Medicine and Health Sciences Commons^™

Brew Your Own Ipa: Detectable Isopropyl Alcohol In The Setting Of Severe Alcoholic Ketoacidosis, Alexander Teshon Md, Aaron B Deutsch Do, Connor Murphy Do, Carl Levy Do, Andrew L. Koons Do, Gillian A. Beauchamp Md, Alexandra Amaducci Do, Mba, Kenneth D. Katz Md, Matthew D. Cook Do

Department of Emergency Medicine

No abstract provided.

Comparative Performance Of Predictive Nomograms For Pathological Upstaging In Clinical T1 Renal Masses: An Independent External Validation, Michael Vainrib, Amos Neheman, Omri Schwarztuch Gildor

Faculty, Staff and Students Publications

Background: Preoperative identification of pathological upstaging (≥ pT3a) in clinical T1 (cT1) renal masses is critical for surgical planning. We externally validated three established predictive models, Barra, Nocera, and Mei, to assess their discrimination, calibration, and clinical utility in a contemporary cohort.

Patients and methods: We retrospectively reviewed patients undergoing surgery for cT1 renal masses at our institution. The primary endpoint was pathological upstaging to pT3a. Model performance was evaluated using the Area Under the Curve (AUC) for discrimination and the Brier Score for overall accuracy. Calibration was assessed using parametric and nonparametric Loess-smoothed curves. Clinical utility was quantified using …

Glial Dysfunction And Memory Impairments In A Model Of Pediatric Obstructive Sleep Apnea, Thea Zlatkov, Akdes Serin Harmanci, Christopher J Yates, Kenneth Nobleza, Roshan Ailani, Adam C Adler, Farrah Kheradmand, Hyun Kyoung Lee, Benjamin Deneen, Hyun-Hwan Jeong, Arvind Chandrakantan

Faculty, Staff and Students Publications

Pediatric obstructive sleep apnea (POSA) is a common childhood disease that often causes aberrant brain development and cognitive deficits. The pathophysiological underpinnings of cognitive impairments in POSA remain unclear. Here, we examined cellular and molecular aspects of pathology in a mouse model of POSA that features learning and memory deficits. We performed single-nucleus RNA-sequencing (snRNA-seq) of the hippocampus to examine gene expression changes in an unbiased and cell type-specific manner. This dataset revealed a striking perturbation of transcriptomes across all brain cell types, particularly within glia and neural stem cells. We validated reduced expression of several differentially expressed genes at …

Natural History Of Pi-Rads 3 Lesions On Serial Prostate Mpmri, Ron Marom, Yuval Rand, Meitar Atias, Sophie Barnes, Ibrahim Fahoum, Gal Keren-Paz, Mario Sofer, Ofer Yossepowitch, Snir Dekalo, Avi Beri, Roy Mano

Faculty, Staff and Students Publications

Objective: PI-RADS 3 lesions on prostate multiparametric MRI (mpMRI) are indeterminate findings with debated management. We evaluated their radiologic evolution on follow-up mpMRI and correlated imaging changes with biopsy outcomes.

Methods: We retrospectively identified 166 men with at least one PI-RADS 3 lesion on initial mpMRI and at least one follow-up mpMRI without intervening treatment. Lesions were classified at follow-up as regressed (downgraded to PI-RADS ≤ 2), stable (remained PI-RADS 3), or progressed (upgraded to PI-RADS 4-5). Lesions were stratified by zonal location. MRI-targeted biopsy results were reviewed when available (n = 64).

Results: On follow-up, 52% of lesions regressed, …

Hyaluronic Acid Rectal Wall Infiltration And Reversal In Patients With Prostate Cancer Undergoing Radiation Therapy-A Case Series, Michael K Rooney, Stephen R Lee, Stephen E Mcrae, Ketan Y Shah, Mohamed E Abdelsalam, Ethan Y Lin, Comron Hassanzadeh, Seungtaek Choi, Quynh-Nhu Nguyen, Steven J Frank, Mohamed Shelan, Lauren L Mayo, Sean Mcguire, Steven Yevich, Osama Mohamad

Faculty, Staff and Students Publications

No abstract provided.

Serotonin Toxicity From Online-Acquired Methylene Blue And Tesofensine, Timothy Kolosionek Do, Aaron B Deutsch Do, Alexander Teshon Md, Carl Levy Do, Alexandra Amaducci Do, Mba, Gillian A. Beauchamp Md

Department of Emergency Medicine

No abstract provided.

A Life-Threatening Complication Of An Umbilical Hernia: Flood Syndrome, Nathalie Torres Do, Andrea Rodriguez Ramos, Michael M. Mazzei Md, Charles Proctor Md, Katherine Lynch Pa-C

Department of Surgery

No abstract provided.

Release Of Bound Steroid From The Androgen And Estrogen Receptors Is Induced By Ddt And Its Analogs, Matthew D. Rosales, Tahyra Soto, Jacqueline I. Goodship, Ahyssa R. Cruz, Isaac A. Rodriguez, Ventura Cuba Flores, Amanda Chavez, Monica P. Solis, Esmeralda Lopez, Frank B. Dean, Evangelia Kotsikorou

School of Integrative Biological & Chemical Sciences Faculty Publications

The pesticide p,p'-DDT (DDT) and its analogs (p,p'-DDD, o,p'-DDD, and p,p'-DDE) inhibit the binding of dihydrotestosterone (DHT) to the androgen receptor (AR) and estradiol (E2) to the estrogen receptor (ERα) ligand-binding domains (LBDs), as previously reported. In this study, we introduce assays to measure the release of receptor-bound steroids. These compounds induced the release of DHT from the AR LBD and E2 from the ERα LBD. These findings suggest that DDT and its analogs may interact with a surface site on the LBD, thereby allosterically disrupting steroid binding. One potential site is binding function 3 (BF3). To explore this possibility, …

Staging The Stagers: Clinicians Vs. Large Language Models In Head And Neck Cancer Staging, Samantha R. Brown

Summer Research Program Abstracts

No abstract provided.

The Relationship Between Anaphylatoxin Receptors, T Cell Polarization, And Vascular Inflammaging, Kathryn D. Hok

Summer Research Program Abstracts

No abstract provided.

Use Of Extracorporeal Membrane Oxygenation In Neonates With Congenital Anomalies Of The Kidney And Urinary Tract: A Multicenter Survey Of Current Practices Across Chnc And Pedi-Ecmo Centers., Syed Ahmed, Burhan Mahmood, John M. Daniel Iv, Sandy Johng, Amy Strong, John Ibrahim, June Hu, Kara Short, Kelsey Montgomery, Keri Drake, Kushal Bhakta, Leslie Lusk, Mary Revenis, Pratibha Thakkar, Ruth Seabrook, Samir Pandya, Sarah Keene, Sharada Gowda, Suma Hoffman, Tahagod Mohamed, Tara Beck, Tasnim Najaf, Robert Digeronimo, Natalie Rintoul, Abhishek Makkar

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: This study aimed to characterize practices and decision-making for extracorporeal membrane oxygenation (ECMO) for congenital anomalies of the kidney and urinary tract (CAKUT).

METHODS: General practices (GP) section inquired about institutional practices and barriers, ECMO criteria, and dialysis. The hypothetical cases (HC) illustrated four clinical scenarios with varying degrees of renal severity for ECMO candidacy.

RESULTS: Then, 99 (42 centers) and 91 (38 centers) physicians completed the GP and HC components, respectively. The majority considered ECMO on a case-by-case basis (66%). Bilateral renal agenesis was the most common diagnosis for exclusion (52%). Prenatal markers used for ECMO exclusion included …

Life Participation In Parents Of Children With Ckd., Anastasia Hughes, Andrea Matus Gonzalez, Anita Van Zwieten, Chandana Guha, Simon Carter, Germaine Wong, Dale Coghlan, Amanda Dominello, Jonathan C. Craig, Martin Howell, Siah Kim, Karine Manera, Colm O'Reilly, Javier Recabarren Silva, Angela Rejuso, Benedicte Sautenet, Nicole Scholes-Robertson, Amanda Sluiter, Rebecca Wu, Mignon Mcculloch, Natalia Armijo, Ximena Atilano-Carsi, Patricia De La Cerda, Gabriel Alexis Gallardo Letelier, Carla Galvez, Nicole Gonzalez-Agüero, Maria Maldonado, Viola Pinto, Lilian Reyes, Lena Rodriguez, Angelica Rojo, Alejandro Sepúlveda, Luca G. Torrisi, Andrea K. Viecelli, Bashir Admani, Bethany J. Foster, Alexander J. Hamilton, Augustina Jankauskiene, Rebecca J. Johnson, Jasmijn Kerklaan, Isaac Liu, Stephen D. Marks, Cozumel S. Pruette, Franz Schaefer, Sebastian Wolfenden, Allison Jaure, Song-Kids Life Participation Workshop Investigators

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The caregiver burden among parents of children with chronic kidney disease (CKD) is high and can impair their life participation, which may in turn have negative consequences on their children's care and outcomes. We aim to describe effects on life participation in parents of children with CKD, from the perspectives of their children, health professionals, and the parents themselves.

METHODS: We thematically analyzed data from the Standardized Outcomes in Nephrology-Children and Adolescents Initiative (SONG-Kids) life participation workshops involving children with childhood CKD, parents or caregivers, and health professionals, for content related to perspectives on life participation among parents of …

Eicosanoids As Biomarkers Of Hyperfiltration-Mediated Injury In Ckd., Tarak Srivastava, Ginger L. Milne, Jianping Zhou, Mohammad H. Rezaiekhaligh, Derek K. Ng, Jennifer L. Roem, Bradley A. Warady, Susan L. Furth, Ram Sharma, Mukut Sharma, Ckid Study Investigators

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Early biomarkers of hyperfiltration-induced injury are not known. We previously reported elevated urinary prostaglandin E2 (PGE₂) preceding albuminuria in children with solitary kidney, and upregulated cyclooxygenase-2 (COX2)-PGE₂-EP2 axis in unilaterally nephrectomized mice. To determine chronic kidney disease (CKD) stage-associated changes in urinary eicosanoids, baseline urine samples from the CKD in children (CKiD) biorepository (n = 318) and a comparator group of children with enuresis (n = 72) were analyzed.

METHODS: Liquid or gas chromatography-mass spectrometry was used to measure metabolites of arachidonic acid and linoleic acid (ng/mg creatinine, P ≤ 0.05).

RESULTS: The …

A Word From The Writing Team (November 2026), Pam Walter, Mfa, Laura Deloretta, Phd

A Word From the Writing Team (Newsletter)

No abstract provided.

Uncovering The Genetic Landscape Of Pediatric Hearing Loss Along The Texas–Mexico Border, Desiree Lanehart, Michelle Gray, Roberta Sierra, Camille Maldonado, Daniel Brooks, Hongzheng Dai, Aaly Rahimtoola, Sandy Magallan, Alberto Allegre, Lori Berry

School of Medicine Publications

Children in Health Professional Shortage Areas (HPSAs), including the US border regions, experience delays in the diagnosis of hereditary hearing loss (HL), driven primarily by limited access to specialized genetic services. Although approximately 60% of congenital HL has a genetic etiology, many affected children in these communities remain undiagnosed, delaying timely intervention. Project GIVE is an NIH-funded virtual genomics program that expands access to genome sequencing (GS) for children with undiagnosed multisystemic conditions along the Texas–Mexico border in the Rio Grande Valley (RGV) and El Paso regions of Texas, USA. Children (0–18 years) with suspected rare diseases were referred by …

November 2026, Swosu Rural Health Center

RURAL ROCKS

Welcome to the Hilltop, Raina Wrather!

Adverse Events Linked to Injectable Glutathione Compounded with Dietary Supplement Grade Ingredient: Current Situation | HAIs | CDC

CMS Releases Guidance and Technical Specifications on the Medicaid Direct Care Worker Compensation Reporting Requirement

Immunize - October 21, 2026

Epic launches Connectors to link its AI tools with third-party apps,,,

FDA Approves New Nonprescription Eye Drop for Relief of Eye Redness

FDA Issues Final Guidance on Prescription Drug Apps and Software

Improving Access To Specialized Rare Cancer Care Through A Navigation-Driven Centralized Metastatic Uveal Melanoma Multidisciplinary Tumor Board, Jameson Lynch, Rn

Kimmel Cancer Center Papers, Presentations, and Grand Rounds

Background

Metastatic uveal melanoma (mUM) is a rare malignancy; up to 50% of patients with uveal melanoma develop systemic metastases, with liver involvement occurring in up to 90% of metastatic cases.1 Thomas Jefferson University Hospital has extensive experience managing liver-dominant mUM, supported by prior single-institution longitudinal data involving 730 patients with uveal melanoma liver metastasis.3 This mUM program represents a specialized referral model for complex liver-dominant disease, offering multidisciplinary review, advanced liver-directed treatment planning, and coordinated access to specialty oncology care. Oncology navigation facilitates this model by coordinating intake, acquisition of outside imaging and records, pre-travel case preparation, tumor board …

The Value Of Pilot And Feasibility Studies In Nursing Education Research: A Worked Example, Dhanya Anand Anil Kumar, Natasya Raja Azlan, Hugh Davies, Chandra P. Salgado Kent, Debbie Massey, Karen Strickland

Research outputs 2022 to 2026

Background: Feasibility studies play a critical role in determining whether clinical or educational interventions can be implemented as intended before progressing to large-scale trials. In nursing education, many innovative teaching strategies, particularly complex interventions such as simulation-based learning, are often advanced directly to full trials without first establishing feasibility. This premature progression creates recruitment, acceptability, fidelity, and protocol adherence challenges, which may compromise study quality and valuable resources. This paper addresses this gap by clarifying the purpose and value of feasibility studies in nursing education research and outlining key considerations for designing an early-stage feasibility study that aligns with contemporary …

A Philosophical Introduction To Elements And Relations: Aspects Of A Scientific Metaphysics, Martin Zwick

Complex Systems Faculty Publications and Presentations

My book, Elements and Relations*, amplifies Bunge’s characterization of the systems project as the construction an “exact and scientific metaphysics” (ESM) different from and broader than the reductionist and physicalist ontology of conventional science. This paper discusses the scientific theories constituting this project and the central notion of “system” as a structure-function dyad, where “structure” is the system’s internal order and “function” is its participation in the external order of its environment. The paper also discusses the book’s proposal of ontology and ethics as a structure-function dyad for the systems field, an ontology of problems that exemplifies the ESM idea.

The Impact Of Social Determinants Of Health On Length Of Stay For Neonates Discharged With Feeding Support From The Neonatal Intensive Care Unit (Nicu), Claire C. Hockett

Summer Research Program Abstracts

No abstract provided.

Patellofemoral Alignment Following Total Knee Arthroplasty: A Radiographic Analysis Of 300 Patients With Two Implant Designs, Giselle K. Henry

Summer Research Program Abstracts

No abstract provided.

Defining Rectus Abdominus Muscle Changes Following Ventral Hernia Repair, Ananya Hari

Summer Research Program Abstracts

No abstract provided.

Maternal Characteristics And The Social Determinants Of Health In Fetal Vs Postnatal Myelomeningocele Repair, Amy Rose Hardcastle

Summer Research Program Abstracts

No abstract provided.

Progressive Remodeling Of Global Protein Interaction Networks In A Mouse Model Of Tauopathy, Noah Lampl, Morgan C Stephens, Zihan Wang, Joseph T Nigro, Alejandro Rondon Ortiz, Ryan Hekman, Anna Lourdes F Cruz, Rebecca Roberts, Lulu Jiang, Juan Botas, Andrew Emili, Benjamin Wolozin

Faculty, Staff and Students Publications

Neurodegenerative disease is marked not just by loss of proteins or cells, but by dynamic rewiring of macromolecular interaction networks that precede and drive pathology. Here, we present a temporally resolved, systems-scale map of multi-protein complex remodeling in a tauopathy model, integrating co-fractionation mass spectrometry, quantitative phosphoproteomics, and machine learning to decode phosphorylation-dependent shifts in protein interactomes across disease progression. This interactomic atlas serves as a resource to investigate functional assemblies, including MAPT-Dpysl2 and Cyfip1-actin, as well as ptk2b-Kars/Dars and ptk2b-Msn-Farsb-complexes, that modulate early disease phenotypes in vivo. Notably, it captures the composition, dynamics, and regulatory state of protein complexes …

Progressive Remodeling Of Global Protein Interaction Networks In A Mouse Model Of Tauopathy, Noah Lampl, Morgan C Stephens, Zihan Wang, Joseph T Nigro, Alejandro Rondon Ortiz, Ryan Hekman, Anna Lourdes F Cruz, Rebecca Roberts, Lulu Jiang, Juan Botas, Andrew Emili, Benjamin Wolozin

Faculty, Staff and Students Publications

Neurodegenerative disease is marked not just by loss of proteins or cells, but by dynamic rewiring of macromolecular interaction networks that precede and drive pathology. Here, we present a temporally resolved, systems-scale map of multi-protein complex remodeling in a tauopathy model, integrating co-fractionation mass spectrometry, quantitative phosphoproteomics, and machine learning to decode phosphorylation-dependent shifts in protein interactomes across disease progression. This interactomic atlas serves as a resource to investigate functional assemblies, including MAPT-Dpysl2 and Cyfip1-actin, as well as ptk2b-Kars/Dars and ptk2b-Msn-Farsb-complexes, that modulate early disease phenotypes in vivo. Notably, it captures the composition, dynamics, and regulatory state of protein complexes …

Machine Learning Model For Sander’S Score Determination, Andrew Guo

Summer Research Program Abstracts

No abstract provided.

Beyond The Numbers: Body Mass Index In Gender Affirming Mastectomy, Alyssa M. Griffith

Summer Research Program Abstracts

No abstract provided.

Phenological Flexibility In Nesting Grassland Birds Over A Half Century Informs Timing Of Management, Kristin S. Ellis, Michael J. Anteau, Lawrence D. Igl, Garrett J. Macdonald, Neal D. Niemuth, Aaron T. Pearse, Jill A. Shaffer, Christine A. Ribic, Josh L. Vest, Masanori Abe, Daniel S. Ackerman, Marissa A. Ahlering, Johanna N. Alpert, Anahit Amiri, Kent Andersson, Jacqueline K. Augustine, Kristel K. Bakker, Jeffrey L. Beck, Adam C. Behney, Jacy S. Bernath-Plaisted, Todd R. Bogenschutz, Eric K. Bollinger, Lauren E. Bortolotti, Andy J. Boyce, Jeffrey D. Brawn, Fred C. Bryant, Andrew J. Campomizzi, Jay D. Carlisle, J Matthew Carroll, Rachel Carroll, John P. Carroll, Justin R. Clarke, Michael R. Conover, Reesa Y. Conrey, Jaime J. Coon, Kyle A. Cutting, Stephen K. Davis, Dawn M. Davis, Duane R. Diefenbach, Jonathan B. Dinkins, R Andrew Dreelin, Victoria J. Dreitz, Courtney J. Duchardt, Michael W. Eichholz, Susan N. Ellis-Felege, Kevin S. Ellison, Bradley C. Fedy, Samantha D. Fino, Robert J. Fletcher Jr, Dillon T. Fogarty, Samuel D. Fuhlendorf, Pamela R. Garrettson, Robert J. Gates, Erin L. Gelling, James J. Giacomo, Alex Glass, Cheri L. Gratto-Trevor, Ryan D. Haffele, Christian A. Hagen, Vanessa B. Harriman, Samuel W H Harryman, David A. Haukos, Robert T. Haynam, Heather A. Herakovich, James R. Herkert, Fidel Hernandez, Jason M. Hill, H Jeffrey Homan, Torre J. Hovick, Jonathan A. Jenks, William E. Jensen, Aaron N. Johnston, Sydney-Marie Jones, Carly S. Kelly, Kaylan M. Kemink, Silka L F Kempema, Dylan C. Kesler, Christopher P. Kirol, Robert W. Klaver, Page E. Klug, Jesse L. Kolar, Nicola Koper, Kyle J. Kuechle, Jonathan D. Lautenbach, Zoe M. Lebrun-Southcott, David W. Londe, Scott R. Loss, Cullen M. Mackenzie, Patrick A. Magee, Douglas L. Manzer, John P. Mccarty, Gywm Mckee, Ann E. Mckellar, Lance B. Mcnew, James R. Miller, Megan C. Milligan, Ashlee K. Minor, Rocco J. Murano, Les D. Murray, David E. Naugle, Clayton K. Nielsen, Christopher J. Norment, Sarah B. Ogden, Lindsay A. Parsons, Brian D. Peer, Noah G. Perlut, James C. Pittman, Christopher D. Pollentier, Larkin A. Powell, Aaron C. Pratt, John P. Pulliam, Nancy M. Raginski, Dan R. Reinking, Kaitlyn M. Reintsma, Terry Z. Riley, Kevin M. Ringelman, Joseph R. Robb, Scott K. Robinson, Andres N. Rosales, Charlotte L. Roy, Kayla A. Ruth, Brett K. Sandercock, Kevin K. Sedivec, Steve K. Sherrod, Justin J. Shew, Mason L. Sieges, Jenny L. Sika, Susan K. Skagen, Cassandra G. Skaggs, Joseph Smith, Jennifer A. Smith, Kurt D. Smith, Alex J. Solem, Joshua D. Stafford, Glenn E. Stauffer, Matthew D. Stephenson, Lee Sutcliffe, Amber E. Swicegood, Jason Tack, Evan P. Tanner, Catrina V. Terry, Wendy P. Tori, Ashley M. Unger, Kelly R. Vanbeek, William E. Vetter, Jay A. Vonbank, Brett L. Walker, Michael D. Whitson, Maiken Winter, Kimberly A. With, Donald H. Wolfe, Amy A. Yakel Adams, Benjamin Zuckerberg

United States Department of Agriculture Wildlife Services: Staff Publications

The timing of biological events for wildlife species reflects and influences ecological and evolutionary processes and helps guide management actions to meet conservation objectives. Climate change may cause phenological shifts across trophic levels and ecosystems, which can have broad ecological impacts. Shifts may also result in mistiming between management practices based on historical conditions and current biological events, reducing the effectiveness of natural resource management and conservation efforts. We analyzed nesting phenology patterns over recent decades across North America for 44 species of grassland-nesting birds, including waterfowl, upland gamebirds, shorebirds, and passerines, many of which have experienced precipitous population declines. …

Network Meta-Analysis Of The Impacts Of Social Determinants Of Health On Dialysis Patients’ Ability To Respond To Natural Disasters, Juan Paulo Yap Gonzales

Summer Research Program Abstracts

No abstract provided.

Delirium Education: Raising Awareness And Empowering Family Members And Caregivers To Detect And Prevent Delirium In The Hospital, Alexandra H. Goff

Summer Research Program Abstracts

No abstract provided.