Digital Commons Network^™

Kenya’S Path To Building A National System To End Female Genital Mutilation: A Learning Paper On Securing The Anti-Fgm Law, Establishing The Anti-Fgm Board And Sustaining The National Response, Shukri Gesod

Sexual and Reproductive Health, Rights, and Choices

Drawing on in-depth key informant interviews with three former or current government officials, this learning paper responds to the following questions:

1. How did Kenya establish a standalone legal framework on female genital mutilation (FGM)?
2. How was the political and wider support needed to advance the legislation built?
3. How was the Anti-FGM Board established and made operational?
4. How was the Anti-FGM Board sustained across political and institutional change?

Learnings from the government officials accounts are used to trace the history of Kenya’s anti-FGM response, and have been documented as lessons for other countries to apply toward their end-FGM efforts.

Transcatheter Aortic Valve Replacement In Systemic Sclerosis: A Case Series And Review Of Short- And Long-Term Outcomes, Chris T. Derk, Ahmadreza Badali, Esra Mehmetoglu, Anvitha Mummadisetty, Amit Syal, Konstantinos Parperis

Student Papers, Posters & Projects

Objectives: A higher frequency of valvular heart disease is seen among Systemic Sclerosis (SSc) patients. Advanced aortic valve stenosis leads to significant morbidity in these patients with multiple other comorbidities. In this study, we aim to define the short- and long-term outcomes of transcatheter aortic valve replacement (TAVR) procedures in SSc patients. Methods: We undertook a retrospective chart review of all patients with SSc who underwent a TAVR procedure at our institution over a defined 11-year period. Demographics as well as short- and long-term outcomes were identified. Results: Fourteen SSc patients underwent a TAVR procedure between 2012 and 2023. They …

Differential Gene Regulation By Sr12813 And Rifampicin: Insights Into Pxr And Pparγ Activation And Metabolic Pathway Modulation In Ls180 Colon Cancer Cells, Dan Brobst, Jack Hemsath, Abbigail Niewchas, Chi Pham, Brendan Lamboglia, Yasmeen Sawalha, Cameron Ballard, Russell Bodily, Whitney Dye, Vi Nguyen, Adam Youssef, Catherine Elliott, Jeff L. Staudinger, Bradley A. Creamer

Faculty and Staff Publications

SR12813 is an experimental cholesterol-lowering drug that reduces intracellular cholesterol through accelerated proteasomal degradation of 3-hydroxy-3-methylglutaryl-coenzyme A reductase and is also recognized as a prototypical activator of the pregnane X receptor (PXR, NR1I2). Rifampicin, a clinically used antibiotic, likewise functions as a human PXR agonist. Although PXR-mediated induction of drug metabolism genes has been extensively characterized in hepatocytes and humanized mouse liver, comparatively little is known about the transcriptional effects of these ligands in intestinal and colon cancer cells. Here, we used RNA-sequencing in LS180 colon adenocarcinoma cells to compare transcriptional responses elicited by SR12813 and rifampicin. Both compounds induced …

Endorsed Programs News, Reva Darling

The Journal of the Michigan Dental Association

This section provides updates on services and resources endorsed by the MDA to help members succeed in practice. It covers critical compliance topics like OSHA employee alarm standards and emergency evacuation procedures. Financial advice is offered for associates looking to purchase a practice, focusing on credit scores and debt management. Additionally, it promotes tools for increasing revenue through PPO negotiation and lowering insurance costs via risk management training. The source also mentions the availability of free, confidential counseling through the MDA Member Assistance Program.

Selective Icu Admission Following Head And Neck Free Flap Reconstruction: A Retrospective Study, Jacob Parker, Emma Dunn, Alisa Vidwans, Mayte Diaz, William Nick Doyle Bs, Samer Elsamna, Tara Mohktari, Christopher Nickel, Matthew Mifsud

USF-LVHN SELECT

No abstract provided.

Weaponizing Nature, Naturalizing Violence: Anthropologies Of Ecofascism, Chloe Ahmann, Mona Bhan, Alexandra Coțofană, Radhika Govindrajan, Julia Leser, Zeynep Oguz, Yuka Suzuki, Noah Theriault

All Works

After decades of denial and obstruction, the global Right is increasingly willing to acknowledge that climate change is a threat to lives and lifeways everywhere. Moreover, some seize on the specter of ecological collapse to advance fascistic politics. Mass shootings by White men who propose that eliminating racialized people will ease environmental pressures—including in Christchurch and El Paso—have been the most spectacular manifestations of this shift. But close observers note kindred shifts at borders and in boardrooms all across this planet, as far-right groups work not merely to “save the earth” but to save it for specific people, and from …

Institute For Global Health And Development : Issue 13 - March 2026, Institute For Global Health And Development

IGHD Newsletters Archives

• Dr Jai Das Receives AKU Award For Excellence In Research
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• Cochrane Review On Umbilical Cord Antiseptics Highlights Impact On Newborn Survival
• Strong Representation And Awards At The 27th National Health Sciences Research Symposium
• Dr Bhavita Kumari Represents Ighd At International Public Health Conference
• IGHD Contributes To National Polio Strategy Discussions At Eoc Meetings
• IGHD Hosts HEC Delegation For Strategic Discussion On Collaborations In Nutrition, Climate Change Courses And Women In Science
• Podcast Panel Explores Gender Equity In Science And Technology
• IGHD Showcases Shapes Research At Heatnexus International Convening
• CERL and NRL Visit By AKU Dean Of Medicine
• Field Visit To …

Human–Ai Interaction In Graduate Academic Work: A Job Demands-Resources Conceptualization Of Satisfaction And Emotional Exhaustion, Joey Oliveira

Human Resource Development Student Publications and Presentations

Artificial Intelligence (AI) technologies are increasingly embedded in graduate academic work, shaping how faculty and students perform cognitive, analytical, and knowledge-based tasks. As AI tools become integrated into writing, research, and instructional activities, human–AI interaction has emerged as a central feature of contemporary academic work environments. However, existing research has largely focused on AI adoption and technological capability, with limited attention given to how ongoing human–AI interaction influences well-being experiences in academic contexts. Drawing on the Job Demands-Resources (JD-R) framework, this conceptual paper develops a model that links human–AI interaction to student learning satisfaction, faculty job satisfaction, and emotional exhaustion. …

Mud Sound Speed Profile Constraints From Sub-Bottom Arrival Times, Charles W. Holland

Electrical and Computer Engineering Faculty Publications and Presentations

Arrival times of sub-bottom reflected paths together with co-located direct measurements of the angle of intromission provide narrow constraints on the sediment sound speed profile. Measurements of these two quantities at the central New England Mud Patch in March 2017 indicate that the average sound speed gradient in the upper 3m and upper 9m of mud is 6 s1. Gradients of 5 s1 and 7 s1 over the upper 9m are too small and large, respectively. Below 9m, the sandmud transition interval has a gradient of 200 s1. VC

2026 March - Tennessee Climate Snapshot, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Monthly Reports

No abstract provided.

2026 March - Tennessee Monthly Climate Report, Tennessee Climate Office, East Tennessee State University

Tennessee Climate Office Monthly Reports

Hi All,

It was a very warm and dry March across Tennessee, with temperatures 10°F+ above average for most parts of the state through the 1st, 2nd, and 4th weeks of March. Based on monthly mean temperatures, it was a top-5 warmest month on record for Memphis, Nashville, Oak Ridge, Knoxville, Chattanooga, and the Tri-Cities, and a top-5 driest month for Nashville. A strong cold front March 16-17 produced the first tornadoes of the year, in Middle Tennessee.   With warm and dry conditions, we've also seen areas classified by the US Drought Monitor as Abnormally Dry (D0) to Extreme Drought …

Lehigh County Harm Reduction Women’S Outreach, Linda Schiller, Abby S. Letcher Md, Nyann Biery Ms, Heather Diehl, Carnen Ortiz, Bryant Rivera, William Delgado

USF-LVHN SELECT

No abstract provided.

Bacillus Calmette-Guérin–Exposed Non–Muscle-Invasive Bladder Cancer: Survival Benchmarks, Bladder-Sparing Strategies, And Implications For Trial Design, Seyed Behzad Jazayeri, Renzo G. Dinatale, Christopher W Guske, Christian Harrs, Joshua Linscott, Hongzhi Xu, Facundo Davaro, Lexiaochuan Wen, Philippe E. Spiess, Wade J. Sexton, Scott M. Gilbert, Logan Zemp, Michael Poch, Roger Li

USF-LVHN SELECT

No abstract provided.

Intersecting Identities: The Leadership Journeys And Challenges Of Black Women Senior Leaders In Southern U.S. Predominantly White Institutions, Quizanae' Y. Cooper

Electronic Theses and Dissertations

This study looked at what Black women in high‑level leadership roles are experiencing at predominantly White institutions in Texas and Florida now that diversity, equity, and inclusion (DEI) policies have been rolled back. Using Black feminist theory and intersectionality as the foundation, the research focused on how race and gender shape their leadership, their decision‑making, and the ways they navigate their careers. Through in‑depth interviews with 10 Black women in executive positions, the study uses a narrative approach to understand their stories. Eight major themes emerged, and many participants explained that losing DEI initiatives created new obstacles, reduced support systems, …

Comparing Methods For Measuring 210po In Seawater: Fe(Oh)3 Can Extract Less 210po Than Co-Apdc And Thus Overestimate Poc Export Fluxes, Harold Carrasco, J. Kirk Cochran, Beat Gasser, Inés Sanz-Alvarez, Montserrat Roca-Martí, Christina Heilbrun, Nicholas S. Fisher, Jana Friedrich, Pere Masqué

Research outputs 2022 to 2026

Over six decades of research, two methods have been used to extract the natural radionuclides ²¹⁰Pb and ²¹⁰Po from seawater- the precipitation of iron hydroxide (Fe(OH)3) and coagulation of cobalt ammonium pyrrolidine dithiocarbamate (Co-APDC). Although the two methods had been intercompared for ²¹⁰Pb and shown to agree, they were never intercompared for ²¹⁰Po until Roca-Martí et al. (2021) , in which only unfiltered samples were used. Here we document that Fe(OH)3 may be less effective in extracting ²¹⁰Po from a seawater sample than Co-APDC. We hypothesize that cycling of ²¹⁰Po through the marine food …

Graph Convolution Neural Network And Deep Q-Network Optimization-Based Intrusion Detection With Explainability Analysis, Kelvin Mwiga, Mussa Dida, Leandros Maglaras, Ahmad Mohsin, Helge Janicke, Iqbal H. Sarker

Research outputs 2022 to 2026

As networks expand in size and complexity, coupled with an exponential increase in intrusions on network and IoT systems, this leads to traditional models failing to capture increasingly intricate correlations among network components accurately. Graph Convolution Networks (GCNs) have recently acquired prominence for their capacity to represent nodes, edges, or entire graphs by aggregating information from adjacent nodes. However, the correlations between nodes and their neighbours, as well as related edges, differ. Assigning higher weights to nodes and edges with high similarity improves model accuracy and expressiveness. In this paper, we propose the GCN-DQN model, which integrates GCN with a …

Machine Learning-Based Upscaling Of Rock Permeability From Pore Scale To Core Scale: Effect Of Training Dataset Size And Sub-Core Volumes, Yaotian Guo, Fei Jiang, Takeshi Tsuji, Yoshitake Kato, Mai Shimokawara, Lionel Esteban, Mojtaba Seyyedi, Marina Pervukhina, Maxim Lebedev, Ryuta Kitamura

Research outputs 2022 to 2026

Permeability characterizes the capacity of porous formations to conduct fluids, thereby governing the performance of carbon capture, utilization, and storage (CCUS), hydrocarbon extraction, and subsurface energy storage. A reliable assessment of rock permeability is therefore essential for these applications. Direct estimation of permeability from low-resolution CT images of large rock samples offers a rapid approach to obtain permeability data. However, the limited resolution fails to capture detailed pore-scale structural features, resulting in low prediction accuracy. To address this limitation, we propose a convolutional neural network (CNN)-based upscaling method that integrates high-precision pore-scale permeability information into core-scale, low-resolution CT images. In …

Remodeling Of The Mouse Liver And Skeletal Muscle Metabolome In Response To Continuous Acute Exercise And Disruption Of Ampk-Glycogen Interactions, Mehdi R. Belhaj, David I. Broadhurst, Thomas Dignan, Jamie Whitfield, Lisa Murray-Segal, Naomi X.Y. Ling, Jonathan S. Oakhill, Bruce E. Kemp, John A. Hawley, Stacey N. Reinke, Nolan J. Hoffman

Research outputs 2022 to 2026

Background/Objectives: Acute exercise remodels many interconnected biochemical pathways in metabolically active tissues. This remodeling involves the activation of the energy-sensing AMP-activated protein kinase (AMPK) to maintain cellular energy homeostasis. Critical energy reserves of glycogen, primarily stored in liver and skeletal muscle and known to interact with AMPK, are utilized to help meet increased energy demands with exercise. However, the breadth of metabolic pathways regulated by acute exercise and AMPK’s interactive roles with glycogen remain incompletely understood. This study therefore aimed to map mouse liver and skeletal muscle metabolite responses to continuous acute exercise and disruption of AMPK-glycogen interactions. Methods: Liquid …

Quality Of Human-Genai Collaboration And Its Driving Factors: A Symbiotic Agency Perspective, Jiayu Shang, Dan Huang, Songshan (Sam) Huang

Research outputs 2022 to 2026

Generative AI (GenAI) is increasingly integrated into users’ daily work as a collaborative partner. Drawing on the symbiotic agency theory, this study investigates the quality of human-GenAI collaboration using a mixed-methods approach, including qualitative interviews and quantitative surveys. Study 1 identified three dimensions of human-GenAI collaboration quality that comprise outcome quality, comfort, and efficiency; and six driving factors which can be categorized under human agency (domain knowledge, desire for control, and domestication ability), and GenAI agency (communication ability, working memory, and long-term memory). Study 2 applied fuzzy-set qualitative comparative analysis (fsQCA) to explore configurations of the driving factors that lead …

Leveraging Generative Ai For Project Management: The Role Of Mindfulness And Job Crafting, Keyao Li, Fangfang Zhang, Laurie Hughes, Mark A. Griffin

Research outputs 2022 to 2026

The integration of generative artificial intelligence (GenAI) holds great potential to transform the project management profession, which can bring both substantial benefits and significant disruption. This study argues that effective GenAI adoption requires not only technical skills but also mindfulness to navigate its complexities and challenges. This study explores how mindfulness supports project managers in leveraging GenAI technologies to innovate work practices. We argue that project managers with higher mindfulness levels tend to be more open, attentive, and creative in crafting their immediate work environment. This, in turn, encourages project managers to explore how GenAI can optimise workflows, and ultimately …

Hyperacute Effects Of Non-Code Dose Bolus Epinephrine In Paediatric Cardiac Intensive Care Patients: Insights From High-Fidelity Physiologic Data., Wesam Sourour, Michael Evans, Kevin Le, Saul Flores, Juan S. Farias, Rohit Seth Loomba

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Non-code dose boluses of epinephrine are utilised in critically ill paediatric patients during periods of hemodynamic deterioration, often with the hopes of preventing a cardiac arrest. Data regarding the physiologic effects of these administrations are limited. The primary aim of this study was to use high-fidelity physiologic data to characterise the effects of intravenous non-code dose bolus epinephrine.

METHODS: Paediatric patients in the cardiac ICU who received non-code dose bolus epinephrine were identified. Those who received fluid boluses or chest compressions within 2 minutes of bolus epinephrine were excluded. Autoregressive integrated moving average analyses with exogenous variables were conducted …

Placental Clues To Congenital Heart Disease: A Modeling Approach, Ashley S. Howard, Selina M. Tucker, Kaela Varberg

Manuscripts, Articles, Book Chapters and Other Papers

Congenital heart disease (CHD) remains the most common birth defect and a leading contributor to global infant morbidity and mortality. Early diagnosis improves outcomes, yet current screening methods frequently miss CHD during routine prenatal screening. The placenta, which develops in parallel with the fetal heart and shares critical molecular pathways, represents an underexplored diagnostic tissue. We highlight clinical, epidemiological, and mechanistic insights that link placental abnormalities to CHD and explore how imaging, in vitro models, and multiomics can improve our understanding of the placenta–heart axis. Leveraging these tools will offer opportunities for earlier CHD detection and illuminate avenues for intervention …

Geographic Access To Pediatric Ecmo And Ecpr: A Geospatial Study Of Transport Networks And Disparities., Allan M. Joseph, Andrew J. Lautz, Carlie N. Myers, Ranjit S. Chima, Juan P. Gurria, Shafee Salloum, Wendy Hasson, Matthew P. Malone, Jenna Miller, Maya L. Dewan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND AND AIM: Extracorporeal membrane oxygenation (ECMO) can help children survive severe cardiac and/or respiratory failure, but it is only provided in specialized centers. There are disparities in access by ground transport to ECMO services, but it is unknown to what extent interfacility transfer systems can expand access. Additionally, the number of children who live in proximity to centers that perform extracorporeal cardiopulmonary resuscitation (ECPR) to be potential candidates in case of out-of-hospital cardiac arrest (OHCA) is unknown. We conducted a geospatial analysis to answer these questions.

METHODS: We conducted a geospatial analysis of the Extracorporeal Life Support Organization (ELSO) …

Molecular Landscape In Limb Anomalies: Diagnostic Yield And New Candidate Genes., Akram Mokhtari, Jade Charbonneau, Valancy Miranda, Khadijé Jizi, Marie-Ange Delrue, Patricia Egerszegi, Isabelle Thiffault, Philippe M. Campeau

Manuscripts, Articles, Book Chapters and Other Papers

Congenital limb anomalies remain without an etiological diagnosis in up to 65% of patients. To help close this gap, we describe the genetic diagnostic outcomes of a large cohort. Patients whose primary indication for genetic consultation was a limb anomaly were included from 2014 to 2024. Demographic, investigation, and diagnostic information were extracted, described, and compared. One hundred and thirty-two patients were included in the final cohort, with an average molecular diagnostic yield of 36%. The most common conditions were polydactyly (24%) and radial anomalies (19%). Fifty percent had syndromic features. Seven (5%) patients underwent chromosomal microarray (CMA) only, 81 …

Defining The Society Of Pediatric Liver Transplantation (Split) Research Agenda: A Delphi Consensus Project., Sharad I. Wadhwani, Pooja Reddy Spector, Amy G. Feldman, Katryn N. Furuya, Kayla Hartjes, Chaowapong Jarasvaraparn, Beau Kelly, Stacee M. Lerret, Krupa Mysore, Arti Pawaria, Philip Rosenthal, Amy Shui, Voytek Slowik, Sarah Taylor, Jennifer Vittorio, Pamela L. Valentino, Society Of Pediatric Liver Transplantation (Split)

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Despite major advances in surgical and medical management, only one-third of pediatric liver transplant (LT) recipients remain morbidity-free at 10 years. The Society of Pediatric Liver Transplantation (SPLIT) published a research agenda over 10 years ago, and much progress has been made since then. An updated consensus-driven SPLIT research agenda could guide future research and funding priorities. We aimed to identify and prioritize key research needs across the continuum of pediatric LT care using a modified Delphi consensus approach.

METHODS: We conducted a three-round modified Delphi process among SPLIT members. In round 1, participants submitted open-ended research priorities. In …

Complications Leading To Reoperation After Pediatric Tibial Spine Fracture Fixation., Benjamin R. Caruso, Suzanna M. Ohlsen, Keinan Agonias, Robert L. Van Pelt, Michelle M. Son, Michael G. Saper, Jason Rhodes, J Marc Cardelia, Jay C. Albright, Shital N. Parikh, Kevin G. Shea, Henry B. Ellis, Philip L. Wilson, Members Of The Score Quality Improvement Registry, Sheila Algan, Jennifer J. Beck, Richard E. Bowen, Jennifer M. Brey, Matthew J. Brown, Christian Clark, Allison Crepeau, Eric W. Edmonds, Matthew Ellington, Peter D. Fabricant, Jeremy Frank, Theodore J. Ganley, Daniel W. Green, Benton Heyworth, Ryan Koehler, Alfred A. Mansour, Stephanine Mayer, Scott D. Mckay, Molly C. Meadows, Matthew Milewski, Emily L. Niu, Donna M. Pacicca, Stephanie S. Pearce, Matthew R. Schmitz, Stephen Storer, Curtis Vandenberg, Yi-Meng Yen, Gregory A. Schmale

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Tibial spine fractures (TSFs) are uncommon injuries in pediatric patients, often requiring operative fixation. While complications such as arthrofibrosis and anterior cruciate ligament (ACL) insufficiency have been previously reported, the risk factors associated with unplanned reoperation remain incompletely understood.

PURPOSE: To identify the most common complications leading to reoperation and to evaluate associated risk factors, using a multicenter quality improvement registry.

STUDY DESIGN: Case-control study; Level of evidence, 3.

METHODS: A multicenter registry of operatively treated pediatric TSFs was retrospectively reviewed from July 2018 to March 2025 across 27 institutions. Grade 3 complications were defined as complications resulting in …

Impact Of Cyp2d6 Genotype And Inhibitor Use On Risperidone Metabolism In Children: Functional Insights Into The *17 And *29 Alleles., Matthew H. Bennett, Ethan A. Poweleit, Samuel E. Vaughn, Brandon Retke, Paul C. Toren, Jeffrey R. Strawn, Laura Ramsey

Manuscripts, Articles, Book Chapters and Other Papers

Risperidone, an atypical antipsychotic, is increasingly prescribed in pediatric patients with psychiatric disorders. It is primarily metabolized by CYP2D6 to 9-hydroxyrisperidone, an active metabolite associated with a higher risk of adverse effects. The CYP2D6*17 and *29 alleles are prevalent in individuals of African ancestry and less studied than variants found in European ancestry individuals. This knowledge gap contributes to differences in health outcomes in individuals of non-European origin. The primary objective of this study is to replicate recently identified risperidone-specific activity for the CYP2D6*17 and *29 alleles. During psychiatric hospitalization, CYP2D6 was genotyped as part of routine care. Remnant plasma …

Leappt: Leveraging Generative Artificial Intelligence-Pediatric Pulmonology Training. Curriculum And Content Development., Alvin Singh, Erin Khan, Mary Moffatt

Manuscripts, Articles, Book Chapters and Other Papers

After redesigning the curriculum of the pediatric pulmonology fellowship program at Children's Mercy-Kansas City, leadership continued to make changes based on feedback from a faculty survey concerned about the quality and structure of didactics. These changes included leveraging generative artificial intelligence to create a detailed course content outline containing specific objectives and study points for each subject related to pediatric pulmonology. Using the content outline as a foundational reference for learners, fellowship leadership continues to enhance the curriculum by creating testing questions, flipped classroom sessions and evaluations, and hope that these specific changes will help address decreased passing rates on …

Effect Of Dental Treatments On Reduction Of Preterm Birth: A Systematic Review And Meta-Analysis, Camille Thomas, Shakil Ahmed, Vincenzo Berghella, Romina Brignardello-Petersen, Mohamed El-Rabbany, Catherine Devion, Stefania Ronzoni

Department of Obstetrics and Gynecology Faculty Papers

OBJECTIVE: Periodontal disease is associated with increased risk of preterm birth. Effective management during pregnancy may reduce preterm birth, though clinical trial evidence has been inconsistent. This study aimed to assess whether treating dental disease during pregnancy reduces preterm birth.

DATA SOURCES: A systematic search was performed of EMBASE, MEDLINE, PubMed, Cochrane Library, and trial registries up to December 2023 and re-run in January 2025.

STUDY ELIGIBILITY CRITERIA: Randomized controlled trials (RCTs) enrolling pregnant persons with any dental disease randomized to receive dental treatment vs no treatment were included. No language restriction was applied.

STUDY APPRAISAL AND SYNTHESIS METHODS: Data …

Tavi For Pure Aortic Valve Insufficiency: What To Expect?, Mohammed Hussein, Qais Radaideh, Tanvir Bajwa

Aurora GME

Background: Lack of US-approved devices kept transcatheter aortic valve implantation (TAVI) for aortic insufficiency (AI) an area of unmet need. We present pure AI case managed with current TAVI devices.

Case: 90-year-old man with severe noncalcified trileaflet regurgitant aortic valve, dilated aortic root (4.1 cm), and hypokinetic left ventricle (LV), was deemed TAVI candidate and high surgical risk. SAPIEN Ultra Resilia 29mm valve +8 cc was deployed under pacing. Before femoral access site closure with pre-Perclose, we noted central AI jet on echo. Angiogram showed LV valve migration. We swiftly reinserted the 16-Fr sheath we just pulled. We deployed a …