Digital Commons Network^™

Listening To Learn: Preservice Teachers’ Voice On What Matters Most In Their University Preparation Programs, David Wolff, Scott Klimek, Elizabeth Y. Dale

The Interactive Journal of Global Leadership and Learning

This study explores the perspectives of preserviceteacher candidates on the topics in education they perceive as the most important and urgent as they prepare for their first year of teaching. Utilizing quantitative methodology, the study aims to identify and prioritize educational topics sixty (n = 60) preservice teacher candidates believed were critical to their professional development. Participants are asked to rate the topics based on two criteria: urgency and importance. Each topic is rated on a scale from 0 to 5, where 0 indicated unfamiliarly with the topic, 1 indicated low urgency or importance, and 5 indicates high urgency …

Collaborating With Our Ai Research Companion: Exploring The Use Of Microsoft Copilot To Conduct Inductive And Deductive Coding In Qualitative Research, David Wolff, Melissa Wolff, Mark Diacopoulos

The Interactive Journal of Global Leadership and Learning

Higher Education faculty balance time in teaching, scholarship, and service, along with many other duties in their roles (Office of Occupational Statistics and Employment Projections, 2024). In our efforts to be stewards of our time and craft, faculty look for ways to be more efficient in these areas. With the increase of Artificial Intelligence (AI) in our personal and professional lives, this paper discusses the use of Generative Artificial Intelligence (GAI), Microsoft Copilot, as an analytic tool in the qualitative data analysis process. Qualitative data was collected from transcripts of recorded meetings and an online journal that included text and …

Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov

The Interactive Journal of Global Leadership and Learning

Stress is a growing concern among university students worldwide, yet little is known about how stress is conceptualized and experienced within Central Asia, particularly Uzbekistan. This study explores how Uzbek university students understand and experience stress, identifies the primary sources of stress in their daily lives, and examines their perceptions of mindfulness as a potential stress‑reduction strategy. Participants were 60 students, primarily Muslim women, at a large public university in Tashkent, Uzbekistan. Open‑ended questions on a post‑intervention survey were analyzed using a combination of deductive and inductive coding. Students most frequently described stress in emotional terms, including irritability, sadness, and …

Embedding Evaluation For Continuous Improvement In A Cohort-Based Doctoral Residency Model: Evidence From An Ed.D. Program, Monica J. Weir

The Interactive Journal of Global Leadership and Learning

The Doctor of Education (Ed.D.) in Educational Leadership Program at Minnesota State University Moorhead (MSUM) includes two required summer residency weeks that serve as signature components of the doctoral experience. Given their central role in supporting academic milestones and scholarly community, program faculty have embedded systematic evaluation into residency design to support continuous improvement. This article describes a multi-phase, utilization-focused evaluation framework examining residency preparation, implementation, and participant experience. The evaluation designer collaborated with program faculty to design pre- and post-residency week instruments that elevate doctoral student voice and support faculty-led reflection. Preliminary findings indicated strong value placed on peer …

Breaking The Mold: An Examination Of Student Perceptions With Faculty-Led Native American Student Research Experiences, Caitlin A. Johnson

The Interactive Journal of Global Leadership and Learning

In recent years, Native American students in Minnesota have experienced the state’s widest equity gap. In response, a faculty advisor guided students through an immersive Indigenous research experience using the medicine wheel as a learning model focused on culturally relevant topics. Culturally relevant teaching uses methods and techniques that are building from a student’s interests, values, and strengths helps them to have a more meaningful educational experience by connecting home with school (Gay, 2000). Grounded in culturally relevant teaching theory, this approach connects students’ lived experiences to academic learning, making the exploration of equity gaps particularly meaningful for Indigenous students …

From Framework To Praxis: An Examination Of Integrated Comprehensive Systems (Ics) Equity Reform And Black Student Engagement, Heather L. Dunham

The Interactive Journal of Global Leadership and Learning

For over two decades, the Integrated Comprehensive Systems (ICS) framework (Frattura & Capper, 2007) has sought to promote systemic equity by addressing the organizational structures and practices that shape student outcomes. Despite its promise, few studies have examined ICS implementation in practice, particularly its impact on Black student engagement and academic success. This qualitative case study investigates a racially diverse Midwestern middle school that adopted ICS to shift outcomes for Black students. Grounded in the ICS framework—conceptually informed by Critical Race Theory and Disability Studies in Education—data from interviews, observations, and achievement records reveal that ICS can disrupt racialized routines, …

Re-Reading The World: Why Critical Literacy Must Accompany The “Back To Basics” Movement, Carl Bryan

The Interactive Journal of Global Leadership and Learning

Recent literacy reforms in the United States have prioritized systematic phonics as part of the “science of reading,” backed by extensive evidence on the importance of phonemic awareness and decoding for early reading development. While these skills are essential, narrowing literacy to mechanics alone overlooks its broader cultural and civic purposes. Drawing on Freire’s (1970/2000) conception of literacy as both “reading the word and the world,” this paper argues for a balanced framework that integrates foundational instruction with comprehension, knowledge building, and critical literacy. Building on the work of Luke (2000) and Vasquez (2014), it positions literacy as both a …

Emotional Sobriety As Liberation: A Critical Pedagogy Of Resilience, Carl Bryan

The Interactive Journal of Global Leadership and Learning

This white paper extends the Reclaiming Model of trauma recovery by examining what follows critical consciousness when trauma persists and systems remain largely unchanged. Building on Reclaiming My Story, which framed healing as a Freirean act of reclaiming authorship through naming harm, dialogue, and praxis (Bryan, 2026), this paper addresses how reclaimed consciousness is sustained under ongoing emotional, relational, and structural strain. Drawing on critical pedagogy, trauma scholarship, and a first-person case narrative, it reframes post-trauma survival not as incomplete recovery but as ongoing praxis. The analysis challenges resolution-based and individualizing models of healing by conceptualizing emotional sobriety, relational regulation, …

Provocable Forgiveness In Noisy Brand--Consumer Systems:An Agent-Based Study Of Repeated Interaction, Tahere Ahmadiyan, Hamidreza Navidi, Behbod Keshavarzi

Northeast Journal of Complex Systems (NEJCS)

Repeated brand--consumer exchange is often treated as a managerial problem of loyalty, recovery, and trust. It can also be read as a small complex system: many local decisions about cooperation, retaliation, and forgiveness accumulate into market-level selection. This study uses that perspective to examine which relational rules survive when communication is imperfect. Eight canonical Iterated Prisoner's Dilemma strategies are translated into marketing archetypes and evaluated through round-robin tournaments, a six-level noise sweep, proportional-fitness ecological dynamics, and finite-population Moran invasion tests. The tournament leaderboard is calculated without same-strategy self-play, so that reported payoffs reflect inter-archetype competition rather than homogeneous self-coordination. At …

Dynamic Transaction Authorization Using Continuous Analysis Of Tokenized Behavioral Data, Sree Sitamahalakshmi Moguluru

Defensive Publications Series

Static, point-in-time transaction validation methods may be susceptible to in-session fraud, such as account takeovers, and can impose friction on legitimate users. To support continuous transaction authorization, systems and methods can analyze tokenized behavioral data. On a user device (e.g., a smartphone, smart watch, or wearable device), hardware sensors can capture behavioral data that is converted into privacy-preserving tokens before transmission to a server. A server-side infrastructure may use these tokens to build a real-time behavioral model for a session. During a transaction, this model can be compared to a user's historical baseline to compute a dynamic confidence score. This …

Progressive Facial Swelling And Airway Symptoms Revealing A Deep Neck Abscess With Atypical Microbiology, Drew Knight, Hakam Sulaiman, Arash Bakian, Ilya Fonarov

Journal of Community Hospital Internal Medicine Perspectives

Deep neck abscesses have become less common in the antibiotic era; yet, they still pose major risks of morbidity and mortality if not addressed appropriately. Their proximity to the upper respiratory tract and mediastinal structures further exacerbates this risk. We present the case of a 56-year-old man with a medical history of type 2 diabetes mellitus, who exhibited a two-month history of recurrent left-sided facial edema, pain, and dysphagia. Computed tomography imaging confirmed a substantial fluid collection extending from the submandibular region into the mid-cervical area, from which aspiration yielded 110 mL of purulent material. Cultures indicated Cutibacterium acnes, …

Left-Ventricular Non-Compaction Cardiomyopathy Presenting With Atrial Flutter With Rapid Ventricular Response, Sahil Ghay, Baneet Kaur, J. Armando Talavera, Koushik Sanku, Viky S. Loescher, Julien A. Exposito

Journal of Community Hospital Internal Medicine Perspectives

Left ventricular non-compaction cardiomyopathy (LVNC) is a rare genetic cardiomyopathy characterized by prominent trabeculations and deep recesses that predispose to arrhythmias and heart failure. We describe a 42-year-old man with persistent tachycardia and exertional fatigue found to have CTI-dependent atrial flutter with 2:1 conduction. Transesophageal echocardiography showed severe biventricular dysfunction with an ejection fraction of 15%, and cardiac MRI confirmed LVNC with a non-compacted to compacted ratio of 3.3. After successful ablation and normal coronary angiography, he was diagnosed with LVNC. This case highlights an unusual presentation of LVNC with typical atrial flutter and underscores the value of cardiac MRI …

A Case Of Anti-Srp Immune-Mediated Necrotizing Myopathy Following Suspected Coxsackie B4 Infection: Exploring A Viral Trigger Hypothesis, Marwan Ahmed, Ruba Salameh, Soziema Salia, Brent T. Harris, Christopher J. Haas, Anees Siddiqi

Journal of Community Hospital Internal Medicine Perspectives

Immune-mediated necrotizing myopathy (IMNM) is a rare subtype of idiopathic inflammatory myopathies that can present with rhabdomyolysis. We report a 43-year-old woman with rapidly progressive proximal muscle weakness following a flu-like illness. Laboratory evaluation revealed markedly elevated creatine kinase (22,207 U/L) and transaminases, with positive anti-signal recognition particle (SRP) and Coxsackie B4 antibodies. Muscle biopsy demonstrated extensive necrosis, regeneration, and endomysial lymphocytic infiltration, confirming IMNM. The patient was treated with intravenous methylprednisolone, IVIG, and rituximab, followed by oral steroid taper and mycophenolate. At six-month follow-up, she showed significant clinical and biochemical improvement. This case highlights a potential viral-triggered autoimmune mechanism, …

Steroid-Responsive Encephalopathy Associated With Autoimmune Thyroiditis: A Case Fulfilling Definite Graus Criteria, Stephanie Ammari, Nawras Ibrahim, Sravani Karuchola, Samir Ouais

Journal of Community Hospital Internal Medicine Perspectives

Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT), also known as Hashimoto encephalopathy, is a rare immune-mediated neurological syndrome with an incidence of 2.1 per 100,000 and a 4:1 female predominance. Neurological manifestations are independent of thyroid status, occurring in 30–40% of euthyroid patients, and include cognitive impairment, confusion, seizures, and psychiatric symptoms. Diagnosis is challenging in the elderly, where symptoms overlap with dementia or delirium, with only 51 reported cases in patients aged ≥65 years. We describe a 70-year-old woman with autoimmune hypothyroidism and levothyroxine nonadherence who presented with progressive weakness, melena, dyspnea, and altered mental status complicated by obstructive …

Piperacillin-Induced Immune Hemolytic Anemia Masked By Intestinal Failure-Associated Liver Disease: A Case Report With Three Serial Exposures, Stephanie Ammari, Nawras Ibrahim, Khalid Mahmood

Journal of Community Hospital Internal Medicine Perspectives

Background: Drug-induced immune hemolytic anemia (DIIHA) secondary to piperacillin has an estimated incidence of 0.01–0.10% [1,2]. In patients with intestinal failure-associated liver disease (IFALD), chronic conjugated hyperbilirubinemia obscures typical hemolytic markers [3,4].

Case Presentation: A 27-year-old woman with traumatic short bowel syndrome requiring total parenteral nutrition for 6 months, IFALD (baseline total bilirubin 2.5 mg/dL), and chronic kidney disease experienced three piperacillin-tazobactam exposures over two months. First exposure (12 days): hemolysis developed after drug discontinuation (primary sensitization). Second exposure: severe hemolysis occurred within 3 days (anamnestic response) with hemoglobin declining to 5.8 g/dL, undetectable haptoglobin, elevated LDH, reticulocytosis, and strongly …

Severe Multisystem Toxicity From Combination Ipilimumab And Nivolumab In Metastatic Melanoma: A Case Report, Bushra Amer, Sheetal Manerkar

Journal of Community Hospital Internal Medicine Perspectives

Immune checkpoint inhibitors (ICIs) have transformed cancer therapy by enhancing antitumor immunity. Despite their remarkable efficacy in malignancies, particularly metastatic melanomas, the use of ICIs have been linked to life-threatening immune-related adverse events (irAEs) affecting several organ systems. Combination therapy with ipilimumab and nivolumab increases both efficacy and the risk of severe irAEs. We report a rare case of metastatic melanoma treated with combination ipilimumab and nivolumab, complicated by multisystem irAEs. The patient developed hepatitis, cholangitis, ocular toxicity, and neurologic progression, highlighting the severity and complexity of immune-mediated toxicities following dual checkpoint blockade. This case underscores the potential for severe, …

From Villi To Alveoli: Lung Involvement In Celiac Disease – A Narrative Review, Mateusz Marzec, Patrycja Cecha

Journal of Community Hospital Internal Medicine Perspectives

Background:

Celiac disease (CD) is a chronic, immune-mediated enteropathy triggered by gluten that affects about 1% of the population and may present with extraintestinal manifestations. Pulmonary complications are considered rare and are poorly characterized. Lane-Hamilton syndrome is the best described lung manifestation, but data suggests a broader spectrum of respiratory involvement.

Methods:

We performed a narrative review with structured search strategy of PubMed and Embase (January 1, 1970 – December 1, 2025) using the terms celiac/coeliac and lung, pulmonary, respiratory, hemoptysis, hemosiderosis, alveolar hemorrhage, interstitial lung disease, alveolitis, bronchiectasis …

Echocardiography In Stroke Management: Necessary Or Overused?, Nicole Ann Tesoro, Jasvin Kurundrayil Manha, Jerold Fleishman, Sumanth Bandaru

Journal of Community Hospital Internal Medicine Perspectives

Stroke remains a leading cause of morbidity and mortality worldwide, leading to the development of efficient and evidence-based management strategies. Echocardiography is a crucial diagnostic tool for identifying cardiac sources of embolism, particularly in cardioembolic and cryptogenic strokes, yet its routine use in all stroke patients remains controversial. While evidence-based guidelines recommend a patient-specific approach, rigid hospital quality metrics have incentivized widespread echocardiography, even in low-yield cases such as large artery atherosclerotic strokes. This disconnect raises concerns regarding cost-effectiveness, resource allocation, and potential over-testing, delaying discharges and prolonging hospital length of stay. A more tailored approach, focusing on guideline-driven indications, …

A Comparative Analysis Of Opioid Overdose Hospitalizations Pre- And Post-Pandemic: Insights From The National Inpatient Sample Database, Hassan Shakir, Niloy Ghosh, Mohammed A Quazi, Tom Limanovich, Abdul Rafel Awan, Humza Saeed, Adeel Nasrullah, Christopher R Smith, Abu Baker Sheikh

Journal of Community Hospital Internal Medicine Perspectives

Background: The COVID-19 pandemic disrupted healthcare systems, affecting opioid overdose–related hospitalizations. National data examining how demographic and clinical outcomes evolved during this period, particularly by overdose intent, remain limited.

Methods: Using the National Inpatient Sample (2018–2021), we identified adult hospitalizations for opioid overdose using ICD-10 codes and categorized cases as intentional, unintentional, or unspecified. Patients were grouped into pre-COVID (2018–2019) and post-COVID (2020–2021) cohorts. Multivariable logistic and linear regression models adjusted for patient- and hospital-level factors evaluated demographic differences, complications, and outcomes

Results: Among 293,810 hospitalizations, intentional overdoses decreased over time, while unintentional overdoses remained predominant. Post-COVID hospitalizations had higher …

The Effect Of Empiric Initiation Of Treatment On Outcomes Among Patients Presenting With Extrapulmonary Mycobacterium Tuberculosis Infection In A Community Hospital Setting, Talha Awwal, Faisal Raja Kh, Hanya Awaba, Waseem Anwar, Jinma Ren, Muhammad Aamir Safdar, Saqib Walayat, John J. Farrell

Journal of Community Hospital Internal Medicine Perspectives

Background: Extrapulmonary tuberculosis (EPTB) accounts for ~20% of Mycobacterium tuberculosis infections in Pakistan. Diagnostic delays are common and may worsen outcomes. We evaluated whether empiric treatment initiation improves outcomes among patients with EPTB at a large public hospital in Islamabad, Pakistan. Methods: Retrospective cohort of consecutive EPTB cases at Pakistan Institute of Medical Sciences (January–June 2016). Patients were categorized as clinically diagnosed (symptoms/radiology) or laboratory-supported (histology, microbiology, or biochemical tests). Standard Directly Observed Therapy Short-course (DOTS) based regimens were used. Outcomes were treatment success, failure, loss to follow-up, and mortality; groups were compared using chi-square testing. Results: Of 317 EPTB …

Prognostic Utility Of Delta -Procalcitonin And Modified Shock Index For Risk Stratification Of Sepsis In Acute Care Settings, Sanveer Singh, Neeraj Singla, Navneet Sharma, Mandip Bhatia, Saurabh C Sharda

Journal of Community Hospital Internal Medicine Perspectives

Background: Risk stratification in sepsis remains challenging, and while several scoring systems exist, there is a need for simple tools that can reliably predict outcomes.

Aims: To study the role of Delta -Procalcitonin and Modified Shock Index (MSI) in predicting the severity of Multiple Organ Dysfunction Syndrome (MODS)like acute kidney injury, vasopressor requirement, need for mechanical ventilation, coagulopathy and 28 day mortality in sepsis

Methods: This prospective observational study recruited 122 patients with suspected sepsis. Delta- Procalcitonin was calculated by measuring the difference in procalcitonin values at the time of admission and after 48 hours. Modified Shock Index (MSI) is …

Evolving Trends And Racial Disparities In Alcohol Associated Liver Disease (Ald), Metabolic Dysfunction Associated Steatohepatitis (Mash) And Hepatitis C Viral Infection (Hcv) As Etiology Of Liver Transplantation: Past, Present, And Future Projections, Boniface Mensah, Albert E. Orhin, Natalie A. Y. Akoto, Seunghee Han, Rachel A Boateng, Ramya Varesiddy, Joseph Atarere, Simardeep Singh, Terrylyna Baffoe-Bonnie, Haider Naqvi, Christopher J. Haas

Journal of Community Hospital Internal Medicine Perspectives

Background

Liver transplantation remains the definitive treatment for end-stage liver disease (ESLD) and hepatocellular carcinoma (HCC). While hepatitis C virus (HCV) was historically the leading indication for liver transplant, the introduction of direct-acting antivirals (DAAs) has drastically reduced HCV-related ESLD. In contrast, metabolic dysfunction-associated steatohepatitis (MASH) and alcohol-associated liver disease (ALD) have emerged as predominant causes of liver transplantation. This study evaluates racial and ethnic disparities in liver transplantation indications from 2004 to 2023 and projects future trends through to 2040.

Methods

De-identified data from the Standard Transplant Analysis and Research (STAR) files of the United Network for Organ Sharing …

Influence Of Pre-Treatment Ca 125 Levels On Survival Outcomes Across Ethnic Groups In Ovarian Cancer Patients, Ayrton Bangolo, Behzad Amoozgar, Lili Zhang, Budoor Alqinai, Lejla Hodzic, Prathyusha Nadella, Mudra Patel, Kaushik Roy, Veena Lakshmana, Nirdosh Sharma, Sabrina Sultana, Berhane Yohannes, Hadrian Hoang-Vu Tran, Gabriel Ingersoll, Phyu Min Thet, Roshini W. Senevirathne, Prajwal Chandak, Nicole Maharaj, Chloe Aloimonos, Mehwish Safdar, Chathurika Priyabhashinie, Betsy Samuel, Maheswari Bommepalli, Ye Tun, Steven Swarath, Naresh Kumar, Rishabh Goyal, Sami Ai. Salih, Isaac O. Wiredu, Elena Umanets, Lisette L. Kiadidi, Prasansa Dhakal, Timerjot Kaur, Dengyumei Du, Komaldeep Gill, Muhammad Ali Raza Khan, Camila Arteaga, Helena Barbosa, Simcha Weissman

Journal of Community Hospital Internal Medicine Perspectives

Aim This study evaluates demographics, clinicopathological features, and mortality influencers among 16,466 US patients with ovarian cancer diagnosed between 2010 and 2017, focusing on CA 125 levels and racial disparities affecting outcomes.

Methods We analyzed SEER data for 16,466 patients diagnosed from 2010 to 2017. Demographic, clinical, overall mortality (OM), and cancer-specific mortality (CSM) variables were assessed. Factors with P < 0.1 on univariate Cox regression were entered into multivariate Cox models to identify independent prognostic factors, with hazard ratios greater than one indicating adverse prognosis.

Results Among 16,466 patients with ovarian cancer diagnosed between 2010 and 2017, most were aged 40–79 years and presented with distant-stage disease. The majority of patients were non-Hispanic White, followed by Hispanic and non-Hispanic Black patients. Serous carcinoma was the …

Improving Pneumococcal Vaccination Rates During Hospitalization Via Resident Education Intervention: A Hospital-Based Quality Improvement Project In A Teaching Community Hospital, Shun Nakahara, Takahiko Tsutsumi, Masaru Kurihara

Journal of Community Hospital Internal Medicine Perspectives

Background: Pneumococcal vaccination coverage among eligible adults in Japan remains suboptimal. This gap may be partly attributable to insufficient physician and patient education, as well as limited coordination in delivery of preventive care. Therefore, we conducted a hospital-based quality improvement project combining resident education with system-level workflow modifications to enhance pneumococcal vaccination rates.

Methods: A single-center quality improvement study was conducted at a teaching community hospital in Japan, comparing outcomes between pre-intervention and intervention periods. The intervention included resident education, patient educational materials, integration of vaccination status into admission documentation, discharge checklists, and weekly reminders. The primary outcome was the …

Systematic Review Of Randomized Clinical Trials For The Treatment Of Long Covid Syndrome, Leonardo Tamariz, Dariel Rodriguez, Elizabeth Bast, Nancy Klimas, Morgan Pyne, Maricarmen Cruz-Jimenez, Diana Gomez Manjarrez, Ana Palacio

Journal of Community Hospital Internal Medicine Perspectives

Background: There is a critical need for interventions for long COVID. Our aim was to conduct a systematic review on the efficacy and safety of different interventions in patients with long COVID.

Methods: We searched the MEDLINE 1965 until August 2024. We included randomized clinical trials that reported a primary outcome. We evaluated the GRADE certainty of the effect measures.

Results: Our initial search yielded 2,606 potentially relevant studies. We include 43 randomized clinical trials that ultimately included 2,878 participants with long COVID. The GRADE criteria found all but one study had low certainty. Eight studies reported on the use …

Cipropad Learning Model To Improve Elementary School Students’ Hots In Geometry, Ria J. Salman, Heris Hendriana, Masta Hutajulu

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

The latest digital technology developments demand innovative learning models that are able to integrate active learning approaches, problem-solving, and digital collaborative platforms. This study aims to develop a CIPROPAD (Circuit Learning, Problem-Based-Learning, Padlet) learning model designed to improve students' HOTS. This study uses the Borg and Gall R&D method which includes the stages of needs analysis, model design, initial product development, expert validation, limited trials, revisions, and field trials. The research subjects consisted of 74 elementary school students divided into experimental and control groups. The research instruments used included expert validation sheets, HOTS tests, student activity observation sheets, and student …

Three-Dimensional Surgical Orthodontic Management Of Pruzansky Iia Craniofacial Microsomia With Severe Facial Asymmetry And Obstructive Sleep Apnea, Hung-Wen Chiu, Cheng-Hui Lin, Yi-Hsuan Carol Chen

Taiwanese Journal of Orthodontics

Background: Craniofacial microsomia (CFM) is the second most common craniofacial anomaly with asymmetrical, congenital malformation. Treatment is challenging and requires interdisciplinary cooperation to restore function and facial esthetics. Objective: A CFM patient suffered from facial asymmetry, occlusal plane cant, malocclusion and severe obstructive sleep apnea, and a 3D surgical orthodontic treatment was planned. Case report: A 37-year-old male patient complained of small chin with deviation. Craniofacial microsomia grade IIa by Pruzansky system and S2A1T1 by SAT system was diagnosed. Clinical examination showed severe facial asymmetry, right microtia, chin deviation to right side 7.0 mm, occlusal plane cant, right Class …

Management Of Skeletal Class Iii Malocclusion With Deep Bite And Moderate Overjet Using Improved Super-Elastic Ti-Ni Alloy Wire (Isw), Wen-Hsuan Lin, Ching-Yu Yang, Yuan-Hou Chen, Jian-Hong Yu

Taiwanese Journal of Orthodontics

A 20-year-old female presented with concerns about poor dental alignment and a tendency to bite on her lip easily. Clinical examination revealed a concave and brachy facial profile, accompanied by a deep overbite and a moderate overjet. Radiographic examination showed skeletal Class III with a low mandibular plane angle. Correction of the deep bite was achieved by using the Improved Super-elastic Ti-Ni alloy Wire (ISW) and Intermaxillary elastics (IMEs). To correct the moderate overjet, interproximal reduction (IPR), the Multi-bend Edgewise Archwire (MEAW) technique, and arch lengthening of the lower arch were applied. The active treatment duration took approximately 54 months, …

Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Skeletal Class Iii Malocclusion With Anterior Crossbite And Missing Lower Molar, De-Lun Zhuang, Yuan-Hou Chen, Jian-Hong Yu

Taiwanese Journal of Orthodontics

This case report describes the use of Improved Super-elastic Ti-Ni alloy wire (ISW), developed by Tokyo Medical and Dental University, in managing a skeletal Class III malocclusion with anterior crossbite and a missing lower molar. A 26-year-old female presented with a chief complaint of poor dental alignment. Clinical and radiographic evaluation revealed Angle Class III malocclusion, anterior crossbite, a missing mandibular first molar (36), and a centric occlusion–centric relation (CO–CR) functional shift, consistent with a skeletal Class III pattern. Treatment involved the use of ISW for leveling and alignment of both arches and correction of the anterior crossbite, while maintaining …

Comparative Evaluation Of Selected Properties Of Tetrahedral Amorphous Carbon (Ta-C) Coated And Uncoated Beta Titanium (Β-Ti) Archwires - An In Vitro Study, Abhinaya Jotheswaran, Kurunji Kumaran Navaneethakrishnan

Taiwanese Journal of Orthodontics

Objective: The development of newer archwires can be achieved either by discovering novel materials or by modifying existing ones. The objective of the present study was to coat beta-titanium (β-Ti) archwires with tetrahedral amorphous carbon (ta-C)/hard carbon and to evaluate selected physical and mechanical properties. Methods: Hard carbon–coated (n = 5) and uncoated (n = 5) β-Ti wires were assessed for surface roughness, wear resistance, load-deflection characteristics, and friction using appropriate testing apparatus under dry in vitro conditions. Results: Compared to uncoated β-Ti wires, ta-C–coated β-Ti wires demonstrated a statistically significant reduction in surface roughness, increased wear resistance, and lower …