Digital Commons Network^™

Navigating Recovery: Insights From Distance Learning Human Services Students' Abstinence Experience, Chaniece Winfield, Jill Kivikoski, Catalina Kraft

Counseling & Human Services Faculty Publications

With the rise in overdose and problematic drug use in the United States, it is crucial to develop competent human service practitioners in addiction treatment and recovery settings. This qualitative study explores the virtual abstinence experience of distance learning human services students, using Mezirow’s transformative learning theory to examine how a 21-day experiential abstinence prompts critical reflection and perspective transformation. The study investigates the socio-emotional and physiological factors influencing participants' progress toward sobriety, including cravings, withdrawal, isolation, and relapse triggers. Findings highlight how participants' critical reflection leads to a deeper understanding of addiction and recovery, as well as an enhanced …

The Identity Factor, Jessica Feinberg

Faculty Publications

Identity development is one of the most important processes that occur during childhood. For certain populations of children, such as those who are LGBTQ+ or multiracial, the path to healthy identity development is substantially more complicated. These children must navigate the development of their identities while existing in a world in which they will frequently encounter a lack of societal understanding and acceptance. Children within these populations face elevated risks of short- and long-term harms, including suicidal ideation, depression, substance abuse, and low self-esteem. As a result, it is critically important that LGBTQ+ and multiracial youth receive support in developing …

Toxicokinetics And Perfluorooctanesulfonic Acid-Induced Liver Protein Expression Are Markedly Altered In Mice Lacking Albumin, Emily M. Kaye, Jitka Becanova, Simon Vojta, Rainer Lohmann, Fabian Fischer, Angela Slitt

Graduate School of Oceanography Faculty Publications

Perfluorooctanesulfonic acid (PFOS) is a ubiquitous perfluoroalkyl substance (PFAS) linked to liver disease and obesity in humans. Binding studies suggest that albumin is a crucial blood protein influencing PFOS toxicokinetics and hepatotoxicity; however, its role has not been mechanistically tested in vivo. This study used an albumin-deficient mouse model to investigate the relevance of albumin in PFOS tissue distribution and liver disease end points. Adult male C57BL/6J wild-type (Alb^+/+) and albumin-deficient (Alb^–/–) mice were orally gavaged daily for 7 days with either vehicle or PFOS at 0.5 or 10 mg/kg body weight. The measured PFOS concentrations …

Hemifacial Spasm Due To Dolichoectasia Of Vertebral And Basilar Arteries, Meena Iyer, Shasthara Paneyala Dr.

Digital Journal of Clinical Medicine

Dolichoectasia refers to the non-focal dilatation and tortuosity of arteries, primarily affecting the vertebral and basilar arteries due to severe tunica intima degeneration. It is associated with genetic predisposition and atherosclerosis, leading to vessel wall weakening. Patients may remain asymptomatic or develop neurological deficits due to mass effect. We report a case of a 60-year-old male presenting with hemifacial spasm secondary to vertebral artery dolichoectasia. Magnetic Resonance Angiography (MRA) revealed ectatic and tortuous basilar and vertebral arteries, with the left vertebral artery compressing the left facial nerve complex. Using Smoker’s criteria, a diagnosis of dolichoectasia was confirmed. Dolichoectasia-induced hemifacial spasm …

Comparison Of The Effectiveness Of Preoperative Dexmedetomidine Nebulization Versus Lignocaine Nebulization In Attenuation Of Stress Response During Direct Laryngoscopy And Endotracheal Intubation In Elective Surgeries Under General Anaesthesia: A Randomised Control Study At A Tertiary Care Hospital, Mandya, Sumayya E., Kiran A V., Santhosh M C B., Shivakumar G

Digital Journal of Clinical Medicine

Introduction: Direct laryngoscopy and tracheal intubation are known to provoke harmful stimuli that can lead to transient, unpredictable, and variable hemodynamic alterations, primarily due to heightened sympathoadrenal activity.¹ Various pharmacological agents have been explored to mitigate this stress response; however, none have emerged as optimal.²

Aim: This study aims to compare the effects of nebulized dexmedetomidine in comparison to nebulized lignocaine on the hemodynamic stress response during direct laryngoscopy and tracheal intubation, including any adverse effects in patients undergoing general endotracheal anesthesia.

Materials and Methods: Informed consent was obtained from 60 patients aged 18 to …

Lymphoma Chronicles: Insights From A Distinct Hodgkin's Lymphoma Case Report, Srirangam Shankaralingam, Vibha Nagaragatta

Digital Journal of Clinical Medicine

Hodgkin lymphoma (HL) is a kind of lymphatic malignancy distinguished by the presence of Reed-Sternberg cells. It often manifests as painless lymphadenopathy and systemic symptoms (B symptoms and can affect a variety of lymphoid tissues. The causes of HL are complicated and include genetic predisposition, environmental conditions and viral infections, particularly the Epstein-Barr virus (EBV). The diagnosis is primarily based on histological evaluation of lymph node samples, with immunophenotyping assisting classification. Herein, we report a case of classical Hodgkin’s lymphoma (HL) in an otherwise healthy 31-year-old male who had a mass per abdomen for a year and recently noticed a …

Felt Need For Psychiatry Clubs In Medical Colleges To Enhance Teaching-Learning, Aditya Rao, Sheryl Agarwal, Sharanya Bose, M Kishor

Digital Journal of Clinical Medicine

Mental health competence is critical for medical graduates, yet in India the treatment gap for common mental disorders remains substantial, with prevalence estimates indicating up to 80.4% of unmet need. Recent reforms under the Competency-based Medical Education (CBME) curriculum have expanded psychiatry training; however, deficiencies in applied skills, preventive psychiatry, and communication remain. Psychiatry clubs have been proposed as supplementary, student-led platforms to address these limitations. This cross-sectional study assessed the perceived need for psychiatry clubs among undergraduate medical students and explored their potential role in enhancing teaching–learning. A structured online survey was administered to 94 students across different phases …

Localized Reticulate Hyperpigmentation From Heater Use: A Case Of Erythema Ab Igne, Chitwan Kaur Ghuman, Monish Yarlagadda, Ashwini P K

Digital Journal of Clinical Medicine

Background: Erythema ab igne (EAI) is a reticulated, hyperpigmented dermatosis resulting from prolonged exposure to infrared radiation insufficient to cause burns. While increasingly rare due to central heating, it remains relevant in vulnerable populations, particularly the elderly and immobilized.

Case Summary: We report the case of an 83-year-old bedbound female who developed characteristic pigmentary changes over her right upper and lower limbs due to chronic proximity to a room heater.

Conclusion: Awareness of EAI is crucial to prevent unnecessary investigations and to emphasize the importance of appropriate thermal environment modifications, especially in bedbound geriatric patients.

Extracapsular Excision Of Retroperitoneal Ancient Schwannoma: A Case Report, Mayur Chaure, Shital Dharamkhele, Keval Dhone, Imran Ahmed Khan

Digital Journal of Clinical Medicine

Schwannomas are tumors originating from Schwann cells in the nerve sheath. They are generally solitary and encapsulated, but they are rarely seen in the retroperitoneal region. We report a 40-years-old woman with dull aching pain for two months without urinary symptoms. Following imaging studies, a well-encapsulated, retroperitoneal mass complicated with intratumoral bleed and necrosis was found.

Complete surgical resection was performed with preservation of adjacent viscera. The histopathology report confirmed the tumor as an ancient schwannoma. Careful preoperative surgical planning and meticulous surgical skill, along with the application of ERAS protocol, are essential to prevent morbidity and mortality. No evidence …

Prevalence Of Depression Among Type 2 Diabetes Mellitus Patients In Urban Mysuru – A Cross-Sectional Study, Jesymol Joy, Renuka M, Chiranjeevi G S

Digital Journal of Clinical Medicine

Background: Depression is a significant comorbidity among individuals with Type 2 Diabetes Mellitus (T2DM) adversely affecting disease management and overall quality of life. Diabetes and depression have a bidirectional relationship, where poorly managed diabetes increases the risk of depression, and depression exacerbates diabetes-related complications. Depression contributes to poor glycemic control, decreased adherence to treatment, increased risk of diabetes-related complications, and higher healthcare utilization.

Objectives: To determine the prevalence of depression and its associated factors among Type 2 Diabetes Mellitus patients in urban Mysuru.

Methods: A community-based cross-sectional study was conducted among 300 Type 2 Diabetes mellitus patients >18 years of …

Allergic Bronchopulmonary Aspergillosis In Pediatric Asthma : A Diagnostic Challenge Mimicking Tuberculosis, Praveen Das, Santosh Kondekar, Surbhi Rathi

Digital Journal of Clinical Medicine

Allergic bronchopulmonary aspergillosis (ABPA) is a rare hypersensitivity reaction to Aspergillus fumigatus, more commonly observed in adults and patients with cystic fibrosis. It can, however, present in pediatric asthmatics with refractory symptoms, leading to diagnostic challenges due to overlapping features with other pulmonary diseases, including tuberculosis. ABPA should be considered in children with uncontrolled asthma and atypical radiologic features, especially when unresponsive to standard therapies. Early recognition and appropriate management are critical to prevent irreversible lung damage and improve quality of life.

Pregnancy-Related Delusional Beliefs In Midlife And Late-Life Women: A Case Series, Dyuksha Arora, Ashita Adarsh, Kishor M. Manohar Rao, Anand R, Soumya Rajshekar Patil, Akshatha Cj

Digital Journal of Clinical Medicine

Pseudocyesis and delusional pregnancy represent rare but clinically significant presentations across psychiatric practice. While pseudocyesis involves a false belief of pregnancy accompanied by physical manifestations, delusion of pregnancy refers to a fixed belief of being pregnant despite clear contrary evidence. Both conditions pose considerable challenges as they involve close consultation and liaison between Obstetrics & Gynaecology and Psychiatry. There are a few studies from tertiary care general hospitals in India. Here we report two case series.

Case 1: A 43-year-old married woman from a rural background with an 8-year history of recurrent depressive disorder and dysthymia, presented with 3 months …

One Airway, One Disease In Pregnancy: A Prospective Observational Study On The Correlation Between Upper And Lower Airway Inflammation In Pregnant Women, Durga K, Yuvarajan S

Digital Journal of Clinical Medicine

Background: The well-established "One Airway, One Disease" concept recognizes the deep physiological and pathological connections between conditions affecting both the upper and lower respiratory tracts, most notably allergic rhinitis and asthma. During pregnancy, a woman's body undergoes significant immunological, hormonal, and physiological changes, which can profoundly influence and modulate existing or emerging airway inflammation.

Objective: This prospective observational study was designed with the primary objective of meticulously evaluating the correlation between upper and lower airway inflammation in pregnant women. We aimed to achieve this by assessing a range of clinical symptoms, objective functional parameters, and specific inflammatory markers.

Methods: We …

Comparision Of Buprenorphine Versus Butorphanol As An Adjuvant To Intrathecal Hyperbaric Bupivacaine For Elective Infraumbilical Surgeries : A Randomised Control Study At A Tertiary Care Hospital, Mandya, Surabhi C A, Dr. Kiran A V. Associate Professor, Dr. Shivakumar G Pofessor And Hod, Umesh N P

Digital Journal of Clinical Medicine

Introduction: Spinal anaesthesia is the most popularly performed procedure in the field of anaesthesiology. Hyperbaric bupivacaine, the local anaesthetic most commonly used, has limitation as its effect lasts only for 1.5-2 hours. Hence a lot of adjuvants have been tried to enhance the analgesic effect of bupivacaine.^[2] Opioids remain the mainstay among the various adjuvants to local anesthetics in spinal anaesthesia primarily by virtue of its various properties such as reducing the dose of local anaesthetic, minimizing side effects, and prolonging the duration of anaesthesia.^[3]

Aim: This study aims to compare the sensory and motor characteristics …

Living A Lie: The Truth Behind Isohydnocera Curtipennis (Newman) And Other Historically Confused Species Of Phyllobaenus Dejean, With The Description Of The New Genus Neohydnocera (Coleoptera: Cleridae: Clerinae: Hydnocerini: Hydnocerina), John M. Leavengood Jr.

Insecta Mundi

Taxonomic changes in the New World Hydnocerina (Coleoptera: Cleridae: Clerinae: Hydnocer­ini) at the species and genus level are presented. Phyllobaenus suturalis (Klug, 1842) and Hydnocera limbata Spinola, 1844 are designated junior synonyms of P. pallipennis (Say, 1825), new synonymy. Phyllobaenus nigrescens (Schaeffer, 1909) is designated a junior synonym of P. verticalis (Say, 1835), new synonymy. Iso­hydnocera curtipennis (Newman, 1840), P. lineaticollis Spinola, 1844, and Clerus brachypterus Klug, 1842, are re-established as junior synonyms of P. verticalis (Say, 1835), status reinstated, and I. curtipennis is accordingly reassigned to Phyllobaenus Dejean as P. curtipennis …

Distributional Records Of False Click Beetles (Coleoptera: Eucnemidae) From Western North Carolina, John M. Leavengood Jr., Robert L. Otto, Mary Kait Brown

Insecta Mundi

Two new state records (North Carolina) and eight total species of false click beetles (Coleoptera: Eucnemidae) are reported from a survey site in western North Carolina. Updated distributions are provided for each species.

Lack Of Consistent Diurnal Trends In Acoustic Metrics From Restored Coral Reefs, Jeremy Velázquez-Alvarado, Valentina Pérez-García, Javier S. Tellechea, Joni T. Backstrom, Alex Mercado-Molina

Gulf and Caribbean Research

Once vibrant ecosystems, coral reefs are degrading at unprecedented rates due to natural and human—induced disturbances, necessitating immediate restoration and conservation efforts. Evaluating the success of these projects often involves assessing changes in reef biodiversity. Bioacoustics has emerged as a promising, non—invasive method for such evaluations, though its efficacy remains debated. This study aimed to determine whether the diurnal soundscapes of restored coral reefs are consistent across different time frames (months) and spatial scales (reefs), which is crucial for developing reliable monitoring tools for reef health. To achieve this, 2 commonly used acoustic indices, the Acoustic Complexity Index (ACI) and …

Sound Sensor Networks And Sub/Urban Health: A Transdisciplinary Approach Using The Purdue Campuses As A Living Lab, Kurt Khaustov, Harshitha Pathania, Sophia Victoria Pimentel, Irem Ucar, Linda Ronglin Xu, Santosh Sai Ramesh, Zhengyi Jiang, Elian Inigo Turcal Rieza, Nathan Sing Lee, Ryce Pi, Atandrila Chowdhury, Felipe Saavedra Cardona, Tae Hong Park

Discovery Undergraduate Interdisciplinary Research Internship

Our project investigates environmental soundscapes in West Lafayette and on the Purdue campus - including the Purdue Airport with its newly reopened commercial terminal - treating these sites as a living laboratory. Conducted under the Discovery Undergraduate Interdisciplinary Research Internship (DUIRI) with mentorship from Dr. Tae Hong Park and his Citygram research, the study integrates engineering, data science, and acoustic ecology.

Building on the Soundscaper system, we are developing an interactive sound-mapping interface that allows users to hear synthetic soundscapes representing real-world conditions. We implement a geospatial-audio pipeline that links OpenStreetMap (OSM) data to our Object-Oriented Soundscape Synthesis (OS2) framework. …

Effects Of Group Theraplay On Emotional Regulation And Social Interaction Skills In Children With Emotional And Behavior Disorders, Andrea Hutchison

Graduate Research Papers

Childhood mental health has gained significant attention in recent years. Poor childhood mental health is quickly becoming a major problem in the United States. The impacts of this problem are wide-reaching, affecting families, communities, and schools. Play therapy is one well-known intervention that is often used to alleviate symptoms of mental disorders in children. This study focuses primarily on one play therapy modality: Theraplay®, which is an attachment-based intervention that can be delivered in group and dyadic settings. The purpose of this study is to examine the literature that exists regarding the effectiveness of Theraplay®, specifically Group Theraplay®. Specific questions …

What Amino Acid Residue Is Responsible For The Interaction Of Atg11 With Its Autophagy Partner Atg9?, Patricia Omoyemwen Woghiren

Senior Honors Theses and Projects

Macroautophagy is a cellular function that involves the formation of a double membrane vesicle that isolates and transports cellular materials to the vacuole or lysosome for degradation and recycling. It is divided into selective and non-selective macroautophagy. Atg11 and Atg9 are two key proteins involved in selective macroautophagy, and their interaction is critical for selective macroautophagy. Specific residues on Atg9 critical for Atg11 binding have been identified, but similar residues on Atg11 have not been identified. The aim of my research was to identify a specific residue critical for Atg11’s interaction with Atg9. To this end, we carried out Yeast-twohybrid …

Songwriting In Music Therapy Clinical Practice, Kinneret Rivka Weiss

Senior Honors Theses and Projects

Songwriting is a technique used in music therapy practice that has been documented since 1950, and has been used in a clinical setting in many countries where music therapy is a fully developed profession. There are many different types of therapeutic songwriting experiences used in music therapy practice, to accommodate for the many different needs and abilities of clients. Additionally, therapeutic songwriting is used to help achieve many goals, and is used in a wide variety of settings. These settings include the pediatric hospital, a setting given particular attention in this paper. This paper will also include the author’s own …

Elementary School-Based Speech-Language Pathologists' Perspectives On The Management Of Pediatric Feeding And Swallowing Disorders, Kelsi L. Szakovits

Senior Honors Theses and Projects

Speech-language pathologists (SLPs) frequently serve autistic students in the school setting. Research reveals a correlation between autism, sensory processing, and pediatric feeding disorder (PFD). As a result, autistic students may have compromised nutritional health and safety, which stands to impact their ability to access the curriculum. PFD is under the scope of the school-based speech-language pathologist’s practice. However, data has shown a perceived lack of confidence and a limited number of support and resources in the educational setting for SLPs to carry out interventions. This qualitative study will seek to understand the perspectives of elementary school-based SLPs regarding the implementation …

Use Of E-Cigarettes And Other Substances And Related Psychiatric Symptoms In Undergraduate Students, Grant L. Saba

Senior Honors Theses and Projects

This study evaluated the role that use of alcohol and e-cigarettes had in the development of dependence and demand of each other, along with symptoms of depression and anxiety in undergraduate college students. It tested four hypotheses: (1) that these symptoms are related to more frequent e-cigarette use, (2) they are related to problematic alcohol dependence, (3) alcohol demand will be higher in e-cigarette users, and (4) e-cigarette demand will be higher in problematic drinkers. 173 undergraduate students completed self-report inventories describing their alcohol dependence, e-cigarette dependence, depression, and anxiety, along with completing two hypothetical purchase tasks where they were …

Relationship Between Ehealth Literacy And Use Of Patient Portals Among Older Adults: An Integrative Review, Lore Oluwatominiyi

Senior Honors Theses and Projects

The rapid advancement of healthcare technologies, including patient portals, has the potential to improve patient engagement and health outcomes, particularly among older adults. However, the adoption of patient portals among this demographic remains relatively low, primarily due to varying levels of eHealth literacy. The aim of this integrative review, guided by the Whittemore and Knafl’s (2005) framework, was to investigate the experience of eHealth literacy and patient portal use among older adults. The databases of PubMed, CINAHL, and PsycINFO were searched for articles published between 2017 and 2023. Keywords used included: eHealth literacy, patient portals, and older adults. Thirty records …

The Effects Of Racial Gaslighting On Community Policing: An Exploration Of Contemporary Hermeneutical Injustice Within Marginalized Communities, Louise Missome Engohang

Senior Honors Theses and Projects

This thesis critically examines the phenomenon of racial gaslighting within the context of community policing, focusing on its ethical and epistemological consequences for marginalized communities. Racial gaslighting—a process by which law enforcement and broader institutions invalidate or distort the lived experiences of racialized individuals—plays a pivotal role in undermining the trust and effectiveness of community policing models. By drawing on Miranda Fricker’s theory of hermeneutical injustice and Charles Mills’ analysis of racial epistemologies, the research explores how systemic denial of racial bias contributes to the erosion of public trust, the silencing of marginalized voices, and the perpetuation of inequality in …

Online And In-Person Intimate Partner Violence: The Role Of Relationship Initiation Context, Jesse John

Senior Honors Theses and Projects

Intimate partner violence (IPV) is a pervasive phenomenon, and cisgender women and sexual and gender minority (SGM) individuals are particularly affected. Despite the prevalence of internet usage and online dating among young adults, less research has examined how IPV manifests across relationships in which interactions are predominantly online, as well as those that begin online and transition to predominantly in-person interactions (i.e. hybrid). This study's primary aims are to examine the rates of IPV and nondating technology-facilitated sexual victimization among SGM and nonSGM emerging adults and explore how IPV victimization and mental health outcomes vary based on the extent to …

Ai And Strategic Power: An Analysis Of Ai In Cyberwarfare, Krystal J. Correal

Senior Honors Theses and Projects

Artificial intelligence (AI) is intertwined in nearly all aspects of civilian life and is becoming progressively embedded into global conflict in novel ways. AI’s role in cyberwarfare is altering the structure of strategic power. This paper explores how the weaponized application of AI in cyberwarfare, both in military and public use, work to benefit states with advanced AI capabilities in kinetic and non-kinetic forms while undermining those without. With the focus on superpowered states, such as the U.S., China, and Russia, and a representative non-superpower, Ukraine, the study examines the basic requirements for AI dominance: resources (financial and other), technological …

Supplemental Feeding Alters Foraging Behaviors Of Tarantulas In Their Natural Habitat (Aphonopelma Hentzi), Annalyse Leach Brogan

Senior Honors Theses and Projects

Foraging success is a crucial factor in survival and reproductive success for many animals. One mechanism that can improve an organism’s foraging success is foraging plasticity, or the organism’s ability to alter their behavior in response to environmental changes. This study aims to evaluate if the Colorado Brown Tarantula, Aphonopelma hentzi, a long-lived, sit-andwait predator will use foraging plasticity in response to increased prey encounters. I predicted that tarantulas with more prey encounters will have a higher body condition index, shorter foraging duration, and shorter distances traveled from the burrows. I conducted a field study on A. hentzi in their …

Enhancing Nursing Education To Improve Care For Patients With Substance Use Disorder: A Literature Review, Allma Swier

Senior Honors Theses and Projects

Background. As nursing students attend undergraduate school and prepare to enter the workforce, clinical experience and classroom training shape who they will become as caregivers. There is a lack of education built into the standard curriculum on how to care for people with substance use disorders empathetically and professionally. Aim. The purpose of this literature review is to determine if nursing students feel adequately prepared to care for patients with substance use disorder, and how implementation of educational curricula can increase students' knowledge of caring for individuals with substance use disorder, leading to an increase in confidence when caring for …

Running For Understanding 5k Guide, Adelaide J. Roell

Senior Honors Theses and Projects

In April 2025, during Autism Awareness month, I organized an Autism Awareness 5K event on EMU’s campus, inviting the College Supports Program, Best Buddies, and other students from EMU, as well as members of the broader community to participate. The event aimed to raise awareness, promote inclusion, and support local students in special education. It also served as an opportunity for hands-on community advocacy and leadership in my future field of speech-language pathology. This project demonstrates many benefits of community inclusion outcomes (Cameron et al., 2022). This guide outlines the organization, how hosting community events ties to ASD, and the …