature, and Arts

The development of artificial intelligence (AI) has brought significant transformations to the teaching of Indonesian for Foreign Speakers (Bahasa Indonesia bagi Penutur Asing, BIPA). This empirical qualitative study aims to describe the challenges faced by BIPA teachers in integrating AI into language instruction and the strategies they employ to balance the use of technology with the preservation of local culture. Data were collected through in-depth interviews, classroom observations, and the analysis of teaching-material documents involving three BIPA teachers at Bali State Polytechnic who were selected through purposive sampling. The data were analyzed using thematic analysis. The findings indicate …

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

Journal of Innovation and Teacher Professionalism

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

Sectoral Structuring And Socio-Economic Context: The Resilience Capacity Of Tourism Businesses In Corsica And The Balearic Islands - A Comparative Analysis, Léa Giudicelli

International Journal of Islands Research

The tourism sector remains intrinsically vulnerable to crises of various kinds, including natural disasters, terrorist attacks, volcanic activity, and pandemics. The unprecedented disruptions caused by the COVID-19 pandemic, which virtually paralysed global tourism for many months, have led to a critical reassessment of tourism specialisation and revitalised debates about the sector’s potential for sustainable transformation (Girard & Schéou, 2020). In this reflective context, the present study aims to analyse the adaptive capacity of tourism enterprises facing structural changes affecting the sector in recent years. Particular attention is paid to the consequences of growing collective awareness around climate change, as well …

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

Journal of Southeast Asian American Education and Advancement

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

More Than A Name: Reparative Description For Women’S Archives, Allison Mccormack, Hallie Oines

Journal of Western Archives

This article describes a reparative description initiative at an academic library aimed at improving access to women’s archival collections. By hiring a metadata specialist through grant funding, the project revised legacy MARC records to update, expand, and standardize collection descriptions. Prioritizing inclusive language and accurate subject headings, the team addressed gaps that previously hindered discovery of women’s materials. Over two years, 818 records were remediated, enhancing creator, topical, and genre/form access points. The article discusses project challenges, strategies for respectful description, and the resulting improved discoverability, offering a replicable model for reparative archival work.

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

Articles in Press

No abstract provided.

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

Articles in Press

No abstract provided.

Correspondence Between Kenneth L. Whitt And Hazel Embree, Hazel Embree

Kenneth L. Whitt Papers

Correspondence between Kenneth L. Whitt and Hazel Embree (Mrs. Leslie O. Embree), Embree providing answers to Whitt's various questions about Embree's time as editor of the Shorthorn newspaper.

Correspondence Between Kenneth L. Whitt And John Nation, John Nation, Kenneth L. Whitt

Kenneth L. Whitt Papers

Correspondence between Kenneth L. Whitt and John Nation, Nation providing answers to Whitt's various questions about Nation's time as editor of the Shorthorn newspaper.

Letter From Kenneth L. Whitt To Duncan Robinson And Paul Blackney, Kenneth L. Whitt

Kenneth L. Whitt Papers

Copy of a letter from Kenneth L. Whitt to Duncan Robinson and Paul Blackney requesting an interview with them, as well as assistance in finding other former faculty sponsors of the Shorthorn newspaper.

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

Educational Practices in Kinesiology

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

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

Academic Leadership Journal in Student Research

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

The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad

Academic Leadership Journal in Student Research

The past few decades of scholarly inquiries on the topic of the hypnagogic state and N1 sleep onset have introduced a new understanding of human general mentation. The underlying phenomenological, psychological, and neurological aspects of the hypnagogic state have been explored in depth by researchers. Hypnagogia and N1 sleep onset have been associated with creativity, spontaneous access to insights, symbolic representation of cognitive processes, and visual and auditory perceptions. The default mode network (DMN) has been largely associated with creativity and spontaneous thinking during N1 sleep onset. This paper reviews the basics of the neurology and phenomenology of N1 and …

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

Journal of Community Hospital Internal Medicine Perspectives

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

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

Journal of Community Hospital Internal Medicine Perspectives

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

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

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

Journal of Community Hospital Internal Medicine Perspectives

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

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

Recurrent Ischemic Colitis Associated With Chronic Low-Flow Physiology: Diagnostic And Therapeutic Implications, Mustafa Sadek, Alaa Almallouhi

Journal of Community Hospital Internal Medicine Perspectives

Ischemic colitis is the most common form of intestinal ischemia and is typically associated with acute hypoperfusion states such as shock or dehydration.¹ Chronic low-flow states related to persistently low baseline blood pressure may represent an underrecognized contributor to recurrent disease in the absence of classic acute triggers.² We present a case of a 54-year-old woman with recurrent, biopsy-proven ischemic colitis occurring in the setting of persistently low blood pressure documented across multiple clinical encounters. Unlike many patients with ischemic colitis, she lacked documented atherogenic, autoimmune, radiation-related, or vasospastic risk factors, and CT angiography showed patent mesenteric vasculature. …