Digital Commons Network^™

A Not Too Fragile Bacteroides, Siddartha Guru, Nadim Jaafar, Rahul Sharma, Poonam Bai

Journal of Community Hospital Internal Medicine Perspectives

We present a rare case of Bacteroides fragilis vertebral osteomyelitis, in a 20-year-old female with no underlying medical conditions. She presented with a three-week history of lower back pain, myalgias, rigors, and night sweats. The patient was febrile and tachycardic, with borderline low blood pressures. Her initial labs showed elevated inflammatory markers with no leukocytosis. MRI of the thoracic and lumbar spine demonstrated T12/L1 discitis/osteomyelitis with phlegmonous changes and concerns for epidural abscess, causing mild to moderate spinal stenosis. Bacteroides fragilis grew in an anaerobic bottle, and a CT-guided biopsy of the T12/L1 lesion grew Bacteroides fragilis. E-test sensitivities revealed …

A Unique Metastatic Spread Of Lung Adenocarcinoma To The Stomach: A Case Report And Literature Review., Aniqa Faraz, Ammad Naeem, Hafiz Muhammad Aslam

Journal of Community Hospital Internal Medicine Perspectives

Lung cancer is a leading cause of cancer-related deaths and commonly spreads to the brain, bones, liver, and adrenal glands. Gastric metastases from lung cancer are uncommon and can occur in melanoma, breast cancer, and lung cancer. Most patients show no symptoms at presentation; however, metastasis from lung cancer portends a poor prognosis. This case report highlights a rare instance of lung cancer metastasizing to the stomach in a 60-year-old female that was detected incidentally on a PET scan. The scan showed two new stomach masses with increased FDG uptake and contrast enhancement. The patient had chemoimmunotherapy after receiving palliative …

Two Cases Of Intramyocardial Dissecting Hematoma Diagnosed By Echocardiography, Jianbo Wu, Fei Bian, Xijun Zhu, Xin Du, Tao Hao, Qian Liu

Journal of Community Hospital Internal Medicine Perspectives

Intramyocardial dissecting hematoma (IDH), a rare complication of myocardial infarction, was investigated through two unique clinical cases in this study. We demonstrate echocardiography's pivotal role in emergency diagnostics by detailing its critical contribution to rapid identification. Furthermore, we propose a hypothesis regarding the anatomical subtypes of IDH, potentially offering new perspectives and insights into this rare cardiac condition.

Psychological Impact Of Pulmonary Embolism: A Narrative Review., Farooq Hyder, Hina Pervaiz, Fnu Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari Vishal Nenwani, Allah Warayo, Kishor Kumari, Muhammad Salman, Abida Parveen, Mubeena Javid, Raveena Bai Bansari

Journal of Community Hospital Internal Medicine Perspectives

Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health …

Iron Deficiency—Challenging To Diagnose: A Retrospective Chart Review Of Referrals To Classical Hematology Clinic, Arianna S Moss, Melissa Thomas, Spencer Gibson, Ray Quy, Eva Zhao, Angelina Wang, Ben P Debeusscher, Zahra Pakbaz

Journal of Community Hospital Internal Medicine Perspectives

Background: Iron deficiency (ID) is the leading nutritional deficiency and a major public health concern globally. Although anemia is the most widely known consequence of ID, ID is also an underrecognized cause of white blood cell and platelet count abnormalities.The primary objective of the current study is to assess physicians’ abilities to diagnose ID. Methods: This study is a retrospective chart review of 862 adults (mean age +/- SD of 52.5 ± 18.4, 447 female) seen by a classical hematologist at an academic center. Data analysis included specialty type of referring provider, referral reason, and the diagnosis made by the …

Quality Of Life Changes Post-Pci With Contrast-Induced Nephropathy, Uzair Nisar Malik, Kashif Iltaf, Maria Mohamed Ahmed Babiker, Prem Chand, Rakesh Kumar, Areesha Qureshi, Aajay Kumar, Muhammad Hassan Bari, Ali Karim, Sameet Kumar, Fnu Shweta, Fnu Rumela, Fnu Payal, Abida Parveen

Journal of Community Hospital Internal Medicine Perspectives

Objective: This study aimed to evaluate the impact of contrast-induced nephropathy (CIN) on quality of life (QoL) in patients undergoing percutaneous coronary intervention (PCI) in Pakistan. Methods: A retrospective cohort study was conducted involving 5,325 patients who underwent PCI, divided into CIN (n = 1,250) and non-CIN (n = 4,075) groups. Demographics, clinical characteristics, and procedural details were recorded. QoL was assessed using a standardized questionnaire before and after PCI, covering physical functioning, pain, mobility, anxiety/depression, and overall health. Statistical analyses compared QoL scores between groups and identified predictors of change. Results: Patients who developed CIN exhibited a significant decline …

A Novel Hybrid Intrusion Detection Model: A New Metaheuristic Approach For Feature Selection Based On Ai Techniques For Cyber Threat Detection, Maryam Mahdi Alhusseini, Alireza Rouhi

Iraqi Journal for Computer Science and Mathematics

The rapid increase in internet usage, digital transformation, and the rise of interconnected devices have greatly expanded the attack surface, introducing new and evolving cybersecurity challenges. Conventional security solutions frequently have difficulty adjusting to complex threats and the vast dimensionality of network traffic data, particularly in the case of imbalanced datasets. To tackle these challenges, this research introduces a Hybrid Intrusion Detection System (HyIDS-EVO) that combines the Energy Valley Optimizer (EVO) for feature selection and dimensionality reduction with machine learning classifiers, which include Support Vector Machine (SVM), Random Forest (RF), Decision Tree (DT), and K-Nearest Neighbors (KNN). The system’s effectiveness …

Mmp-7 Expression And Rs11225307 Polymorphism In Breast Cancer And Fibroadenoma: A Molecular Study In Basrah, Iraq, Heba Jassam, Wijdan Nazar Ibraheim, Mazin Hawwaz Abdulridha, Rafid Adil Abood, Karam B. Nanjem

AUIQ Complementary Biological System

Breast cancer (BC) progression relies heavily on extracellular matrix degradation, mediated in part by matrix metalloproteinase-7 (MMP-7). While overexpression of MMP-7 has been implicated in multiple cancers, data from Middle Eastern populations remain limited.

This study examined MMP-7 gene expression and polymorphism patterns, with emphasis on rs11225307, in breast cancer versus benign fibroadenoma (FA) tissues among women in Basrah, Iraq. Thirty-seven BC and twenty-three FA patients were enrolled. MMP-7 mRNA expression was quantified using qRT-PCR and normalized to β-actin, while polymorphisms were analyzed through Sanger sequencing of eight SNPs and allele-specific PCR for rs11225307. Statistical significance was set at …

Population Structure Analysis Of Four Basal Higher-Attines Using Bioinformatic Approaches, Gabriel Mcdanield

Biology Theses

Metapopulations within the family Formicidae are unique among other animals due to the large colonies they build, and the mating strategies required to fertilize a specialized reproductive caste that will often produce young for the life of the colony. One group of ants, the fungus-gardeners (tribe Attini). The population structure of North American non-leafcutting, fungus-gardening ants has been understudied, especially in the southwest of the United States. Additionally, not much is known about their dispersal biology, so the dynamics of dispersal of these species and how they affect population structure is likewise not well known. To shed light on the …

The Student Movement Volume 110 Issue 8: Exchanging Ideas, Emotions, And Musical Tastes, Melanie Webb, Audrey Lim, Megan Constantine, Anna Rybachek, Isa Demoraes, Kyle Simpson, Michael Orellana, Andrew Francis, Reagan Westerman, Alyssa Caruthers, Madison Vath, Moraya Truman

The Student Movement V. 110 (2025-2026)

ARTS & ENTERTAINMENT

Nominations, Predictions and No Taylor Swift: The 2026 Grammy Nominations, Melanie Webb

Violinist Junqi (Sophie) Tang Comes to HPAC This Sunday, Audrey Lim

HUMANS

Rooted in Nature: The AU Biophilia Club Cultivates Community and Connection, Megan Constantine

Japanese Exchange Student Shares Her Experiences at Andrews University, Anna Rybachek

Senior Cardinals Play in their Final Games, Isa DeMoraes

NEWS

Dating Game Brings Both the Rom and the Com, Kyle Simpson

Honors Church Resounds with Faith and Melody, Michael Orellana

Hucks Leaving AU Diversity Officer Role for NAD Position, Andrew Francis

AUSA Town Hall Tackles Tuition, Meal Plans and …

Circulating Protein Biomarkers Identified In Two Independent Clinical Trial Cohorts Of Glucocorticoid-Naive Duchenne Muscular Dystrophy Patients., Fatemeh Ahmadiharchegani, Rebecca A. Tobin, Chiara Degan, Ahmed Naveed, Michela Guglieri, Lbert Jiménez-Requena, Sharon I. De Vries, Cristina Al-Khalili Szigyarto, Pietro Spitali, Roula Tsonaka, Yuri E. M. Van Der Burgt, Jordi Diaz-Manera, Vbp15-004 Investigators, Cinrg Dnhs Investigators, For-Dmd Investigators Of The Muscle Study Group, Paula R. Clemens, Eric P. Hoffman, Utkarsh J. Dang, Yetrib Hathout

Pharmacy Faculty Scholarship

Blood-accessible biomarkers offer promising insights into the pathogenesis of Duchenne muscular dystrophy (DMD) and other muscle diseases. Here, we quantified the relative abundance of 7,289 serum proteins using SomaScan proteomics in pre-treatment samples from 51 boys with DMD (aged 4 to < 7) and 13 healthy controls from the VISION DMD (VBP15-004) trial. An independent validation cohort of untreated DMD boys (aged 4 to < 8) from the FOR-DMD trial was also analyzed. Of the proteins screened, 26% and 15% were significantly elevated and decreased, respectively, in the serum of young DMD boys compared to controls (adjusted p-value < 0.05). A high correlation (Spearman r = 0.85) in fold changes was observed between the two datasets. Many proteins with altered levels overlapped with known markers of muscle injury, inflammation, regeneration, and extracellular matrix remodeling. Selected biomarkers were queried in two published muscle mRNA and a muscle snRNAseq dataset in DMD biopsies. Novel factors involved in muscle regeneration and ECM remodeling were identified. This larger-scale, multi-clinical trial-based cohort study in untreated DMD boys substantially expands the catalog of circulating biomarkers, highlighting early-stage pathological processes. These findings can help identify new therapeutic targets and develop clinically actionable biomarkers to assess disease progression and response to therapies.

Playa Sediment Bioaccessibility Presents Previously Unknown Risks To Population Health In A Water-Stressed Region Undergoing Lake Desiccation: Salton Sea, Usa, Jordan Jaeger

Theses

Globally, drylands are expanding, and endorheic basins are in rapid decline. Saline lake desiccation exposes lakebed playa likely to become dust, posing potential health risks to surrounding communities. Studies investigating health risks from playa dust exposure often focus on health effects associated with the presence of airborne particulates, but fewer studies investigate health risks associated with dust source chemistry. This study examines dust source particle composition in a desiccating inland sea in a water-stressed agricultural region of California. Specifically, chemical bioaccessibility of bound trace elements uncovers risks to children, adults, and agricultural worker health. Arsenic exposure via sediment ingestion poses …

Evaluating And Supporting Transformative Agreements: Five Institutional Perspectives In Discussion, Anna R. Craft, Peggy Kain, Danica Lewis, Camille Mccutcheon, William Joseph Thomas

Libraries Professional Work

Transformative—or Read and Publish—deals are impacting the open access (OA) publishing landscape, allowing libraries to test new models for funding and incentivizing OA publishing, while also providing direct benefits for authors, including discounts and waivers on article processing charges (APCs). But how sustainable are transformative deals in light of library materials budgets and workloads for personnel who negotiate these deals, manage the implementations, and support campus authors? And how can libraries evaluate the perceived value of these deals in relation to the specific needs of their institutional users?

Beyond Words: Analyzing The Effectiveness Of Land Acknowledgements, Kendall A. Trevino

2025 Fall Honors Capstones Projects - Archive

Land Acknowledgements (LAs) have become common in recent years across cities, sports organizations, universities, and other institutions. However, many were created to avoid criticism rather than to pay genuine respect. Tribal members and both Indigenous and non-Indigenous scholars emphasize that LAs have specific criteria they must meet to be considered meaningful. These criteria include recognition of the past, promoting tribal sovereignty, emphasizing that Natives are still here, and a relationship is established with the tribes being acknowledged. LAs should promote tribal sovereignty and establish strong relationships with the communities they acknowledge. The research in this paper draws on academic articles, …

Repetitive Head Impacts: Definitional Challenges, Clinical Implications, And Research Directions, Amanda Rabinowitz, Allie Tracey, Yevgeniya Sergeyenko

Department of Rehabilitation Medicine Faculty Papers

Purpose of Review: Repetitive head impacts (RHI)—repeated head trauma that may or may not result in clinically identified injury—are a growing public health concern due to links with neurodegenerative disease and long-term dysfunction. This review aimed to synthesize current knowledge of RHI and evaluate methodological challenges that limit conclusions about its clinical consequences. Recent Findings: Emerging studies highlight associations between RHI and cognitive, emotional, and functional outcomes across vulnerable populations including athletes, military personnel, and survivors of intimate partner violence. However, definitional ambiguity, difficulties in measuring exposure, and population-specific confounds continue to hinder progress. Clinical approaches emphasize individualized assessment and …

Source Apportionment And Potential Health Risks Of Trace Metals In A Contaminated Urban River In New York/New Jersey Harbor System, Md Shahnul Islam, Sana Mirza, Huan Feng, Tapos Kumar Chakraborty, Yu Qian, Shinjae Yoo

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

The Lower Passaic River (LPR), located within the New York/New Jersey Harbor Estuarine System, has experienced long-term industrial activities, resulting in elevated concentrations of trace metals in sediment and water. This study aims to assess the bioaccumulation behavior, potential human health risks, and sources of copper (Cu), lead (Pb), and mercury (Hg) in the LPR. Trace metal concentrations were measured in water, sediment, and seven edible aquatic species. Data were analyzed using statistical approaches, and evaluated by bioaccumulation factors (BAFs) and human health risk assessments based on U.S. Environmental Protection Agency (USEPA) guidelines. Results showed that Hg exhibited the highest …

Trump V. Slaughter: Brief Of Independent Agency Board Members And Scholars As Amici Curiae In Support Of Respondent, Samuel Bagenstos

Appellate Briefs

Amici are removed board members from independent federal agencies and scholars whose work includes the study of independent agencies and the separation of powers between the President and Congress. Amici advance the view that there are federal agencies whose responsibility for protecting the safety and stability of the national infrastructure or ensuring the structural integrity of government necessitates their independence. Significant negative consequences would likely follow if these agencies were to lose their independence and their work were to become politicized.

The Mediating Role Of Supply Chain Disruption Between Supply Chain Resilience Practice And Competitive Advantage Of Manufacturing Companies, Solomon Amsalu Gesese, Rajwinder Singh

International Journal of Applied Management and Technology

The global expansion of supply chain (SC) networks improves the overall performance of the SC and increases an organization’s susceptibility to disruptions within the chain. This study examines the mediating role of supply chain disruption (SCD) between supply chain resilience practice (SCRP) and competitive advantage (CA) of manufacturing companies in Ethiopia. We employed descriptive and explanatory research designs and analyzed the data collected from 347 participants using SEM methods. The findings show that SCRP significantly affects SCD and CA. Moreover, SCRP significantly influences CA, mediated by SCD. Building and maintaining SC resilience reduces disruptions and enhances competitiveness in the ever-changing …

2025 November 14 - Finance And Administration Committee, Board Of Trustees, East Tennessee State University

Board of Trustees Agendas and Minutes

No abstract provided.

Season-Long Time-Series Analysis Of Soil Respiration In Furrow-Irrigated Corn With And Without Cover Crop In The Lower Mississippi River Basin, Diego Della Lunga, Kristofor Brye, Michael J. Mulvaney, Mike Daniels, Tabata De Oliveira, Beth Baker, Timothy Bradford, Chandler Arel

Crop, Soil and Environmental Sciences Faculty Publications and Presentations

Temporal resolution of carbon dioxide (CO2) release from the soil at the field scale is not completely understood. The objectives of this study were to identify trends, repetitive cycles, and residual patterns and structures with a time-series analysis from a furrow-irrigated corn (Zea mays L.) field with and without cover crops (i.e., CC and No-CC, respectively) over the course of one growing season in the Lower Mississippi River Basin. Carbon dioxide fluxes were measured from 5 May to 18 August 2024, four times a day (i.e., 0300, 0900, 1500, and 2100 h) from each of the two CC treatments. Linear …

The Diamond, November 14, 2025, Dordt University

Dordt Diamond

• Front Page: Feenstra Launches Iowa State Governor Campaign at Dordt University; NC/DC - Battle of the Bands Returns to Campus; Women in Ministry - Winding Journeys
• News: Goodbye Grille, Hello Defender Coffee Co.; Campus Ministries Hosts Student Testimony Night; Sudan Civil War Affects Millions
• Feature: Dr. Visscher's NASA-Funded Research; Delight at Dordt - A New Women's Ministry Group for College Students; Life Diagnosed with Type One Diabetes; A Story in the Struggle - Dr. Schaap's New Book; Sioux Center Songwriters Club Creatively Collaborate; The Dish on Dordt Designs; Life on Jacob's Ladder
• Arts & Entertainment: Art …

Cv: Laura Olson (Radiography), Laura Olson

Health Sciences Department Curricula Vitae

No abstract provided.

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Draft Final Insufficiently Reclaimed Sites Remedial Action Work Plan (Rawp): Bres No. 104 – (Colorado Dump) North Slope (Dated October 17, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Final Butte Mine Waste Repository Geotechnical Investigation Work Plan, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Investigating The Effectiveness Of Technology On The Enhancement Of Independent Living Skills For Individuals With Intellectual Developmental Disabilities (Idd) In The Moka Smart Home., Kelsey Alexander, Jadyn Boogaard, Grace Mccartney, Madison Maziasz, Nicolette Werner

Masters Projects

This study explored the effectiveness of technology on the enhancement of independent living skills for individuals with intellectual developmental disabilities (IDD) in two MOKA smart homes. Using a quantitative research approach, the study examined how assistive technology can aid individuals with IDD to increase independence in their living skills. This research was conducted in two pilot residential homes, a men's home and a women's home. Three women and two men participated in the study. Data was collected through observation and client report utilizing the Routine Task Inventory Expanded version (RTI-E). RTI-E sections assessed for this study were the Physical (ADL), …

Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory

Walden Dissertations and Doctoral Studies

A lack of effective strategies to improve employee retention and organizational performance is a concern for healthcare leaders. Without such strategies, organizations may incur costs through recruitment and training, reduce productivity due to workflow disruption and knowledge gaps, damage employee morale by increasing workloads for remaining employees, and harm the organization’s reputation, potentially affecting patient relationships, hindering growth, and eroding any competitive advantage. Grounded in Penrose’s resource-based view theory, this qualitative pragmatic inquiry was to identify and explore the effective strategies healthcare leaders use to improve employee retain and organizational performance. Participants were six leaders of healthcare organizations located in …

Staff Education Program To Improve Nurses' Knowledge Of Diabetes Self-Management Education (Dsme) Toward Reducing Readmissions, Vivian Adaora Okechukwu

Walden Dissertations and Doctoral Studies

This project was a staff education program to enhance nurses' knowledge and skills in Diabetes Self-Management Education (DSME) in reducing hospital readmission. Diabetes mellitus is a chronic metabolic disorder that occurs as a direct result of the body's inability to produce enough insulin or the inability to utilize insulin in the bloodstream effectively, consequently accounting for life-threatening health complications. At the local organization, where diabetes is the third leading cause of hospitalization, evidence shows that it critically affects about 25% of the patient population. Also, some care providers at the organization do not have the distinctive competencies to give DSME …

Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong

Walden Dissertations and Doctoral Studies

Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …

Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González

Walden Dissertations and Doctoral Studies

Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …

Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi

Walden Dissertations and Doctoral Studies

Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …