Medicine and Health Sciences Commons^™

From Classroom To Career: The Need For Healthcare Mentorship Programs For Black Female Students, Kayla A. Reed, Daija C. Gibson

CSU Tower Day

Despite growing diversity in the U.S. population, Black women remain underrepresented in healthcare leadership roles. Barriers including limited access to mentorship, systemic bias, and financial constraints, contribute to disparities in career advancement. This research examines the role of culturally competent mentorship programs in addressing these barriers and fostering a diverse healthcare workforce. Drawing from peer-reviewed literature, workforce development models, and Critical Race Theory, this review highlights the impact of mentorship on professional retention, leadership development, and the quality of healthcare delivery in marginalized communities. Findings indicate that mentorship programs designed with cultural awareness improve confidence, networking opportunities, and career trajectory …

Diabetes, Edwin Espinosa Vazquez

CSU Tower Day

1.2 million Americans are affected with diabetes each year.

○ Increase in hospitalizations, emergency room visits

● Diabetes has a higher rate of prevalence among the middle aged, older aged and non- Americans in the US.

● Diabetes presents a high risk of Cardiovascular Disease, Kidney failure, blindness, etc.

● Exercise, dietary changes, and medication can prevent or delay from the onset of type 2 diabetes (T2D).

Does Holding Healthcare Providers Accountable For Every Mistake Improve Patient Safety, Or Does It Hinder Open Reporting And Learning?, Amir Arshia Emam Jomeh, Eleanor Roy

Journal of Health Ethics

Medical errors are a major cause of death and harm in healthcare, yet most go unreported due to fear of punishment. This essay explores whether holding healthcare workers fully accountable for every mistake improves safety or creates a harmful blame culture. Using the case of Dr. Hadiza Bawa-Garba, it shows how individual punishment can overlook deeper system failures, such as staff shortages and poor communication. The essay compares this with Denmark’s non-punitive reporting system, which encourages healthcare professionals to report errors without fear, leading to real improvements in patient safety. Blame cultures, on the other hand, discourage openness and violate …

Who Should Be Held Accountable In Technology-Induced Medical Errors? Evaluating The Roles Of Healthcare Providers, Technology Developers, And Hospital Systems, Eleanor Roy, Amir Arshia Emam Jomeh

Journal of Health Ethics

The integration of technologies such as artificial intelligence, electronic health records, and automated diagnostic systems has significantly altered clinical practice. While these tools enhance efficiency and diagnostic accuracy, they have also introduced new forms of medical error, raising complex questions about responsibility. This article examines the ethical dimensions of accountability in technology-induced harm by evaluating the roles of healthcare providers, technology developers, and hospital systems. Drawing on the four pillars of medical ethics; autonomy, beneficence, non-maleficence, and justice, it explores the overlapping responsibilities of each stakeholder and the challenges that arise when harm occurs. Through analysis of the Therac-25 radiation …

Capacity Determination And False Beliefs: A Case Study On The Application Of Evaluation Frameworks With Resulting Recommendations, Dessislava S. Fessenko

Journal of Health Ethics

False beliefs may interfere with medical decision-making by casting doubt about the patient’s decision-making capacity. The latter is typically assessed against a set of established criteria requiring the patient’s cognitive aptness for self-governance. I argue that a capacity determination solely based on these criteria may prove insufficient when the patient entertains false beliefs. I further illustrate how alternative evaluation frameworks are better suited to assess the impact of false beliefs on the patient’s state of mind, values, overall worldviews and pursuit of wellbeing, and therefore, for the actual moral significance of false beliefs. It appears prudent to integrate these alternative …

The Impact Of Medical Ethics On Healthcare Professionals And Patient Outcomes In Resource-Poor Settings: A Focus On Ethical Challenges And Solutions, Amir Arshia Emam Jomeh, Eleanor Roy

Journal of Health Ethics

Background: Developing countries face major challenges to their healthcare system such as resource scarcity and reduced patient autonomy amongst women. The strained healthcare system often leads doctors to compromise ethical protocols and reduce their standard of care.

Aims: To explain why medical ethics are important for healthcare professionals in the context of resource-poor countries.

Findings: Many healthcare professionals lack adequate knowledge of medical ethics in developing countries. In addition, doctors make difficult decisions such as patient prioritization and resource allocation without clear ethical guidance or protocols. Women also face diminished patient autonomy in developing countries, which has been linked to …

Should Medical Assisted Suicide Be Legalised Worldwide? A Critical Examination Of Ethical Justifications And Challenges In Contemporary Healthcare, Eleanor Roy, Amir Arshia Emam Jomeh

Journal of Health Ethics

The legalisation of medical assisted suicide (MAS) is a complex ethical issue at the intersection of autonomy, non-maleficence, and justice. This paper critically examines whether MAS should be legalised worldwide, evaluating ethical justifications, regulatory challenges, and societal risks. A primary argument in favour of MAS is patient autonomy, allowing individuals to make informed end-of-life decisions, particularly in cases of terminal illness and intractable suffering. MAS is also framed as a harm-reduction strategy, preventing patients from resorting to unsafe methods of suicide.

However, ethical concerns regarding coercion, socioeconomic disparities, and the "slippery slope" effect present significant opposition. Case studies from jurisdictions …

The Ethical Justification Of Application Of Long-Acting Reversible Contraception In Patients With Intellectual Disabilities, Kelly Savitri

Journal of Health Ethics

This paper explores the ethical justification for the use of Long-Acting Reversible Contraception (LARC) in patients with intellectual disabilities, particularly in scenarios where patients cannot provide informed consent. The tension between respecting autonomy and ensuring beneficence presents a complex challenge for healthcare providers. Drawing on historical context, current reproductive justice issues, and evolving societal attitudes towards individuals with intellectual disabilities, this essay argues for a semi-discrete model that recognizes the need to prioritize patient health and safety while valuing their autonomy. By examining the implications of both past and present practices, this study highlights the necessity for healthcare providers to …

Functional Foods In Society, Annie Lin, Carolyn Jackson

Faculty Books and Book Chapters

This booklet captures highlights from our Functional Foods in Society in-person activities, where NSU Graduate Nutrition students explore food as medicine through hands-on learning.

Inside, you'll find simple, nourishing dishes and activities using ingredients like anti-inflammatory spices, phytonutrients, quality proteins, and healthy fats.

We hope this inspires you to bring more intention, joy, and nourishment into your everyday meals!

A Thermodynamic Bottleneck In The Tca Cycle Contributes To Acetate Overflow In Staphylococcus Aureus, Nabia Shahreen, Jong-Sam Ahn, Adil Alsiyabi, Niaz Bahar Chowdhury, Dhananjay Shinde, Sujata S. Chaudhari, Kenneth W. Bayles, Vinai Chittezham Thomas, Rajib Saha

Journal Articles: Pathology and Microbiology

During aerobic growth, S. aureus relies on acetate overflow metabolism, a process where glucose is incompletely oxidized to acetate, for its bioenergetic needs. Acetate is not immediately captured as a carbon source and is excreted as waste by cells. The underlying factors governing acetate overflow in S. aureus have not been identified. Here, we show that acetate overflow is favored due to a thermodynamic bottleneck in the TCA cycle specifically involving the oxidation of succinate to fumarate by succinate dehydrogenase. This bottleneck reduces flux through the TCA cycle, making it more efficient for S. aureus to generate ATP via acetate …

Temporal Trends And Patterns For Early- And Late-Onset Adult Liver Cancer Incidence Vary By Race/Ethnicity, Subsite, And Histologic Type In The United States From 2000 To 2019, Mei-Chin Hsieh, Kendra L. Ratnapradipa, Laura Rozek, Shengdi Wen, Yu-Wen Chiu, Edward S. Peters

Journal Articles: Epidemiology

PURPOSE: To examine incidence trends and patterns for early- and late-onset liver cancer.

METHODS: Liver and intrahepatic bile duct (IBD) cancers diagnosed between 2000 and 2019 were acquired from 22 SEER registries. Variables included early-onset (20-49) vs. late-onset (50+), anatomic subsite, histologic type (hepatocellular carcinoma [HCC] and IBD cholangiocarcinoma [ICC]), sex, and race/ethnicity. Age-standardized incidence rates were calculated using SEER*Stat. Jointpoint regression analysis was employed to estimate the annual percent change (APC) and the average APC (AAPC) with pairwise comparisons for trend by sex and by race/ethnicity stratified by age and subsite.

RESULTS: Liver cancer incidence decreased among early-onset (AAPC …

The Use Of Platelet-Rich Fibrin In Maintaining Vascularity For Intentionally Replanted Teeth: A Randomized Clinical Trial, Elizabeth L. Easley-Perez, Joseph B. Bavitz, Lynette M. Smith, Peter J. Giannini

Journal Articles: College of Dentistry

Background: A primary goal for a mature tooth autotransplant is preserving tooth vitality. Platelet-rich fibrin (PRF) has characteristics that may improve the success of autotransplanted mature teeth by decreasing harmful inflammation and boosting vascular growth. This prospective human trial aimed to evaluate the effectiveness of PRF on vitality in a mature tooth replantation model. Methods: This double-blind, randomized controlled trial included 18 participants with 70 single-rooted vital teeth planned for prosthetic extraction. Experimental teeth were extracted and apicoectomized to increase vascular growth. PRF was condensed into the canals before teeth were replanted in their respective sockets. In the same patient, …

A Case Of Injury-Induced Pyoderma Gangrenosum Requiring Skin Graft, Yukiko Brewer, Nameer Ascandar, Tesnim Hamdan, Iryna Witt, Sana Khan, Robert Cropper

West Florida Division GME Research Day 2025

No abstract provided.

Emphysematous Cystitis In A 60-Year-Old Female Who Had Reported No Medical Care For Decades, Taylor O'Brien, Scott Scher, Brian Wexler, Daniel Breznau, Karen Joseph

West Florida Division GME Research Day 2025

No abstract provided.

Superior Vena Cava Syndrome Masquerading As Angioedema: A Chemotherapy Port Complication, Vishal Shah, Philip Mardock, Austin Patrick-Eisenberg, Thaddeus Golden

South Atlantic Division GME Research Day 2025

No abstract provided.

Covid-19 Induced Mda5-Associated Necrotizing Myositis, Sarah Steadman, Amit Sikder, Harsh R. Desai, Bradley Collins, Tiffany Baker, Julie Worthington

South Atlantic Division GME Research Day 2025

No abstract provided.

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 …