Digital Commons Network^™

Efficacy Of Statins In Preventing Microvascular Complications In Type 2 Diabetes- A Systematic Review And Meta-Analysis, Hare Krishna, Prithpal Singh Matreja, Shehzeen Afaq, Vk Singh, Ajay Kumar

Journal of the Hong Kong College of Cardiology

Background: Microvascular complications—diabetic retinopathy, nephropathy, and neuropathy—remain major contributors to morbidity in type 2 diabetes mellitus. Statins, widely used for cardiovascular risk reduction, have been proposed to exert additional microvascular protective effects via pleiotropic mechanisms, though evidence remains inconsistent.
Methods: A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines, including randomized controlled trials and observational studies evaluating statin efficacy in preventing microvascular complications. Data on demographics, biochemical parameters, and clinical outcomes were extracted. A random-effects model (RevMan 5.4.1) was used, with outcomes reported as odds ratios (OR) and mean differences (MD) with 95% confidence intervals (CI).
Results: …

Kenyon Collegian - September 10, 2026

The Kenyon Collegian

No abstract provided.

Doing Less With More: A First-Principles Exploration Of The Suitability Of Agentic Computing Over Alternative Architectural Choices, Ritvik Garimella, Biplav Srivastava, Amit Sheth

Publications

There is growing interest in automating business activities with Agentic Artificial Intelligence (AI) due to latter's seeming ease of use. Never has it been easier, or costlier, to do less with more. However, little is known about when agents are preferable to established alternatives such as local computation, Representational State Transfer (REST), the Simple Object Access Protocol (SOAP), and the Model Context Protocol (MCP), particularly when development speed, performance, and operational cost are considered. We investigate this question using a controlled mathematical task that compares seven methods on a benchmark of 1,000 arithmetic expressions where semantics of operator precedence has …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Beyond Cusp Count: Bicuspid Function In A Quadricuspid Aortic Valve, Aneeq Ahmed, Suhail Khan, Luigia D'Errico

Journal of the Hong Kong College of Cardiology

Quadricuspid aortic valve is a rare congenital anomaly usually associated with regurgitation. A young woman underwent surveillance after cardiovascular magnetic resonance imaging demonstrated four equal cusps in diastole but bicuspid-type systolic opening from fusion of the left and non-coronary cusps. By 2025, eccentric regurgitation was severe on echocardiography and moderate-to-severe on magnetic resonance imaging, with a regurgitant fraction of 31% and mild left ventricular dilatation. Increasing breathlessness and declining peak oxygen uptake prompted multidisciplinary review. Valve replacement with ascending aortic support was recommended, and she was considered suitable for a Ross procedure with personalised external aortic root support.

Pre-Participation Echocardiographic Clue To Anomalous Aortic Origin Of The Left Anterior Descending Artery In An Endurance Athlete, Asterios Deligiannis, Maria Anifanti, Evangelia Kouidi

Journal of the Hong Kong College of Cardiology

Anomalous aortic origin of a coronary artery may remain undetected during standard pre-participation cardiovascular screening. We report a 45-year-old asymptomatic marathon runner with normal physical examination and electrocardiogram. Transthoracic echocardiography showed a retroaortic tubular vascular structure with color flow, prompting coronary computed tomography angiography. Imaging demonstrated anomalous origin of the left anterior descending artery from the right sinus of Valsalva with an interarterial course and a coexisting retroaortic left circumflex artery. Functional and rhythm testing were reassuring. This case illustrates the potential incremental diagnostic value of echocardiography in selected athlete evaluations.

The C3-C3ar Axis Modulates Trained Immunity In Alveolar Macrophages, Alexander P Earhart, Rafael Aponte Alburquerque, Marick Starick, Lorena Garnica, Ayse Naz Ozanturk, Rahul Kumar Maurya, Xiaobo Wu, Jeffrey Haspel, Hrishikesh S Kulkarni, Et Al.

2020-Current year OA Pubs

Complement protein C3 is crucial for immune responses in mucosal sites such as the lung, where it aids in microbe elimination, and enhances inflammation. While trained immunity - enhanced secondary responses of innate immune cells after prior exposure - is well-studied, the role of the complement system in trained immune responses remains unclear. We investigated the role of C3 in trained immunity and found that alveolar macrophage (AM)

Proteomic Profiling Identifies Systemic Drivers Of Blood-Brain Barrier Injury In Sickle Cell Disease, Yan Wang, Serguei Astafiev, Jinsheng Yu, Slim Fellah, Martin N Reis, Vivian Chen, Amy E Mirro, Chunwei Ying, Kristin P Guilliams, Melanie E Fields, Allison A King, Yasheng Chen, Robert A Campbell, Jorge Di Paola, Carlos Cruchaga, Jin-Moo Lee, Hongyu An, Andria L Ford

2020-Current year OA Pubs

Sickle cell disease (SCD) causes brain injury and cognitive disability. Systemic inflammation and endothelial injury are central to SCD pathophysiology, yet the relationship between systemic drivers of blood-brain barrier (BBB) disruption and brain injury remains understudied. This cross-sectional study assessed whole-brain and regional BBB permeability (Ktrans) using dynamic contrast-enhanced magnetic resonance imaging for 37 adults with SCD in steady state and 37 adults without SCD. Cerebral oxygen extraction fraction (OEF) and white matter mean diffusivity (MD) measured tissue hypoxia and microstructural injury, respectively. The SCD cohort showed elevated Ktrans compared with controls (3.6 × 10-4·min-1 vs 2.58 × 10-4·min-1; 95% …

Jagram V. Dadwah

All Decisions

RPL §231-c requires a GCEL notice to accompany any RPL §226-c termination notice — either annexed or folded into it. Landlord served the GCEL notice separately; the 90-day notice to quit went out without it. Court dismisses the petition on that unamendable defect. Court separately clarifies that, post-HSTPA, a notice of termination need not expire on the last day of the tenancy term. Dismissal is without prejudice.

361 E. 50th St. Llc V. Lupo

All Decisions

Appellate Term 1st Dept affirms Housing Court decision denying tenant's motion to vacate a two-attorney stipulation of settlement. Tenant failed to meet the very high standard for vacatur of two-attorney stipulations and had benefitted from the stipulation. Tenant's argument that the apartment may have been unlawfully deregulated was held an insufficient basis to vacate, particularly where tenant offered no facts to challenge the high-rent vacancy deregulation.

Design And Fea Of Composite Spur Gears: A Comparative Study Using Anfis, Xgboost, And Variational Quantum Regression, P. H. J. Venkatesh, Pothala Raghu, Mohd Rafeeq Ur Rahman, Saikumar Amda, T. S. Vamsi Krishna

Babylonian Journal of Mechanical Engineering

The parametric FEA dataset for an automotive involute spur-gear pair in three materials, train an ANFIS, XG Boost, and four-qubit Variational Quantum Regression (VQR) surrogate on that dataset, and compare their accuracy, uncertainty, and computational cost against the FEA ground truth. The study also ranks the three materials using an auditable multi-criteria decision procedure. The gear pair was sized using the Lewis equation, modelled in CATIA V5, and solved in ANSYS Workbench for SAE 8620 low-alloy steel, a Steel Matrix Composite (SMC), and a Low-Cost Iron Metal-Matrix Composite (Fe-MCS). The nominal duty is 350 N-m of wheel torque, derived from …

Experimental Investigation Of Factors Affecting Natural Magnetite Wettability: Implications For Geological Hydrogen Generation And Storage, Kaveh Moghanirahimi, Lionel Esteban, Valeriya Shulakova, Stefan Iglauer, Alireza Keshavarz

Research outputs 2022 to 2026

Natural magnetite in Banded Iron Formations (BIFs) is attracting interest as a hydrothermal H2-generating medium and a potential caprock for subsurface hydrogen storage because of its low permeability. However, its wettability under reservoir conditions remains poorly understood. In this study, the wettability of natural and organically aged magnetite was evaluated using the tilted plate contact angle method at 1–100 bar and 25–65 °C with deionized water and 5 and 10 wt% NaCl brines as droplet fluids. The results showed that magnetite remained water-wet throughout the tested conditions. Higher pressure shifted the system toward less water-wet behaviour, whereas increasing temperature enhanced …

Finding A Voice In Uk Academic Psychiatry: Perceived Barriers And Facilitators To Engagement Among Indian International Medical Graduates, Madeleine Dale, Magdalini Moraitou, Deepika Sharma, Sridevi Sira Mahalingappa, Shweta Mittal, Vatsal Zapadia, Paraskevi Triantafyllopoulou, Samuel J. Tromans, Dinesh Bhugra, Rohit Shankar

Peninsula Medical School

BackgroundAcademic psychiatry in the UK is in a precarious situation with diminished academic to clinical posts. There has been a growing reduction in psychiatrists engaged in academia in the last 25 years. This has coincided with increased growth of International Medical Graduates (IMG) working in UK psychiatry. IMGs may face unique barriers to involvement in research, which may contribute to the academic gap. IMGs from India form the largest minoritised ethnic group among UK psychiatrists. This study explores interest in and perceived barriers and facilitators to academic engagement among IMGs of Indian origin working in psychiatry in the UK.MethodsA questionnaire …

Bidirectional Eeg Neurofeedback Of Sensorimotor Beta Oscillations Reveals Asymmetric Modulation And Strategy-Dependent Learning, Krithika Anil, Stephen Hall, Jennifer Freeman, Jonathan Marsden, Giorgio Ganis

Peninsula Medical School

EEG-based neurofeedback (ENF) may be utilised as an intervention for improvement of motor performance in Parkinson's movement impairment. This exploratory study aimed to determine the ability of healthy participants to bidirectionally modulate sensorimotor beta power using ENF in real time and examine learning trends. The protocol trained participants to increase and decrease the amplitude of their individual beta power over C3 using a double-blind sham-controlled and within-subjects design. Fifteen healthy participants completed the study (mean age = 38.9, SD = 14.9, age range = 20–66; nine female and six male). Thirteen participants successfully decreased beta activity, three participants successfully increased …

Co-Production Of Digital Health Interventions For Parents Of Acutely Ill Children Under Five: ‘The Ipoorly Project., Sarah Neill, Amy Rathbone, John Downey, Monica Lakhanpaul, Damian Roland, Matt Carey

School of Nursing and Midwifery

No abstract provided.

Development And Usability Assessment Of A Health Education Conversational Agent For Patients With Gastric Cancer: Action Research Study, Yichen Kang, Yamin Yan, Tianxiao Wang, Zhenghong Yu, Yan Hu, Zhixun Wang, Jiyang Zhang, Jos M Latour, Yuxia Zhang

School of Nursing and Midwifery

Background:To provide patients with gastric cancer with adequate health education information for effective overall management is crucial, while traditional manners exposed certain challenges. Conversational agents have increasingly been adopted for health care use to provide innovative solutions for patient education.Objective:This study aimed to develop a health education embodied conversational agent to focus on gastric cancer disease using an action research approach and test its accuracy, usability, and user experience among patients and other related stakeholders.Methods:The AI-guided conversational agent was developed based on the OpenMEDLab 2.0 foundation model and the Retrieval-Augmented Generation (RAG) architecture. A 4-phase action research approach was adopted …

Organic Matter Redox Status Predicts Methane Production In Boreal Peatland Ecosystems, Jessica E. Rush, Jennifer C. Bowen, Jason K. Keller, Evan Kane, Eve Lyn S. Hinckley

Michigan Tech Publications

Boreal peatlands are important locations of carbon storage, but the mechanisms controlling methane (CH4) production in these ecosystems are not fully understood. Reduction of redox-active organic matter (RAOM) is one understudied mechanism where microbes use solid-phase (i.e., peat) organic matter as a terminal electron acceptor in anaerobic respiration. RAOM reduction suppresses methanogenesis due to energetic favorability and is often considered as an explanation for why certain peatland ecosystems produce less CH4 than expected after accounting for other electron acceptors. Given the role of RAOM in regulating CH4 production, we compiled datasets from boreal peatlands in the USA that quantified RAOM …

Impact Of The Hidden Curriculum And Unprofessionalism On Medical Student Specialty Choice, Melissa George, Kristie White, Balaram Puligandla, Hailey Gosnell, Amanda Lofgreen, Kristen Johnson, Stephanie Barak, Mary Berg, Satyapal Chahar, John Childs, Barbara Knollmann-Ritschel, Julie Karp, Md, Cindy Mccloskey, Bronwyn Bryant

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

The hidden curriculum in medical education refers to implicit lessons not formally taught, including specialty hierarchies, stereotypes, and misconceptions. Pathology, in particular, is often subject to derogatory comments and the perception that communication skills and patient care are wasted in this specialty. This study explored pathology residents' experiences with the hidden curriculum and its impact on medical student education. A survey was administered to pathology trainees to assess demographic trends and specialties associated with positive or negative perceptions of pathology and included free-text responses. Most respondents reported encountering negative remarks about pathology, spanning all levels of training and practice. Reactions …

Two-Stage Routing Of Power And Ground Nets In An Integrated Circuit Using Reinforcement Learning And Integer Linear Programming, Prateek Pendyala

Defensive Publications Series

Custom routing of power and ground nets in an integrated circuit remains a manual task, in that a layout engineer must balance irregular blockages, electromigration (EM) limits, and voltage drop (IR drop) budgets at the same time.  To address these competing pressures, a two-stage routing method divides that work between a learned global search and an exact local refinement.  In a first stage of the method, a reinforcement learning (RL) agent explores a coarse routing grid and proposes a trial route together with an approximate wire width for each segment.  In a second stage of the method, an integer linear …

Crime From The Perspective Of The Holy Qur’An, Mustafa Mahdi Lafta Al-Sudani, Murtadha Fathi

Imam Ja'afar Al-Sadiq University Journal of Legal Studies

This research addresses the concept of crime in light of the Holy Quran, in terms of definition, types, punishments, causes, and prevention. It seeks to clarify the Quranic approach in addressing the criminal phenomenon as a social, moral, and legal phenomenon. The research relied on the inductive analytical method of relevant Quranic texts, with reference to books of interpretation and Islamic jurisprudence. The research concluded that the Holy Quran presented an integrated system to reduce crime based on doctrinal, moral, and legislative reform together.

Developing A Deep Learning-Based Artificial Intelligence System For Detecting Scientific Misinformation On Digital Platforms, Shorouq Al-Awawdeh, Ayah Al- Jafari

Middle East Journal of Communication Studies

Objectives: This study develops and evaluates an Arabic scientific misinformation detection system by fine-tuning AraBERT-base-v2. It examines the effects of early stopping and input sequence length on model performance, interprets selected linguistic characteristics associated with misleading content, and discusses the limitations of using machine-translated data.

Methodology: The study adopted a mixed-methods design, employing a systematic integration of quantitative and qualitative approaches, supported by an interpretive qualitative reading. The initial database consisted of 23,546 records, including 123 Arabic articles collected from the Akeed, Sheek, and Taqeen platforms, and 23,423 foreign-language records drawn from the GossipCop and PolitiFact collections within FakeNewsNet. After …

The Evolution Characteristics Of Gas Pressure Around Coal Seam Directional Long Extraction Boreholes With Nonlinear Extraction Negative Pressure, Zhang Qi, Jia Jinlong, Li Zhiguo, Zhang Longgang, Qin Zhengyuan, Zhang Weizhong, Li Jin

Journal of Sustainable Mining

Nonlinear pressure of coal seam gas in the directional borehole and surrounding areas affects extraction efficiency. A multi-field coupling numerical model, including gas desorption, diffusion, fracture seepage, and borehole extraction, is developed for the No. 3 coal seam of the GJH mine. Using the numerical simulation method of control variables, extraction was developed to investigate the nonlinear evolution of axial pressure gradients in directional long borehole and the spatiotemporal response characteristics of gas pressure. Results show that coal seam seepage pressure exhibits a nonlinear radial gradient attenuation around the borehole, evolving through rapid pressure change, stabilization, and slow adjustment. The …

Policy Discourse On A Three-Term Presidency Ahead Of The 2024 Elections: A Narrative Policy Framework Analysis, Ahmad Syukri, Ridho Al-Hamdi

Jurnal Politik

This study examines competing narratives surrounding the proposal to extend the presidential term limit to three terms in the period leading up to the 2024 General Election, using the Narrative Policy Framework (NPF). The study employed a qualitative case study design based on 136 news articles published by five national online media outlets between January 2022 and April 2024. The unit of analysis was direct quotations from policy actors that addressed the three-term presidential discourse. Data were analyzed using NVivo 12 Plus through deductive and inductive coding based on four NPF elements: setting, characters, plot, and the moral of the …

Trends, Challenges And Strategic Paths Towards Navigating Remote Library Services In The 4ir Era: The Nigerian Academic Library Perspective, Ayodele O. Akinola, Rasak Ojo Alliyu

Library Philosophy and Practice (e-journal)

This paper adopts a comprehensive and conceptual approach to review the emerging trends and aiding issues in provision of remote library services in Nigerian academic libraries. The COVID-19 pandemic and the mounting requirements of the Fourth Industrial Revolution (4IR) have changed the nature of digital library services, prompting the study. The current global trends are characterized by the progressive adoption of ICT, virtual support and innovative models of blended librarianship, while in Nigeria academic libraries show some level of adoption but are limited by critical ICT infrastructure and internet penetration, unreliable power supply and frequent funding problems. Additionally, organizational preparedness …

Monologe, Friedrich Schleiermacher

Hannah Arendt Marginalia - All

No abstract provided.

Determinants Of Success Among Chinese Female Entrepreneurs, Lei Zhu, Orhan Kara, Wei Du, Mustafa Celikten

Journal of Business & Entrepreneurship

This study explores the determinants of entrepreneurial success among women in China, based on data collected from 180 female small business owners. Using an ordered logit model, the analysis examines a range of factors ranked by respondents as critical to their business performance. The results highlight several key factors that drive success, including good general management skills, maintenance of accurate records of sales/expenses, hard work, charisma/friendliness to customers, satisfactory government support, and support of family and friends. These findings reveal the multifaceted nature of entrepreneurial success, emphasizing the importance of personal attributes, management practices, and external support systems in enhancing …

Kauhi Wai O Kaala, Isabella K. Linkee

Hawaiian Quilt Pattern Digital Collection

Quilt pattern #36 of the Isabella K. Linkee Collection, featuring the "Kauhi Wai O Kaala" design. The pattern consists of a centerpiece measuring 83".

The Greater Ravenswood Hospital, 1923, Advocate Health - Midwest

Historical Documents - Combined

Ravenswood Hospital, Chicago, IL: Published by the Board of Trustees of the Ravenswood Hospital Association, this booklet discusses the progress of construction of the new Ravenswood hospital building that was set to open on July 1, 1923 at Wilson Ave and Winchester Ave in Chicago. Booklet includes, costs, building plans, medical staff, officers and board of trustees.

Ravenswood Hospital School Of Nursing Class Book, 1957, Advocate Health - Midwest

Historical Documents - Combined

Ravenswood Hospital, Chicago, IL: Ravenswood Hospital School of Nursing 1957 class book.

Ravenswood Hospital Annual Report, 1926, Advocate Health - Midwest

Historical Documents - Combined

Ravenswood Hospital, Chicago, IL: 1926 Annual report for Ravenswood Hospital. Includes photos, hospital and school of nursing statistics, expenditures and treasurers report, list of hospital staff.