Digital Commons Network^™

Joyful Nursing By Leading With Heart In Perinatal Loss Care And Staff Wellness, Kelli Griffiths, Holly Puckett, Bruce Slagle

Montview Journal of Research & Scholarship

This quasi-experimental study evaluates if providing individualized follow-up care through self-care bags, follow-up phone calls, open communication for debriefing, and tailored mental health resources enhances support for obstetric staff and improves their ability to care for patients experiencing perinatal loss. Interventions were implemented from February 2024 to August 2024. A total of 103 self-care bags were distributed throughout the designated hospital systems’ two labor and delivery departments. A five question post-intervention survey was conducted and found the following question to be statistically significant, “I feel the joy in nursing would be restored, to a degree, if obstetric staff were more …

Bridging The Emotional Gaps: Understanding And Supporting Doctoral Students In Counselor Education, Janita Daggy, Tiffany Spatz, Eric Jason Camden

Montview Journal of Research & Scholarship

Counselor education and supervision (CES) is a dynamic and exciting profession. CES-students often enroll in CES-programs because they recognize the charge of training new generations of counselors, supervisors, and researchers and extant research demonstrates the interpersonal and intrapersonal experiences associated with this advanced educational training experience. Concurrently, as with most advanced training regimens, significant personal transformation is possible. It is during this transformation, or personal and academic refining, that emotional experiences manifest. These emotional experiences often either promote persistence or can inhibit, or curtail, the academic journey. Therefore, this conceptual article reviews common emotional challenges faced by CES students and …

Immunohistochemical Analysis Of The Effects Of Streptozotocin-Induced Diabetes On Mouse Testis, Rory E. Field, Brianna R. Demaio, Hannah R. Fioramonti, Makenna M. Landis, Jing Xu

Montview Journal of Research & Scholarship

Because diabetes mellitus (DM) poses harm to the reproductive systems of humans and mice on both the cellular and histological levels, we sought to understand the effects of streptozotocin-induced (STZ) diabetes mellitus on the spermatogenesis and Anti-Müllerian hormone (AMH) production of mice. The structural integrity of the testes is disrupted due to the high levels of oxidative stress caused by DM, which also hinders spermatogenesis. Advanced glycation end products (AGEs) have been found to induce autophagy in Sertoli cells, and the Sertoli cells of diabetic models have fewer tight junctions between them. This disorganization and decreased integrity of the seminiferous …

Barriers To Neglected Tropical Disease Service Accessibility: Challenges And Solutions For Reaching Mobile And Migrant Populations In Uganda., Victor Lambongang, Wuraola R. Awosan

Montview Journal of Research & Scholarship

Neglected Tropical Diseases (NTDs) remain a significant public health challenge in Uganda, disproportionately affecting mobile and migrant populations, including refugees, internally displaced persons (IDPs), and cross-border workers. Despite ongoing efforts by the Ugandan government and global health organizations, these populations face barriers to accessing NTD services, including geographic inaccessibility, weak healthcare infrastructure, socio-cultural misconceptions, and policy gaps. These challenges hinder early diagnosis, treatment adherence, and prevention efforts, leading to increased disease burden and reinfection risks in high-mobility settings. This study aims to identify barriers to NTD service accessibility among migrant populations in Uganda and propose evidence-based solutions to improve healthcare …

Of Cicadas And Ducks: Humor In Emmanuel Chabrier's "Les Cigales" And "Villanelle Des Petits Canards", Hope V. Dornfeld

Montview Journal of Research & Scholarship

This research project consists of a vocal performance of two songs from Emmanuel Chabrier’s “Barnyard Suite” (Volailleries), a song cycle on poems of Edmond Rostand and Rosemonde Gérard. It will be accompanied by program notes and a separate oral presentation that detail the research process and creative decisions inherent in presenting a work of musical performance art. The project will provide a broad historical context for Chabrier’s work, with special attention given to the role of humor in French art song. The first song presented, Les cigales, masterfully depicts cicadas and their raucous noises, while the second, …

Factors Affecting Risk Perceptions About The Human Health Effects Resulting From Harmful Algal Bloom Exposure, Alexandra Benitez Gonzalez, Heather A. Triezenberg, Diane Doberneck, Abigail Bennett, Mark Rey

Journal of Contemporary Water Research and Education

In the Great Lakes region, harmful algal blooms (HABs) are known cyanobacterial blooms that pose significant public health, environmental, and socio-economic risks. Risk information related to HABs is primarily communicated through state and local government agencies; however, the effectiveness of these communication strategies and how local stakeholders are learning about such risks remains unclear. The objective of this study is to examine how to effectively communicate HABs risks and understand public risk perceptions of HABs-related risks during recreational lake use in Michigan. Guided by the social amplification of risk framework, this qualitative study conducted fieldwork in 2021, including 27 semi-structured …

A Parallel Interval Modeling Framework For Nonlinear Systems: Application To A Modified Duffing Oscillator, Roman Voliansky, Nina Volianska

Northeast Journal of Complex Systems (NEJCS)

The paper presents a mathematical framework for converting nonlinear dynamical systems into parallel forms. This framework replaces the exact system motion equations with interval equations, enabling the representation of nonlinear functions over piecewise linear domains. Such representation enables the description of system motions using linear-like differential equations, which can be analyzed and manipulated using well-known control methods. One such method is eigenvalue analysis, a powerful tool in classical control theory since many techniques rely on the system’s characteristic polynomial and its eigenvalues. We apply this method to define interval system eigenvalues and track their variation during system operation. These eigenvalues …

Ponto-Bulbar Palsy, Sensorineural Hearing Loss, Tongue Fasciculation: Molecular Study & Review Of Indian Cases, Ankur Singh, Sukanaya Ghosh, Durgadatta Pattanayak, Abhishek Abhinay, Rajniti Prasad

Journal of Pediatric Genetics

Brown-Vialetto- Van Laere (BVVL) syndrome is neurodegenerative condition, characterised by ponto-bulbar palsy and sensori-neural hearing loss. Since, this is a rare condition with common sign and symptoms, diagnosis is usually missed or delayed. The above condition is Riboflavin transporter defect which responds to riboflavin therapy. Molecular study confirmed the diagnosis and found recurrent pathogenic variation c.1238 C>A; p Val 413 Asp in exon 5 of SLC52A3 gene in present case. We tabulated all Indian cases of BVVL and highlighted their clinical features and genotype. BVVL type 1 is the most common type, reported from Indian patients.

Association Between Il-17a And Il-17rc Gene Polymorphisms And Childhood Asthma In South Indian Children, Balasubramanian Jeyaraman, Balasubramanian Marimuthu, Balasankar Soundaiyan, Ramajayam Govindan, Maheshkumar Poomarimuthu

Journal of Pediatric Genetics

Background: Interleukin-17A (IL-17A) is a proinflammatory cytokine that promotes neutrophilic inflammation and airway remodeling, playing a vital role in the development of asthma. Genetic variations in IL-17A and its receptor, IL- 17RC, have been linked to the susceptibility of numerous inflammatory diseases, including asthma. This study was designed to explore the association of IL-17A (rs2275913 and rs8193036) and IL-17RC (rs708567) gene polymorphisms with childhood asthma in a South Indian population. Methods: This study comprised 51 children diagnosed with asthma and 50 agematched healthy controls. Genotyping of IL-17A (rs2275913 and rs8193036) and IL-17RC (rs708567) polymorphisms was performed using the PCR-RFLP method. …

Short-Term Effects Of Extremely Low-Frequency Electromagnetic Fields On Neurogenesis And Wnt Signaling In Amniotic Fluid Cells, Coşar Uzun, Ümit Karakaş, Mustafa Ertan Ay, Özlem İzci Ay, Didem Derici Yıldırım, Nurten Erdal, Mehmet Emin Erdal

Journal of Pediatric Genetics

Background: Extremely low-frequency electromagnetic fields (ELF-EMF) at 50 Hz are prevalent in household electrical systems. Although various studies have examined the effects of ELF-EMF on cell proliferation and gene expression, its impact on amniotic fluid cells (AFCs) remains unclear. Objectives: This study aimed to assess the potential effects of ELF-EMFs on gene expression related to neurogenesis and the Wnt signaling pathway in AFCs. Methods: AFCs were isolated from amniotic fluid obtained via amniocentesis and divided into five groups: control, sham, and three groups exposed to different ELFEMF intensities (1 mT, 2 mT, 3 mT for 30 minutes/day for 7 days). …

Effects Of Intensive Physical Therapy And Two-Year Follow-Up Results In A Child With Kleefstra Syndrome: A Case Report, Doğan Porsnok, Akmer Mutlu

Journal of Pediatric Genetics

Background: Kleefstra syndrome (KS) is a rare genetic syndrome that develops due to haploinsufficiency of the euchromatic histone methyltransferase 1 gene and is mostly characterized by hypotonia, developmental delays and intellectual disorders. We aimed to report the potential effectiveness of a 12-week intensive physiotherapy (PT) program provided to a child with KS and to present the twoyear longitudinal follow-up results. Case Presentation: A 1-year-old male child diagnosed with KS was admitted. The age-specific individualized PT program was implemented for 12-week and the child was longitudinally followed-up. The Bayley Scales of Infant and Toddler Development-Third-Edition (Bayley-III), PedsQL™ Family Impact Module (FIM), …

Clinical Complications And Management Strategies For Wolcott-Rallison Syndrome, Pavan K. Madasu, Durga Ashok Burande, Nivedhitha Ulaganathan, Thyageshwar Chandran

Journal of Pediatric Genetics

Wolcott-Rallison syndrome (WRS) is a rare genetic disorder, diagnosed with transient/permanent neo-natal insulin-dependent diabetes mellitus (IDDM). Infants are primarily diagnosed with the onset of diabetes mellitus followed by a propensity for skeletal dysplasia, liver dysfunction, pancreatic hypoplasia, renal dysfunction, mental retardation, seizures, stenosis, and glycosuria. Unfortunately, regardless of the symptoms or poor prognosis, most of the infants could not survive beyond two years, and those who survived do not live a quality life before death. However, despite these clinical complications, clinical intervention at a right time can contribute to prolonged life expectancy. The transplantation of vital organs (liver, pancreas and …

Handwritten Notes On Broadcast, Bob Schieffer

Bob Schieffer Vietnam War Collection

Notes on a segment of a radio broadcast from Fort Worth Star-Telegram.

Speech On Fort Worth Star-Telegram, Bob Schieffer

Bob Schieffer Vietnam War Collection

Speech addressing current war and situation in Vietnam.

Report On Vietnam, Bob Schieffer

Bob Schieffer Vietnam War Collection

Report about life in Vietnam and details about the war, and handwritten notes with report outline.

Report From Fort Worth Star-Telegram

Bob Schieffer Vietnam War Collection

Article on the Fort Worth Star-telegram about Bob Schieffer.

Handwritten Notes, Bob Schieffer

Bob Schieffer Vietnam War Collection

Pieces of paper with a list of things and short statement about the Vietnam war.

A Proposed Secure Video Using Lightweight Chacha20 Based On Chaotic Map, Hadeel Mohammed Taher, Ali Makki Sagheer

Iraqi Journal for Computer Science and Mathematics

Multimedia content has become a necessary part of our daily lives in many domains, including medical imaging, surveillance, and entertainment. Among all multimedia categories, video is mainly critical because of its high content density and large size. For that, ensuring the security of video has become a necessity for transmission and storage. This paper proposed an enhancement to the Chacha algorithm integration with a hybrid chaotic map for generating keys to secure video. The main motivation for the selection ChaCha algorithm is that it is fast, simple, and appropriate for widespread applications, whereas the motivation for using chaos is to …

Diagnosis And Management Of New-Onset Central Diabetes Insipidus In Critically Ill Children Varies Between Pediatric Critical Care Medicine And Pediatric Endocrinology Clinicians, R. Brandon Hunter, Herodes Guzman, Jessica Winters, Katherine Lord, Matthew Kirschen, Vijay Srinivasan

Journal of Pediatric Intensive Care

Introduction: The diagnosis and management of central diabetes insipidus in critically ill children is not standardized. Our objective was to characterize differences between Pediatric Critical Care Medicine (PCCM) and Pediatric Endocrinology (PE) clinicians in diagnosis and management of new-onset CDI in the pediatric intensive care unit. We also sought to characterize knowledge gaps among general pediatrics (GP) residents. Materials and Methods: A scenario-based survey to assess patterns of diagnosis and management of new-onset CDI that was distributed to PCCM, PE and GP clinicians who work in a quaternary care urban children’s hospital. Results: Of 275 PCCM, PE and GP clinicians …

Characterization Of Pediatric Patients With Rheumatological Diseases Admitted To A Single Tertiary Health Hospital’S Pediatric Intensive Care Unit In Latin America, Valeria Erazo-Martínez, Ingrid Ruiz-Ordoñez, Carolina Álvarez, Laura Serrano, Cristian C. Aragón, Gabriel J. Tobón, Sandra Concha, Rubén Lasso, Lyna Ramírez

Journal of Pediatric Intensive Care

Objetives: Most autoimmune diseases (AIDs) during childhood debut with more severe and aggressive forms, with life-threatening conditions that increase the need for intensive care therapy. This study describes the clinical, laboratory, and health outcomes features of pediatric patients with AIDs admitted to the pediatric intensive care unit (PICU). Methods: This is a retrospective cross-sectional study that included the clinical records of all pediatric patients with AIDs admitted to the PICU during 2011 and 2020 in Cali, Colombia. Results: Two-hundred and twenty-five PICU admissions from 136 patients were evaluated. Median age was 13 (11-15) years, and the median disease duration was …

The Effect Of Aminophylline On Urine Output And Fluid Balance After A Single Dose In Children Admitted To The Pediatric Cardiac Intensive Care Unit, Rohit S. Loomba, Sruti Uppuluri, Priya Chandra, Faeeq Yousef, Vincent Dorsey, Juan S. Farias, Saul Flores, Enrique G. Villarreal

Journal of Pediatric Intensive Care

Introduction: The purpose of this retrospective study was to investigate the effects of a single dose of aminophylline on urine output and fluid balance in children admitted to the cardiac intensive care unit. Methods: A retrospective study was done to compare variables of interest before and 24 hours after aminophylline administration in children under the age of 18 years who were admitted to the cardiac intensive care unit at our institution from January 2011 onwards. Variables of interest included age, weight, aminophylline dose, concurrently administered diuretics, specific hemodynamic parameters, and blood urea nitrogen and creatinine levels. Variables such as urine …

Perspectives On Current Mechanical Ventilation Use And Training In Pediatric Critical Care Medicine Fellowship Programs In The United States Of America, Matthew P. Malone, Erin Bennett, O. Katherine Irby, Sanjiv Pasala, Ronald C. Sanders, Beverly J. Spray, Abdallah Dalabih

Journal of Pediatric Intensive Care

Objective: Mechanical ventilation (MV) is an integral part of the care of the critically ill child, and contemporary MV includes a myriad of sophisticated modalities that should be tailored to specific disease pathology and severity. This requires Pediatric Critical Care Medicine (PCCM) physicians to have comprehensive training and experience with various modes. We sought to assess and describe the current landscape of MV practices and training from PCCM fellowship programs. Methods: To describe current MV practices and training in PCCM fellowship programs and assess the different modes of MV to which trainees are exposed, a piloted survey was sent to …

Patient-Specific Factors Associated With Dexmedetomidine Dose Requirements In Critically Ill Children, Karryn R. Crisamore, Philip E. Empey, Jonathan H. Pelletier, Robert S.B. Clark, Christopher M. Horvat

Journal of Pediatric Intensive Care

Objective: To evaluate patient-specific factors associated with dexmedetomidine dose requirements during continuous infusion. Methods: A retrospective cross-sectional analysis of electronic health record-derived data spanning ten years for patients admitted with a primary respiratory diagnosis at a quaternary children’s hospital and who received a dexmedetomidine continuous infusion (N=346 patients) was conducted. Penalized regression was used to select demographic, clinical, and medication characteristics associated with median daily dexmedetomidine dose. Identified characteristics were included in multivariable linear regression models and sensitivity analyses. Results: Critically ill children had a median hourly dexmedetomidine dose of 0.5 mcg/kg/hr (range: 0.1 - 1.8), median daily dose of …

Beyond Vital Signs: Pediatric Sepsis Screening That Includes Organ Failure Assessment Detects Patients With Worse Outcomes, Jesseca A. Paulsen, Karen M. Wang, Isabella M. Masler, Jessica F. Hicks, Sherry N. Green, Jeremy M. Loberger

Journal of Pediatric Intensive Care

Objective: Pediatric sepsis screening is recommended. The 2005 Goldstein criteria, the basis of our institutional sepsis screening tool (ISST), correlates poorly with clinically diagnosed sepsis. The study objective was to retrospectively evaluate the ISST sensitivity compared to the Pediatric Sequential Organ Failure Assessment (pSOFA). Methods: Single-center retrospective cohort study. The primary outcome was pSOFA score and ISST sensitivity for severe sepsis. Secondary outcomes included clinical outcome measures. Results: In this severe sepsis cohort (N=491), pSOFA and ISST sensitivity were 57.6% and 61.1%, respectively. In regression analysis for a positive pSOFA, positive blood culture (OR 2.2, 95% CI 1.1-4.3, p=0.025), older …

Outcomes Of Pediatric Drowning In The Pediatric Intensive Care Unit, Rebecca K. Aures, Jennifer Rosenthal, Ashley Chandler, Toby Raybould, Michael R. Flaherty

Journal of Pediatric Intensive Care

Objective: Drowning remains a leading cause of death in children. Knowledge of outcomes of these patients who survive drowning but require critical care is lacking. We aim to study the current mortality rate, describe interventions and associated diagnoses, and examine factors related to risk of death in drowning victims admitted to the pediatric intensive care unit (PICU). Methods: Retrospective multicenter cohort study utilizing data from the Virtual Pediatric Systems Database in 143 PICUs between January 1, 2010 and December 31, 2019. Patients between 0-18 years old admitted to a PICU with a diagnosis of drowning were included. The primary outcome …

Early Oral Rehydration Therapy In Diabetic Ketoacidosis: A Randomized Controlled Study, Shourya Vijay Tej Kola, Shalu Gupta, Virendra Kumar

Journal of Pediatric Intensive Care

Objectives: We aimed to compare the efficacy of oral versus intravenous fluid therapy in correcting dehydration in diabetic ketoacidosis (DKA) when pH was ≥ 7.25 and Glasgow coma scale (GCS) score was ≥ 12. We also compared the time to resolution of DKA. Subjects: Children aged ≤ 18 years with DKA were included in the study. In our pilot study, 40 children were enrolled from June 2018 to April 2019, and divided into two groups after achieving pH ≥ 7.25 and GCS score ≥ 12. Materials and Methods: This was an open-label, parallel-arm, randomized control trial conducted in the pediatric …

Role Of Serum Ferritin And Prism-Iii In Predicting Mortality In Children With Acute Encephalitis Syndrome In Northern India, Nisha Toteja, Rohit Sasidharan, Sachin Kumar, Kamran Zaman, Vijay Kumar Singh, Vineet Jaiswal, Kanchan Srivastava, Harish Tiwari, Mahima Mittal

Journal of Pediatric Intensive Care

Objectives: The aim of this study was to evaluate the role of Serum Ferritin (SF) and PRISM-III (Paediatric Risk of Mortality) in predicting mortality in critically ill children aged six months to 15 years diagnosed with Acute Encephalitis Syndrome (AES) admitted to the Paediatric Intensive Care Unit (PICU). Methods: This prospective observational study was conducted in the PICU of a tertiary teaching hospital in Northern India between July 2018 and June 2019. The primary outcome was to determine the association of admission SF levels with mortality. Secondary outcomes included estimating the prevalence of hyperferritinemia and comparing SF with PRISM-III scores …

Clinical Profile Of Multisystem Inflammatory Syndrome In Children [Mis-C] Associated With Sars-Cov-2 Admitted To Pediatric Intensive Care Unit, Yashaswini K., A. V. Lalitha, Naresh Kanna Giri Subramanian, John Michael Raj A.

Journal of Pediatric Intensive Care

Objectives: Multisystem Inflammatory Syndrome in children (MIS-C) is a post SARS-CoV-2 immune dissonance seen in the pediatric population. The current study is an attempt to understand subtleties of diverse phenotypes, immunotherapeutics and short-term outcome parameters of MIS-C. Methodology: Children admitted to Pediatric intensive care unit [PICU] between 1 month – 18 years, satisfying MIS-C criteria were enrolled in this retrospective observational study. They were stratified into different phenotypes like shock, Kawasaki disease and non - specific phenotypes. Respiratory, vasoactive support and outcomes were analyzed using appropriate statistical methods. Results: Seventy-five children presented with MISC during the study period. The mean …

An Exception To Prove The Rule: Rebutting The Presumption Of A Consistent And Definitive Construction, Miles C. Skedsvold

Mercer Law Review

Because the State of Georgia has had ten constitutions since declaring independence from Great Britain, the history of those prior constitutions has a lot to do with understanding the Constitution in force today. In particular, when a provision is carried forward from one constitution to the next without material change, the Supreme Court of Georgia’s decisions interpreting that provision under an earlier constitution can be a key piece of evidence for understanding its meaning in the later one.

The Supreme Court of Georgia calls this piece of the historical inquiry the presumption of a consistent and definitive construction: the provision …

Critical Engagement With Gpt In U.S. History: Full Integration In An Undergrad Setting, Matt Meador

Teaching Repository of AI-Infused Learning

This project integrates a custom-trained GPT model into undergrad U.S. History courses to support students in analyzing primary sources, evaluating historical perspectives, and bridging the gap into AI Literacy. Students use AI to generate draft responses, then critically review, annotate, and revise outputs, ensuring that human oversight fosters deeper historical thinking rather than passive acceptance of machine responses.