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Articles 142501 - 142530 of 1826589

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The Protective Efficacy Of A Sars-Cov-2 Vaccine Candidate B1351v Against Several Variant Challenges In K18-Hace2 Mice, Xin Wan, Fengjie Lin, Dongsheng Yang, Jie Wu, Kaiwen Wang, Wei Li, Qian Cai, Lei You, Deqin Pang, Jia Lu, Changfu Guo, Jinrong Shi, Yan Sun, Xinguo Li, Kai Duan, Shuo Shen, Shengli Meng, Jing Guo, Zejun Wang Jul 2024

The Protective Efficacy Of A Sars-Cov-2 Vaccine Candidate B1351v Against Several Variant Challenges In K18-Hace2 Mice, Xin Wan, Fengjie Lin, Dongsheng Yang, Jie Wu, Kaiwen Wang, Wei Li, Qian Cai, Lei You, Deqin Pang, Jia Lu, Changfu Guo, Jinrong Shi, Yan Sun, Xinguo Li, Kai Duan, Shuo Shen, Shengli Meng, Jing Guo, Zejun Wang

Faculty, Staff and Student Publications

The emergence of SARS-CoV-2 variants of concern (VOCs) with increased transmissibility and partial resistance to neutralization by antibodies has been observed globally. There is an urgent need for an effective vaccine to combat these variants. Our study demonstrated that the B.1.351 variant inactivated vaccine candidate (B.1.351V) generated strong binding and neutralizing antibody responses in BALB/c mice against the B.1.351 virus and other SARS-CoV-2 variants after two doses within 28 days. Immunized K18-hACE2 mice also exhibited elevated levels of live virus-neutralizing antibodies against various SARS-CoV-2 viruses. Following infection with these viruses, K18-hACE2 mice displayed a stable body weight, a high survival …


Burned Out By The Binary: How Misgendering Of Nonbinary Employees Contributes To Workplace Burnout, Sky Corby, Larry R. Martinez, Nicholas A. Smith, Kelly M. Hamilton, Mordeky C. Dullum Jul 2024

Burned Out By The Binary: How Misgendering Of Nonbinary Employees Contributes To Workplace Burnout, Sky Corby, Larry R. Martinez, Nicholas A. Smith, Kelly M. Hamilton, Mordeky C. Dullum

Psychology Faculty Publications and Presentations

We examine nonbinary employees’ experiences with misgendering in work contexts and draw from minority stress theory (Meyer, 2003) to understand the consequences of misgendering. Our findings from 29 semi-structured interviews with nonbinary individuals revealed that although being misgendered is a common and highly stressful experience (distal stressor), the emotional labor associated with anticipating and reacting to misgendering acts as an additional and more proximal stressor. Together, these stressors jointly contribute to all three components of employee burnout (emotional exhaustion, depersonalization, and reduced professional efficacy). We also identified support from coworkers and supervisors (in preventing and addressing misgendering) as important ameliorating …


Human Centered Approaches And Taxonomies For Explainable Artificial Intelligence, Helen Sheridan, Emma Murphy, Dympna O'Sullivan Jul 2024

Human Centered Approaches And Taxonomies For Explainable Artificial Intelligence, Helen Sheridan, Emma Murphy, Dympna O'Sullivan

Conference papers

Recent interest within the research community related to explainable artificial intelligence (XAI) has led to a profuse amount of literature on the subject. Those who wish to tackle the domain from an HCI focus may be presented with overwhelming material, most of which does not pertain to human aspects of XAI. Taxonomies can serve to categorize a subject into topic areas and distill content into an overview of the field. This late breaking work intends to help those within the HCI community with a focus on XAI to understand relevant aspects of human centered XAI. We also present a taxonomy …


Valorization Of Seafood Waste For Food Packaging Development, Zhijing Zhan, Yiming Feng, Jikai Zhao, Mingyu Qiao, Qing Jin Jul 2024

Valorization Of Seafood Waste For Food Packaging Development, Zhijing Zhan, Yiming Feng, Jikai Zhao, Mingyu Qiao, Qing Jin

School of Earth, Environmental, & Marine Sciences Faculty Publications

Packaging plays a crucial role in protecting food by providing excellent mechanical properties as well as effectively blocking water vapor, oxygen, oil, and other contaminants. The low degradation of widely used petroleum-based plastics leads to environmental pollution and poses health risks. This has drawn interest in renewable biopolymers as sustainable alternatives. The seafood industry generates significant waste that is rich in bioactive substances like chitin, chitosan, gelatins, and alginate, which can replace synthetic polymers in food packaging. Although biopolymers offer biodegradability, biocompatibility, and non-toxicity, their films often lack mechanical and barrier properties compared with synthetic polymer films. This comprehensive review …


Emerging Cyber Risks & Threats In Healthcare Systems: A Case Study In Resilient Cybersecurity Solutions, Abdiaziz Abdi, Hajar Bennouri, Anthony Keane Jul 2024

Emerging Cyber Risks & Threats In Healthcare Systems: A Case Study In Resilient Cybersecurity Solutions, Abdiaziz Abdi, Hajar Bennouri, Anthony Keane

Conference Papers

The exponential growth of digitalisation in healthcare and the ongoing threat of cybersecurity breaches are significant and cast a shadow over the industry’s progress. As the cost of data breaches reaches unprecedented levels, reaching an average of US$10.93 million in 2023 alone, and the frequency of attacks escalates, evidenced by a staggering 60% increase in phishing incidents between 2022 and 2023 reported by Smarttech247, Healthcare infrastructure is at a critical intersection. In this paper, we address the complex relationship between harnessing the potential of digital systems to improve and combating the escalating risks posed by cyber threats. The cyberattack on …


Butte Priority Soils Operable Unit Grove Gulch Sedimentation Bay 100% Remedial Design/Remedial Action Re-Submittal, Josh Bryson Jul 2024

Butte Priority Soils Operable Unit Grove Gulch Sedimentation Bay 100% Remedial Design/Remedial Action Re-Submittal, Josh Bryson

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.


Bringing Our Full Selves Into Computing: Designing, Building, And Fostering Equitable Computing Education Communities, Francisco Enrique Vicente Castro, Earl W. Huff, Amber Solomon, Briana Christina Bettin Jul 2024

Bringing Our Full Selves Into Computing: Designing, Building, And Fostering Equitable Computing Education Communities, Francisco Enrique Vicente Castro, Earl W. Huff, Amber Solomon, Briana Christina Bettin

Michigan Tech Publications

A key problem in achieving access to and sustained presence in computing and computing education (CEd) in the United States is environments that are all too often designed in ways that are harmful and inequitable toward systemically minoritized communities. While various scholars have explored ways to design equitable spaces within differing contexts, often, equity is framed merely as an issue of access. This dismisses the lived experiences of minoritized communities and can lead to shallow perspectives of equity that fail to address community concerns and further push these communities out of sustained participation and presence in computing and CEd. Drawing …


Depression Screening For Nursing Home Residents, Victor Chukwuocha Jul 2024

Depression Screening For Nursing Home Residents, Victor Chukwuocha

Walden Dissertations and Doctoral Studies

The project focused on depression among nursing home residents, an underrecognized and undertreated condition that affects quality of life. Few studies have been conducted on the subject of depression screening for nursing home residents, resulting in a lack of understanding among the nursing profession on managing specific conditions. At a nursing home, there was a need to address depression. The practice-focused question used in this project addressed the process of the translation of evidence to develop a staff education project for depression to enhance the knowledge of nurses working with nursing home residents. The project followed an evidence-based approach to …


A Comparative Analysis Of Openet For Evaluating Evapotranspiration In California Almond Orchards, Kyle Knipper, Martha Anderson, Nicholas Bambach, Forrest Melton, Zac Ellis, Yun Yang, John Volk, Andrew J. Mcelrone, William Kustas, Matthew Roby, Will Carrara, Sebastian Castro, Ayse Kilic, Joshua B. Fisher, Anderson Ruhoff, Gabriel B. Senay, Charles Morton, Sebastian Saa, Richard G. Allen Jul 2024

A Comparative Analysis Of Openet For Evaluating Evapotranspiration In California Almond Orchards, Kyle Knipper, Martha Anderson, Nicholas Bambach, Forrest Melton, Zac Ellis, Yun Yang, John Volk, Andrew J. Mcelrone, William Kustas, Matthew Roby, Will Carrara, Sebastian Castro, Ayse Kilic, Joshua B. Fisher, Anderson Ruhoff, Gabriel B. Senay, Charles Morton, Sebastian Saa, Richard G. Allen

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

The almond industry in California faces water management challenges that are being exacerbated by droughts, climate change, and groundwater sustainability legislation. The Tree-crop Remote sensing of Evapotranspiration eXperiment (T-REX) aims to explore opportunities to improve precision irrigation management for woody perennial cropping systems. Almond orchards in the California Central Valley were equipped with eddy covariance flux measurements to evaluate satellite remote sensing-based evapotranspiration (RSET) models. OpenET provides high-resolution (30-m spatial and daily temporal) RSET data, synthesizing decades of research for practical water management. This study provides an evaluation of OpenET performance at six almond sites covering a large range in …


Pt-Symmetry-Enabled Stable Modes In A Multicore Fiber, Tamara Gratcheva, Yogesh N. Joglekar, Jay Gopalakrishnan Jul 2024

Pt-Symmetry-Enabled Stable Modes In A Multicore Fiber, Tamara Gratcheva, Yogesh N. Joglekar, Jay Gopalakrishnan

Mathematics and Statistics Faculty Publications and Presentations

Open systems with balanced gain and loss, described by parity-time (PT -symmetric) Hamiltonians have been deeply explored over the past decade. Most explorations are limited to finite discrete models (in real or reciprocal spaces) or continuum problems in one dimension. As a result, these models do not leverage the complexity and variability of two-dimensional continuum problems on a compact support. Here, we investigate eigenvalues of the Schrödinger equation on a disk with zero boundary condition, in the presence of constant, PT -symmetric, gain-loss potential that is confined to two mirror-symmetric disks. We find a rich variety of exceptional points, re-entrant …


Rectal Cancer Treatment: Sexual Function Is Not The Sole Determinant Of Quality Of Life, Sarah M. Popek Jul 2024

Rectal Cancer Treatment: Sexual Function Is Not The Sole Determinant Of Quality Of Life, Sarah M. Popek

Biomedical Sciences ETDs

Colorectal cancer is the third most common cancer. Rectal cancer patients face genitourinary dysfunction, impacting physical, psychological, and social well-being. This study examined the prevalence of sexual dysfunction in rectal cancer patients to assess the impact of sexual dysfunction on quality of life (QoL).

This mixed method study included 19 completing the survey portion and 10 completing an interview, evenly split between men and women, and those with and

without a stoma. Most experienced significant sexual dysfunction, and discussion of sexual function was rare. Quality of life scores were high. Themes from the interviews included (1) the relationship between the …


The Relationship Between Operating Efficiency, Credit Score, And Small Business Sustainability, Garfield Henry Jul 2024

The Relationship Between Operating Efficiency, Credit Score, And Small Business Sustainability, Garfield Henry

Walden Dissertations and Doctoral Studies

The first 5 years of a small business (SB) life are critical because 50-60% fail. SB leaders are concerned about the inability of many SBs to attain sustainability within 5 years, given their pivotal role in owner and community financial viability. Grounded in the resource-based view theory, the purpose of this quantitative correlational study was to examine the relationship between SB operating efficiency, credit score, and sustainability. Secondary data for 211 closed and 211 companies still operating from 2013 to 2023 were collected from the Data Axle website for analysis. The results of the binary logistic regression were significant, X2 …


Relationship Between Respect, Trust, And Turnover Intentions, Christina Love Harmon Jul 2024

Relationship Between Respect, Trust, And Turnover Intentions, Christina Love Harmon

Walden Dissertations and Doctoral Studies

Leaders in the U.S. federal government are concerned with employee intent to leave, as it is the number one predictor of actual employee turnover. Grounded in social exchange theory, the purpose of this quantitative ex-post facto correlation study was to examine the relationship between social exchange and employee intent to leave. The participants were 256 employees from all agencies within the U.S. federal government who completed the 2022 Federal Employee Viewpoint Survey, including the Intent to Leave Scale. The results of the multinomial logistics regression were significant, χ² (4) = 87.875, p = <.001. In the final model, two predictors were significant, respect for department leaders, χ² (12) = 43.631, p = <.001, and trust in direct supervisor, χ² (12) = 32.513, p = 001. A key recommendation is for business leaders to model positive attitudes and behaviors by fostering a culture of trust, respect, and integrity to contribute to employee satisfaction and retention significantly. The implications for positive social change include the potential to retain valued employees who are committed to achieving organizational goals and improving productivity for organizational success


Elementary Teachers’ Perceptions Of Teacher Retention, Jennifer Renee Turney Jul 2024

Elementary Teachers’ Perceptions Of Teacher Retention, Jennifer Renee Turney

Walden Dissertations and Doctoral Studies

The problem that was addressed in this study is the high rate of teacher attrition at a K–8 Title I school in Arizona. The purpose of this basic qualitative study was to explore the perceptions of the teachers who have chosen to remain at this school rather than leave. The theoretical framework of the study was based on Herzog’s motivational theory pertaining to the factors that can influence job satisfaction and lead to higher employee retention. The research questions focused on the perceptions of teachers that contribute to their decisions to remain at the study site and what types of …


Controlled Delivery Of Rosuvastatin Or Rapamycin Through Electrospun Bismuth Nanoparticle-Infused Perivascular Wraps Promotes Arteriovenous Fistula Maturation, Allan John R Barcena, Joy Vanessa D Perez, Marvin R Bernardino, Erin Marie D San Valentin, Jossana A Damasco, Benjamin Martin, Biana Godin, Gino Canlas, Natalie Fowlkes, Richard R Bouchard, Jizhong Cheng, Steven Y Huang, Marites P Melancon Jul 2024

Controlled Delivery Of Rosuvastatin Or Rapamycin Through Electrospun Bismuth Nanoparticle-Infused Perivascular Wraps Promotes Arteriovenous Fistula Maturation, Allan John R Barcena, Joy Vanessa D Perez, Marvin R Bernardino, Erin Marie D San Valentin, Jossana A Damasco, Benjamin Martin, Biana Godin, Gino Canlas, Natalie Fowlkes, Richard R Bouchard, Jizhong Cheng, Steven Y Huang, Marites P Melancon

Faculty, Staff and Student Publications

In the context of arteriovenous fistula (AVF) failure, local delivery enables the release of higher concentrations of drugs that can suppress neointimal hyperplasia (NIH) while reducing systemic adverse effects. However, the radiolucency of polymeric delivery systems hinders long-term in vivo surveillance of safety and efficacy. We hypothesize that using a radiopaque perivascular wrap to deliver anti-NIH drugs could enhance AVF maturation. Through electrospinning, we fabricated multifunctional perivascular polycaprolactone (PCL) wraps loaded with bismuth nanoparticles (BiNPs) for enhanced radiologic visibility and drugs that can attenuate NIH—rosuvastatin (Rosu) and rapamycin (Rapa). The following groups were tested onto the AVFs of a total …


Exclusion Disguised As Access: A Critical Discourse Analysis Of Postsecondary Disability Service Websites, Lavonne Ciezadlo Kopca Jul 2024

Exclusion Disguised As Access: A Critical Discourse Analysis Of Postsecondary Disability Service Websites, Lavonne Ciezadlo Kopca

Theses and Dissertations

College students with disabilities are an overlooked minority population. However, they comprise an ever-increasing student population in postsecondary institutions. Yet students with disabilities do not persist or graduate at rates similar to their able-bodied peers. People with disabilities have historically been viewed as a low-status group and have been excluded from various social, educational, and economic benefits of citizenship. This study used a critical theoretical lens of social dominance theory to explore ways that higher education may be complicit in perpetuating discrimination and inequities through policies or discourse found in the content of student disability and diversity office websites. Key …


Cutting-Edge Developments In Zinc Oxide Nanoparticles: Synthesis And Applications For Enhanced Antimicrobial And Uv Protection In Healthcare Solutions, Egwonor Loveth Irede, Raymond Femi Awoyemi, Babatunde Owolabi, Omowunmi Rebecca Aworinde, Rofiat Odunayo Kajola, Ajibola Hazeez, Ayuba Adawale Raji, Latifat Oluwatobi Ganiyu, Chimezie O. Onukwuli, Asishana Paul Onivefu, Ikhazuagbe Hilary Ifijen Jul 2024

Cutting-Edge Developments In Zinc Oxide Nanoparticles: Synthesis And Applications For Enhanced Antimicrobial And Uv Protection In Healthcare Solutions, Egwonor Loveth Irede, Raymond Femi Awoyemi, Babatunde Owolabi, Omowunmi Rebecca Aworinde, Rofiat Odunayo Kajola, Ajibola Hazeez, Ayuba Adawale Raji, Latifat Oluwatobi Ganiyu, Chimezie O. Onukwuli, Asishana Paul Onivefu, Ikhazuagbe Hilary Ifijen

Michigan Tech Publications

This paper presents a comprehensive review of recent advancements in utilizing zinc oxide nanoparticles (ZnO NPs) to enhance antimicrobial and UV protective properties in healthcare solutions. It delves into the synthesis techniques of ZnO NPs and elucidates their antimicrobial efficacy, exploring the underlying mechanisms governing their action against a spectrum of pathogens. Factors impacting the antimicrobial performance of ZnO NPs, including size, surface characteristics, and environmental variables, are extensively analyzed. Moreover, recent studies showcasing the effectiveness of ZnO NPs against diverse pathogens are critically examined, underscoring their potential utility in combatting microbial infections. The study further investigates the UV protective …


Strength Measurement Of The E_Α^Lab = 830 Kev Resonance In The Ne 22 ( Α , N ) Mg 25 Reaction Using A Stilbene Detector, Shahina S., R. J. Deboer, J. Gorres, R. Fang, Michael T. Febbraro, R. Kelmar, M. Matney, K. Manukyan, J. T. Nattress, E. Robles, T. J. Rutland, T. T. King, A. Sanchez, R. S. Sidhu, E. Stech, M. Wiescher Jul 2024

Strength Measurement Of The E_Α^Lab = 830 Kev Resonance In The Ne 22 ( Α , N ) Mg 25 Reaction Using A Stilbene Detector, Shahina S., R. J. Deboer, J. Gorres, R. Fang, Michael T. Febbraro, R. Kelmar, M. Matney, K. Manukyan, J. T. Nattress, E. Robles, T. J. Rutland, T. T. King, A. Sanchez, R. S. Sidhu, E. Stech, M. Wiescher

Faculty Publications

The interplay between the 22Ne (α,γ)26Mg reaction and the competing 22Ne(α,n)25Mg reaction determines the efficiency of the latter as a neutron source at the temperatures of stellar helium burning. In both cases, the rates are dominated by the α-cluster resonance at 830 keV. This resonance plays a particularly important role in determining the strength of the neutron flux for both the weak and main s process as well as the n process. Recent experimental studies based on transfer reactions suggest that the neutron and γ-ray strengths for this resonance are approximately equal. …


Ledoxy-Sl: A Placebo-Controlled, Double-Blind, Randomized, 24-Month Trial Of Six Weeks Of Daily Doxycycline Plus Hygiene-Based Essential Care For Reducing Progression Of Filarial Lymphedema In Sri Lanka, Thishan Channa Yahathugoda, Nirmitha Lalindi De Silva, Janaka Ruben, Sharmini Gunawardena, Mirani Vasanthamala Weerasooriya, John Horton, Philip Budge, Eric Ottesen, Sarah Mary Sullivan, Mariana Stephens, John Shen, Ute Klarmann-Schulz, Achim Hoerauf, Joseph Patrick Shott, Charles Mackenzie Jul 2024

Ledoxy-Sl: A Placebo-Controlled, Double-Blind, Randomized, 24-Month Trial Of Six Weeks Of Daily Doxycycline Plus Hygiene-Based Essential Care For Reducing Progression Of Filarial Lymphedema In Sri Lanka, Thishan Channa Yahathugoda, Nirmitha Lalindi De Silva, Janaka Ruben, Sharmini Gunawardena, Mirani Vasanthamala Weerasooriya, John Horton, Philip Budge, Eric Ottesen, Sarah Mary Sullivan, Mariana Stephens, John Shen, Ute Klarmann-Schulz, Achim Hoerauf, Joseph Patrick Shott, Charles Mackenzie

2020-Current year OA Pubs

Morbidity management of filarial lymphedema remains a challenge even during the post-lymphatic filariasis elimination era in Sri Lanka despite provision of the predominantly hygiene-based WHO Essential Package of Care. Because prior studies have suggested that 6 weeks of doxycycline may reduce progression of limb lymphedema, we conducted a randomized, placebo-controlled, superiority study to evaluate this possibility in Sri Lanka. Patients aged 14 to 65 years with lymphedema in one or both legs received either 200 mg of doxycycline daily for 6 weeks or matching placebo. The primary efficacy endpoint was improvement or lack of progression in lymphedema stage at 24 …


Exploring Evidentiary Approaches And Reform Potential In The Allies In Change Program For Abusive Intimate Partners, Julie Melissa Conner Jul 2024

Exploring Evidentiary Approaches And Reform Potential In The Allies In Change Program For Abusive Intimate Partners, Julie Melissa Conner

Dissertations and Theses

This thesis examines the Allies in Change batterer intervention program, analyzing its curriculum components, alignment with evidence-based practices, unique features, limitations, and implications for domestic violence intervention. The study employs a qualitative mixed-methods approach, including curriculum textual analysis, word frequency count, a semi-structured interview with Chris Huffine, the curriculum author and program founder, and observation of a forty-hour domestic violence training provided for batterer intervention programs and facilitators.

The research begins by reviewing the literature on domestic violence intervention, highlighting the importance of evidence-based practices, cognitive behavioral techniques, and cultural responsiveness. It then conducts a textual analysis of the Allies …


Concolic Testing For Scripting Languages, Zhe Li Jul 2024

Concolic Testing For Scripting Languages, Zhe Li

Dissertations and Theses

Scripting languages, such as JavaScript and Lua, are becoming more and more popular. They are typically easy to learn and use, making them accessible to a wide range of developers, even those with limited programming experience. Lua, for instance, is a lightweight, efficient, and versatile scripting language. It is designed to be easy to integrate into other systems and is often used as an embedded scripting language in larger applications such as NMap, which is a network scanning tool.

As another example, web front-end development with JavaScript (JS) is a popular choice for developers due to its ability to add …


Acute Transverse Colon Diverticulitis: A Case Report And Literature Review, Ana L. Romero, Jesus Romero, Anuraag Sah, Angela Koomson, Naik Arun Jul 2024

Acute Transverse Colon Diverticulitis: A Case Report And Literature Review, Ana L. Romero, Jesus Romero, Anuraag Sah, Angela Koomson, Naik Arun

Journal of Community Hospital Internal Medicine Perspectives

Diverticular disease is a condition that ranges from asymptomatic disease to severe complications, such as abscesses, fistulas, and perforations. It is prevalent in Western countries, with up to 60% of people aged 60 having diverticula. In Asian countries, the prevalence is lower, ranging from 13-25%. Diverticulitis can occur in any location of the diverticula, with increasing incidence with age. Complications occur in 12% of patients with diverticulitis, with phlegmon or abscesses being the most common. Perforation is a life-threatening complication with a 1-year mortality rate of 20%. Recent studies suggest that chronic inflammation and alteration of the gut microbiome may …


Sump Syndrome: The Forgotten Cause Of Painless Jaundice In The Elderly, Mark Ayoub, Amna Anees Jul 2024

Sump Syndrome: The Forgotten Cause Of Painless Jaundice In The Elderly, Mark Ayoub, Amna Anees

Journal of Community Hospital Internal Medicine Perspectives

Painless jaundice is a common presentation of abdominal malignancy seen in elderly patients. While malignancy may be a common cause of obstructive jaundice in that population group, anchor bias should always be avoided. We present a case of an elderly woman who presented with painless jaundice and weight loss. She had a very remote history of cholecystitis. She was found to have Sump syndrome due to a stricture at the Choledochoduodenostomy (CDD) site. She underwent endoscopic retrograde cholangiopancreatography (ERCP) with stent placement which shortly led to resolution of her jaundice. Biopsy from the stricture site came back negative for malignancy.


Successful Rapid Benzodiazepine Detoxification In An Acute Care Hospital: A Case Report, Taku Harada, Kazuki Tatebayashi, Mori Nakai Jul 2024

Successful Rapid Benzodiazepine Detoxification In An Acute Care Hospital: A Case Report, Taku Harada, Kazuki Tatebayashi, Mori Nakai

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Benzodiazepine (BZD) dependence and withdrawal are significant public health concerns, affecting 15–30% of regular users within 4-6 weeks of administration. Rapid BZD tapering protocols in acute care settings can mitigate withdrawal symptoms and facilitate rehabilitation, yet are challenging due to variability in patient responses. Case Presentation: We report a case of a 67-year-old male with a history of high-dose BZD use for panic disorder and depression and recent mild ischemic stroke, presenting with worsening left lower limb paralysis. The patient's complex medication regimen included multiple BZDs and other psychotropic drugs. Given the risks associated with high-dose BZD use, particularly …


Superior Mesenteric Artery Stenosis With Dissection Secondary To Fibromuscular Dysplasia : A Case Report, Jayasree Ravilla, Ping He, Steven Brant, Doantrang Du Jul 2024

Superior Mesenteric Artery Stenosis With Dissection Secondary To Fibromuscular Dysplasia : A Case Report, Jayasree Ravilla, Ping He, Steven Brant, Doantrang Du

Journal of Community Hospital Internal Medicine Perspectives

Superior Mesenteric Artery stenosis increases with advancing age and is usually associated with atherosclerosis or thrombosis. Mesenteric ischemia occurs when the blood flow to the visceral organs is inadequate to meet their metabolic needs. While it can be asymptomatic, the patient can experience chronic or acute mesenteric ischemia symptoms. Although not frequently encountered, SMA stenosis can be rarely caused by fibromuscular dysplasia (FMD). Here we report a case of a 66-year-old female with SMA stenosis and subsequent mesenteric ischemia secondary to FMD. The main objective of this case report is to raise awareness about the occurrence of mesenteric ischemia from …


Thromboembolic Event In Isolated Non-Compaction Cardiomyopathy With Multiple Sclerosis, Comfort Olayioye, Indira Acharya, Christopher J Haas Jul 2024

Thromboembolic Event In Isolated Non-Compaction Cardiomyopathy With Multiple Sclerosis, Comfort Olayioye, Indira Acharya, Christopher J Haas

Journal of Community Hospital Internal Medicine Perspectives

Non-compaction cardiomyopathy (NCCM) is a complex, exceedingly rare form of cardiomyopathy. Transient ischemic attack/ stroke in NCCM may be cardioembolic or atherosclerotic in origin. While the connection between NCCM and neuromuscular conditions has been documented before, its association with neurological conditions, such as multiple sclerosis has not been established. Here, we present a case of a 45-year-old female with multiple sclerosis (MS) who presented in the context of a transient ischemic attack (TIA) and was found to have non-compaction cardiomyopathy complicated by thromboembolism. To our knowledge, this is the third reported case of NCCM with MS.


A Rare Case Of Anca-Negative Rapidly Progressive Glomerulonephritis, Jerry Kenmoe, Elizabeth Mikhail, Fahimeh Talaei, Arvind Kunadi Jul 2024

A Rare Case Of Anca-Negative Rapidly Progressive Glomerulonephritis, Jerry Kenmoe, Elizabeth Mikhail, Fahimeh Talaei, Arvind Kunadi

Journal of Community Hospital Internal Medicine Perspectives

ANCA-negative rapidly progressive glomerulonephritis (RPGN) is a rare condition caused by glomerular injury in the absence of detectable antineutrophil cytoplasmic antibodies (ANCAs). While comprehensive epidemiologic data is limited, ANCAnegative RPGN is known to comprise 5-20% of all glomerulonephritis cases. We report the case of a 43-year-old male who presented to the hospital after a snowmobile accident with symptoms of general malaise along with the emergence of a new-onset rash and tea-colored urine. Further workup with CT-guided kidney biopsy confirmed the diagnosis of RPGN by revealing histopathological findings of crescentic glomerulonephritis and significant glomerular inflammation. Treatment was promptly initiated with prednisone …


Harbinger Of Lyme Carditis: From Atrioventricular Block To Atrial Fibrillation, Maryam Barkhordarian, Mark Grijalva, Avani Kolla, Aaron Stein, Dmitry Nemirovsky Jul 2024

Harbinger Of Lyme Carditis: From Atrioventricular Block To Atrial Fibrillation, Maryam Barkhordarian, Mark Grijalva, Avani Kolla, Aaron Stein, Dmitry Nemirovsky

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Lyme disease is a tick-borne illness that is most commonly caused by Borrelia burgdorferi and transmitted by the Ixodes tick. Common manifestations are fevers, headache, arthralgia, erythema migrans, and, if left untreated, can progress to neuropathy and carditis. Lyme carditis most commonly presents with high degree atrioventricular block, however, may present with other arrhythmias.

Case presentation: We present a case of a 70 year old male with past medical history of hypertension and polycythemia vera who presented to the hospital with lightheadedness and bradycardia following 2 weeks of fever. His electrocardiogram showed atrial fibrillation with regularized conduction at 40 …


A Recurring Theme: A Rare Case Of Pembrolizumab-Induced Acute Interstitial Nephritis, Jonathan London, Sabrina Bulancea, Inaas Shirazi, Victoria Oriuwa, Olena Bolotova, Zubin Tharayil Jul 2024

A Recurring Theme: A Rare Case Of Pembrolizumab-Induced Acute Interstitial Nephritis, Jonathan London, Sabrina Bulancea, Inaas Shirazi, Victoria Oriuwa, Olena Bolotova, Zubin Tharayil

Journal of Community Hospital Internal Medicine Perspectives

Pembrolizumab is utilized in the treatment of multiple different malignancies, including non-small cell lung cancer, head and neck squamous cell carcinoma, melanoma, renal cell carcinoma, endometrial cancer, and more. Pembrolizumab is an immune checkpoint inhibitor that inhibits the programmed cell death-1 (PD-1) signaling pathway. Despite its benefits in treating multiple cancers, there are many reported adverse effects of Pembrolizumab affecting various organ systems; rarely it can cause acute interstitial nephritis (AIN). We present the case of a 79-year-old male with metastatic retroperitoneal squamous cell carcinoma who was found to have recurrent acute interstitial nephritis after pembrolizumab therapy.


Temporomandibular Joint Disorder And Anterior Scleritis As Initial Presentations Of Undiagnosed Rheumatoid Arthritis, Nazmul Hasan, Daniel Yang Jul 2024

Temporomandibular Joint Disorder And Anterior Scleritis As Initial Presentations Of Undiagnosed Rheumatoid Arthritis, Nazmul Hasan, Daniel Yang

Journal of Community Hospital Internal Medicine Perspectives

Rheumatoid arthritis is an autoimmune inflammatory process that involves multiple organ systems. While symmetric joint swelling of the extremities are the most widely recognized symptoms, the disease can present in a myriad of different ways, of which scleritis and temporomandibular involvement are less recognized manifestations. While scleritis and temporomandibular disorder (TMD) may at times present in isolation, it is critical to consider their strong association with autoimmune disease as it allows for early diagnosis of inflammatory conditions and allow for the formulation of tailored treatment plans to halt their progression.