Digital Commons Network^™

Collision Tumors Involving Metastatic Carcinoma And Plasma Cell Myeloma: Report Of Two Cases, Ahmed A Ahmed, Muhammad Hassaan Khalid, Asad Ur Rehman, Nghia D Nguyen, Xinhai Robert Zhang

Faculty, Staff and Student Publications

Synchronous coexistence of plasma cell neoplasms (PCNs) and metastatic carcinoma is not a common phenomenon and poses a significant diagnostic challenge requiring meticulous histopathological and immunophenotypic analysis for accurate lineage assignment. We report two cases of collision tumors comprising PCN and metastatic lung carcinoma. Case 1 involved a 68-year-old male with metastatic non-small cell lung adenocarcinoma who developed intracranial lesions; resection revealed metastatic adenocarcinoma intermingled with clonal plasma cells. Case 2 was a 73-year-old woman with a lytic iliac crest lesion whose bone marrow and lesion biopsies showed diffuse infiltration by both carcinoma and atypical plasma cells. Comprehensive immunohistochemical profiling, …

Improved Surgical Management Of Complex Neonates With Heterotaxy Syndrome, Beau A Bequeaith

Faculty, Staff and Student Publications

Background: Neonatal management of congenital heart defects (CHD) among heterotaxy patients remains challenging due to significant heterogeneity in cardiac and visceral phenotypes. This study evaluated contemporary surgical outcomes and identified high-risk anatomic substrates.

Methods: A total of 41 heterotaxy CHD patients who underwent neonatal surgical repair and/or palliation over a 10-year period were evaluated at a single institution. Heterotaxy anatomy was characterized according to right atrial isomerism (RAI) or left atrial isomerism (LAI), and other cardiac defects. Multivariate Cox regression and Kaplan-Meier analyses evaluated operative and intermediate-term outcomes.

Results: Median age at initial operation was 7.0 days, and median operative …

Negotiating Health: A Qualitative Analysis Of Home Smoking Rules Among Families With Medically Vulnerable Infants, Angela L Stotts

Faculty, Staff and Student Publications

Introduction: Approximately 5000 child deaths are attributed to secondhand smoke exposure (SHSe) annually, which is three times the number of childhood cancers combined. Infants, medically fragile infants, are highly vulnerable to the harmful effects of SHSe, including respiratory infections and sudden infant death syndrome. While having a home smoking ban may mitigate these risks, implementation remains a challenge for many families. Our primary aim was to explore the familial and sociocultural factors associated with smoking-ban initiation and maintenance in households with medically fragile infants.

Methods: Qualitative interviews were conducted with 20 mothers participating in a behavioral intervention from 2015 to …

Erratum: Assessment Of Skin Fibrosis In A Murine Model Of Systemic Sclerosis With Multifunctional Optical Coherence Tomography (Erratum), Jessica Gutierrez, Shervin Assassi, Kirill V Larin

Faculty, Staff and Student Publications

This corrects the article "Assessment of skin fibrosis in a murine model of systemic sclerosis with multifunctional optical coherence tomography" in volume 30(3), 036007.

Overcoming Stigma In Women's Hiv And Syphilis Care: The Role Of Faith In Healing

Faculty, Staff and Student Publications

Point-of-care (POC) testing for syphilis and HIV is an effective way to provide same-day testing, results management, counseling, and treatment. Although commonly used in antenatal or sexual health clinics, our field study aimed to offer POC testing to women attending a standard care clinic in Guatemala. Nearly all women accepted testing, highlighting the patient-centered benefits and acceptability of screening in non-stigmatizing settings. Upon disclosure of results, especially positive diagnoses, patients drew comfort and resilience from their faith, an often-underprioritized resource not typically considered when addressing sexual health. These results underscore the value of integrating POC testing into routine care and …

Blood Flow Regulates Metabolism In Hematopoietic Development, Pamela L Wenzel

Faculty, Staff and Student Publications

Blood flow modifies oxygen availability and biomechanical forces within the vasculature of the embryo as the hematopoietic system develops. The aorta-gonad-mesonephros (AGM) envelops the largest artery in the body and is a critical site for the emergence of hematopoietic stem cells (HSCs). Herein, I discuss the role of hypoxia-inducible factors (HIFs) and force as determinants of metabolism and fate determination. To address the effects of blood flow on hematopoietic development, I employ mouse embryo models and biomimetic culture. Real-time cell metabolic analyses show that oxygen consumption rates (OCR) and extracellular acidification rates (ECAR) are altered by flow in cultures of …

All Life As Witness: Developing A Mode Of Investigation Into Political Disappearance In 1960s Venezuela Reframed By Skinner Releasing Technique And Indigenous Knowledge, Livia Daza-Paris

School of Art, Design and Architecture Theses

This practice-based research develops Ecologies of Poetic Forensics, an investigative mode for approaching political disappearance as a felt, ongoing condition that also reverberates across worlds beyond the human. Focused on my father's disappearance during Venezuela's 1960s revolutionary movement, the research follows relational dynamics within the personal, political, ecological ‘many worlds’ (Indígena Zapatistas 1996) shaped by state violence, including those of campesinos (land-based workers) in Cocorote, Lara State. The inquiry unfolds across Venezuela, Canada, and the United States, tracing territory that exceeds state borders.

The research brings the Skinner Releasing Technique, a movement practice oriented by poetic imagery and embodied …

The Persistent Shock Of The Old: Making The Case For The Responsive Development Of Artwork Deploying Historical Museological Display Techniques., Duncan Cameron

School of Art, Design and Architecture Theses

My sculpture work and thesis investigate the potential of historical museological practices—particularly Victorian and Edwardian display technologies—in contemporary art-making and sculptural practice. I ask three central questions: how can the collection and display of natural history materials be ethically defended in the present day; how might traditional exhibition orthodoxies be reconfigured to privilege the prosaic, domestic, and handmade over the novel and precious; and what role does the idiosyncratic and beautiful play in narrating material stories within an ethical, Anthropocene-aware framework?The study employs a practice-led methodology combining iterative art-making, critical reflection, and active fieldwork. Working from a studio in Somerset, …

En Ritmo: A Praxis In Decolonizing Traditional Dance Spaces, Megan Curet

School of Art, Design and Architecture Theses

En Ritmo: Praxis in Decolonizing Traditional Dance Spaces is an investigation that explores the intersection of bomba, a traditional Puerto Rican song, music and dance form, and North American contemporary dance. This PhD research aims to decolonize culturally hegemonic dance spaces through a cultural syncretism of contemporary dance and the elements of bomba as foundational principles for training both professional and non-professional dancers. This practice challenges traditional Western dance training paradigms. Therefore it is crucial to clarify that this research is not positioned within the realm of pedagogy; rather, it critically interrogates and deconstructs the distinctions between dance practice and …

Defining Consensus‐Based Components For Integrating Dietitians Into Primary Dental Care For Paediatric Populations: A Delphi Study, Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas‐Agustench

School of Health Professions

Background: Diet is a modifiable risk factor linking oral and systemic health, contributing to dental caries and weight-related outcomes (including underweight, overweight and obesity) in the paediatric population. However, dietary advice provided by dental professionals in primary dental care is often brief and sugar-focused, representing a missed opportunity to address shared risk factors. Integrating dietitians into primary dental care may support more holistic paediatric preventative care. Objective: To develop expert consensus on the components required to integrate dietitians into primary dental care to address diet as a common risk factor in paediatric oral health and weight-related outcomes. Methods: A three-round …

Presence And Characteristics Of Plastics And Microplastics On The Seabed Of The Western English Channel, Faye Read, Andrew Turner

School of Geography, Earth and Environmental Sciences

Little is known about the presence, distribution, origins and characteristics of plastic litter and microplastics on the ocean floor. In this study, plastics trawled from the bed of the western English Channel have been categorised and analysed by a variety of optical and spectroscopic techniques. A total of 90 plastic samples were classified, in descending order of abundance, as food-drink packaging, unknown, homeware, military and fishing. Most samples showed varying degrees of weathering (e.g., discolouration, distortion, cracking, fragmentation) and were visibly fouled by calcareous deposits. The majority of samples were constructed of polymers of negative buoyancy (e.g., polyamides, polyethylene terephthalate …

Long-Term Evaluation Of The Energy Consumption Of 100 Energy-Efficient Buildings In Austria, Thomas Roßkopf-Nachbaur, Günter Lang, Martin Ploß, Markus Lang, Andreas Peter, Tobias Hatt, Diana Ürge-Vorsatz, Souran Chatterjee, Luisa F. Cabeza

School of Geography, Earth and Environmental Sciences

In 2019, buildings greenhouse gas (GHG) emissions accounted for 21 % of global emissions, therefore regions such as Europe have strong policies to decrease such emissions. The literature shows different examples simulating energy refurbishment of buildings or districts where an important GHG reduction can be achieved, but there is a clear gap on real measurements of exemplary buildings. This paper shows an assessment of more than 100 energy-efficient buildings in Austria, showing that this GHG emissions reduction is really possible. The paper evaluates residential and non-residential buildings, where the energy consumption was 50 % below the consumption of typical multi-apartment …

J Mich Dent Assoc January 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons. The January 2026 (Volume 108, No. 1) issue of the Journal is published in a print format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This issue includes feature articles on Pediatric Dentistry and 2025 Life Membership recipients.

Regular monthly contributions include:

• Editorial …

Government And Insurance And Access (Cgia) Update, James Budd Mpp

The Journal of the Michigan Dental Association

The MDA Board of Trustees has established its 2026 legislative priorities, focusing on dental loss ratios, assignment of benefits, and virtual credit card payment reform. Key issues include addressing the workforce shortage, student debt, and improving Medicaid anesthesia reimbursement. The update also tracks several House Bills, such as those regarding voluntary license surrender (HB 4929) and foreign-trained dentist licensure (HB 4921), which the MDA opposes to maintain standards. Despite a slow legislative session in 2025, the MDA continues to advocate for transparency in third-party litigation and updates to specialty advertising rules. These efforts aim to protect the profession and ensure …

What About Our Teen-Age Patients?, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

This editorial advocates for "mentally treating" teenage patients, specifically those around 14 years of age, as adults. By respecting their concerns and allowing age-appropriate decisions, clinicians can enhance a teen's dental IQ and self-esteem. This approach fosters confidence, communication, and independence, encouraging patients to take accountability for their treatment outcomes. Respectful dialogue leads to better compliance with home care, such as using rotary brushes or wearing retainers. Ultimately, treating teenagers with empathy and valuing their opinions helps them blossom into responsible adults while building lasting professional bonds.

Is Being A Shareholder ‘In Name Only’ A Problem?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This column addresses the legal risks for Michigan dentists entering "shareholder in name only" agreements with non-dentist entities. Michigan law requires dental practices to be owned by licensed dentists to ensure professional control over public healthcare. Arrangements where management companies or manufacturers can reclaim stock for a nominal fee effectively strip the dentist of true ownership. This lack of control can lead to ethical conflicts, such as pressure to sell specific appliances regardless of professional judgment. Engaging in such schemes may endanger a dentist's license by thwarting state laws intended to protect clinical independence.

Lessons Learned From My First Patient Transition, Amrita Patel Dds

The Journal of the Michigan Dental Association

A new associate reflects on the challenges and lessons of transitioning into her father's established practice. The author emphasizes the importance of listening to long-term patients to understand their history and build trust. While new practitioners often feel the need to prove technical skills, patients primarily seek reassurance and continuity of care. Successful transitions require a balance between respecting existing systems and gradually introducing a new perspective. Introductions by the senior doctor can significantly ease patient apprehension. Ultimately, the experience underscores that dentistry is deeply rooted in relationships and communication, requiring patience and humility to maintain the stability of the …

When Should I Pay For Continuing Education?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This article outlines legal requirements for compensating staff for Continuing Education (CE) under the Fair Labor Standards Act. Training time is considered "hours worked" unless it is voluntary, outside regular hours, non-job-related, and involves no productive work. If these criteria are not met, employers must pay for training and associated travel time, including it in overtime calculations. While mileage reimbursement is not federally mandated, many practices offer it as a benefit. Creative cost-saving measures include stipends or in-office lunch-and-learns. Establishing a clear, written policy in the employee handbook is essential for consistent application and can serve as a valuable tool …

Turning Your Membership Into Measurable Value, Reva Darling

The Journal of the Michigan Dental Association

MDA membership offers significant financial leverage by negotiating programs that return money to dental practices. In 2025, practices utilizing endorsed vendors realized potential annual savings exceeding $50,000. Highlighted services include MEDVA, which provides virtual assistants to reduce salary expenses by over 60%, and PPO Negotiation Solutions, which has increased some practices' collections significantly. Members also benefit from discounts on dental supplies (TDSC.com), accounting services, and precious metal refining. Furthermore, Bridge Commercial Realty assists with real estate transitions, offering fee discounts and free appraisals. Collectively, these endorsed programs are designed to offset membership dues and strengthen a practice's financial health.

Does The Mda Still Offer A Staff Compensation Study?, Rachel Sinacola Dds, Ms, Angie Kanazeh

The Journal of the Michigan Dental Association

This Q&A section clarifies that the MDA no longer distributes staff compensation surveys due to 2023 FTC enforcement policy changes. However, members can access UCR fee analysis reports at a discount through PPO Negotiation Solutions. For dentists nearing retirement, the MDA offers retired and retired life membership categories, which provide dues discounts or exemptions for those no longer earning income from dentistry. The source also recommends Best Card for credit card processing to save an average of $6,496 annually. Finally, practitioners are reminded that licensure renewal must be completed through the MiPLUS platform, which primarily issues electronic licenses.

Empowering State-Level Multilingual Education Leaders: Harnessing Generative Artificial Intelligence For Program Administration, Geqigula M. Dlamini

University of the Pacific Theses and Dissertations

This study aimed to understand how generative artificial intelligence could empower program staff at the California Department of Education (CDE) who support state-level multilingual programs by providing training and opportunities to review existing practices and identify promising use cases. With limited fiscal and personnel resources, state program staff had to rethink and intentionally consider how to enhance their own capacity to keep program momentum and support practitioners in the growth area of multilingual education.

With empowerment theory as the theoretical framework, this qualitative, participatory action research study involved 11 members of the Multilingual Support Division at the CDE. These co-researchers …

Organizational Executives’ Perspectives On Cultural Humility And Diversity, Lynette Piggee-Pinero

University of the Pacific Theses and Dissertations

The purpose of this action-oriented dissertation was to understand how executives perceive their own cultural humility and how their perceptions impact diversity promotion in the workplace. This study used action research to examine the perspectives of executives on their own cultural humility and how cultural humility promotes diversity. This study included data collected from interviews with eight executives. Findings from the study revealed that executives perceived their own cultural humility as evident in a commitment to learning about others, their ability to suspend their own biases, and their commitment to ongoing learning. The findings were also that executives expressed connections …

Exploring The Impact Of Social Identity-Based Support Groups On Students' Sense Of Belonging In Higher Education, Jasmine D. Patel

University of the Pacific Theses and Dissertations

Students who hold marginalized social identities report experiencing a lower sense of belonging at their institutions of higher education than their peers. A low sense of belonging has in turn been linked to lower academic performance, lower scores on mental health and well-being measures, and lower rates of degree completion. Utilizing a mixed method approach, this researcher examines the experiences of students who participated in a social identity-based support group intervention intended to improve the sense of belonging of students who hold marginalized social identities. Eight university students participated in the support group intervention over the course of one academic …

Supporting First-Generation College Student Success Through Increased Participation In High-Impact Academic Practices, Michael Daly

University of the Pacific Theses and Dissertations

First-generation college students, those with neither parent having earned a bachelor’s degree, represent approximately one-third of all students attending college in the United States. Many enter college not fully prepared for success and, despite decades of research and the development of a variety of student support interventions, substantial and lasting improvements in their institutional retention and graduation rates on a national level have been elusive. This persistent issue creates a variety of negative consequences for the students, the institutions they attend, and society. The purpose of this action research study was to develop recommendations for improving the practice of supporting …

Empowering Equity: Latinas In Leadership – Navigating Work-Life Balance In The Post-Pandemic Era, Teresa Excinia

University of the Pacific Theses and Dissertations

This dissertation explored the lived experiences of Latina leaders as they navigated how cultural expectations influenced work–life balance in the post-pandemic era. The COVID-19 pandemic reshaped workplace dynamics, blurring boundaries between professional responsibilities and personal life. For Latinas, these challenges were compounded by cultural expectations that shaped their roles both at home and in the workplace. The purpose of this study was to understand how Latina leaders managed the dual pressures of balancing career demands with cultural and familial obligations. Using Testimonio as the methodological framework, this study captured the voices and narratives of Latina leaders across industries, offering an …

Understanding The Lived Experiences Of Immigrant Students And Their Sense Of Belonging, Sonam Singh

University of the Pacific Theses and Dissertations

This qualitative descriptive study explores the lived experiences of immigrant high school students at a suburban school in Northern California. The focus is primarily on understanding how they navigate their educational journey and construct their sense of belonging. Immigrant students face numerous challenges due to many factors, including language barriers, cultural differences, social integration, and concerns regarding immigration status, which can significantly impact their academic progress and well-being. Using a qualitative descriptive study approach, this study amplifies student voices through in-depth, semi-structured interviews with students in grades 10 and 11, enabling them to share personal stories that shape their perceptions …

Information Asymmetry: A Configurational Perspective In Buyer-Supplier Relationships, Soode Vaezinejad

Open Access Dissertations

Information asymmetry in buyer-supplier relationships has been linked to several influencing factors. However, these factors are often examined in isolation, limiting understanding of their synergistic effects. Grounded in agency theory, signaling theory, and transaction cost economics, this study adopts a configurational perspective to examine which combinations of factors lead to high information asymmetry. Using a three-part study design, we first conduct a systematic literature review to identify relevant factors, which are then refined and prioritized through a Delphi study. Building on this foundation, fuzzy-set Qualitative Comparative Analysis (fsQCA) is applied to survey data from 385 buyer managers to uncover equifinal …

Assessing Fisheries Dependence Of Coastal Communities In Managed Mangrove Forests In Latin America, Ariel Alexander Quintanilla Magana

Open Access Dissertations

Fisheries dependency refers to the action of a person, community, or society linking their social, cultural, and economic actions to different ecosystem services (ES) for covering their food system with essential marine species, developing a governance system to conserve these fishing areas, their local ecological knowledge, and guaranteeing food security in the coastal areas. In Latin America, most fishing activities are practiced within three nautical miles of the shoreline, estuaries, lagoons, and mangrove forest channels, using small vessels and traditional gear such as hooks, trammel nets, and gill nets. Some coastal communities have developed their subsistence and livelihood activities in …

Beyond The Pandemic: How Covid-19 Highlighted The Need For Cross-Sector Healthcare Solutions For Young Australians Living With Adversity, Ennur Erbasi, Shannon Muir, Karen Mclean

Research outputs 2022 to 2026

We explored the perceived impacts of the COVID-19 pandemic on health and healthcare access among young people living with significant adversity in Victoria, Australia, using a convergent parallel mixed-methods design. Guided by a pragmatism epistemology, fifty-seven purposively sampled Victorian adolescents aged 15–19 years with lived experience of adversity completed a primarily quantitative online survey, and eight also participated in semi-structured interviews. Descriptive quantitative results indicated that a greater proportion of participants rated their mental health as fair or poor during COVID-19 (69%) compared to before the pandemic (40%). Similarly, more participants rated their physical health as fair or poor during …

The Transformational Possibilities Of Liberal Vocationalism: A Case Study Of Post-Year 10 Outdoor Education In Western Australia, David Aldous, Dawn Penney

Research outputs 2022 to 2026

This paper discusses the transformative potential that liberal vocationalism, aligned with contemporary visions of lifelong and lifewide learning, presents for outdoor learning across institutional and industry settings. Utilising Bernstein’s sociological theory, the paper explores this transformation through an illustrative case study of the relations, knowledges and identities of post-Year10 Outdoor Education in Western Australia (WA). The case study highlights how Outdoor Education in WA has been organised through distinct classificatory relations that exist between government, regulatory bodies and individual industry providers that serve to distinguish Outdoor Education from outdoor learning that is ongoing and able to be pursued by people …