Digital Commons Network^™

The Feanorian Alphabet Part 2 [And] Eldarin Pronouns (2024), By J.R.R. Tolkien, Edited By Arden R. Smith And Christopher Gilson, Andrew Higgins

Journal of Tolkien Research

Book review, by Andrew Higgins, of The Feanorian Alphabet Part 2 [and] Eldarin Pronouns (2024), by J.R.R. Tolkien, edited by Arden R. Smith and Christopher Gilson

Taiwanese Elementary School Teachers’ Mindset Of Content And Language Integrated Learning (Clil) Instruction, Chin-Wen Chien

Journal of English Learner Education

Teachers need to undergo a mindset shift in language learning and teaching. This study used both qualitative and quantitative data to explore seven Taiwanese Content and language integrated learning (CLIL) teachers’ mindsets and led to the following major findings. First, the CLIL teachers had a stronger mindset regarding their instructional strategies, lesson preparations, and efficacy, compared to their more moderate mindset regarding their CLIL training and preparation. Secondly, the CLIL teachers had a different mindset regarding language use in their CLIL instruction due to their learners’ English proficiency levels. Finally, their lesson designs were lacking a 4Cs culture. Based on …

Empowering Multilingual Families By Reconceptualizing Family Engagement, Melissa J. Cuba, Carolyn Waters, Luciana C. De Oliveira

Journal of English Learner Education

One of the most pressing issues in U.S. public schools is the engagement of multilingual families with children who are multilingual learners. So much so, federal policies, such as the Parent and Family Engagement Provisions in the Every Student Succeeds Act, prioritize and financially support activities and professional development focused on family engagement. In addition, these policies provide opportunities for families to contribute to agreed-upon school district policy that can reshape family engagement. However, as we reflect on the current sociopolitical context in the U.S., how are school systems creating opportunities for multilingual families to contribute and inform local family …

Supporting English Language Learners Through Peer Support, Anny Pedraza Borbon

Journal of English Learner Education

English language learners make up a blossoming part of the student demographic in the United States. (National Center of Educational Statistics, 2024) English language learners are affected by a myriad of circumstances and challenges which can rock their sense of self-efficacy. Self- efficacy has been seen to correlate with success in language acquisition. Teachers can support the development of self- efficacy and language acquisition through the facilitation of peer relationships. Peer relationships have been shown to have positive effects on learners, as evidenced by the social cognitive theory and the sociocultural theory. Teachers should be careful to scaffold these interactions …

Digital Stories Of Resilience: A Case Study Of Urban Community College English Learners, Patricia George Hunter

Journal of English Learner Education

This study utilizes a qualitative case study approach to learn how project-based, digital storytelling (DST) voices the resilience of post-secondary English language learners (ELLs) attending a minority-serving, open-access, community college in New York City. Along with many studies that have examined the usefulness of DST in oral production, this research investigates whether project-based digital storytelling enhances students’ understanding of academic content related to resilience and conventional composition. Narrative inquiry (NI) research technique is the basis of the digital story project in an English as a Second Language (ESL) course. In this case, the study relies on observations and artifacts to …

Now I See: Video Supports For English Language Learners, Joanna C. Zimmerle, Hanrui He, Tara Hill

Journal of English Learner Education

General education teachers are often unprepared by teacher preparation programs and limited professional development opportunities to support English Language Learners (ELLs), despite the increasing number of ELLs entering US schools and the trend towards placing them in mainstream classrooms. Video resources offer one viable approach to supporting the language learning of ELLs, drawing upon theoretical frameworks such as dual-coding, constructivist theory, and sociocultural perspectives. This paper describes the use of video resources to assist general education teachers in effectively leveraging videos to support the language learning of ELLs in mainstream classrooms.

Literacy Instruction For English Language Learners In Indiana Elementary Schools Before And During The Covid-19 Pandemic, Haiyan Li, Wayne E. Wright, Trish Morita-Mullaney

Journal of English Learner Education

This mixed-methods study investigates the impact of COVID-19 on elementary school literacy instruction for multilingual learners officially classified as English Language Learners (ELLs) across 35 teachers in four Indiana school districts. Classroom lesson videos and observation rubrics for 19 teachers were collected from the beginning of 2020-2021 school year (during the pandemic) and compared with those collected pre-pandemic from 16 teachers at the beginning of school years of 2018-2019 (n=7) and 2019-2020 (n=9). Findings demonstrate schools made efforts during the pandemic to offer quality literacy instruction within socially distanced classrooms, online synchronous instruction, and hybrid learning environments. However, teachers spent …

Formation, Operation, And Maintenance Of A Community Advisory Board For Research With Lgbtq+ Parents, Aubrey Jones, Olivia S. Yinger, Rachel H. Farr, Keisa Fallin-Bennett, Sabrina Beiring, Cassi Crouse, Carolyn Greenstrom

Transforming Communities

Community-engaged research is becoming increasingly popular to promote health equity. Objective: The purpose of this paper is to describe the formation, operation, and maintenance of a community advisory board (CAB) of LGBTQ+ parents and healthcare providers who work with LGBTQ+ parents. Method: Using Newman and colleagues outline, we describe the formation, operation, and maintenance phases of our CAB process. Inclusion criteria for CAB members is as follows, CAB members must be 18 years of age or older, live in the U.S., and (a) self-identify as LGBTQ+ and have had a child in the NICU more than five years prior to …

Bridging The Gap: Clearing The Pathways To In-Demand Careers In Dentistry, Ryan Dunn

Virginia Dental Journal

The document discusses the critical shortage of dental professionals in Virginia, particularly dental hygienists and assistants, which is hindering patient access to essential dental care. Despite high demand for dental programs, limited capacity restricts student admissions. The Virginia Dental Association (VDA) is working with political and educational leaders to address this issue by advocating for increased investment in dental education and training. Efforts include expanding program capacities, improving licensure portability, and supporting mental health initiatives for dental professionals. The goal is to ensure a robust dental workforce to meet the growing oral health care needs in Virginia.

Va Dent J April, May And June 2024

Virginia Dental Journal

The April-June 2024 issue of the Virginia Dental Journal (VDJ) explores significant themes affecting the dental profession in Virginia. Key highlights include a feature on the dental workforce crisis, addressing shortages and its impact on patient care and practice expansion. The Virginia Dental Workforce Council provides a comprehensive report with recommendations to enhance workforce capacity through educational investments, policy changes, and collaborative efforts. Other topics include scientific studies, such as a pilot investigation on non-invasive treatments for xerostomia, advocacy updates on legislative successes like the SafeHaven™ program for mental health support, and industry insights on sustainability and cybersecurity in dental …

Play And Flow: Is There A Connection?, Dawnita S. Gallo Ph.D.

Essays in Education

This paper explores the concept of "flow" as described by Mihaly Csikszentmihalyi and further, describes the potential connection between this construct and children's play. Flow is a state of deep engagement and immersion in an activity, leading to high productivity and satisfaction. Csikszentmihalyi identified key elements of flow: clear goals and feedback, intense concentration, a sense of control, loss of self-consciousness and transformation of time. Drawing parallels with play, this discussion examines how these elements manifest in children's play activities and includes implications regarding the critical role to acknowledge flow toward supporting children’s optimal play, learning and …

An Interview With Dr. Richard Roadcap Virginia Dental Journal Editor (2007 – 2023), Richard F. Roadcap Dds

Virginia Dental Journal

Dr. Richard Roadcap, who served as the editor of the Virginia Dental Journal from 2007 to 2023, reflects on his journey, challenges, and achievements. He highlights the transition from print to digital, the satisfaction of recognizing community members' accomplishments, and the importance of persistence and collaboration with contributors. Roadcap emphasizes the editor's role in fostering debate and adapting to change. As he retires, he hopes the Journal continues to meet members' needs and plans to start a new online publication focused on public service.

Cheiloscopy, Sarah Friend Dds

Virginia Dental Journal

Cheiloscopy is a forensic odontology field focused on identifying individuals through the analysis of unique lip prints, which are as distinctive as fingerprints. Lip patterns form in utero and remain stable over time unless altered by injury or disease. Lip prints can indicate sex, ancestry, and familial lineage, and are used as evidence in criminal investigations. They can be collected using photography, lipstick, and digital methods, and are viable evidence at crime scenes. Despite their potential, there is no standardized method for their forensic application, and research on postmortem lip prints is limited. Advances in technology could integrate lip print …

Farewell, Richard F. Roadcap Dds

Virginia Dental Journal

Dr. Richard Roadcap reflects on his 16-year tenure as Editor of the Virginia Dental Journal, highlighting the transition from analog to digital publishing and the sense of community he aimed to create. He expresses gratitude to his Managing Editor Shannon Jacobs, publishers Dr. Terry Dickinson and Ryan Dunn, and his supportive wife Norma. He acknowledges the contributions of the Journal’s Editorial Board and thanks the VDA staff. As he steps down, he introduces Dr. Sarah Friend as the new Editor and hopes the Journal continues to thrive.

Va Dent J January, February And March 2024

Virginia Dental Journal

The latest issue of the Virginia Dental Journal (Volume 101, Number 1) highlights significant advancements and challenges in Virginia's dental community. A central feature is a farewell to Dr. Richard Roadcap, who reflects on his impactful 16-year tenure as editor. The issue includes a compelling research study on patient and parent perspectives regarding craniofacial care, with a focus on treatment access, outcomes, and the role of telehealth. Advocacy efforts take center stage with updates on legislative initiatives aimed at increasing transparency in dental insurance and improving patient care access. Additional columns emphasize the importance of embracing technological advancements in dentistry, …

Evidence For Explicitation: Working From Asl Into English, Campbell Mcdermid, Carrie Humphrey, Anita Harding

Journal of Interpretation

A study was done to examine the explicitation and compression strategies used by interpreters working from American Sign Language (ASL) into spoken English. To date, most research has focused only on their work from English into ASL. A review of the literature identified several expansion and compression strategies that interpreters and translators utilize, and these served as a model of coding the data and for triangulation. The methodology for this study was qualitative and descriptive. Twenty-two interpreters volunteered to simultaneously interpret four ASL recorded texts into spoken English, for a total of 88 target texts. The researchers identified 9 expansions …

The Brilliant Embodiment Of Creativity, Afsah Ali Hussain

HCA Healthcare Journal of Medicine

When someone is given the opportunity to utilize creative liberty, they have access to an infinitely diverse palette of colors, mediums, patterns, and shapes to form a unique amalgamation of artistic styles that conveys different ideas and stories. This painting has been created using watercolor paint, permanent markers, acrylic paint, and multicolored glitter to portray a dream-like, tropical bird in flight. The background of the painting is not as detailed as the prominent, avian figure in question, and that is to leave some ambiguity as to the exact whereabouts of this majestic creature, which is to be determined solely by …

Behind The Curtain, Angelina Hong

HCA Healthcare Journal of Medicine

One of my favorite themes in medicine is the concept of identity. Medicine is layered. It is continually saving lives, expanding in capabilities, and recruiting new students. But how does it shape us, and where does one draw the line between self and profession?

Physicians are classically a symbol of hope and healing. But medicine is challenging physically, emotionally, and spiritually. Add on top of that the daily burdens of our personal lives, and the responsibility can become quite heavy, making it difficult to walk with a smile every day. There is a time to stand behind a “curtain”, for …

Lyrical Stillness, Madhav Patel

HCA Healthcare Journal of Medicine

“Lyrical Stillness” is a poem I wrote during my radiation oncology rotation, during which I was provided the opportunity to learn more about multidisciplinary cancer care while delving deeper into radiotherapy. Cancer can be an overwhelming disease process physically, psychologically, and emotionally. Patients undergoing treatment often experience stress and anxiety with the uncertainty of their prognoses. In this poem, I describe a patient receiving radiation therapy whom I enjoyed speaking to about his favorite hobby: bird watching. During his subsequent radiation treatment sessions, I decided to play a CD of mockingbirds singing in a tropical forest, in the hopes it …

Apocrine Breast Cancer With Psammoma Bodies In A Male Patient, Alena Bashinskaya, Eric W. Baum, Michael B. Morgan

HCA Healthcare Journal of Medicine

Introduction

While male breast carcinoma is a relatively uncommon occurrence, its incidence is on the rise, potentially attributed to sporadic pathophysiological mechanisms, primarily involving hormonal imbalances. Invasive apocrine carcinoma represents a small fraction of global breast malignancies, with limited instances reported among male patients in the literature. The clinical presentation of an apocrine breast carcinoma closely resembles that of other breast cancer subtypes, as it is most often described as a solitary ulcerative nodular lesion occupying a retro-areolar region of the breast. Herein, we describe a novel case of an apocrine male breast carcinoma metastasizing to the skin, given that …

Hemophagocytic Lymphohistiocytosis In A Critically Ill Patient: A Case Report Of A Potentially Fatal Entity, Ali Khreisat, Inna Mikaella Sta Maria, Giovi Grasso-Knight, Meghan Mansour

HCA Healthcare Journal of Medicine

Background

Hemophagocytic lymphohistiocytosis (HLH) is a non-neoplastic proliferation and macrophage activation that induces cytokine-mediated bone marrow suppression and features of intense phagocytosis in the bone marrow and liver, leading to multi-organ dysfunction and ultimate failure. The diagnosis of HLH in an intensive care setting is challenging, and it is associated with high morbidity and mortality. HLH-94 is the standard protocol for treatment, consisting of dexamethasone and chemotherapy like etoposide.

Case Presentation

We present the case of a 73-year-old woman who had a prolonged hospitalization for vomiting, diarrhea, and dehydration. Her conditions were complicated by acute refractory pancytopenia on the 12th …

Evaluation Of A Patient With A Severe Systemic Inflammatory Response To Nitrofurantoin, Brigitte Vanle, Timothy Beatty

HCA Healthcare Journal of Medicine

Background

Nitrofurantoin is a prevalent antibiotic used to treat urinary tract infections. Despite nitrofurantoin’s general safety, it can cause serious side effects, including acute pulmonary toxicity, fulminant hepatitis, and severe systemic inflammatory responses, which may mimic conditions such as ischemia and infection. However, reports of acute systemic inflammatory response syndrome after nitrofurantoin ingestion are uncommon in medical literature.

Case Presentation

This case describes a severe systemic inflammatory response syndrome in an 85-year-old woman presenting with hypoxia, altered mental status, and profound leukocytosis after exposure to a single dose of nitrofurantoin.

Conclusion

Herein we report on a patient with suspected bacteremia …

Veillonella Discitis: A Rare Presentation And Review Of Literature, Akankcha Alok, Vidya Sagar Kollu, Gautam Kalyatanda

HCA Healthcare Journal of Medicine

Background

Veillonella is an anaerobic gram-negative coccus found as a commensal organism in the oral, respiratory, gastrointestinal, and genitourinary tract of humans. Rarely, it can cause serious infections by the production of lipopolysaccharide, an endotoxin. Although most Veillonella infections occur in immunocompromised individuals, we herein describe cases of Veillonella discitis, a rare presentation of Veillonella, in immunocompetent patients.

Case Presentation

The first presented case was encountered in a patient admitted at our facility. All patient data were obtained from the hospital's electronic medical record system. Thereafter, a literature search and subsequent review was done on PubMed with the MEDLINE …

Clinical Variant Of Serpentine Supravenous Hyperpigmentation Following Subcutaneous Bortezomib Injection, Madelyn Richards, Stephen E. Weis

HCA Healthcare Journal of Medicine

Introduction

Bortezomib is a reversible proteasome inhibitor that is a first-line chemotherapeutic agent for multiple myeloma. Bortezomib can be administered intravenously or subcutaneously with similar efficacy. Subcutaneous administration has fewer side effects. Many cutaneous reactions have been associated with bortezomib treatment. These include morbilliform exanthems, erythematous nodules and papules, leukocytoclastic vasculitis, Sweet syndrome, and rarely Stevens-Johnson Syndrome.

Case Presentation

This paper reports the occurrence of serpentine supravenous hyperpigmentation (SSH) after subcutaneous administration of bortezomib. SSH is a rare, characteristic cutaneous reaction that has been reported following intravenous administration of chemotherapeutic agents. Intravenous administration of bortezomib rarely results in documented cases …

An Unexpected Outcome Of An Ischemic Stroke On The Reward Pathways In The Human Brain, Karen Valadez-Cuen, Erica Kozorosky, Ferina Farahnik, Oscar Garcia

HCA Healthcare Journal of Medicine

Background

Addiction affects millions of people, often resulting from a complex interplay between genetic and environmental factors, and is frequently linked to mental health disorders. Many experts agree there is no cure for addiction, but there are effective treatments available. Many patients continue to succumb to addiction despite treatment. Therefore, more research is needed to develop new therapies in addiction medicine.

Case Presentation

This is the case of a 63-year-old woman with an extensive smoking history who suffered an acute stroke affecting her left-sided basal ganglia, including the caudate nucleus and nucleus accumbens. The patient presented with bilateral strokes to …

A Case Of Xylazine-Induced Necrotic Skin Ulcerations In An Iv-Drug User In Florida, Mark Zaki, Cynthia Dillon, Anjali Patel, Barbara Gracious

HCA Healthcare Journal of Medicine

Introduction

As illicit drug manufacturers find new ways to market their products and increase their profit margins, multiple contaminants have found their way into the illicit drug supply. The newest addition, xylazine, also known as “tranq,” has spread through the city of Philadelphia and has recently been gaining ground across the United States, including in the state of Florida.

Case Presentation

This case describes a 37-year-old male with a significant past psychiatric history of severe polysubstance intravenous (IV) use, including fentanyl and methamphetamine. He was comorbid with other mental and physical conditions and presented to the emergency department with acute …

Successful Treatment Of An Atypical Presentation Of Disseminated Retroperitoneal Seminoma: A Case Report, Mahmoud Abd-El-Hafez, Kylie Johnson, Joe Cates, Alosh Madala

HCA Healthcare Journal of Medicine

Background

Testicular seminoma is the most common malignant tumor of the testis. It occurs at a rate of 5 per 100 000 men, primarily between the ages of 15 to 34. While seminomas typically occur in the testis, other primary sites include the mediastinum, the retroperitoneum, or other extra-gonadal sites. Due to the curable nature of the malignancy (5-year survival rate > 95%), detection at early stages of the disease is key. This case presentation explores the delayed diagnosis and treatments of an atypical presentation of disseminated seminoma.

Case Presentation

We present the unusual case of a 56-year-old male who had …

Hemophagocytic Lymphohistiocytosis Due To Ehrlichiosis: A Case Series, Ajay Iyer, Mattias D'Anna, Shruti Verma, Thomas Pritchard, Vladimir Begilman, Himal Bajracharya, Kaveh Naemi

HCA Healthcare Journal of Medicine

Background

Hemophagocytic lymphohistiocytosis (HLH) is an immunologic syndrome characterized by excessive inflammation and tissue injury due to uncontrolled activation of the phagocytic system. The underlying mechanism is a lack of downregulation of activated macrophages and lymphocytes by natural killer and T cells. Unfortunately, the diagnosis is often delayed or missed due to the rarity of the disease, decreased awareness, and clinical picture variability. Ehrlichiosis is becoming a more prevalent tick-borne illness in endemic regions and a relatively uncommon but increasingly considered cause of HLH.

Case Presentation

We describe the cases of 2 patients diagnosed with secondary HLH as per the …

Endovascular Repair Of A Superior Mesenteric Arteriovenous Fistula And Pseudoaneurysm After A Single Gunshot Wound To The Abdomen, Robert Ringersen Iii, Michael Shockley, Sanjiv Gray, Tracy Bilski, Julio Calderin, Philip Kondylis

HCA Healthcare Journal of Medicine

Background

Traumatic arteriovenous fistulas (AVFs) are rare entities, especially when referring to visceral arterioportal AVFs. Currently, there are no large epidemiological studies looking specifically at traumatic visceral AVFs. When traumatic AVFs have been discussed in the literature, it is in the form of case reports or case series and focused on peripheral AVFs. The following case is a presentation of a traumatic arterioportal AVF and its management with an endovascular approach.

Case Presentation

A 16-year-old adolescent boy presented tachycardic and hypotensive with a single gunshot wound in his left abdomen. Multiple operations were required. His intensive care unit course was …

Investigating The Effects Of Nosocomial Clostridioides Difficile Infection Among Acute Leukemia Patients: Insights From The 2020 National Inpatient Sample, Zubair Hassan Bodla, Mariam Hashmi, Fatima Niaz, Umer Farooq, Muhammad Jahanzeb Khalil, Farhan Khalid, Kipson Charles, Christopher L. Bray

HCA Healthcare Journal of Medicine

Background

Rising nosocomial Clostridioides difficile infections pose high risks, especially for immunocompromised leukemia patients, necessitating targeted research to enhance patient care and outcomes.

The objective of this study was to investigate the impact of nosocomial Clostridioides difficile infections (CDI) on patients hospitalized with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML).

Methods

Our study was a retrospective analysis of adult patients hospitalized with a primary diagnosis of ALL or AML, using the Nationwide Inpatient Sample (NIS) database for 2020. Primary outcomes included the incidence of nosocomial CDI and all-cause inpatient mortality. Secondary outcomes included hospital length of stay, resource …