Digital Commons Network^™

Code Blue: Back To Basics, Melissa N. Allen Msn, Rn, Hannah Taylor Msn, Rnc-Mnn, Jennifer Smith Bsn, Rn

Southern Maine Health Care

Introduction: High-quality cardiopulmonary resuscitation (CPR) improves a patient’s chance of survival. High-quality CPR started immediately after cardiac arrest combined with early defibrillation can double or triple the chances of survival.

In 2021 Joint Commission (JC) provided new and revised in-hospital resuscitation standards due to suboptimal patient outcomes related to poor resuscitation performance.

Rehabilitation Sciences News, Georgia Southern University

Clinical Sciences: News & Publications (2018-2023)

• RiteCare Center asks Georgia Southern community to lend their voice to help others find theirs

College Of Education News, Georgia Southern University

College of Education: News & Publications (2003-2023)

• Call Me MISTER: Georgia Southern junior Jordan Moreno is passionate about teaching, changing the education paradigm.
• Georgia Southern University College of Education hosts 34th annual National Youth Advocacy and Resilience Conference, March 5-8.

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Development And Demonstration Of A Wireless Ultraviolet Sensing Network For Dose Monitoring And Operator Safety In Room Disinfection Applications, Michael F. Cullinan, Robert Scott, Joe Linogao, Hannah Bradwell, Leonie Cooper, Conor Mcginn

School of Nursing and Midwifery

The use of mobile ultraviolet-C (UV-C) disinfection devices for the decontamination of surfaces in hospitals and other settings has increased dramatically in recent years. The efficacy of these devices relies on the UV-C dose they deliver to surfaces. This dose is dependent on the room layout, the shadowing, the position of the UV-C source, lamp degradation, humidity and other factors, making it challenging to estimate. Furthermore, since UV-C exposure is regulated, personnel in the room must not be exposed to UV-C doses beyond occupational limits. We proposed a systematic method to monitor the UV-C dose administered to surfaces during a …

Nh Issues: Strong Support For Recreational Marijuana Use & Gun Control In New Hampshire 2/23/2023, Unh Survey Center

All UNH Survey Center Polls

Seven in ten New Hampshire residents support legalizing marijuana for recreational use. Majorities are also in favor of several gun control measures, including a background check and waiting period on all commercial gun sales, as well as a mechanism to prevent those who may be a risk to themselves or others from buying a gun. Very few Granite Staters support moving New Hampshire's state primary to June. State residents say jobs and the economy and housing are the most important problems facing the state and most residents see homelessness as a very or somewhat serious issue.

Wifi-Based Human Activity Recognition Using Attention-Based Bilstm, Amany Elkelany, Robert J. Ross, Susan Mckeever

Conference papers

Recently, significant efforts have been made to explore human activity recognition (HAR) techniques that use information gathered by existing indoor wireless infrastructures through WiFi signals without demanding the monitored subject to carry a dedicated device. The key intuition is that different activities introduce different multi-paths in WiFi signals and generate different patterns in the time series of channel state information (CSI). In this paper, we propose and evaluate a full pipeline for a CSI-based human activity recognition framework for 12 activities in three different spatial environments using two deep learning models: ABiLSTM and CNN-ABiLSTM. Evaluation experiments have demonstrated that the …

Faculty Senate Minutes, Georgia Southern University, Faculty Senate

Faculty Senate Minutes

No abstract provided.

2023 February 23 - Tennessee Weekly Drought Summary, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Weekly Drought Summaries

No abstract provided.

Large Intraosseous Haemangioma Of The Sacral Vertebra: The Radiological Imaging Findings, Nerbadyswari Deep, Sudipta Mohakud, Mantu Jain, Suprava Naik, Manas Baisakh

Sultan Qaboos University Medical Journal

No abstract provided.

Cytotoxic And Genotoxic Effects Of Waterpipe On Oral Health Status: Systematic Review And Meta-Analysis, Ricardo Grillo, Mehdi Khemiss, Yuri S. Da Silva

Sultan Qaboos University Medical Journal

This systematic review and meta-analysis aimed to assess the cytotoxic and genotoxic impacts of waterpipe smoking on oral health. The databases MEDLINE, Cochrane Library and Dimensions were searched to find studies evaluating whether waterpipe smokers exhibited any cytotoxic or genotoxic effects on their oral cells compared to non-smokers, with regard to mouth neoplasms. Particularly, changes in DNA methylation and p53 expression were assessed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were adopted for the systematic review. Review Manager was utilised for statistical analysis with a significance level at P <0.05. To assess the grades of the included articles, a risk of bias analysis was summarised. A forest plot, including some of the included articles included, was created regarding the different grades. A total of 20 studies were included in this review. The results showed that waterpipe smoking has cytotoxic and genotoxic effects on oral cells, with a risk difference of 0.16. Although the published articles are few in number, all confirm the devastating effects of waterpipe smoking related to the carcinogenicity. Waterpipe smoking is harmful to oral health. It causes a series of detrimental cellular and genetic modifications such as acanthosis, epithelial dysplasia and hyperparakeratosis. In addition, waterpipe smoke contains several carcinogenic compounds. As it releases many harmful organic compounds, waterpipe smoking increases the incidence of oral cancer.

Social Relationships And Onset Of Functional Limitation Among Older Adults With Chronic Conditions: Does Gender Matter?, Dandan Jiao, Kumi W. Miura, Yuko Sawada, Munenori Matsumoto, Ammara Ajmal, Emiko Tanaka, Taeko Watanabe, Yuka Sugisawa, Sumio Ito, Rika Okumura, Yuriko Kawasaki, Tokie Anme

Sultan Qaboos University Medical Journal

Objectives: This study aimed to examine the longitudinal association between social relationships and physical functioning among community-dwelling older adults with chronic conditions. Methods: Self-reported questionnaires were distributed and collected between 2014 and 2017 from participants ≥65 years old. The Index of Social Interaction was used to evaluate social relationships and the instrumental activities of daily living (IADL) subscale of the Tokyo Metropolitan Institute of Gerontology Index of Competence was used to examine functional status. Results: A total of 422 participants (190 males and 232 females) were included in the final analysis. High social relationships demonstrated significant adverse effects (odds ratio …

Evolution Of Minimally Invasive Adrenal Surgery At A Tertiary Care Centre In Oman, Najib Abudraz, Mohamed S. Al-Masruri, Ghalib Al Badaai, Yamam Al-Shamari, Omayma Elshafie, Khurram M. Siddiqui

Sultan Qaboos University Medical Journal

Objectives: This study aimed to review the case records and report the outcomes of open and laparoscopic adrenalectomy (LA) cases. Methods: This retrospective study included patients who underwent adrenal surgery from January 2010 to December 2020 at Sultan Qaboos University, Muscat, Oman. Demographic details, indications, surgical approaches, intra-operative data, complications, final pathology and outcome at the last follow-up were analysed. Results: A total of 52 patients underwent 61 adrenalectomies; six patients had a bilateral procedure while three patients had to undergo revision surgery resulting in a total of 55 individual procedures. Open adrenalectomy (OA) was performed on 11 patients and …

Idiopathic Granulomatous Mastitis: Six Years Of Experience And The Current Evidence In Literature, Mahmood M. Al Awfi, Salim K. Al Rahbi

Sultan Qaboos University Medical Journal

Objectives: This study aimed to retrospectively describe the clinicopathological pattern and management experience of idiopathic granulomatous mastitis in women receiving care at the Royal Hospital, a tertiary care centre in Oman. The study then compared the researchers’ experience with the current literature trends. Methods: The data of patients from January 2012 to December 2017 were reviewed retrospectively, after receiving ethical approval from the Centre of Studies and Research. Results: This retrospective study included 64 patients were confirmed to have idiopathic granulomatous mastitis. All patients were in the premenopausal phase, with only one being nulliparous. Mastitis was the most common clinical …

Acquired Uterine Vascular Anomaly: Experience From A Tertiary Care Centre In Pakistan, Kulsoom Fatima, Mustafa Ba Zubairi, Muhammad Azeemuddin, Raza Sayani

Sultan Qaboos University Medical Journal

Objectives: This study aimed to retrospectively review imaging findings and the outcomes of uterine artery embolisation (UAE) in symptomatic uterine vascular anomalies (UVA). Methods: This study included a total of 15 patients with acquired UVA admitted to the Aga Khan University Hospital in Karachi, Pakistan, from 2010 to 2020. These patients were evaluated using ultrasound, computed tomography and magnetic resonance imaging, either alone or in combination. All patients had a history of dilatation and curettage or uterine instrumentation and underwent angiography and embolisation of the uterine arteries. The primary outcome post embolisation was assessed clinically and/or in combination with ultrasound. …

Radiologic Assessment Of Orbital Dimensions Among Omani Subjects: A Computed Tomography Imaging-Based Study At A Single Tertiary Centre, Eiman Al Ajmi, Marwa Al Subhi, Mallak Al Maamari, Humoud Al Dhuhli, Srinivasa R. Sirasanagandla

Sultan Qaboos University Medical Journal

Objectives: This study aimed to determine the orbital dimensions of Omani subjects who had been referred for computed tomography (CT) of the brain at Sultan Qaboos University Hospital, Muscat, Oman. Good knowledge of the normal orbital dimensions is clinically essential for successful surgical outcomes. Racial, ethnic and regional variations in the orbital dimensions have been reported. Methods: A total of 273 Omani patients referred for CT scans of the brain were retrospectively evaluated using an electronic medical records database. The orbital dimensions were recorded using both axial and sagittal planes of CT images. Results: The mean orbital index (OI) was …

Epidemiology Of Common Ocular Manifestations Among Patients On Haemodialysis In West Bank, Palestine, Yousef Shanti, Hamza Hamayel, Anas Yasin, Abdul-Raheem Abu Shanab, Osama Hroub, Zakaria Hamdan, Mujahed Shraim

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess the prevalence of ocular manifestations and associated factors in patients on haemodialysis. Methods: A cross-sectional study of patients on haemodialysis from a haemodialysis unit in Nablus, Palestine, was conducted. Medical examination for ocular manifestations (intraocular pressure, cataract, retinal changes and optic neuropathy) was performed using Tono-Pen, portable slit-lamp and indirect ophthalmoscope. Predictor variables were age, gender, smoking, medical comorbidities (diabetes, hypertension, ischaemic heart disease [IHD], peripheral arterial disease [PAD]) and use of antiplatelet or anti-coagulation medications. Results: A total of 191 patients were included in this study. The prevalence of any ocular manifestation in …

Establishing Trimester-Specific Haemoglobin A1c Reference Intervals In Pregnant Women: A Retrospective Study Of Healthy South Asian Women With Normal Pregnancy Outcomes, John Punnose, Rajeev K. Malhotra, Komal Sukhija, Rashika M. Rijhwani, Asha Sharma, Naimaa Choudhary, Prassan Vij, Renuka Joseph

Sultan Qaboos University Medical Journal

Objectives: This study aimed to define trimester-specific haemoglobin A1c (HbA1c) reference intervals in healthy, pregnant South Asian women. Methods: This retrospective study was conducted at St. Stephen’s Hospital, Delhi, India, between January 2011 and December 2016. Healthy pregnant women were compared to a control group of healthy non-pregnant women. Pregnant participants had term deliveries of babies with appropriate gestational weights. The HbA1c levels were calculated in terms of non-parametric 2.5 and 97.5 percentiles for women in first (T1), second (T2) and third (T3) trimester groups. Statistical tests were used to obtain the normal HbA1c reference values and were considered significant …

Loeffler's Syndrome And Multifocal Cutaneous Larva Migrans: Case Report Of An Uncommon Occurrence And Review Of The Literature, Abheek Sil, Dibyendu B. Bhanja, Atanu Chandra, Surajit K. Biswas

Sultan Qaboos University Medical Journal

Cutaneous larva migrans (CLM) is a zoonotic skin disease that is frequently diagnosed in tropical and subtropical countries. Loeffler’s syndrome (LS) is a transient respiratory ailment characterised by pulmonary infiltration along with peripheral eosinophilia and commonly follows parasitic infestation. We report a 33-year-old male patient who presented to a tertiary care hospital in eastern India in 2019 with LS that was attributed secondary to multifocal CLM. Treatment with seven-day course of oral albendazole (400 mg daily) coupled with nebulisation (levosalbutamol and budesonide) led to complete resolution of cutaneous lesions and respiratory complaints within two weeks. There was complete resolution of …

Urethral Caruncle With Associated Renoureteric Anomalies, Sohail Ahmad, Akash B. Pati, Santosh K. Mahalik, Kanishka Das

Sultan Qaboos University Medical Journal

A urethral caruncle is a rare differential diagnosis for a prolapsed mass at the urethral meatus. The aetiopathogenesis of this entity is unclear. We report a three-year-old female patient who presented to a tertiary care teaching hospital in India in 2019 with intermittent bleeding from the introitus for a month. Investigations revealed a urethral caruncle and associated renal anomalies which has not been described in the previous literature. The patient was discharged with a prescription of a Sitz bath twice daily and advised to apply betamethasone (0.1%) cream locally once daily. There was a significant improvement after six weeks of …

A Central Venous Catheter Line Misadventure: "Doctor Why Do I Have A Humming Sound In My Ear?", Edwin Stephen, Maitha Al Asmi, Thekra Al Hadhrami, Mohsin Al Riyami, Mohammed Al Badri, Hanan Al Mawaali, Khalifa Al Wahaibi

Sultan Qaboos University Medical Journal

We report a 32-year-old female patient who was referred to a tertiary care hospital in Muscat, Oman, in 2021 with an iatrogenic arteriovenous fistula (AVF) that presented as a neck swelling which developed few weeks after an attempt of central venous catheterisation through the right internal jugular vein. The fistula was corrected surgically with a successful outcome. AVF is an abnormal communication between an artery and vein which can occur as a congenital anomaly, after trauma or iatrogenic following central venous catheter or endovenous thermal ablation.

Progressive Dilatation As A Successful Treatment For Y Duplication Of Urethra: A Case Report, Akash B. Pati, Subrat K. Sahoo, Bikasha B. Tripathy

Sultan Qaboos University Medical Journal

Duplication of urethra is a rare congenital anomaly; a Y-shaped urethral duplication is the rarest variant and lacks a standardised treatment plan. We report a nine-year-old male patient with a Y-duplication of urethra diagnosed during neonatal age who presented to a tertiary care teaching hospital in India in 2018. The patient had undergone a vesicostomy on the seventh day of life for passing urine per anus and was lost to follow-up thereafter. At eight years of age, there was a failed attempt at disconnection of the duplicated urethral tract from the anus after colostomy. The patient was managed successfully by …

Imaging Features Of Dyke-Davidoff-Masson Syndrome, Asma Alhatmi, Talal Almashaikhi, Eiman Al Ajmi

Sultan Qaboos University Medical Journal

No abstract provided.

Family Caregivers Of Older Adults With Physical Disabilities In Rural Thailand, Denis Tuttle, Jiranan Griffiths, Anuchart Kaunnil

The Qualitative Report

Thailand is one of many countries experiencing changes in the demographics of its population. People are living longer and having fewer children resulting in an increasing percentage of older adults in the general population. This presents a challenge in providing care for older adults, especially in countries where there is a culture of family caregiving. This study aims to investigate the experience of family caregivers, exploring the problems of caring for older people with physical disabilities and the needs of family caregivers. This is done to better understand ways to support caregivers. Using a descriptive qualitative approach, 15 family caregivers …

Perceptions Of Pgy-2 Oncology Programs On Financial Toxicity Education And Preparedness, Monica Tadros

All Publications

No abstract provided.

Bispecific T-Cell Engagers Therapies In Solid Tumors: Focusing On Prostate Cancer, Diana C Simão, Kevin K Zarrabi, José L Mendes, Ricardo Luz, Jorge A Garcia, William Kevin Kelly, Pedro C Barata

Department of Medical Oncology Faculty Papers

Over the past decade, immunotherapy has demonstrated an impressive improvement in treatment outcomes for multiple cancers. Following the landmark approvals for use of immune checkpoint inhibitors, new challenges emerged in various clinical settings. Not all tumor types harbor immunogenic characteristics capable of triggering responses. Similarly, many tumors' immune microenvironment allows them to become evasive, leading to resistance and, thus, limiting the durability of responses. To overcome this limitation, new T-cell redirecting strategies such as bispecific T-cell engager (BiTE) have become attractive and promising immunotherapies. Our review provides a comprehensive perspective of the current evidence of BiTE therapies in solid tumors. …

The Many State Doctrines Of Forum Non Conveniens, William S. Dodge, Maggie Gardner, Christopher A. Whytock

Duke Law Journal

Forum non conveniens is not as ancient or monolithic as U.S. courts often assume. The doctrine, which permits judges to decline to hear cases they believe would more appropriately be heard in another sovereign’s courts, was only adopted by the U.S. Supreme Court for use in nonadmiralty cases in 1947; the doctrine’s “deep roots in the common law” are thought instead to have grown in the states.

This Article tests that account by surveying the forum non conveniens doctrines of all fifty states and the District of Columbia. What we found should change how judges, practitioners, and scholars view the …

Solving The Valuation Challenge: The Ultra Method For Taxing Extreme Wealth, Brian Galle, David Gamage, Darien Shanske

Duke Law Journal

Recent reporting based on leaked tax returns of the ultrarich confirms what experts have long suspected: for the wealthiest Americans, paying taxes is mostly optional. Some of the country’s richest have reported annual taxable incomes that would be modest for a schoolteacher, even as the share of wealth held by the top .1 percent is at its highest in nearly a century.

Experts have long understood that one problem sits at the roots of many of the tax system’s failures to reach the very rich: valuation. Because it is difficult to appraise complex or unique assets, modern tax systems instead …

Strategic Monitoring Improves Prospective Memory: A Meta-Analysis, Phil Peper, Hunter B. Ball

SAGE Open Access Agreement Publications-Archive

Monitoring the environment for target events that trigger prospective memory (PM) retrieval requires cognitive resources, reflected by costs to ongoing task performance (i.e., worse accuracy and/or slower response times). Strategic monitoring refers to the use of context to engage or disengage monitoring when a PM target is anticipated or unanticipated. Laboratory strategic monitoring studies have found mixed results as to whether context specification improves PM performance. This study employed a meta-analytic technique to assess the overall effect of context specification on PM performance and ongoing task metrics of strategic monitoring. Overall, context specification improved PM performance when the target was …

The Kenyon Collegian - February 23, 2023

The Kenyon Collegian

No abstract provided.