Digital Commons Network^™

A Phenomenological Study Of Participation In Low-Threshold Choirs With The Lenses Of Flow Theory And Neuroscience, Jessie Mae Rajala Chapin

Masters Theses

The purpose of this phenomenological study is to explore participant perspectives on the multi-faceted benefits of participation in low-threshold choirs toward health and well-being as interpreted through the lenses of flow theory and neuroscience. The results of this study can inform the practice of choral directors to maximize the benefits of choral participation for the individuals they serve. The researcher interviewed twelve participants and analyzed data from thirty-two online survey respondents and two observations. Thematic analysis incorporated inductive coding of the data combined with deductive application of flow theory. Themes developed aligned with current research on the benefits of choral …

Publishing With Purpose: Exploring Publication Trends Among Counselor Education In Cacrep-Accredited Programs, Janita Whitney Daggy

Doctoral Dissertations and Projects

Scholarly publication is a cornerstone of faculty evaluation, professional identity, and knowledge development in counselor education. Despite calls for empirical investigation into publication trends, limited research has examined the scope, distribution, and impact of counselor educator scholarship across Council for Accreditation of Counseling and Related Educational Programs (CACREP). This quantitative, cross-sectional bibliometric study examined publication trends, thematic alignment, and citation patterns among 222 counselor educators across 25 CACREP-accredited doctoral programs from 2000 to 2026. Using GS profiles as the primary data source, bibliographic records from 4,876 peer-reviewed publications across 2,132 journals were extracted and analyzed using the Bibliometrix package, igraph, …

Refuting Ruscism: A Critique From Biblical Social Ontology, Paul Miles

Doctoral Dissertations and Projects

This dissertation argues that the ideology of Ruscism is incompatible with biblical Christianity on the basis of God’s design for the individual, the family, and the country. Indeed, the extent of incompatibility between these two worldviews renders any attempt to syncretize them a significant departure from biblical Christianity. God’s design for society is an absolute standard by which political ideologies may be evaluated, and these three societal units will suffice to demonstrate that Christians must reject Ruscism.

This dissertation will describe these three societal units—the individual, the family, and the country—as they are described in biblical Christianity and contrast their …

Mitochondrial Ca2+ Uniporter (Mcu) Variants Form Plasma-Membrane Channels, Iuliia Polina, Jyotsna Mishra, Michael Cypress, Maria Landherr, Nedyalka Valkov, Isabel Chaput, Bridget Nieto, Brian Rhee, Ameneh Ahrari, Nathan Demichaelis, Kye-Im Jeon, Ulrike Mende, Peng Zhang, Bong Sook Jhun, Jin O-Uchi

Center for Translational Medicine Faculty Papers

MCU, originally known as CCDC109A, is widely recognized as the gene responsible for encoding a pore-forming subunit of a Ca2+-selective channel, mitochondrial Ca2+ uniporter complex (mtCUC). While MCU expression is typically highly mitochondrial-specific, we report here a protein variant derived from the MCU gene, termed MCU-S, which lacks the mitochondria-targeting sequence (MTS) and forms a Ca2+-permeable channel outside of mitochondria. The mRNA of MCU-S was ubiquitously expressed in all cell types/tissues tested, with particularly high expression in human platelets. MCU-S protein formed Ca2+ channels at the plasma membrane, which exhibited similar channel properties to those observed in mtCUC. MCU-S channels …

Impact Of Dissolved Organic Carbon And Temperature On Phytoplankton Biomass In An Outdoor Study, Ruaa Abass Lafta, Mohammed Hamdan

Baghdad Science Journal

Altered environmental conditions in aquatic ecosystems through Dissolved Organic Carbon (DOC) input and increased temperature influence phytoplankton communities. To assess the impacts of climate change as both single and combined effects of DOC inputs and temperature on phytoplankton growth, we conducted an outdoor experiment including four sets of conditions in triplicate: a) control, b) DOC treatment, c) temperature treatment, and d) DOC and temperature treatment. We added 10 mg/L of glucose (C₆H₁₂O₆) as a source of DOC. The warming treatment increased the water temperature by 3°C above the control (p-value < 0.05). The DOC treatment significantly affected pH, CO₂, and DOC …

Emmanuel Holliday V. Centurion Medical

2026 Decisions

USDC for the District of Delaware

Symmetrical Drug-Related Intertriginous And Flexural Exanthema Associated With Tirzepatide, William Goodman, Karan Pandher, Mahaa Ayub

Department of Dermatology and Cutaneous Biology Faculty Papers

No abstract provided.

Pharmacy Benefit-Management Strategies To Improve Cost-Related Medication Adherence, Ja'meisha Dontinique Gibson

Walden Dissertations and Doctoral Studies

No abstract provided.

A Clinical Practice Guideline On Phq-9 Screening And Follow-Up Management In An Outpatient Setting To Close The Gap In Depression Care, Tina Dongmo

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Early-Stage Chronic Kidney Disease Patient Education, Yoel Madruga Reyes

Walden Dissertations and Doctoral Studies

No abstract provided.

Exploring The Perceptions Of Stigma Of Emotional Distress Among Black Clergy, Sharon S. Mccollough

Walden Dissertations and Doctoral Studies

No abstract provided.

Insights On The Origins And Repercussions Of Corruption In Haiti, Yves Louissaint

Walden Dissertations and Doctoral Studies

No abstract provided.

Male Perspectives On The National Rifle Association And Gun Reform, Holly Jo Tatman

Walden Dissertations and Doctoral Studies

No abstract provided.

Determinants Of Pre-Exposure Prophylaxis Medication Use Among People Aged 18–29 Years Living In Florida, Jeremiah Magraubin Mchaka Wandabwa

Walden Dissertations and Doctoral Studies

No abstract provided.

Mental Health Services For Foster Care Youths Aging Out Of The System, Kenya Staten Hennigan

Walden Dissertations and Doctoral Studies

No abstract provided.

Succession Planning Strategies For Inclusive Leadership And Market Competitiveness, Cara L. Miller

Walden Dissertations and Doctoral Studies

No abstract provided.

Parents’ Lived Experiences In Caregiving Their Children Diagnosed With Duchenne Muscular Dystrophy (Dmd), Olubukola Ojoawo

Walden Dissertations and Doctoral Studies

No abstract provided.

Innovation Strategies For Small And Medium-Sized Construction Companies In Nigeria, Olabode Akinkunmi Akindele

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education For Nurses On The Stress First Aid Continuum, Gilbert Anyangwe

Walden Dissertations and Doctoral Studies

No abstract provided.

Implementing Trauma Informed Care Practices In An Inpatient Psychiatric Unit, Clara Eyra Dedzo Amenuvor

Walden Dissertations and Doctoral Studies

No abstract provided.

The Interplay Between Hearing Loss And Dementia, Michael Sulaiman

Advocate GME

No abstract provided.

Hyperthyroidism In A Twin Pregnancy With A Complete Hydatidiform Mole And Coexisting Fetus: A Case Report, Saadiya Abdul Ahad Hawa Md, Kayla Tran Do, Mihika Iyer Do, Chung-Kay Koh Md

Scientific Day

Background/Significance:

Gestational Trophoblastic Disease (GTD) are tumors originating from trophoblastic cells of the placenta including premalignant hydatidiform moles and malignant gestational trophoblastic neoplasia. Incidence in the United States is from 1.1 to 1.2 per 1000 pregnancies. Rarer is pregnancy with a complete hydatidiform mole and coexisting fetus (CHMCF), from 1/22,000 to 1/100,000 pregnancies. GTD causes hyperthyroidism by cross-reactivity between the ɑ subunit of human Chorionic Gonadotropin (hCG) and Thyroid Stimulating Hormone (TSH), potentially resulting in devastating consequences.

Description:

A 23-year-old White Hispanic female presented with vaginal bleeding. hCG level was >248,400 mU/mL and an abdominal ultrasound (US) revealed a single, …

Traumatic Sigmoid Sinus Thrombosis After Mastoid Fracture: Importance Of Venous Imaging In High-Risk Skull Fractures, Afrah Rehman Bs, Ellie Esbrook Md, Sakina Burhani Md, Madeline Bonaguro Md, Sonali Mehta Patel Md

Scientific Day

Introduction/Background:

Traumatic cerebral venous sinus thrombosis (CVST) is an under-recognized complication of head trauma, particularly in skull fractures overlying dural venous sinuses. Among patients with skull fractures, venous sinus thrombosis is reported in up to 7% of cases and in 41–57% when fractures extend to a dural sinus or jugular bulb on dedicated imaging. We present a case of traumatic sigmoid sinus thrombosis associated with mastoid fracture involving the jugular bulb.

Description:

A previously healthy 15-year-old male presents after being thrown from the hood of a moving vehicle. He experienced a brief loss of consciousness followed by headache, dizziness, nausea, …

Possible Role Of Pharmaceutical Interventions In Orbital Compartment Syndrome, Fardeen Sayed Md, Daniel Grahf Md

Scientific Day

Introduction/Background:

Orbital compartment syndrome is an ophthalmologic emergency characterized by intraorbital pressures exceeding ophthalmic arterial pressure with resultant ischemia to the retina and optic nerve and often irreversible vision loss. It is a clinical diagnosis in the setting of optic neuropathy and increased intraocular pressures and imaging is not required. Timely intervention is a hallmark of treatment with improved outcomes associated with decompression within two hours. The standard of care is lateral canthotomy with cantholysis to restore perfusion and preserve eyesight. While medical and pharmaceutical interventions and treatment play a supplemental role in treatment, their effectiveness has not been confirmed. …

Ewing Sarcoma Presenting With Renal Mass And Multifocal Epidural Spinal Cord Compression, Rafia Ali Md, Nikhita Vemulapalli Do, Giovanni Paollela Md, Pamela Kaiser Md

Scientific Day

Introduction/Background:

Ewing sarcoma is an aggressive small round blue cell tumor most commonly arising from bone in children and adolescents. Primary renal Ewing sarcoma is exceedingly rare and is frequently misidentified as more common renal neoplasms. Although metastatic disease is present in 20–25% of cases at diagnosis, multifocal noncontiguous epidural spinal metastases causing acute cord compression are uncommon. We present a rare case of Ewing sarcoma presenting with disseminated disease and multifocal thoracic epidural spinal cord compression.

Description:

Patient is a 23-year-old female who presented with one week of bilateral low back pain. She was treated with NSAIDs and muscle …

Valvuloplasty Meets Impella: A Rescue Approach For Cardiogenic Shock In The Setting Of Critical Aortic Stenosis, Alfredo Toll Md, Alejandra Diaz Sierra Md, Pedro Gonzalez Martinez Md, Abdul Kareem Lukan Md, Mohamed Ismail Md, Philip Song Md, Francisco Somoza Md, Pouyan Razminia Md, Amir Singh Md, Joaquin Gonzalez Md

Scientific Day

Introduction/Background:

The combination of severe aortic stenosis and cardiogenic shock carries high morbidity and mortality. In patients who are not immediate candidates for emergent transthoracic aortic valve replacement (TAVR) or transfer to a tertiary center, balloon aortic valvuloplasty (BAV) may serve as a temporizing strategy to stabilize hemodynamics and improve end-organ perfusion.

Description:

A 78-year-old man with a past medical history of essential hypertension, hyperlipidemia, nonischemic cardiomyopathy and heart failure with reduced ejection fraction presented with acute decompensated heart failure. Transthoracic echocardiography demonstrated critical AS with an aortic valve area (AVA) of 0.26 cm2, peak velocity 6.2 m/s, mean gradient …

Failure Of Open Traumatic Diaphragm Rupture Repair Managed By Robotic-Assisted Laparoscopic Approach, Thaddeus Rogozinski Do, Omar Alrashid Md, Hassan Qureshi Md, Julia Coughlin Md

Scientific Day

Background/Significance:

Blunt traumatic diaphragmatic rupture is an uncommon but potentially life-threatening injury frequently associated with intra-abdominal trauma. Operative exploration is typically required to evaluate associated injuries and perform repair. While delayed or chronic cases often favor a transthoracic approach, minimally invasive strategies for early postoperative failure of primary repair are not well described.

Description:

A 40-year-old male presented after a motor vehicle collision. Computed tomography revealed a left-sided diaphragmatic rupture with gastric herniation into the thoracic cavity. Associated pelvic and sacral fractures were managed non-operatively. He underwent exploratory laparotomy with reduction of the herniated stomach and primary two-layer repair using …

When Mac Attacks: Stroke-Driven Discovery And Percutaneous Removal Of A Mobile Mitral Annular Mass Via Transseptal Angiovac With Cerebral Protection, Huseyin E. Arman Do, Amjed Zidan Md, William Fischer Md, Suhail Q. Allaqaband Md, Renuka Jain Md, Joaquin Solis Md

Scientific Day

Introduction/Background:

An 84-year-old woman with CAD, cardiomyopathy, hypertension, and diabetes presented with recurrent embolic strokes despite dual antiplatelet therapy. Initial TEE showed severe MAC without thrombus. No atrial fibrillation was detected. After another stroke, repeat TEE revealed a new mobile mass on the posterior mitral annulus. Deemed high-risk for surgery, she underwent transseptal AngioVac aspiration. At one-month follow-up, she remained neurologically intact and functional. Angiography and/or Other Diagnostic Tests: MRI showed multifocal embolic strokes. TTE showed severe MAC with mobile echodensity. TEE showed a 1.8 x 0.8 cm mobile posterior mitral annular mass, likely caseous MAC. CT consistent with severe …

Bilateral Pulmonary Emboli Requiring Emergent Thrombectomy In A Pediatric Patient, George C. Michalopoulos Md, Viktoriya Bikeyeva Md, Joseph Adams Do, Andrii Labchuk Md, Giovanni Paollela Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Pediatric Pulmonary Emboli (PE) are rare but have a high mortality rate. Evidence based guidelines for PE management in children are limited, and most recommendations stem from adult populations. Decisions regarding pursuing systemic thrombolysis, surgical embolectomy, catheter-based interventions, or medical management are often made on a case-by-case basis by a multidisciplinary team after careful consideration of the risks and benefits. We present a case of a 17-year-old female who was successfully treated with mechanical thrombectomy for bilateral PE after recent initiation of oral contraceptives.

Description:

Patient presented to the ED with dyspnea. Vital signs showed tachycardia, hypoxia, and hypotension. …

The Unobstructed Infarct: Minoca At The Intersection Of Hormones And Amphetamines, Garrett Weber Do, Patrick Disterhaft Do, Adam Pampori Md, Blair Tilkens Do, M Fuad Jan Md

Scientific Day

Background/Significance:

Myocardial infarction with non-obstructive coronary arteries (MINOCA) represents approximately 6– 8% of all myocardial infarctions and is more common in younger patients and women.

Description:

A 20-year-old woman taking adderall and combined oral contraceptives presented with her second episode of sudden-onset central chest pain at rest. Troponin was elevated, and EKG showed nonspecific ST-T wave changes. Transthoracic echocardiogram demonstrated an ejection fraction of 63% with a small area of hypokinesis in the mid-anterolateral and inferolateral walls. Cardiac MRI suggested a recent myocardial infarction in a diagonal branch territory with active inflammation. Left heart catheterization revealed normal coronary arteries. She …