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Full-Text Articles in Entire DC Network
In Myth And Memory: The Efficacy Of New England Civil War Chaplains, Kevin L. Hostettler
In Myth And Memory: The Efficacy Of New England Civil War Chaplains, Kevin L. Hostettler
Doctoral Dissertations and Projects
Private William Kennedy of the Fifty-fifth Illinois Volunteer Infantry damned chaplains as “the most gigantic nuisance in the Army,” then praised his own. The distance between abstract condemnation and named, concrete appreciation has shaped the historiography of the Union chaplaincy, with historians largely accepting nameless class censure at face value and treating competence as the exception. This dissertation argues that no single standard of efficacy can be applied to Union chaplains, because they answered to seven competing horizons of expectation (governmental, military command, regimental, soldiery, denominational, civilian, and personal), leaving chaplains to fill undefined duties Congress never clarified or reconciled. …
Coping Mechanisms: A Neurotypical Child's Response To A Sibling With Autism Spectrum Disorder, Heather G. Jones
Coping Mechanisms: A Neurotypical Child's Response To A Sibling With Autism Spectrum Disorder, Heather G. Jones
Doctoral Dissertations and Projects
Autism spectrum disorder (ASD) is a complex lifelong neurodevelopment disorder with the current prevalence estimation of 1 in 31 children. With the rising prevalence of diagnosed individuals with ASD, there is an increase in the number of neurotypical children (NTC) who live with a sibling that has a diagnosis of ASD. Research on how NTC copes with daily stressors of a sibling with ASD and how their relationship is affected with a sibling with ASD is underexplored. Knowledge of ASD and coping strategies should become a regular process in the NTC life to help manage the stress that may come …
The Lived Experiences Of Custodial Grandparents In Northern Appalachia: A Transcendental Phenomenological Study, Christina Marie Savage
The Lived Experiences Of Custodial Grandparents In Northern Appalachia: A Transcendental Phenomenological Study, Christina Marie Savage
Doctoral Dissertations and Projects
Grandparents raising their grandchildren represent a growing demographic in North America. This qualitative transcendental phenomenological research study examined the shared lived experiences of custodial grandparents living in Northern Appalachia. This study was guided by Erikson’s seventh and eighth stages of psychosocial development and Resilience Theory. Fourteen custodial grandparents who reside within a Northern Appalachian county in Pennsylvania participated in semi-structured in-person interviews and data were analyzed using Moustakas' (1994) transcendental phenomenological method. Six themes emerged from the data: returning to parenthood later in life, accepting responsibility to protect grandchildren, changes in family roles and relationships, navigating challenges with limited support, …
The Lack Of Social Interaction In The Full-Time Remote Work Environment And Career Development, Tiphany Moguel-Young
The Lack Of Social Interaction In The Full-Time Remote Work Environment And Career Development, Tiphany Moguel-Young
Doctoral Dissertations and Projects
The purpose of this qualitative single case study was to explore the lack of social interaction in the full-time remote work environment and its influence on career development for remote workers at a U.S.-based financial services organization in Dallas, Texas. The theory that guided this study was social cognitive career theory. The central research question was, “What attributes of social interactions do remote workers perceive as assisting or hindering their career development?” Data collection consisted of semistructured interviews with nonmanagerial remote workers, a focus group with managers, and anonymous open-ended survey responses and reflective journaling from all participants. The data …
Exploring Burnout, Isolation, And Support Among Middle School Music Educators In Georgia: A Hermeneutic-Phenomenological Study, Jameson T. Meadows
Exploring Burnout, Isolation, And Support Among Middle School Music Educators In Georgia: A Hermeneutic-Phenomenological Study, Jameson T. Meadows
Doctoral Dissertations and Projects
This phenomenological study examined the lived experiences of middle school music educators (MSMEs) in Georgia to understand how burnout, professional isolation, support, and advocacy influence their professional experiences and sustainability. These educators navigate instructional tasks, program administration, and responsibilities beyond the classroom. 10 MSMEs, including 5 band directors, 3 orchestra directors, and 2 chorus directors, participated in virtual semi-structured interviews. Data were analyzed through an inductive coding process to identify patterns across participants’ experiences. 4 themes emerged from the findings: (a) relational and musical growth sustains the work, (b) burnout accumulates through role overload and personal investment, (c) discipline-specific professional …
A Hermeneutic Phenomenological Exploration Of Educational Support Model Accessibility And Parent-Perceived Connections To High School Outcomes For Students With Adhd In Georgia, Whitney Rae Bowden Kling
A Hermeneutic Phenomenological Exploration Of Educational Support Model Accessibility And Parent-Perceived Connections To High School Outcomes For Students With Adhd In Georgia, Whitney Rae Bowden Kling
Doctoral Dissertations and Projects
The purpose of this qualitative hermeneutic phenomenological study was to explore the lived experiences of parents of students diagnosed with attention-deficit/hyperactivity disorder (ADHD) who attended public schools in Georgia, a southeastern state of the United States of America (USA), with a particular focus on how parents perceived the influence of access to, or denial of, Section 504 Plans and Individualized Education Programs (IEPs) on their children's high school outcomes. The study was informed by the theoretical principles of behaviorism and Bronfenbrenner's bioecological process-person-context-time (PPCT) model to examine how access to individualized educational supports within the school microsystem influenced educational outcomes …
Employees With Disabilities: Determining If Servant Leadership Moderates The Relationship Between Accommodations And Job Performance, Rachael E. Stout
Employees With Disabilities: Determining If Servant Leadership Moderates The Relationship Between Accommodations And Job Performance, Rachael E. Stout
Doctoral Dissertations and Projects
Over 11% of working-age adults have a disability in the United States. In 1990, the Americans with Disabilities Act established accommodations as the gold standard to help disabled individuals perform at work. The purpose of this quantitative quasi-experimental study was to evaluate the moderating effect of servant leadership on the relationship between accommodation support and job performance across different types of disabilities. This study used a cross-sectional online survey with NSHD disability types, the servant leadership SLQ-7, a question about the effectiveness of accommodation support, and the IWPQ for job performance. Survey responses were collected anonymously from 248 disabled workers …
Teaching French Horn: A Review Of Literature For The Beginning Horn Student And Best Methods For Application, Anna M. Schmitz
Teaching French Horn: A Review Of Literature For The Beginning Horn Student And Best Methods For Application, Anna M. Schmitz
Doctoral Dissertations and Projects
There are many beginning French horn method books available to students and teachers today, divided into two main categories: whole-band integration and private-lesson instruction. There is little agreement between the methods on which elements of playing to emphasize and how to sequence instruction. Some whole-band method books start in an uncomfortable range for the beginning horn player, either too high or too low, in order to accommodate the fundamental harmonics of the majority of the other concert band wind instrumentalists. To mitigate this problem, some method books offer a “horns only” option with the same exercise transposed either up a …
The Predictability Gap: A Correlation Study Of Supporting Pillars And Repertoire Success In Abrsm Practical And Performance Grades Piano Examinations, Arthur Chit-Ho Ng
The Predictability Gap: A Correlation Study Of Supporting Pillars And Repertoire Success In Abrsm Practical And Performance Grades Piano Examinations, Arthur Chit-Ho Ng
Doctoral Dissertations and Projects
This study investigated the structural predictability trajectories within the Associated Board of the Royal Schools of Music (ABRSM) graded piano framework. Utilizing an explanatory sequential mixed-methods design, the project analyzed a longitudinal dataset (N = 449) to investigate variance in student achievement and the emergence of developmental plateaus, conceptually identified as the “Reading Wall.” Quantitative modeling revealed distinct structural divergences within the syllabus architecture: the traditional Practical Grades maintained a stable correlational signal between technical components and outcomes (r = .826 at Grade 7), whereas the digital Performance Grades yielded a non-significant association (p = .355). Furthermore, Grade 5 Music …
Navigating Roman-Script Literacy Acquisition From Learners To Instructors: A Hermeneutic Phenomenological Study Of Adult Efl Esl Educators’ Experiences With Multimodal Instructional Resources, Morgan Dunsfield
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to describe the lived experiences of credentialed educators who previously transitioned from non-Roman alphabet systems to Roman-based literacy and now teach Roman alphabet languages to linguistically similar learners in accredited adult English as a foreign or second language (EFL ESL) programs. The theory guiding this study is cognitive load theory, as it informs the investigation of how instructional scaffolds, schema development, and digital platforms influence literacy acquisition and teaching efficacy for learners navigating orthographic transfer. The central research question is: How do credentialed EFL ESL educators, who previously transitioned from non-Roman to …
Exploring The Lived Experiences Of Female College Athletes: A Phenomenological Study On Power Dynamics, Title Ix Noncompliance, And The Need For Policy Reform, Keri A. Miles
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to understand experiences with power dynamics and Title IX noncompliance for female college athletes at public and private colleges and universities across the United States. At this stage in the research, lived experiences about power dynamics were generally defined as the lived experiences of female college athletes as they navigated the power structures, Title IX noncompliance, and policies within their athletic programs. The theory guiding this study was Critical Policy Analysis as it emphasized the social context in which policies are created by considering Title IX’s implications on women in college sports. The …
A Hermeneutic Phenomenological Study Of A Principal’S Instructional Leadership: Cultivating And Increasing Meaningful Teacher Collaboration, Allen C. Craine
A Hermeneutic Phenomenological Study Of A Principal’S Instructional Leadership: Cultivating And Increasing Meaningful Teacher Collaboration, Allen C. Craine
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to understand the lived instructional leadership experiences of urban middle school principals who attempt to cultivate and increase meaningful teacher collaboration at a school district in Northeast Georgia. The theory guiding this study is Vygotsky’s sociocultural theory, which describes the work school principals perform to cultivate and increase meaningful teacher collaboration and serves as a blueprint for improving instruction through the collective efforts of educators. The central question of the research is: What are the lived instructional leadership experiences of urban middle school principals who attempt to cultivate and increase meaningful teacher …
Music Educators’ Perceptions And Implementation Of Multiculturalism In The Classroom, Kennedy Mae Smith
Music Educators’ Perceptions And Implementation Of Multiculturalism In The Classroom, Kennedy Mae Smith
Doctoral Dissertations and Projects
The purpose of the study is to determine teachers' perceptions of multicultural education and its potential benefits in Sumter County. The purpose of this research is to understand the perspectives and approaches to preparing for the implementation of multiculturalism among public school music programs in Sumter, South Carolina. The rationale for this research is that there is a gap in the literature on multicultural implementation in music education in South Carolina. With proper technological implementation, multiculturalism could help prepare music educators to teach a culturally diverse group of students. As a result of the study, the researcher aims to gain …
Bursting The Gifted Bubble: A Phenomenological Study Examining The Transition From Gifted Programs To Heterogeneous Middle School Classrooms, Bethany Caitlyn Gallimore
Bursting The Gifted Bubble: A Phenomenological Study Examining The Transition From Gifted Programs To Heterogeneous Middle School Classrooms, Bethany Caitlyn Gallimore
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to describe the lived experiences of Central Virginia middle school teachers as they accommodate gifted students within heterogeneous classrooms. The theory guiding this study was the transition theory, as it explores how individuals adapt to significant life changes and how those changes influence their overall development. The Central Research Question was “How do Central Virginia middle school teachers describe their experiences accommodating gifted students in heterogeneous classrooms?” This phenomenological study included public middle schools in Central Virginia as the sample; the setting was public middle schools in Central Virginia. The data collection …
The Lived Experiences Of Elementary Teachers Implementing A State-Mandated Science Of Reading Curriculum: A Phenomenological Qualitative Study, Makenzie Cheyanne Parkison
The Lived Experiences Of Elementary Teachers Implementing A State-Mandated Science Of Reading Curriculum: A Phenomenological Qualitative Study, Makenzie Cheyanne Parkison
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to describe the lived experiences of elementary public-school teachers as they implemented the state-mandated Science of Reading in a Midwestern state. The theory guiding this study was Alfred Bandura’s theory of self-efficacy, as it related to how teachers’ beliefs in their ability to implement the mandated curriculum changed in response to licensure changes related to professional development. The central research question was: How do teachers implementing the science of reading curriculum experience the new curriculum changes from the state within their own classroom? The hermeneutic methodology employed three data collection strategies: individual interviews, …
Harmonies Of Healing: A Secondary Data Analysis On Music Engagement And Quality Of Life In Older Adults, Theophilus Eben Nartey
Harmonies Of Healing: A Secondary Data Analysis On Music Engagement And Quality Of Life In Older Adults, Theophilus Eben Nartey
Doctoral Dissertations and Projects
The purpose of this quantitative, cross-sectional secondary data analysis was to examine the relationship between music engagement and self-reported quality of life among adults aged 60 years and older, using data from the Health and Retirement Study (HRS). Guided by the Biopsychosocial-Spiritual (BPSS) framework, the study explored whether music engagement significantly predicted perceived well-being in later adulthood while accounting for chronic health conditions. Secondary data from the HRS public-use dataset were analyzed using IBM SPSS Statistics Version 29. The final analytical sample consisted of 1,582 adults aged 60 years or older with complete data on all variables included in the …
Exploring The Influence Of Personalized E-Learning Tools On Critical Thinking And Literacy In Secondary English Classrooms Through Instructor Perspectives: A Holistic Case Study, Lanishia R. Berry
Doctoral Dissertations and Projects
The purpose of this holistic case study was to explore how secondary English Language Arts teachers integrated personalized e-learning tools to support reading comprehension and critical thinking in secondary English Language Arts classrooms. The theory guiding this study was Vygotsky's sociocultural development theory because it supports the idea that learning and cognitive development occur through interaction and collaboration, aligning with how personalized e-learning tools are used to engage students in meaningful literacy experiences. The central research question guiding this study is: How do secondary English teachers perceive the use of personalized e-learning tools in their instruction to support reading comprehension …
The Amateur Class: A Christoform, Communal, Experience-Driven Leader Development Approach For The Missionary Church, Virgil Lee Tanner Jr.
The Amateur Class: A Christoform, Communal, Experience-Driven Leader Development Approach For The Missionary Church, Virgil Lee Tanner Jr.
Doctoral Dissertations and Projects
The Missionary Church, like many Christian organizations, faces recurring leadership transitions in which emerging leaders must assume responsibilities that exceed their developmental preparation. This challenge reflects the absence of a shared, coherent leader development framework that leverages experience for development and integrates Christoform spirituality and professional growth. This study examined the feasibility and potential impact of The Amateur Class, a Christoform, experience-driven leader development intervention combining narrative reflection, a three-day in-person retreat, virtual learning cohorts, and a capstone virtual retreat. Using a mixed-methods design, the study quantitatively assessed changes in self-awareness (Self-Reflection and Insight Scale [SRIS]), tolerance for ambiguity (Multiple …
How Partner Support Impacts The Intimate Relationship Quality Of Adult Childhood Sexual Abuse (Csa) Survivors: A Qualitative Study, Colin E. Wilson
How Partner Support Impacts The Intimate Relationship Quality Of Adult Childhood Sexual Abuse (Csa) Survivors: A Qualitative Study, Colin E. Wilson
Doctoral Dissertations and Projects
Survivors of childhood sexual abuse (CSA) often experience long-term disruptions in their ability to form and maintain healthy adult intimate relationships. The purpose of this qualitative phenomenological study was to explore how adult survivors described partner support and its impact on their relational healing and the quality of their intimate relationships. Eleven adults who had experienced CSA and had participated in a committed intimate relationship lasting at least 12 months were recruited through a combination of convenience, purposive, and snowball sampling. Data were collected through demographic questionnaires, a Lived Experiences Timeline Activity (LETA) sheet, semi-structured interviews, field notes, and memos. …
Fostering Meaningful Relationships In Middle School Music Ensembles And The Impact On Student Retention, Michael Andrew Murphy
Fostering Meaningful Relationships In Middle School Music Ensembles And The Impact On Student Retention, Michael Andrew Murphy
Doctoral Dissertations and Projects
Although participation in music ensembles varies from school to school in the United States, many directors struggle to retain, let alone grow, the number of members that comprise their performance ensembles. This is often the result of scheduling, time constraints, financial obligations, and understanding the needs of student engagement. The purpose of this qualitative, ethnological study is to explore the impact of fostering meaningful relationships in middle school music ensembles and what role those relationships play in the retention of students. This study also investigates how students and teachers determine the meaningfulness of their relationships, the importance of those relationships …
The Sword And The Pen: How America’S Way Of War Escaped Constitutional Restraint, Daryl Lee Posey
The Sword And The Pen: How America’S Way Of War Escaped Constitutional Restraint, Daryl Lee Posey
Doctoral Dissertations and Projects
This dissertation examines how changes in military technology and institutional design shifted practical control over war initiation from Congress to the presidency between the founding era and the end of the Cold War. The Constitution vests the power to declare war in Congress, and the framers rejected proposals to give that authority to the president alone. This study argues that advances in communication, transportation, weapons lethality, and government secrecy compressed the time available for congressional deliberation, concentrated war-relevant information inside executive institutions, and made presidential initiative the default rather than the exception. The study traces this pattern across six chapters, …
Examining Christian Hospital Chaplains’ Roles: Navigating Shifting Paradigms, Karen Y. Wilkins
Examining Christian Hospital Chaplains’ Roles: Navigating Shifting Paradigms, Karen Y. Wilkins
Doctoral Dissertations and Projects
The purpose of this heuristic phenomenological study was to explore how faith-based hospital chaplains negotiate their professional identity while serving non-religious clients. As hospital chaplaincy expands beyond traditional religious care, chaplains are increasingly expected to support the holistic well-being of patients from diverse religious, spiritual, and secular backgrounds. Guided by humanistic theory, role theory, and theory of meaning, this study examined how chaplains understand and fulfill their professional roles. Role theory informed the exploration of expectations placed on chaplains, while theory of meaning provided a framework for understanding how chaplains support patients’ meaning-making processes regardless of religious affiliation. Data were …
Exploring The Role Of Mentorship For Urban African American Underprivileged Students Who Participate In Band Programs: A Case Study, Tyreese Lamar Pleasanton
Exploring The Role Of Mentorship For Urban African American Underprivileged Students Who Participate In Band Programs: A Case Study, Tyreese Lamar Pleasanton
Doctoral Dissertations and Projects
Underprivileged urban African American students who participate in band programs benefit from transformative mentorship within a culturally relevant support system. By providing access to environmental resources and equitable opportunities, mentors play a critical role in promoting academic achievement, social-emotional growth, and cultural pride. This study investigates the impact of mentorship on student outcomes in urban settings, highlights distinctive African American experiences, identifies structural barriers, and proposes relationship-based strategies to advance educational equity through culturally responsive support. Data will be collected through surveys, interviews, observations, and thematic analysis, with a specific focus on current band directors. The findings will contribute to …
Experiences Of Mozambican Women Before, During, And After Divorce: A Phenomenology, Emídio Mário Dimande
Experiences Of Mozambican Women Before, During, And After Divorce: A Phenomenology, Emídio Mário Dimande
Doctoral Dissertations and Projects
The purpose of this study was to understand the transitional experiences of women in Mozambique from marital conflict through post-divorce life. It was guided by Schlossberg's Transition Theory (STT). The theory supported exploration of the psychological, social, and cultural dimensions of women’s lived experiences of divorce and patterns surfaced that deepened understanding of their realities. Using an interpretive phenomenological design, data were collected from 15 women, aged 19 and older, residing in Mozambique, who had experienced marriage and divorce, through a demographic questionnaire and semi-structured interviews. The data were analyzed using the Moustakas’ phenomenological approach, including horizonalization and clustering verified …
A Circularly Polarized Wideband H-Slot Microstrip Patch Antenna For 5g Applications, Kenneth Kalan John, Zhang Yixiang
A Circularly Polarized Wideband H-Slot Microstrip Patch Antenna For 5g Applications, Kenneth Kalan John, Zhang Yixiang
Warith Scientific Journal of Engineering and Technology
A circularly polarized wideband H-slot compact patch antenna for 5G applicational implements is proposed. The structure adopts a three-layer architecture with a perfect electric conductor (PEC) copper foil radiation patch on top, Rogers RT5880 dielectric material in between and copper foil grounding plate. Theoretical analysis is conducted on the characteristics, working principles, and microstrip patch antenna parameters to design a wideband H-slot compact structure to achieve high performance. Simulation and measurement analysis are conducted with antenna modeling and optimization on the essential performance parameters. The proposed patch antenna is circularly polarized at the resonant 2.4 GHz frequency in the operational …
Molecualr Detection Of Antibiotic Resistance Genes Blactx-M, Mcr1, Teta And Sul1 Among Escherichia Coli Isolated From Patients With Nosocomial Infections, Ameer Sabah Tayeh Al-Janabi, Raghad Ali Sahib Al-Musawi
Molecualr Detection Of Antibiotic Resistance Genes Blactx-M, Mcr1, Teta And Sul1 Among Escherichia Coli Isolated From Patients With Nosocomial Infections, Ameer Sabah Tayeh Al-Janabi, Raghad Ali Sahib Al-Musawi
Hilla University College Journal For Medical Science
Background: Nosocomial infections primarily caused by a wide range of pathogenic bacteria that colonize healthcare environments and infect vulnerable patients. These infections are often associated with both Gram-negative and Gram-positive organisms, with Gram-negative bacteria being particularly prominent due to their high levels of antibiotic resistance.
Objectives: To detect antibiotic resistance genes (blaCTX-M, mcr1, tetA and sul1) produced by E. coli isolated from patients with nosocomial infections.
Materials and Methods: A total of 155 specimens were collected from patients with nosocomial infections at Marjan Medical City and Al-Sadeq Hospital in Al-Hillah Province between October 2025 …
Relationship Of Human Zinc-Alpha-2-Glycoprotein (Azgp1) Levels With Metabolic Parameters In Obese Patients After Bariatric Surgery, Lamaa Jawad Hussein, Hanaa Addai Ali, Safauldeen Salim Al Baaj
Relationship Of Human Zinc-Alpha-2-Glycoprotein (Azgp1) Levels With Metabolic Parameters In Obese Patients After Bariatric Surgery, Lamaa Jawad Hussein, Hanaa Addai Ali, Safauldeen Salim Al Baaj
Hilla University College Journal For Medical Science
Background: Human zinc-alpha-2-glycoprotein (AZGP1) had concerned rising interest due to its possible connection to obesity-relation metabolic defects. Bariatric surgery is regarded as one of the most effective therapeutic approaches for severe obesity.
Material and Methods: The study enrolled 180 participants who were divided into three groups. The first group included 60 individuals with severe obesity, whereas the second group comprised the same 60 patients reassessed four months after bariatric surgery. The third group consisted of 60 apparently healthy individuals who served as the control group. Venous blood samples were obtained from all participants to evaluate biochemical parameters and the anti-inflammatory …
Historical Chaos Among Tetrabothriideans (Eucestoda) Of Odontocetes (Artiodactyla)—Revising Generic Taxonomy And Species Diversity For Cestodes Among Oceanic Dolphins, Eric P. Hoberg, Kaylen Marie Soudachanh, Robert L. Rausch
Historical Chaos Among Tetrabothriideans (Eucestoda) Of Odontocetes (Artiodactyla)—Revising Generic Taxonomy And Species Diversity For Cestodes Among Oceanic Dolphins, Eric P. Hoberg, Kaylen Marie Soudachanh, Robert L. Rausch
MANTER: Journal of Parasite Biodiversity
Explorations over the past 150 years that have defined the diversity and structure of the tetrabothriidean cestode fauna among Odontocete cetaceans (Artiodactyla) are summarized and reviewed. Persistent errors in interpretation of comparative morphological characters, inconsistent taxonomic decisions, and an understanding of generic-level and species diversity are addressed. We outline a revision of the Tetrabothriidea, which now encompasses 8 genera. Prosthecocotyle is resurrected from synonymy with Tetrabothrius, and Cetaceobothridius n. gen is proposed. A clear basis is outlined for differentiation of generic and species diversity among Cetaceobothridius, Priapocephalus, Prosthecocotyle, Strobilocephalus, Tetrabothrius, and Trigonocotyle that constitute the tetrabothriidean fauna of odontocetes; species …
Exchange Nailing Versus Augmented Plating For Aseptic Tibial Shaft Nonunion After Complicated Intramedullary Nailing: A Comparative Outcome Study, Ashraf Ahmed Alhusseini
Exchange Nailing Versus Augmented Plating For Aseptic Tibial Shaft Nonunion After Complicated Intramedullary Nailing: A Comparative Outcome Study, Ashraf Ahmed Alhusseini
Hilla University College Journal For Medical Science
Background: Aseptic tibial shaft nonunion following unsuccessful treatment by intramedullary (IM) nailing is a challenging orthopedic complication.
Objectives: To compare the efficacy of exchange nailing with augmented plating in aseptic tibial shaft nonunion.
Materials and Methods: This was a prospective comparative study conducted at Hilla Teaching Hospital. Forty patients (45-65 years) with aseptic tibial shaft nonunion (greater than or equal to 9 months old) secondary to intramedullary rod fixation were included. The patients were grouped at random for exchange nailing (n = 20) or augmented plating using a 4.5-mm LC-DCP over the retained nail (n = 20). Bone grafting and …
Beyond Steroids: How Adding Jaw Exercises And Pnf Therapy Transforms Recovery In Bell's Palsy Patients – A Randomized Controlled Trial, Shaima M. Alsabty, Mouamal A. Alsabty, Mohammed Ali Yassen, Raniah Talib Kadhim, Heider Hemeed Abbas, Mohammed Asim Mohammed Ghazi
Beyond Steroids: How Adding Jaw Exercises And Pnf Therapy Transforms Recovery In Bell's Palsy Patients – A Randomized Controlled Trial, Shaima M. Alsabty, Mouamal A. Alsabty, Mohammed Ali Yassen, Raniah Talib Kadhim, Heider Hemeed Abbas, Mohammed Asim Mohammed Ghazi
Hilla University College Journal For Medical Science
Background: Bell's palsy is an acute idiopathic peripheral facial paralysis affecting 20–30 per 100,000 individuals annually. Although most patients recover spontaneously, up to one-third develop synkinesis, including involuntary facial movements that impair symmetry, function, and quality of life. The role of physical therapy as an adjunct to standard corticosteroid-based care remains incompletely defined.
Objectives: This randomized controlled trial evaluated whether a structured physical therapy program combining proprioceptive neuromuscular facilitation (PNF), mirror therapy, and progressive jaw exercises enhances recovery beyond corticosteroid treatment alone in patients with acute Bell's palsy.
Methods: Sixty patients presenting within 72 hours of onset were randomized into …