Digital Commons Network^™

Evaluation Of Mandibular Buccal Shelf Bone Thickness And Height For Miniscrew Placement Using Cone-Beam Computed Tomography, Roji Shrestha, Rabindra Man Shrestha, Jyoti Dhakal, Sujita Shrestha

Taiwanese Journal of Orthodontics

Introduction: Buccal shelf area (BSA) is a recommended anatomic site for mini-screw insertion. Stability of miniscrew is determined by quantity of bone available in the region.

Objective: To determine bone thickness and height of BSA for optimum placement of miniscrew.

Materials and Methods: This cross-sectional observational study included 40 cone-beam computed tomography (CBCT) scans (23 males, 17 females) of patients aged 19-38 years. Patients were further divided into two age groups 19-28 years and 29-38 years. Measurements were made at 4 different sites: mandibular first molar mesial root (M6) and distal root (D6), second molar mesial root …

No Child Left To Heal Alone: Rethinking Restitution For Child Victims Of Sexual Abuse, Jessica Valiani

Advanced Issues in Criminal Law: Sex Offenses

This paper examines the long-term psychological, emotional, and financial harms suffered by child victims of sexual abuse and argues that existing restitution statutes in the United States fail to provide meaningful, sustained support for survivors. Drawing on developmental psychology research, criminal restitution frameworks, and comparative state statutes, the paper demonstrates how current laws often limit recovery to narrow categories of offenses or leave compensation largely discretionary. The paper further analyzes Kentucky’s “Melanie’s Law” as a model for imposing ongoing offender-funded obligations and proposes a new child-centered restitution statute requiring convicted offenders to fund therapy and treatment for survivors of child …

The United States Still Says “I Do” To Marital Rape: An Examination Of Modern Marital Rape Exemptions, Jaiden Herald

Advanced Issues in Criminal Law: Sex Offenses

This paper examines the persistence of marital rape exemptions in the United States despite the formal criminalization of spousal rape in all fifty states. Through historical analysis and statutory comparison, the paper traces the origins of marital rape exemptions to common law doctrines rooted in implied consent, coverture, and the treatment of women as property. It further analyzes modern exemptions that continue to shield perpetrators through loopholes involving cohabitation, incapacity, reporting requirements, or reduced penalties. By highlighting statutes from states such as South Carolina, Arkansas, and Iowa, the paper demonstrates how marital status continues to undermine equal protection for victims …

Preparing A Qualified Workforce To Support The Disability Community Through The Lend Interprofessional Learning Experience, Megan K. Roberts, Beth W. Degrace, Mark J. Fisher, Sandra H. Arnold

Developmental Disabilities Network Journal

Leadership and workforce preparation are vital roles of the nation’s academic institutions to advance health care services for the members of our communities. Leadership Education in Neurodevelopmental and other Related Disabilities (LEND) programs aim to prepare leaders in health care services and advocacy to improve systems and the quality of care and supports for the disability community, specifically children with developmental disabilities. LEND programs enhance standard health care pre-service training by providing interdisciplinary learning experiences for student trainees from a minimum of ten disciplines in 300 hours of learning activities over one academic year. An innovative feature of LEND programs …

"Better Than A Boring Textbook": Studying Development Through Middle-Grade Literature, Heidi A. Sackreiter

International Journal for the Scholarship of Teaching & Learning

College students are sometimes reluctant to purchase textbooks for various reasons, but they still must study the necessary content in a course or academic program. This Scholarship of Teaching and Learning (SoTL) research project examined college students’ perceptions of reading middle-grade novels in place of a traditional, formal textbook within an Adolescent Development course. All participants were part of a teacher education program at a four-year, public institution in the Midwest United States. Questionnaires were administered at the conclusion of two semesters, and respondents shared impressions about the middle-grade reading. Response to studying middle-grade novels instead of a textbook was …

Letter From Lloyd, Lloyd C. Clark

Lloyd Clark Papers

Letter from Lloyd C. Clark, with a copy of the published death notice of Cothburn O'Neal, sent to the UTA Alumni Association

Magazine Excerpt

Lloyd Clark Papers

Pages from the Alumni Notebook of the UTA Magazine, in spring/summer 2000, showcasing recent news and alumni spotlights.

Supporting Student Use Of Artificial Intelligence Technologies, Deborah A. Mcallister, Jennifer R. Lynberg, Jason R. Gordon, Mary L. Buehner, Anna Grace L. Sorrells, Taylor L. Behrman

UTC Spring Research and Arts Conference

This project has a focus of preparing presentations, regarding various artificial intelligence (AI) topics, for use by middle and high school students participating in a science enrichment program at a local school. The project is funded through a supplemental grant to the National Science Foundation Robert Noyce Teacher Scholarship Program Noyce Track 2 grant. In a separate project, the middle and high school students submitted a project to the Presidential AI Challenge (AI.gov, n.d.). The presentations created through this funding supplement will support student learning as the students continue to improve and expand skills with AI technologies. Topics for the …

Holographic Data Sharding For Cross-Jurisdictional Storage And Ephemeral Edge Reconstruction, Mohsin Alam

Defensive Publications Series

A waveform security model may use a holographic sharding process to transform a data object into a set of mathematically incomplete and individually unintelligible interference patterns. An orchestration engine can distribute these shards across multiple storage providers and/or jurisdictions, configured to prevent a single entity from possessing sufficient information for reconstruction. The complete data object can be reconstituted, for example, ephemerally within a secure processing environment on an authorized client device (e.g., a smartphone, a laptop computer) at a time of use. This process can render data non-local, disaggregated, and mathematically incomplete at rest, potentially improving data sovereignty and secrecy …

Hardware-Decoupled Composition Of Live-Data Overlays On A Dedicated Graphics Plane For A Television Os, Richa Gupta

Defensive Publications Series

A system is described for displaying persistent, live-data overlays on a computing device, such as a smart television or media streaming device, which can reduce interruption to a primary, full-screen viewing experience. The system may use hardware-decoupled composition, where a method can include rendering a primary video stream onto a video plane and a data widget onto a separate graphics plane. These hardware planes can then be combined by a hardware composer. This architecture can utilize an asynchronous, low-frequency refresh mechanism for the widget and a javascript object notation (to vector) data pipeline. This approach may allow the overlay to …

Non-Alcoholic Wernicke Encephalopathy With Atypical Cortical Involvement On Mri: A Case Report, Tomoki Hongo, Takahiro Goshima, Ryosuke Yokoi, Hiroko Watase, Mitsunaga Iwata

Journal of Community Hospital Internal Medicine Perspectives

While Wernicke encephalopathy (WE) is well-recognized as a condition most frequently associated with chronic excessive alcohol consumption, non-alcoholic WE (NAWE) remain underrecognized despite their clinical importance. 　An 85-year-old nursing home resident was brought to the Emergency Department (ED) with impaired consciousness. She had been taking furosemide 40 mg and spironolactone 25 mg daily for chronic heart failure for five months prior to presentation. One month before admission, she began receiving parenteral nutrition without thiamine due to poor oral intake accompanied by vomiting. On arrival, her Glasgow Coma Scale score was 3, exhibiting flaccid quadriplegia and absent deep tendon and oculocephalic …

Innocent Until Proven Guilty: Native Valve Staphylococcus Lugdunensis Infective Endocarditis Complicated By Embolic Stroke In A Peritoneal Dialysis Patient: A Case Report, Hasan Obeidat, Sandeep Kshetri, Mohamad Mansour, Rabin Shrestha

Journal of Community Hospital Internal Medicine Perspectives

Staphylococcus lugdunensis is a coagulase-negative staphylococcus (CoNS) with unique virulence traits that mimic Staphylococcus aureus, despite traditionally being grouped among less pathogenic skin flora. Unlike other CoNS, S. lugdunensis can infect native valves and cause aggressive infective endocarditis (IE). We present a rare and instructive case of S. lugdunensis native mitral valve endocarditis complicated by cerebral embolic infarctions and requiring surgical valve replacement in a patient on chronic peritoneal dialysis. This case underscores the diagnostic challenge of CoNS bacteremia, highlights the embolic potential of S. lugdunensis, and represents one of the few documented cases of stroke complicating S. …

Shadows In The Light: Moonshine’S White Lightning And Vision Loss, Nadim Ojaimi, Aida Metri, Carl Tanba, Carlos Eduardo Baleeiro

Journal of Community Hospital Internal Medicine Perspectives

Methanol poisoning remains an important cause of severe metabolic and neurologic toxicity, most commonly resulting from ingestion of illicit or improperly distilled alcoholic beverages such as Moonshine. We report a case of acute methanol toxicity following Moonshine ingestion, presenting with central nervous system manifestations and visual symptoms. The patient experienced rapid clinical and visual improvement after timely treatment with fomepizole and emergent hemodialysis. In addition to standard therapy, corticosteroids were administered as an adjunctive treatment for visual involvement. This case highlights the importance of early recognition and prompt extracorporeal clearance in methanol poisoning and explores the potential role of corticosteroids …

Lungs And Beyond: Seizures As Presenting Symptom In A Patient With Mycobacterium Chimaera Infection, Samar Mehyar, Tripti Adhikari, Shweta Kambali, Harneet K. Ghumman, Avneet K. Ghumman, Parul Sud, Mehrshad Fathian Sabet, Elizabeth Mikhail, Sohrab Singh

Journal of Community Hospital Internal Medicine Perspectives

Mycobacterium chimaera is a slow-growing, non-tuberculous mycobacterium (NTM) that belongs to the Mycobacterium avium complex (MAC). It first emerged as a pathogen after being associated with infections in patients who underwent cardiothoracic surgery when patients were getting exposed to heater cooler units, especially those requiring extracorporeal membrane oxygenation (ECMO) or prosthetic valve placement. We report an atypical presentation of M. chimaera infection in a patient with COPD, but no prior history of cardiac surgery or immunosuppression.

Vitamin B12 Deficiency Mimicking Thrombotic Microangiopathy: A Case Of Pseudo-Thrombotic Microangiopathy, Maya Pillai, Sandesh Parajuli, Bidisha Baral, Rachael Mcclenahan, Shoja Rahimian

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Vitamin B12 deficiency may rarely present with hemolysis and schistocytosis, mimicking thrombotic microangiopathy (TMA). This pseudo-TMA variant is clinically significant, as delayed recognition may lead to unnecessary treatments and adverse outcomes.

Case Presentation: A 44-year-old male with no significant medical history or dietary restrictions presented with progressive lightheadedness, epigastric discomfort, and unintentional weight loss. Laboratory evaluation revealed macrocytic anemia with evidence of hemolysis and reticulocytopenia. A negative Coombs test made autoimmune hemolytic anemia less likely. Further workup demonstrated low serum vitamin B12 and elevated methylmalonic acid, consistent with B12 deficiency. Upper endoscopy with gastric biopsy revealed atrophic mucosa lacking …

Adrenal Crisis Induced-Seizures: A Case Report And Literature Review, Israel Umoh, Elizabeth Mikhail, Narjis Batool, Nosheen Hajra, Ibrahim Al-Sanouri

Journal of Community Hospital Internal Medicine Perspectives

This case report underscores the critical interplay between adrenal crisis and seizure activity, emphasizing the importance of rapid recognition and management of this life-threatening condition. Adrenal crisis, characterized by severe hypotension and electrolyte disturbances, often manifests with nonspecific symptoms such as fatigue, nausea, and altered consciousness, which can obscure diagnosis, especially in pediatric and young adult populations. The report details a 21-year-old female with a complex endocrinologic background who developed seizures precipitated by an adrenal crisis triggered by gastroenteritis and compounded by medication noncompliance. Clinical findings included profound dehydration, electrolyte abnormalities, refractory hypotension, and low cortisol levels, which responded favorably …

The Hidden Crisis: A Rare Case Of Thyrotoxicosis In A Young Female, Mimicking Neuromuscular Disease, Ali Haider Awan, Seerat Riaz, Hafiz Muhammad Hashim Butt, Sajeela Riaz, Fnu Sameeha, Hilana Soliman Omar, Shafia Naeem, Abida Perveen, Jahanzeb Malik

Journal of Community Hospital Internal Medicine Perspectives

Thyrotoxic periodic paralysis (TPP) is a rare but life-threatening cause of acute flaccid paralysis associated with hypokalemia. Although more common in males and individuals of Asian descent, it may present atypically in young females and be easily misdiagnosed. We report a case of a 30-year-old female who presented with acute quadriparesis. Extensive neuromuscular evaluation initially pointed toward Guillain-Barré syndrome (GBS), but subsequent investigations revealed profound hypokalemia. Further workup confirmed thyrotoxicosis as the underlying cause. Prompt potassium replacement and initiation of antithyroid therapy led to complete clinical recovery. This case highlights the importance of considering both endocrine disorders and electrolyte disturbances, …

Identifying And Comparing Communication Challenges Between Nurses And Resident Physicians, Anh Nguyen, Ho-Man Yeung

Journal of Community Hospital Internal Medicine Perspectives

Background

Effective healthcare delivery involves coordinated communication between healthcare team members.

Objective

This study compares challenges in communication between nurses and residents.

Methods

This is a single-centered survey study in which 58 Nurses and 54 Internal Medicine residents at Temple University Hospital anonymously completed a 14-item questionnaire between August 2023 and March, 2024.

Results

Approximately 42% (54/128) residents participated. When assessing overall satisfaction, residents expressed lower satisfaction compared to nurses (57% vs 86%; p

Conclusion

Future research should focus on addressing these differences to foster better teamwork and understanding

Job Decisions To Leave A Hospitalist Group Among Millennial Hospitalists Born In Or After 1982: A Survey Based Study, Maria Carolina Musri, Flora Kisuule, Sean Tackett, Amteshwar Singh

Journal of Community Hospital Internal Medicine Perspectives

High turnover among millennial hospitalists, who constitute a large proportion of early-career physicians, remains a concern. Using purposeful sampling, we surveyed 136 millennial hospitalists to understand what factors influence their decisions to leave a hospital medicine group. Family reasons (81%) and geographical location (80%) were the factors most commonly identified as important influences on decisions to leave. While these factors may be non-modifiable to a large extent, these findings underscore the importance of identifying such needs at the time of recruitment. Institutional reputation was ranked the least frequently influencing factor, when millennial hospitalists contemplate leaving a hospital medicine group. Understanding …

Learned Resilience, Rebeca Ortiz

Bachelor of Architecture Theses - 5th Year

Haiti faces a complex web of environmental and social pressures, from deforestation and soil erosion to climate instability and strained institutional support. While regenerative farming and community-led development are often discussed in the context of sustainability, architecture is frequently relegated to the background, treated as a secondary or isolated fix rather than a primary driver of change. My work challenges this by positioning architecture as the central, regenerative framework that weaves together food production, collective learning, and civic life. I see the built environment not just as shelter, but as an active agent for resilience and a sense of belonging. …

Myocardin-Dependent Regulation Of Adam12 And Adam19 Promotes Fibronectin Fibrillogenesis During Pleural Fibrosis, Uday Siva Naga Sankar Allamneni

Biotechnology Theses

Pleural fibrosis involves excessive extracellular matrix (ECM) deposition driven by chronic injury and inflammation. Transforming growth factor-β (TGF-β) induces mesothelial–mesenchymal transition (MesoMT), promoting a myofibroblast phenotype. Our laboratory identified myocardin (Myocd), a transcriptional coactivator, as a key mediator of MesoMT that regulates ECM-remodeling proteases. RNA-seq and qPCR analyses showed that ADAM12 and ADAM19 are upregulated by TGF-β but suppressed by Myocd knockdown in Human pleural mesothelial and IPF-derived cells. Silencing ADAM12 reduced fibrotic markers, including fibronectin and smooth muscle actin (α-SMA), whereas ADAM19 showed relatively minor effects. ADAM12 knockdown also impaired fibronectin fibrillogenesis and insoluble matrix assembly, as confirmed by …

Assessing Transit-Oriented Development And Mixed-Use Urban Planning Strategies In Taipei, Taiwan, Eliza Mccoole

CISLA Senior Integrative Projects

No abstract provided.

Income As A Moderator Of Stress And Yoga Practice Among Black Women, Renee Jaxel

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On Central Line-Associated Bloodstream Infection Prevention Bundle Practices, Ngowari Warmate

Walden Dissertations and Doctoral Studies

No abstract provided.

Clinical Practice Guideline To Reduce Lgbtq+ Disparities In Health Care, Angel Lb Ambrose

Walden Dissertations and Doctoral Studies

No abstract provided.

Aligning Nutrition Screening Workflows To Improve Early Identification Of Pressure Injury Risk In Hospitalized Adults, Stephanie M. Vigil

Walden Dissertations and Doctoral Studies

No abstract provided.

Immersive Vr/Ar-Based Learning In Prelicensure Nursing Education: Effects On Cognitive Engagement And Learning Outcomes, Ashton Wilson, Didier Ushijima, Treasure Ngere, Rose Ogunade, Natalia Koretsky, Charity Msamalia Chimwala-Selico

General Submissions: Academic Settings and Education-based Materials

Background: Traditional nursing education may limit active learning, clinical judgment development, and cognitive engagement among prelicensure nursing students. Evidence supporting measurable outcomes in traditional clinical education is limited (Leighton et al., 2021). Emerging technologies, including virtual reality (VR), augmented reality (AR), and artificial intelligence (AI)-enhanced learning, offer alternative approaches.

Purpose: This evidence-based practice review evaluates the effect of immersive VR/AR-based learning with adaptive or automated feedback on cognitive engagement and learning outcomes in prelicensure nursing students compared with traditional instructor and self-directed study.

Methods: A literature review was conducted using databases including PubMed, CINAHL, MEDLINE, PsycINFO, and ERIC. Studies included …

“Am I Truly Getting Prepared To Be A Good Teacher?”: Pre-Service Teachers’ Barriers In The Absence Of An Education Living Learning Community (Llc), Daisy Garcia

Theses and Dissertations

“A teacher is an important element of an education system because the impact of the teachers on the students and education programs is known much higher than other elements” (Kadi et al., 2015, p. 1). This study seeks to further understanding of the challenges pre-service teacher experience through their collegiate careers, and how institutions can implement resources such as Living-learning communities in their college campus residence halls to support their students and contribute to the long-term success of teachers post college. A quantitative study was done surveying pre-service teachers at Rowan University to gather knowledge about their different experiences with …

The Gatekeepers: School Personnel And The Identification Of Twice-Exceptional Black Girls, Stephanie L. Addison-Fontaine

LMU Theses and Dissertations

This qualitative research study examined the discourse of school personnel in the twice-exceptional (2E; Kaufman, 2018) student identification process (Gilman & Peters, 2018). It used disability critical race studies (DisCrit; Annamma et al., 2016) to investigate how educators’ discourse signals the inclusion or exclusion of 2E Black girls. Critical discourse analysis (Gee, 2014) was used to understand the ways their intersectional identities of race, ability, and gender impact their identification in schools. It highlighted the identification barriers for 2E Black girls and conceptualized a normative 2E construct (N.A.T.E.) aligned with the dominant institutional discourse of twice-exceptionality. Policy shifts are recommended …

Senior Day 2026, University Of Michigan Law School

Commencement and Honors Materials

Program for the May 11, 2026 University of Michigan Law School Senior Day.