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Consciousness Under Dual Pressure: Colonial Diglossia, Orthodox Missionary Activity, And Islamic Cultural Resilience In Late Imperial Kazakhstan, Aigerim Aliaskar

Occasional Papers on Religion in Eastern Europe

This article examines the relationship between religious identity, language, and educational experience in the context of the Russian Empire’s educational and Orthodox missionary policies in the Kazakh Steppe during the late nineteenth and early twentieth centuries. The primary objective of the study is to analyze the spiritual-cognitive resilience of traditional Islamic educational institutions in response to the policy of Orthodoxization and Russification implemented by the tsarist administration through the system of Nikolai Ilminsky. The author examines the phenomenon of colonial diglossia which emerged during this period, wherein Russian-Christian texts were increasingly elevated as the administrative "High-variant," while the Kazakh-Turkic identity, …

Religious Persecution In Communist Albania Through Constitutional And Legal Acts, Sadik Haxhiu, Besard Belegu, Artan Fejzullahu

Occasional Papers on Religion in Eastern Europe

Following the victory of the communist regime in 1944, the new Albanian state built its institutions on a materialist worldview that stood in direct opposition to the universal principles of freedom of conscience and religious belief. The state progressively restricted religious practice until it banned it altogether. This anti-religious campaign proceeded along two tracks: anti-religious political propaganda and the adoption of legal acts prohibiting the practice of religion. A 1967 decree-law banned religious belief outright, and the 1976 Constitution declared Albania the first atheist state in the world. This paper is based on an analysis of legal acts, scholarly literature, …

When Everything Falls Apart: On Core Values, Religion, And What Holds Societies Together, András Máté-Tóth

Occasional Papers on Religion in Eastern Europe

Right now my region, like much of the world, is living through upheavals that reach both nature and politics at their foundations. When I look around and take the political crises seriously — the mass protests in Serbia, the long erosion of checks and balances in Hungary, the bitter fight over the courts and the rule of law in Poland — one question keeps surfacing: are we witnessing genuinely fundamental change, or only a reshuffling on the surface of power? That question is exactly what makes the problem of core values so urgent, and so current.

From Humanitarian Aid To “Counterrevolution”: Foreign Assistance To Pentecostals In Soviet Ukraine And Its Criminalization By The Gpu–Nkvd, 1932–1935, Oleksandr Korotaiev

Occasional Papers on Religion in Eastern Europe

The article examines foreign assistance to Pentecostal communities in the Ukrainian SSR and the mechanisms of its criminalization by Soviet state security agencies in 1932–1935. Drawing on GPU–NKVD criminal investigation files, secret police reports, party-state documentation, personal correspondence, and memoir sources, the study reconstructs transnational channels of humanitarian support, practices of resource distribution, and the transformation of survival strategies into objects of political repression.

Particular attention is devoted to two distinct models of foreign assistance. The Odessa case demonstrates a centralized system connected to the former leadership of the All-Ukrainian Union of Christians of Evangelical Faith and transnational Pentecostal networks …

Alignments Of Orthodoxy In Moldova And The Axiocontext Of Russia’S War Against Ukraine, Oleksandr Brodestkyi

Occasional Papers on Religion in Eastern Europe

A comprehensive analysis of the dominant trends shaping the contemporary religious situation in the Republic of Moldova, with particular attention to the geopolitical foundations and ramifications of the activities of religious hierarchs. The author examines the state of Orthodoxy in Moldova, to which the overwhelming majority of the country’s citizens belong. Particular attention is paid to its division between two alternative jurisdictional identities: one within the Romanian Orthodox Church and the other within the Russian Orthodox Church. The article draws on a substantial body of relevant statistical, sociological, and factual evidence. The author subjects a wide range of recent ecclesiastical …

Full Issue For Tgle Vol. 59 Nos. 1 & 2

The Great Lakes Entomologist

Full issue for TGLE Vol. 59 Nos. 1 & 2

Development Of Inlet For Small-Scale Sounding Rockets For Eulerian Slices Of Abl, John Pippin

ISARRA 2026

Sounding rockets are well established for observations into high altitude weather phenomenon; low altitude rocketry  use can be expanded into study of the atmospheric boundary layer. Low cost low altitude sounding rockets on descent can provide Eulerian vertical data slices of the atmospheric boundary layer, improving upon the quasi-vertical profile from weather balloons. Considering this scaled sounding rocket approach, a sensor intake to gather atmospheric data during rapid descent was analyzed for behavioral impact on decent and flight dynamics, as well as solar and moisture effects. The sensor is designed to be hung from the shock cord of the sounding …

Note-Taking Is Not Universally Applicable, Chloe Tomasetta

Undercurrents: A Journal of Undergraduate Student Composition

Chloe is a communications major who lives in Braintree, Massachusetts. Chloe wrote this essay in her Composition II course because she “genuinely wanted to explore the typed versus handwritten notes debate.” She said that researching this essay “gave me clarity in my preferred note-taking method,” and she adds: “I hope this essay can be helpful for students who struggle to take notes or choose a note-taking method.” Chloe loves spending time outside, as it “allows me to hear my own thoughts, which can provide clarity in my otherwise chaotic life.”

The Languages We Speak And The Biases That Erase Them, Siena Santos Edmunds

Undercurrents: A Journal of Undergraduate Student Composition

Siena is a biology major on the pre-medical track living in Wellfleet, Massachusetts. Her essay grew out of her own experience, as she found the language she used with her peers “seemed to me to be filled with all the best modes of storytelling and socializing,” but it seemed to her that her teachers “didn’t always hear what I did and thus missed out on what the language I use has to offer.” Siena is also passionate about social justice, especially in the realm of education. Her mother lacked access to school in her home country of Brazil, and that …

Romanticized Communication: Why Does Modern Dating Suck?, Brianne Riccio

Undercurrents: A Journal of Undergraduate Student Composition

Brianne is a nursing major living in Holbrook, Massachusetts. Brianne wrote this essay because “dating in 2019 is insanely difficult and more complicated than it has to be,” and she admits that her research revealed “more faults in my own personal dating life and mentality than I had previously known.” Brianne is deeply passionate about caring for others, and enjoys writing both as a way to help her relieve her own emotional burdens and as a way to connect with other people.

American Arms: A Soldier's Perspective, Steve Prochniak

Undercurrents: A Journal of Undergraduate Student Composition

Steve is a political science major from Andover, Massachusetts. Steve’s experience in the military had given him an understanding of the practical aspects of the weapons he was trained to use, but his essay came out of a desire to understand the societal impacts of these weapons. Writing this essay both helped Steve develop a better understanding of this complicated issue, and helped him find his passion in exploring “issues and topics that face my community.” In addition to exploring these complex issues, Steve enjoys science fiction, exploration, and just hanging around in the city of Boston.

What Are The Benefits Of Reading For Pleasure?, Abigail Pineau

Undercurrents: A Journal of Undergraduate Student Composition

Abigail is a nursing major living in Weymouth, Massachusetts. Abigail enjoys reading for pleasure, but before researching this essay she “never knew just how impactful it was.” She said that after researching this subject it became “important for me that students and parents know just how impactful pleasure reading is.” In addition to reading, Abigail’s other passion is nursing, as she loves both helping people in need and learning how we function as humans.

Nota Bene: A Study On Latin And Its Influence, Ashley Kim

Undercurrents: A Journal of Undergraduate Student Composition

Ashley is a psychology major currently living in Natick, Massachusetts. Ashley took Latin at her high school in Georgia, where she found it to be “one of the most insightful and unique courses I had ever taken.” She was disheartened that her Latin teacher had to struggle to find students to fill her class, and she wrote this paper with that teacher in mind to share “the message of Latin’s intrinsic benefits.” Ashley says that writing is very important for her, and she says “there can be great significance in small moments, and instead of letting those moments slip by, …

English Language Learners Marginalized In Classrooms, Nayelis Guerrero

Undercurrents: A Journal of Undergraduate Student Composition

Nayelis is an undecided major living in Everett, Massachusetts. Nayelis was an English language learner when she first came to the United States, and her essay was inspired by this experience. She says that researching and writing this essay “made me realize the ways in which English language learners can better incorporate themselves socially.” Nayelis is also passionate about helping her community, serving both as a coordinator of a group of Hispanic women that want to jump-start their own businesses and as part of a coalition that works with police in her city to change policies around the police’s interaction …

Letters To My Unrequited Love, Ogadimma Ebele

Undercurrents: A Journal of Undergraduate Student Composition

Ogadimma is a political science major living in Hyde Park, Massachusetts. Writing is her passion and she credits this assignment with helping to further her composition skills. In 2019, she plans to focus all of her energy on pursuing her dream of landing a career in comedy writing.

2019 Editor's Introduction, Lauren M. Bowen

Undercurrents: A Journal of Undergraduate Student Composition

No abstract provided.

Volume 9 (2026) Climate And Responsibility

International Journal on Responsibility

This issue focuses on the various ways responsibility affects environmental justice. Specifically, this volume urges us to think about how societal and individual (in)action influences ecological crises and what informs this behavior, with a specific focus on religious and Indigenous beliefs and values.

Vermillion, Saptarshi Biswas

HCA Healthcare Journal of Medicine

The sky is vermilion, and the sand below mirrors its hue—a seamless union of heaven and earth in the waning light. The setting sun spills its final radiance across the world, as if reluctant to surrender to night. In this mirrored brilliance lies a quiet truth about human life: that our final moments often reflect the sum of all that came before, casting meaning backward, tinting memory with the soft, forgiving glow of closure.

Just as the sand borrows its color from the sky, so too do our lives borrow significance from what we love, what we lose, and what …

We Grow Accustomed To The Light, Minh Q. Nguyen

HCA Healthcare Journal of Medicine

Drawing inspiration from Emily Dickinson’s exploration of the unknown in "We Grow Accustomed to the Dark," this poem, "We Grow Accustomed to the Light," re-examines the final transition of life through a clinical and humanist lens. While Dickinson focused on the bravery required to navigate the "Dark," this piece explores the courage needed to face the "Light," representing the clarity of terminal illness, the shedding of medical "fetters," and the shared experience of the "final goodbye." It challenges the traditional medical impulse to "push forward" at all costs, instead advocating for a "Wise" acceptance of the natural end of the …

Approaching Well-Being Through The Research Lens: How Hca Healthcare Colleagues Are Building Healthy Work And Learning Environments, Gregory Guldner, Allison Woodall, Deepinder Bal, Jennifer Larkin, Cynthia Borum, Sunny Hull, Annette Edens, Lisa H. Moore, Elaine K. Miller, Harold Gomez Acevedo, Katia M. Lugo Enriquez, Noor Judge, Yanie Oliva, Pablo E. Ramirez Caraballo, Faraz Jaffer, Prerna S. Sharma, Daniel Heller, Siddarth Kathuria, Nathaniel Banet, Orlando Nieves-Lugo, Adrienne Madison, Lily Martin, Oliwier Dziadkowiec

HCA Healthcare Journal of Medicine

At the heart of our commitment to the care and improvement of human life are the physicians who dedicate themselves to delivering exceptional care. To support not only our physicians’ professional excellence but also to foster personal fulfillment, HCA Healthcare partnered with Claremont Graduate University to establish the Physician Wellness Research Lab (PWR Lab). In his new role as the Vice President of Academic Affairs for Graduate Medical Education (GME), Dr Guldner led a nationwide search to establish and implement a new approach to well-being. At HCA Healthcare, we believe that true flourishing requires transforming the work and learning environment …

Beyond Drainage: Can Pleural Effusion Naturally Tamponade Tumor Hemorrhage? Literature Review Of Hypotheses For Possible Mechanisms, Pratyush Kumar, Kumar Abhishek, Pankti Shah, Amelia Goslin, Archana Machavarapu, Catherine Joyce, Michael J. Waxman, Kari Nilsen

HCA Healthcare Journal of Medicine

Background

Malignant pleural effusion (MPE) is a common complication of advanced lung cancer and is typically treated with therapeutic drainage to relieve symptoms. Although this is a well-established palliative approach, removing pleural fluid—especially in cases of necrotic or post-radiation tumors—may disturb the fragile pressure balance within the thoracic cavity. The question of whether pleural effusion can act as a natural tamponade against tumor-related vascular fragility has not been thoroughly investigated.

Case Presentation

We report a case of a 49-year-old man with stage IIIB non–small cell lung cancer (NSCLC) who experienced a catastrophic hemorrhage shortly after pleural fluid removal via a …

Myxedema Coma With Cardiogenic Shock: Diagnostic Challenges And Risks Of Amiodarone In Acute Thyroid Failure, Jean Carlos Ramos Cardona, Gunjan Mundhra, Munachiso Egbo, Veniamin Melnychuk, Suzanne Quinn Martinez

HCA Healthcare Journal of Medicine

Background

Myxedema coma is a rare but life-threatening manifestation of severe hypothyroidism characterized by altered mental status, hypothermia, bradycardia, and multiorgan dysfunction. Delayed diagnosis is common, particularly in elderly patients with multiple comorbidities. Cardiac complications, including malignant arrhythmias, are underrecognized contributors to morbidity and mortality. Profound hypothyroidism compromises cardiac myocyte function through reduced activity of enzymes involved in calcium uptake, leading to impaired myocardial contraction and relaxation. This results in decreased heart rate, reduced cardiac output, and altered left ventricular function, which may be further exacerbated in patients with heart failure with reduced ejection fraction. Prolongation of the ventricular action …

Neuromotor Compromise As A Presenting Symptom In Advanced Lower Extremity Soft Tissue Sarcoma: A Case Series, Adam Maestas, Parsa Charkhchi, Farbod Malek

HCA Healthcare Journal of Medicine

Background

Soft tissue sarcomas (STS) are rare malignant tumors of mesenchymal origin, representing less than 1% of adult cancers. Approximately half arise in the extremities, most often presenting as a painless, enlarging mass. Symptoms are often misattributed to benign neuropathic or musculoskeletal causes, leading to delayed diagnosis and treatment. Neurological deficits such as foot drop or distal weakness are exceptionally uncommon presenting signs and generally indicate advanced local invasion or compression of major peripheral nerves. Recognizing acute neuromotor compromise as a potential manifestation of soft tissue malignancy is crucial for timely oncologic evaluation and limb-sparing management.

Case Presentation

This series …

Avoiding Unnecessary Surgery In Acute Longus Colli Calcific Tendinitis: A Clinical Image Of A Retropharyngeal Abscess Mimicker, Brandon M. Nielsen, Oluyemi O. Omotoso

HCA Healthcare Journal of Medicine

Acute calcific tendinitis of the longus colli (LCT) is a rare, benign condition that frequently mimics retropharyngeal abscesses (RPA), a true surgical emergency. We present a 34-year-old woman presenting with 4 days of severe posterior neck pain, stiffness, and odynophagia. Initial evaluation revealed significantly elevated inflammatory markers (erythrocyte sedimentation rate [ESR] 113 mm/hr, C-reactive protein [CRP] 128 mg/L) and leukocytosis, raising immediate concern for deep neck infection. Contrast-enhanced computed tomography (CT) demonstrated a retropharyngeal fluid collection; however, the absence of peripheral ring enhancement and the presence of a pathognomonic calcification anterior to the C1 arch pointed toward LCT. This distinction …

Gallbladder Ascariasis Presenting As Acalculous Biliary Colic, Carmen A. Urbina, Luigi G. Cubeddu, Luigi X. Cubeddu

HCA Healthcare Journal of Medicine

We detail a case of gallbladder ascariasis, presenting as an acute episode of acalculous biliary colic, nausea, bloating, an unremarkable abdominal ultrasound, and negative helminth and protozoa stool smears. A follow-up ultrasound provided unexpected images consistent with gallbladder infection by Ascaris lumbricoides. Repeat ultrasonography performed 10 days after anthelmintic therapy showed no live worms and 2 newly appearing echogenic areas suggestive of gallbladder calculi that were confirmed following elective cholecystectomy. The case course highlights key clinical, diagnostic, and management considerations in gallbladder ascariasis and underscores the value of repeated ultrasonographic evaluation in affected patients.

Blaschko-Linear Lupus Erythematosus In A Pediatric Patient, Marshall Hall, Olivia Mayer, Henry Lim, Dustin V. Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

The lines of Blaschko represent epithelial cell migration during embryonic development. Rare forms of cutaneous lupus erythematosus may manifest along these lines, and lesions are termed Blaschko-linear lupus erythematosus (BLE). The purpose of this case study is to present a rare manifestation of linear cutaneous lupus erythematosus following the lines of Blaschko in a pediatric patient. To date, there are very few reports of BLE. We present a 17-year-old female with a 2-month history of a mildly tender growing lesion along the right nasofacial sulcus. The patient denied lesions elsewhere and any systemic, joint, or mucosal symptoms. A biopsy of …

Presentations Of Cutaneous Disease In Various Skin Pigmentations: Hidradenitis Suppurativa, Jamie Y. Choe, Henry Lim, Marshall Hall, Christian Scheufele, Dustin V. Wilkes, Michael Carletti, Stephen E. Weis

HCA Healthcare Journal of Medicine

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder characterized by recurrent deep-seated nodules and painful abscesses with scars, fistulae, and sinus tracts that predominately affect the intertriginous sites. Onset typically occurs soon after puberty. Depending on disease severity, HS can lead to varying levels of pain, disability, and disfiguration with significant impacts on quality of life. Hidradenitis suppurativa is diagnosed clinically, and no diagnostic tests are specific to the disease. Therefore, clinicians must have the knowledge and competence to identify the clinical features of HS accurately. The purpose of this report is to provide descriptions of characteristic clinical presentations …

Sebaceous Gland Heterotopia Of The Esophagus: A Rare Incidental Finding During Upper Endoscopy, Samuel Ramos, Margaret-Anne Huntley, Eric Vargas, Jignesh Parikh, Vania Zayat

HCA Healthcare Journal of Medicine

Esophageal heterotopic sebaceous glands (EHSG) are an extremely rare finding within the esophageal epithelium. These glands are typically benign, presenting as small, yellow-white plaques or lesions observed on endoscopy, often in the middle third of the esophagus. Esophageal heterotopic sebaceous glands are generally asymptomatic, and surveillance is not required. While their origin is unclear, proposed mechanisms include metaplastic transformation and congenital development. Recognition and histologic confirmation are essential to distinguish EHSG from other esophageal lesions and to avoid unnecessary interventions. We report the case of a 55-year-old man in whom multiple diminutive plaques were identified in the mid-esophagus during esophagogastroduodenoscopy …

Comparing The Expression Of Estrogen Receptors, Progesterone Receptors, And Human Epidermal Growth Factor Receptor 2 Between Initial Biopsy And Excision Specimens In Invasive Breast Carcinoma Cases. Is There A Need For Universal Repeat Testing? Experience From A Community Hospital, Astrid M. Sacasa, Gul Emek Wymer, Susana Ferra

HCA Healthcare Journal of Medicine

Background

The current national recommendation is that breast biomarkers estrogen receptors (ER), progesterone receptors (PR), and human epidermal growth factor receptor 2 (HER2) testing should be done on all primary invasive breast carcinomas and on recurrent or metastatic tumors. Repeat testing on a subsequent excision specimen is not indicated unless results appear discordant with the histopathologic findings. The objective of the current study was to evaluate the need for adopting universal reflex re-testing of breast biomarkers in excision specimens in our institution.

Methods

The study population included 70 sequential invasive breast cancer patients where the results of ER, PR, and …

Opioid Free Anesthesia In Arthroscopic Knee Surgery: A Feasible Approach To Patient Care, Carson Gifford, Denise Vidal, Dail Kim, Austin Goff, Paul Reynolds

HCA Healthcare Journal of Medicine

Background

The opioid epidemic has prompted exploration of opioid-free anesthesia (OFA) techniques, but the optimal approach is still debated. While some OFA protocols substitute opioids with other agents, these alternatives can introduce their own risks. The objective of this study was to investigate whether eliminating intraoperative opioids without analgesic substitution in arthroscopic knee procedures affects postoperative pain control and opioid requirements.

Methods

We conducted a retrospective analysis of 205 patients who underwent arthroscopic knee procedures between August and November 2023. Patients were divided into 2 groups: those who received intraoperative fentanyl (25-200 mcg, n = 144) and those who received …