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An Unexpected Cause Of Thrombocytopenia In Pregnancy: A Case Of Malaria In A Non-Endemic Setting With Unclear Transmission Source, Jessica Ohemeng-Dapaah, Riham Mohammed, Ikechuwku Eke-Okoro

Journal of Community Hospital Internal Medicine Perspectives

Malaria remains a significant global health threat, with increasing concern for imported and locally acquired cases in non-endemic regions. We present the case of a 35-year-old pregnant woman from Sierra Leone, living in Missouri, who despite no recent international travel, was found to have symptomatic Plasmodium falciparum malaria. Her clinical course was notable for fever, severe thrombocytopenia, mild anemia and intraerythrocytic ring forms on her peripheral smear. She had a history of chronic hepatitis B and prior chemotherapy for Hodgkin lymphoma and recent travel to Florida, where local malaria transmission has been documented. The patient responded rapidly to artemisinin-based therapy, …

Cryptococcal And Ebv Meningitis In A Postpartum Woman With Hiv Despite Art: A Case Challenging The Limits Of Immune Reconstitution, Rouba Isshak, Zhaoqi Li, Aqsa Zoey Sorathia Md, Opeyemi Fakayode, Ivan Mercado, Malina Mohtadi, Nader Ghobriel, Mina Gerges, Patrick Michael, Simi Philip

Journal of Community Hospital Internal Medicine Perspectives

Cryptococcal meningitis (CM) is a life-threatening opportunistic infection, mainly affecting immunocompromised patients, especially with advanced HIV/AIDS. Unmasking cryptococcal immune reconstitution inflammatory syndrome (C-IRIS) is a severe but relatively rare complication in the United States. Co-infection with other central nervous system (CNS) pathogens further complicates both diagnosis and management.

In this case report, we present a rare instance of CM secondary to C-IRIS alongside EBV meningitis in a postpartum, HIV-positive patient on ART. This co-infection highlights the vulnerability of immunocompromised individuals, even on ART, to multifactorial CNS infections. It emphasizes the need for vigilant monitoring, timely intervention, and comprehensive long-term management …

Igg4-Related Sclerosing Cholangitis Masquerading As Cholangiocarcinoma: A Diagnostic Challenge, Shahem Abbarh, Bisher Sawaf, Radhika Vij, Kiyoko Oshima, Keiichi Kinowaki, Abhinav Sankineni

Journal of Community Hospital Internal Medicine Perspectives

Background: IgG4-related sclerosing cholangitis (IgG4-SC) is a rare immune-mediated disorder affecting the biliary tree and leading to biliary strictures that may resemble cholangiocarcinoma (CCA).

Case Presentation: An elderly man presented with a one-week history of jaundice, pale stool, and dark urine. This was associated with unintentional weight loss over the past year. Laboratory findings were notable for cholestasis and significantly elevated CA19-9. Imaging demonstrated multiple diffuse biliary strictures of malignant appearance. Cytology showed atypical glandular cells. The patient was misdiagnosed with CCA and was assessed for a possible surgical intervention or chemoradiotherapy. However, the patient was eventually diagnosed with IgG4-SC …

When To Continue, Pause, Or Stop Sglt-2 Inhibitors In Heart Failure: A Complication-Based Clinical Guide, Nicole Tesoro, Jasvin Kurundrayil Manha, Sumanth Kumar Bandaru

Journal of Community Hospital Internal Medicine Perspectives

Sodium-glucose cotransporter 2 (SGLT2) inhibitors have become an essential part of guideline-directed medical therapy for heart failure due to their proven ability to reduce hospitalizations and improve survival, independent of diabetes status. Despite these benefits, their use can be complicated by genitourinary side effects such as genital mycotic infections, urinary tract infections, and, rarely, serious complications including urosepsis, Fournier’s gangrene, and euglycemic diabetic ketoacidosis. These events often leave clinicians uncertain about whether therapy should be continued, paused, or permanently discontinued. Current guidance remains limited and inconsistent, with most recommendations derived from case reports, expert opinion, or post-marketing surveillance. In this …

The Impact Of Social Determinants Of Health On Chronic Diseases: A Narrative Review, Farooq Hyder, Laraib Naeem Arain, Abdullah Ashraf, Abida Perveen, Hina Pervaiz

Journal of Community Hospital Internal Medicine Perspectives

Chronic diseases such as cardiovascular disease, diabetes, chronic respiratory disorders, and certain cancers are leading causes of morbidity and mortality worldwide. While biological and behavioral factors contribute to their development, growing evidence indicates that social determinants of health (SDOH) play a fundamental role in influencing chronic disease outcomes. SDOH include socioeconomic status, education, employment, housing conditions, neighborhood environment, access to nutritious food, and availability of healthcare services. These factors not only shape individual health behaviors but also determine access to preventive care, disease management resources, and overall quality of life. Individuals and communities facing socioeconomic disadvantage are disproportionately affected by …

Impact Of Atrial Fibrillation On Hospital Outcomes In Nstemi Patients: A Retrospective Cohort Study, Swatam Jain, Pinak Shah, Kartika Shetty

Journal of Community Hospital Internal Medicine Perspectives

Atrial fibrillation (AF) is the most common sustained arrhythmia and frequently occurs in patients with acute coronary syndromes (ACS). Non-ST elevation myocardial infarction (NSTEMI) accounts for nearly 70% of ACS hospitalizations and poses significant morbidity and healthcare burden. Despite its prevalence, the impact of AF on in-hospital outcomes in NSTEMI remains underrecognized, and current risk models often exclude AF.

Methods We conducted a retrospective cohort study using de-identified patient-level data from HCA Healthcare, capturing 31,649 NSTEMI admissions across 180 U.S. hospitals (2021–2022). Patients were stratified based on coronary artery bypass grafting (CABG) status. Multivariable logistic and linear regression models evaluated …

Diagnosis And Characterization Of Thyroid Dysfunction In Patients Evaluated In Primary Care In A Rural Zone Of Honduras, Javier Shafick Asfura, Travis Wesley Harris, Amanda Reeck, María Fernanda Chévez

Journal of Community Hospital Internal Medicine Perspectives

Background: Thyroid disorders are prevalent and frequently underdiagnosed in primary care, particularly in resource-limited rural areas. Their nonspecific symptoms complicate early recognition and treatment. This study aimed to determine the prevalence of thyroid dysfunction and describe the clinical reasoning, diagnostic strategies, and laboratory findings among adults evaluated with TSH testing in rural Honduras. Methods: A retrospective, descriptive, cross-sectional study was conducted at Hospital Loma de Luz in Balfate, Honduras. Adult patients aged ≥18 years who underwent diagnostic TSH testing between January 1, 2022, and January 31, 2023, were included. Patients with prior thyroid diagnoses or current pregnancy were …

Clinical Application Of Midline Catheters In An Acute Care Ward: A Single-Center Retrospective Observational Study, Miki Sato Rn, Yusuke Makio, Taku Harada, Kenta Shukuya, Hiroki Taira, Shintaro Kosaka

Journal of Community Hospital Internal Medicine Perspectives

Introduction

Midline catheters are a promising alternative to central venous access devices for intermediate-term therapy, with reduced risks of catheter-related bloodstream infections (CRBSI) and deep vein thrombosis (DVT). Their inclusion in the 2024 World Health Organization guidelines reflects increasing global interest. However, their use remains limited to select countries, and real-world clinical data are scarce. This study evaluated the safety and effectiveness of midline catheters in an acute care setting.

Methods

We retrospectively analyzed 68 midline catheter insertions in 50 patients between November 2023 and April 2024 in a general internal medicine ward of a 400-bed hospital. Collected data included …

Renal Function Equations And Medication Dosing: The Daily Clinical Dilemma, Witt Durden, Amna Anees, Joel Topf

Journal of Community Hospital Internal Medicine Perspectives

In 1976, Donald Cockcroft and M. Henry Gault published a formula that estimates creatinine clearance.  This study involved only Caucasian males and was done prior to the development and standardization of the modern creatinine assays.  With the major advances in medicine and nephrology that have occurred over the past half century, it seems almost inconceivable that we would still be using this formula as the standard for medication dosing, yet this is the clinical reality.  We explore the tension between guidelines that suggest using eGFR for medication dosing and the practical reality of our current system and the knowledge gaps …

Artificial Intelligence In Medicine: A Definition Of Terms, Teray Johnson, Melvin Blanchard

Journal of Community Hospital Internal Medicine Perspectives

As artificial intelligence (AI) tools gain traction in clinical, operational, and administrative settings, healthcare professionals must develop a foundational understanding of key AI concepts to engage with these technologies responsibly and effectively. This perspective outlines essential AI terminology—such as machine learning, generative and agentic AI, large language models, artificial neural networks, and prompt engineering—paired with concrete clinical examples to illustrate their relevance in modern medical practice. By clarifying these terms and exploring their applications, this paper aims to equip healthcare leaders with the vocabulary and context necessary to evaluate, implement, and oversee AI systems within their organizations. Such literacy is …

Penetapan Jalur Perikanan Eksklusif (Suatu Studi Kasus), Huala Adolf

Jurnal Hukum & Pembangunan

Abstract

Meningkatkan Peranan Dan Tanggung Jawab Profesi Hukum Dalam Pembangunan Sebagal Pengamalan Pancasila Menjelang Tahun 2000, Bismar Siregar, S.H.

Jurnal Hukum & Pembangunan

Abstract

Orientasi Pendidikan Hukum Mencetak Sarjana Hukum "Slap Pakal" Atau "Slap Memakai"?, Mura P. Hutagalung, S.H.

Jurnal Hukum & Pembangunan

Abstract

Pertanggung-Jawaban Medikus Atas Kesalahan Profesional (Malpractise) (Tinjauan Dari Sudut Hukum Perdata), Kinsar Sihaloho, S.H.

Jurnal Hukum & Pembangunan

Abstract

Dpa Dalam Sejarah Konstitusi Republik, Drs. Zuljikar Ghazaji

Jurnal Hukum & Pembangunan

Abstract

Pokok-Pokok Penyusunan Sila Bus Kurikulum Fakultas Hukum, Prof. Dr. Soerjono Soekanto, S.H.,M.A.

Jurnal Hukum & Pembangunan

Abstract

Permasalahan Dalam Peradil An Administrasi Negara, A. Baramuli, S.H.

Jurnal Hukum & Pembangunan

Abstract

What Would It Take To Compose The Ideal Library Dashboard As A 'Symphony' Of Library Data?, Evan Rusch, Heidi J. Southworth, Nat Gustafson-Sundell

Library Services Publications

Most areas of the library produce data informative about the scope and success of library services. Many areas use that data, but there might be a variety of approaches. In our library, we have developed online, interactive dashboards to understand the value of collections on our campus. Other library service areas might produce one-shot reports encapsulating their data, or they rely on analytics silos specific to their services. Our hope is to work toward a dashboard of all or most library services, possibly to include other learning services under the library roof. Instead of a ‘battle of the bands,’ we …

Cv: Michael Lloyd, Michael Lloyd

Social Work Department Faculty Curricula Vitae

No abstract provided.

The Prospector, March 17, 2026, Utep Student Publications

The Prospector

No abstract provided.

Tricking Students Into Talking To You: “House Calls” Edition, Ashley Mcguire

Libraries Professional Work

As a STEM librarian, the struggle to get to know students (and faculty) is real. Beyond the usual "We have a librarian?" phenomenon experienced by most subject liaison librarians, there is an extra layer of stigma carried by many in the STEM fields – scientists should be able to figure things out all by themselves, so asking for help or advice is admitting that you can't handle it! Of course, we know the truth – librarians are here to help with many tasks that scientists are never formally taught, including selecting databases and developing good search strategies. Before being able …

Redesigning Outpatient Chemotherapy Scheduling: A Management Approach To Site-Integrated Operations, Dominick J. Morrone

MUSC Theses and Dissertations

Outpatient infusion centers face persistent scheduling complexity driven by variable treatment durations, coordination between clinics, pharmacy lead times, and constrained staffing. This doctoral project develops and reviews a comprehensive framework for infusion scheduling transformation that integrates workforce role redesign, site‑level communication pathways, and data‑informed workqueue governance. Using a multi‑phase case at a large cancer center as an anchor, the framework specifies responsibilities across central schedulers, on‑site teams, medical coordinators, and nursing; details communication and escalation design (secure messaging and in‑basket use); and outlines training and proficiency tiers. The project synthesizes evidence from scheduling science and time-driven activity-based costing principles to …

Generalizing Networks To Address Data Imbalance For Facial Action Unit Recognition, Andrew W. Sumsion

Theses and Dissertations

Facial action unit (AU) recognition is used in a variety of downstream applications, including sign language translation, dementia detection, pain detection, and other high-impact tasks that require understanding facial motion. Although AU recognition is a well-established field, a number of unresolved issues remain. An initial problem is the need to improve overall performance on the benchmark datasets, as measured by the average F1 score. Also, the performance across all individual AUs, not just the average F1 score, needs to be increased. Recently, the field has shifted its attention towards ensuring that AU recognition models generalize beyond the distributions represented in …

2026 March 17 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

From Flat To Form- Shoulder Cluster Darts, Lauryn White

SPARK Symposium Presentations

This design explores the transformation of a basic bodice by relocating the waist dart to the shoulder to create a clustered effect of three smaller darts. The method used to achieve this is the slashing technique, which allows for controlled redistribution of dart intake. By closing the original waist dart, three evenly distributed darts are opened at the shoulder. This approach enhances both the visual interest and structural design of the garment.

Equity And Diversity Minutes 03/17/2026, Equity And Diversity Committee

Equity and Diversity Committee

No abstract provided.

Student Affairs Minutes 03/17/2026, Student Affairs Committee

Student Affairs Committee

No abstract provided.

Steering Minutes 03/17/2026, Steering Committee

Steering Committee

No abstract provided.

Und Leads Implementation Team Meeting Agenda — March 17, 2026, University Of North Dakota

LEADS Implementation Documents

Agenda for the March 17, 2026 meeting of the UND LEADS Implementation Team. The agenda includes subgroup reports, Discovery recommendation development, and discussion of graduate student surveys.

Development And Validation Of The Emergency Department Transitions Measure, Sara Beachy, Danielle M. Mccarthy, Julianna Lenoir, Alexzandra Gentsch, Richard W. Hass, Marissa Witmer, Paula Ostroff, Melissa Tupas, Lindsey Shughart, Hailey Shughart, Kristin L. Rising

Jefferson Center for Connected Care Faculty Papers

BACKGROUND: Transitions of care are high-risk periods for patient safety in the emergency department (ED), particularly for patients who are still in the diagnostic process and are discharged with diagnostic uncertainty. Care transitions must be improved for these patients, as one third of discharged ED patients have diagnostic uncertainty. Yet there are no validated measures that assess the quality of care transitions from the ED, limiting the ability to assess the impact of interventions. Thus, we developed and validated the ED Transitions (EDT) measure.

METHODS: This mixed methods study was conducted across a large healthcare system in three phases: item …