Digital Commons Network^™

Neutrosophic Super-Hypergraph Fusion For Proactive Cyberattack Countermeasures: A Soft Computing Framework, Ehab Roshdy, Marwa Khashaba, Mariam Emad Ahmed Ali

Neutrosophic Sets and Systems

No abstract provided.

Solving Data Mining Challenges In Neutrosophic Environments Using Bio-Inspired Optimization Techniques, Samia Mandour, Abduallah Gamal, Mohamed Belal

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic State Learning For High-Stakes Systems Using A Dynamic Triplet Model Of Support Contradiction And Uncertainty, Alaa Hassan And, Reda Ahmed

Neutrosophic Sets and Systems

No abstract provided.

Neutrosophic Sets And Systems, Vol. 94, 2025, Florentin Smarandache, Mohamed Abdel-Basset, Maikel. Leyva Vazquez

Neutrosophic Sets and Systems

No abstract provided.

Impact Of Physical Activity On Sleep In Adults Recovering From Substance Use Disorders: A Protocol For An N-Of-1 Observational Study, Sascha Thal, Cele Richardson, Joanne Mcveigh, Craig Thompson, Phoebe Wan, Bingyan Pang, Hugh Riddell, Stephen Bright, James Clarke, Bronwyn Myers

Research outputs 2022 to 2026

Introduction Sleep impairments are prevalent among individuals recovering from substance use disorders (SUDs) and are associated with poorer treatment outcomes and increased relapse risk. Physical activity (PA) is known to enhance sleep in general populations, but its day-to-day effects on sleep during SUD recovery remain underexplored, especially across different recovery stages. Methods and Analysis In this observational n-of-1 study, we aim to examine within-person associations between daily PA and sleep quality in three groups of individuals at varying stages of substance use recovery (early treatment, continuing care and long-term recovery). A substudy will validate the agreement between two wearable sleepmonitoring …

Import Substitution Industrialization In Africa: Guinea's Experience, Mamadou Saliou Diallo

Markets, Globalization & Development Review

Import substitution industrialization (ISI) is such a template that many countries lagging behind in terms of development considered as an essential phase. The process of adopting ISI by these countries, however, displays contrasts in many aspects. The more apparent cases of differences in ISI adoption emanate from the East-Asian and Sub-Saharan African (SSA) models. These two regions are both latecomers in that industrial revolution, compared to Latin American countries being pioneers, was a chronologically later undertaking. Despite constraining factors, the East-Asian model thrives to become a successful experience. Meanwhile, SSA and Latin American countries still strive to achieve this ambition. …

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Demolition Of Leased Property: A Proposal, William L. Raby

Tax Adviser

No abstract provided.

Development And Validation Of Instruments To Measure Medication Adherence In Hypertensive Patients (Mahp): The Indonesian Case, Burhannudin Ichsan, Erna Herawati, Sri W. Basuki, Ikhwansyah W. Pramudyatama, Umatul Khoiriyah

Journal of Health Research

Background: Hypertension is a chronic disease that poses a significant public health issue globally. Medication adherence among hypertensive patients remains low, leading to various complications that adversely affect individuals, families, and the broader economy and society. To our knowledge, no specific instrument exists to measure medication adherence in hypertensive patients (MAHP) exclusively. This study aims to develop and validate an instrument to measure medication adherence and adherance-related behaviors among hypertensive patients.

Methods: The research consisted of two methods: (1) scale construction and (2) scale validation. The construction phase included: (1) defining the construct and its domains, (2) item development, …

Factors Influencing Tuberculosis Diagnosis, Treatment And Recovery In Alor, East Nusa Tenggara (Ntt), Indonesia, Abdillah Ahsan, Fitri Kurnia Rahim, Elisabeth Kramer, Indah Suci Widyahening, Maulida Gadis Utami

Journal of Health Research

Background: Indonesia aims to reduce tuberculosis (TB) incidence by 50% in 2025 and 80% in 2030. In Alor, TB case notification has reached only 38%, while contact investigation remains low at 21% (46 of 220 cases), ranking 6^th lowest in East Nusa Tenggara (NTT). This study explored factors influencing TB diagnosis, treatment, and recovery.

Method: Focus group discussions were conducted with 32 recovered TB patients at three community health centers (Moru, Alor Kecil, and Kenarilang). In-depth interviews were held with six key local stakeholders, including representatives from the Health Office, the Research and Development Unit, three heads of community …

Association Between Social Isolation And Risk Of Hypertension Among The Middle-Aged And Older: A Propensity Score–Matched Cohort Study, Yiting Kang, Minchao Liu

Journal of Health Research

Background: Social isolation has emerged as a growing public health concern and may be an underrecognized risk factor for hypertension. However, evidence on its longitudinal association with hypertension remains limited and inconsistent.

Methods: The data of the national cohort study were collected from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. A total of 3280 participants aged 45 years and older without hypertension at baseline were included. Propensity score matching (PSM) was applied to balance covariates between socially isolated and non-isolated groups. Cox proportional hazards models were used to estimate the association between social isolation and …

Living Arrangements And Depression Among Elderly Persons In China: A National Cross-Sectional Study, Yue Lyu, Seung Chun Paek, Patreeya Kitcharoen, Thammarat Marohabutr

Journal of Health Research

Background: While the positive effect of living alone on depression among elderly persons has been demonstrated by multiple studies in China, evidence regarding other types of living arrangements, specifically considering family size, is scarce. This study assessed the effect of living arrangements, as measured by family size, on depression among elderly persons.

Methods: A cross-sectional analysis of 6,678 adults aged 60+ from the 2020 China Health and Retirement Longitudinal Study was conducted using descriptive and binary logistic regression analyses.

Results: Of the analyzed elderly persons, 35.43% (n=2,366) exhibited depression. Elderly persons living alone exhibited higher levels of depression than those …

Effectiveness Of Self-Management Education On Behavior Improvement Among Stroke Survivors In Indonesia: A Randomized Controlled Trial, Yurike Septianingrum, Ratna Yunita Sari, Lono Wijayanti, Rizqa Septiana, Andis Yuswanto, Ah Yusuf, Ika Yuni Widyawati, Nor Aziyan Yahaya

Journal of Health Research

Background: This study aimed to investigate the impact of stroke self-management education (SSME) on improving self-management behaviors among stroke survivors.

Methods: An individual randomized controlled trial was conducted from June to August 2024 in an educational hospital in Surabaya, Indonesia. Participants were selected based on the inclusion and exclusion criteria and then randomly assigned via computer-generated randomization to the intervention and control groups. After 3 weeks of intervention, the self-management behavior of stroke survivors was evaluated using the Stroke Self-Management Behavior Questionnaire (SSMBQ). A per-protocol analysis was used to compare the intervention groups, which included only those patients who completed …

Attitude And Confidence In Managing Pre-Existing Type 2 Diabetes Mellitus During Pregnancy Among Thai Women, Ratchanok Phonyiam, Chiao-Hsin Teng, Catherine S. Sullivan, Aunchalee E.L. Palmquist, Eric A. Hodges, Yamnia I. Cortés, Marianne Baernholdt

Journal of Health Research

Background: The trend of rising T2DM prevalence is more pronounced in females and is of particular concern for pregnancy. The rate has jumped from 0.7% to 1.5% of all pregnancies over the past 14 years. Additionally, pregnancies affected by T2DM have higher rates of abortion and perinatal mortality compared to those with type 1 diabetes mellitus and gestational diabetes mellitus. The objective of the study was to explore the attitudes and confidence in managing T2DM among Thai women during pregnancy.

Methods: This qualitative study was a part of a parent study using a convergent parallel mixed-methods design. A purposive sampling …

Pm2.5 And Respiratory Symptoms Among Primary Schoolchildren In Bangkok, Thailand: A School-Based Cross-Sectional Study, Monrudee Chokprajakchad, Dongruethai Buadong, Lawan Singhasai, Chayannan Jaide

Journal of Health Research

Background: Exposure to fine particulate matter (PM2.5) has been linked to adverse respiratory health in children. However, limited studies in Bangkok have examined the combined influence of environmental exposure and health perceptions. The objective of this study is to investigate the association between PM2.5 concentrations and respiratory symptoms among primary schoolchildren aged 7—12 years in Bangkok, across districts categorized by differing levels of air pollution.

Methods: A cross-sectional study was conducted among 388 primary schoolchildren in Bangkok, recruited through cluster sampling from districts classified into three PM2.5 pollution zones based on data from the Pollution Control Department. Respiratory symptoms were …

Prediction Of Lung Vital Capacity Value From Thoracoabdominal Expansion In Young Adults, Aung Myo Htun, Aung Aung Nwe, Chatchaya Jaimanee, Thiwaphon Chatprem, Saowanee Nakmaroeng, Chatchai Phimphasak

Journal of Health Research

Background: Vital capacity (VC) is a fundamental indicator of pulmonary health, but its routine assessment often depends on spirometry devices that may be unavailable (i.e. because of access, cost) in many clinical or community settings. In contrast, lower costal (LC) and upper abdominal (AB) expansions are simple, equipment-free methods commonly used in physiotherapy.

Method: This cross-sectional study was aimed at developing prediction equations for VC using LC or upper AB expansion alongside demographic and anthropometric variables. The study involved 116 healthy nonsmokers (53 male and 63 female individuals) aged 18–39 years. VC was measured via spirometry using a …

Healthy Weight Intervention Effect On Weight Control Intention Among Overweight School-Aged Children, Pornthip Nawajongphun, Jumpee Granger, Dongruethai Buadong, Autchareeya Patoomwan

Journal of Health Research

Background: The incidence of overweight and obese children is rising all over the world. Various factors are involved, and those deficits affect these children's physical and mental health.

Methods: This study was a quasi-experimental research study to examine the effectiveness of a Healthy Weight Intervention (HWI) on weight control intention among overweight school-aged children using the theory of planned behavior. Participants were 9-12 years old, and there were 31 participants in each group. The study duration was six weeks for both groups. The data were collected using questionnaires on demographics, attitudes, subjective norms, perceived self-efficacy, and intention toward weight …

Intrapersonal, Interpersonal, And Environmental Factors Associated With Self-Directed Ageism Among Older Thai Adults, Jirawan Wittayanukorn, Piyawat Katewongsa, Yothin Sawangdee, Rossarin Gray, Tawanchai Jirapramukpitak

Journal of Health Research

Background: Self-directed ageism occurs when older adults internalize negative age-related stereotypes, a process that undermines self-esteem, reduces social participation, and leads to poorer health outcomes. Understanding the intrapersonal, interpersonal, and environmental factors that contribute to self-directed ageism is essential for developing more effective interventions to reduce it.

Method: Data were drawn from the Survey on Conditions of Society, Culture, and Mental Health (Thai Happiness) 2014, a nationally representative survey. Managed by checking for completeness, duplicates, and missingness, 8,998 people (aged 60 years and over) were included. Factors associated with self-directed ageism were analyzed using binary logistic regression analysis, taking into …

Real-Time Production Of High-Resolution, Gap-Free, 3-Hourly Aod Over South Korea: A Machine Learning Approach Using Model Forecasts, Satellite Products, And Air Quality Data, Seoyeon Kim, Youjeong Youn, Menas Kafatos, Jaejin Kim, Wonsik Choi, Seung Hee Kim, Yangwon Lee

Institute for ECHO Articles and Research

Aerosol optical depth (AOD) is essential for air quality monitoring and climate research. However, satellite-based retrievals suffer from cloud-related data gaps, and reanalysis products are limited by coarse spatial resolution and substantial production latency. This study develops a real-time, gap-free, high-resolution (1.5 km) AOD retrieval system for South Korea. The system integrates Copernicus Atmosphere Monitoring Service (CAMS) forecasts, high-resolution meteorological fields, and ground-based air quality observations within a machine learning framework. Three models with varying training periods were systematically evaluated using cross-validation and independent validation with 2024 Aerosol Robotic Network (AERONET) data. The optimal model, trained on 2015–2023 data, achieved …

Absolute Extraction: Utilizing Rural Critical Criminology To Examine Appalachia’S Toxic Dependence On Extractive Industries, Andrew Kennedy

The Mid-Southern Journal of Criminal Justice

Brought forth by common rhetoric, Appalachia is often viewed as the closest space to that of an empyrean domain. Separated from the sleepless city, its allure rests in its created identity of a quiet, green escape from the city, which offers serenity on all fronts. Although Appalachia can fulfill this profile, such an ascension ignores the burning yellow grass below. The purpose of this paper is to examine the history of the destruction of Appalachia through the lens of extractive industries and the region’s designation as a sacrifice zone. Through the application of rural critical criminology, this paper holds that …

Welcome From The Editors: Criminal Justice Systems Helping Communities: Provision Of Resources And Experience For Positive Change, Cassandra B. Whyte Dr., Stephen Young

The Mid-Southern Journal of Criminal Justice

No abstract provided.

Reducing Rates Of Child Abuse And Neglect: An Analysis Of Three Potential Solutions, Lauren C. Heil

The Mid-Southern Journal of Criminal Justice

Child abuse and neglect are prevalent problems, affecting an estimated one million children worldwide each year. The purpose of this paper is to evaluate and analyze three potential solutions to reduce the rates of child abuse and neglect. The three programs that were suggested were: improving overall access to healthcare, therapy and counseling, and other support services for children and families who need them, implementing more Nurse-Family Partnerships across the United States for first time mothers with visits from a registered nurse, and increasing parent’s access to economic resources and improving families overall financial security. These programs were researched extensively, …

Bridging The Gap Between Substance Use Treatment Barriers In Rural Areas, Dakota Baker

The Mid-Southern Journal of Criminal Justice

The purpose of this paper is to examine the continued concern about substance abuse/misuse and limited access to treatment in rural areas. Rural areas lack the adequate treatment needed to combat substance use disorder (SUD), mainly due to the lack of sufficient providers trained to identify, treat, and support those dealing with SUD. Additional barriers such as the high cost of treatment, stigma surrounding substance use disorders, geographical barriers, and the criminalization of substance abuse are other barriers that will be discussed in this paper (Griffin & Botvin, 2010; Hargons et al., 2023; Khazaee-Pool et al., 2024; National Center for …

Usa V. Michael Moran

2025 Decisions

USDC for the Western District of Pennsylvania

Intersectionality, Epistemic Injustice, And Silencing: The Operationalization And Reification Of Intersectionality In Academic Research And Institutional Practices, Emery Lockwood

Theses - ALL

Intersectionality is a powerful analytic tool that can be used to better understand the role that oppression plays in society and how it shapes the way people affected by multiple systems of oppression interact with society. Recently, the unit of analysis for intersectionality has started to shift from intersecting systems of oppression to overlapping identities, which has changed intersectionality from being a tool used to analyze systemic oppression to individual’s experiences. This work explores the implications this shift has on academic research and the practice of several disciplines. Using a lens of epistemic injustice through theories of hermeneutical bastardization (Drury, …

Longitudinal Association Between Sleep Disturbance And Disordered Eating In Adolescents: The Mediating Role Of Emotion Dysregulation, Antonia Louise Hamilton

Theses - ALL

Accruing evidence suggests a significant relationship between sleep disturbances and disordered eating. Early adolescence is a period of heightened vulnerability for sleep disturbances and disordered eating. However, the longitudinal relationship between sleep disturbance and disordered eating remains unclear in early adolescent samples. The current study aims to examine if sleep disturbance longitudinally predicts disordered eating in early adolescents three years later, how the odds of having clinically significant disordered eating change per each unit increase in sleep disturbance, and if emotion dysregulation mediates these relationships. It is hypothesized that baseline sleep disturbance will predict greater disordered eating at follow-up, and …

Novel Origin Of Sperm Heteromorphism In The Drosophilidae, Karan Bhatt

Theses - ALL

Sperm heteromorphism, the production of two or more discrete sperm types or morphs within a single testis, occurs in diverse taxa. This phenomenon is believed to represent a division of labor by male gametes, with only one morph (the "eusperm") participating in fertilization and the other morph(s) specialized to perform some other (typically unknown) function within the female reproductive tract. One of the most intensively investigated systems is the Drosophila obscura species group, for which sperm heteromorphism evolved once in the common ancestor to the group, with all examined descendent species exhibiting sperm length heteromorphism. The absence of additional sperm …

Exploring The Role Of Astrocyte System Xc– In Excitatory/Inhibitory Balance, Samantha Olivia Sutton

Theses - ALL

Astrocytes play a central role in maintaining excitatory/inhibitory (E/I) balance in the central nervous system by supporting intracellular glutathione (GSH) synthesis and regulating extracellular glutamate. System xc– (Sxc–), an obligate cystine/glutamate antiporter encoded by SLC7a11, couples the import of L-cystine with the export of L-glutamate. It is highly expressed throughout the cortex, hippocampus, striatum, and cerebellum, where its activity provides cystine—the rate-limiting substrate for cysteine-dependent GSH production—and contributes to ambient glutamatergic tone. Although global loss of Sxc– alters seizure threshold and redox homeostasis, whether these effects arise specifically from the loss of astrocytic Sxc– has remained unresolved. This thesis examined …

Investigating The "Tend-And-Befriend" Stress Response As A Risk Factor For Sexual Victimization Among College Women, Emily Kathleen Presutti

Theses - ALL

Sexual victimization of college women is a significant public health concern on U.S. college campuses. Traditional research on the human stress response has focused on the "fight-or-flight" model, which may not adequately capture female-typical responses in stress-inducing situations. Using a mixed-methods design, we sought to determine whether the "tend-and-befriend" stress response serves as a potential correlate of sexual victimization among college women and examine whether it contributes additional variance beyond established correlates of sexual victimization such as alcohol use, history of sexual victimization, and involvement in campus party culture. The study was conducted in two phases. In Phase I, 128 …

Operational Context's Impact On Cockpit Behavior: Case Studies In Aviation, Nick Mehrdad Loghmani

Dissertations - ALL

This thesis examines instances where pilots in a tightly regulated environment, the modern airline cockpit, exhibit diverging responses when presented with identical information. Despite explicit standardization of procedures, instrumentation, and Crew Resource Management, observable patterns of operational divergence persist. The study adopts distributed cognition (Hutchins, 1995) as the primary lens and analyzes the crew–procedures–artifacts system using cockpit transcripts and flight data. Operational context is the evolving set of roles, procedures, cognitive artifacts (including automation), constraints, and environmental conditions, while the operational configuration denotes its time-indexed instantiation at moment t. Within this frame, the thesis documents when cues do—and do not—propagate …