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Correspondence Between Kenneth L. Whitt And Major Lloyd Clark, Lloyd Clark, Kenneth L. Whitt

Kenneth L. Whitt Papers

Correspondence between Kenneth L. Whitt and Major Lloyd Clark, indicating Whitt's questionnaire was completed.

Correspondence Between Kenneth L. Whitt And Dr. Herman A. Brautigam, Herman A. Brautigam, Kenneth L. Whitt

Kenneth L. Whitt Papers

Correspondence between Kenneth L. Whitt and Dr. Herman A. Brautigam, Brautigam providing answers to Whitt's various questions about Brautigam's time as editor of the Shorthorn newspaper.

Letter From Kenneth L. Whitt To Duncan Robinson And Paul Blackney, Kenneth L. Whitt

Kenneth L. Whitt Papers

Copy of a letter from Kenneth L. Whitt to Duncan Robinson and Paul Blackney requesting an interview with them, as well as assistance in finding other former faculty sponsors of the Shorthorn newspaper.

Correspondence Between Kenneth L. Whitt, Mrs. H. L. Swearingen, And Dr. Herman A. Brautigam, Kenneth L. Whitt, H. L. Swearingen

Kenneth L. Whitt Papers

Copies of correspondence between Kenneth L. Whitt, Mrs. H. L. Swearingen, and Dr. Herman A. Brautigam regarding Whitt's attempt to compile a history of the Shorthorn newspaper.

Edward Emmett Rankin Biography

Kenneth L. Whitt Papers

Undated biography by an unknown author of Edward Emmett Rankin, who was enlisted in the Confederate Cavalry for 3 years.

William M. Trimble Biography

Kenneth L. Whitt Papers

Undated biography by an unknown author of Dr. Willliam M. Trimble, founder of Arlington College and city physician of Fort Worth.

Lee Morgan Hammond Biography

Kenneth L. Whitt Papers

Undated biography by an unknown author of Lee Morgan Hammond, a teacher at Arlington College.

Lessons Learned From An Experiential Learning Project In An “Exercise And Wellness For Special Populations” Course, Anita M. Gust

Educational Practices in Kinesiology

Experiential learning (EL) is a vital pedagogical approach in higher education and is an integral part of exercise science; however, research on its effectiveness within the discipline is limited. The purpose of this study was to 1) determine if an experiential learning project designed for an “Exercise and Wellness for Special Populations” course was effective for achieving the learner outcomes, and 2) to identify what additional lessons, beyond the course learning outcomes, were learned from the experiential learning project. In this retrospective study, students’ written reflections using the DEAL (Describe, Evaluate, Articulate Learning) model served as data. A content analysis …

Post-Covid Era Technological Needs Of Teachers For Enhanced Quality Education In Public Senior Secondary School In Ogun State, Kassim O. Ajayi Prof, Rachael O. Agbajeola Dr., Hairat K. Adedeji Mrs.

Academic Leadership Journal in Student Research

The global COVID-19 pandemic has sparked ongoing discussions on how to manage its impact on teaching and learning processes. As a result, the adoption of Information and Communication Technology (ICT) as an alternative to traditional in-person learning has become essential. This study aimed to assess the technological needs of teachers and administrators in the post-COVID era to enhance the quality of education in public senior secondary schools in Ogun State. Four research questions and three hypotheses were addressed using three research instruments, with the reliability of these instruments confirmed via the Cronbach Alpha method (TTPUNAS = 0.85, ATNAS = 0.81, …

The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad

Academic Leadership Journal in Student Research

The past few decades of scholarly inquiries on the topic of the hypnagogic state and N1 sleep onset have introduced a new understanding of human general mentation. The underlying phenomenological, psychological, and neurological aspects of the hypnagogic state have been explored in depth by researchers. Hypnagogia and N1 sleep onset have been associated with creativity, spontaneous access to insights, symbolic representation of cognitive processes, and visual and auditory perceptions. The default mode network (DMN) has been largely associated with creativity and spontaneous thinking during N1 sleep onset. This paper reviews the basics of the neurology and phenomenology of N1 and …

Radicular Back And Abdominal Pain With Ileus, Rash, And Siadh In Lyme Neuroborreliosis, Joyce Y. Quon, Roberta Delvy, Kelly Goo, Maureen Haque, Sarita Soares, Donna M. Windish

Journal of Community Hospital Internal Medicine Perspectives

Lyme disease is the most common tick-borne disease in the United States. Lyme neuroborreliosis occurs when systemic infection leads to neurologic involvement. Neuroborreliosis presents with a wide spectrum of clinical manifestations but classically presents with facial nerve palsy. Here, we present a case with a rare constellation of symptoms including radicular back and abdominal pain, ileus, rash, and SIADH due to Lyme disease with suspected neuroborreliosis. This case highlights the importance of recognizing atypical presentations of Lyme disease, especially for patients in Lyme endemic areas.

When Broken Hearts Clot: Takotsubo Cardiomyopathy With Left Ventricular Thrombus, Ramez Alyacoub, Andy Veras Victoria

Journal of Community Hospital Internal Medicine Perspectives

Background: Takotsubo Syndrome (TTS) is a transient, stress-induced cardiomyopathy that mimics acute myocardial infarction in the absence of obstructive coronary artery disease. Although often self-limiting, TTS may lead to serious complications, including left ventricular (LV) thrombus formation.

Case Summary: A 73-year-old woman with a complex medical history was referred to the emergency department for an abnormal electrocardiogram. She reported transient dyspnea and indigestion but denied chest pain. Laboratory evaluation demonstrated elevated high-sensitivity troponin I and B-type natriuretic peptide. Electrocardiography showed new diffuse T-wave inversions. Coronary angiography revealed non-obstructive coronary artery disease. Transthoracic echocardiography demonstrated apical akinesis with a large LV …

Mpox Coinfection With Coxsackie B Virus In A Transgender Host With Well-Controlled Hiv, Ranel Thaker, Ayesha Khan, Tommy Ojukwu Perdomo, Leilah Tisheh,

Journal of Community Hospital Internal Medicine Perspectives

Background: Mpox (formerly monkeypox) is a double-stranded DNA virus with increasing global prevalence, particularly among men who have sex with men (MSM) and individuals living with HIV. Co-infections with other viruses such as HSV and Varicella have been reported, but no documented cases with Coxsackievirus exist to date.

Case: We report the first known case of co-infection with Mpox and Coxsackie B virus in a 30-year-old transgender female with well-controlled HIV. The patient presented with a diffuse painful rash, perianal lesions, rectal pain, and constitutional symptoms. Physical examination revealed characteristic vesiculopustular lesions of Mpox, and laboratory testing confirmed …

Recurrent Ischemic Colitis Associated With Chronic Low-Flow Physiology: Diagnostic And Therapeutic Implications, Mustafa Sadek, Alaa Almallouhi

Journal of Community Hospital Internal Medicine Perspectives

Ischemic colitis is the most common form of intestinal ischemia and is typically associated with acute hypoperfusion states such as shock or dehydration.¹ Chronic low-flow states related to persistently low baseline blood pressure may represent an underrecognized contributor to recurrent disease in the absence of classic acute triggers.² We present a case of a 54-year-old woman with recurrent, biopsy-proven ischemic colitis occurring in the setting of persistently low blood pressure documented across multiple clinical encounters. Unlike many patients with ischemic colitis, she lacked documented atherogenic, autoimmune, radiation-related, or vasospastic risk factors, and CT angiography showed patent mesenteric vasculature. …

Acute Liver Injury Likely Induced By Alpha Lipoic Acid Contained In Dietary Supplement, Simona Maksimyan, Jonathan V. Reyes, Kasim Kazbay, Farah K. Gazi

Journal of Community Hospital Internal Medicine Perspectives

The rise in use of herbal and dietary supplements, which are regulated as food rather than as drugs by the Food and Drug Association, poses the risk of unknown and potentially severe side effects. We describe the case of acute liver injury, characterized by significant elevation in AST and ALT, likely induced by the consumption of an over-the-counter supplement containing alpha lipoic acid (ALA). Our patient trusted in a “natural” alternative to Western medicine for management of neuropathy, which was ultimately detrimental to her liver. An immediate and sustained improvement in liver enzyme levels was noted with discontinuation of the …

Granulomatosis With Polyangiitis Presenting As Asymmetric Oligoarthritis: A Diagnostic Challenge, Hasan Obeidat, Heba Alalem, Marwan Ahmed, Mahyar Toofantabrizi

Journal of Community Hospital Internal Medicine Perspectives

Granulomatosis with polyangiitis (GPA) is an anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis classically involving the respiratory tract and kidneys. Although musculoskeletal symptoms are common, they are rarely the initial or dominant presentation, which may lead to diagnostic delays. We present the case of a man in his 40s who initially presented with acute asymmetric oligoarthritis and constitutional symptoms. Initial evaluation for infectious and crystal-related etiologies was unrevealing. During hospitalization, he developed cutaneous vasculitic lesions, including punctate digital lesions and subungual hemorrhages, prompting further investigation. Imaging revealed bilateral pulmonary nodules, and serologic testing demonstrated markedly elevated PR3-ANCA levels. Lung and skin biopsies …

The High Cost Of Incomplete Physical Exams: Missed Diagnosis Of Cushing Syndrome In A Patient With Recurrent Hospital Admissions, Tarah M Burton, Miranda K Hunter, Mihail Zilbermint

Journal of Community Hospital Internal Medicine Perspectives

Cushing syndrome is a rare but life-threatening endocrine disorder associated with a classic constellation of physical exam findings (e.g. “moon facies”, abdominal striae, etc.). However, thorough biochemical testing is needed to confirm this diagnosis. We present the case of a 35-year-old male with multiple hospitalizations across a variety of healthcare institutions for heart failure, cellulitis, uncontrolled hypertension, and diabetes.  While an adrenal mass was eventually identified on imaging, classic signs of Cushing syndrome – including violaceous striae, truncal obesity, and facial plethora – were missed during prior admissions.  This case illustrates the diagnostic delay that can result from incomplete physical …

Mpo-Anca–Positive Eosinophilic Granulomatosis With Polyangiitis Presenting As Acute Reversible Cardiomyopathy: A Case Report, Stephanie Ammari, Nawras Ibrahim, Bahaeddin Shabaneh

Journal of Community Hospital Internal Medicine Perspectives

Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare ANCA-associated vasculitis characterized by asthma, eosinophilia, and small-vessel vasculitis. Cardiac involvement occurs in up to 62% of cases but is more commonly associated with ANCA-negative disease; MPO-ANCA positivity typically correlates with vasculitic manifestations such as neuropathy and glomerulonephritis rather than isolated cardiomyopathy. We present a 65-year-old man with adult-onset asthma who developed acute dyspnea, markedly elevated high-sensitivity troponin (peak 1980 ng/L), peripheral eosinophilia (peak 1550/mm³), and new left ventricular systolic dysfunction (LVEF 30–34%) with normal coronary angiography. He improved rapidly after intravenous corticosteroids, with LVEF normalization to 55–60% within six weeks. MPO-ANCA …

Adenosquamous Carcinoma Of The Gallbladder: A Case Report, Sameeha Sajid, Aishwarya Hanspal, Muhammad Daud Abdullah, Haweda Aljarray, Rakahn Haddadin, Swatam Jain

Journal of Community Hospital Internal Medicine Perspectives

Background/Purpose: Adenosquamous carcinoma of the gallbladder is a relatively rare histological subtype, accounting for approximately 1-5% cases of gallbladder carcinomas. The scarcity of this tumor and its poor prognosis contribute to the clinical challenges associated with its diagnosis and management.

Case: We present a case of a 65-year-old female with a past medical history particularly significant for cholelithiasis, choledocholithiasis, and gallstone pancreatitis who presented to the emergency room with complaints of severe right upper quadrant pain of one-day duration. Initial evaluation was remarkable for an abdominal ultrasound with cholelithiasis with a positive sonographic Murphy sign, biliary scan demonstrating persistent non-visualization …

Fatal Early-Onset Cirrhosis Secondary To Masld In A Young Adult: A Case Report And Historical Overview, Brittani Paige Kongala, Khursana Duty, Hussam Ammar

Journal of Community Hospital Internal Medicine Perspectives

Metabolic dysfunction associated steatotic liver disease (MASLD) is the most prevalent liver disease worldwide. Its natural history is typically characterized by slow progression over decades. We describe a rare case of rapidly progressive MASLD in a young woman that culminated in decompensated cirrhosis, multiorgan failure, and death within one year of diagnosis—an unusually aggressive course that diverges from the typical trajectory of the disease. Metabolic dysfunction associated steatotic liver disease (MASLD) is the most prevalent liver disease worldwide and is generally characterized by slow progression over decades. Although progression to cirrhosis typically occurs over many years, rapidly progressive disease has …

When Steroid Injection Meets Rituximab: Disseminated Mssa, George Fawzy, Christlyn Blessing-Ujomor, Amna Anees

Journal of Community Hospital Internal Medicine Perspectives

Background: Septic arthritis is a rare but potentially fatal complication of intra-articular corticosteroid injection, commonly caused by Staphylococcus aureus. The risk is higher in older adults and those with diabetes, rheumatoid arthritis (RA), immunosuppression, or a history of recent joint procedures. Diagnostic delay is possible, as non-infectious arthritis can present with similar features. Although rituximab is generally considered safe, rituximab-associated hypogammaglobulinemia may increase susceptibility to severe infections. We report a case of methicillin-sensitive Staphylococcus aureus (MSSA) septic arthritis with hematogenous vertebral seeding following intra-articular corticosteroid injection in a patient receiving rituximab therapy.

Case: A 73-year-old man with seropositive RA, treated …

Cied-Related Infection Incidence And Clinical Outcomes In Adult Recipients Of Leadless Pacemakers, Abdullah Sahyouni, Esdras Panchame Pavon, Aylin Ma, Johny Alrahal, Matthew Guzie, Kirstenn Claire Calaguas, Steven H. Nguyen, Anjali Balla, Shruti Sreekanth, Bobby Malik, Robert Subbiondo, Yizhi Lin

Journal of Community Hospital Internal Medicine Perspectives

Infections of traditional pacemakers represent a serious complication as they are associated with significant morbidity and mortality. Unlike traditional pacemakers, which have a subcutaneous pocket and transvenous leads, leadless pacemakers have emerged as a promising alternative with a self-contained intracardiac design with significantly lower infection rates. The aim of this systematic review is to synthesize current research on device-related infections in leadless pacemaker recipients. A comprehensive review was performed through PubMed with the following key words, “leadless pacemaker,” “Micra,” “infection,” “PPM,” “conventional pacemaker,” yielding 291 articles. Then, articles were screened for relevance to infection rates among adult recipients of leadless …

The Hospitalist’S Toolbox: Inpatient Management Of Hidradenitis Suppurativa, Mahaa Ayub, Angela Zaladonis, Sherry Yang

Journal of Community Hospital Internal Medicine Perspectives

Hidradenitis suppurativa (HS) is a chronic dermatologic condition characterized by painful inflammatory nodules, abscesses, and draining sinus tracts, predominantly affecting intertriginous regions and significantly impairing patients' quality of life. These lesions are prone to relapsing, with many patients experiencing painful recurring flares. HS patients frequently visit emergency departments during flares and often end up requiring hospitalization. This may be due to limited access to outpatient dermatologic care. Therefore, hospitalists must possess the knowledge and skills to effectively manage HS flares in the inpatient setting. Optimal management of HS involves a multimodal approach, including wound care, topical and systemic medications, and …

Glp-1 Receptor Agonists Beyond Glycemic Control: Clinical Implications In Neurodegenerative Disease And Substance Use Disorders, Michelle Raja, Khush Patel, Pranav Krish, Chrissy Chow, Zaki Azam

Journal of Community Hospital Internal Medicine Perspectives

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have expanded beyond glycemic control to include cardiovascular and renal risk reduction, with recent approval for reducing major adverse cardiovascular events in individuals with obesity or overweight and established cardiovascular disease. Increasing attention has focused on their potential applications in neurodegenerative disorders and substance use disorders (SUDs), supported by mechanistic links to neuroinflammation, mitochondrial function, and central reward pathways. However, clinical evidence remains heterogeneous and disease-specific, with discordance between biological mechanisms, biomarker changes.

In Alzheimer disease, phase 3 trials of oral semaglutide (EVOKE and EVOKE+) did not demonstrate slowing of clinical progression despite biomarker effects. …

The Hospitalist Support Team: The Foundation For Supporting A Seven-Specialty Hospitalist Group, Michael S. Wang, Austin Tiesenga, Tho Nguyen, William Schreiner, Gwendolyn Brainard, Samantha Labay

Journal of Community Hospital Internal Medicine Perspectives

Hospitalist medicine has grown considerably over the last 30 years. What began as internal medicine physicians filling the role of primary care physicians for their hospitalized patients has expanded to other specialties. This growth has created a need for both administrative and clinical support for these hospitalist specialties. To meet the needs of the adult Internal medicine-based group, a small community hospital created an administrative structure in order to facilitate clinical and administrative needs. As the administrative group began providing support to other specialties, this led to integration within the group. The program has grown to seven specialties and 56 …

Thoracentesis-Related Complications: A Comparison Between Vacuum-Assisted And Manual Aspiration Methods, Nikith Rao, Muhammad S. Naseer, Farrin A. Manian, Woo J. Moon

Journal of Community Hospital Internal Medicine Perspectives

Thoracentesis is a commonly performed bedside procedure for diagnostic evaluation or symptomatic relief of pleural effusions. Although generally considered low risk, prior studies comparing complication rates between aspiration methods, particularly manual and vacuum-assisted aspiration, have reported mixed results. We therefore compared complication rates between these two methods among patients undergoing ultrasound-guided thoracentesis by a hospitalist-led procedure service at a community teaching hospital. Thoracentesis-related complications, including pneumothorax, hemothorax, procedure site bleeding, and re-expansion pulmonary edema were assessed. A total of 96 patients underwent manual aspiration and 97 underwent vacuum-assisted aspiration. Patient demographics and comorbidities were similar between groups with no statistically …

Cryptococcal Meningitis: A Retrospective Analysis Of Immunocompetent And Immunocompromised Cases, Daniel Kotas, Ho-Man Yeung

Journal of Community Hospital Internal Medicine Perspectives

Introduction. Cryptococcal meningitis (CM) primarily affects immunocompromised individuals, but up to 20% of cases occur in immunocompetent patients. However, there are limited clinical comparisons between immunocompromised and immunocompetent patients.

Methods. This is an IRB approved, single-centered retrospective chart review study. Patients aged >18 admitted between 2012 and 2022 with Cryptococcus neoformans meningitis were included. Demographic, associated conditions, clinical data, and clinical outcomes were obtained. Patients were categorized into immunocompromised and immunocompetent groups.

Results. 37 patients with CM were identified, with 32 (86.5%) immunocompromised patients and 5 (13.5%) immunocompetent patients. The median time to first lumbar puncture was …

Incidence And Risk Factors Of Pleural Effusion In Patients With Autoimmune Diseases: A Retrospective Cohort Study, Jacob Sutton, Marwah Muhammad, Muhammad Hashim Khan, Anastasia Slobodnick

Journal of Community Hospital Internal Medicine Perspectives

Background: Pleural effusion is a common manifestation of autoimmune and connective tissue disorders, but large-scale data on its incidence, risk factors, and outcomes are limited. This study aimed to assess the clinical characteristics, hospital course, and outcomes of patients with pleural effusion associated with autoimmune diseases compared to those without autoimmune conditions.

Methods: We conducted a single-center retrospective cohort study of adult patients admitted with pleural effusion. Patients were divided into two groups: those with autoimmune diseases (study group, n = 1,346) and those without autoimmune conditions (control group, n = 1,278). Data were extracted from electronic health records, and …

Atopic Comorbidity Burden And Inpatient Outcomes In Eosinophilic Esophagitis: A Nationwide Analysis Of Hospitalizations In The United States, 2016-2022, Cherechi Nwabueze, Charles Anugwom, Daniel Nyancho, Ihunanya Kanu, Yetunde Akande, Eunice Omeludike

Journal of Community Hospital Internal Medicine Perspectives

Background: Eosinophilic esophagitis (EoE) frequently coexists with atopic conditions, but the impact of atopy on inpatient outcomes and health care utilization remains unclear. This study evaluated national trends, hospitalization characteristics, endoscopic intervention rates, and the association between atopic comorbidities and clinical outcomes among adults hospitalized with EoE from 2016–2022.

Methods: A retrospective analysis was conducted using the Nationwide Inpatient Sample (NIS) 2016 to 2022. Survey-weighted descriptive statistics, trend analyses, and multivariable survey logistic and linear regression models assessed associations between atopy and inpatient outcomes, including length of stay (LOS), total hospital charges, in-hospital mortality, and need for esophageal dilation. Subgroup …

Gender Differences In Presentation And Outcomes Of Spontaneous Coronary Artery Dissection (Scad): A Single Center Case Series Study, Abdul Nadeem Akhtar, Fnu Aisha, Aimen Binte Moazzam, Mohammad Omer Rehman Rana, Abida Perveen, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

Background: Spontaneous Coronary Artery Dissection (SCAD) is an important non-atherosclerotic cause of acute coronary syndrome (ACS), predominantly affecting younger females. Despite increasing recognition, data on gender-based differences in SCAD presentation and outcomes remain limited, particularly in South Asian populations.

Methods: This retrospective case series included 24 patients diagnosed with SCAD at Abbas Institute of Medical Sciences (AIMS) between January 2022 and March 2025. Patient demographics, clinical presentation, angiographic findings, management strategies, and outcomes were analyzed with a focus on gender-based differences.

Results: Of the 24 patients, 17 were female (70.8%) and 7 were male (29.2%). Females were younger and had …