Medicine and Health Sciences Commons^™

Factors Associated With Std Hospital Admissions In South Carolina Hospitals (2020-2024), Darrell Holmes, Dennis Besong

South Atlantic Division GME Research Day 2025

No abstract provided.

Transformative Experiences, Anticipatory Regret, And Informed Consent, Elizabeth Lanphier, Shannon Fyfe

Scholarly Articles

Regret risk is not consistently part of information sharing within informed consent. Yet two kinds of decisions that often invoke concerns about future regret, abortion and sterilization, raise considerations for the role of regret in clinical decision-making and informed consent, particularly regarding decisions about potentially transformative experiences. We distinguish between first-personal and second-personal anticipatory regret and argue that first-personal anticipatory regret can play a productive role, but second-personal anticipatory regret can function in ways that are pernicious. Introducing second-personal anticipatory regret into medical informed consent processes is, we argue, not only not required for informed medical decision-making, but impermissible within …

Thoughts From The Frontline - January 2025, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Quaternized Chitosan Derivatives Inhibit Growth And Affect Biofilm Formation Of Staphylococcus Aureus, Alex Miranda, Nichole D. Brandquist, Kristen Johnson, Elena Muldiiarova, Aleksandr Fadeev, Mahboubeh Ghanbari, Jennifer L. Endres, Kenneth W. Bayles, Jason N. Mactaggart, Denis Svechkarev, Marat Sadykov, Yury Salkovskiy

Journal Articles: Pathology and Microbiology

Antimicrobial resistance (AMR) poses a global health threat, severely impeding the effective treatment of bacterial infections and jeopardizing the safety of routine medical procedures. Methicillin-resistant Staphylococcus aureus (MRSA) is particularly problematic because of its resistance to beta-lactams and the ability to form resilient biofilms. Conventional antibiotics, including last-resort options, have serious side effects and may contribute to further resistance. Chitosan, a natural biopolymer, offers a promising alternative due to its biocompatibility and antimicrobial properties, though its effectiveness against biofilms is limited. Recent studies suggest that increasing the positive charge density and adding hydrophobic moieties to chitosan, can enhance its antimicrobial …

Childhood Trauma And The Emergence Of Precognitive Abilities: A Correlational Study, Kirsten Cameron, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

This study addresses the scientific tendency to misattribute the higher levels of belief in extra-sensory perception (ESP) of adult survivors of childhood trauma to cognitive errors when they may be a result of actual experience with ESP. Dissociative tendencies may contribute to precognition, which would be an adaptive skill for children living in unpredictable and traumatic environments. This study investigated the correlation between self-reported childhood abuse and neglect and precognitive abilities in 227 adults. The participants completed the Childhood Trauma Questionnaire, comprising subscales measuring emotional, physical, and sexual abuse, and physical and emotional neglect, and completed four online tasks measuring …

Alteplase Vs. Tenecteplase: Comparing Health Outcomes Following Thrombolytic Administration In Acute Ischemic Stroke, Brittany Taubman

The PA Department Journal of Medical Science

Introduction: Acute ischemic stroke (AIS) results in death of brain tissue necessitating prompt intervention to restore blood flow and minimize neurological damage. Tissue plasminogen activator (tPA), specifically alteplase, has long been the standard treatment for AIS. However, recent research explores the potential advantages of tenecteplase, an alternative thrombolytic agent.

Methods: PubMed was searched, utilizing free text, randomized control trials, systematic reviews, and meta-analyses from 2019-2024. The literature search yielded four relevant results to include in this review comparing tenecteplase and alteplase, focusing on efficacy, safety, and overall clinical outcomes.

Results: All four articles reviewed were systematic reviews and meta-analyses focusing …

Prophylactic Aspirin For The Prevention Of Pre-Eclampsia In High-Risk Pregnant Women, Nia Walker

The PA Department Journal of Medical Science

Introduction: Pre-eclampsia is a leading cause of maternal mortality worldwide. The purpose of this clinical review is to analyze the efficacy of aspirin vs placebo in the prevention of pre- eclampsia in high-risk pregnant women.

Methods: PubMed, COCHRANE, and JAMA Network were searched with terms “pre- eclampsia” AND “prevention” AND “aspirin." Operators and filters were added to find RCTs, reviews, and meta-analyses within the last five years. One article was found using article reference searching. Four articles were chosen for review.

Results: One article was a randomized controlled trial comparing low dose aspirin against placebo in women identified as high …

Patellar Vs Hamstring Grafts For Acl Reconstruction, Taylor Jernigan

The PA Department Journal of Medical Science

Abstract

Introduction: The anterior cruciate ligament (ACL) is one of the most common injuries in orthopedic medicine, resulting in 400,000 reconstructions every year in the United States. Bone-Patellar Tendon-Bone (BPTB) and Hamstring Tendon (HT) grafts are the most common graft types used. The objective of this review is to compare HT grafts and BPTB grafts when it comes to return to sport, returning to pre-injury level, and overall long-term functional outcomes.

Methods: A complete search was conducted using Pub Med to look for randomized controlled trials (RCTs), systematic reviews, and meta-analyses on HT vs BPTB grafts. The variables studied were …

Transcatheter Mitral Valve Repair And Heart Failure: A Clinical Review, Caroline Robbins

The PA Department Journal of Medical Science

Introduction: Secondary Mitral Regurgitation due to heart failure is a major cause of morbidity and mortality. There is debate about surgical versus medical treatment options. This paper aims to evaluate the efficacy of adding transcatheter mitral valve repair (TMVR) with standard treatments for heart failure.

Methods: Using Pubmed, the search terms “transcatheter mitral valve repair” AND “heart failure” resulted in 835 articles that were then filtered to <5 >years, English language, and type of article. This produced 22 articles that matched the search criteria. In total, 6 articles were used to analyze all-cause mortality and rehospitalization of heart failure patients receiving …

Debating Member-Checks Of Exceptional Human Experiences, James Houran, Everton De Oliveira Maraldi, Beth M. Houran

International Journal of Transpersonal Studies

This integrative essay reflects on member-checking and engaged research approaches in the study of exceptional human experiences (EHEs)—subjective accounts that often challenge conventional views of consciousness and physical reality. Member-checking, or inviting research participants to review data or interpretations, can improve credibility by aligning research with their lived experience. While benefits include transparency and insight, risks include confirmatory bias, emotional distress, power asymmetries, and logistical complexity. The evolving nature of EHEs further complicates participant validation. We therefore advocate a six-level "fit-for-purpose" system to balance rigor with ethical care and responsiveness. We also explore digital, asynchronous, and AI-assisted strategies to enhance …

The Filipino Experience Of Kutob: Understanding Culturally-Informed Hyper-Intuition, Carl Lorenz Gaston Cervantes

International Journal of Transpersonal Studies

Kutob is a Filipino concept that usually refers to a sense of what may happen. It is often experienced as an omen of negative events. Despite its apparent ubiquity in everyday conversations, there is a lack of sincere academic reflection surrounding the topic of kutob. Relying on foreign (that is, western) approaches and frameworks to understand this concept may only limit it to certain categories of psychological thought. In this paper, I use the lens of indigenous psychology—in particular, Sikolohiyang Pilipino (Filipino psychology)—to identify the nuances and contexts of kutob. I show how kutob is a function of the dynamic …

Integral And Transpersonal Education, Heidi Fraser Hageman

International Journal of Transpersonal Studies

N/A

Teaching In The Transpersonal Paradigm, Christopher M. Bache

International Journal of Transpersonal Studies

This article explores the transpersonal dynamics of teaching by presenting two core themes of The Living Classroom: 1) the synchronicities and energetic resonances that radiated invisibly around me as my spiritual practice deepened over time and 2) the “learning fields” that surround well-taught courses—fields of collective consciousness that can trigger new insights and powerful transformations in our students.

Process-Oriented: A Creative Approach To Transformative Learning, Dorit Netzer

International Journal of Transpersonal Studies

In this intrinsic case study, the author explores the value of creative expression as a process-oriented approach to transformative learning through her experience of designing and facilitating a graduate art-therapy studio workshop. The author grounds her teaching in a humanistic view of creativity and transpersonal, transformative learning theories pertaining to expressive ways of knowing. Excerpts from one group of students’ responses to the course in terms of its impact on their personal-professional identity were grouped under four major themes: Purposeful Encounter; Authenticity; Expressive Mediums for Self-Care; and Shared Discovery. Conclusions from this case may be relevant to other educational settings …

Millennium School: An Experiment In Transpersonal Education For Early Adolescents, Jenny Wade

International Journal of Transpersonal Studies

This article describes the design, curriculum, culture, and values of an experiment in transpersonal education for young adolescents, the Millennium middle school in San Francisco, CA. The overarching design of the school was to help children exiting the latency period of child development, who exhibit the rudiments of Wade’s Authentic consciousness or Maslow’s Self-actualization motive stage, consolidate that level rather than losing it, as the vast majority do, because of social pressures that make earlier stages of development more adaptable in most contemporary societies. Early adolescence is a time when peer pressure, individuation from the family, and puberty are strong …

Book Review "Processing Reality: Finding Meaning In Death, Psychedelics And Sobriety," By John H. Buchanan, Christopher M. Aanstoos

International Journal of Transpersonal Studies

N/A

Transpersonal Education: A Glimmer Of Light To Compulsory Education?, Scott Buckler, Harriett Moore

International Journal of Transpersonal Studies

Arguably transpersonal education is still in its infancy in relation to defining the area and from this, implementing into practice. While broad themes exist, such themes tend to apply to graduate or postgraduate education. The purpose of this article is to revisit definitions of transpersonal education in relation to compulsory schooling (elementary school through to the end of secondary school). From this, a series of principles and practices have been identified and presented to educators and students for validation purposes. Although a range of transpersonal practices are discussed, the implementation of a martial art inspired ‘Mindful Movement Program’ is introduced …

Teaching For Transpersonal Learning, Paul F. Cunningham

International Journal of Transpersonal Studies

This article addresses the “why,” “what,” and “how” of teaching for transpersonal learning. Why transpersonal education is relevant for addressing modern social problems and the global ecological crisis, what it is like to teach for transpersonal learning, and how transpersonal learning becomes transformative are discussed. Three promising options in technology and consciousness studies for transpersonal learning—transpersonal media, multistate studies, and entheogenic education—are described and the challenges of introducing transpersonal education into academic settings and assessing educational (student) learning outcomes are reviewed. The relevance of Mezirow’s Transformation Theory to transpersonal educational psychology, with special attention to ecological perspective transformation, is then …

How Widely Are Near-Death Experiences Recognized In Indian Society And Health Care? A Preliminary Survey, Jimmy Mathew, Sreelakshmi Rajeev, Jerry Paul, Subramnia Iyer

International Journal of Transpersonal Studies

Patients who have had near-death experiences are often profoundly changed by the event, and they and their families can find these phenomena bewildering or even distubing. Despite this, awareness of near-death experiences appears to be minimal among health care providers in India. This cross-sectional study was conducted with 100 individuals who attend patients at the Amrita Institute of Medical Sciences in Kochi, Kerala, India, and with 100 physicians at the same institution. Acquaintance with the phenomenon of near-death experiences was found to be quite low among both samples—lower than rates seen in Western societies. Almost half of the physicians who …

In This Issue Of Ijts

International Journal of Transpersonal Studies

N/A

Artificial Intelligence In Health Care: Business Opportunities And Ethical Challenges, Ankita Srivastava,, Marco Marabelli, Jeffrey Moriarty

Ethics Publication

Artificial intelligence (AI), and in particular generative AI (GAI), are making incredible progress toward automation. The pervasive and invasive nature of these technologies are affecting every industry, and health care is no exception. This paper summarizes insights derived from a panel that the Hoffman Center for Business Ethics and the Center for Health and Business at Bentley University hosted in March 2024. The panel invited three qualified health care professionals: Evan Carey, Susan Persky and John Torous. The panelists are all active in multiple aspects of AI in health care but represent a focus on the key areas of policy …

Covid-19 Taking Aim At The Heart Of Public Education, Jeremy James Pyle

Theses, Dissertations and Capstones

The COVID-19 pandemic, distinguished by both its duration and widespread impact, stands apart from other crises typically faced by schools, such as natural disasters, school violence, or isolated traumatic incidents. Unlike these shorter-term events, the pandemic fundamentally altered the educational landscape, reshaping both school climate and instructional practices. This non-experimental, descriptive study employed a phenomenological research approach to examine the lived experiences of teachers during and after the pandemic. The central aim was to explore how pandemic-related stressors influenced teachers’ decisions to remain in or leave the profession, as well as to identify the supports educators perceived as necessary for …

Utilizing Epic To Improve Efficiency Of Pre-Anesthesia Evaluations For Surgical Patients, Karol Harshaw-Ellis¹,, Sarah B. Budrovic, Christopher Henriques, Olga Suarez-Winowiski

VCU Health Nursing

Background: Preoperative anesthesia evaluations of elective procedures are important to anesthesia care and imperative to prevent postoperative complications and unnecessary surgical cancellations¹. Triaging cases are complex, requiring clinical skills to facilitate the process. Triaging is cumbersome and, in most organizations, done manually. In 2021, our healthcare institution transitioned to EPIC² and formed a team of anesthesiologists, surgeons, informaticists, and EPIC analysts to automate the triage process which was nonexistent.

Purpose: Utilizing EPIC logic and a surgical risk classification (SRC) (Table 1) developed by the team cases are triaged as high, medium, or low. The SRC is based on blood loss, …

A Quality Improvement Project To Improve Provider Awareness Of Breastfeeding Resources, Rachel St. Bernard, Allie Vela, Rose A. Maxwell, Kelly Nagy

Obstetrics and Gynecology Faculty Publications

Breastfeeding is widely acknowledged for its significant benefits for mother and child. Despite the many advantages for breastfeeding, disparities in breastfeeding rates persist, particularly among non-Hispanic Black women in Montgomery County, OH. Rates for babies born in 2020 were low for those who were ‘ever’ breastfed (NH-Black 68.8% vs white 76.6% for ‘ever’ breastfed at hospital discharge) and even lower for those who were exclusively breastfed (NH-Black 38.2% vs. NH-white 57.9% exclusively breastfed at hospital discharge).1 Ohio's breastfeeding initiation rate remains among the lowest in the nation ranking 41st out of 50 states and falling short of the Healthy People …

Appendicular Band Syndrome As A Cause Of Infantile Small Bowel Obstruction, Brandon M. Epps, Alexis Smith

South Atlantic Division GME Research Day 2025

No abstract provided.

Co-Occurrence Of Autoimmune Hepatitis And Pheochromocytoma: A Complex Diagnostic And Treatment Challenge, Himani Patel, Gabrielle Aiello, Taylor Frazier, Sage Havrilla, Payton Williams, Meghan Rosenquist

South Atlantic Division GME Research Day 2025

No abstract provided.

From Lost Balance To Leaky Chyle: A Case Report Of Traumatic Chylothorax, Taylor Johnson, Glenn Carlos

South Atlantic Division GME Research Day 2025

No abstract provided.

Intraumbilical Mass With Cyclical Drainage, Alexis Coican, Angelia Stepien, Laszlo Karai

South Atlantic Division GME Research Day 2025

No abstract provided.

Improving Antibiotic Decision Making Amongst Medical Residents, Andrew Baird, Mina Guirguis, Brian Steiner, Daniel Khashchuk

South Atlantic Division GME Research Day 2025

No abstract provided.

Hook, Line And Lid: Managing A Fishhook Injury To The Eye, Daniel Tate, Lisa Persaud, Jonathan Leggett

South Atlantic Division GME Research Day 2025

No abstract provided.