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Ludwig's Angina: A Systematic Review And Meta-Analysis Of Clinical Characteristics, Management Patterns, Complications, And Mortality, Kambiz Ebrahimi, Mekhaeel Shehata Fakhry Mekhaeel, Sameh Mohamed Ahmed Eissa Salem, Tahoura Talebidelooei, Parsa Javidimomtaz, Mohammad Pouya Javdani Golparvar, Azin Nemati, Mohammad Salar Khodabakhshian Naeini, Reyhaneh Jahanshahi, Erfan Kazemi, Maedeh Bahmani, Masoume Miraveysi, Arian Safi Esfahani, Kiyana Khodabandehloosoltani, Mohammadjavad Bahmani Oct 2026

Ludwig's Angina: A Systematic Review And Meta-Analysis Of Clinical Characteristics, Management Patterns, Complications, And Mortality, Kambiz Ebrahimi, Mekhaeel Shehata Fakhry Mekhaeel, Sameh Mohamed Ahmed Eissa Salem, Tahoura Talebidelooei, Parsa Javidimomtaz, Mohammad Pouya Javdani Golparvar, Azin Nemati, Mohammad Salar Khodabakhshian Naeini, Reyhaneh Jahanshahi, Erfan Kazemi, Maedeh Bahmani, Masoume Miraveysi, Arian Safi Esfahani, Kiyana Khodabandehloosoltani, Mohammadjavad Bahmani

Journal of Dentomaxillofacial Science

Background: Ludwig's angina is a rapidly progressive odontogenic and deep neck infection that may lead to airway compromise, severe complications, and death. This systematic review and meta-analysis aimed to synthesize clinical evidence on mortality, etiology, comorbidities, complications, and management patterns in patients with true Ludwig's angina.
Methods: Published human studies reporting true Ludwig's angina were included. Multi-patient studies with extractable event and denominator data were eligible for quantitative synthesis. The outcomes were mortality, odontogenic source, diabetes mellitus, tracheostomy, surgical drainage, necrotizing fasciitis, and mediastinitis or deep neck mediastinitis. Random-effects meta-analyses of proportions were performed.
Results: Eighteen studies including 649 patients …


Resurrecting Section 3 Of The Clayton Act, Michael Swerdlow Oct 2026

Resurrecting Section 3 Of The Clayton Act, Michael Swerdlow

University of Miami Law Review

Section 3 of the Clayton Act was meant to supplement the Sherman Act with a more stringent prohibition of restrictive sales practices. The Supreme Court repeatedly held that section 3’s text is unambiguous and rejects the Sherman Act’s rule of reason. Yet since the 1980s, lower courts have effectively nullified section 3 by applying rule of reason analysis, treating section 3 as superfluous to the Sherman Act. This shift, unsupported by empirical evidence, relied on Chicago and Harvard school scholarship that redefined the meaning of “competition” and argued for the unification of both statutes. This Article demonstrates that unification constitutes …


Cross-Cultural Considerations In Psychological Assessment And Resilience: Advancing Equity In Global Mental Health, Shivani Mathur, Victoria Evans-Fulton Oct 2026

Cross-Cultural Considerations In Psychological Assessment And Resilience: Advancing Equity In Global Mental Health, Shivani Mathur, Victoria Evans-Fulton

Journal of Social, Behavioral, and Health Sciences

Widely used psychological assessment instruments, including the Patient Health Questionnaire–9, Beck Depression Inventory, and Generalized Anxiety Disorder–7, were developed primarily within Euro-North American contexts. Although frequently used for their efficiency and psychometric strengths, their application across culturally diverse populations raises concerns regarding cross-cultural validity, fairness, clinical interpretation, and ethical use. Expressions of psychological distress, resilience, and adaptive functioning vary across cultural contexts and may involve somatic complaints, relational meanings, spiritual frameworks, culturally specific idioms of distress, and community-oriented coping that standardized measures may inadequately capture. Without sufficient cultural and contextual inquiry, clinicians risk misdiagnosis, failure to recognize distress, and deficit-oriented …


Supporting Scientific Research: State Grants And Viewpoint Discrimination – A Response To Lisa Larrimore Ouellette’S “Government Research Funding And The First Amendment, Robert C. Post Oct 2026

Supporting Scientific Research: State Grants And Viewpoint Discrimination – A Response To Lisa Larrimore Ouellette’S “Government Research Funding And The First Amendment, Robert C. Post

Emory Law Journal Online

No abstract provided.


Alice By Heart Playbill, Providence College Department Of Theatre, Dance & Film Oct 2026

Alice By Heart Playbill, Providence College Department Of Theatre, Dance & Film

Playbill and Promotions

Providence College Department of Theatre, Dance & Film

Angell Blackfriars Theatre

Alice by Heart, Book by Steven Sater & Jessie Nelson, Composer: Duncan Sheik, Lyrics by Steven Sater

October 30th-November 8th, 2026

Katrina Pavao - Director

Esther Zabinski - Music Director

Nina Kossler - Choreographer

Trevor Elliot - Scenic Designer

Lovanni Gomez - Lighting Designer

Maxine Wheelock - Costume Designer

Gabriel Luxton - Sound Designer

Cast: Jade Bocciarelli - Alice Spencer/Alice; Thomas Sullivan - Alfred Hallam/Rabbit & Hare; Julia Lawson - Red Cross Nurse/Queen of Hearts; Gabe Joseph - Harold /Hatter, K. of Sp., M2 Turtle; Olivia …


Why Herman Bavinck?, Gayle E. Doornbos Oct 2026

Why Herman Bavinck?, Gayle E. Doornbos

Faculty Work Comprehensive List

"Rooted in Scripture and attentive to the Reformed tradition, Bavinck sought to 'view the wonderful works of God in their own light' in such a way that the 'internal beauty' and 'inherent truth and glory' may 'commend itself to the consciences of humanity' and 'thank God not that we must but that we may believe.'"

Posting about ­­­­­­­­Herman Bavinck and Christianity in modernity from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

Why Herman …


Development And Validation Of An Ai-Assisted Eco-Batik Gringsing Student Worksheet, Intan Kurniawati, Arif Widiyatmoko, Bambang Subali 5, Novi Ratna Dewi Oct 2026

Development And Validation Of An Ai-Assisted Eco-Batik Gringsing Student Worksheet, Intan Kurniawati, Arif Widiyatmoko, Bambang Subali 5, Novi Ratna Dewi

Jurnal Pendidikan dan Pembelajaran

Background: Science literacy among Indonesian students remains low, indicating a need for contextual learning resources that connect scientific concepts with students’ environments. Local cultural heritage such as Batik Gringsing, combined with artificial intelligence (AI) as a supporting tool, offers a promising context, yet their integration in a single student worksheet remains underexplored.

Objectives: This study aimed to develop and validate an AI-assisted Eco-Batik Gringsing student worksheet for science learning.

Methods: The study employed a research and development (R&D) approach adapted from the 4D model, covering the Define, Design, and Develop stages. The evaluation focused on the validity and practicality of …


Facilitating Peer Tutoring In Islamic Religious Education: A Multiple-Case Study Of Students’ Affective Experiences, Izzatul Mahya, Purnomo Purnomo, Nur Faizatul Zehan Saari Oct 2026

Facilitating Peer Tutoring In Islamic Religious Education: A Multiple-Case Study Of Students’ Affective Experiences, Izzatul Mahya, Purnomo Purnomo, Nur Faizatul Zehan Saari

Jurnal Pendidikan dan Pembelajaran

Background: In Islamic Religious Education in junior high schools, students may feel afraid, embarrassed, or lacking in confidence when asking questions. How peer tutoring is facilitated and experienced affectively remains little studied in this subject.

Objectives: This study describes how teachers and peer tutors enact facilitation, how the tutor and the tutee relate it to their affective experiences, and how tutor-tutee familiarity shapes these experiences.

Methods: A qualitative multiple-case study was conducted at a public junior high school and a madrasah tsanawiyah. Six participants (one teacher, one tutor, and one tutee per site) were purposively selected. Data were collected through …


Transformative Learning Through Indigenous Value Internalisation: An Ethnopedagogical Study Of Leuweng Titipan, Qoriah Rahmawati, Asep Muhyidin, Anton Irawan, Ujang Jamaludin Oct 2026

Transformative Learning Through Indigenous Value Internalisation: An Ethnopedagogical Study Of Leuweng Titipan, Qoriah Rahmawati, Asep Muhyidin, Anton Irawan, Ujang Jamaludin

Jurnal Pendidikan dan Pembelajaran

Background: Indigenous knowledge and customary practices offer insights into how cultural values are learned and transmitted across generations. However, the relationship between these processes and formal learning management requires careful conceptual examination.

Objectives: This study aimed to identify the values and reported learning mechanisms associated with Leuweng Titipan in the Kesepuhan Cibadak community and reconstruct them into a conceptual learning management model.

Methods: This qualitative study adopted an ethnopedagogical perspective and used ethnographic interviews with eight informants in Lebak Regency, Banten, from June to August 2026. Data were analyzed inductively through repeated reading, initial coding, comparison across participants, and theme …


Development Of Star-G Learning Media To Increase Grade Ix Students' Interest In Learning Flat-Sided Solid Geometry, Siti Nurul Wafiroh, Astrid Chandra Sari, Festian Cindarbumi, Naning Kurniawati Oct 2026

Development Of Star-G Learning Media To Increase Grade Ix Students' Interest In Learning Flat-Sided Solid Geometry, Siti Nurul Wafiroh, Astrid Chandra Sari, Festian Cindarbumi, Naning Kurniawati

Jurnal Pendidikan dan Pembelajaran

Background: Students may experience difficulties in learning flat-sided solid geometry because three-dimensional objects are not always easy to visualize through conventional learning materials.

Objectives: This study aimed to develop STAR-G (Sites and Augmented Reality for Geometry), a learning medium integrating Google Sites and augmented reality (AR), and to examine its validity, feasibility, and changes in students’ learning interest after its use.

Methods: This research employed a research and development (R&D) approach using the ADDIE model: analysis, design, development, implementation, and evaluation. The product was validated by two material experts and two media experts and was tested with 20 Grade IX …


Beyond Academic Access: An Abstract-Based Narrative Synthesis Of Psychological Wellbeing Social Inclusion And Educational Support For Students With Special Educational Needs, Nurul Hidayah, Nur Andini Sudirman, Muhammad Ilyas, Tirta Cahyani, Atika Tiara Syafitri Oct 2026

Beyond Academic Access: An Abstract-Based Narrative Synthesis Of Psychological Wellbeing Social Inclusion And Educational Support For Students With Special Educational Needs, Nurul Hidayah, Nur Andini Sudirman, Muhammad Ilyas, Tirta Cahyani, Atika Tiara Syafitri

Jurnal Pendidikan dan Pembelajaran

Background: Educational placement does not necessarily secure psychological well-being, reciprocal relationships, participation, or responsive support for students with special educational needs.

Objectives: This abstract-based narrative synthesis examined review materials describing a curated Scopus corpus of 110 records published between 2023 and 2026.

Methods: Forty records were presented in four thematic evidence matrices, while 70 supplied contextual material. Extraction was restricted to metadata, abstracts, and the available summary matrices; primary-study full texts were not systematically assessed, and no formal risk-of-bias assessment was performed. Evidence was organized around psychological resources, relational inclusion, educational supports, and institutional responsiveness.

Results: Reported associations connected self-efficacy, …


Developing An Ethno–Collaborative Inquiry E-Module To Improve Elementary Students’ Numeracy Skills: An Addie-Based Development Study With Sasak Ethnomathematics, Intan Dwi Hastuti, M. Aris Akbar, Iwan Azmi, Sutarto Sutarto, Venkatachalam M Oct 2026

Developing An Ethno–Collaborative Inquiry E-Module To Improve Elementary Students’ Numeracy Skills: An Addie-Based Development Study With Sasak Ethnomathematics, Intan Dwi Hastuti, M. Aris Akbar, Iwan Azmi, Sutarto Sutarto, Venkatachalam M

Jurnal Pendidikan dan Pembelajaran

Background: Existing elementary mathematics teaching materials may provide limited opportunities to connect plane geometry concepts with local cultural contexts and collaborative inquiry activities.

Objectives: This study aimed to develop an Ethno–Collaborative Inquiry E-Module and evaluate its feasibility, practicality, and preliminary effectiveness in supporting fifth-grade elementary school students’ numeracy skills in plane geometry, particularly in solving problems involving perimeter and area.

Methods: The study employed a research and development (R&D) approach using the ADDIE model, comprising the stages of analysis, design, development, implementation, and evaluation. The research involved 32 fifth-grade students at SDN Dapur Desa Aik Bukak, North Batukliang District, Central …


Two-Stage Stochastic Programming For Resource Allocation In Mobile Underwater Acoustic Networks, Sadaf Vahabli, Iftekhar Ahmad, Quoc Viet Phung, Daryoush Habibi Oct 2026

Two-Stage Stochastic Programming For Resource Allocation In Mobile Underwater Acoustic Networks, Sadaf Vahabli, Iftekhar Ahmad, Quoc Viet Phung, Daryoush Habibi

Research outputs 2022 to 2026

Underwater Acoustic Networks (UANs) enable long-range communication for a range of applications. However, UANs are severely limited by scarce acoustic spectrum, which is shared with marine animals and can lead to disruptive interference, contributing to anthropogenic ocean noise. In addition, the underwater environment is highly dynamic, where: marine-animal presence is uncertain, channel conditions fluctuate, and Doppler effects degrade communication reliability. Prior UAN studies have addressed these challenges separately, despite their combined effect on resource allocation. Accordingly, this paper proposes a two-stage Scenario-based Stochastic Programming (SSP) framework with a hybrid risk approach that jointly treats these challenges within a single resource …


Adaptive Improved Particle Swarm Optimization-Based Maximum Power Point Tracking And Energy Smoothing For Photovoltaic Hybrid Battery–Supercapacitor Storage Systems, Mohammad Aminul Islam, Guo Shaokai, Jakaria Mahdi Imam, Mohammad Khairul Basher, Nowshad Amin, Tarek Abedin, Mohammad Nur-E-Alam Oct 2026

Adaptive Improved Particle Swarm Optimization-Based Maximum Power Point Tracking And Energy Smoothing For Photovoltaic Hybrid Battery–Supercapacitor Storage Systems, Mohammad Aminul Islam, Guo Shaokai, Jakaria Mahdi Imam, Mohammad Khairul Basher, Nowshad Amin, Tarek Abedin, Mohammad Nur-E-Alam

Research outputs 2022 to 2026

The rapid development of photovoltaic (PV) systems has made them an important component of the global clean energy strategy. However, the intermittency and non-linear characteristics of photovoltaic (PV) output remain major challenges for stable renewable energy utilization. This study proposes an adaptive improved particle swarm optimization (IPSO)-based maximum power point tracking (MPPT) strategy integrated with hybrid energy storage coordination for photovoltaic systems. The IPSO introduces adaptive inertia adjustment, velocity clamping, and stagnation reinitialization, which improve the convergence robustness under dynamic irradiance and temperature conditions. The algorithm was benchmarked against Perturb & Observe (P&O), Incremental Conductance (INC), and standard PSO using …


Self-Healing Application Programming Interfaces (Api) Communication Using Multi-Agent Artificial Intelligence, Saket Jain Oct 2026

Self-Healing Application Programming Interfaces (Api) Communication Using Multi-Agent Artificial Intelligence, Saket Jain

Defensive Publications Series

A computer-implemented system and method provide self-healing communication for a protected application programming interface (API), including a payment-network API. An API gateway receives a request associated with a client, normalizes the request and computes a content fingerprint, and an agent orchestrator causes multiple analysis agents to generate structured results associated with schema validity, security, and client behavior. A decision engine separately fuses validity and threat contributions, confidence-weights agent contributions, and modulates the threat score using client-specific trust information. A safely correctable request may be transformed and forwarded only after re-validation against a canonical schema and satisfaction of a threat condition, …


A Comprehensive Review On The Role Of Deep Learning For Detecting And Identifying Obscured Objects, Baraa Hasan Hadi, Jamila Harbi Saud Oct 2026

A Comprehensive Review On The Role Of Deep Learning For Detecting And Identifying Obscured Objects, Baraa Hasan Hadi, Jamila Harbi Saud

Karbala International Journal of Modern Science

Human operators frequently encounter eye fatigue that typically comes from workload and sleep deprivation. This could affect the efficiency and performance of vigilance significantly. In safety-sensitive applications such as traffic systems, healthcare, and security, this issue is essential. To address this issue, there is a need for situational awareness and maintaining continuous monitoring of the workload of the person. To this end, advanced artificial intelligence (AI) methods, denoted by a deep learning (DL) based approach, can be used. Such methods are also supported by computer vision (CV) to detect and identify obscured objects. Combining CV with AI can overcome the …


Inagural Issue Editor's Note, Laura Parson, Elizabeth Brule Dr., Fredricka R. Saunders Oct 2026

Inagural Issue Editor's Note, Laura Parson, Elizabeth Brule Dr., Fredricka R. Saunders

Journal of Institutional Ethnography

In this inaugural Editor’s Note, we introduce the Journal of Institutional Ethnography (JIE), share how the journal was developed, and explain its mission and goals. We provide an overview of the articles in our first issue and highlight how they use institutional ethnography to explore people’s everyday experiences and the institutional processes that shape them. We conclude by inviting scholars to submit their work, join our editorial boards, and help us grow the JIE community.


Beyond Abstracts: Reflections On Locating Institutional Ethnography Studies In Bibliographic Databases And Navigating The Social Organization Of Knowledge, Sonya Hill Oct 2026

Beyond Abstracts: Reflections On Locating Institutional Ethnography Studies In Bibliographic Databases And Navigating The Social Organization Of Knowledge, Sonya Hill

Journal of Institutional Ethnography

This article draws on the challenges encountered, discoveries made, and search strategies employed during a scoping review of Institutional Ethnography (IE). While informed by that review process, the article is not a scoping review and does not present review findings. Rather, it reflects on the practical difficulties of locating IE studies in bibliographic databases and offers guidance for researchers seeking to identify, retrieve, and enhance the visibility of IE scholarship. Grounded in my efforts to locate IE studies, the article uses those experiences as an entry point for reflecting on the social organization of knowledge and how database indexing, metadata, …


Interpretative Power And The Social Ontology Of Institutional Ethnography: A Review Of Órla Meadhbh Murray’S University Audit Cultures And Feminist Praxis: An Institutional Ethnography (2025), Breanna Kubat Oct 2026

Interpretative Power And The Social Ontology Of Institutional Ethnography: A Review Of Órla Meadhbh Murray’S University Audit Cultures And Feminist Praxis: An Institutional Ethnography (2025), Breanna Kubat

Journal of Institutional Ethnography

This review critically assesses Órla Meadhbh Murray’s institutional ethnography (IE) of audit culture at the University of Edinburgh, Scotland. I center my review on Murray’s argument that interpretive power exists at the local level, and with this, opportunities, although limited, to influence how audit processes are performed at the institutional and departmental levels exist. I propose that Murray’s work provides a practical guide and example of what it means to conduct an IE that is grounded in IE’s social ontology.


Examining The Organization Of Student Work And Wellbeing In Higher Music Education, Kyle Zavitz, Liliana Araújo, Christine Guptill Oct 2026

Examining The Organization Of Student Work And Wellbeing In Higher Music Education, Kyle Zavitz, Liliana Araújo, Christine Guptill

Journal of Institutional Ethnography

This article investigates how music students’ work is institutionally coordinated within a higher school of music in Canada and how this shapes student health and wellbeing. This study reveals a problematic in students’ everyday experiences as the work required to succeed extends beyond what is formally recognized and made visible through institutional structures. Using Institutional Ethnography as the method of inquiry, we begin from the standpoint of music students, exploring the local and extra-local relations that coordinate what and how they do their work. Through interviews with students, faculty, and administrators, we trace students’ negotiation of contradictory discourses of ‘care’ …


Student (Mis)Placement In Swedish Special Education Provision Through Intellectual Disability Labeling: The Educator Standpoint, Liz Adams Lyngback, Enni Paul, Christina Headman Oct 2026

Student (Mis)Placement In Swedish Special Education Provision Through Intellectual Disability Labeling: The Educator Standpoint, Liz Adams Lyngback, Enni Paul, Christina Headman

Journal of Institutional Ethnography

This institutional ethnography exploration begins with the standpoint of educators and focuses on the work related to ways students in Sweden exit the separate compulsory school for students with intellectual disability (CSID) and re-enter the regular compulsory school form through a student referral unit (SRU). By exploring what appears to puzzle the education system at the local level, this study contributes to a growing body of research on addressing multilingualism as a disability. Drawing on multi-sited ethnographic data, the study moves beyond educators’ experience to a broader inquiry into the ruling relations that coordinate the creation of misplaced students. The …


When Bilingualism Belongs: Language Recognition, Academic Context, And Sense Of Belonging Among Bilingual Stem Undergraduates, Cristina Lozano Argüelles Oct 2026

When Bilingualism Belongs: Language Recognition, Academic Context, And Sense Of Belonging Among Bilingual Stem Undergraduates, Cristina Lozano Argüelles

Bilingualism in Higher Ed Summit

No abstract provided.


Faculty And Staff Perspectives On Bilingualism In Higher Education: A Tale Of Two Hsis, Rosemary Barberet Oct 2026

Faculty And Staff Perspectives On Bilingualism In Higher Education: A Tale Of Two Hsis, Rosemary Barberet

Bilingualism in Higher Ed Summit

No abstract provided.


Beyond Language: Bilingualism, Biculturalism, And Professional Identity Among Bsn Students In South Texas, Nancy Nadeau, Eleftherios Gkioulekas, Margaret Rubi, Luz Maria Silva Oct 2026

Beyond Language: Bilingualism, Biculturalism, And Professional Identity Among Bsn Students In South Texas, Nancy Nadeau, Eleftherios Gkioulekas, Margaret Rubi, Luz Maria Silva

Bilingualism in Higher Ed Summit

No abstract provided.


Remembering The Fallen: College Football Death, Community Memory, And The Memorialization Of Student-Athletes, 1923–1984, Seth Skebo Oct 2026

Remembering The Fallen: College Football Death, Community Memory, And The Memorialization Of Student-Athletes, 1923–1984, Seth Skebo

Scholars Week

Remembering the Fallen: College Football Death, Community Memory, and the Memorialization of Student-Athletes, 1923–1984

Student Name: Seth Skebo

Panel: History Senior Research Seminar Panel: The History of Death

This presentation will examine how local communities and changing social values shaped the ways college football players were remembered after dying from injuries on the field. Using Gilbert Graves of Murray State University, who died in 1924, and Jack Trice of Iowa State University, who died in 1923, this project asks why their deaths were memorialized differently and how the meanings attached to their lives and deaths changed over time.

Both deaths …


Pics 101: Understanding Post-Incarceration Syndrome, Nicole L. Wiesen Oct 2026

Pics 101: Understanding Post-Incarceration Syndrome, Nicole L. Wiesen

Forensic Scholars Today

The psychological consequences of incarceration have been documented for decades, yet there remains no widely accepted trauma-informed framework specifically designed to conceptualize the cumulative effects of incarceration on individuals returning to their communities. Post-Incarceration Syndrome (PICS) is an emerging conceptual framework that seeks to integrate biological, psychological, social, and environmental factors associated with incarceration-related trauma and community reintegration. Building upon foundational research in prisonization, institutionalization, trauma, and correctional psychology—particularly the work of Craig Haney and other scholars examining the lasting effects of incarceration—the PICS framework provides clinicians, researchers, educators, and correctional professionals with a biopsychosocial lens through which to understand …


Recognizing Coronary Artery Disease In Women, Krista Ohmie Pa-C, Cck, Aacc Oct 2026

Recognizing Coronary Artery Disease In Women, Krista Ohmie Pa-C, Cck, Aacc

Lynchburg Journal of Medical Science

The purpose of this review is to identify sex-specific factors in the prevention, diagnosis, and treatment of cardiovascular disease in women as it continues to be the number one cause of their mortality. A search of the literature was conducted using PubMed as well as resources from the American College of Cardiology and the American Heart Association with multiple articles identified for use. The risk of cardiovascular disease in women is affected by traditional risk factors such as hypertension and diabetes, but is compounded by length of estrogen exposure, pregnancy, and higher rates of systemic inflammation. Systemic barriers such as …


Life After Ecmo: A Comprehensive Review Of Longterm Complications, Mia Olson Pa-C Oct 2026

Life After Ecmo: A Comprehensive Review Of Longterm Complications, Mia Olson Pa-C

Lynchburg Journal of Medical Science

Extracorporeal life support is the ability to temporarily supplement pulmonary and/or cardiac function in the setting of severe organ failure, with the most widely used version of this technology being extracorporeal membrane oxygenation (ECMO). While ECMO acutely improves outcomes in many patients with acute cardiopulmonary failure, evidence shows that survivors are at risk for long-term complications. These may include physical limitations, neurocognitive impairment, and psychological distress, all of which cumulate to impact a patient’s quality of life. The purpose of this research paper is to examine the literature on long-term complications associated with ECMO therapy and their impact on patient …


Prescribing In The Post-Black Box Era: Navigating Fda-Approved And Compounded Hormones For Menopause, Nicole Bray Oct 2026

Prescribing In The Post-Black Box Era: Navigating Fda-Approved And Compounded Hormones For Menopause, Nicole Bray

Lynchburg Journal of Medical Science

This narrative review compares the safety, efficacy, and clinical utility of FDA-approved

versus compounded bioidentical hormone replacement therapies for women in

menopause. A comprehensive literature review was conducted using PubMed for

studies published between 2016 and 2026, with search terms including “bioidentical

hormone replacement therapy,” “compounded hormone replacement therapy,”

“menopause,” “menopausal,” “vasomotor,” “estradiol,” “progesterone,” and

“testosterone,” alongside an analysis of major medical societies' guidelines and leading

menopause telehealth platforms. The findings demonstrate that FDA-approved

bioidentical hormone therapies offer superior pharmacokinetic consistency, rigorous

regulatory oversight, and robust clinical evidence compared to compounded

alternatives, which lack standardized testing and regulatory oversight for …


Insomnia As A Risk Factor For Depression: Integrating Cognitive Behavioral Therapy For Insomnia, Derrick Bouldin Oct 2026

Insomnia As A Risk Factor For Depression: Integrating Cognitive Behavioral Therapy For Insomnia, Derrick Bouldin

Lynchburg Journal of Medical Science

This review evaluates insomnia as an independent, modifiable risk factor for Major Depressive Disorder (MDD) within primary care, while assessing the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in improving outcomes, preventing onset, and reducing relapse risk of depression. A literature search conducted between January and April 2026 across PubMed, the Cochrane Library, and APA PsycINFO yielded 42 articles published between 2015 and 2026. Applying inclusion criteria focused on adult populations, comorbid insomnia and depression, and clinical outcomes of CBT-I, 26 articles were selected for synthesis. Findings demonstrate that insomnia is a predictive risk factor for MDD onset, persistence, …