Medical Humanities Commons^™

Honoring Constellations, Prachi S. Gandhi

be Still

“Honoring Constellations” is a meditation on the quiet labor of attention in spaces shaped by caregiving, illness, and uncertainty. The poem was born from the emotional weight of witnessing how each patient, each moment, carries a constellation of stories that are often untold. In clinical spaces, time presses forward relentlessly, but I wanted to pause inside that pressure to explore what it means to hold space for lives at the threshold of change or loss. The poem aims to honor the meaning that exists even in apparent silence. Here, attention is not just presence; it’s a form of reverence.

Capacity Over Cognition: A Case Of High-Risk Disease And Homelessness, Mikalah E. Maury, Avery M. Duncan, Rebecca A. Taylor, Mary Ann Beil, Maulikkumar A. Patel

HCA Healthcare Journal of Medicine

Background

Medical decision-making in indigent patients with baseline cognitive deficits and lack of supportive resources is a difficult problem that reveals many ethical issues. Performing high-level medical procedures (eg, invasive surgery, chemotherapy, radiation therapy) on these patients without supportive resources brings into question the efficacy and necessity of treatment if it places the patient at higher risk of additional complications and mortality.

Case Presentation

In this article, we present a case of a 62-year-old indigent man with a long history of encephalopathy secondary to alcohol abuse, presenting with an aggressive head and neck cancer impacting his quality of life.

Conclusion …

The History Of Nazi Neuroscience: Tracing Evidence Through Voids, Angela Gushue

Claremont-UC Undergraduate Research Conference on the European Union

During the Holocaust (1933-1945), voids were created by the destruction of ethics, morality, and human life. We can detect this absence because of material traces of the events. My paper applies the theory of relational ontology of absence to a collection of empty jars on display at the Josephinum, a medical history museum in Vienna. The jars once contained human remains of children murdered in the “euthanasia” program at Am Spiegelgrund, a psychiatric clinic in Vienna where 789 were killed during the Nazi era. These victims were not commemorated until the early 2000s, when the specimen jars were emptied and …

A Cancer Haiku Triptych, Larry C. Driver

Advances in Cancer Education and Quality Improvement

This trio of patient-inspired Haiku attempts to capture the joyful optimism of cancer-free life in the first pair of spring and summer, with a hint of transition in the second, and the final autumn into winter piece heralding the realization that smoldering cancer has flared-up with the possibility of the end of life.

Learning From Covid-19: Clinical Trials, Health Information Technology, And Patient Mortality, Christos Nicolaides, Avinash Collis, Seth Benzell, Indranil Bardhan

Economics Faculty Articles and Research

During the COVID-19 pandemic, deaths per case in the United States decreased from 7.46% in April 2020 to 1.76% in April 2021. One mechanism that could explain this decline is a learning effect associated with testing of new treatments by hospitals. Hospitals that participated in clinical trials developed better organizational capabilities to diagnose and treat COVID-19 patients. Simultaneously, hospitals used health information technologies (IT) that integrated health information across healthcare providers to facilitate greater learning and sharing of best practices. Using US county-level data on clinical trial participation, use of health IT, and COVID-19 cases and deaths, we show that …

Identifying And Examining Access And Barriers To Healthcare For The Transgender And Nonbinary Individual, Allison Gould

Doctor of Education Program Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experiences of transgender and nonbinary (TNB) individuals related to their access to basic healthcare. Currently, the TNB population is experiencing disparities in accessing general and preventative healthcare in comparison to their cisgendered counterparts. I developed the research questions to explore how TNB individuals describe their access to general and preventative healthcare, identify what were perceived as barriers in seeking basic healthcare, and describe what was subjectively identified as a positive healthcare experiences. My personal and professional interest as a physical therapist combined with a thorough literature review, and …

The 10-Year Functional Outcome Of Ponseti Treatment Of Idiopathic And Arthrogrypotic Clubfeet With An Age-Matched Control, Chris Church, Nicole Wang, Stephanie Butler, Jose J Salazar-Torres, John Henley, Freeman Miller, Nancy Carlin, Maureen Donohoe, L Reid Nichols

Faculty and Staff Publications

Background: The Ponseti method is accepted as an effective primary conservative treatment for idiopathic clubfoot (IC) using serial casting, percutaneous Achilles tenotomy, and prolonged bracing. The outcomes of its use in treating rigid clubfoot in arthrogryposis are unclear. This study assesses the outcomes of the Ponseti method in children with IC and arthrogrypotic clubfoot at an average age of 10 years.

Methods: Outcomes of the Ponseti method were retrospectively studied in ambulatory children ages 8.0 to 12.9 years in the gait lab between 2004 and 2024. Children were excluded due to the presence of nonidiopathic or nonarthrogryposis-related clubfoot and history …

Accreditation Standards Must Protect Trainees: Creating Ethical Fellowship Programs, Anna D Goff, Ryan J Dougherty, Joelle Robertson-Preidler

Faculty and Staff Publications

No abstract provided.

Combined Annual Modulation Dark Matter Search With Cosine-100 And Anais-112, N Carlin, J Y Cho, J J Choi, S Choi, A C Ezeribe, L E França, C Ha, I S Hahn, S J Hollick, S B Hong, E J Jeon, H W Joo, W G Kang, M Kauer, B H Kim, H J Kim, J Kim, K W Kim, S H Kim, S K Kim, W K Kim, Y D Kim, Y H Kim, Y J Ko, D H Lee, E K Lee, H Lee, H S Lee, H Y Lee, I S Lee, J Lee, J Y Lee, M H Lee, S H Lee, S M Lee, Y J Lee, D S Leonard, N T Luan, V H A Machado, B B Manzato, R H Maruyama, R J Neal, S L Olsen, H K Park, H S Park, J C Park, J S Park, K S Park, K Park, S D Park, R L C Pitta, H Prihtiadi, S J Ra, C Rott, K A Shin, D F F S Cavalcante, M K Son, N J C Spooner, L T Truc, L Yang, G H Yu, J Amaré, J Apilluelo, S Cebrián, D Cintas, I Coarasa, E García, M Martínez, Y Ortigoza, A Ortiz De Solórzano, T Pardo, J Puimedón, M L Sarsa, C Seoane

Faculty and Staff Publications

The annual modulation signal, claimed to be consistent with dark matter as observed by DAMA/LIBRA in a sodium-iodide based detector, has persisted for over two decades. COSINE-100 and ANAIS-112 were designed to test the claim directly using the same target material. COSINE-100, located at Yangyang Underground Laboratory in South Korea, and ANAIS-112, located at Canfranc Underground Laboratory in Spain, have been taking data since 2016 and 2017, respectively. Each experiment published its respective results independently. In this Letter, we present the results of an annual modulation search as a test of the signal observed by DAMA/LIBRA with the first three …

Clinical Considerations For Spinal Fusion In Adolescents On Puberty Blockers: Hormonal And Surgical Implications, Anesu K. Murambadoro, Rebekah Julie Park, Sonya Bhatia, Shaunte Hadnot, Model Zerfu, Kathryn Horton

Research Colloquium

Background: Spinal fusion is a common intervention for adolescent scoliosis, particularly during periods of rapid skeletal growth in patients with progressive curves or those who do not meet criteria for non-operative management. Adolescents receiving puberty suppression with gonadotropin-releasing hormone (GnRH) analogs as part of gender-affirming care present unique clinical challenges due to altered bone metabolism and delayed physeal (growth plate) maturation.

Methods: We conducted a narrative review of the current literature evaluating the effects of puberty blockers and gender-affirming hormone therapy (GAHT) on bone metabolism, skeletal development, and outcomes related to spinal fusion in adolescents.

Results: GnRH analogs are associated …

Cosine-100 Full Dataset Challenges The Annual Modulation Signal Of Dama/Libra, Nelson Carlin, Jae Young Cho, Jae Jin Choi, Seonho Choi, Anthony C Ezeribe, Luis Eduardo França, Chang Hyon Ha, In Sik Hahn, Sophia J Hollick, Eunju Jeon, Han Wool Joo, Woon Gu Kang, Matthew Kauer, Bongho Kim, Hongjoo Kim, Jinyoung Kim, Kyungwon Kim, Sunghyun Kim, Sun Kee Kim, Won Kyung Kim, Yeongduk Kim, Yong-Hamb Kim, Young Ju Ko, Doohyeok Lee, Eun Kyung Lee, Hyunseok Lee, Hyun Su Lee, Hye Young Lee, In Soo Lee, Jaison Lee, Jooyoung Lee, Moo Hyun Lee, Seo Hyun Lee, Seung Mok Lee, Yujin Lee, Douglas S Leonard, Nguyen Thanh Luan, Vitor Hugo De Almeida Machado, Bruno B Manzato, Reina H Maruyama, Robert J Neal, Stephen L Olsen, Byung Ju Park, Hyang Kyu Park, Hyeonseo Park, Jong-Chul Park, Kangsoon Park, Se Dong Park, Ricardo L C Pitta, Hafizh Prihtiadi, Sejin Ra, Carsten Rott, Keon Ah Shin, David F F S Cavalcante, Min Ki Son, Neil J C Spooner, Lam Tan Truc, Liang Yang, Gyun Ho Yu

Faculty and Staff Publications

For over 25 years, the DAMA/LIBRA collaboration has claimed to observe an annual modulation signal, suggesting the existence of dark matter interactions. However, no experiment using different target materials has observed a dark matter signal consistent with their result. To address this puzzle, the COSINE-100 collaboration conducted a model-independent test using sodium iodide crystal detectors, the same target material as DAMA/LIBRA. Analyzing data collected over 6.4 years by the effective mass of 61.3 kilograms, with improved energy calibration and time-dependent background modeling, we found no evidence of an annual modulation signal, challenging the DAMA/LIBRA result with a confidence level greater …

Alza Tu Voz: Herramientas Para La Participación Ciudadana Desde La Perspectiva De Género, Jaime Andrés Amaya González, Jenny Patricia Bustos Abril, Adrián David Galindo Ubaque

Ciencias de la Salud

Alza tu voz. Herramientas para la participación ciudadana desde la perspectiva de género se enfoca en la población infantil y adolescente Colombia, en especial del departamento de Cundinamarca, con la intención de formarlos, de modo inicial, en temas de participación política, como generadores de cambio social fortaleciendo la conciencia política a través de herramientas lúdicas que reforzarán el conocimiento de los derechos políticos, de nuestros pequeños y jóvenes lectores.

Message In A Bottle, Saptarshi Biswas

HCA Healthcare Journal of Medicine

The title of the image is inspired by a famous old song by the British rock band The Police. The song featured Sting’s evocative lyrics and captures a profound sense of isolation and longing. The song tells the story of a castaway who sends out a distress signal, only to discover that he is not alone in his feelings of loneliness. Through its haunting melody and rhythmic pulse, the track conveys themes of connection and the human experience, illustrating how, despite physical separation, people share similar struggles and emotions. The metaphor of the bottle serves as a poignant reminder of …

A Phenomenological Study Of Caregivers For Sexual Minority Hospice Patients, Catherine H. Bianchi

Electronic Theses and Dissertations

Lesbian, gay, and bisexual (LGB) individuals face disproportionate barriers in healthcare across the lifespan that persist and often intensify at the end of life. Despite hospice’s mission to provide comfort, dignity, and patient-centered support, it remains unclear whether these services equitably meet the needs of sexual minority patients. Seeking hospice care presents a unique conundrum for many LGB individuals: it necessitates inviting representatives of a historically exclusionary healthcare system into the privacy of their homes - spaces that often serve as sanctuaries of identity, safety, and autonomy. The already vulnerable experience of seeking care in one’s final days can be …

Enhancing Cataract Surgery Outcomes: Optimal Use Of Pre- And Post-Operative Eye Drops, Keith Skolnick M.D., Anu Valiaveedu

Mako: NSU Undergraduate Student Journal

Many preoperative and postoperative cataract patients struggle with comprehending the use of prescription medication as directed. Language barriers and low health literacy levels are major factors contributing to improper use of prescriptions. To increase patients comprehension, the Fort Lauderdale Eye Institute employed an educational intervention consisting of a live presentation and an instructional video. Results found that 44% of patients were hesitant to ask questions to clinical staff, 32% felt overwhelmed, and nearly 70% lacked confidence in using their prescribed eye drops. Following the intervention, 91% of patients reported increased confidence in their medications, and most indicated that the video …

Ethics Committees In Outpatient Medical Practice: A Scoping Review, Milan Arya, Tyler Cholankeril, Marlowe Bogino, Meghan Crnic, Niharika Sathe, Isha M. Di Bartolo

Cooper Rowan Medical Journal

Introduction: This scoping review consolidates existing research on outpatient ethics committees (OECs). While inpatient or hospital ethics committees are well-researched and established, OECs are scarce in number and have received less attention from scholars, ethicists, and physicians, despite the increase in outpatient care utilization over the past two decades.

Methods: We conducted a scoping review following the JBI Manual for Evidence Synthesis. Key information sources included MEDLINE PubMed, Embase, and Academic Search Complete. Gray literature searching was conducted through Web of Science Database, keyword searching in Google Scholar, and backward citation searching was utilized. Relevant articles were screened …

Beyond Keeping The Lights On: Covid-19’S Impact On Lower Mississippi River Valley Museums And Public History Sites, Liz Skilton, Ian Beamish

Department of History

This article reviews the impact of the COVID-19 pandemic on public history sites and museums along the Lower Mississippi River Valley between 2020 and 2024. Constructed from interviews with sixty-seven sites across a four-year period, it uses a regional approach to examine how pandemic closures, reopening processes, and adaptations impacted public history sites and museums in the short-, medium-, and long-term, arguing that the pandemic created lasting changes through adaptation rather than large-scale closure of public history institutions. It concludes with an assessment of what can be learned from the pandemic period’s effect on public history.

From Classroom To Workplace: Evaluating Communication Curriculum In Physician Assistant Education, Camryn G. Evett

Honors Thesis

Effective communication is a critical competency for physician assistants (PAs), impacting patient outcomes, interprofessional collaboration, and clinical decision-making. This paper explores the many communication challenges faced by PAs, including navigating supervisory relationships, clarifying scope of practice, building patient trust, and managing clinical interactions. It also examines how the national accrediting and certifying bodies such as the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), the National Commission on Certification of Physician Assistants (NCCPA), and professional organizations such as the American Academy of Physician Associates (AAPA) shape communication training through formal standards. These frameworks influence curricular design, assessment methods, …

Will There Be A Pill For That? ‘Money Dysmorphia’ And The Medicalization Of Struggles For Subsistence, Bojan Savic

Emancipations: A Journal of Critical Social Analysis

This article questions the rationality, operation, and effects of money dysmorphia as an emerging mental health diagnosis. It critiques the medicalization of financial angst amid the capitalist “polycrisis”, showing how the individuation and somatic pathologization of class subordination, socioeconomic precarity, and struggles for subsistence obscure capitalist inequalities, depoliticize them, and shield them from critique. I identify five concurrent strategies through which struggles for subsistence are medicalized: trivialization, reversal of social import, repetition, direct depoliticization, and the substitution of inequality with poverty. Furthermore, I show how the medicalizing discourse reifies money dysmorphia by constructing its social costs. The article concludes by …

Cuerpos Que Hablan. Sensibilización Sobre La Violencia Ginecológica Y Obstétrica, Yamile Vargas Hernández, Carlota Castro Quintana, Sara Milena Niño Montero, Fabián Andrés Casallas Rojas

Ciencias de la Salud

Cuerpos que hablan. Sensibilización sobre la violencia ginecológica y obstétrica surge como producto de la investigación “Adaptación de la escala de la violencia obstétrica en la ruta integral de atención en salud, para la población materno perinatal colombiana” —avalada por la Universidad de Cundinamarca—, en la que participaron docentes o gestores del conocimiento y el aprendizaje de los programas de Psicología y de Enfermería, asociados a la Facultad de Ciencias de la Salud. Asimismo, pretende ser una herramienta para visibilizar la violencia ginecológica y obstétrica y mitigarla en el contexto colombiano. Es importante señalar que la información aquí consignada fue …