Medicine and Health Sciences Commons^™

Adding Clinical Meaning To Hybrid Prelicensure Nursing Skills Education: Simulated Patients And Demo Medications To Reduce Modality-Based Learning Gaps, Amanda L. Rudman

SACAD: Scholarly Activities

Hybrid nursing students often practice psychomotor skills in home environments that lack an authentic clinical context. This may contribute to gaps in clinical reasoning and application when compared with students who practice in on-campus settings. This difference may limit students’ ability to connect their skills to patient care situations and safely apply their knowledge in practice. The purpose of this evidence-based curriculum project is to reduce these learning gaps by using diagnosis-based simulated patient scenarios, medication administration records (MARs), and specific intravenous (IV) medications in hybrid nursing skills education. This project follows the ACE Star Model of Knowledge Transformation, which …

Implementing A Student Standardized Patient Elective To Improve Communication And Confidence In Undergraduate Nursing Simulation, Katie J. Mcqueen

SACAD: Scholarly Activities

Abstract

Simulation plays an important role in preparing undergraduate nursing students for clinical practice by fostering communication skills and building confidence. Currently, simulation experiences often depend on faculty and staff to play the roles of patients or family members. Research shows that nursing students can be effectively trained to serve as standardized patients, creating opportunities for peer-supported learning and improving simulation experiences. This evidence-based practice proposal recommends the implementation of a 1-credit-hour Student Standardized Patient (SSP) elective in the undergraduate nursing curriculum for senior level nursing students. The elective would provide structured training in role portrayal, safety practices, and case …

Adn Transition Program; Curriculum Changes To Promote Non-Traditional Student Retention, Sayde K. Fitzgerald

SACAD: Scholarly Activities

ADN transition program; curriculum changes to promote non-traditional student retention

Sayde Fitzgerald, BSN RN

Department of Nursing, Fort Hays State University

NURS 868: Nursing Education: Curriculum Planning

Dr. Chrstine Hober

March 29, 2026

Abstract

Barton nursing instructors have recognized retention challenges among non-traditional students entering the ADN program, a situation further complicated by a nursing shortage and high attrition rates ranging from 10% to 30% (Sheikoleslami et al., 2025). These factors significantly impede workforce development. Non-traditional students encounter distinctive difficulties in adapting to the demanding curriculum, often facing a lack of support and the need to balance personal responsibilities (Mazzotta …

Case Study: Unique Presentation Of Odontogenic Keratocyst (Okc), Austin J. Davies, Ladan Daly, Jesse M. Fa, Bernadette Alvear Fa

Oral Health

Optimized patient centered care in complex surgical cases requires comprehensive preparation through both clinical examination and radiographic interpretation. Our case demonstrates how diagnostic imaging can reveal critical radiographic findings that alter treatment approach. Pre-operative preparation involving thorough clinical and radiographic examination, in combination with excellent clinician rapport, leads to a biopsychosocial approach to dental treatment, emphasizing whole patient care.

Biopsy returned from oral pathology with diagnosis of odontogenic keratocyst (OKC). At the time of publication, the patient is nearing definitive treatment of the cystic lesion with enucleation and removal of tooth #16. In our case, thorough radiographic interpretation, the professional …

Nano Zinc Oxide Against Bacteria Isolated From Burn Infection, Mohammed Jaafar Al-Anssari, Mohammed Sahib Al-Hamami, Hayder Razzaq Al-Ameedee, Rabab Abdul Razzaq Kasema, Hawraa Majid Mahdi

Al-Bahir

Pseudomonas aeruginosa is a type of bacteria that is found commonly in the environment, like in soil and in water. This bacteria can cause infections in the blood, lungs (pneumonia), or other parts of the body after surgery. These bacteria are constantly finding new ways to avoid the effects of the antibiotics used to treat the infections they cause. Zinc oxide nanoparticles' (ZnO-NPs') or Nano zinc oxide antibacterial properties have drawn a lot of attention from around the world, especially since nanotechnology has been used to create particles in the nanometer range. Because of their larger specific surface area and …

Epidemiologic Evaluation Of Canine Urate Urolithiasis In Thailand: A Comparative Cross-Sectional Study Between 2016-2023, Nattaporn Chaysakul, Jody P. Lulich, Vachira Hunprasit

The Thai Journal of Veterinary Medicine

A comparative cross-sectional study aimed to describe the epidemiological data of canine urate urolithiasis in Thailand by evaluating the change in proportion over the year and identifying risk-associated factors, including age, breed, sex, and neutered status, through comparisons with multiple comparison groups. The urate and non-urate group was dogs whose uroliths were submitted from Thailand to the Minnesota Urolith Center between 2016 and 2023, and the hospital group was dogs that were visited at the Small Animal Hospital, Chulalongkorn University, between 2020 and 2023. Of 6,171 canine urolith submissions, 210 samples (3.4%) were urate-containing uroliths submitted from twenty-eight canine breeds. …

Evaluation Of Serum Microrna-375 Concentration In Dogs With Diabetes Mellitus: A Pilot Study, Hyeongyeong Lee, Dohee Lee, Jayeon Park, Yeon Chae, Byeong-Teck Kang, Taesik Yun, Hakhyun Kim

The Thai Journal of Veterinary Medicine

Serum microRNAs (miRNAs) serve as diagnostic and prognostic biomarkers for various diseases. The serum concentration of miRNA-375 (miR-375), which is abundantly expressed in pancreatic islet cells, is increased in dogs with experimentally induced pancreatic injury and naturally occurring acute pancreatitis. However, this has not been reported in dogs with diabetes mellitus (DM). This study aimed to compare the expression of serum cfa-miR-375 between dogs with DM and healthy dogs and examine changes in serum cfa-miR-375 levels after insulin administration in dogs with DM. Twenty dogs with DM and 18 healthy dogs were included. The relative expression of serum cfa-miR-375 using …

Incidence Of High Volume Residual Gastric Content In Perioperative Patients Taking Glucagon-Like Peptide-1 Receptor Agonists, And Its Dependence On The Duration Of Preoperative Fasting And Drug Holding: A Prospective Observational Study, Marissa Huggins, Ion Hobai

Cumberland Medica

Background: Glucagon-like peptide-1 receptor agonists (GLP-1RAs), including semaglutide and dulaglutide, are increasingly prescribed for type 2 diabetes mellitus and obesity. These agents delay gastric emptying and have been associated with a higher incidence of unexpected full stomachs in procedural patients. To prevent pulmonary aspiration, current recommendations include extending preoperative fasting (e.g., 24 hours instead of the standard 8 hours) and/or withholding the GLP-1RA medication before surgery (≥1 drug half-lives). However, the efficacy of these strategies have remained unclear and are evaluated in this study.

Hypothesis: GLP-1RA use in surgical patients is associated with increased incidence and volume of residual gastric …

Nest Project: A Community Partnership Based Solution For Supportive Cancer Care, Manav M. Patel, Sophie Callaway-Young, Sandhya Mudumbi

Cumberland Medica

Breast and prostate cancer patients in rural Tennessee often face significant barriers to accessing supportive oncology services such as palliative care, psychological counseling, and integrative oncology. These barriers include geographic isolation, limited broadband access, long wait times, and a lack of culturally attuned care. The NEST (Navigated, Embedded, Supportive Care via Telehealth) Project is a community-based participatory research (CBPR) initiative designed to co-develop telehealth-based supportive care interventions for rural patients in seven counties across three regions of Tennessee. This abstract focuses on preliminary findings from Region 1 (Dickson and Robertson Counties) Breast Cancer focus groups.

Four breast cancer focus group …

Service Dogs As An Intervention To Improve Sleep: A Systematic Review, Yvonne Monti, Sara Kuiken, Anna Owens, Rachel Madden, Skyler Roote

People and Animals: The International Journal of Research and Practice

Purpose: The use of service dogs as a holistic intervention has grown significantly in the past 10 years. Studies report positive impacts of service dogs on primary and secondary symptoms associated with various disabilities. Dysfunctional sleep is a common symptom among individuals receiving service dog assistance. This study investigates the efficacy of service dogs in improving co-occurring sleep dysfunction in handlers with various conditions.

Methods: A comprehensive search of Science Direct, ProQuest Psychology Journals, PubMed, MEDLINE, PsycINFO, and CINAHL was conducted in accordance with PRISMA guidelines, and 11 studies met inclusion criteria. Data extraction and quality assessment were conducted by …

Early Sepsis-Recognition Simulation Training: An Evidence-Based Initiative, Blanca A. Zavala

SACAD: Scholarly Activities

Sepsis is a life-threatening condition that requires rapid recognition and intervention to prevent poor patient outcomes. Delays in identification remain a significant concern for patient safety, particularly among nurses and nursing students who may lack confidence and clinical judgment in early sepsis recognition (Marsack et al., 2022). This evidence-based practice project aimed to examine the existing evidence on sepsis education and evaluate the effectiveness of simulation-based learning in improving clinical judgment and sepsis recognition, with the goal of informing a potential sepsis training initiative for nursing students.

A literature review of six peer-reviewed studies (2022–2026) was conducted using the PubMed …

Assessment Of Routine, On-Demand Electroencephalograms For Seizure Detection In The Intensive Care Unit Of A Major Saudi Tertiary Center, Abdulrahman Yousef Aldayel, Homoud Alsahli, Rawabi Alhathlool, Afag Osman, Sonia Khan, Mohammed T. Alshahrani

Neurosciences

Objectives: To investigate the occurrence and characteristics of seizures using routine electroencephalograms (EEGs) in intensive care unit (ICU) patients.

Methods: We conducted a retrospective analysis on routine, portable EEGs of 188 adult ICU patients (53% male) in a large tertiary hospital in Riyadh, Kingdom of Saudi Arabia. We compared variables of interest using a t-test and chi-squared analyses and explored significant associations using binary logistic regression analysis.

Results: We found significant associations between the occurrence of seizures on EEGs and several variables, including patient age, ICU admission due to status epilepticus, history of epilepsy or previous neurosurgical procedure, coma state, …

Impact Of Burnout And Sleep Deprivation On The Clinical Performance Of Neurology Residents: A Cross-Sectional Country Wide Study, Bandar N. Aljafen, Walaa S. Alkhamis, Rahmah M. Alsawad, Israa B. Alhamoud, Zahra B. Alamer, Waad A. Alshanqiti, Rawan M. Alenez

Neurosciences

Objective: To assess burnout (BU) and sleep deprivation (SD) among neurology residents and their impact on clinical performance (CP). This study is based on a neurology residents from Saudi Arabia.

Methods: This multi-centric, cross-sectional study invited 214 registered neurology residents in the country; 179 participated in the study. The Maslach Burnout Inventory (MBI), the Pittsburgh Sleep Quality Index (PSQI), and the Medical Council of Canada’s Physicians’ Self-Assessment Questionnaire (PSAQ) were used to evaluate burnout (BU) and sleep deprivation (SD) among neurology residents and their impact on clinical performance (CP).

Results: Of the total 214 registered neurology residents, 179 participated in …

Predictors Of Long-Term Outcome And Recurrence Of Intramedullary Spinal Ependymomas: A Multicenter Study, Reem Albuhairan, Laila Alqahtani, Ahmed Gamal Sayed, Ali Alkhaibary, Sami Khairy, Faisal Farash, Ali H. Alassiri, Ahmed Alkhani

Neurosciences

Objectives: To define prognostic factors that affect clinical outcome of patients after surgical resection of spinal intramedullary ependymoma.

Methods: A retrospective multi-center study, including all cases operated on from 2007 through 2024 at 3 institutes. Data on surgical factors included: resection extent, intraoperative neurophysiology monitoring methods, and intraoperative/postoperative complications.

Results: A total of 19 patients were included with a mean age of 37.8 years (SD = 13.2, range 8–57 years). The majority of ependymomas (n = 14, 73.7%) were in the cervical region. The most common presenting symptoms included pain in 14 patients (73.7%), sensory deficits in 11 patients (57.8%), …

Identifying Risk Factors For The Rising Prevalence Of Multiple Sclerosis In Saudi Arabia: A Case-Control Analysis, Omar Babateen, Jamil Adnan Samkari, Rewaa Abdulaziz Alkaki, Sadin Ayman Alamri, Manal Mutlaq Alzahrani, Mussaed Saleh Alharbi, Ali Abdulrazaq Alghamdi, Amwaj Sultan Aljurays, Amjad Faleh Aldosari, Seraj Makkawi

Neurosciences

Objective: This study aims to identify risk factors linked to the increasing prevalence of multiple sclerosis (MS) in Saudi Arabia. Multiple sclerosis is a chronic autoimmune condition affecting the central nervous system, marked by inflammation and damage to nerves and the myelin sheath.

Method: A case-control study conducted from September 2022 to January 2024 included 832 participants—263 diagnosed with MS and 569 controls. Controls were matched by age, gender, residence, and employment status. Data was collected using a validated questionnaire, with written consent obtained from participants aged 18 and older. Logistic regression analysis was used to ascertain risk factors.

Results: …

Efficacy Of Erenumab In Patients With Treatment-Resistant Chronic Migraine And Medication Overuse Headache, Mohamed F. Binfalah, Anwar A. Alrayyes, Hussein H. Alhafnawi, Moiz O. Bakhiet

Neurosciences

Objective: To evaluate the efficacy and safety of erenumab, a monoclonal antibody that targets the calcitonin gene-related peptide (CGRP) receptor, in patients with treatment-resistant chronic migraine and medication overuse headache.

Methods: A single-center, retrospective observational study conducted at University Medical Center on 73 patients with both medication-overuse headache and treatment-resistant chronic migraine who failed at least three oral preventive medications and/or botulinum toxin injections. Clinical data were extracted from the medical records and patient interviews. The patients received monthly erenumab injections 70 mg. Key outcomes included monthly migraine days, headache severity (visual analog scale [VAS]), headache impact test (HIT-6), acute …

Association Between Extracranial Artery Stenosis And Cerebral Small-Vessel Disease In Patients With Ischemic Stroke, Ahmad Ghoochani-Khorasani, Seyed Hadi Aghili, Seyed Zakaria Hosseini, Seyed Amir Hasan Habibi, Mehri Farhangranjbar, Mahdi Abdi

Neurosciences

Objective: To review the relationship between extracranial artery stenosis (ECAS) severity and total cerebral small-vessel disease (CSVD) burden and evaluated 5-year mortality, disability, and stroke recurrence in ischemic stroke patients. Cerebral small-vessel disease and ECAS often share risk factors such as hypertension and atherosclerosis and coexist in ischemic stroke. Although ECAS affects large-artery disease, its impact on total CSVD burden on MRI and subsequent clinical outcomes is not well defined.

Methods: We retrospectively reviewed the medical records of 348 patients older than 35 who had suffered acute ischemic stroke and were admitted to selected hospitals in Tehran, Iran from March …

Vagal Nerve Stimulation As Therapy For Drug-Resistant Epilepsy: A Tertiary Hospital Experience Of Outcomes And Efficacy In King Abdullah Medical City, Bassam G. Sef, Abeer S. Albalawi, Ahmed M. Alhajji, Muhammed M. Irfan, Hanadi M. Abu Alela

Neurosciences

Objective: To determine the efficacy and safety of vagus nerve stimulation (VNS) for reducing the frequency of seizures and complications in drug-resistant epilepsy.

Methods: This was a retrospective case series study conducted in King Abdullah Medical City from January 2015 to December 2021 hospital record. All patients undergoing VNS were enrolled according to inclusion and exclusion criteria. Patients were followed up for 12 months, and the seizure frequency and number of epileptic drugs used were evaluated. A paired sample t-test was applied to compare the outcome variables considering p-value < 0.05 as significant.

Results: Among 9 enrolled patients, four were females, and five …

Insights Into Stroke Risk And Prediction For Underweight Individuals, Saeed Awad M. Alqahtani, Moutasem S. Aboonq

Neurosciences

This review explores the relationship between underweight status and stroke risk and outcomes. Although the impact of obesity on stroke is well-documented, the harmful effects of being underweight are often overlooked. Drawing on evidence from observational studies, case-control studies, and meta-analyses, this review highlights that underweight individuals face increased mortality, poorer functional recovery, and higher rates of major adverse cardiovascular events and recurrent strokes post-stroke. Challenges in stroke prediction for this population are examined, including the limited research focus, shortcomings of existing risk assessment tools such as the CHA₂DS₂-VASc score, and population-specific factors affecting underweight prevalence …

Key Attributes Of An Ideal Neurology Residency Candidate: Program Directors’ Perspectives, Bandar N. Aljafen, Ruwa A. Alneseyan, Rahmah M. Alsawad, Mohamed Bahr

Neurosciences

Objectives: To guide medical students and interns interested in neurology by identifying the key attributes of an ideal neurology candidate from the perspectives of neurology program directors (PDs).

Methods: In this cross-sectional study, former and current neurology PDs were contacted across Saudi Arabia to complete a self-administered survey sent via email or text. The survey included seven questions: six on PD demographics and a seventh with 51 items evaluating candidate attributes on a 7-point Likert scale from disadvantage to advantage.

Results: Thirty-two neurology PDs filled out the questionnaire. Among the key attributes PDs prioritized in a candidate is their letter …

Novel Enpp1 Gene Mutation Causing Generalized Arterial Calcification Of Infancy: A Case Report, Haifa M. Alturki, Haya S. Alfaris, Mohammed A. Al-Owain, Musaad F. Abukhalid

Neurosciences

Generalized Arterial Calcification of Infancy (GACI), a complex disorder affecting multiple systems, stems from an autosomal recessive mutation in the ENPP1 gene. This condition is marked by arterial stenosis and usually manifests prenatally or in the initial months following birth. High mortality rates characterize the first few months, a phase often termed the ``critical period.'' The report presents a case study of a four-year-old female with a new mutation in the ENPP1 gene, which broadens our understanding of this rare genetic disorder.

The Importance Of Sports Physical Leading To The Diagnosis Of Loeys–Dietz Syndrome, Fnu Varnika, Anastasia Dihel, Michael Bereisha, Nergess Taheri

Cooper Rowan Medical Journal

Abstract

The pre-participation school or sports physical, introduced in the mid-20th century, remains a cornerstone of adolescent health screening, primarily aimed at ensuring athletic safety. While most evaluations reveal benign conditions, these encounters occasionally uncover critical yet asymptomatic disorders. This report highlights the incidental discovery of Loeys–Dietz syndrome (LDS) type 4 in a 17-year-old male during a routine sports physical, underscoring the clinical value of thorough cardiovascular assessment and recognition of subtle phenotypic cues in preventive settings.

Significance: Loeys–Dietz syndrome is a rare, autosomal dominant connective tissue disorder affecting fewer than 1 in 100,000 individuals, often misdiagnosed as Marfan syndrome …

Incidental Left Ventricular Fibroma Detected During Pre-Participation Screening In A Young Athlete, Alya J. Al Hashmi, Meetha S. Al Ameri, Asna Ayoob, Hafsa Maryam, Fiza Halima

Journal of the Saudi Heart Association

Primary cardiac fibromas are rare benign tumors that may carry arrhythmic risk. We report a case of cardiac fibroma that was incidentally detected in an 18-year-old athlete with echocardiography and MRI during routine pre-championship screening. Following multidisciplinary heart team discussion and shared decision-making, surgical excision was performed due to potential arrhythmic risk in the setting of high-intensity athletic activity.

Influence Of Serve Type And Speed On Passing Success In Elite Czech Men's Volleyball, Miroslav Krajcigr, Petr Bahenský, David Marko, Sára Šestáková, Ladislav Čepička

Baltic Journal of Health and Physical Activity

Background: Serve effectiveness plays a critical role in volleyball, influencing the opponent’s reception and subsequent attack. While smash serves are powerful, float serves may disrupt the opponent through unpredictable flight patterns. This study examined how serve type and speed affect reception quality in elite men’s volleyball. Methods: A total of 543 serves (254 float, 289 smash) from one Czech Extraliga team across seven home matches were analyzed using video recordings and radar measurements. Serve speeds were grouped into predefined categories. Effectiveness was defined as the sum of effective receptions and aces; error serves were excluded. Reception outcomes were classified as …

Transformational Leadership In Higher Education, Dr. Jewel Hale, Jr., Kristi Apostel

Tapestry: Journal of Research in Education

A crisis can highlight the critical need for resilient leadership within higher educational settings. Educational leaders encounter extraordinary difficulties, ranging from different learning options to prioritizing the well-being of both staff and students, necessitating flexible and innovative methods. By exploring how school leaders apply transformational techniques in actual educational environments, this article addresses the impact of the four I’s of transformational leadership, idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration, on building educator resiliency, sustaining school effectiveness, and promoting student achievement in higher education.

Fierce Leadership-Perspectives Of Black Women Educational Leaders: A Transcendental Phenomenological Study, Janice Taylor, Dianne Reed

Tapestry: Journal of Research in Education

The authors of this transcendental phenomenological study aimed to describe the lived experiences of Black women based on their perceptions, values, and beliefs about the complexities of leadership and the kind of leadership required to succeed in their respective roles, as educational leaders. This study was framed by the adaptive leadership theory. Adaptive leadership recognizes the need for leaders to stay flexible and resilient in fast-paced environments (Nelson & Squires, 2017). The three Black women leaders in this study were fierce adaptive leaders. The information acquired from this study is significant and highlights how Black women educational leaders developed the …

Research Literacy And Research Production Skills As Core Competencies In Leaders, Kk O'Byrne

Tapestry: Journal of Research in Education

No abstract provided.

Recent Progress In Nanogel Technology: From Molecular Design To Biomedical Applications, Fatima Raed Al-Ahmed, Mohammed Sabar Al-Lami

Maaen Journal for Medical Sciences

Nanogels, a hydrophilic polymer network at the nanoscale, combine the structural flexibility of hydrogels with the dynamic behavior of nanoparticles, offering unprecedented control over drug loading and release. Their large surface area, tunable porosity, high water content, biocompatibility, and stimuli-responsive behavior enable transport across biological barriers. This review critically examines nanogels’ unique properties, classifications, diverse methods of preparation, drug release mechanisms, characterization techniques, and various applications in therapeutic areas, such as cancer therapy, wound healing, transdermal and ocular drug delivery, and theranostics. Highlights are shed on nanogels’ potential to target specific sites, both by functionalization and stimuli-responsive behavior, therefore improving …

Influenza B Viral Infection Complicated By Acute Fulminant Myocarditis Requiring Mechanical Support: A Case Report., Tareef Hesham Kannout, Muhammad Azam Shah, Fahmi Abdullah Alkaf, Faisal A. Alghamdi, Mohammed Alreshidan

Journal of the Saudi Heart Association

Acute fulminant myocarditis represents a severe complication of myocarditis, necessitating early suspicion and intervention for improved patient outcomes. Influenza B-induced myocarditis remains a relatively rare entity. A young lady presented to the emergency department with symptoms of heart failure and cardiogenic shock, requiring inotropes without significant improvement. For the continued deterioration of her hemodynamics, she underwent mechanical circulatory support, including Extracorporeal Membrane Oxygenation (ECMO) and Intra-aortic balloon pump (IABP).  The follow-up investigations showed positive influenza B. She was treated with antiviral therapy and steroids, resulting in gradual improvement in hemodynamics and left ventricular ejection fraction

Bridging The Gap In Women's Healthcare — The Homoeopathic Perspective And Evidence Base, Subhash Kaushik

Indian Journal of Research in Homoeopathy

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