Digital Commons Network^™

Understanding Challenges Faced By Female Graduate Medical Education Trainees: A Qualitative Content Analysis Of Physician Coaching Requests, Nathalie Dieujuste, Adrienne Mann, Kimiko Dunbar, Pari Shah Thibodeau, Tyra Fainstad, Brooke Dorsey Holliman

HCA Healthcare Journal of Medicine

Background

Physician burnout, particularly among female graduate medical education (GME) trainees, is a growing concern that affects physician wellness and patient safety. Professional coaching has shown promise in improving physician wellness. The Better Together Physician Coaching program (BT) is a web-based, group-coaching program, piloted using female GME trainees, aimed at improving key indicators of well-being, including burnout and impostor syndrome. In this qualitative study, we aimed to understand the challenges faced by female physician trainees shared in the pilot of the BT coaching intervention.

Methods

A total of 101 female physician trainees participated in the BT pilot. A sample of …

Converting Usmle Step 1 To Pass Or Fail: The Potential Impact On Applicants Who Are Female Or From Underrepresented Groups, Haris Ahmed, Peter Yu, Brendan Rosamond, Jonathan Lall, Scott Zimmerle, Said Maldonado, Nicole Lyons, Ashlynn N. Mills, Yoolim Alex Seo, Angelica C. Rodriquez, Jacqueline E. Levesque, Oluwatunmininu A. Anwoju, Zuhair Ali, Rajeev Raghavan, Mike Liang

HCA Healthcare Journal of Medicine

Background

In January 2022, the United States Medical Licensing Examination (USMLE) Step 1 exam became pass/fail and the transition to using USMLE Step 2 scores for residency interview screening appeared imminent. While this change was intended to result in holistic reviews of residency applicants, the impact remains unclear. In this study, we aimed to determine how USMLE scoring changes might affect female candidates and applicants from underrepresented groups (URM).

Methods

We performed a retrospective cross-sectional study of all applicants to a single institution. Data for applicants were extracted from their 2021-2022 residency applications and included age, race, sex, medical school, …

A Hard Problem: Managing Constipation In The Geriatric Population, William G. Jones, Veeraen Jonnalagadda, Alexandra E. Thomson, Victoria Grumbles, Chase Cottle, Christian Robertson, Maulikkumar Patel

HCA Healthcare Journal of Medicine

Constipation is a common condition among geriatric patients with different presenting symptoms and potential serious complications. Additionally, the condition causes a significant burden on our healthcare system. Here, we summarized recommendations from several societies, including the American College of Gastroenterology, American Geriatrics Society, and American Academy of Family Physicians to provide guidance on managing constipation with geriatric patients. Our aim was to emphasize the importance of prevention of constipation in this population and methods to do so. We also give recommendations on how to manage constipation when it does develop and how to manage it across different healthcare settings. These …

An Acknowledgement To The Hca Healthcare Journal Of Medicine's Reviewers And Editors For The First Half Of 2025, Juan A. Sanchez, Graig Donini

HCA Healthcare Journal of Medicine

The HCA Healthcare Journal of Medicine would like to thank those behind the scenes who make this publication possible. Our journal would not be possible without the assistance of our peer reviewers, authors, and board members.

Automated Log Analysis And Incident Response, N/A

Defensive Publications Series

This technology described herein relates to automated, intelligent analysis of log data from complex software systems. The technology employs a two-tiered Large Language Model (LLM) architecture to detect anomalies and generate context-rich incident reports. The first tier LLM performs a rapid, broad analysis of all incoming log streams to flag potential issues. Flagged events are escalated to a second tier LLM with a long context window, which performs deep, multi-modal analysis by correlating log strings across services with time-series data and deployment events. The output is a high-confidence alert and a human-readable summary that explains the anomaly, its likely impact, …

Optical Circuit Switch With Ultra Low Return Loss, N/A

Defensive Publications Series

Optical circuit switch (OCS) collimator devices can be utilized in communication networks to transfer large amounts of data quickly and efficiently. The OCS collimator devices provide for low-return loss capabilities across a wide range of wavelengths. Specifically, the OCS collimator devices may have a faceted spacer-epoxy interface surface and a relatively close refractive index between the fiber, spacer, and epoxy such that return loss is greater than 55dB. The low return loss allows for the use of bidirectional ports without the creation of excessive noise signals that degrade communication performance therefore allowing for the operation of communication equipment that may …

Intermediate Representation Randomization For Unique Software Builds, Joshua Mason

Defensive Publications Series

Software applications distributed as identical copies may present a vulnerability because an exploit discovered in one instance could be replicated across others due to shared internal structures. This publication describes a method to address this vulnerability by generating unique software builds, and which in instances could be used for each download request. The method operates by compiling an application into an intermediate representation, such as a low level virtual machine intermediate representation (LLVM IR) bytecode. Upon receiving a download request, the method performs randomized transformations on the LLVM IR elements, thereby changing the locations of functions, basic block ordering, instruction …

Process For The Preparation Of Crystalline Form Of 2-[[[4-(3-Methoxypropoxy)-3-Methyl-2-Pyridinyl]-Methyl]Sulfinyl]-1h–Benzimidazole Sodium Salt Thereof, Msn Laboratories Private Limited, R&D Center, Hyderabad, India, Srinivasan Thirumalai Rajan, Seetharama Sarma Peri, Thirupathi Tatikonda.

Defensive Publications Series

The present invention relates to crystalline form of 2-[[[4-(3-methoxypropoxy)-3-methyl-2-pyridinyl]-methyl]sulfinyl]-1H–benzimidazole sodium salt represented by the following structural formula-1a, which is referred to as Rabeprazole sodium.

Formula-1a

The present invention also relates to a process for the preparation of crystalline form of Rabeprazole sodium.

Deferred Texture Decoding With Filtering, Seokhoon Kim, Eric Young, Elaine Poon

Defensive Publications Series

A method may include (1) performing, by an integrated circuit, decoding and filtering using a combined texture decoding and filtering equation and (2) providing, by the integrated circuit, a decoded filter output to a next stage in a graphics pipeline. Various other methods and systems are disclosed.

Measurement Of Rotary Bit Inertia By Trifilar Pendulum Method, Baker Hughes Company

Defensive Publications Series

The invention can be used to measure the rotational moment of inertia of drill bits around their center of rotation. The knowledge of the rotational moment of inertia of the bit is significantly important for the accurate prediction of the torsional eigenfrequencies (e.g. High-Frequency Torsional Oscillation (HFTO)) and mode shapes of the bottom hole assembly (BHA) and/or the drill string by simulation. Precise prediction of the torsional eigenfrequencies is for example required for optimal placement of HFTO-damper tools to efficiently mitigate HFTO. In addition, it is required for the estimation of critical torsional loads within the BHA (dynamic torque, tangential …

Integrated Wiper For Optical Module Cage, N/A

Defensive Publications Series

An integrated wiper for a pluggable optical module is described herein. The integrated wiper is a modification to a pluggable optical module cage that addresses surface damage caused by particulate debris. Metal features are removed from a leading edge of an upper surface of the optical module cage and replaced with the integrated wiper. The integrated wiper, which can be overmolded, adhered, or fastened to the leading edge of the cage, cleans an upper surface of an optical module during insertion. The integrated wiper removes any debris before it can be trapped between the module and internal components, such as …

Network And Device Management Based On Commercial Mobile Alert System (Cmas) And Location Aware Solutions, Thirupathi Reddy Katam, Hari Pillai, Aumen Lee, Vignesh Rajendran

Defensive Publications Series

Proposed herein are techniques to facilitate secure, reliable communication and emergency management utilizing a software-defined wide area network (SDWAN) controller that can manage a wide area network upon detection of emergency events, such as earthquakes, floods, wildfires, severe weather conditions, etc. by one or more endpoints that can interface with a Commercial Mobile Alert System (CMAS) via wireless (e.g., 4G/5G) or wired networks.

Nanosensor Communication Via Localized Cnt Resonance And Central Controller Coordination, Suma Mallapragada, Vaishnavi Sankepally

Defensive Publications Series

A system and method are disclosed for delivering information from a central controller to nanoscale sensors embedded within plant tissues and receiving information back from these sensors. The approach uses localized nanoparticles to encode binary or discrete signals, enabling remote monitoring and control of plant-associated nanoscale devices. The method preserves selective targeting of individual sensors without relying on long-range electromagnetic propagation, diffusion across large distances, or microcontrollers attached to each nanosensor. The disclosed methods cover the flow of information between the controller and nanosensors, while specific designs of proboscis-inspired delivery mechanisms or controller hardware remain open for further innovation. This …

Airflow Regulation System With Pliant Membrane, Mark Wessel, Umesh Nandanan, David (Hong) Huynh

Defensive Publications Series

An airflow regulation system is proposed herein that includes a variable or pliant membrane device that can be utilized to control the airflow in electronics enclosures in a manner that is effective, repeatable, and comprehensive. The membrane device of the airflow regulation system provides an adaptable solution for a problem (airflow management) that is inherently variable. Traditional methods for airflow management often fall short in terms of scope, complexity, effectiveness, and robustness. In contrast, the membrane device proposed herein can include variable/pliant properties such that the proposed airflow regulation system addresses the shortcomings of traditional airflow management solutions with a …

Animal Science News (August 29, 2025), Department Of Animal Science

Animal Science Newsletters

No abstract provided.

Test-Retest Reliability Of Motor Function And Myometry Outcomes From The Vamorolone Trials In Duchenne Muscular Dystrophy, Rebecca A. Tobin, Eric P. Hoffman, Linda Johnson, Meredith K. James, Paula R. Clemens, Utkarsh J. Dang, The Vbp15-Lte And Vbp15-004 Investigators

Pharmacy Faculty Scholarship

Background and Objectives: Understanding the reliability of outcomes used in clinical care and trials is important to delineate intervention-induced change from random variability. Reliability, sensitivity, and clinical meaningfulness of change are all key aspects of choosing the most appropriate outcome measure for a clinical trial. Common outcome measures to monitor progression and treatment effect in Duchenne muscular dystrophy (DMD) include measures of strength (myometry) and motor function tests: stand from supine velocity (STANDV), North Star Ambulatory Assessment (NSAA), 6-minute walk distance (6MWD), 10-m run/walk (RWV), and 4-stair climb velocity (CLIMBV). Our objective was to present test-retest reliability of common outcome …

Elle Hutchinson's Journey From High School To Fhsu Honors Graduate, August 29, 2025, Tisa Mason Ed.D.

Heart of a Tiger Columns

No abstract provided.

Reconstruction Of Water Storage Variability In The Aral Sea Region, Nikita Murzintcev, Sahibjamal Nietullaeva, Timur Berdimbetov, Buddhi Pushpawela, Asiya Tureniyazova, Sherly Shelton, Bakbergen Aytmuratov, Khusen Gafforov, Kanat Parakhatov, Alimjan Erdashov, Abdul-Aziz Makhamatdinov, Timur Allamuratov

Plants, Soils and Climate Student Research

The Gravity Recovery and Climate Experiment (GRACE) mission, operational from 2002 to 2017, provided critical measurements of Earth's gravity field anomalies which have been extensively used to study groundwater and terrestrial water storage (TWS) dynamics. In this research, we utilize GRACE data to identify, model, and analyze potential climate parameters contributing to the reconstruction of TWS variability in the Aral Sea Basin region (ASB). We assess the impact of climate change and anthropogenic nature management on TWS change using a quantitative method. Our analysis reveals a significant decline in the TWS at a rate of 0.44 cm year^-1 during …

The Red Dusk Coffee Shop: The Application Of Tension In The Cozy Fantasy Genre, Kelli M. Lynch

Masters Theses

The purpose of this thesis is to examine the methods by which cozy fantasy writers apply literary tension within their works. Because they write within a genre that focuses on low stakes and high comfort, cozy fantasy writers must strike a balance between soothing the reader and keeping the reader interested in the narrative. The critical paper highlights several cozy fantasy writers and how they generate tension without compromising the genre-defining cozy essence. Finally, the thesis contains a complete cozy fantasy novella. The novella features Erik Juntunen, a coffee shop owner in the Keweenaw Peninsula who employs humans and figures …

Thomas And Samuel: A Tragedy Of Power: A Case Study, Julius Gunser Karnwie

Masters Theses

This thesis is a major requirement for completing the Master of Fine Arts in Creative Writing program through Liberty University's Online Programs. In order to accomplish this enterprise, the student was required to conduct extensive research on relevant subjects in order to compile an Artist Statement, a Critical Paper, and the Annotated Bibliography, which appears at the end of this paper. This play is based on the student's personal experiences in a land torn by war and anarchy. Those experiences helped shape his understanding that people and nations can glean valuable lessons from the annals of history for carving better …

Empowering Youth Tackle Football Athletes: A Content Analysis Of Nonlinear Pedagogy’S Influence On Autonomy And Practical Applications In Youth Tackle Football, Benjamin Jay Andelman

Masters Theses

Youth tackle football offers an environment that promotes both positive mental and physical benefits for young athletes. Despite the positive benefits associated with sports, participation is on the decline. The content analysis found connections between the prevailing prescriptive coaching methods in youth tackle football and the adverse mental effects on young athletes. This study, utilizing a qualitative content analysis of existing academic literature, proposes a practical application of Nonlinear Pedagogical principles in the youth tackle football practice context to develop a coaching model that promotes athlete autonomy, thereby increasing positive mental benefits for the youth athlete. Leveraging Ecological Dynamics, Constraints-Led …

An Analysis Of Feminist Biblical Scholarship Through Case Studies In Judges, Erika Conner

Masters Theses

This thesis examines the rise and significance of feminist biblical scholarship, particularly as it engages the book of Judges. Feminist approaches to Scripture have often been criticized as politically motivated or ideologically biased, yet they also claim to offer corrective readings to centuries of male-dominated interpretation. This study situates feminist scholarship within its historical development and cultural context, beginning with the reconstruction of women’s societal, familial, religious, and agricultural roles in ancient Israel. Building on this foundation, it undertakes a comparative analysis of three key figures in Judges, Deborah, Jael, and the unnamed Woman of Thebez, first through traditional interpretations …

Redesigning Responsibility: Closing The Knowledge Gap In Sustainable Design, Kaitlyn Faith Funk

Masters Theses

This thesis investigates the gap between awareness and application of sustainable practices in the graphic design industry. While sustainability has become a widely discussed topic, designers often lack accessible, practical tools to integrate it into their work. Through a combination of research, case studies, and design thinking methodologies, this project develops a comprehensive educational toolkit and accompanying campaign, ReDesigning Responsibility, that equips designers, educators, and students to make informed, environmentally responsible choices in both print and digital media. The deliverables include a printed reference guide, an interactive microsite, and a branded campaign, all aimed at fostering sustainability as a core …

Spiritual Dialogue Alchemy: Renewing The Mind Through Screenwriting, Cynthia Elaine Jeffress

Masters Theses

Emotional Entanglement is a romance drama adaptation that delves into the craft element of emotional dialogue alchemy in film adaptation. This approach, grounded in a rigorous, qualitative research-based methodology, aims to transform a novella into a cinematic language that is suitable for the visual and auditory experience of film, while preserving the essence of the original author's voice and intent. The screenplay explores themes of friendship, divorce, forgiveness, second chances, and redemption, inviting the audience to reflect on their spiritual journey. This thesis compiles an artistic statement that clarifies the writer's nature, purpose, process, and the vision of specific works …

Multi-Genre Storytelling: Creating An Eclectic Screenplay, Jason Daniel Faull

Masters Theses

Eclectic storytelling can encompass multiple genres. An attempt to combine the storytelling elements and genres of prequel, sequel, metafiction, and historical fiction into one story occurs in the screenplay The Legend of Eglantine Price. This screenplay is an attempt to combine successful storytelling genres to continue the story about the character Eglantine Price, created first by Mary Norton in her publication of The Magic Bed-knob (1945), and later with Walt Disney’s film adaptation Bedknobs and Broomsticks (1971). The research provided demonstrates the possibility of successfully crafting each of these genres into one screenplay which pushes the story of Eglantine, a …

Celebrating Their Voices: The Recognition Of African American Female Songwriters In Worship Music, Robin D. Henderson

Masters Theses

The worship community has been profoundly shaped by the contributions of numerous songwriters, many of whom remain largely unknown despite the widespread impact of their music. While enjoyed by the congregation, songs performed during corporate worship services are very rarely credited to/known by the songwriter(s). Songs heard on the radio are known by and often credited to the artist and not the songwriter. This research study, “Celebrating Their Voices: The Recognition of African American Female Songwriters in Worship Music,” explores the influence of 20th-century African American female Gospel songwriters whose compositions have become integral to African American worship experiences yet …

The Revolution Of Imam Hussein (Peace Be Upon Him) In Ibn Al-Athir's Book (Al-Kamil Fi Al-Tarikh) - A Comparative Critical Study, Najeh Jamil Al-Safi

NJF Islamic University Journal

The Husayni Revolution, its events, and incidents have been extensively documented by numerous Muslim historians, historians, and compilers. They used a variety of information sources, such as written, oral, and eyewitness testimonies. Using a variety of contexts and techniques, Ibn al-Athir, who lived in the seventh century AH, gathered information on the Husayni Revolution (peace be upon him) from these sources for his work "Al-Kamil fi al-Tarikh" while also adding his own opinions and ideas. . In this case, the study aimed to apply a critical approach to the writings of Ibn al-Athir and other writers about the Husayni Revolution, …

Peaceful Politics According To Imam Ali, Peace Be Upon Him The Foundations And Manifestations, Thaer Hassan Dhahi Mazhir

NJF Islamic University Journal

Peace is inseparable from Islam in terms of legislation, as contained in the Muhammadan Sharia in all its aspects and at various levels, and in terms of behavior in practical life, as it is the established value, morality, and methodology upon which true Islamic behavior is distinguished from un-Islamic behavior. Even if an individual or group is characterized by the claim and adherence to the attribute of Islam, Islam, in its comprehensive normative structure, does not stop at the limits of a claim without evidence to prove its veracity. What this study has concluded is that peace is an inherent …

French Orientalist Marie-Pierre Valckman (Maryam Abu Al-Dhahab) And Her Story With Imam Hussein (Peace Be Upon Him), Amal Suhail Abd Al-Husseini, Kifah Saber Rashid

NJF Islamic University Journal

In the 19th century, violent colonial military campaigns aimed to control Muslim wealth, lands, and capabilities, leading to the displacement and death of Muslims. Despite this, Muslims resisted, defending their righteous sons and defending their homeland. Europeans believed that the Qur'an, the primary source for instilling the spirit of sacrifice and redemption among Muslims, would prevent them from subjugating them. This belief was based on the belief that Muslims possessed Hussein, a martyr who set an example of sacrifice and redemption. This historical inevitability confirmed the victory of faith over injustice and evil.

The Radiance Of Mystical Content In Persian Poetry On Imam Hassan, Peace Be Upon Him, Samia Hassanalian

NJF Islamic University Journal

Mysticism is a significant aspect of the Islamic religion, as it seeks to understand God and discover truths. Persian literature has a strong connection to mysticism, particularly in poems about the Prophet's Household. These themes became prominent after the Islamic Revolution, as Islamic rituals were revived. A study of Persian Hasani poetry revealed that poets used mystical terms like heart, longing, kindness, madness, and dignity to express their loyalty to Imam Hassan. They also called for abandoning the world as an obstacle to understanding God. The poems were distinguished by intellectual and moral richness, using rhetorical and aesthetic devices.