Digital Commons Network^™

Differentiation Between Infiltrative Cholangiocarcinoma Strictures And Benign Common Bile Duct Strictures Using Multi-Slice Computed Tomography (Mdct), Pornchai Chatchairatanavej, Sopa Pongpornsup, Aphinya Charoensak

Asian Medical Journal and Alternative Medicine

Objectives: To evaluate CT scan features for differentiating infiltrative cholangiocarcinoma (CC) strictures from benign common bile duct (CBD) strictures.

Methods: CT images of 30 patients with infiltrative CC strictures and 20 patients with benign CBD strictures were reviewed retrospectively by two radiologists. CT features were analyzed regarding location, length of ductal stricture, maximum ductal diameter proximal to stricture, ductal wall thickness, ductal wall enhancement in arterial dominant and portovenous phases, stricture pattern (abrupt vs tapering), and symmetry vs asymmetry. CT features were compared by the chi-square test and the Fisher exact test for descriptive factors, and compared by …

Efficacy And Cost-Effectiveness Of Tissue Dyes: Comparison Of Commercial Tissue Marking Dye, India Ink, And Poster Ink In The Evaluation Of Resection Margins Across Various Types Of Pathological Specimens, Natnalin Chumponpanich, Adiluck Pisutpunya, Manoch Yawatta, Nawaluk Atiroj, Putch Phairintr, Natcha Poungmeechai, Chatdhee Stithsuksanoh, Worakit Kaewnopparat

Asian Medical Journal and Alternative Medicine

Introduction: In surgical pathology, staining specimens is the most effective method for evaluating margins and orientation. Although Tissue Marking Dyes (TMD) are the standard choice for staining specimens, their high cost is a significant drawback.

Objectives: This study aims to evaluate and compare the effectiveness of four TMD, India ink, and poster ink for inking specimens in terms of color shade and intensity, scored on a scale of 0 to 3 based on visibility, in addition to drying time, depth of penetration, interference with cellular and nuclear detail, and cost. The comparison will be made across four specimen types: benign …

Adrenal Insufficiency-Related Outcomes In Patients With Acth-Stimulated Cortisol Levels Of 15–17.9 Μg/Dl Measured By Monoclonal Antibody Assay, Peeradon Vibhatavata, Krittee Santiwanit, Natthinee Charatcharoenwitthaya

Asian Medical Journal and Alternative Medicine

Introduction: The ACTH stimulation test helps diagnose adrenal insufficiency (AI), with a peak cortisol level above 18 μg/dL indicating normal adrenal function. Monoclonal antibody assays for cortisol measurement suggest a lower threshold of 15 μg/dL, but it remains unclear whether patients with cortisol levels between 15 and 17.9 μg/dL require glucocorticoid replacement therapy (GRT).

Aim: To evaluate clinical outcomes of patients with peak cortisol levels of 15-17.9 μg/dL post-ACTH stimulation test who received or did not receive GRT.

Methods: A retrospective study was conducted in adult patients who underwent ACTH stimulation tests with peak cortisol levels of …

A Medicinal Plants Approach To Wound Healing, Pannawat Chaiyawatthanananthn

Asian Medical Journal and Alternative Medicine

No abstract provided.

Assessing Readiness For Transformation From Rule-Based To Ai-Based Chatbot In Uae Healthcare: A Case Study Of A Rehabilitation Hospital In Abu Dhabi, Mubarak Alketbi

Thesis/ Dissertation Defenses

This research investigates the readiness of UAE healthcare institutions to transition from rule-based chatbot systems to AI-powered alternatives, focusing on a rehabilitation hospital in Abu Dhabi. Through a structured quantitative study involving 96 healthcare professionals, the research explores technology acceptance, service quality, usability, and implementation readiness. Findings highlight strong correlations between perceived usefulness and behavioral intention to adopt AI, emphasizing the importance of integration, staff training, and service reliability. The study proposes a practical implementation framework for healthcare transformation, offering insights for institutions seeking to improve operational efficiency through AI integration.

Queerly Writing, Queerly Researching: Using Art-Based Research To Re-Examine My Past And The Imagined Future Of Queer Educators, Matthew Panozzo

Journal of Queer and Trans Studies in Education

Through my own coming out process, I turned to LGBTQ+ books as mentors and guides on how to live authentically. These texts shaped my time as a middle and high school English teacher, as well as my time as a doctoral student. This article uses excerpts from Caught Between Closets (Panozzo, 2020), a social fiction written as my doctoral dissertation, to explore and highlight the way queer K-12 educators navigate personal and professional closets. These excerpts were written using a reiterative process (writing to research; researching to write) to re-examine personal experiences, empirical research, multimodal texts, and grey literature. This …

2025 Soars Conference Program, Unf Office Of Undergraduate Research

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Program for the 2025 Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Harnessing Faith For Relational Harmony: A Black Christian Couple’S Journey Through Relational Spiritual Knowing, Kevin L. Jones, Victoria L. Jones

The Journal of Faith, Education, and Community

This scholarship centers on the experiences of Black married Christian couples, exploring how spirituality profoundly enriches and transforms their relationships. Building on Martin Buber's philosophy of the “I-Thou” relationship, which emphasizes genuine spiritual engagement, the research highlights how this Black married couple draw on their faith to navigate marital challenges. For Black married Christian couples, spirituality often forms the foundation of their relationships, guiding them through life’s complexities. This work seeks to move beyond traditional teachings, embracing a more expansive view of spirituality that honors the rich, multifaceted nature of Black Christian marriages. Through the Relational Spiritual Knowing framework, this …

Faith In The Therapy Room: A Qualitative Study Of Canadian Immigrant Clients' Untold Stories, Sandra Dixon, Juliane Bell

The Journal of Faith, Education, and Community

Immigration to Canada brings cultural diversity, but also stressors and challenges that impact mental well-being. Spirituality recognizes the profound significance of relational knowing, manifesting in external appreciation for meaningful experiences with others that provide purpose. Despite the importance of faith in many immigrants' lives, mental health professionals often overlook spiritual and religious convictions. This descriptive qualitative study addressed this gap by conducting semi-structured interviews with 10 immigrant clients of faith in a diverse Canadian province. Purposive and snowball sampling were used for participant recruitment. NVivo 12 software facilitated efficient data management and analysis, and Braun and Clarke's (2006) six-phase framework …

Relational Pedagogy For Teaching The History Of American Religion In Collegiate Classrooms, Pearl Young

The Journal of Faith, Education, and Community

There is something odd about teaching religious history in collegiate classrooms. Most academic historians agree that religion is central to the history of any society, yet discussions of religious history or even religious culture are strikingly peripheral to historical narratives taught in college classrooms. Instructors frequently sidestep religion, deeming it too personal and divisive for an objective, scientific study so frequently associated with the academic field of history.

I argue that a more deliberate approach, one of relational pedagogy, overcomes these obstacles while recognizing the legitimacy of such concerns. This approach serves students well and can cover a breadth of …

Relational Spiritual Knowing As An Educator Of Color: Navigating Predominantly White Educational Settings, Alicia L. Moore

The Journal of Faith, Education, and Community

Abstract: This article explores the critical role of Relational Spiritual Knowing (RSK) as both a source of strength and a form of activism for African American educators navigating Predominantly White Institutions (PWIs). Through personal reflections and scholarly correlations, it examines how RSK empowers educators to assert their voices and identities in environments that have historically marginalized them. The integration of RSK into educational practices is presented as essential for creating more inclusive, equitable, and spiritually enriched academic spaces. The article also highlights the systemic challenges faced by African American educators, such as power dynamics, microaggressions, and tokenism, and how RSK …

Parody And Mis-Unda-Stendings In Comics Art World: Bridging The Gap With New Criteria, Yannis Koukoulas

SANE journal: Sequential Art Narrative in Education

The word parody and its many cognates such as appropriation, adaptation, pastiche, travesty, forgery, homage, tribute, swipe, etc., have often been at the centre of fierce debates within the traditional Artworld and various criteria have been proposed for the critical evaluation of visual and literary works. In particular, parody as a dominant practice in postmodern art is a concept that is subject to misunderstandings as to its content and meaning. In Comics Artworld, however, within which recontextualizing practices are very common, often with humorous content, the attempt to describe artists' works and intentions by the criteria applied to other arts, …

Decolonizing Relational Spiritual Knowing In The Context Of Human Connections, Diana Wandix-White, Vicki Mokuria

The Journal of Faith, Education, and Community

Decolonizing spiritual engagement in human connections involves reimagining how we challenge relational epistemology, overcome relational dissonance, and discover relational value. By transcending individual religious frameworks, we access a deeper, collective spirituality that bridges divides. Relational spiritual knowing taps into the core of our humanity, fostering connections even to those with whom we seem to disagree at every turn and with whom we share no obvious bond. This editorial serves to introduce relational spiritual knowing as a tool to dismantle barriers that cause isolation and inequity, discrimination and disconnection, and misconceptions and misunderstandings in relationships. The articles in this special issue …

Jeremy Bentham Will See You Now, Kevin Suiter

Clinical Research in Practice: The Journal of Team Hippocrates

A discussion of remote patient monitoring through the lens of Jeremy Bentham's Panopticon

Clinical Decision-Making And Artificial Intelligence: The Role Of Large Language Models In Medicine, Richa Bhasin, Wassim El-Sayed, Kassim Salami, Mura Abdul-Nabi, Ahmed Elashmawy, M. Ellis Jaruzel Ii

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Goh E, Gallo R, Hom J, et al. Large Language Model Influence on Diagnostic Reasoning: A Randomized Clinical Trial. JAMA Netw Open. 2024;7(10):e2440969. https://doi.org/10.1001/jamanetworkopen.2024.40969

to explore the role of artificial intelligence in clinical settings.

Paradigm Shifts: Efficacy Of Cabg For Diabetic Patients With Coronary Artery Disease And Prior Pci, And The Utility Of Artificial Intelligence In Clinical Decision-Making, Jacob Mallad, Kevin Suiter, Mahdi Mahmoud, Sidney Caudell, Richard Lewandowski, Hazem Alata, Bethany Lyche, Zarin Kothari

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Thielmann M, Neuhäuser M, Knipp S, et al. Prognostic impact of previous percutaneous coronary intervention in patients with diabetes mellitus and triple-vessel disease undergoing coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2007;134(2):470-476. https://doi.org/10.1016/j.jtcvs.2007.04.019

for a patient with prior coronary artery catheterization being referred for surgical intervention, and a clinician encountering a nonexistent clinical reference hallucinated by a large language model.

Paradigm Shifts In Medicine, David Meza, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

Implications for history of science, scientific revolutions and paradigm shifts in the context of rapidly developing artificial intelligence.

Life Course Analysis: How Social Needs And Family Dynamics Impact Clinical Decision-Making, Vito Agrusa, Laila N. Abdallah, Bryen Turco

Clinical Research in Practice: The Journal of Team Hippocrates

The authors explore Life Course Analysis and how social needs (including pet care), changing demographics, and loneliness affect inpatient hospitalization and clinical decision making.

Off-Label Long-Term Use Of Phentermine For Weight Management, Monique Morin, Yamini Pandey, Sarah Bdeir, Rumyah Rafique, Taim-Allah Al-Jarrah, Ali Farhat

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Hendricks EJ, Greenway FL, Westman EC, Gupta AK. Blood pressure and heart rate effects, weight loss and maintenance during long-term phentermine pharmacotherapy for obesity. Obesity. 2011;19(12):2351-2360 https://doi.org/10.1038/oby.2011.94

for a patient struggling at the intersection of weight loss and financial instability.

Indeterminate Benefit Of Long-Term Beta-Blocker Use After Acute Myocardial Infarction For Some Patients, Logan S. Thayer, Khush Hussain, Nicholas Apostolakis, Gretchen Swift, Arifbillah Sarowar, Mohammad Al-Hadidi, Scott Yaekle

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Yndigegn T, Lindahl B, Mars K, et. al., Beta-blockers after myocardial infarction and preserved ejection fraction. N Engl J Med. April 7 2024;390:1372-1381. https://doi.org/10.1056/NEJMoa2401479

for a patient showing 55% left ventricular ejection fraction after myocardial infarction.

Tattoos As A Risk Factor For Malignant Lymphoma, Michael Escobar, Hajirah Farah, Anna Zhao, Hafsah Umerani, Rubab Imtiaz

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Nielsen C, Jerkeman M, Jöud AS. Tattoos as a risk factor for malignant lymphoma: a population-based case-control study. EClinicalMedicine. 2024;72:102649. Published 2024 May 21. https://doi.org/10.1016/j.eclinm.2024.102649

for a teenage patient contemplating getting a tattoo.

A System For Real-Time Compliance Management Support, Tarushi Dubey, Sumit Kumar, Mansi Singh, Satyam Raj

Defensive Publications Series

The present disclosure provides a compliance system 200 for real-time compliance management support, which can provide continuous, real-time support to employees in relation to meeting compliance requirements and regulations. The compliance system 200 is configured for monitoring conversations, identifying a context from the monitored conversations, identifying potential compliance requirements, and offering immediate relevant suggestions to successfully fulfil the compliance requirements.

Comparison Of Patent Foramen Ovale Closure Vs Medical Therapy For The Prevention Of Recurrent Cryptogenic Stroke: A Systematic Review, Omar Hamodata, Saif , Almuzainy, Rand Yahya, Salam Koniali

Journal of the Saudi Heart Association

Objectives: The optimal management approach for patients with cryptogenic stroke and patent foramen ovale (PFO) remains uncertain. Whether medical therapy—using antiplatelet agents or anticoagulants—or transcatheter device closure offers superior protection against stroke recurrence has been a topic of considerable debate. This systematic review aims to assess and compare the effectiveness of these two treatment strategies, incorporating recent studies to provide updated insights on the most effective approach to preventing recurrent cryptogenic stroke. Methodology: We systematically searched PubMed, Scopus, and Ovid database through December 2024. Eligible studies were randomized controlled clinical trials (RCTs) comparing PFO closure versus medical therapy among patients …

Efficacy And Safety Of Concomitant Surgical Ablation During Mitral Valve Replacement: A Systematic Review, Omar Hamodat, Saif Almuzainy, Rand Yahya, Razan Alzaatreh, Samiullah Haroon, Salam Koniali

Journal of the Saudi Heart Association

Objectives: Atrial fibrillation (AF) is a common comorbidity in patients undergoing mitral valve surgery (MVS), significantly increasing the risk of thromboembolism, heart failure, and mortality. Surgical ablation has recently been given a Class IA recommendation for concomitant MVS, reinforcing its role in restoring sinus rhythm and improving outcomes in this population. However, concerns about procedural complexity, extended operative time, and postoperative risks have limited its widespread adoption. This systematic review aims to synthesize evidence from recent randomized controlled trials to evaluate the safety and efficacy of surgical ablation for AF in patients undergoing MVS, addressing critical gaps in current clinical …

The Effects Of Estradiol And Genistein On Cerebellar Neuroprotection In Zebra Finches, Grace Thompson, Tony Irovic, Lainy B. Day

Neuroscience Research Showcase

Poster presented at Annual Neuroscience Showcase University of Mississippi related to neuroprotection of genistein and estradiol post-brain lesion.

Creating Educational Curriculum And Fostering Health Promotion For Individuals With Down Syndrome At Gigi’S Playhouse, Allie Hutchinson

OTD Capstone Projects

This doctoral capstone project was completed through partnership with GiGi’s Playhouse Nashville. GiGi’s Playhouse is an organization with over 61+ locations across the United States and Mexico with the purpose of offering free, therapeutic and educational programs for individuals with Down Syndrome. The goal of this project was to create appropriate, educational curriculum for participants in GiGi Nashville’s adult education programs focused on self-confidence, skill knowledge, personal wellness, quality of life and a variety of other topics. A secondary focus of this project was to foster health promotion for individuals with Down syndrome through an emphasis on functional fitness. A …

Introduction To Neuropathy: A Foundational Guide To Understanding Neuropathy, Emilie-Grace King

OTD Capstone Projects

This project centers on the development of a deliverable titled Introduction to Neuropathy: A Foundational Guide to Understanding Neuropathy at Gilda’s Club Middle Tennessee, a nonprofit organization that provides support to individuals impacted by cancer. The initiative aimed to increase awareness and understanding of peripheral neuropathy—a common and often debilitating side effect of treatments related to cancer and other diagnosis —among club members, including patients, survivors, and caregivers. Through collaboration with clinical professionals, Gilda’s Club staff, and members of Gilda’s Club, educational materials were curated and presented in an accessible format tailored to the needs of a diverse audience. …

The Role Of Urbanization And Corticosterone In Auditory Sensory Processing In House Sparrows (Passer Domesticus), Brooke Fox, Ashley Lauraine, Hannah Peterson

24th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2025)

Urban habitat expansion will introduce new anthropogenic challenges for wildlife populations, including habitat fragmentation, novel predators, and pollution. These challenges may hinder animal communication and contribute to increased stress levels. This study will investigate the physiological consequences of stressors on the house sparrow (Passer domesticus). Specifically, we will examine how urbanization affects stress hormone (i.e., corticosterone, CORT) levels and its relationship to auditory processing. It is predicted that urbanization may impose novel stressors on animals, leading to differences in this hormone across urban and rural birds. We seek to understand if differences in CORT levels could impact animals' …

Belonging Among Lgbtq+ Students At Hope College, B Schultz

24th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2025)

At Christian Colleges and Universities (CCUs), studies estimate that approximately 12% of a given college's student population identifies as LGBTQ+ (REAP, 2021). Unfortunately, research literature also indicates that LGBTQ+ college students experience significant challenges, including, but not limited to, discrimination from peers and staff, alienation from the wider campus environment, and inhospitable housing conditions (REAP, 2021; Rankin et al. 2019; Kortegast, 2017; Craig et al. 2017; Wolff et al. 2016, Christie, 2021). Academic research on LGBTQ+ students at CCUs is somewhat limited, even more so research that uses a qualitative orientation, attempting to gain in-depth insights into LGBTQ+ students' experiences. …

Brushstroke Island, Yifan Luo, Mariel Domnenko, Gillian Donley

24th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2025)

We developed an innovative Android application using the Unity engine, a premier platform renowned for crafting immersive 2D and 3D experiences. Our project expanded upon an existing app by integrating a collection of fresh engaging mini-games designed to enhance visual creativity and interactively. These additions were designed to introduce new opportunities for users to explore their artistic potential.