Digital Commons Network^™

Rectal Fidaxomicin As Salvage Therapy In Fulminant Clostridioides Difficile Infection After Total Colectomy: A Case Report, Akankcha Alok, Mohamed Ismail, Stephanie Pino Fabara, Mohammed Al Said, Vidya Sagar Kollu

HCA Healthcare Journal of Medicine

Introduction

Clostridioides difficile infection (CDI) is a significant cause of antibiotic-associated diarrhea and colitis, ranging from mild to severe and potentially life-threatening conditions, like fulminant colitis with toxic megacolon and bowel perforation. The 2021 guidelines from the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA) recommend vancomycin and metronidazole for fulminant CDI (FCDI), with consideration of rectal vancomycin for cases with ileus. Fidaxomicin, though preferred for initial and recurrent CDI treatment, is not the first line for FCDI due to limited evidence. Fidaxomicin has a narrow spectrum of activity only targeting C difficile and …

Clinical Images Of Cutaneous Horns In Patients Presenting To A Family Medicine Residency Practice, Julia Fashner, Tillie Schumann

HCA Healthcare Journal of Medicine

We detail 2 cases of cutaneous horn, also referred to as cornu cutaneum, which is a hard-compacted linear outgrowth of keratin that projects above the skin. We present these images to increase awareness for all medical specialties who may see a patient with this skin lesion.

Clinical Characteristics Associated With Hospital Mortality And Length Of Stay Among Older Adults Admitted With Delirium: Retrospective Analysis, Se Won Lee, Jeff J. Kim, Cole Kretchmar, Napatkamon Ayutyanont, Mooyeon Oh-Park

HCA Healthcare Journal of Medicine

Background

Limited information exists on the characteristics of older adults admitted with delirium at risk of poor hospital outcomes. This study aims to identify risk factors present on admission that are associated with hospital mortality and length of stay (LOS) among older adults admitted with delirium.

Methods

This is a retrospective study of 5598 patients 65 years of age or older who were admitted to acute care units at 8 community hospitals with an International Statistical Classification of Diseases, Tenth Revision code of delirium.

Results

Multivariate regression analyses revealed that in-hospital mortality increase was associated with increased age, Asian race, …

Can The Combination Of White Blood Cell Count And C-Reactive Protein Rule Out Pediatric Appendicitis, A Retrospective Analysis?, Scott Gutovitz, Samantha Stoner, Jarrett Koper, Sarah Kleist

HCA Healthcare Journal of Medicine

Background

Pediatric appendicitis (PA) is the most frequent cause of pediatric emergency surgery. Standard PA scoring systems incorporate inflammatory biomarkers (white blood cell count [WBC] or C-reactive protein [CRP]); however, the individual biomarker sensitivities have not been reported beyond single-center sites. We aimed to measure the individual and combined sensitivities of WBC and CRP to rule out PA in a large multicenter hospital system.

Methods

We did a retrospective study of pediatric emergency department patients (age <18) with abdominal pain, using a deidentified electronic health database from a 175-hospital system in the United States, comparing PA versus non-PA patients. Pediatric appendicitis patients were identified by ICD-10 diagnosis codes and had advanced imaging, whereas non-PA patients had advanced imaging and were discharged home with the ICD-10 code for abdominal pain. Using matched propensity matching, we calculated receiver operator characteristics and Youden’s index to find the optimal cutpoints. Sensitivity was calculated at the optimal and traditional cutpoints for each biomarker, also combined in parallel fashion.

Results

We identified 7414 subjects (3707 PA matched to 3707 controls). The WBC in PA patients was 14.99 ± 5.00 k/mm³ versus 9.63 …

Beyond The Norm: Decoding Spontaneous Coronary Artery Dissection As An Unusual Cause Of Acute Coronary Syndrome, Holden Zimmerman, Himanshi Banker, Inder P. Kaur, Jaskaran Munjal, Vasu Gupta, Ayushi Garg, Nikita Garg, Meet Patel, Rohit Jain

HCA Healthcare Journal of Medicine

Spontaneous coronary artery dissection (SCAD) is a rare nonatherosclerotic cause of myocardial infarction among young women, particularly during pregnancy. As the name suggests, SCAD is caused by the spontaneous formation of the false lumen within the coronary artery wall, thus compromising the blood flow to the myocardium. Unlike atherosclerotic acute coronary syndromes, SCAD is not directly associated with diabetes or hypertension; moreover, underlying connective tissue defects and inflammation are considered more contributory towards its etiology. Although its pathophysiology is not well understood, multiple theories have been proposed. Clinically, SCAD has a similar presentation to acute coronary syndromes, including substernal chest …

Response: Letter To The Editor, Exercise Is A Vital Sign, Megan Dannemiller, Anthony Shadiack, Marvin Sineath Jr, Andrew Baird, Marc Poirier, Kevin Thomas, Michael G. Flynn

HCA Healthcare Journal of Medicine

This letter is submitted in response to the letter to the editor regarding the authors’ article “Exercise Is a Vital Sign.”

Exercise Promotes Health But Is Not A Vital Sign, Jacob Draves, Halil Tekiner, Steven H. Yale, Eileen S. Yale

HCA Healthcare Journal of Medicine

The term “vital sign” has been attached to at least 83 conditions, symptoms, or phenomena in the literature to highlight their role and importance in overall health and well-being. This has created considerable confusion and overlapping terms in the medical literature. The 4 time-honored vital signs include temperature, pulse, blood pressure, and respiration. Two other measurements, blood oxygen saturation, and capnography (end-tidal CO2) are considered the fifth and sixth vital signs, respectively. The authors argue that exercise should be named a vital sign, and several authors have designated it as the fifth vital sign. However, not all symptoms or phenomena, …

Three Good Things And Family Process, Julia Prouty

Journal of Undergraduate Research at Minnesota State University, Mankato

There is a need for adaptive and affordable prevention/intervention strategies to promote happiness, health, and well-being in families. Three Good Things (3GT) is a free exercise from the field of positive psychology meant to shift an individual’s focus and perceptions towards gratitude. 3GT promotes focusing on gratitude by reflecting on what an individual is grateful for from the past day/week. Persons are encouraged to write down and share their 3GT with another individual. A mindset of gratitude is closely associated with improved happiness, health, and well-being. The exercise of reflecting on 3GT is adaptive to most individuals/families. To date, most …

A Case Study On The Use Of Cultural Violence And Its Contribution To The Third Reich's 'Euthanasia' Program, Grace Larsen

Journal of Undergraduate Research at Minnesota State University, Mankato

The genocidal actions taken by the Third Reich during the mid-20th century were horrific and dehumanizing. While the Holocaust often focuses on the tragic genocide that occurred against the Jewish people carried out by the Third Reich, the genocide that they carried out against the disabled community is often overlooked. With the deaths of tens of thousands of disabled people occurring through this genocide, it is important to understand how this genocide occurred, without any worldwide protest. Nazi Leaders including Alfred Rosenberg, Adolf Hitler, and Ernest Rüdin used widespread cultural indoctrination to dehumanize the disabled community and horrifically justify their …

Exploring Cultural Perspectives On Autism Spectrum Disorder: A Literature Review, Carly A N Kuhlman

Journal of Undergraduate Research at Minnesota State University, Mankato

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by impairments in personal, social, academic, or occupational functioning. Despite its universal recognition, perceptions and responses to autism vary widely across different cultural contexts. This paper explores the impact of cultural perspectives on the diagnosis, intervention, and support for individuals with autism. It highlights how cultural beliefs, values, and societal norms shape the understanding and management of ASD, revealing significant differences in diagnostic practices and support systems around the world. The paper discusses how cultural factors influence the interpretation of autism, using case studies from diverse settings, including Africa, Southeast Asia, …

What We Watch On Social Media Makes An Impact, Gracie G. Johnson

Journal of Undergraduate Research at Minnesota State University, Mankato

Prior research has demonstrated that certain social media content consumed can create unrealistic expectations of themselves; however, some hypothesize that social media provides empowering and supportive spaces. Unfortunately, many studies rely on cross-sectional data, limiting the ability to infer causality. This study looked at one of the most-used social media platforms by teens in the United States, TikTok. For this study, it was predicted that viewing “body check” videos would negatively affect body image. If significant, we could try and restrict those videos from being posted. The findings supported the hypothesis, but not significantly. However, there were quite a few …

From "Pata Pata" To Come Back, Africa: Miriam Makeba And Her Fight Against Apartheid, 1953-1990, Maddie Heiser

Journal of Undergraduate Research at Minnesota State University, Mankato

Perhaps one of the most notorious periods in African history was that of Apartheid – a system of racial, political, social, and economic discrimination placed upon the non-white majority of South Africa. Beginning in 1948 and lasting until the early 1990s, Apartheid marked a significant transformation in not only African liberation movements but also those happening across the globe, including the Civil Rights Movement in the United States. While the efforts to overcome Apartheid and empower the overall messages of African liberation and solidarity are well-documented, there are several methods of achieving these goals that have been unfortunately overlooked. Figures …

The Art Of Movement, Payton Hedderman

Journal of Undergraduate Research at Minnesota State University, Mankato

I wanted to do this project for my Interdisciplinary Studies Capstone to showcase some of my skills and to articulate what I want to do with my degree. I want to go into Medical Illustration, and I want to make science easier for people to learn. To do this I want to take complicated subjects and remake them into simpler terms. For my capstone, I decided to take anatomy of the arm, leg, and abdominal organs and draw them on professional women athletes. I thought that expressing this anatomy in less of a clinical way is one strategy to make …

Art Therapy In Social Work Practice, Laura Gebur

Journal of Undergraduate Research at Minnesota State University, Mankato

Art therapy is an emerging practice among mental health professionals looking for new ways to engage with their clients and encourage nonverbal communication. Creativity is a means of processing memories, improving relationships, and strengthening the mind-body connection across a variety of age groups and practice settings. The efficacy of art therapy has led to its integration into social work practice, benefitting a diverse range of client populations within the field. While a lack of macro-level research studies has prevented the implementation of standardized art therapy techniques in social work, clinical research trials have examined art therapy across several areas of …

The El Mozote Massacre Of 1981: Central American Human Rights And United States Cold War Policy, Abbey Botko

Journal of Undergraduate Research at Minnesota State University, Mankato

This research explores the motivations behind the denial of the 1981 El Mozote Massacre in El Salvador. In this event, the US-backed Atlácatl battalion of the Salvadoran Army brutally killed over 500 Indigenous peoples in the department of Morazán. Despite multiple eyewitness accounts of the massacre, both the United States and Salvadoran governments repeatedly denied responsibility for the event.

This project is based on official US governmental documents from the Central Intelligence Agency, Department of Defense, Department of State, and Congress. These documents illuminate conversations within the government concerning knowledge about the massacre, plans for continuing foreign aid, and further …

A Light-Dependent Resistor Based Embedded Image Acquisition System For Use In Low-Resolution Application-Specific Data Processing, Connor Best

Journal of Undergraduate Research at Minnesota State University, Mankato

This paper proposes an efficient hardware-based approach to image acquisition & processing to replace complex camera systems in simple industrial & commercial applications.

Environment Mapping And Gps-Based Trailer Parking Using Low-Cost Peripheral Sensors And Post-Processing Algorithms, Connor Best

Journal of Undergraduate Research at Minnesota State University, Mankato

This paper explores the merit of software data optimization through two practical examples: environment mapping & GPS navigation.

Framework For Next Generation Security Operation Center Powered By Artificial Intelligence, Mohamad Khayat

Thesis/ Dissertation Defenses

This dissertation presents a comprehensive framework for the evolution of Security Operation Centers (SOCs) through the integration of advanced artificial intelligence (AI), blockchain, and optimization techniques. Motivated by the increasing complexity of cyber threats and the limitations of traditional reactive SOC strategies, this work begins with a systematic literature review that identifies critical gaps in current SOC operations. Based on these insights, a reference architecture is proposed to guide the integration of intelligent components into SOC environments. To address the challenge of secure and trustworthy information sharing, a blockchain-based threat intelligence platform is developed, leveraging Byzantine Fault Tolerance and Zero-Knowledge …

General Education Subcommittee Agenda November 6, 2025, Utah State University

Educational Policies Committee

• Call to Order
• Approval of Minutes - October 2, 2025
• Course Approvals/Removals/Syllabi Approvals
• New Business
• Depth Discussion
• Additional Items
• Adjourn: 9:30 am

Talis 2024 – Infographic: What Motivated You To Become A Teacher?, Dominique Russell

Teacher infographics

Intrinsic motivation to teach is an important aspect of teacher retention. The latest Teaching and Learning International Survey (TALIS 2024) gathered data about teachers’ motivations by asking them about factors of high importance for working in the profession. Here are the top 5 motivating factors for Australian TALIS participants.

The Student Movement Volume 110 Issue 6: Warming Spirits Through Passion, Service, And Fellowship, Jj Nixon, Kara Shepard, Megan Constantine, Lia Glass, Corinna Bevier, Melanie Webb, Isa Demoraes, Andrew Francis, Samantha Woolford-Hunt, Joey Carrion, Moraya Truman, Madison Vath, Maya Thomas, Sophia Koh, Kaara Harris

The Student Movement V. 110 (2025-2026)

HUMANS

Faith, Friendship, and Purpose: The Spirit of Student Missions, JJ Nixon

VACD Students Experience Communication Conference, Kara Shepard

Finding Her Canvas: Joy Broderick's First-Year Experience at Andrews University, Megan Constantine

ARTS & ENTERTAINMENT

Is Bingeing the Point of Streaming?, Lia Glass

Four Fall Films to Watch This Autumn, Corinna Bevier

Reggie & Ladye Love Smith to Bring Southern Gospel to HPAC, Melanie Webb

NEWS

"Unchanging": AY Service Connects Humility and Growth in God's Word, Isa DeMoraes

Student Movement Archives a Part of Giving Tuesday Initiatives, Andrew Francis

Alumna Discusses Political Threats to Humanities During Campus Lecture Talk, Andrew Francis …

Decreasing Patient Harm Through Structured Interprofessional Bedside Rounding, Michael Albaum Md, Helen Troy Mshm, Rn, Cphq, Ccm, Geraldine Webster Msn, Rn, Andrew Goldman Md, Sarah Hallen Md

Interprofessional Partnership to Advance Care & Education (iPACE)

This project examined the association between MMC IPBR augmented with standardized data visualization and analysis tools with team-sensitive patient safety events in the inpatient setting.

Case Series Overview: Analysis Of Innovation Applications And Value Driven By Aigc Technology—An Early Investment Perspective In The Chinese Market, Siyuan Ma, Mengyu Wang, Tianyi Zhang

Sim Kee Boon Institute for Financial Economics

This case series explores the innovative applications and value analysis driven by AIGC (AI-generated content) technology from the perspective of early-stage investments in the Chinese market. We analyse the influence of core factors such as technology progression, market demand, policy environment, industry cycles and data on AIGC-driven value creation; case studies are provided to illustrate how AIGC has varying applications across different industries depending on market conditions. This series contains four cases: first, we first explore the investment opportunities of AIGC by combining the core technological value and industrial application status of generative AI, using China’s energy industry as a …

New Frontiers 2024-2025, University Of Nebraska At Kearney Division Of Research And Creative Activity

New Frontiers

New Frontiers 2025 Features:

• Sacred Sounds - Sharon Campbell
• Exploring the Quantum Frontier - EQUATE
• Building Biomedical Excellence - INBRE
• Public History with a Purpose - Will Stoutamire
• Protecting the Nation - NSRI
• Shared Solutions - KNEW

Vol6iss5cover, Hca Healthcare

HCA Healthcare Journal of Medicine Covers

Cover for Volume 6 Issue 5 of the HCA Healthcare Journal of Medicine.

How Unh’S $750k Cut To Its Library System Is Affecting Students And Staff, Tess Kujawa

Digital Edition

No abstract provided.

Curriculum Subcommittee Agenda November 6, 2025, Utah State University

Educational Policies Committee

• Approval of Minutes - October 2, 2025
• Program Proposals
• Other Business
• Adjourn: 3:00 pm

Living Property, Joseph William Singer

Seattle University Law Review

The Supreme Court has increasingly defined property rights that are per se exempt from regulation in the absence of compensation, most recently in Cedar Point Nursery v. Hassid (2021) and Tyler v. Hennepin County (2023). The Court claims that it can identify property rights that are categorically protected from regulation by reference to history, tradition, and precedent. Yet this approach is oddly ahistorical; it is inconsistent with the fact that property law changed dramatically over U.S. history, as well as varying tremendously among the states. It is also inconsistent with the historical context of the Founding era. At that time, …

“Worldwide”: Snõõper’S Contemporary Absurdism, Alex Hankins

Digital Edition

No abstract provided.

Unh Men’S Hockey Draws Mixed Results In Home Opening Weekend, Aiden Szymanski

Digital Edition

No abstract provided.