Medicine and Health Sciences Commons^™

Regulation Of Human Il-9 Production By Lipid Metabolism, Swetha Peesari

Theses, Dissertations and Capstones

T lymphocytes contribute to host defense and inflammation producing cytokines in response to antigenic stimuli. CD4 T cell activation induces dramatic changes to cellular metabolism for supporting their growth and differentiation into effector subsets. Distinct subsets have been named Th1, Th2, Th9, Th17, Th22, Tfh and Treg based on their characteristic effector cytokines and transcription factors expressed. Th9 cells are one of the most recent subsets identified. While the cytokines IL-4, TGF-β and IL-21 promote differentiation into Th9 cells, metabolic factors regulating this process remain poorly understood. We hypothesized that lipid metabolism could regulate Th9 cell differentiation which may have …

Príomhthorthaí Ó Thionscadal Suirbhé Scoileanna Na Heorpa 2024 Maidir Le Halcól Agus Drugaí Eile (Espad)., Espad Group

Reports

Déantar achoimre san fhoilseachán seo ar na príomhthorthaí ón 8ú babhta de Thionscadal Suirbhé Scoileanna na hEorpa maidir le hAlcól agus Drugaí Eile (ESPAD), a rinneadh i measc 113 882 scoláire idir 15 agus 16 bliana d’aois, ar fud 37 tír Eorpacha in 2024. Is léiriú é an t-eagrán seo ar 30 bliain d’fhaireachán a dhéanamh ar iompraíochtaí rioscúla na nógánach ar fud na hEorpa agus tugtar isteach leis béim nua ar fholláine mheabhrach agus ar ghníomhaíochtaí coisctheacha, agus aitheantas á thabhairt do thábhacht mhéadaitheach na dtosca sin maidir le torthaí sláinte na n-ógánach a mhúnlú. Tá an tuarascáil seo …

Beyond The Screen: Assessing The Impact Of Hospitalist Reliance On Electronic Medical Records In Patient-Centered Care, Brian H. Cox

Theses, Dissertations and Capstones

The integration of Electronic Medical Record (EMR) systems has transformed healthcare delivery, offering enhanced data accessibility, improved communication, and operational efficiency. However, concerns persist regarding the potential erosion of patient-centered care due to EMR overutilization. This study investigated how hospitalists’ use of EMR systems correlates with patient satisfaction, focusing on the dynamics of physician communication, hospital length of stay, and regional characteristics. Using a comprehensive framework combining Resource Dependency Theory and Donabedian’s Structure-Process-Outcome model, the research examines the influence of demographic, technological, and structural factors on healthcare outcomes.

The analysis, based on patient survey data from a large integrated delivery …

Case Report Of Neurosyphilis, Caroline Finnerty, Elizabeth Diaz, Teena Mathew

North Texas Research Forum 2025

This is the case of a 29 year old female who initially presented with generalized joint aches noted to have neurosyphilis. Because of her delayed treatment, this case presents interesting findings that we classically no longer see in syphilis cases due to early detection and treatment. The case looks at the early symptoms as well as late symptoms if syphilis is left untreated. The patient was ultimately treated with IV penicillin with improvement of her symptoms.

Shortness Of Breath In A 39 Year Old: A Rare Case Of Heart Failure, Mohammed Rashik, Olufunmilola Adeleye, Jason Thompson, Tasaduq Mir

North Texas Research Forum 2025

Currently, 2.6% of Americans suffer from heart failure. Common causes include coronary artery disease, chronic hypertension, arrhythmia, and myocardial infarction, often managed in clinical and hospital settings. A rare cause, however, is infiltrative cardiomyopathy, affecting just 0.04% of the U.S. population. This condition, often caused by amyloid buildup or sarcoidosis, is challenging to diagnose and typically requires a heart transplant due to its rapid progression. Thorough investigations into heart failure causes are crucial to identify this rare condition. A 39-year-old male with no significant medical history presented to the University of North Texas Health Science Center (UNTHSC) Family Medicine clinic …

The Birth Experience During The First Wave Of Covid-19 Lockdown In New York Hospitals: A Qualitative Study, Emily Morse Small M.S.

Selected Full Text Dissertations, 2011-

In 2020, alongside the onset of the SARS-CoV-2 (COVID-19) pandemic, 209,338 births occurred in New York State (Osterman et al., 2022). While much of the public adjusted to working or learning in a virtual world, many hospitals in New York remained open to treat those in need of care. Women nearing the end of their pregnancy, many of whom felt that they had no other choice, found themselves headed to the hospital—to the labor and delivery unit. Many studies completed outside of the United States on the birth experience during the pandemic found an increase in the likelihood of negative …

Building An Interdisciplinary Simulation Orientation For The Mobile Health And Wellness Program, Meredith Deegan, Lauren Goeke

School of Nursing Publications

No abstract provided.

Roadmap To Developing Clinical Competency For Novice Nursing Students, Meredith Deegan, Lauren Goeke

School of Nursing Publications

No abstract provided.

Utilizing Technology To Change Practice And Reduce Falls, John Brennan Dnp, Rn Cphq, Sopiko Baratashvili Bsn, Rn, Kara Burdick Msn, Rn, Andrew Quito Bsn, Mba

Posters

Historically, fall prevention has been primarily reactive, averting similar events from recurring. However, recent nursing research has focused on ensuring that appropriate resources are in place (Wilson et al., 2022; Zhao et al., 2019). To complement this aspect of evidence-based literature, the hospital has invested in innovative technology and practices to prevent falls.

Endoscopic–Assisted Surgery For Cerebello Pontine Angle Pathology: Technical Note And Surgical Results In A Series Of Patients, Jaime Jesus Martinez Anda, Pablo David Guerrero Suarez, Diego Pineda Martínez, Rafael Avendaño Pradel, Ernesto Javier Jurado Delgado, Ricardo Santiago Villlagrana Sánchez, Juan Carlos Cisneros Lesser, Carolina De La Llata Segura, Rogelio Revuelta Gutiérrez

Archives of Neurosurgery

Objectives: Endoscopic–assisted surgery combined with the operating microscope has been described for several surgical techniques and pathologies of the cerebellopontine angle (CPA). The use of an endoscope allows for a panoramic view of the CPA cistern and a high degree of maneuverability in narrow cisternal spaces that enable the surgeon to deal with most CPA lesions safely. We performed an observational study to describe the surgical anatomy and technique for endoscopic-assisted CPA surgery, describing our experience in a case series of patients with CPA pathology. Methods: Anatomical and surgical technique description of endoscopic-assisted surgery for CPA pathology, based on observations …

Neurosurgical Praxis Guidelines During The Covid-19 Outbreak. Consensus-Based On Currently Available Literature., José Antonio Soriano Sánchez, Bárbara Nettel Rueda, José Alberto Israel Romero Rangel, Armando Alpizar Aguirre, Miguel Ángel Andrade-Ramos, Ulises García Dr., Diego Mendez Rosito, Jorge A. Santos, Sara Patricia Pérez Reyes, Julian Eduardo Soto Abraham, Jose E. Valerio Pascua, Marco Antonio Barajas Romero, Eduardo Díaz Juárez, Alma Griselda Ramírez Reyes, Maria Elena Gonzalez, Claudia Katiutska González Valdez, Félix Domínguez Cortinas, Noé Santiago Ramírez, Tenoch Herrada Pineda, Manuel Eduardo Soto García, Edgar Nathal Vera, Gustavo Melo Guzmán

Archives of Neurosurgery

INTRODUCTION: The World Health Organization recommended several strategies to contain the COVID-19 pandemic, including optimization of care for all patients, especially the seriously ill. Given the strain, the pandemic has posed on healthcare systems around the world, many neurosurgical associations have provided triage recommendations for patients to save resources for the pandemic. We aimed to provide practical recommendations based on specific illnesses requiring surgical procedures commonly performed by neurosurgeons on a life-threatening basis of patient illness. We consider this guideline will help neurosurgeons for the appropriate triage of patients on a daily-situation basis during this pandemic.

METHODS: The Mexican Society …

A Phenomenological Examination Of Spiritual Health In Cancer Patients, Cheryl Green, Lauren Thayer, Beatrice Relucio Rn

Posters

This study is a phenomenological qualitative comparative analysis of how Oncology nurses and their patients understand spiritual health as patients cope with the diagnosis and treatment of cancer.

Scheduling, Stress, And Satisfaction: How Alternative Methods Of Staff Scheduling Can Stop Nurse Burnout And Increase Nurse Satisfaction, Cythia Anicette Adn, Rn

Posters

●Traditional scheduling modalities have been identified by YNHH staff members to have a negative impact on work-life balance, eventually leading to burnout. ●Studies have shown that burnout may lead to poor patient outcomes and increased turnover rate among nurses. ●In traditional scheduling modalities, management is often in charge of creating the schedule for the entire unit with varying input from staff. ●In contrast, self-scheduling has staff collaborate with each other to create a schedule with final approval made by management. ●Self-scheduling has been found in several studies to create positive outcomes in nursing satisfaction and work-life balance. ●Due to its …

Rooming-In With The Newbies, Kiara Baguio Bsn, Rn, Allison Gomez Walker Bsn, Rn, Sydney Roth Bsn, Rn, Taylor Standring Bsn, Rn, Andriana Stewart Bsn, Rn

Posters

• Rates of bonding and breastfeeding with baby during hospital stays whether they are in a Baby-Friendly Hospital.
• How rooming-in with infant creates longer and stronger breastfeeding success rates.
• Statistics of breastfeeding and rooming-in within networks of Baby Friendly hospitals vs. non Baby Friendly.
• Change is necessary because evidence suggests that the later mothers begin breastfeeding, the higher the chances the newborn acquires an infection that can lead to death.

Healing Hands Are Clean Hands, Abigail Bruce Bsn, Rn, Katherine Benalcazar Adsn, Rn, Rosa Crespo Bsn, Rn, Dana Drywa Bsn, Rn, Maris Estevez Bsn, Rn, Erin Helge Bsn, Rn, Bilonda Kalemba Bsn, Rn, Kerryann Meggie Bsn, Rn, Amanda Silver Bsn, Rn, Jasmine Villafane Asn, Rn

Posters

• Our team identified the lack of hand hygiene throughout the department.
• Hand washing is an important part of infection prevention, and not washing hands properly or not at all, increases the rate of infections for our patients.
• Hand washing stations are out of reach or not available at all in certain areas of the emergency department, making it nearly impossible for optimal hand washing.
• Despite our efforts, hand hygiene habits can be improved throughout Bridgeport Hospital.

Analyzing Contributing Factors To Obesity Rates In Ohio, Lillian Davis, Zach Hurley

Scholarship in Medicine - All Papers

Obesity, along with its comorbidities, has been significantly increasing worldwide for the pastfew decades. Our objective in this report is to investigate several factors that may be contributingto obesity rates in Ohio, specifically physical inactivity, access to healthy foods, and living in arural/urban county. Using data from the Ohio County Health Rankings for 2016 and 2023, wewere able to analyze the differences in obesity rates between rural and urban Ohio counties(RQ1), compare how access to healthy foods have changed over time in Ohio (RQ2), determinewhether there is a correlation between obesity and access to healthy foods for Ohio counties(RQ4), and …

Nsu Outreach, Nova Southeastern University

NSU Digital: Communiversity

No abstract provided.

Nsu Communiversity Outreach, Nova Southeastern University

NSU Digital: Communiversity

No abstract provided.

Dysphagia Turned Histoplasmosis: Histoplasmosis Manifesting As Oral Lesions In A Renal Transplant Patient, Alexis Nguyen, Sebastian Hinojosa, Trey Richardson, Levan Gakhokidze, Alissa Ice, Piera Sosa, Heidi Schaefer, Anthony Langone

Gulf Coast Division GME Research Day 2025

No abstract provided.

Don't Meth With Drugs: A Rare Presentation Of Methamphetamine Induces Hypokalemic Periodic Paralysis, Hamza Naveed, Crystal Ike, Srinidhi Shyamkumar, Sarva Sivatej, Ramesh Kesavan, Zuhair Ali

Gulf Coast Division GME Research Day 2025

No abstract provided.

A Flea-Borne Mystery: Unraveling Murine Typhus In A Patient With Unexplained Encephalopathy, Jose Loayza Pintado, Jorge Aboytes Trevino, Ceasar Uribe

Gulf Coast Division GME Research Day 2025

No abstract provided.

A Primer On Performing Meaningful Systematic Review And Meta-Analysis, Kayla Nguyen, Duyen Quach, Michael Flynn, Zuhair Ali, Andrey Manov, Mike Liang

Gulf Coast Division GME Research Day 2025

No abstract provided.

Rapid Adaptation Of Intra-Operative Strategies For Transurethral Cystoscopic Procedures In Response To Intravenous Fluid Shortage, Emily Y. Huang, Rijul Nandi, Kevin P. Nguyen, Ricardo R. Gonzalez

Gulf Coast Division GME Research Day 2025

No abstract provided.

An Atypical Case Of Epec-Hus In An Adult, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Amita J. Dsouza

Gulf Coast Division GME Research Day 2025

No abstract provided.

The Benefit Of Protected Time Before Emergency Medicine Didactic, Stevley M. Koshy, Garrett Reber, David Lindow

Gulf Coast Division GME Research Day 2025

No abstract provided.

Hearts Hidden Message: Right Ventricular Thrombus Reveals Esophageal Adenocarcinoma, Devika Adusumilli, Seline Haci, Jafri Imran, Arman Vaghefi, Mehdi Khalafi, Ikponmwosa Iyamu, Sarvanan Balamuthusamy

North Texas Research Forum 2025

Introduction Right ventricular thrombi are uncommon, usually found with concurrent pulmonary emboli and associated with significant mortality. They often originate from deep vein thrombi but may also be due to primary intracardiac processes . A right ventricular thrombus can be an unexpected marker for underlying malignancies, including esophageal cancer. This occurs due to the hypercoagulable state often induced by malignancy. Here we report a presentation where the identification of a right ventricular thrombus led to the diagnosis of esophageal cancer. Case Presentation Our patient is a 57-year old male with no past medical history who experienced an episode of dizziness …

When Skin Necrosis Mimics: Diagnostic And Therapeutic Challenges Of Calciphylaxis In A Ckd Patient With A Mechanical Heart Valve, Sienna Luk, Harshil Parekh, Vaishnavi Singh, Darshan Bhatty, Sathish Karmegam

North Texas Research Forum 2025

Calciphylaxis is a rare but serious condition characterized by the calcification and thrombosis of small blood vessels, predominantly affecting patients with end-stage renal disease (ESRD). Diagnosis can be challenging due to overlapping features with other vascular conditions, such as warfarin-induced skin necrosis (WSN). We present a case of a patient with ESRD and typical risk factors—peritoneal dialysis, hyperparathyroidism, and warfarin use—who exhibited classic skin findings suggestive of calciphylaxis. However, two skin biopsies were inconclusive. Management involved addressing the patient's calciphylaxis risk factors, optimizing dialysis, and initiating sodium thiosulfate therapy. The case was further complicated by the need to replace warfarin, …

Implementing Intermittent Fasting Education For Improved A1c Control In Type 2 Diabetes Patients, Dakota Dalton, Elizabeth White, Malinda Hansen, Tasaduq Mir

North Texas Research Forum 2025

Background: Management of Type 2 Diabetes Mellitus (T2DM) in the UNTHSC Family Medicine clinic varies among residents, with some advocating robust lifestyle counseling and others relying more on medical management. This leads to inconsistencies in patient education and treatment strategies. Lifestyle interventions such as dietary modifications, are unfortunately too often underutilized in the clinic and in primary care in general, despite strong evidence supporting their efficacy in control of both A1C measurements and random fasting blood sugar, and improved prognosis of diabetes. To address this, we have designed and introduced an intermittent fasting (IF) handout as a supplemental standardized educational …

Warm Autoimmune Hemolytic Anemia Camouflaged As Persistent Anemia Post-Embolization For Abnormal Uterine Bleeding: A Case Report, Nischal Pokhrel, Sathish Karmegam

North Texas Research Forum 2025

This case report presents a 42-year-old female with heavy menstrual bleeding and syncope, initially diagnosed with AUB due to fibroids. The patient's hemoglobin (Hb) dropped from 11.8 g/dl to 7.3 g/dl within three days, despite multiple PRBC transfusions. Uterine artery embolization (UAE) was performed, but Hb levels continued to decline, prompting further investigation. Additional testing revealed normal iron studies, vitamin B12, and folic acid levels. The peripheral blood smear showed mild anisocytosis, and the ANA screen was negative. However, elevated lactate dehydrogenase (LDH) at 571 U/L, a positive DAT for IgG, and a reticulocyte count of 6.37 were observed. These …

Maternal Cardiovascular Risk And Lactation: Disparities And Future Directions, Monica Rodriguez, Michele Mccarroll, Caroline Marrs, Kamala P. Tamirisa

North Texas Research Forum 2025

Pregnancy functions as a cardiopulmonary stress test, unmasking underlying cardiovascular disease (CVD) or heightening the future CVD risk following adverse pregnancy outcomes (APOs). Multiple studies have demonstrated strong associations between APOs, higher mortality rates, and an increased risk of cardiometabolic diseases. Black women, in particular, have a disproportionately higher burden of coronary artery disease related mortality, with an earlier onset compared to women of other racial and ethnic groups. Increasing allostatic load due to both acute and chronic racial discrimination may potentially be a key factor driving poorer pregnancy outcomes. Breastfeeding has a protective effect on allostatic load and is …