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Hyperkalemia In Severe Burn Injuries: Pathogenesis And Therapeutic Advances, Ting He

Journal of Community Hospital Internal Medicine Perspectives

Hyperkalemia represents a prevalent and life-threatening complication in critically ill burn patients, presenting a significant threat to clinical outcomes and mortality rates. This review provides a comprehensive analysis of the multifactorial pathogenesis underlying hyperkalemia in this population. Furthermore, we critically evaluate recent therapeutic advances, including novel pharmacological interventions, and optimized dialysis protocols. Through synthesizing current evidence from clinical trials and pathophysiological studies, this work offers evidence-based recommendations for optimized clinical management while identifying critical knowledge gaps requiring further investigation. Enhanced understanding of these mechanisms and therapeutic modalities is paramount for developing targeted treatments that improve survival and reduce morbidity in …

Vitamin B12 Deficiency Mimicking Thrombotic Microangiopathy: A Case Of Pseudo-Thrombotic Microangiopathy, Maya Pillai, Sandesh Parajuli, Bidisha Baral, Rachael Mcclenahan, Shoja Rahimian

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Vitamin B12 deficiency may rarely present with hemolysis and schistocytosis, mimicking thrombotic microangiopathy (TMA). This pseudo-TMA variant is clinically significant, as delayed recognition may lead to unnecessary treatments and adverse outcomes.

Case Presentation: A 44-year-old male with no significant medical history or dietary restrictions presented with progressive lightheadedness, epigastric discomfort, and unintentional weight loss. Laboratory evaluation revealed macrocytic anemia with evidence of hemolysis and reticulocytopenia. A negative Coombs test made autoimmune hemolytic anemia less likely. Further workup demonstrated low serum vitamin B12 and elevated methylmalonic acid, consistent with B12 deficiency. Upper endoscopy with gastric biopsy revealed atrophic mucosa lacking …

Adrenal Crisis Induced-Seizures: A Case Report And Literature Review, Israel Umoh, Elizabeth Mikhail, Narjis Batool, Nosheen Hajra, Ibrahim Al-Sanouri

Journal of Community Hospital Internal Medicine Perspectives

This case report underscores the critical interplay between adrenal crisis and seizure activity, emphasizing the importance of rapid recognition and management of this life-threatening condition. Adrenal crisis, characterized by severe hypotension and electrolyte disturbances, often manifests with nonspecific symptoms such as fatigue, nausea, and altered consciousness, which can obscure diagnosis, especially in pediatric and young adult populations. The report details a 21-year-old female with a complex endocrinologic background who developed seizures precipitated by an adrenal crisis triggered by gastroenteritis and compounded by medication noncompliance. Clinical findings included profound dehydration, electrolyte abnormalities, refractory hypotension, and low cortisol levels, which responded favorably …

The Hidden Crisis: A Rare Case Of Thyrotoxicosis In A Young Female, Mimicking Neuromuscular Disease, Ali Haider Awan, Seerat Riaz, Hafiz Muhammad Hashim Butt, Sajeela Riaz, Fnu Sameeha, Hilana Soliman Omar, Shafia Naeem, Abida Perveen, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

Thyrotoxic periodic paralysis (TPP) is a rare but life-threatening cause of acute flaccid paralysis associated with hypokalemia. Although more common in males and individuals of Asian descent, it may present atypically in young females and be easily misdiagnosed. We report a case of a 30-year-old female who presented with acute quadriparesis. Extensive neuromuscular evaluation initially pointed toward Guillain-Barré syndrome (GBS), but subsequent investigations revealed profound hypokalemia. Further workup confirmed thyrotoxicosis as the underlying cause. Prompt potassium replacement and initiation of antithyroid therapy led to complete clinical recovery. This case highlights the importance of considering both endocrine disorders and electrolyte disturbances, …

Identifying And Comparing Communication Challenges Between Nurses And Resident Physicians, Anh Nguyen, Ho-Man Yeung

Journal of Community Hospital Internal Medicine Perspectives

Background

Effective healthcare delivery involves coordinated communication between healthcare team members.

Objective

This study compares challenges in communication between nurses and residents.

Methods

This is a single-centered survey study in which 58 Nurses and 54 Internal Medicine residents at Temple University Hospital anonymously completed a 14-item questionnaire between August 2023 and March, 2024.

Results

Approximately 42% (54/128) residents participated. When assessing overall satisfaction, residents expressed lower satisfaction compared to nurses (57% vs 86%; p

Conclusion

Future research should focus on addressing these differences to foster better teamwork and understanding

Job Decisions To Leave A Hospitalist Group Among Millennial Hospitalists Born In Or After 1982: A Survey Based Study, Maria Carolina Musri, Flora Kisuule, Sean Tackett, Amteshwar Singh

Journal of Community Hospital Internal Medicine Perspectives

High turnover among millennial hospitalists, who constitute a large proportion of early-career physicians, remains a concern. Using purposeful sampling, we surveyed 136 millennial hospitalists to understand what factors influence their decisions to leave a hospital medicine group. Family reasons (81%) and geographical location (80%) were the factors most commonly identified as important influences on decisions to leave. While these factors may be non-modifiable to a large extent, these findings underscore the importance of identifying such needs at the time of recruitment. Institutional reputation was ranked the least frequently influencing factor, when millennial hospitalists contemplate leaving a hospital medicine group. Understanding …

Pancasila Dasar Negara Indonesia, Astim Riyanto

Jurnal Hukum & Pembangunan

Abstract

Pengaturan Kanal Frekuensi Radio Bagi Media Televisi Dalam Perspektif Undang-Undang Nomor 32 Tahun 2002, Tentang Penyiaran Dan Undang-Undang Nomor 5 Tahun 1999 Tentang Larangan Praktek Monopoll Dan Persaingan Usaha Tidak Sehat, Rahmadan Hasbiansyah

Jurnal Hukum & Pembangunan

Abstract

Demokrasi Imajinasi Dalam Pertanahan, Dian Puspita H.S.

Jurnal Hukum & Pembangunan

Abstract

Aspek-Aspek Hukum Perjanjian Distributor Dan Keagenan (Suatu Analisis Keperdataan), Ari Wahyudi Hertanto

Jurnal Hukum & Pembangunan

Abstract

Budaya Malu, Budaya Salah, Dan Budaya Hukum, Mura P. Hutagalung

Jurnal Hukum & Pembangunan

Abstract

Yurisdiksi Pengawasan Internal Dan Eksternal Terhadap Tanggung Jawab Profesi Hakim (Analisis Kasus Pemeriksaan Hakim Pt Bandung Terkait Sengketa Pemilihan Kepala Daerah Kota Depok), Andi Ahmad Nur Darwin

Jurnal Hukum & Pembangunan

Abstract

Negara Hukum Indonesia Ditinjau Dar! Sudut Teorl Tujuan Negara, Maleha Soemarsono

Jurnal Hukum & Pembangunan

Abstract

Sistem Hukum Negara-Negara Asia Tenggara, Astim Riyanto

Jurnal Hukum & Pembangunan

Abstract

Hukum Acara Pidana Dalam Pelaksanaan Peradilan Di Indonesia (Tinjauan Empiris Terhadap Keseimbangan Penegakan Hukum Dan Perlindungan Hak Asasi Manusia), Otto Comelis Kaligis

Jurnal Hukum & Pembangunan

Abstract

Memorandum Of Understanding Dan Letter Of Intent Aplikasi Dan Kontroversinya Dalam Praktek Hukum Bisnis Nasional, Ari Wahyudi, Dewi Lestari

Jurnal Hukum & Pembangunan

Abstract

Analisis Perjanjian Reklamasi Pantal Teluk Tering Antara Pemerintah Kota Batam Dengan Pt. Batamas Puri Permai (Penelitian Hukum Normatlf), Marliessa Qadariani

Jurnal Hukum & Pembangunan

Abstract

Pelaksanaan Dua Sistem Kewarisan Pada Masyarakat Adat Minangkabau, Yelia Nathassa Winstar

Jurnal Hukum & Pembangunan

Abstract

The Effects Of Mental Health Advertising On Brand And Product Perception, Faith L. Gideon

Undergraduate Honors Theses

Previous research has demonstrated that framing effects, influencer sponsorships, and brand campaigns significantly influence consumer behavior and, consequently, company profitability. Over the last few decades, many companies have aligned themselves with various social justice issues, including mental health advocacy. To date, little work has explored what effect such alignment might have on brand perception or consumer behavior. The aim of this study is to explore how mental health advertising influences these variables, taking brand familiarity into account. Participants rated brand authenticity, purchase intent, and willingness to pay premium prices for products after learning about campaigns from familiar or unfamiliar brands …

Subaltern Alternatives: Reclaiming Agency Through Spatial Articulation, Nadirah Ali

Bachelor of Architecture Theses - 5th Year

The concept of the subaltern, introduced by Antonio Gramsci to describe populations excluded from political, social, and economic power while still being used to sustain dominant systems. Today, migrant construction workers often occupy this condition: essential to urban growth, yet denied dignity, visibility, and participation in the cities they build. Their housing is frequently reduced to an instrument of control—spaces designed to contain labor rather than support life. This thesis proposes an architectural alternative.

The project examines contemporary cases of labor exploitation in the United States, Qatar, and Singapore, where migrant workers have faced unsafe conditions, wage theft, …

Learned Resilience, Rebeca Ortiz

Bachelor of Architecture Theses - 5th Year

Haiti faces a complex web of environmental and social pressures, from deforestation and soil erosion to climate instability and strained institutional support. While regenerative farming and community-led development are often discussed in the context of sustainability, architecture is frequently relegated to the background, treated as a secondary or isolated fix rather than a primary driver of change. My work challenges this by positioning architecture as the central, regenerative framework that weaves together food production, collective learning, and civic life. I see the built environment not just as shelter, but as an active agent for resilience and a sense of belonging. …

Myocardin-Dependent Regulation Of Adam12 And Adam19 Promotes Fibronectin Fibrillogenesis During Pleural Fibrosis, Uday Siva Naga Sankar Allamneni

Biotechnology Theses

Pleural fibrosis involves excessive extracellular matrix (ECM) deposition driven by chronic injury and inflammation. Transforming growth factor-β (TGF-β) induces mesothelial–mesenchymal transition (MesoMT), promoting a myofibroblast phenotype. Our laboratory identified myocardin (Myocd), a transcriptional coactivator, as a key mediator of MesoMT that regulates ECM-remodeling proteases. RNA-seq and qPCR analyses showed that ADAM12 and ADAM19 are upregulated by TGF-β but suppressed by Myocd knockdown in Human pleural mesothelial and IPF-derived cells. Silencing ADAM12 reduced fibrotic markers, including fibronectin and smooth muscle actin (α-SMA), whereas ADAM19 showed relatively minor effects. ADAM12 knockdown also impaired fibronectin fibrillogenesis and insoluble matrix assembly, as confirmed by …

Assessing Transit-Oriented Development And Mixed-Use Urban Planning Strategies In Taipei, Taiwan, Eliza Mccoole

CISLA Senior Integrative Projects

No abstract provided.

Not The Only Game In Town: Unconsolidated Democracy, Elite Capture, And Shifting Alliances In Georgia, Leah Mayerhauser

CISLA Senior Integrative Projects

This paper examines Georgia’s post-Soviet political development to explain why the country, once viewed as a leading candidate for democratic consolidation, has experienced sustained democratic erosion and shifting geopolitical alignment. Drawing on Juan Linz and Alfred Stepan’s theory of democratic consolidation, it argues that Georgia never fully achieved a consolidated democracy after independence, leaving key institutional arenas including civil society, political society, rule of law, state bureaucracy, and economic society, unevenly developed and vulnerable to elite capture. Through a historical and institutional analysis from 1991 to 2026, this paper traces how early failures in state formation, unresolved questions of stateness, …

Staff Education On Central Line-Associated Bloodstream Infection Prevention Bundle Practices, Ngowari Warmate

Walden Dissertations and Doctoral Studies

No abstract provided.

Rented Comfort, Ana Carolina Arce Schwarz

Texas Conference for Working Class Studies Essay Contest

No abstract provided.

The Collapse Of Coffee: Latin American State Capacities To Respond To Market Liberalization, Eli M. Craddock

CISLA Senior Integrative Projects

The International Coffee Agreement (ICA) was an export quota market agreement that governed the international coffee trade from September 1963 until 1989. During its nearly 30-year tenure, it had a strong regulatory function that was dedicated to stabilizing the global coffee industry. The collapse of the ICA in 1989 marked a critical turning point in the global coffee economy, triggering a sharp decline in prices and exposing producing countries to market volatility. This paper examines why national responses to this liberalization shock varied across Latin American coffee producers. By integrating the Varieties of Capitalism (VoC) and Global Value Chain (GVC) …

Immersive Vr/Ar-Based Learning In Prelicensure Nursing Education: Effects On Cognitive Engagement And Learning Outcomes, Ashton Wilson, Didier Ushijima, Treasure Ngere, Rose Ogunade, Natalia Koretsky, Charity Msamalia Chimwala-Selico

General Submissions: Academic Settings and Education-based Materials

Background: Traditional nursing education may limit active learning, clinical judgment development, and cognitive engagement among prelicensure nursing students. Evidence supporting measurable outcomes in traditional clinical education is limited (Leighton et al., 2021). Emerging technologies, including virtual reality (VR), augmented reality (AR), and artificial intelligence (AI)-enhanced learning, offer alternative approaches.

Purpose: This evidence-based practice review evaluates the effect of immersive VR/AR-based learning with adaptive or automated feedback on cognitive engagement and learning outcomes in prelicensure nursing students compared with traditional instructor and self-directed study.

Methods: A literature review was conducted using databases including PubMed, CINAHL, MEDLINE, PsycINFO, and ERIC. Studies included …

“Am I Truly Getting Prepared To Be A Good Teacher?”: Pre-Service Teachers’ Barriers In The Absence Of An Education Living Learning Community (Llc), Daisy Garcia

Theses and Dissertations

“A teacher is an important element of an education system because the impact of the teachers on the students and education programs is known much higher than other elements” (Kadi et al., 2015, p. 1). This study seeks to further understanding of the challenges pre-service teacher experience through their collegiate careers, and how institutions can implement resources such as Living-learning communities in their college campus residence halls to support their students and contribute to the long-term success of teachers post college. A quantitative study was done surveying pre-service teachers at Rowan University to gather knowledge about their different experiences with …

Worldbuilding A Place For The Deaf: An Encyclopedic Approach To Writing Inclusive Narratives, Frederick Scott

Undergraduate University Honors Capstones

This honors capstone project centered on existing deaf literature sets the stage for further storytelling projects using creative worldbuilding details written in an encyclopedic informational text. Across a fledgling life spent reading hearing fiction, a shortage of deaf literature has not gone unnoticed. To start addressing this shortage, this project collects necessary information to support further writings/publications of deaf literature. A review of American Signed Language and deaf/disabled representation in literary format shows that various strategies are employed to represent the language and people within their culture. The review identified examples of unique or distinct approaches used for various characters' …