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The Effects Of Mississippi Mandated Testing On Students And Teachers, Christopher I. Goss May 2026

The Effects Of Mississippi Mandated Testing On Students And Teachers, Christopher I. Goss

Honors Theses

This thesis concerns the direct impacts of the Mississippi mandated standardized testing, used for graduation, on Mississippi public school teachers and students. To collect appropriate data, I used the Qualtrics survey platform to fit in the parameters needed for IRB approval. This survey provided individuals an opportunity to express their opinions on certain statements, ideas, and beliefs about the current mandated standardized testing system, while also collecting background information for comparing data such as differences between how much someone from a D ranked school would support standardized testing compared to someone from an A ranked school. Most teachers and faculty …


Lunar Manufacturing Systems And The Role Of Additive Recycling Technologies, Camille A. Newman May 2026

Lunar Manufacturing Systems And The Role Of Additive Recycling Technologies, Camille A. Newman

Honors Theses

Renewed international interest in sustained lunar exploration has created a growing demand for technologies to support long-duration space exploration. Part of the recent Artemis missions and the Moon to Mars initiative is to improve key mission capabilities and fill critical gaps necessary to sustain lunar habitation. Waste management, recycling systems, and manufacturing systems have been identified as critical technologies that need further development before a sustained mission is possible. This thesis explores the feasibility of an additive manufacturing and recycling system designed to process plastic waste generated during extended lunar habitation. Initial research focused on existing manufacturing and recycling technologies …


Not An Afterthought: Addressing The Academic And Social Challenges That Create Barriers To Belonging For Transfer Students, Brooke Jankowsky May 2026

Not An Afterthought: Addressing The Academic And Social Challenges That Create Barriers To Belonging For Transfer Students, Brooke Jankowsky

Honors Theses

This thesis examines the academic and social barriers to belonging for transfer students at four-year institutions, with particular attention to the University of Mississippi. The goal is to bring attention to the issues that surround transfer student populations in general by identifying some of the most pressing structural and interpersonal challenges that shape their experiences. A qualitative approach was used, drawing on existing literature, prior unpublished research at the community college level, and reflective analysis to explore themes such as transfer shock, creating and maintaining social networks, and gaps in institutional support. Findings suggest that transfer students often face a …


How Ux Design Shapes Brand Perception In Digital Environments Among Gen Z, Adriane R. Arinder May 2026

How Ux Design Shapes Brand Perception In Digital Environments Among Gen Z, Adriane R. Arinder

Honors Theses

This study examines how user experience (UX) design shapes brand perception among young adult consumers, with a focus on digitally active individuals between the ages of 18 and 25. Drawing on a review of academic and industry literature, qualitative data from a focus group of seven University of Mississippi students, and quantitative data from a survey of 153 participants, this research argues that intuitive, accessible digital experiences function as a form of brand communication that significantly influences how users evaluate the companies behind them. The study conceptualizes UX through four primary dimensions: usability, navigation clarity, interaction efficiency, and accessibility. Findings …


Institutionalization Of Diversity, Equity, Inclusion, And Accessibility In California Community Colleges, Kristin Lui-Martinez May 2026

Institutionalization Of Diversity, Equity, Inclusion, And Accessibility In California Community Colleges, Kristin Lui-Martinez

LMU Theses and Dissertations

The California Community Colleges Chancellor’s Office accomplished system change using regulatory power to institutionalize diversity, equity, inclusion, and accessibility (DEIA) into Education Code. This qualitative research study investigated the origins and intention of the regulations that added DEIA competency criteria into employee evaluations and faculty tenure review through document analysis. The study also used interviews to examine the faculty perceptions of the regulations and understand how faculty supported or resisted the regulations. Applying critical policy analysis and Felix’s (2021) multicontextual implementation framework, this study examined three main questions: (a) how did the California Community College Chancellor’s Office collaborate and engage …


Narratives Of Cultural Wealth: Understanding What Works For Underrepresented Minority Students In Stem, Grace Long May 2026

Narratives Of Cultural Wealth: Understanding What Works For Underrepresented Minority Students In Stem, Grace Long

LMU Theses and Dissertations

This qualitative study examined the lived experiences of underrepresented minority alumni from Galileo STEM High School who are pursuing STEM degrees at four-year universities. Guided by Yosso’s (2005) Community Cultural Wealth (CCW) framework, the study focused on what worked for underrepresented minority groups (UMG) in STEM. In-depth semi-structured interviews were conducted to learn a) what factors contributed to their STEM development and identities, b) what forms of cultural wealth were leveraged in high school and in the first years of college to pursue and persist in STEM studies, and c) experiences from Galileo STEM High School that cultivated and affirmed …


Access Does Not Equal Inclusion: Examining The First-Year College Experience Of First-Generation Latinx Dual Enrollment Alumni From Rural Communities, Dulce Diaz May 2026

Access Does Not Equal Inclusion: Examining The First-Year College Experience Of First-Generation Latinx Dual Enrollment Alumni From Rural Communities, Dulce Diaz

LMU Theses and Dissertations

This study examined the first-year experiences of first-generation Latinx students from rural communities who are alumni of a dual enrollment (DE) program, with a focus on their transition into higher education. Guided by the following research questions, (1) How do first-generation students of color reflect on the challenges and successes in their first year at a four-year institution as alumni of high school DE programs? and (2) How can insights from their experiences inform improvements to DE programming?, this study aimed to uncover both the benefits and barriers these students encounter. Through qualitative interviews with eight students, the study explored …


Visual Cues In Online Education: How Emojis In Asynchronous Instructor Communication Strengthen Emotional And Behavioral Outcomes, Minseong Kim, Tami L. Knotts, Nancy D. Albers, Karen E. James May 2026

Visual Cues In Online Education: How Emojis In Asynchronous Instructor Communication Strengthen Emotional And Behavioral Outcomes, Minseong Kim, Tami L. Knotts, Nancy D. Albers, Karen E. James

Faculty Publications

Online learning environments often lack nonverbal cues that support relational communication between instructors and students, making it difficult to establish emotional connection and trust. This study examines how emojis, as affective visual cues, influence instructor credibility, emotional attachment, trust, and responsible behavior in asynchronous online education. A scenario-based experiment was conducted with 297 undergraduate students who were randomly assigned to view an instructor email either with or without emojis. Participants subsequently evaluated the instructor’s credibility (expertise, trustworthiness, and likeability), as well as their emotional attachment, trust, and anticipated responsible behavior. The results indicate that emojis significantly enhance perceived likeability, which …


Voltage-Sensor–Targeting Modulators Of Iks: Identifying Critical Functional Groups Of C28 Via Electrophysiology And Sar Modeling, Jiacheng Huang May 2026

Voltage-Sensor–Targeting Modulators Of Iks: Identifying Critical Functional Groups Of C28 Via Electrophysiology And Sar Modeling, Jiacheng Huang

McKelvey School of Engineering Graduate Student Theses & Dissertations

IKs (KCNQ1/KCNE1) channels are essential for cardiac repolarization, and their dysfunction contributes to arrhythmogenic disorders such as Long QT Syndrome type 1 (LQT1). Pharmacological activation of IKs has therefore emerged as a promising therapeutic strategy. C28, a recently identified voltage-sensor–targeting activator, has been shown to markedly shift KCNQ1/KCNE1 voltage dependence and enhance current amplitude, validating the voltage-sensing domain (VSD) as a druggable site. However, the structural determinants that underlie C28’s activity remain incompletely understood. In this study, we aimed to identify critical functional groups of C28 by screening a structurally diverse set of C28-like analogs and evaluating their …


Toward Vehicle-Agnostic Driving Signatures For Cognitive Impairment Prediction From Naturalistic Driving Data, Aadarsha Gopala Reddy May 2026

Toward Vehicle-Agnostic Driving Signatures For Cognitive Impairment Prediction From Naturalistic Driving Data, Aadarsha Gopala Reddy

McKelvey School of Engineering Graduate Student Theses & Dissertations

This thesis studies whether naturalistic driving data can help predict binary Clinical Dementia Rating (CDR) status while accounting for differences across vehicles. The final analytic dataset comprised 26,968 participant-weeks from 304 participants. Weekly driving features were derived from real-world telematics data and combined with four demographic covariates. Primary model comparisons used leave-one-participant-out (LOGO) cross-validation, with one individual held out at a time and pooled participant-level metrics used as the main reporting surface.

The main comparison includes six model families evaluated on the same dataset under a shared LOGO framework. Performance remained modest overall. GRU-DANN had the highest participant-level ROC AUC …


Interaction-Aware Safe Planning For Human-Robot And Multi-Robot Systems, Haoyi Wang May 2026

Interaction-Aware Safe Planning For Human-Robot And Multi-Robot Systems, Haoyi Wang

McKelvey School of Engineering Graduate Student Theses & Dissertations

Robots operating in shared environments must interact safely not only with static obstacles but also with other decision-making agents, including humans and other robots. In such settings, both safety and task completion depend on the ability to reason about interaction. Two major challenges arise. In human-robot interaction, future human behavior depends on latent internal factors, such as attentiveness and behavioral style, that are not directly observable to the robot. In multi-robot systems, decentralized reactive navigation can fail in cluttered environments when reciprocal interactions create deadlocks that prevent progress through narrow passages or bottlenecks. This thesis investigates these two challenges from …


Temperature And Environmental Implications On Ti3c2cl2 Mxene Degradation Process, Yang Yang May 2026

Temperature And Environmental Implications On Ti3c2cl2 Mxene Degradation Process, Yang Yang

McKelvey School of Engineering Graduate Student Theses & Dissertations

MXenes, a rapidly emerging class of two-dimensional transition metal carbides and nitrides, have attracted considerable attention owing to their exceptional electrical, mechanical, and chemical properties. However, the inherent thinness of their atomic structure and the reactivity of their functional groups render MXenes susceptible to environmental degradation, whereby the lattice integrity is compromised and desirable material functionalities are dimin- ished. In this work, ex situ electron microscopy characterisation is performed on Ti3C2Cl2 MXene specimens subjected to controlled gas environments — nitrogen gas (N2) and air — at annealing temperatures of 200°C and 600°C, with …


Gender And Grades: The Gap In How Men And Women Fear Economic Collapse, Riley O'Connor May 2026

Gender And Grades: The Gap In How Men And Women Fear Economic Collapse, Riley O'Connor

Student Scholar Symposium Abstracts and Posters

Due to prescribed gender roles in society and wage gaps, historically, women have had to rely on spouses and family for economic survival. Now, with access to higher education and increased salaries, their economic fears are shifting. In this paper I analyze the extent of the gender gap in the fear of economic and financial collapse of Americans. Using the Chapman Survey of American Fear, an original data set surveying the degree to which American adults fear incidents collected in spring of 2025, men and women of the same education fear economic collapse differently, signifying men fear economic collapse less …


2026-05-06 Campus Store No More? Seattle U Shifts To Online Sales And Future Pop-Ups, Maya Deguzman May 2026

2026-05-06 Campus Store No More? Seattle U Shifts To Online Sales And Future Pop-Ups, Maya Deguzman

The Spectator Online

No abstract provided.


Financial Literacy And Kentucky House Bill 342, Rebecca J. Futrell May 2026

Financial Literacy And Kentucky House Bill 342, Rebecca J. Futrell

Honors College Theses

This study examines the correlation between taking a financial literacy class in high school and an individual’s actual financial literacy. It is inspired by the recent Kentucky House Bill 342, which mandates that a financial literacy class be taken during high school. According to recent studies, Generation Z scores the lowest on a financial literacy index among the past three generations. To address this, many U.S. states have introduced mandatory financial literacy classes in K-12 education. In 2025, Kentucky joined the 30 states that mandated a financial literacy class for a high school diploma. The Kentucky House Bill 342 selects …


Examining The Relationship Between Teachers’ Attitudes And Efficacy For Inclusive Classroom Practices, Dike Ibiam Dick May 2026

Examining The Relationship Between Teachers’ Attitudes And Efficacy For Inclusive Classroom Practices, Dike Ibiam Dick

Journal of Innovation and Teacher Professionalism

This study examined the relationship between teachers’ self-efficacy and their attitudes toward inclusive education in Ondo State, Nigeria. A descriptive survey research design was adopted, and data were collected from 500 primary and secondary school teachers using two standardized instruments: the Sentiments, Attitudes, and Concerns about Inclusive Education Revised (SACIE-R) Scale and the Teacher Efficacy for Inclusive Practice (TEIP) Scale. Data were analyzed using Pearson Product-Moment Correlation, Multiple Linear Regression, and one-way ANOVA. The findings revealed a moderate positive relationship between teachers’ attitudes toward inclusive education and their self-efficacy in behavior management and collaboration, while a weaker positive relationship was …


Applying User-Centered Design To Develop A Culturally Sensitive, Low-Calorie Meal Plan For Enhancing Dietary Behavioral Control In Masld, Ivonne Arguelles, Crystal Arguelles, Terri L Fletcher, Natalia I Heredia, Myriam Ibarra, Anna Christine Rome May 2026

Applying User-Centered Design To Develop A Culturally Sensitive, Low-Calorie Meal Plan For Enhancing Dietary Behavioral Control In Masld, Ivonne Arguelles, Crystal Arguelles, Terri L Fletcher, Natalia I Heredia, Myriam Ibarra, Anna Christine Rome

Faculty, Staff and Students Publications

Background: Dietary changes are essential for managing metabolic dysfunction-associated steatotic liver disease (MASLD), yet patients often face barriers related to knowledge, skills, cost, time, and cultural fit.

Aims: The purpose of this paper is to report a process for culturally tailoring a dietary intervention and its application to create a calorie-restricted meal plan for Mexican and Central American patients with MASLD. Guided by the Theory of Planned Behavior and user-centered design, we produced a culturally tailored seven-day structured meal plan aligned with dietary guidelines for MASLD and weight loss.

Methods: We conducted a three-phase, mixed-methods process among Mexican/Central American patients …


Case Report: Necrotizing Pneumonia, Veroneka Mikhail Md May 2026

Case Report: Necrotizing Pneumonia, Veroneka Mikhail Md

Rowan-Virtua Research Day

Necrotizing pneumonia is an uncommon but severe complication of community-acquired pneumonia (CAP), characterized by progressive parenchymal liquefaction, cavitation, and destruction of normal lung architecture, and associated with significant morbidity and mortality. Clinicaly, early presentations may be indistinguishable from uncomplicated pneumonia (pna), with fever, cough, pleuritic chest pain, and dyspnea, which can delay recognition in the emergency department. Differential diagnosis for these symptoms is broad and includes uncomplicated pneumonia, septic emboli, lung abscesses, and pleural effusion. However, patients effected with necrotizing pneumonia often exhibit more severe systemic toxicity, rapid progression of respiratory failure, and hemodynamic instability. In this case report, we …


Rethinking Gout Through An Inflammatory Lens, James Espinosa, Alan A. Lucerna May 2026

Rethinking Gout Through An Inflammatory Lens, James Espinosa, Alan A. Lucerna

Rowan-Virtua Research Day

This review reframes gout not as a static disease of urate deposition, but as a dynamic inflammatory phenomenon. The emphasis is on immune activation, threshold behavior, and systemic inflammatory context rather than isolated joint pathology.


Reducing Pharmacy Callbacks And Improving Workflow Efficiency In The Emergency Department: A Quality Improvement Initiative, Philip .. Carhart, Hannah Culleny, Alexis Schuitema, James Espinosa, Robin Lahr, Sergey Medlenov, Gabriel Meister, Alan Lucerna May 2026

Reducing Pharmacy Callbacks And Improving Workflow Efficiency In The Emergency Department: A Quality Improvement Initiative, Philip .. Carhart, Hannah Culleny, Alexis Schuitema, James Espinosa, Robin Lahr, Sergey Medlenov, Gabriel Meister, Alan Lucerna

Rowan-Virtua Research Day

A simple educational intervention combined with structured provider feedback reduced ED pharmacy callbacks by 86%. While individual call duration remained unchanged, the reduction translated into nearly eight hours of provider time saved annually. This study highlights the impact of targeted quality improvement efforts on: • Workflow efficiency • Interprofessional communication • Patient care reliability. Small systems interventions can produce disproportionate operational benefits.


From Clinical Observation To Scholarly Question Academic Curiosity As A Professional Virtue In Emergency Medicine Introducing The Mindful Observation → Curious Inquiry → Clinical Structuring → Scholarly Sharing (Moccs) Model, James Espinosa, Alan A. Lucerna May 2026

From Clinical Observation To Scholarly Question Academic Curiosity As A Professional Virtue In Emergency Medicine Introducing The Mindful Observation → Curious Inquiry → Clinical Structuring → Scholarly Sharing (Moccs) Model, James Espinosa, Alan A. Lucerna

Rowan-Virtua Research Day

Emergency Medicine generates continuous clinical observations, yet many potentially meaningful insights never progress beyond informal reflection. This poster reframes every day shift observations as the ecological foundation of scholarly inquiry. Conceptual Framework: We propose a simple, repeatable process to lower the activation energy for academic engagement The Mindful Observation → Curious Inquiry → Clinical Structuring → Scholarly Sharing (MOCCS) Model. This model centers disciplined noticing as a professional virtue. By naming and normalizing the “hmmm” and “huh?” moments, this approach validates frontline clinical wisdom, democratizes scholarly participation, and restores intellectual joy within high-stress clinical environments. Conclusion: Curiosity is not hierarchical. …


Brief Review : Listening Closely--Stethoscopes, Hygiene Gaps, And The Unfinished Work Of Healthcare-Associated Infection Prevention, James Espinosa, Swet Patel, Robin Lahr, Sergey Medlenov, Russell Mordecai, James Lee, Alan Lucerna, Henry Schuitema May 2026

Brief Review : Listening Closely--Stethoscopes, Hygiene Gaps, And The Unfinished Work Of Healthcare-Associated Infection Prevention, James Espinosa, Swet Patel, Robin Lahr, Sergey Medlenov, Russell Mordecai, James Lee, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Healthcare-associated infections (HAIs) remain a persistent patient safety challenge. While hand hygiene has received sustained institutional focus, stethoscope hygiene remains inconsistently addressed despite longstanding evidence of contamination. Stethoscopes function as portable, patient-to-patient devices that may serve as under-recognized fomites in emergency and inpatient settings. Prior pilot work demonstrated that clinicians were unable to reliably distinguish between disposable and standard stethoscopes, and that perceived acoustic degradation from a diaphragm barrier was minimal. These findings suggest that acoustic concerns may not represent a primary barrier to hygiene-enhancing strategies. This brief review examines the literature surrounding stethoscope contamination and cleaning behavior, frames the …


Facial Skin Discoloration After Topical Silver Sulfadiazine: A Case Report, Hannah Culleny, Philip Carhart, James Espinosa, Neel Parikh, Alan Lucerna, Henry Schuitema May 2026

Facial Skin Discoloration After Topical Silver Sulfadiazine: A Case Report, Hannah Culleny, Philip Carhart, James Espinosa, Neel Parikh, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Silver sulfadiazine (Silvadene) is a topical antimicrobial commonly used in burn management. Although generally well tolerated, excessive or prolonged application may result in cutaneous pigmentation changes due to silver deposition.

Here we present the case of a a 45-year-old woman who presented with diffuse gray-blue facial discoloration five days after sustaining a minor thermal injury. She had been prescribed topical silver sulfadiazine but applied the medication to her entire face and continued use after wound resolution. Physical examination demonstrated asymptomatic hyperpigmented gray-blue macules confined to areas of application. There were no signs of inflammation or systemic involvement. Discontinuation of the …


High-Intensity Interval Training And Circulating Brain-Derived Neurotrophic Factor In Healthy Young Adults: A Scoping Review, Rikuto Abe, Safe Elhakeem, Mohamed Elhakeem May 2026

High-Intensity Interval Training And Circulating Brain-Derived Neurotrophic Factor In Healthy Young Adults: A Scoping Review, Rikuto Abe, Safe Elhakeem, Mohamed Elhakeem

Rowan-Virtua Research Day

Abstract

Background: Brain-derived neurotrophic factor (BDNF) plays an important role in synaptic plasticity, neuronal survival, and cognitive function (1,2,3). High-intensity interval training (HIIT) has emerged as a time-efficient exercise modality capable of inducing neurotrophic adaptations (4,5). However, the magnitude and consistency of its effects on circulating BDNF remain unclear.

Objective: This scoping review evaluated the current evidence examining the effects of HIIT on circulating BDNF levels measured via enzyme-linked immunosorbent assay (ELISA) in healthy young adults.

Methods: A systematic search of PubMed, Embase, and Scopus was conducted for randomized and controlled clinical trials published between 2020 and 2025. Studies were …


Hydration During Emergency Medicine Shifts: An Overlooked Component Of Cognitive Performance, Well-Being, And Systems Design To Fail To Plan For Shift Hydration Is To Plan To Fail With Shift Hydration, James Espinosa, Alan Lucerna, Swet Patel, Robin Lahr, Sergey Medlenov, Adam Kandil, Frank Wheeler, Wayne Tamaska, James Lee, Neel Parikh, Henry Schuitema May 2026

Hydration During Emergency Medicine Shifts: An Overlooked Component Of Cognitive Performance, Well-Being, And Systems Design To Fail To Plan For Shift Hydration Is To Plan To Fail With Shift Hydration, James Espinosa, Alan Lucerna, Swet Patel, Robin Lahr, Sergey Medlenov, Adam Kandil, Frank Wheeler, Wayne Tamaska, James Lee, Neel Parikh, Henry Schuitema

Rowan-Virtua Research Day

Emergency Medicine (EM) clinicians work prolonged, cognitively demanding shifts in environments characterized by unpredictability, interruptions, and high decision density. While fatigue, burnout, and circadian disruption have been widely studied, hydration during active clinical shifts has received little focused attention. Evidence from cognitive, military, and sports physiology literature demonstrates that even mild dehydration can impair attention, working memory, mood, and reaction time. Despite these findings, hydration in Emergency Medicine is typically treated as an individual behavior rather than a systems-level design consideration. This review synthesizes relevant physiologic and performance literature, identifies cultural and structural barriers to hydration during EM shifts, and …


Brief Review: Does Red Hair Phenotype Affect Propofol Pharmacokinetics Or Pharmacodynamics?, James Espinosa, Frank Wheeler, Robin Lahr, Sergey Medlenov, Alan Lucerna May 2026

Brief Review: Does Red Hair Phenotype Affect Propofol Pharmacokinetics Or Pharmacodynamics?, James Espinosa, Frank Wheeler, Robin Lahr, Sergey Medlenov, Alan Lucerna

Rowan-Virtua Research Day

Background: A persistent belief within Emergency Medicine and perioperative culture suggests that individuals with red hair require altered anesthetic dosing. While early studies demonstrated increased requirements for certain volatile anesthetics in red-haired individuals, this association is frequently generalized to propofol without clear supporting evidence.

Objective: To review current literature regarding the relationship between red hair phenotype (and MC1R variants) and propofol pharmacokinetics (PK) and pharmacodynamics (PD).

Methods: A focused narrative review of controlled human studies and relevant clinical outcome data evaluating propofol PK and PD in red-haired individuals.

Results: Evidence supporting altered anesthetic requirement in red-haired individuals primarily derives from …


Designing For Difference: A Systems Approach To Sensory-Adaptive Care In The Emergency Department, James Espinosa, Alan Lucerna, Henry Schuitema May 2026

Designing For Difference: A Systems Approach To Sensory-Adaptive Care In The Emergency Department, James Espinosa, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Children with genetic syndromes and other neurodevelopmental conditions frequently present to the Emergency Department (ED) with sensory vulnerabilities that complicate evaluation and treatment in high-stimulus environments. While experienced clinicians often adapt instinctively to meet these needs, such adaptations may be inconsistently applied and may also be highly individual provider dependent. We present a case involving a child with a genetic syndrome affecting auditory and visual systems to illustrate how small environmental, relational, temporal, and cognitive adjustments can prevent escalation and enable routine care delivery without specialized resources.

We propose reframing sensory-adaptive care not as an exceptional accommodation but as a …


Towards More Effective And Efficient Ite And Board Preparation In Emergency Medicine: A Conceptual Framework Using Personality Preferences (Mbti) To Inform Study And Test-Taking Behaviors, James Espinosa, Robin Lahr, James Lee, Alan Lucerna May 2026

Towards More Effective And Efficient Ite And Board Preparation In Emergency Medicine: A Conceptual Framework Using Personality Preferences (Mbti) To Inform Study And Test-Taking Behaviors, James Espinosa, Robin Lahr, James Lee, Alan Lucerna

Rowan-Virtua Research Day

Background: Preparation for high-stakes examinations in Emergency Medicine (EM) relies heavily on question-bank practice, rapid decision-making, and targeted review. Despite standardized board-preparation resources, trainees demonstrate substantial variability in study behaviors and perceived efficiency. The Myers-Briggs Type Indicator (MBTI), widely used in medical education for communication and self-reflection, may offer a framework for understanding differences in study and test-taking behaviors, though it is not designed as a predictive psychometric tool.

Objective: To review existing literature relating MBTI preferences to learning behaviors and academic performance, and to propose a conceptual framework linking personality preferences to board-style test-taking patterns in EM trainees.

Methods: …


Medical Clearance For Behavioral Health Patients In The Emergency Department: A Conceptual Overview Of Practice Variability, James Espinosa, Alan Lucerna May 2026

Medical Clearance For Behavioral Health Patients In The Emergency Department: A Conceptual Overview Of Practice Variability, James Espinosa, Alan Lucerna

Rowan-Virtua Research Day

Background: Patients presenting to the emergency department (ED) with behavioral health complaints frequently undergo medical clearance prior to behavioral health evaluation or admission. Substantial variability appears to be found in laboratory utilization, documentation language, and interdepartmental workflow.

Objective: To provide a conceptual overview of variability in medical clearance practices and to synthesize existing guideline recommendations and literature regarding routine laboratory testing in low-risk psychiatric patients.

Methods: Narrative review of professional policy statements, selected peer-reviewed studies, and operational considerations influencing emergency physician practice patterns.

Results: Evidence suggests that routine laboratory testing in psychiatric patients has low diagnostic yield and rarely changes …


The Case For Intraprocedural Ultrasound Guidance In Lumbar Puncture--From Landmarking To Navigation In Lumbar Puncture. A Conceptual Review And Research Agenda, James Espinosa, Frank Wheeler, Robin Lahr, Sergey Medlenov, Alan Lucerna, Henry Schuitema May 2026

The Case For Intraprocedural Ultrasound Guidance In Lumbar Puncture--From Landmarking To Navigation In Lumbar Puncture. A Conceptual Review And Research Agenda, James Espinosa, Frank Wheeler, Robin Lahr, Sergey Medlenov, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

Ultrasound guidance for lumbar puncture (LP) is well established for pre-procedural landmark identification, particularly in patients with difficult anatomy. However, most current approaches discontinue ultrasound prior to needle insertion, returning the operator to a blind technique. Current emergency medicine ultrasound guided intravenous line insertion demonstrate feasibility of real-time needle visualization.  However,  the development and adoption of real-time guidance in the setting of lumbar puncture remains limited. Prior simulation work demonstrated that ergonomics, operator experience, and workflow integration significantly influence performance in ultrasound-assisted LP (Horn, Espinosa et al., 2016).  Here we make the case that LP is not a static targeting …