Digital Commons Network^™

In Re: Lipitor Antitrust Litigation

2026 Decisions

USDC for the District of New Jersey

Posttraumatic Stress In Newly Diagnosed Epilepsy: Associations With Early Maladaptive Schemas, Anxiety, And Quality Of Life In A 6-Month Prospective Study ​, Mehmet Öztürk, Pinar Öztürk, Fügen Sönmez Çeti̇nkaya, İlker Özdemi̇r

Turkish Journal of Medical Sciences

Background/aim: Epilepsy is a chronic neurological disorder that significantly affects psychosocial functioning, self-perception, and quality of life. Emerging evidence suggests that posttraumatic stress (PTS) symptoms may be more prevalent in individuals with epilepsy than previously recognized, particularly following seizure-related experiences perceived as traumatic. The aim of this study was to evaluate short- and long-term PTS levels in individuals with newly diagnosed epilepsy and examine their associations with anxiety, depression, early maladaptive schemas, and quality of life.

Materials and methods: In this prospective study, 31 individuals with newly diagnosed epilepsy were enrolled. Participants completed a sociodemographic data form, the Post-Traumatic Stress …

Crisis Communication Management During Covid 19 In The Sultanate Of Oman: An Analytical Study Of The Government Communication Center’S Accounts On X Platform, Aaisha Alkaabi, Faten Ben Lagha

Journal of Arts and Social Sciences

This study examines the characteristics of the content published on the Omani Government Communication Center’s accounts on X platform, namely its official account and its “Oman VS Covid 19” account, which was dedicated to managing the COVID-19 crisis during the period from January 2020 to August 2022. The study adopted Betteke Van Ruler’s Communication Grid of Tactics Model and employed the survey method to achieve its objectives through two research tools: content analysis tools and semi-structured interviews. The findings revealed a diversity of media formats used in the posts published by the two accounts (text with infographics, images, and videos), …

Multi-Ion Permeation And Dynamic Conductance Modulation In Connexin Gap Junction Channels, Bassam G. Haddad, Daniel M. Zuckerman, Steve L. Reichow

Chemistry Faculty Publications and Presentations

Gap junction channels formed by connexins mediate direct intercellular communication and are essential for electrical signaling and tissue homeostasis. Despite their large, solvent-accessible pores, connexin channels exhibit distinct conductance, selectivity, and rectification properties, but the molecular mechanisms underlying these behaviors remain incompletely understood. Here, we performed ~67 μs of all-atom computational electrophysiology simulations of connexin-46 (Cx46), connexin-50 (Cx50), and heterotypic Cx46/50 gap junction channels based on high-resolution open-state structures, enabling characterization of both ion permeation and long-timescale channel dynamics. Simulations reveal a multi-ion, multi-pathway permeation mechanism governed by isoform-specific energetic barriers and transient ion coordination sites that shape conductance and …

Digital Markers For Passive Remote Monitoring Of Bipolar Disorder: Systematic Review, Thomas P Kutcher, Isha Chakraborty, Kristin Kostick-Quenet, Akane Sano, Nidal Moukaddam, Jeffrey A Herron, Wayne K Goodman, Sameer A Sheth, Ashutosh Sabharwal, Nicole R Provenza

Duncan NRI Faculty and Staff Publications

Background: Bipolar disorder (BD) features episodic shifts among mania, hypomania, depression, mixed states, and euthymia. Timely detection of mood transitions is difficult due to infrequent clinical touchpoints. Digital health technologies, including wearables and smartphones, offer a unique opportunity to passively and continuously monitor behavior and physiology that could reflect underlying mood dynamics in real-world settings.

Objective: This study aimed to systematically review passively collected digital markers for BD mood states, characterize devices/modalities and analytic approaches, appraise risk of bias, and identify design gaps and priorities for clinical translation.

Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) …

The Current - Volume 37 Issue 01, Nova Southeastern University

Student Newspapers

No abstract provided.

Ancestors And Tiger From Elsewhere: Emerging Forms Of Human-Tiger Socio-Natural Relations In Cosmopolitical Frontiers Of Sumatra, Imam Ardhianto, Febri Sastiviani Putri Cantika, Matahari Jingga, Dimas Iqbal Romadhon

Forest and Society

How are the moral relations between communities and the Sumatran tiger (Panthera tigris sumatrae) being reconfigured as forests fragment and land-use change accelerates across Sumatra's conservation landscape? This article addresses that question ethnographically, drawing on forty semi-structured interviews conducted in Agam and Pasaman Regencies (West Sumatra) between April and June 2026 and interviews with Yayasan SINTAS Indonesia. The article documents the three animistic category of the tiger, comprising Datuk/ancestor, harimau jadi-jadian, and harimau tandang, and traces how it is being reshaped by habitat fragmentation, commodity-driven land expansion, generational interruption of customary authority, and state translocation …

Unpacking System Factors Contributing To Delayed Icu Discharges: A Mixed-Method Study, Xia Jin, Anne Mette Nørby Adams, Joanne Mcintyre, Steven Galluccio, Shailesh Bihari, Ubbo F. Wiersema, Kathrine De Lyster, Frances Fengzhi Lin

International Nursing Research Congress (INRC)

Background: Discharge delay in resource-constrained Intensive Care Units (ICUs) remains a concerning and persistent challenge, resulting in delayed ICU admissions and after-hours discharges. These delays are associated with adverse patient outcomes and system inefficiency. While centralised patient flow centres and other strategies have been implemented to address these issues, their impact on ICU discharge delays remains unexplored. To improve patient flow, it is essential to explore organisational barriers and facilitators to ICU discharge.

Objective: To identify system factors influencing ICU discharge in a tertiary Australian hospital.

Methods: A mixed-method study was conducted in a 32-bed tertiary ICU in Australia. Between …

A Large-Scale Annotated Flight Time-Series Dataset And Geospatial Post-Flight Analysis Tools For Ngafid, Roman Kozulia

Theses

This work presents three contributions to the National General Aviation Flight Information Database (NGAFID): a maintenance-linked flight dataset forpredictivemaintenanceresearch, anaviationchartprocessingservice, and an interactive geospatial heat map for post-flight event analysis. The first contribution is a maintenance-linked flight dataset for predic- tive maintenance and prognostics research in general aviation. The dataset contains approximately 100,000 non-simulated maintenance work orders and more than a million multivariate flight recordings extracted from NGAFID. Eachflightisassociatedwithmaintenancerecordsandlabeledaspre-maintenance, day-of-maintenance, or post-maintenance. Flights are exported as one-hertz sensor time series with flight-phase annotations, while a clustering pipeline groups technician-written maintenance records into event categories. To our knowledge, thisisthelargestpubliclyavailablegeneralaviationflightdataset linked to …

Motherhood-Defining Memories And Narrative Identity Awareness In Relation To Psychological Wellbeing And Maternal Functioning Following A Parenting Program, Christin Camia, Antje Von Suchodoletz, Michelle P. Kelly

All Works

Introduction – Drawing on previous research showing that self- and relationship-defining memories relate to psychological and relational functioning, this study began to explore motherhood-defining memories and their relation to psychological wellbeing and maternal functioning within a parenting program context. The study aimed to examine whether participation contributes to the narrative coherence of motherhood-defining memories. Methods – Participants were 155 mothers from diverse cultural backgrounds (M age = 32.85 years, SD age = 5.20) residing in the United Arab Emirates (UAE). Seventy-five mothers participated in an eight-session parenting program, and 80 mothers served as controls in a comparison group. Motherhood-defining memories …

Definitive Radiation Therapy For Schneiderian Inverted Papilloma Of The Soft Palate And Uvula., Rahul Sinha, Arianne J Abreu, Christopher E Fundakowski, Robert T Sataloff

Otolaryngology (ENT) Resident Research

Schneiderian inverted papilloma is a benign, locally aggressive tumor that typically arises in the respiratory mucosa of the nasal cavity and paranasal sinuses. These tumors are often asymptomatic but can cause unilateral nasal obstruction, discharge, hyposmia and epistaxis. They warrant attention particularly due to the potential for malignant transformation. They are treated most often with surgical excision. This case report describes a patient with Schneiderian inverted papilloma arising outside its usual location and managed with definitive radiation therapy instead of surgical excision due to concerns for functional impairment. Remission was obtained with radiation therapy, although the patient experienced treatment-related side …

Beyond Closed Doors: Standardizing Intimate Partner Violence Screening In A Predominantly Spanish-Speaking Primary Care Clinic, Sarah Abughrib

Master's Projects and Capstones

Objective: Intimate partner violence is a widespread public health concern, with an estimated 64.2 million U.S. adults affected in their lifetime and significant physical, psychological, and economic consequences. Due to systemic challenges, IPV screening remained inconsistent across an adult primary care clinic serving a predominantly monolingual Spanish-speaking population in the San Francisco Bay Area, with only 4.1% of patients screened across the Adult, Women's, and Teen clinics in June 2026. Aim: This quality improvement project aimed to increase overall IPV screening by 10%, from 4.1% to 14.1%, by July 31, 2026. Methods: Standardization efforts included introducing a …

Interprofessional Team Approach To Analyzing Food Scarcity Using Value Stream Analysis, Janet Brown

International Nursing Research Congress (INRC)

Purpose: Food insecurity is a public health concern (Pereira, 2021), and 13.5 % of households in the United States experienced food insecurity during 2023 (Rabbitt et al, 2024). Older adults (age 65+) are disproportionately affected by food insecurity, which can cause serious consequences for their health and well-being (Alyward et al., 2020). Utilization of community-based resources can reduce food insecurity (Alyward et al., 2020). Value Stream Analysis (VSA), a tool traditionally applied in manufacturing and industry, has translated to healthcare settings and significantly improved operational performance (Aloga, 2025). VSA reveals waste, overlap, and hidden capacity when applied to a process …

Assessment Of Pareto Optimal Projection Search Algorithm For Next Generation Radiotherapy Planning In Prostate Cancer Treatment, Khanh Pham

Masters Projects

Purpose: Automated treatment planning systems (ATPS) are critical for improving plan consistency and efficiency. This study evaluated the implementation and performance of the Pareto optimal projection search algorithm (POPSA), a proprietary rule-based algorithm (RBA) in prostate site. The RBA's performance was benchmarked against established knowledge-based planning (KBP) and deep learning (DL) dose prediction tools.

Methods:  A retrospective comparative study used a cohort of N=10 previously treated patients, consisting of 10 prostate with lymph nodes cases. Three plans were generated per patient: manual reference (RA) plan, KBP plan, and RBA script-only plan. Performance was quantified by target volume coverage, organ at …

A Dosimetric Comparison Of 6-Mv Flattening Filter And Flattening Filter-Free Photon Beams For Stereotactic Body Radiation Therapy Of Adrenal Tumors, Sarah Mcintosh

Masters Projects

Purpose: This study aimed to compare dosimetric characteristics and treatment delivery efficiency between 6-MV Flattening Filter (FF) and Flattening Filter-Free (FFF) photon beams for adrenal Stereotactic Body Radiation Therapy (SBRT). While FFF beams have demonstrated dosimetric and efficiency advantages at other SBRT sites, there is limited data about their use in adrenal SBRT.

Methods and Materials: A retrospective dosimetric comparison was performed using 10 patients previously treated with adrenal SBRT. For each patient, two Volumetric Modulated Arc Therapy (VMAT) plans were generated in Eclipse: one using 6-MV FF beams and one using 6-MV FFF beams, resulting in 20 total treatment …

Formative Work To Guide Implementation Of An Evidence-Based Breast And Cervical Cancer Prevention And Early Detection Behavioral Health Program In Clinics: Qualitative Study Guided By The Consolidated Framework For Implementation Research, Marlyn A Allicock, Crystal Costa, Ashley Hedrick Mckenzie, Preena Loomba, Roshanda S Chenier, Ross Shegog, Angelita Alaniz, Maria E Fernandez, Lara S Savas

Faculty, Staff and Student Publications

Background: Salud en Mis Manos (SEMM) is a community health worker-delivered evidence-based intervention shown to increase breast and cervical cancer screening in medically underserved Latinas. Despite SEMM's success in community-based settings, clinic-based implementation is limited.

Objective: This study aimed to identify factors influencing the implementation of SEMM in clinic settings using the Consolidated Framework for Implementation Research (CFIR) to inform and refine implementation strategy development.

Methods: We developed theory-informed (eg, CFIR, Social Cognitive Theory, and Readiness) interview guides to elicit barriers and facilitators of SEMM clinic implementation. We conducted 12 semistructured interviews with clinic leaders, outreach coordinators, and community health …

Pol/His 3005: Social Welfare Policy In The United States, Oswaldo A. Mena Aguilar

Open Educational Resources

The United States is one of the richest countries in the world, yet poverty, hardship, and inequality remain central features of American life. This course begins with that paradox. Why does a country with so much economic capacity tolerate so much poverty? Why does its welfare state protect some risks generously while treating other forms of need as individual failure? Why are benefits for the poor so visible, stigmatized, and administratively demanding, while benefits for the affluent are often hidden in the tax code, treated as private achievement, and politically protected? The course is organized around a sequence of questions. …

Syllabus Psy 201: Psychological Research, Valeriia Modina

Open Educational Resources

Syllabus for PSY 201: Psychological Research, taught at the College of Staten Island in Fall 2026. Psychologists use the scientific process to collect information about human behavior. This enables them to develop valid and reliable explanations about behavior. This course will review the research process from the formulation of a research question through the publication of research findings. We will examine various data collection methods including observation, interview, survey, quasi-experimental, and experimental. Students will also be introduced to the way in which statistics help us understand and interpret the information we collect about behavior.

Burnout, Compassion Fatigue, Secondary Trauma, And Experiences With Death And Dying Among Organ And Tissue Recovery Professionals: A Hermeneutic Phenomenological Study, Shelby Andreasen

Walden Dissertations and Doctoral Studies

Professionals in organ and tissue recovery have complex job roles that affect the outcomes of patients who wait for a life-saving organ or a life-enhancing tissue graft. This profession had little research regarding burnout, compassion fatigue, and secondary trauma, as well as how consistent involvement with deceased patients affects these professionals and the outcomes of their cases. The purpose of this qualitative phenomenological study was to explore the lived experiences of 11 organ and tissue recovery professionals (OTRPs). Constructivist self-development theory was applied to understand OTRPs’ lived experiences of compassion fatigue, secondary trauma, and burnout, as well as the impact …

Staff Education On Fall Reduction For Residents Of Long-Term Care Facility, Lauretta Ifeoma Iwuala-Mcwilliams

Walden Dissertations and Doctoral Studies

Falls pose a major safety risk for elderly individuals living in long-term care facilities, leading to injuries, hospitalizations, loss of autonomy, increased healthcare expenses, and higher morbidity and mortality rates. In the facility involved in this project, the incidence of falls was above anticipated benchmarks. Factors such as high staff turnover and reliance on agency staff resulted in inconsistent knowledge among personnel regarding fall prevention measures. Purpose: This Doctor of Nursing Practice quality improvement initiative aimed to implement and assess an evidence-based educational program designed to enhance staff understanding and skills related to fall-risk assessment, the identification of both intrinsic …

Creating Consistency: Standardizing Gestational Diabetes Group Visit Framework In High-Risk Obstetric Care, Danielle Pack

Master's Projects and Capstones

Objective: Gestational diabetes mellitus (GDM) requires timely and consistent education to promote effective self-management and improve maternal and fetal outcomes. Baseline observations at a Santa Clara County high-risk obstetric clinic identified variation in educational materials, educator delivery, referral processes, and workflows between English- and Spanish-language GDM group visits. A review of the literature supported standardized diabetes education and group prenatal care as strategies to improve consistency, efficiency, and patient access. Aim: This quality improvement project aimed to develop and implement a standardized GDM group visit framework for nurse practitioners, registered dietitians, and scheduling staff, with the goal of increasing compliance …

You Haven’T Been Forgotten: Driving Improvements In Trust, Transparency, And Accountability Through A Patient-Centered Communication Initiative In The Emergency Department, Ellie Mead

Master's Projects and Capstones

Objective: In Spring 2026, the Emergency Department (ED) at Hospital X identified difficulties securing high levels of patient satisfaction. Over one third of patients did not feel adequately “informed about delays,” and observation of nurse-patient interactions in front-end care areas confirmed these communication gaps: in 87% of interactions, nurses did not explain next steps to the patient, and in none of the 51 interactions observed did nurses proactively inform patients about possible delays. Aim: This quality improvement initiative sought to improve the patient experience in the ED and drive a 10% increase in Press Ganey patient satisfaction survey results relating …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Trace Elements In Complete Feeds Used In Intensive Rearing Of Cattle, Poultry, And Pigs: Occurrence And Predicted Transferred Concentrations In Animal-Derived Food, Elizabeta Dimitrieska Stojkovikj, Vangelica Enimiteva, Aleksandra Angjeleska, Risto Uzunov

Turkish Journal of Veterinary & Animal Sciences

This study investigated the concentrations of essential (Zn, Cu, Mn, Co, and Mo) and toxic (Pb, Cd, As, and Hg) trace elements in complete feeds used for the intensive rearing of cattle, poultry, and pigs in North Macedonia and predicted their transfer into animal-derived foods. A total of 107 feed samples were collected from 40 farms between May 2023 and April 2024 and analyzed using inductively coupled plasma mass spectrometry. The results revealed that while most essential elements were within the regulatory limits, Co exceeded the maximum level in two cattle feed samples. Zn, Cu, and Mn levels were generally …

Judicial Departure And Legal Certainty: A Comparative Study Of Us And French Law, Faisal Oklah Khattar Shatnawi, Abdulwahab Abdullah Al-Maamari, Yassin Ahmad Al-Qudah, Radeyah Ahmad Mohammad Amayreh, Muneer Ali Muhammad Hulaiel

Hasanuddin Law Review

In any constitutional system, it is difficult to reconcile the need for legal certainty and constitutional adaptation when there is judicial departure from constitutional precedent. In this paper, We develop a functional comparative approach that explains how constitutional systems maintain legal certainty in the face of constitutional adaptation enabled by judicial departure from constitutional precedents. Using comparative analysis of United States Supreme Court jurisprudence (1954–2023) and French Constitutional Council rulings (1971–2023), We examine how such systems preserve their constitutional stability in spite of judicial change. It is concluded that the departure of courts from constitutional precedent need not mean the …

Staff Re-Entry Plan — Indian Trail, Flett, Woodridge, Travis Schulhauser

Spokane Wildfire Academic Consortium Repository

Following the downgrade of Level 3 Evacuation orders at Flett Middle School and Indian Trail and Woodridge elementary schools on Aug. 9, district staff worked with Fulcrum Environmental Consulting to conduct visual inspections and air-quality testing at these sites. More than 100 interior and exterior locations were tested, with indoor air quality within the Good-to-Moderate range under the EPA Air Quality Index. Inspectors also found no indication of unusual ash, soot or other settled particulates inside or outside the buildings.

Gersen Gabriel V. Dsm Biomedical Inc

2026 Decisions

USDC for the Eastern District of Pennsylvania

Increasing Internal Teacher Capacity Through Instructional Support And Professional Growth, Kelly Compher

Masters Projects

The state of Michigan has long invested in early literacy by supporting K-2 teachers in professional learning and early literacy coaching. This project focuses on the need to develop upper elementary teachers in grades three through five on their knowledge of the science of reading and foundational skills. Providing professional learning on the science of reading will increase knowledge and self-efficacy, which upper elementary teachers need in order to implement a Tier 1 curriculum as mandated by PA 146 of 2024. This project outlines a series of three professional development sessions that help build content knowledge around the science of …

Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton

Walden Dissertations and Doctoral Studies

Coaching is recommended for prekindergarten (PK) teachers following professional development (PD) to increase implementation of instruction practices with fidelity in early childhood (EC) programs. The problem addressed in this study was PK teachers were challenged to engage in coaching experiences after PD to implement instructional practices with fidelity in a large EC program located in the Mideastern United States. Framed by Knowles’s adult learning theory, the purpose of this basic qualitative study was to explore PK teachers’ perspectives on coaching experiences after receiving PD to implement instructional practices with fidelity. Semistructured interview data were collected from eight PK teachers who …

Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang

Walden Dissertations and Doctoral Studies

Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …