Digital Commons Network^™

Understanding The Progression Of Borderline Personality Disorder During Adolescence: A Clinical Case Study, Anjali Chandak, Megha Sadashiv, Bhawna Sharma, Bhargav Mulpuru

Digital Journal of Clinical Medicine

Borderline Personality Disorder (BPD) often emerges during adolescence, but remains relatively understudied in this population. This case report explores the sociobiological factors shaping symptom expression in an adolescent girl. Longitudinal clinical evaluation revealed hallmark features, including affective instability, identity disturbance, interpersonal relations, and self-harming behaviour. Early attachment disruptions, emotional regulation difficulties, and heightened sensitivity to relational stressors were identified as key developmental risk factors. Diagnostic and therapeutic considerations are presented, highlighting the need for prompt, developmentally informed, and evidence-based interventions. The case further emphasises how prognosis and chronicity may be significantly influenced by an adopting developmental approach, providing insight into …

When Fever And Thrombocytopenia Are Not Infectious: A Case Of Vitamin B12 Deficiency Mimicking Tropical Fever, Ram Arvind Viswanathan Dr

Digital Journal of Clinical Medicine

Vitamin B12 deficiency is classically associated with megaloblastic anaemia and neurological manifestations; however, atypical presentations continue to pose diagnostic challenges. Fever in association with thrombocytopenia often prompts evaluation for infectious aetiologies such as dengue, malaria, or sepsis, particularly in tropical settings. We report a case of vitamin B12 deficiency presenting with pyrexia and isolated thrombocytopenia, initially suspected to be an infectious illness. Extensive evaluation failed to reveal an infective cause, and subsequent haematological workup demonstrated megaloblastic changes with low serum vitamin B12 levels. Remarkably, the patient showed rapid defervescence and normalisation of platelet counts following parenteral vitamin B12 therapy. This …

The Role Of Physicians In Society: Perspectives From First-Year Mbbs Aspirants, Jesymol Joy, Dr Rashmi S, Amogha Shree, Dr Sunil Kumar D

Digital Journal of Clinical Medicine

Background: Physicians occupy a pivotal role in society as healers and communicators, with ethical leadership embedded in professional practice. In India, this role is evolving in response to changes in healthcare systems, increasing commercialization, and shifting societal expectations. Understanding how medical students perceive the physician’s role at the onset of medical education is vital for early professional identity development.

Objectives: To assess the motivations, perceptions, and values of first-year MBBS students regarding the societal roles, qualities, and responsibilities of physicians.

Methods: A cross-sectional study was conducted among 430 first-year MBBS students at a tertiary medical college in Mysuru, Karnataka, using …

Stones, Bones, And Hormones: A Multisystem Presentation Of Primary Hyperparathyroidism Due To Parathyroid Adenoma, Gadgesh B, Varsha Tandure, Nandini K, Chandana Srinath

Digital Journal of Clinical Medicine

Primary hyperparathyroidism is an endocrine disorder characterized by excessive secretion of parathyroid hormone, most commonly due to a solitary parathyroid adenoma, resulting in hypercalcemia and multisystem involvement [1]. Although many patients are diagnosed incidentally, delayed recognition may lead to severe renal, skeletal, gastrointestinal, and cardiovascular complications.

We report the case of a 44-year-old male who presented with sepsis and acute kidney injury, later found to have hypercalcemia with nephrocalcinosis, chronic calcific pancreatitis, skeletal deformities, and markedly elevated parathyroid hormone levels. Imaging localized a parathyroid adenoma, and the patient underwent successful parathyroidectomy with significant biochemical and clinical improvement.

This case emphasizes …

Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C

Digital Journal of Clinical Medicine

Background: COVID-19 disrupted every aspect of life, particularly affecting the mental well-being of children. Prolonged school closures, isolation, and lifestyle changes significantly impacted emotional and behavioral development.This study evaluated the mental health status of children three years after the pandemic and analyzed the influence of sociodemographic factors.

Objectives:

1. To assess the current status of mental health among children 7–15 years, three years after  COVID-19.
2. To evaluate the sociodemographic factors associated with mental health outcomes.

Methods:

 A cross sectional study was conducted from June2023 to December 2024 among 125 children aged 7–15 years at our institute.The Child Behavior Checklist (CBCL) was …

Clinical Correlates And Predictors Of Suicide Attempt Severity In Elderly Patients: A Cross-Sectional Study From South India, Rajamani Siddamallappa, Kiran Kumar Kadarappa Dr, Megha C N

Digital Journal of Clinical Medicine

Background: Suicide in late life is a major yet under-recognized public health problem in low- and middle-income countries. Elderly suicidal behaviour reflects interactions between psychiatric morbidity, substance use, psychological distress, intent, and method selection. Indian data examining these factors comprehensively remain limited.

Objectives: To assess psychiatric morbidity, hopelessness, suicide intent, planning patterns, methods, and independent predictors of suicide attempt severity among elderly suicide attempters.

Methods: This cross-sectional study included 75 elderly individuals (≥60 years) admitted following a suicide attempt to a tertiary care hospital in South India. Depression severity, hopelessness, and suicide intent were assessed using Beck’s Depression Inventory-21 (BDI-21), …

Family Mental Health – A Case Report, Vikrant Arora, Medha Kosireddy, Mathumitha Ananth, Kishor M. Manohar Rao

Digital Journal of Clinical Medicine

Psychiatric illness in India is estimated to be 15% as per National Mental Health Survey 2015-16.  Mental health challenges within families, especially depression, anxiety disorders that are not common and when unaddressed exert cascading effects on all members, disrupting emotional cohesion, relational functioning, and socioeconomic stability. There are few case reports on entire family presenting to psychiatry department.

With informed consent a city-based middle-class family of non-consanguineous origin, where the 40-year-old female, presented with intractable limb pains and health anxiety, she had multiple consultation in last few months and her 48-year-old husband also had with episodic pains, irritability and her …

From Controversy To Comeback: The Renewed Role Of Pralidoxime In Op Poisoning, Dr Sanaa Jain, Dr Savitha V, Dr . Shashidhara K C

Digital Journal of Clinical Medicine

Organophosphorus compounds are commonly used as pesticides in agriculture, but they are responsible for approximately one-third of suicide deaths in Asian countries.The symptoms of organophosphate (OP) poisoning vary over time and are categorized into three phases: Acute Cholinergic Crisis (minutes to 24 hours), Delayed Phase (24 hours to 2 weeks), which may include intermediate syndrome, coma, and extrapyramidal symptoms, and Late Phase (OPIDP). Treatment typically involves Atropine, Pralidoxime, and symptomatic management, including airway support and mechanical ventilation.

Ropinirole-Induced Sleep-Related Behavioral Disturbances And Psychotic Symptoms In Parkinson's Disease: A Case Report, Kareena Arora, Akshatha C. J, Rajesh Raman, Vikrant Arora, Bindu Annigeri, Megha Sadashiv

Digital Journal of Clinical Medicine

Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized primarily by motor symptoms such as bradykinesia, rigidity, and tremor. Though commonly associated with motor symptoms but can also present with significant non-motor symptoms such as sleep disturbances, psychosis, and cognitive decline. These symptoms may arise spontaneously or be medication-induced. We present the case of a 53-year-old male with Parkinson’s disease who developed nocturnal behavioural disturbances and psychotic features, likely secondary to dopaminergic agonist medication. Symptom resolution followed adjustment of antiparkinsonian medications and the introduction of antipsychotic medication

Unusual Case Of Pelvic Fracture Urethral Distraction Defect, Varuni Pragya, Madhukesh Rudramurthy, Siddalinga Murthy G

Digital Journal of Clinical Medicine

INTRODUCTION

Urinary bladder ruptures are an uncommon injury, occurring in less than 1% of all blunt abdominal trauma. Extraperitoneal bladder ruptures are generally associated with pelvic fractures and usually managed nonoperatively but open surgery is required when these injuries are associated with additional trauma to structures like prostate and urethra.

CASE PRESENTATION

We report our experience with a 32-year-old male who suffered a head on collision with a four-wheeler while driving a two-wheeler in a road traffic accident. He presented to the hospital with abdominal and pelvic pain, difficulty in passing urine and swelling of the scrotum. His X Ray …

Comparison Of Post Operative Analgesia Between Dexmedetomidine Versus Clonidine As Adjuvant To Ropivacaine In Ultrasound Guided Adductor Canal Block In Arthroscopic Knee Surgeries: A Randomized Controlled Study, Shwetha Arun, Archana B N, Dr. Shivakumar G Pofessor And Hod, Devika Lekshmi S

Digital Journal of Clinical Medicine

The current study evaluated the analgesic efficacy of dexmedetomidine versus clonidine as adjuvants to 0.2% ropivacaine in ultrasound-guided adductor canal block. Effective postoperative pain management is essential for early mobilization and improved recovery following arthroscopic knee surgeries. Sixty ASA I–II patients aged 20–60 years undergoing elective arthroscopic knee procedures were randomized into two groups: Group D received ropivacaine 0.2% 30ml with dexmedetomidine 100 mcg, and Group C received ropivacaine 0.2% 30ml with clonidine 150 mcg. Duration of analgesia, pain scores, sedation levels, hemodynamic changes, and rescue analgesic requirements were recorded. Group D demonstrated significantly prolonged analgesia (18.08 ± 0.514 h) …

Pulmonary Hemosiderosis In A Young Child Presenting With Recurrent Respiratory Illness And Refractory Anemia: A Case Report, Praveen Das, Ratnapriya Chowdhry, Neha Bhongale, Poonam Wade

Digital Journal of Clinical Medicine

Pulmonary hemosiderosis (PH) is a rare cause of diffuse alveolar hemorrhage in children and often presents with nonspecific respiratory symptoms and refractory iron‑deficiency anemia. We report a 2.5‑year‑old girl with recurrent lower respiratory tract infections, severe transfusion‑dependent anemia, failure to thrive, and persistent bilateral pulmonary infiltrates since infancy. Bronchoalveolar lavage demonstrated hemosiderin‑laden macrophages, confirming pulmonary hemosiderosis. Further evaluation revealed C‑ANCA positivity and PR3‑ANCA negativity, raising suspicion for an ANCA‑associated vasculitis; however, there was no renal, ear‑nose‑throat, or other systemic involvement, and a lung biopsy could not be performed. The child was managed with systemic corticosteroids with clinical improvement. This case …

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Student Centered Approaches To Analyzing Engagement And Discourse, Kamil Hankour

Theses and Dissertations

Student engagement and participation in classroom discourse are widely recognized as powerful predictors of meaningful science learning, yet students’ own perspectives on the factors that shape their engagement and participation are currently underexamined. Prior research has established strong links between engagement, discourse and outcomes such as academic achievement (Bae & DeBusk-Lane, 2019; Fredricks et al., 2004; Sedova et al., 2019), but less is known about how students understand and interpret their experiences across individual, group-level and classroom contexts, particularly within historically marginalized populations (Cook-Sather, 2013; Schaefer et al., 2024). This three paper dissertation advances a line of inquiry integrating a …

Psychological Richness From Shared Experiences In Romantic Relationships: The Moderating Role Of Attachment, Sae Y. Kim

Theses and Dissertations

Psychological richness, defined by experiences that are novel, complex, and perspective changing, has been proposed as a third dimension of the good life alongside satisfaction and meaning. Although prior work has focused on richness at the life level, romantic relationships may be an important context in which psychologically rich experiences occur. In Study 1, a correlational study, adult attachment was associated with psychological richness in life, such that secure attachment was positively related to psychological richness, whereas anxious and avoidant attachment were negatively associated. Informed by the results of this study, I designed Study 2 to be a 4-day daily …

Sensory Constellations, Madaline K. Gardner

Theses and Dissertations

This thesis situates neurodiversity within the field of fine arts by integrating disability studies, institutional critique, and material practices in painting and printmaking. Through visual analysis and studio-based research, the project examines how tactile engagement, color relationships, and repetitive mark-making can articulate embodied experiences of neurodivergence. It challenges dominant institutional frameworks that pathologize neurodivergent behaviors by reframing stimming as a generative and communicative practice. The resulting body of work includes both image-making and the creation of tactile objects designed to facilitate sensory interaction. The thesis proposes alternative ways of understanding artistic practice and accessibility within art institutions.

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

From Cultural Binaries To Coexistence: A Graphic Autoethnography Of Individualism And Collectivism In An International Context, Shahad Alsubaie

Theses and Dissertations

This arts-based autoethnographic study investigates individualism and collectivism, specifically through my study-abroad experience traveling from Saudi Arabia to the United States. Through arts-based reflective practice, I depicted the diasporic experience of being ontoepistemologically collectivistic while navigating a primarily individualistic society. I use the medium of a graphic memoir to illustrate and develop frameworks of confluence that embrace the two distinct cultural orientations simultaneously. This arts-based self-study not only contributes to the body of transnational scholarship but also serves as a reference for international students, researchers, and educators to use arts-based subgenres and data analysis methods to gain better insights into …

24-H Circadian Rest-Activity Rhythms And Physical Frailty In Older Adults: A Biopsychosocial Perspective On Sex Differences And Social Capital, Jisu Kim

Theses and Dissertations

Physical frailty is a prevalent geriatric syndrome characterized by age-related decline across multiple physiological systems. Physical frailty is associated with an elevated risk of adverse health outcomes, including chronic disease progression and all-cause mortality, representing a significant and growing public health concern. Disrupted circadian rest-activity rhythms (RARs) are increasingly recognized as clinically meaningful markers of physical frailty in older adults. However, the extent to which biological sex and social determinants of health (SDoH), particularly social capital, contribute to or modify the associations between RARs and physical frailty remains underexplored.

Therefore, this dissertation summarizes the existing literature on age-related changes in …

To Put It Simply, Men Are Like Kites., Yangyang Zhang

Theses and Dissertations

This thesis explores the performative professionalization of So-called “emotional mentors” on mainstream Chinese social media platforms, specifically Douyin (the Chinese version of TikTok). and its impact on the contemporary Chinese emotional landscape. Through a series of undercover investigations in livestreams, I analyze the rhetorical tactics and professional jargon used by these “Gurus” to attract and monetize vulnerable audiences.

The research highlights a critical paradox: while promising emotional clarity, these methods from “Love Gurus” often corrupt the sincerity of intimate bonds, resulting in significant emotional labor and self-doubt for Female. The project aims to demystify this predatory industry and its role …

Loved Right: Encouraging The Responsible Adaptive Reuse Of Historic Buildings In The Information Age, Christie Chirinos

Theses and Dissertations

This research contributes to interior design scholarship by situating immersive virtual reality (VR) as an efficiency tool and an architectural visualization tool within adaptive reuse and historic preservation practice. Interior designers are increasingly tasked with mediating between cultural heritage, community stakeholders, regulatory constraints, and economic feasibility, in buildings that already exist. By positioning VR as a tool with utility across every stage of the design process, this study expands interior design research beyond material and spatial interventions to include storytelling and technological innovation as drivers for design decision-making. The work bridges interior design, preservation, and participatory planning, demonstrating how immersive …

New Resource: Psyctests, Joanne Romano

TMC Library Newsletter (2015-)

APA PsycTESTS is now available through the TMC Library. Each record includes detailed test information, permissions for use, and—when available—full-text tests and supporting documentation.

The Police Archipelago: Decentralization, Police Violence, Over-Punishment, And Crime, José F. Girón

Faculty Publications

A strong consensus has taken hold in the legal academy. Criminal Justice Localism, espoused by scholars of every stripe, promotes greater local control of every facet of the criminal justice system. But Criminal Justice Localism largely overlooks an institution that plays a critical role in the criminal justice system, and which has been the subject of intense public criticism: the police. That oversight is remarkable for two reasons. First, calls for increased local control of the police seem to ignore that America operates one of the most—if not the most—decentralized policing models in the world, with its thousands of local, …

Professional Development To Inspire, Support, And Extend Stem-Related Learning, Somayeh Ba Akhlagh, Asma Hulayyil Aljohani, Maryam Jamal Alharthi, Nahla Mahmoud Gahwaji, Nouf Mohammed Albadi, Marianne Knaus

Research outputs 2022 to 2026

The success of STEM education in early childhood education is reliant on the pedagogical practices of teachers. Effective teaching of STEM requires specific knowledge of the four disciplines of STEM, appropriate teaching and learning methods and relevant experiences. In Saudi Arabia the teaching of STEM is a relatively new field, and this paper outlines a research project to promote the teaching and learning of STEM through professional development workshops. The research is informed by Vygotsky’s cultural-historical/socio-cultural theory, acknowledging the crucial role of social interaction and cultural context in a collaborative learning environment. To evaluate the project, a mixed methods approach …

Supporting Displaced Students With Disabilities In Post-Secondary Education: An International Scoping Review, Tetiana Bogachenko, Jia Xu, Larysa Klymanska, Nadia Chubko

Research outputs 2022 to 2026

Students with disabilities who are forced to leave their homes due to armed conflict, persecution, environmental crises, or other forms of involuntary displacement, within their country or internationally, face compounded barriers to accessing and succeeding in post-secondary education. Yet, their experiences, educational trajectories, and the supports available to them remain underexplored. This scoping review examines existing empirical research on the experiences of students with disabilities in post-secondary education who come from forced migration backgrounds. By addressing the intersection of disability, displacement, and post-secondary education, this review highlights the unique challenges faced by this population as well as supports identified as …

Tourism Low-Carbon Decision-Making Through The Avoid–Shift–Improve Framework, Pezhman Hatamifar, Arghavan Hadinejad, Jalayer Khalilzadeh, Kourosh Esfandiar, S. Mostafa Rasoolimanesh

Research outputs 2022 to 2026

Using the Avoid–Shift–Improve framework, this study examines how demographic factors and psychological, behavioral, and attitudinal drivers are associated with tourists’ low-carbon decision-making across mobility, consumption, and accommodation. Survey data were collected from 416 young Finnish travelers, and analyzed using correlation tests, repeated-measures ANOVA, and cluster segmentation to examine cross-domain and cross-strategy variation. Findings show that demographic factors have limited influence, whereas psychological, behavioral, and attitudinal drivers motivate sustainable choices. Shift dominant mobility decision-making, Avoid emergence in consumption, and Improve are most common in accommodation. Three adopter groups are identified as strong, moderate, and weak, reflecting different levels of engagement. Theoretically, …

Exploring Academic Burnout In Georgia Southern University Nursing Students, Gwyneth A. Green

Honors College Theses

This project aims to explore the burnout that nursing students experience while going through nursing school. There are plenty of stressors that affect nursing students and their performance in the classroom, so the goal is to identify these stressors and find ways to cope with them to improve classroom performance and decrease the number of students who quit while in school. Finding ways to make nursing school a better experience overall will help improve the outcomes coming out of school and starting to work. A survey was given to research multiple cohorts in the Georgia Southern University Nursing program to …

Pain In People With Dementia Is A Significant Contributor To Increased Professional Caregiver Burden: Results Of An Observation Study, Kreshnik Hoti, Ipsit Vahia, Paola Chivers, Jeffery Hughes

Research outputs 2022 to 2026

Aim: To investigate the association between the presence of neuropsychological symptoms, professional caregiver burden and pain intensity.

Methods: Eleven neuropsychiatric symptoms reportedly associated with caregiver burden which are included within the PainChek® pain assessment tool were identified: aggressiveness, inappropriate behavior, distressed, verbally offensive, confusion, restlessness, pacing and wandering, crying, screaming, altered sleep and resisting care. A caregiver burden score based on binary scoring of the presence of these indicators was calculated (summative score range from 0 to 11). Generalized estimating equations were used to evaluate the relationships between (1) pain score and sum of caregiver indicators present and (2) pain …

Belonging-With Country: Diffracting Equity, Inclusion And Care In Australian Early Childhood Education, Amanda J. Binns, Elizabeth Jackson-Barrett

Research outputs 2022 to 2026

This article revisits the widely used yet underexamined concepts of equity, inclusion and belonging in Australian early childhood education. Building on Sumsion and Wong's interrogation of ‘belonging’ in the original Early Years Learning Framework (EYLF) for Australia V2.0, it traces how the concept has been taken up across policy, practice and scholarship, including EYLF V2.0 and contemporary work on care, book sharing and cultural responsiveness. It argues that these approaches, while well intentioned, often individualise belonging, obscure ongoing colonial relations and privilege Euro-Western, human-centred ontologies that normalise some children, families and places while marginalising others, particularly Aboriginal and Torres Strait …

Personal Family-Centred Care For Lgbtq+ Individuals In Acute Hospital Settings: A Scoping Review, Gideon U. Johnson, Bianca Ysabelle Esmeralda, Stephen Pearson, Beverley Ewens, Louise Rose

Research outputs 2022 to 2026

Aim: To identify and synthesise existing evidence on family-centred care for Lesbian, Gay, Bisexual, Transgender, Queer and other diverse identities (LGBTQ+) people in acute hospital settings, including hospital-based palliative care, oncology, general in-patient and intensive care. Design: A scoping review guided by the JBI methodology. Methods: Nine databases and grey literature sources were searched. Inclusion criteria focused on LGBTQ+ adults and family-related care experiences in hospital-based acute settings. After screening, qualitative, quantitative, and narrative data were extracted. Thematic analysis synthesised findings, with quantitative data narratively integrated. Data Sources: Searches were conducted across nine databases and grey literature up to April …