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2026

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Full-Text Articles in Medicine and Health Sciences

Using Randomization To Compare Ai And Expert-Generated Formative Assessment Questions In Medical Education, Akshat Kumar, Katie Stinson, Litao Wang, Elizabeth Nugent, Yongsu Lee, Mark Hormann, Latanya Jones Love, Toufeeq Ahmed Syed Dec 2026

Using Randomization To Compare Ai And Expert-Generated Formative Assessment Questions In Medical Education, Akshat Kumar, Katie Stinson, Litao Wang, Elizabeth Nugent, Yongsu Lee, Mark Hormann, Latanya Jones Love, Toufeeq Ahmed Syed

Faculty, Staff and Student Publications

Background: AI-generated content is being used across the education spectrum and is beneficial for creating complex multiple-choice questions, such as those used in medical education. However, evaluating AI-generated content is challenging, and existing testing and evaluation methods are falling short. This study uses randomization to compare medical students' performance on and subjective evaluation of AI versus expert-generated questions. We hypothesized that there would be no difference in student performance or subjective evaluation of AI vs expert-generated questions.

Methods: We designed a single-center, randomized study where medical student participants received either one AI- or expert-generated question per day over four weeks. …


Diet Quality As Assessed By The Healthy Eating Index-2020 Among Individuals Diagnosed With And Without Type 2 Diabetes, Minghao Zhou, Hairui Yu, Renee Underwood, Hongning Cai, Tung Sung Tseng, Susu Luo Dec 2026

Diet Quality As Assessed By The Healthy Eating Index-2020 Among Individuals Diagnosed With And Without Type 2 Diabetes, Minghao Zhou, Hairui Yu, Renee Underwood, Hongning Cai, Tung Sung Tseng, Susu Luo

School of Public Health Faculty Publications

Background: Dietary management is key to preventing and controlling type 2 diabetes mellitus (T2DM). However, few studies have examined differences in Healthy Eating Index (HEI-2020) scores and components among individuals with and without diagnosed T2DM. This study aimed to assess gender differences in HEI-2020 scores and its 13 components by T2DM status. Methods: Using National Health and Nutrition Examination Survey (NHANES) data from 2011 to 2018, this cross-sectional study analyzed 19,464 adults. Diagnosed T2DM was identified via self-report or diabetes medication use. Diet quality was assessed using the HEI-2020, scored from 0 to 100, with a higher HEI score indicates …


Diagnostic Delays In Endometriosis Among Reproductive-Aged Women: An Evidence-Based Primary Care Policy Proposal, Francis P. Ronayne Dec 2026

Diagnostic Delays In Endometriosis Among Reproductive-Aged Women: An Evidence-Based Primary Care Policy Proposal, Francis P. Ronayne

Capstones

No abstract provided.


Limosilactobacillus Reuteri Promotes Melatonin Release From Human Intestinal Organoids Via 5′Ectonucleotidase Activity, Micah D Forshee, Erika J Nachman, Esha R Shenoy, Heather A Danhof, Ludwig Ermann Lundberg, Stefan Roos, Robert A Britton Dec 2026

Limosilactobacillus Reuteri Promotes Melatonin Release From Human Intestinal Organoids Via 5′Ectonucleotidase Activity, Micah D Forshee, Erika J Nachman, Esha R Shenoy, Heather A Danhof, Ludwig Ermann Lundberg, Stefan Roos, Robert A Britton

Faculty, Staff and Students Publications

Strains of Limosilactobacillus reuteri have been used to prevent or treat various conditions; however, the mechanisms by which they exert beneficial effects are not completely understood. Infant colic is one example in which L. reuteri DSM 17938 reduces clinical symptoms. While the etiology of colic is unknown, abnormal melatonin levels in infants have been suggested as a possible contributor. L. reuteri DSM 17938 has been shown to produce adenosine from AMP via production of the extracellular enzyme 5′ectonucleotidase (5′NT). Adenosine is a potent signaling molecule that impacts several important aspects of host physiology, including the release of melatonin from the …


Steroid Receptor Coactivator 3-Deficient Regulatory T Cells Eradicate Multiple Solid Tumors In Syngeneic Mouse Models, Nuri Sung, Eunsu Kim, Yosef Gilad, Yuri Park, Adam M Dean, Yan Xia, Jianming Xu, Clifford C Dacso, David M Lonard, Sang Jun Han Dec 2026

Steroid Receptor Coactivator 3-Deficient Regulatory T Cells Eradicate Multiple Solid Tumors In Syngeneic Mouse Models, Nuri Sung, Eunsu Kim, Yosef Gilad, Yuri Park, Adam M Dean, Yan Xia, Jianming Xu, Clifford C Dacso, David M Lonard, Sang Jun Han

Faculty, Staff and Students Publications

Steroid receptor coactivator 3 (SRC-3) is highly expressed in regulatory T cells (Tregs) and is important for their immunosuppressive activity. Recently, we demonstrated that disrupting SRC-3 expression in Tregs eliminates triple-negative breast cancer (TNBC) and prostate cancer in syngeneic animal models by generating an anti-tumor immune microenvironment without inducing immune-related adverse events (irAEs). Further analysis of these mice revealed that SRC-3 knockout (KO) Tregs infiltrated breast tumors and facilitated the infiltration of CD8


When Probiotics Guidelines Differ: A Practical Guide For Clinicians And Researchers, Geoffrey A Preidis, Hania Szajewska, Marla Cunningham, Howard Bauchner, Daniel J Merenstein Dec 2026

When Probiotics Guidelines Differ: A Practical Guide For Clinicians And Researchers, Geoffrey A Preidis, Hania Szajewska, Marla Cunningham, Howard Bauchner, Daniel J Merenstein

Faculty, Staff and Students Publications

Many professional organizations publish clinical practice guidelines for the use of probiotics in gastrointestinal disorders. Generally, no two guidelines align perfectly, and some differ markedly. These discrepancies occur because clinical practice guidelines are not purely mechanical outputs of data synthesis. They are shaped by structured interpretation, value judgments, and predefined thresholds for uncertainty. These elements become particularly visible when effect sizes are small, heterogeneity is high, and outcomes vary in clinical relevance-as is the case with probiotic research. This article examines why discordance among probiotic guidelines is predictable and provides practical guidance for clinicians who must decide among conflicting recommendations …


Reducing The Detrimental Effects Of Post-Stroke Social Isolation Through Inhibition Of Mirna-10a-5p In A Mouse Model, Peijun Zhao Dec 2026

Reducing The Detrimental Effects Of Post-Stroke Social Isolation Through Inhibition Of Mirna-10a-5p In A Mouse Model, Peijun Zhao

Summer Research Program Abstracts

No abstract provided.


Dysregulation Of Lipid Metabolism In Chronic Hypoxia In Neonates, Mason L. Wong Dec 2026

Dysregulation Of Lipid Metabolism In Chronic Hypoxia In Neonates, Mason L. Wong

Summer Research Program Abstracts

No abstract provided.


The Impact Of Sex Hormones On Heritable Thoracic Aortic Disease: A Montalcino Aortic Consortium Study, Catherine E. Wilson Dec 2026

The Impact Of Sex Hormones On Heritable Thoracic Aortic Disease: A Montalcino Aortic Consortium Study, Catherine E. Wilson

Summer Research Program Abstracts

No abstract provided.


Bacteriophage Encapsulation With Type A And Type B Gelatin Microparticles To Treat Antimicrobial-Resistant Orthopedic Device-Related Infections, Aiden A. Willis Dec 2026

Bacteriophage Encapsulation With Type A And Type B Gelatin Microparticles To Treat Antimicrobial-Resistant Orthopedic Device-Related Infections, Aiden A. Willis

Summer Research Program Abstracts

No abstract provided.


Leveraging Sports Analytics And Intraoperative Video To Improve Surgical Quality And Outcomes, Jasie L. Williams-Roberts Dec 2026

Leveraging Sports Analytics And Intraoperative Video To Improve Surgical Quality And Outcomes, Jasie L. Williams-Roberts

Summer Research Program Abstracts

No abstract provided.


Incidence And Risk Factors For Heterotopic Ossification After Acetabular Fracture Fixation Using A Kocher-Langenbeck Approach: A Single-Center Retrospective Cohort, Weston W. Wilber Dec 2026

Incidence And Risk Factors For Heterotopic Ossification After Acetabular Fracture Fixation Using A Kocher-Langenbeck Approach: A Single-Center Retrospective Cohort, Weston W. Wilber

Summer Research Program Abstracts

No abstract provided.


The Impact Of Narrative Interventions On Cognitive And Emotional Well-Being In Elders, Jasmine N. White Dec 2026

The Impact Of Narrative Interventions On Cognitive And Emotional Well-Being In Elders, Jasmine N. White

Summer Research Program Abstracts

No abstract provided.


A New Tool To Improve Prediction Of Clinical Outcomes After Endovascular Therapy For Patients With Large Infarct Core., Demi K. Waworuntu Dec 2026

A New Tool To Improve Prediction Of Clinical Outcomes After Endovascular Therapy For Patients With Large Infarct Core., Demi K. Waworuntu

Summer Research Program Abstracts

No abstract provided.


Surface Imprinting To Enhance Antibiotic Elution Of Bone Cement Spacers Abstract, David Tran Dec 2026

Surface Imprinting To Enhance Antibiotic Elution Of Bone Cement Spacers Abstract, David Tran

Summer Research Program Abstracts

No abstract provided.


Sleep Respiratory Biomarkers Of Sudden Unexpected Death In Epilepsy (Sudep): A Case Control, Cat Tien Tran Dec 2026

Sleep Respiratory Biomarkers Of Sudden Unexpected Death In Epilepsy (Sudep): A Case Control, Cat Tien Tran

Summer Research Program Abstracts

No abstract provided.


Age And Sex Modulation Of No Signaling In Mouse Brain, Emmaline R. Thorpe Dec 2026

Age And Sex Modulation Of No Signaling In Mouse Brain, Emmaline R. Thorpe

Summer Research Program Abstracts

No abstract provided.


Reducing Acute Healthcare Services With Self-Management Of Blood Pressure Monitoring Through Remote Patient Monitoring For Hypertensive Patients A Quality Improvement Project, Becky J. Wagner Dec 2026

Reducing Acute Healthcare Services With Self-Management Of Blood Pressure Monitoring Through Remote Patient Monitoring For Hypertensive Patients A Quality Improvement Project, Becky J. Wagner

Doctor of Nursing Practice (DNP) Manuscripts

Hypertension (HTN) affects nearly half of U.S. adults and remains a leading cause of preventable emergency department (ED) visits, hospitalizations, and healthcare costs due to poor blood pressure (BP) control (Fryar et al., 2024; Mullins et al., 2019). Traditional care models often lack the continuous monitoring and timely intervention needed for effective chronic disease management. Remote Patient Monitoring (RPM) provides an innovative approach by delivering real-time BP data, enabling early clinical intervention, and encouraging patient engagement in self-management (Omboni et al., 2020).

This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of an RPM intervention in reducing acute healthcare …


Impact Of Implementing Standard Wound Care Guidelines For Patients In The Home Care Setting On Patient Outcomes, Raymond Anthony Flores Jr Dec 2026

Impact Of Implementing Standard Wound Care Guidelines For Patients In The Home Care Setting On Patient Outcomes, Raymond Anthony Flores Jr

Doctor of Nursing Practice (DNP) Projects

Wound care is among the most significant public health concerns, affecting millions of people worldwide. Most individuals with wounds end up self-managing their condition from their homes due to being discharged early from the hospital, owing to various reasons, and the costs associated with health care. Although home wound management offers convenience and lower costs for patients, it is also associated with substantial challenges, including limited access to and use of appropriate care protocols, wound management tools, and sufficient education on the topic, as well as limited professional advice. These limitations contribute to poor outcomes, including slow healing rates, infections, …


Standardizing Ascitic Fluid Panel To Improve Outcomes In A Large State Hospital, Yimei Zhang Dec 2026

Standardizing Ascitic Fluid Panel To Improve Outcomes In A Large State Hospital, Yimei Zhang

Doctor of Nursing Practice Final Project Abstract

Purpose: The purpose of this quality improvement project was to increase provider compliance with evidence-based, hepatology-recommended ascitic fluid studies among inpatient providers from a baseline of 50% to 60% within five months through electronic health record (EHR) standardization.

Background: Delayed or incomplete ascitic fluid analysis can increase the risk of preventable complications. Workflow variability and non-standardized ordering practices contributed to inconsistent adherence to evidence-based recommendations.

Methodology: Using the Institute for Healthcare Improvement (IHI) Model for Improvement with Plan–Do–Study–Act (PDSA) cycles, two paracentesis workflows were redesigned. For the Mobile Procedure Team, a standardized ascitic fluid panel with six defaulted, evidence-based tests …


Gauging Understanding Of Information In Discharge Education In Trauma And Burn Patients, Marissa N. Thibodeaux Dec 2026

Gauging Understanding Of Information In Discharge Education In Trauma And Burn Patients, Marissa N. Thibodeaux

Summer Research Program Abstracts

No abstract provided.


Is Your Cyst Really A Ganglion Cyst? A Case Report Of Angioleiomyoma Mimicking A Plantar Fascia Cystic Lesion, Christopher Anjorin Ms Dpmc, Joseph Bender Dpm Dec 2026

Is Your Cyst Really A Ganglion Cyst? A Case Report Of Angioleiomyoma Mimicking A Plantar Fascia Cystic Lesion, Christopher Anjorin Ms Dpmc, Joseph Bender Dpm

School of Podiatric Medicine - Student Research

Ganglion cysts are among the most common benign soft tissue masses encountered in podiatric clinical practice, and their diagnosis is often presumed based on location, clinical observation, and transillumination. However, this case highlights a diagnostic idiosyncrasy: a lesion clinically presumed to be a ganglion cyst within the plantar fascia was ultimately identified as an angioleiomyoma following surgical excision and histopathological evaluation. This finding underscores the importance of maintaining a broad differential diagnosis when assessing cystic lesions, particularly those that transilluminate, as benign vascular tumors may closely mimic more common entities in both clinical presentation and imaging. More importantly, what if …


Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond Dec 2026

Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond

Master's Projects and Capstones

Black birthing people in the United States continue to experience unequal maternal health outcomes, shaped in part by racism and barriers to nutritious food, culturally relevant health education, and supportive community spaces. While prenatal nutrition education and food assistance programs can provide important resources, information alone cannot address the challenges many people face when trying to access healthy and affordable food during pregnancy. The Nourishing Births Initiative is a proposed community-based maternal health program designed to respond to these needs by bringing together prenatal nutrition education, help connecting to food resources, community gardening, and peer support for Black birthing people …


Adolescent And Young Adult Cancer Survivorship: Supportive Care Needs, Resources, And Barriers, Allison Bryn Koplos Dec 2026

Adolescent And Young Adult Cancer Survivorship: Supportive Care Needs, Resources, And Barriers, Allison Bryn Koplos

Master's Projects and Capstones

Background: Adolescent and young adult (AYA) cancer survivors experience unique physical, psychosocial, developmental, and healthcare-related challenges that often persist beyond treatment completion. Although survivorship resources have expanded, gaps in supportive care needs persist. This scoping review examined the supportive care needs, survivorship resources, and barriers to accessing supportive care among AYA cancer survivors.

Methods: A scoping review was conducted following the Arksey and O'Malley framework and reported in accordance with the PRISMA-ScR guidelines. Peer-reviewed literature published between 2000 and 2026 was identified through searches in PubMed and Google Scholar. Studies examining supportive care needs, survivorship resources, or supportive care services …


The Cost Of Helping Hand: Lost Revenue On Overnight Hand Call, Tia Taylor Dec 2026

The Cost Of Helping Hand: Lost Revenue On Overnight Hand Call, Tia Taylor

Summer Research Program Abstracts

No abstract provided.


Operating Room Waste Reduction In Watts And Water: Savings Beyond The Shift To Reusable Textiles, Taylor R. Sweeney Dec 2026

Operating Room Waste Reduction In Watts And Water: Savings Beyond The Shift To Reusable Textiles, Taylor R. Sweeney

Summer Research Program Abstracts

No abstract provided.


The Hemostatic Properties Of Green Plasma, David J. Sun Dec 2026

The Hemostatic Properties Of Green Plasma, David J. Sun

Summer Research Program Abstracts

No abstract provided.


Improvements Upon Reprocessing Of Orthopedic Single-Use Instruments, Alyssa P. Nguyen Dec 2026

Improvements Upon Reprocessing Of Orthopedic Single-Use Instruments, Alyssa P. Nguyen

Master's Projects and Capstones

Internal Medline data for Hospital A, a level I academic trauma center, identified a quality gap due to improper segregation and underutilization of orthopedic single-use device reprocessing bins. The baseline reprocessing rate of 4% for orthopedic products results in missed sustainability opportunities, financial strain, and increased regulated waste. A proposed quality improvement intervention implemented updated communication strategies, visual management tools, and education modules to reinforce current reprocessing workflows and close knowledge gaps. Outcome measures include the percentage of SUDs collected for reprocessing, survey results on reprocessing awareness, and potential financial savings in Appendix I. Early data showed a 10% year-to-year …


Assessment Of The Best Practices Of Pose Estimation And Machine Learning Use For Clinical Gait Analysis, Micah B. Stull Dec 2026

Assessment Of The Best Practices Of Pose Estimation And Machine Learning Use For Clinical Gait Analysis, Micah B. Stull

Summer Research Program Abstracts

No abstract provided.


Bridging The Gap: Assessing Barriers To Patch Testing Across Diverse Skin Tones, Ritesh V. Soule Dec 2026

Bridging The Gap: Assessing Barriers To Patch Testing Across Diverse Skin Tones, Ritesh V. Soule

Summer Research Program Abstracts

No abstract provided.