Digital Commons Network^™

Pancreatic Cancer With A Skeletal Muscle Metastasis - A Case Presentation And Literature Review, Nicholas Spetsieris, Gayatri Bobba, Priyanka Bhandari, Samir Patel, Zubin Tharayil, Ravi Gupta

Journal of Community Hospital Internal Medicine Perspectives

One-half of patients with newly diagnosed pancreatic cancer will have metastatic disease at the time of diagnosis, mainly due to its non-specific initial clinical presentation which includes abdominal pain, dyspepsia, weight loss, bowel habit changes, jaundice and pruritus. The signs, symptoms and stage of the disease at initial diagnosis depends on the origin of the primary tumor, with tumors of the head presenting earlier with obstructive symptoms while tumors of the body/tail are often diagnosed at an advanced stage due to their non-specific presentation. The most common sites of metastasis are the lymph nodes, liver, lung, and peritoneum. The presence …

A Rare Case Of Pembrolizumab Associated Encephalopathy, Sijan Basnet, Rajanbir Singh, Biswaraj Tharu, Tushar Pawar, Garima Basnet

Journal of Community Hospital Internal Medicine Perspectives

We present a unique case of a 55-year-old man with confusion thought to be due to pembrolizumab which he was receiving for renal cell carcinoma. His workup for other possible etiologies for encephalopathy was negative. He was treated with high dose intravenous methylprednisolone followed by prednisone taper and intravenous immunoglobulin with gradual improvement in his mentation.

Primary Mediastinal B-Cell Lymphoma Presenting As Chest Pain In A Young Woman And Treated With Epoch-R, Chloe Weidenbaum, Akanksha Kushwah, Ariana Geromes, Jonathan A. Abbas

Journal of Community Hospital Internal Medicine Perspectives

Primary mediastinal B-cell lymphoma (PMBCL) is a rare type of diffuse large B-cell lymphoma, constituting 2-4% of non-Hodgkin lymphomas. Here we present a case of PMBCL initially presenting as pleuritic chest pain in an otherwise healthy 33-year-old woman. PMBCL typically presents as a large, fast-growing tumor limited to the mediastinum, making the iliosacral involvement in this case unusual. R-CHOP is the most commonly used chemotherapy regimen, although more aggressive therapies like EPOCH-R can spare the need for consolidative radiation therapy. PMBCL represents one of the greatest diagnostic and therapeutic challenges in malignant hematology.

A National Survey Of The Prevalence Of Anemia And Obesity In Indian School Children, Mithu Banerjee, Brig V.K. Bhatti, Dipayan Roy, Sojit Tomo

Journal of Community Hospital Internal Medicine Perspectives

Background: In India, the socioeconomic shift in the past few decades has led to a sedentary lifestyle with poor dietary habits, leading to an increased incidence of overweight and obesity in children. Furthermore, obesity and anemia share some common links. Objectives: In this study, we have prevalence of anemia and obesity in Indian schoolchildren. Methods: The study was carried out on 1675 children and adolescent participants aged 6-18 years for the prevalence of obesity and anemia. Height, weight, waist and hip circumference were taken. Hemoglobin levels was measured for each participant. Results: Males and females differed in height (p = …

Outcomes Of Corneal Topographical Kmax Readings 3 Months After Corneal Cross Linkage In Keratoconus Patients, Abdul Basit Sangah, Jaya Kumari, Hassan Mumtaz, Mohammad Hasan

Journal of Community Hospital Internal Medicine Perspectives

Background and objective: Collagen protein, which is abundant in the cornea and has a triple helix form, may be found in almost every tissue matrix in the body. Natural cross connections between monomers provide the robustness of the helical protein structure. Wollensak and his colleagues developed the Dresden Protocol, a keratoconus treatment based on Corneal Cross-Linkage. We aimed to analyse and present the findings in individuals with progressive keratoconus using topographic and refractive results after corneal collagen crosslinking treatment (CXL) (KC) after 3 months.

Methods: The study comprises a total of 100 patients who were diagnosed with progressive KC and …

Pocus In Internal Medicine Curriculum: Quest For The Holy-Grail Of Modern Medicine, Devyani Ramgobin, Vasu Gupta, Rea Mittal, Lilly Su, Meet A Patel, Nour Shaheen, Sachin Gupta, Rohit Jain

Journal of Community Hospital Internal Medicine Perspectives

Point of care ultrasound (POCUS) is an essential component of emergency medicine training that has not taken hold in internal medicine training programs. Internal medicine residents can use POCUS to perform focused examinations and aid complicated procedures. However, while there is widespread interest in learning POCUS, training is not standardized amongst residency curriculums. Therefore, more strides are necessary to correctly implement POCUS training during residency training.

Middle Meningeal Artery Embolization: A Paradigm Shift In Approach Of Chronic Subdural Hematoma, Hamza Hanif, Shanza Farook, Sajid S. Suriya, Muhammad Umer Riaz Gondal, Muhammad Ibraiz Bilal, Abu Baker Sheikh

Journal of Community Hospital Internal Medicine Perspectives

Chronic subdural hematoma (SDH) is commonly seen in the aged population. It is hypothesized to occur due to damage to the dural border cells, resulting in an inflammation-proliferation reaction. Inadequate repair leads to the formation of an external layer of cells and fragile capillaries, which are vulnerable to damage, contributing to worsening of the condition. Conventionally, asymptomatic chronic SDH was managed by observation, while symptomatic cases by surgical evacuation. However, the recurrence rate of chronic SDH after surgical evacuation was high. The middle meningeal artery (MMA) provides blood supply to the dura mater and feeds the capillaries of the membranes …

Covid-19 Positive Status Is Associated With Increased In-Hospital Mortality In Patients With Acute Myocardial Infarction: A Systematic Review And Meta-Analysis, Nischit Baral, Waiel Abusnina, Shravya Balmuri, Amith Seri, Soumya Kambalapalli, Prem R Parajuli, Basel Abdelazeem, Krishna P. Bashyal, Niranjan Ojha, Bidhya Timilsina, Timir K Paul

Journal of Community Hospital Internal Medicine Perspectives

Patients hospitalized for acute myocardial infarction (AMI) may have concomitant positive coronavirus disease 2019 (COVID-19). We aimed to compare the risk of in-hospital mortality in patients primarily hospitalized for AMI with or without concomitant COVID-19 positive status. Using the random-effects model, we conducted a systematic review and meta-analysis of published articles from December 1, 2019, to April 1, 2022. There were eight studies with 10128 patients, including 612 patients with COVID and 9516 patients without COVID. A total of 261 patients (42.64%) with COVID-19 positive and 612 patients (6.43%) with negative COVID-19 status died in the hospital. Pooled data showed …

Evidence-Based Role Of Aspirin In Giant Cell Arteritis: A Literature Review, Anum Qureshi, Fatima Halilu, Sam W. Serafi, Howard Hauptman, Tristan Flack

Journal of Community Hospital Internal Medicine Perspectives

Giant cell arteritis (GCA), or temporal arteritis, is a medium to large vessel vasculitis seen in the elderly. Its presentation varies from fever of unknown origin to cranial ischemic complications including complete vision loss. The early initiation of steroids is key to preventing complications of GCA. Here we discuss the role of aspirin in the treatment of GCA, both as an antithrombotic agent and its increasingly utilized antiinflammatory properties. The aim of this review article is to examine the evidence behind the rationale of aspirin use as an adjunct to steroids for the prevention of cranial ischemic complications.

Management Of The Patient With Chronic Critical Illness – Part 2, Arkadiy Finn, Vijairam Selvaraj, Elijah Peterson, Debasree Banerjee, Amos Lal, Himmat Grewal, Edward Martin, Kwame Dapaah-Afriyie

Journal of Community Hospital Internal Medicine Perspectives

Patients with chronic critical illness (CCI) represent a growing segment of the hospitalized population. Key aspects of care in CCI patients including tracheostomy, prolonged mechanical ventilation, nutritional support, wound care, and others require a comprehensive, goal-directed approach. Infectious complications of CCI including pneumonia, tracheobronchitis and urinary tract infection may be caused by nosocomial organisms requiring awareness and adjustment of treatment regimen. Finally, psychiatric, palliative, rehabilitative components of care impact heavily upon outcomes in CCI patients. As care that is typically associated with the intensive care unit is extended to the hospital ward, we aim to increase awareness among providers and …

John R. Brinkley: A Quintessential American Quack, Philip C. Smith

Journal of Community Hospital Internal Medicine Perspectives

The early 20th century was a time of rapid technological innovation and of demanding greater responsiveness of government and society to the needs of the common man. These impulses carried into the field of medicine, where quacks promised to overturn the medical establishment to bring wondrous new cures directly to the people. John Brinkley, among the foremost practitioners of that dark art, made a fortune implanting goat testicles into gullible men to cure sexual dysfunction and other ravages of old age. His medical training was limited, his treatments implausible, and yet, during a career that spanned over a quarter century, …

James Doi, Tina To

Kizuna: Bonds Beyond Incarceration (Summer 2022)

Jimmie balanced farming and homeschool before attending Stockton High; now he’s headed to Berkeley for his PhD.

Faculty Senate Meeting Minutes--September 9, 2022, Faculty Senate

Faculty Senate Minutes

No abstract provided.

The Fierce Green Fire: Vol. 13 Issue 2, Wofford College. Department Of Environmental Studies

The Fierce Green Fire

No abstract provided.

The Beacon, September 9, 2022, Beacon Staff

The Beacon, 2022-2023

Unsung Heroes: Kristin Brouwer; Summer study abroad in Greece; The sweetest rush of the big time reunion; Slapstick humor from beloved despicable minions; The hills were alive with the sound of Acapella; Women's complex reality conveyed with oil on canvas; Students enjoy new ice cream location; Brouwer returns to NW as Faculty; NW institutes new major and minor; Students Study Greece; Who Let the Dogs Out? Kyle Christy; What your Latte Order Says About You; Sport Philosophy: The Magic of Volleyball; First-year Soccer Standout Alexa Johnson; Athlete Mental Health Prioritized at NWC; The wizarding world of Hogwestern; Incoming class continues …

Curricular Changes Proposed For 2023-2025 Morris Catalog Division Of Science And Mathematics,, Curriculum Committee

Curriculum Committee Reports

No abstract provided.

Curricular Changes Proposed For 2023-2025 Morris Catalog Philosophy, Curriculum Committee

Curriculum Committee Reports

No abstract provided.

The Personality And Cognitive Traits Associated With Adolescents’ Sensitivity To Social Norms, Christopher Tate, Rajnish Kumar, Jennifer M. Murray, Sharon Sanchez-Franco, Olga L. Sarmiento, Shannon C. Montgomery, Huiyu Zhou, Abhijit Ramalingam, Erin Krupka, Erik Kimbrough, Frank Kee, Ruth F. Hunter

Economics Faculty Articles and Research

Little is known about the personality and cognitive traits that shape adolescents’ sensitivity to social norms. Further, few studies have harnessed novel empirical tools to elicit sensitivity to social norms among adolescent populations. This paper examines the association between sensitivity to norms and various personality and cognitive traits using an incentivised rule-following task grounded in Game Theory. Cross-sectional data were obtained from 1274 adolescents. Self-administered questionnaires were used to measure personality traits as well as other psychosocial characteristics. Incentivised rule-following experiments gauged sensitivity to social norms. A series of multilevel mixed effects ordered logistic regression models were employed to assess …

Advanced Control Strategies For The Continuous Production Of Monoclonal Antibodies, Markus Kampmann, Thomas Kruse, Johannes Lemke, David Pollard, Jonas Austerjost

Integrated Continuous Biomanufacturing V

Please click Additional Files below to see the full abstract.

Please click Download on the upper right corner to see the presentation.

University Presidential Update- September 2022, Academic Affairs

University Updates & Communications from the University President

This is an Otterbein University presidential update to the staff and faculty, informing them on changes to campus.

Energy Price Shocks And Stabilization Policies In A Multi-Agent Macroeconomic Model For The Euro Area, Enrico Turco, Davide Bazzana, Massimiliano Rizzati, Emauele Ciola, Sergio Vergalli

Fondazione Eni Enrico Mattei Working Papers

Soaring energy prices since fall 2021 have prompted European governments to introduce policy measures to support households and businesses. In this paper, we employ the MATRIX model, a multi-sector and multi-agent macroeconomic model calibrated on the Euro Area, to analyze the economic and distributional effects of different types of macro-stabilization policies in response to energy price shocks. Simulation results show that, in the absence of stabilization policies, an increase in fossil fuel price would lead to a sharp growth in price inflation and a severe contraction in real GDP, followed by a slow but steady recovery. We find no significant …

College Faculty In The News: Sept. 9, 2022, University Of Dayton

College of Arts and Sciences Newsroom

News agencies across the region, the nation and throughout the world often reach out to our faculty experts for their perspectives on today's issues.

Lessons Learned From The 2019 Nebraska Floods: Implications For Emergency Management, Mass Care, And Food Security, Eric E. Calloway, Nadine B. Nugent, Katie L. Stern, Ashley Mueller, Amy L. Yaroch

Nebraska Cooperative Extension: Faculty and Staff Publications

This qualitative study aimed to understand the actions, challenges, and lessons learned for addressing the food and water needs of flood survivors, with a special focus on vulnerable populations and the implications for food security, to inform future disaster response efforts in the U.S. Semi-structured in-depth interviews were conducted from January to August 2020 with the local, state, and national stakeholders (n = 27) involved in the disaster response to the 2019 Nebraska floods, particularly those involved in providing mass care, such as food, water, and shelter, for the flood survivors. The challenge themes were related to limited risk …

2022 Proceedings Of The 28th Annual Summer Research Symposium, College Of The Holy Cross

Summer Research Program

The 2022 Dr. Charles S. Weiss Summer Research Symposium, now in its 28th year, the symposium is a college-wide event that brings together faculty and students from all disciplines at Holy Cross and provides an opportunity to celebrate their accomplishments over the summer of 2022. It also affords an occasion for students to witness the breadth of research possibilities both on and off campus, and to open a dialogue with members of the faculty about conducting research during the upcoming academic year and summer. This program lists participating students, the faculty with whom they worked, abstracts and funding sources of …

Student Learning And Engagement In A Dei Collection Audit: Applying The Acrl Framework For Information Literacy, Veronica Wells, Michele Gibney, Mickel Paris

University Libraries Librarian and Staff Articles and Papers

In Spring 2021, the University of the Pacific conducted a diversity, equity, and inclusion (DEI) audit of the library’s book and scores collections with eight student interns. This article provides a summary of the project and how we used the ACRL Framework for Information Literacy for Higher Education’s knowledge practices and dispositions to design the internship experience.

2022-09-09_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

September Cordes Chair: Dr. Molly Rapert, Molly Rapert

TFSC Publications and Presentations

Join the Wally Cordes Teaching and Faculty Support Center for an informal conversation about teaching with the September Cordes Chairperson, Dr. Molly Rapert. Molly will discuss strategies she has developed to create rapport with students, such as using in-class exercises, LinkedIn, and social media to establish and solidify connections.

Molly is the director of the Walton Center for Teaching Effectiveness, is a recipient of the Charles and Nadine Baum Excellence in Teaching Award, the Arkansas Alumni Outstanding Teaching Award, and the Marketing Management Association’s National Outstanding Teaching Award. She teaches the capstone course in the Marketing department which prepares students …

Lvhn Weekly, Lehigh Valley Health Network

LVHN Weekly

No abstract provided.

In Re: Maxus Energy Corp

2022 Decisions

USDC for the District of Delaware

Artem Gelis V. Bmw Of North America Llc

2022 Decisions

USDC for the District of New Jersey