Digital Commons Network^™

Fecundity Of Thanasimus Dubius (Coleoptera: Cleridae) Rebounds After A Period Of Prey Scarcity, Robert A. Haack, Robert K. Lawrence

The Great Lakes Entomologist

We field-collected Thanasimus dubius (Fabricius) (Coleoptera: Cleridae) adults during spring, maintained them separately in the laboratory, and initially gave them four bark beetle adults [Ips grandicollis (Eichhoff) or Tomicus piniperda (L.) (Coleoptera: Curculionidae: Scolytinae)] daily as prey. Using a subset of the female clerids (N = 41), we assigned them to one of four feeding groups that varied in the number of prey provided daily. For the first four weeks of a 12–week study, the four diets were: four prey daily, two prey daily, one prey daily, and one prey every 2 days. After four weeks, all females were …

Cover Pages For Tgle Vol. 59 Nos. 1 & 2

The Great Lakes Entomologist

Cover Pages for TGLE Vol. 59 Nos. 1 & 2

Book Review: Oleksandr Geychenko, Roman Soloviy, And Yevgeny Ustinovich, Eds. Beatitudes And Terror: A Ukrainian Theological Response To Russian Aggression. Trans. From Ukrainian By Mykola Leliovskyi., Michael Blythe

Occasional Papers on Religion in Eastern Europe

A review of Oleksandr Geychenko, Roman Soloviy, and Yevgeny Ustinovich, eds. Beatitudes and Terror: A Ukrainian Theological Response to Russian Aggression. Trans. from Ukrainian by Mykola Leliovskyi. Carlisle, UK: Langham Global Library, 2025. Pp. 240. £17.99 (paperback). ISBN: 978-1-78641-191-4.

Ukrainian Theology, War, And Human Transformation: Reflections On The International Conference ‘Transfiguration: Tradition And Eschatology, Vladyslav Fulmes

Occasional Papers on Religion in Eastern Europe

On June 11, 2026, the Volyn Orthodox Theological Academy (Lutsk, Ukraine) hosted the international theological conference “Transfiguration: Tradition and Eschatology”, bringing together scholars, clergy, philosophers, chaplains, psychologists, and researchers from several countries. This report examines the conference’s principal theological and interdisciplinary themes, including deification, eschatology, ecclesiology, ecological responsibility, pastoral care, military and medical chaplaincy, digital technologies, and the Church’s response to war and post-war reconstruction.

Preserving Identity Under Totalitarianism: The Adaptation And Resilience Of Muslim Communities In The Soviet Union, Meltem Akıncı

Occasional Papers on Religion in Eastern Europe

This article provides a comprehensive analysis of the methods employed by Muslim peoples in the former Soviet Union to preserve their traditional, spiritual, and religious identity under the systemic anti-religious policies, ideological pressures, and repressive measures of the Soviet totalitarian regime. Despite the Soviet authorities' efforts to rapidly secularize society and reshape public consciousness through scientific atheism, the enduring commitment of Muslim communities to their traditional values is clearly demonstrated. The study examines the closure of mosques, the restriction of religious rituals, and the severe obstacles encountered in performing daily worship. Furthermore, it thoroughly explores the role of Sufi brotherhoods …

Religion And Economics: The Economic Views Of Catholicos-Patriarch Ilia Ii Of Georgia, Giuli Giguashvili

Occasional Papers on Religion in Eastern Europe

The paper examines the impact of religion on a country’s economic development, analyzing how religious values and institutions influence economic behavior. The research employs a qualitative, comparative, and historical approach based on the systematic analysis of primary and secondary sources. Religion can promote economic growth by strengthening work ethics, education, and social order. Still, it may also hinder development through inefficient resource allocation and regulatory influence. In the context of the 1700th anniversary of Christianity in Georgia, the study highlights the relationship between Orthodox teaching and economic thought. Drawing on the epistles and sermons of the Catholicos-Patriarch of All Georgia, …

Practical Aspects Of Religious Social Work In Modern Ukraine, Inna Vladislavivna Kovalchuk

Occasional Papers on Religion in Eastern Europe

This work analyzes the current state and specifics of the activity of religious organizations in the social sphere of Ukraine. Special attention is paid to the transformation of religious social work in the conditions of a full-scale war, where religious communities have become key agents of humanitarian, psychological and spiritual assistance. The article examines the mechanisms of interaction between the church, the state and non-governmental organizations in solving social problems. The findings are based on the practical experiences of those working with internally displaced persons (IDPs), veterans, large families, and individuals facing difficult life circumstances. Unique methods of denominational assistance …

The Orthodox Church Of Georgia In A Shifting Political Landscape: Long Traditions, The Holy Patriarchate And Geopolitics Between The European Union And Russia, Elina Mirjam Siekkinen

Occasional Papers on Religion in Eastern Europe

This paper examines the geopolitical and societal effects of the 2026 patriarchal succession within the Georgian Orthodox Church (GOC), by analyzing how the recent election of Catholicos-Patriarch Shio III on May 11, 2026, impacts Georgia’s European Union integration efforts. The GOC is seen as the foundation of Georgian national identity and state legitimacy, also deeply rooted in the legacy of the late Patriarch Ilia II. The enthronement of the new Patriarch Shio III may reinforce the anti-Western narratives deployed by the ruling Georgian Dream party, which has actively delayed Georgia’s EU accession through illiberal policies such as the "Foreign Agents …

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

Occasional Papers on Religion in Eastern Europe

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

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

The Great Lakes Entomologist

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

Note-Taking Is Not Universally Applicable, Chloe Tomasetta

Undercurrents: A Journal of Undergraduate Student Composition

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

American Arms: A Soldier's Perspective, Steve Prochniak

Undercurrents: A Journal of Undergraduate Student Composition

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

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

Undercurrents: A Journal of Undergraduate Student Composition

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

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

Undercurrents: A Journal of Undergraduate Student Composition

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

English Language Learners Marginalized In Classrooms, Nayelis Guerrero

Undercurrents: A Journal of Undergraduate Student Composition

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

Volume 9 (2026) Climate And Responsibility

International Journal on Responsibility

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

Vermillion, Saptarshi Biswas

HCA Healthcare Journal of Medicine

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

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

We Grow Accustomed To The Light, Minh Q. Nguyen

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

Background

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

Case Presentation

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

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

HCA Healthcare Journal of Medicine

Background

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

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

HCA Healthcare Journal of Medicine

Background

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

Case Presentation

This series …

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

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

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

HCA Healthcare Journal of Medicine

Background

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

Methods

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

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

HCA Healthcare Journal of Medicine

Background

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

Methods

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

Psychological Adaptation In Colorectal Cancer Survivors: Pilot Study Findings, Anuja L. Sarode, Emily M. Su, Amber Kerstetter-Fogle, Steve Paciorek, Erica L. Laipply

HCA Healthcare Journal of Medicine

Background

In this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.

Methods

This prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping …