Medicine and Health Sciences Commons^™

Embracing The Sacred Oath Of Healing: Lessons From When Breath Becomes Air, Rudayna S. Tabbara

be Still

This essay explores how When Breath Becomes Air embodies the Sacred Oath of Healing through Paul Kalanithi’s journey as a physician and a patient.

Layers, Kristin Hiemstra

be Still

I titled this work “Layers,” symbolic of the many intricate layers to healing, just as we see the many literal layers of a landscape in this photograph. In the foreground, you are met with a firm, unforgiving boulder — almost analogous to how difficult the initial phase of healing can be, or the setbacks that may be experienced throughout a healing journey. Your eyes then drift on to find the abundance of evergreens, some vibrant and thriving, while others are in their last stages of life. Finally, the mountainous layers take shape before ascending into the sky. Just …

The Masculine Way, Jessica Asuquo

be Still

This painting was conceptualized after a particularly impactful patient visit. During the visit, the patient described a traumatic event in greater detail, stating that the doctor and I were the first people he had ever spoken to about the event.

I felt both honored and disheartened by this statement. I was honored that this man trusted us with this knowledge. Still, I was immensely sad that he dealt with the trauma of this event alone for decades. I believe he released some of the grief, pain, anger, fear, and hurt when he shared his burden with us, and I will …

A Child’S Oath, Nozimakhon K. Omonullaeva

be Still

"A Child's Oath" reflects the transformative journey of a young girl shaped by her personal experiences with healthcare inequities, both in her home country of Uzbekistan and in the United States. This piece explores the emotional impact of these experiences and how they inspired a lifelong commitment to healing and serving underserved communities. It is a testament to the resilience born from hardship and the sacred promise to bring compassion and equity to medicine.

Helping As A Student, Dayna R. Smerina

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Being a medical student can sometimes feel powerless. However, there are special ways that students can make an impact on their patient's lives.

The Glacier, Emily Rodman

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The Glacier discovers the inner workings of a medical student's mind as she devotes years of her life to eventually partake in the "sacred oath of healing." She knows that these years of medical training - filled with strife and joy alike - will eventually lead her to fulfill the career of her dreams, serving others.

The Sacred Healing Of A Little Warrior, Adrianna M. Zambrano

be Still

As a hopeful pediatrician, I find my sacred oath of healing to be inspired by the radiant positivity and resilience of children. My goddaughter was not even three years old when she had her first major surgery, and I was so worried about her future recovery. Then, she was just a few hours post-op and already cracking a smile. Her innocence and purity extended to the point where she made sure that she wasn't the only one being taken care of; after all, her "baby" Julie needed to be taken care of, too.

The Heart Of Healing, Madison Prieto

be Still

No abstract provided.

Nourishing The Body, Nurturing The Soul, Vidhi Raval

be Still

No abstract provided.

Our Sacred Oath, Jeffrey Joppen, Nisha Patel

be Still

We both tried to find a photograph that could demonstrate what our sacred oath to healing looked like. The stethoscopes symbolize this because they represent more than just a tool for auscultation, they are objects that directly connect a healthcare provider to their patient. When we place the stethoscope on our patient’s chest we listen to their heart and lung sounds and the unique vibrations and rhythms that the individual makes. This action demonstrates deep trust and responsibility for healing.

Frankenstein Colorized, Marianne Koleng

be Still

One of my favorite novel's growing up was Mary Shelley's Frankenstein. I see Frankenstein's desire to create a "Monster" as a way to grasp at the fundamental human drive for connection, and healing through connection. In this piece, I attempt to bring that inner yearning for fundamental connection to paper.

Beyond Myself - Healing Through Pain, Marianne Koleng

be Still

In this piece I reflect on the importance of setbacks, non-linear growth, injuries, and pain and their ability to provide self-reflection, a platform for growth, and an crucial reminder of the fragility of life. I have often been self-critical for not following a "traditional" path in life, and reflecting on my experiences allows me to show myself grace and hopefully may influence others to do so as well.

The Orchard Of Golden Apples, Ambika Kapil, Brendan Ginsberg

be Still

This poem was written collaboratively by Ambika Kapil and Brendan Ginsberg, reflecting our shared journey through the challenges and rewards of medical school. The inspiration for this piece comes from a pivotal time in Ambika's journey, when she found herself balancing the demands of medical education with personal struggles. During this period, she often turned to the lectures and guidance of various faculty members, including Dr. Lori Dribin, whose wisdom and support provided a sense of stability and hope. The guidance of these mentors became a beacon, helping Ambika navigate through uncertainty.

As many students face an array of challenges …

The Sacrifices Of Being Away, Claudia Pedreira

be Still

No abstract provided.

Remedios De Abuela: Sacred Traditions Of Healing, Madeline R. Sardinas

be Still

Remedios de Abuela is a narrative-style essay reflecting on the Cuban remedies and family caregiving practices that shaped my journey into medicine. From the warmth of sopa de pollo to the soothing ritual of Vicks VapoRub, these traditions embody the sacred oath of healing.

Through personal stories, including caring for my grandfather with diabetes, this essay explores the intersection of family, culture, and the art of medicine. It is a tribute to my grandparents and a testament to the enduring power of traditions and the human connection at the heart of the healing profession.

Death Is Not The End, Marianne Koleng

be Still

In this piece, Death is Not the End, the juxtaposition of maintaining a connection with those lost, while simultaneously adjusting to life without them is explored. The use of mixed media to convey a spectrum of emotions surrounding death along with the use of both a skeleton, to represent death, and "normal" hands and body contours to represent life, highlight the importance that proper healing play in both mourning and celebrating life.

2025 Research Day Program, Lincoln Memorial University

Research Day

This program contains poster presentation summaries from LMU's 2025 Annual Research Day conference.

Are Hcc Risk Scores A Reliable Health Status Indicator Across Rural And Urban Areas?, Craig D. Holden, Alana Knudson, Marilyn Klug, Samantha Augenbraun, Shena Popat

ETSU/NORC Rural Health Research Center Policy Briefs

No abstract provided.

A Cellular And Molecular Dissection Of The Breast: Identification Of Pericytes As A Driver Of Tumor Cell Proliferation, Katelyn M. Del Toro

Biomedical Sciences ETDs

Tissues are composed of many different types of cells. Each has a specific function and exists within a unique context—all of which define the landscape of the tissue. The cellular and molecular interactions within a tissue are critical to its form and function. Defining these interactions is an important step in understanding the aberrant nature of diseases like cancer, where tissue homeostasis has been abandoned. This requires reliable models of each cell type. Yet, in many tissues, including the breast, comprehensive methods to identify, purify, and study each tissue cell type have not been defined. This is a critical deficiency …

Larotrectinib Compared With Real-World Non-Tropomyosin Receptor Kinase Inhibitor Therapies In Patients With Tropomyosin Receptor Kinase Fusion Cancer, Marcia S. Brose, C. Benedikt Westphalen, Xiaoyun Pan, Vadim Bernard-Gauthier, Milena Kurtinecz, Helen Guo, Virginie Aris, Neil R. Brett, Abdelali Majdi, Vivek Subbiah, Nathan A. Pennell, Kenneth L. Kehl, Alexander Drilon

Kimmel Cancer Center Faculty Papers

PURPOSE: Neurotrophic tyrosine receptor kinase gene fusions are oncogenic drivers of various solid tumors. Larotrectinib is a highly selective tropomyosin receptor kinase (TRK) inhibitor approved for patients with TRK fusion cancer on the basis of single-arm trials. This study was a matched comparative effectiveness study of larotrectinib in clinical trials versus standard of care (SOC) in the real-world (RW) setting.

METHODS: Adult patients with advanced/metastatic TRK fusion non-small cell lung cancer, colorectal cancer, soft tissue sarcoma, thyroid cancer, or salivary gland carcinoma were included. Deduplicated data from RW patients were from US and ex-US data sources. Patients in the larotrectinib …

Vpac Receptor Positivity In Comparison With Mp-Mri In The Diagnosis Of Prostate Cancer: A Preliminary Study, Nishant Setya, Shridhar Ghagane, Rajendra Nerli, Ashwin Bokare, Mathew Thakur, Leonard Gomella

Kimmel Cancer Center Faculty Papers

Objective: The study aimed to prospectively evaluate the feasibility of diagnosing PCa using voided urine samples and by targeting the genomic VPAC (vasoactive intestinal peptide and pituitary adenylate cyclase-activating peptide) receptors in comparison with multiparametric magnetic resonance imaging (mp-MRI) in male patients (≥40 years of age) with lower urinary tract symptoms and having a serum PSA of >4 but < 15 ng/ml.

Patients and methods: Male patients attending urological services ≥40 years old, with lower urinary tract symptoms and serum PSA levels of >4 but < 15 ng/ml formed the study group. Voided urine samples were collected to target VPAC receptors on malignant cells. All patients underwent mp-MRI. A 12-core transrectal ultrasound-guided prostate biopsy was performed in all, and the results were compared for the diagnosis of PCa.

Results: A total of 61 patients with a median age of 65.33 ± 8.11 years and with a …

Experiences And Attitudes Of Caregivers During Mealtimes In Children With Autism Spectrum Disorder At A Tertiary Facility In Kenya., Lynnette Muthoni Mwangi

Master of Medicine in Paediatrics and Child Health

Introduction: - ASD is a neurodevelopmental disorder characterized by deficits in social interactions and communication along with restrictive and repetitive behaviours affecting 1 in 100 children globally, with a higher prevalence in males. Despite the rising global statistics, there is limited information regarding the prevalence of ASD in Sub-Saharan Africa. Children with ASD often experience feeding challenges, which have been broadly categorized as food selectivity, food refusal, and disruptive mealtime behaviour, which poses challenges for caregivers during mealtime. While medical management of ASD receives considerable attention, less focus has been placed on the impact of ASD on caregivers and …

A Wellness And Social Engagement Program For Post-Lower Limb Amputees, Graciela Gonzalez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

A wellness and social engagement program was developed and implemented to provide education relating to the mental health impacts, decrease in health management, and lack of social participation after a lower-limb amputation amongst adults, 18 years or older. The program provided a manual with educational information, external resources, and visual aids to enhance independence in activities of daily living (ADLs).

Hubungan Dukungan Sosial Rekan Kerja Dengan Stres Kerja (Studi Pada Pekerja Di Pt X), Aisyah Permatasari

Jurnal Ilmu Kesejahteraan Sosial

Workers are vulnerable to work-related stress due to job demands, time constraints, and limited leisure time, leading to psychological issues such as anxiety related to their work. In the context of social welfare studies, job stress affects overall workers’ well-being and disrupts their social functioning in the workplace. Social support from coworkers is potentially reduce stress in workplace, which is crucial for creating organizational well-being. It also helps workers improve job engagement, cope with fatigue, and manage stress. This study examined the relationship between social support from coworkers and job stress among 90 employees …

Caring Across Borders: Demographic Shifts And Migrant Care In Asean-Korea Dynamics, Saqib Fardan Ahmada, Wahid Nur Kartiko

Jurnal Ilmu Kesejahteraan Sosial

This article aims to examine the migration policies and migrant care in the context of relations between ASEAN Member States (AMS) and Korea. As Korea is dealing with an aging population, an increase in female labour force participation, and an ultra low fertility rate, caregiving, especially for the elderly, has become a pivotal issue. Besides, the traditional nuclear family structure, which has historically served as the primary caregiver for the elderly, is also losing its prominence. In such demographic shift, migrant care workers from AMS are filling the demand for caregiving in Korea, leading to a cross-border international migration from …

Spring 2025, Humayun Islam

PMI Newsletter

No abstract provided.

Comparison Of Hand-Wrist And Cvms Methods For Craniofacial Growth Spurt Assessment, Ardita Ajvazi

Master's Theses (2009 -)

Objective: Hand-wrist (HW) radiographs are considered the most accurate method for assessing pubertal growth spurts in orthodontics but have declined in use due to added radiation exposure and the expertise required. Cervical vertebral maturation staging (CVMS) is now commonly used, given the routine availability of lateral cephalograms. However, the validity of CVMS remains uncertain. A recent study reported only 66% inter-observer reliability across time periods (Ingersoll, 2024). This follow-up study aims to evaluate CVMS as a predictor of growth to guide clinical decision-making. Methods: With protocol approval (MU HR-4695), this retrospective study followed a design modeled after a prior study …

Increased Rates Of Dysphagia, Longer Length Of Stay, Nonroutine Discharge, And Higher Hospital Costs In Patients Over 65 Undergoing Single-Level Cervical Disc Arthroplasty: A Propensity Score-Matched Analysis, Paul G. Mastrokostas, Leonidas E. Mastrokostas, Ahmed K. Emara, Ian J. Wellington, Elizabeth Ginalis, Jonathan Dalton, Amrit S. Khalsa, Jad Bou Monsef, Afshin E. Razi, Mitchell K. Ng

Rothman Institute Papers

CONTEXT: Cervical disc arthroplasty (CDA) is a safe and effective treatment for cervical spine conditions, with increasing utilization. As the population over 65 grows, understanding the suitability of CDA in older patients is critical.

AIMS: This study evaluates differences in postoperative complications, hospital course, and costs between patients aged 18 and 65 and those over 65 undergoing CDA.

SETTINGS AND DESIGN: This was a retrospective cohort study using the National Inpatient Sample, a nationally representative database of U.S. hospital discharges.

SUBJECTS AND METHODS: Patients undergoing single-level CDA from 2016 to 2020 were identified. The cohort was divided into two groups: …

Understanding And Addressing Mental Health In Honors Programs, Gavin D. Hood, Katherine H. Tennis

Journal of the National Collegiate Honors Council Online Archive

Evidence of psychological experiences unique to high-achieving students is examined, revealing prominent themes relating to student mental health including academic identity, perfectionism, imposter syndrome, burnout, and overcommitment. These themes are explored in the context of program feedback from honors students gathered through focus group meetings as part of the program review process. Strategies for reframing failure, normalizing self-care, fostering supportive community, and engaging in nonacademic self-exploration are included. The article closes with suggestions for programmatic interventions that directly address these concerns among high-achieving students. While most honors programs are not positioned to engage in clinical interventions, they can take small …

Proposed Evaluation Of Nonpharmacological Treatments And Therapies For Paclitaxel Based Chemotherapy-Induced Peripheral Neuropathy (Cipn), Mackenzie Lesczcynski

D.U.Quark

Chemotherapy-induced Peripheral Neuropathy (CIPN) is a common complication in breast cancer patients receiving Paclitaxel, a chemotherapeutic agent (1). CIPN symptoms range from numbness to extreme pain and sensitivity in bodily extremities, forcing chemotherapy to be halted (2). The mechanism of this side effect is not well understood and there is no standard pharmacological treatment available to improve effects. Nonpharmacological treatments have been attempted on small patient cohorts, but there are no conclusive findings (3). Due to this, we believe that a comprehensive murine model must be developed in order to assess nonpharmacological treatment efficacy and potential molecular targets for pharmacological …