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Articles 23281 - 23310 of 23390
Full-Text Articles in Entire DC Network
Human Oral Microbiota Dysbiosis May Be A Novel Non-Invasive Indicator Of Erectile Dysfunction, Yu Qiao, Fei Mao, Bing-Ru Jiang, Shu-Yan Lv, Heng-Bing Wang, Guang-Bo Fu
Human Oral Microbiota Dysbiosis May Be A Novel Non-Invasive Indicator Of Erectile Dysfunction, Yu Qiao, Fei Mao, Bing-Ru Jiang, Shu-Yan Lv, Heng-Bing Wang, Guang-Bo Fu
Journal of Dental Sciences
No abstract provided.
Chaucer And Becket’S Mother: “The Man Of Law’S Tale,” Conversion, And Race In The Middle Ages, By Meriem Pagès, Daisy E. Black
Chaucer And Becket’S Mother: “The Man Of Law’S Tale,” Conversion, And Race In The Middle Ages, By Meriem Pagès, Daisy E. Black
Medieval Feminist Forum: A Journal of Gender and Sexuality
No abstract provided.
Zero-Sum Thinking, Meritocratic Beliefs, And Preferences For Basic Income And Universal Healthcare, David Chavanne
Zero-Sum Thinking, Meritocratic Beliefs, And Preferences For Basic Income And Universal Healthcare, David Chavanne
Economics Faculty Publications
This study uses survey responses to explore how support for basic income and universal healthcare is linked to zero-sum thinking and meritocratic beliefs. Consistent with earlier work, I find that zero-sum thinking and weaker meritocratic beliefs both lead to greater levels of support for basic income and universal healthcare. Using a path analysis, zero-sum thinking is also found to strengthen support for basic income and universal healthcare along two separate channels -- one via zero-sum thinking’s direct effect on policy support and a second via an indirect effect, whereby zero-sum thinking is attached to weaker beliefs in meritocracy, which in …
Cyber Behaviors And Well-Being In Emerging Adults: Patterns, Determinants, And Gender Differences, Areej Elsayary, Juan Calmaestra, Mercedes Gómez-López
Cyber Behaviors And Well-Being In Emerging Adults: Patterns, Determinants, And Gender Differences, Areej Elsayary, Juan Calmaestra, Mercedes Gómez-López
All Works
Technological advances have reshaped the ways in which young people interact, giving rise to a complex digital landscape with implications for their well-being. Despite the growing body of research on cyber behaviors, their potential for both positive and negative well-being outcomes is not yet fully understood, nor is the role of gender in shaping these relationships. The present study aimed to explore the relationship between online moral disengagement, problematic internet use, online disinhibition, and cyberbullying dimensions and emotional, social, and psychological well-being among 671 emerging adults, as well as to examine the potential moderator role of gender. The results revealed …
The Masculinization Of Grief In Arabic Adab Literature: Ibn ‘Abd Al-Rabbih’S Al-‘Iqd Al-Farīd, Linda G. Jones
The Masculinization Of Grief In Arabic Adab Literature: Ibn ‘Abd Al-Rabbih’S Al-‘Iqd Al-Farīd, Linda G. Jones
Medieval Feminist Forum: A Journal of Gender and Sexuality
This article explores the relationship between masculinity and literary expressions of grief in premodern Islamic cultures based on “The Book on Women Mourners, Condolences, and Elegies,” from the adab anthology, al- ‘Iqd al-farīd (The Unique Necklace), compiled by the Cordovan belletrist Ibn ‘Abd Rabbih (d. 940). While Ibn ‘Abd Rabbih’s selection of literary specimens by female authors has been studied in depth, the far more numerous examples of male-authored bereavement literature have not been analyzed in detail. Hence this article has two aims. First, it will examine the relatively neglected genres of Arab-Islamic bereavement literature featuring grieving …
Conversion And The Reconfiguration Of Religious Gender Roles: Conversas And Moriscas In Late Medieval Iberia, Ivana Arsić
Conversion And The Reconfiguration Of Religious Gender Roles: Conversas And Moriscas In Late Medieval Iberia, Ivana Arsić
Medieval Feminist Forum: A Journal of Gender and Sexuality
This study addresses the impact of the cultural homogenization policy in late medieval Castilian and Aragonese societies by analyzing Spanish Inquisition documents through a gendered lens. Specifically, this article illustrates how these records depict the religious experiences of Conversas and Moriscas (Christian women of Jewish and Muslim origin, respectively). Whereas recent investigations within cultural studies have engaged in descriptive analysis of female conversion, this article will provide a causal explanation through a comparative gendered perspective, arguing that women’s heightened involvement in religion was particular to the context of forced conversion. Toward this end, I first examine how Jewish and Muslim …
“Softer Than A Woman?" Gendered Images In Odo Of Cheriton’S Anti-Judaic Sermon, Jussi Hanska, Sari Katajala-Peltomaa
“Softer Than A Woman?" Gendered Images In Odo Of Cheriton’S Anti-Judaic Sermon, Jussi Hanska, Sari Katajala-Peltomaa
Medieval Feminist Forum: A Journal of Gender and Sexuality
This article analyzes the intersection of the anti-Judaic and gendered motifs presented in English theologian and preacher Odo of Cheriton’s (d. 1246–1247) sermon for the tenth Sunday after the Holy Trinity. The sermon features an exemplum that is a distorted reinterpretation of a story originally found in Jewish historian Flavius Josephus’s Bellum iudaicum, which describes the siege and fall of Jerusalem in 70 CE. In one memorable passage Josephus tells how a Jewish woman named Mary loses her mind because of the hardships of the siege and hunger, kills and roasts her baby boy, and eats it. Yet Odo …
Patient Characteristics, Growth Indices, And Treatment Outcomes Among Children With Feeding Difficulties, Amelia Kearney
Patient Characteristics, Growth Indices, And Treatment Outcomes Among Children With Feeding Difficulties, Amelia Kearney
Theses, Dissertations and Culminating Projects
Pediatric feeding difficulties is an umbrella term that is used to describe children with a variety of problematic feeding behaviors and/or mealtime impairments that can impact age-appropriate food consumption, growth and the caregiver-child relationship. There is a lack of research from nutrition professionals regarding the nutrient intake, diet quality and growth outcomes among patients with pediatric feeding difficulties. Furthermore, changes in nutrient intakes during intensive outpatient treatment have not been formally assessed. PURPOSE: The purpose of Manuscript 1 was to describe the demographic profile, medical history, and baseline mealtime behaviors, usual diet, and diet quality of patients with feeding difficulties …
Per My Last Email: Analyzing Social & Emotional Cues In Digital Workplace Communication, Lauren Hunt
Per My Last Email: Analyzing Social & Emotional Cues In Digital Workplace Communication, Lauren Hunt
Theses, Dissertations and Culminating Projects
As virtual work arrangements expand and email becomes an increasingly central workplace communication tool, the function of virtual communication norms provide valuable insight into workplace email dynamics. This study draws from social information processing theory, expectancy violations theory, and channel expansion theory to model how behavioral and linguistic features associated with virtual communication norms shape email perceptions and downstream conflict. The present research examines key communication features from real workplace email threads. Specifically, I extracted response time, sentiment, and linguistic mimicry (e.g., text length, word use), using Natural Language Processing techniques. Data was collected from 461 participants, resulting in 245 …
The Influence Of Social Connectedness And Adverse Childhood Experiences: Understanding Motivation To Change In Early Substance Use Disorder Recovery, Adam M. Daniel
Theses, Dissertations and Culminating Projects
Substance use disorder is a significant issue facing society today. As the rate of individuals with substance use disorders continues to rise, so too does the need of the counseling profession to explore further the ways to best support this population. The purpose of this study was to explore two specific variables for their impact on motivation to change for individuals in early recovery: social connectedness and adverse childhood experiences. Grounded in the Process-Person-Context-Time model, this study focused on the ways in which an individual’s motivation to change in early sobriety relates to their sense of connectedness to their family …
Resistance, Collaboration, And Ethnic Bias: Evidence On Social Cohesion In Wartime Ukraine, Janina Dill, Marnie Howlett, Carl Müller-Crepon, Mara Revkin
Resistance, Collaboration, And Ethnic Bias: Evidence On Social Cohesion In Wartime Ukraine, Janina Dill, Marnie Howlett, Carl Müller-Crepon, Mara Revkin
Faculty Scholarship
Interstate wars can rally societies around the flag, but they can also divide them based on individuals’ behavior and identities. Building on fieldwork in wartime Ukraine, we study the importance of collaboration and resistance, ethnic identity, and the interaction between behavior and identity. We examine how such divisions affect Ukrainians’ attitudes toward each other with two conjoint experiments (N=2,513). When choosing among potential neighbors, respondents prefer individuals who resisted over collaborators. However, two identity attributes—ethnic descent and exposure to Russian occupation of Ukrainian territory—activate biases that behavior alone does not fully overcome. Furthermore, we find that respondents value resistance less …
The Eighth Amendment And Prison Staff-To-Sentenced Prisoner Sexual Violence, Matthew Lyskawa
The Eighth Amendment And Prison Staff-To-Sentenced Prisoner Sexual Violence, Matthew Lyskawa
Faculty Scholarship
In this Article, I provide the first comprehensive account of lower federal courts’ Eighth Amendment prison conditions jurisprudence regarding prison staff-to-sentenced prisoner sexual violence. I show that lower federal courts are systematically misunderstanding and misapplying Supreme Court case law in this context. The result is that sexually victimized prisoners must meet extremely burdensome doctrinal standards unique to sexual violence claims. Lower federal courts would faithfully follow Supreme Court precedent if they applied the excessive force standard to sexual assault claims and the conditions of confinement standard to sexual harassment claims. However, a faithful application of Supreme Court case law does …
Rethinking Behavior - Winter 2026, Midwest Symposium For Leadership In Behavior Disorders
Rethinking Behavior - Winter 2026, Midwest Symposium For Leadership In Behavior Disorders
ReThinking Behavior Magazine
A magazine for professionals serving children and youth with behavioral needs.
Winter 2026, Volume 9, Issue 2
The International Order, International Law, And The Definition Of Security, Harlan G. Cohen
The International Order, International Law, And The Definition Of Security, Harlan G. Cohen
Faculty Scholarship
As economic security has seemingly moved to the center of American and European foreign policy, both the United States and the European Union have broadened their interpretation of international law rules governing security, coercion, and intervention. But these interpretations are not exactly new, echoing developing state interpretations of international law that developed states had long ago seemingly rejected. How are these once moribund interpretations of security, force, and coercion being brought back to life?
This article argues that these interpretative shifts highlight the role of the international order as an interpretative mechanism within international law. Borrowing from the work of …
Silencing As Blackening, I. Bennett Capers
Silencing As Blackening, I. Bennett Capers
Faculty Scholarship
We are so accustomed to seeing defendants sit silently at criminal trials while their lawyers speak that we hardly question it. Or we tell ourselves this silence is for their own protection, part of their privilege against self-incrimination and the rules we have created for their own benefit. But what if we've gotten everything wrong? What if encouraging defendants to remain silent does not inure to their benefit at all, but to the State's? And what if this silencing is tied to race? "Silencing as Blackening" tells a fuller story about silent defendants. One, that this silence is rarely voluntary, …
2026 Engage For Change Awards Program, Bonner Center For Civic Engagement
2026 Engage For Change Awards Program, Bonner Center For Civic Engagement
Engage for Change Awards
2026 Award Print: Hamilton Glass, Artist
Keynote Speaker: Hamilton Glass, Artist
Effect Of Antipsychotic Medication Use And Type On Mortality And Cardiovascular Risks In Nursing Home Patients With Dementia, Hamid R. Okhravi, Fang Fang, Melissa P. Hunter, Brynn E. Sheehan
Effect Of Antipsychotic Medication Use And Type On Mortality And Cardiovascular Risks In Nursing Home Patients With Dementia, Hamid R. Okhravi, Fang Fang, Melissa P. Hunter, Brynn E. Sheehan
Glennan Center for Geriatrics and Gerontology Faculty Publications
Introduction
Antipsychotic medication (APM) use in nursing home (NH) patients with dementia is common but carries risks. This study assessed the association between APM use and mortality, stroke, and myocardial infarction (MI) compared to non-use, as well as differences between first- and second-generation APMs.
Methods
A serial cross-sectional study using Medicare data examined outcomes from 2012 to 2015 in a national sample of 328,138 US NH residents aged 50 and older with dementia. Multivariate logistic regressions were used to analyze risk.
Results
APM use was associated with increased mortality in all years (odds ratio [OR] range: 2.39 to 1.23, all …
Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden
Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden
Department of Family and Community Medicine Faculty Publications
Background
This cross-sectional study examined whether anxiety and depression symptoms decrease as medical students progress through training (suggesting adjustment disorder) or persist (suggesting chronic conditions), while identifying associated risk factors, including student debt burden and treatment effectiveness.
Methods
We surveyed medical students (years 1-4) at VHS-ODU using a sociodemographic questionnaire and validated screening instruments (GAD-7 for anxiety and PHQ-9 for depression) via RedCap from September to November 2024.
Results
Among 126 students, Scores were higher in Years 2-3 than in Years 1 and 4, but differences by year were not significant (GAD-7 p=0.055; PHQ-9 p=0.352). Students with a prior mental-health …
Research News, Grants, 2026, Volume 1, Soumyajit Majumdar
Research News, Grants, 2026, Volume 1, Soumyajit Majumdar
Grants (2015-)
Grants and contracts awarded during January - March 2026
Small-World Simulations: A New Method To Test The Effect Of Legal Rules, Johannes Kruse
Small-World Simulations: A New Method To Test The Effect Of Legal Rules, Johannes Kruse
Coase-Sandor Institute for Law & Economics Research Paper Series
Small-world simulation exposes an artificial society to a legal rule and observes what its members do. The agents are driven by language models: their conduct is not stipulated in equations but reasoned in their own words. The architecture can be turned on any legal regime; personalized speed limits are the demonstration, chosen because rational-choice and behavioral predictions there conflict. Validated against documented driving patterns, the simulation generates behavior no one wrote into it. Because language models are trained on what people say rather than do, the method estimates orderings, not levels: a benchmark, not a substitute for evidence.
Cognitive Validity In Listen-To-Write Summary Tasks: A Mixed-Methods Analysis Of Notetaking Data, Rebecca Yeager, Gomee Park, Junhee Park
Cognitive Validity In Listen-To-Write Summary Tasks: A Mixed-Methods Analysis Of Notetaking Data, Rebecca Yeager, Gomee Park, Junhee Park
Bilingual and Literacy Studies Faculty Publications
This study examines the cognitive validity of a listen-to-summarize task on a university placement test. Cognitive validity is underinvestigated in listening assessment, especially for higher-order listening processes (Holzknecht et al., 2017; Rukthong, 2021). However, student notes from listening tests can record evidence of these processes (Yeager et al., 2024; Cushing, 1991). This study employed an exploratory sequential mixed-methods design to investigate the higher-order listening processes elicited by an integrated listen-to-summarize task. First, notes from two administrations of the same test form – one with notetaking scaffolding (n = 25) and one without (n = 25) – were analyzed qualitatively. Second, …
Promises Fulfilled: 114-Year-Old Alelia Murphy’S Life Of Faith And Resilience, Jacqueline B. Koonce
Promises Fulfilled: 114-Year-Old Alelia Murphy’S Life Of Faith And Resilience, Jacqueline B. Koonce
Bilingual and Literacy Studies Faculty Publications
Alelia Murphy was the oldest living person in the United States, turning 114 in July 2019 until her death in November 2019. She and her family credit her longevity to her faith in God. This premise is explored through her words as she stated she had not seen everyone she needed to see and compared that statement to Simeon from the Bible who did not die until he saw the Messiah. Alelia Murphy also had not seen everything. She was seeing the relative success of her much admired, former President Barack Obama, and she had just met me, her great …
Aba Renewal Of Fentanyl Seeking Using A Drug-Prime And Peer Stimulus In Rats, Meagan Blanchard
Aba Renewal Of Fentanyl Seeking Using A Drug-Prime And Peer Stimulus In Rats, Meagan Blanchard
University of Kentucky Master's Theses
People with opioid use disorder can experience craving and relapse to use when exposed to cues that were previously paired with the drug-taking environment. These cues can be both social and non-social in nature. This study aimed to explore the effect of a peer cue and a drug-prime cue, both together and separately. First, rats were trained to self-administer fentanyl in Context A (peer and drug present). Then, rats extinguished this behavior in Context B (no peer and no drug present) while self-administering saline instead of fentanyl. Lastly, rats underwent 4 different renewal test conditions (control, peer only, drug only, …
Identifying Barriers To Black Student Participation In The Advanced Placement Program, Juan Ramon Jauregui Jr.
Identifying Barriers To Black Student Participation In The Advanced Placement Program, Juan Ramon Jauregui Jr.
University of the Pacific Theses and Dissertations
This qualitative study explored the factors that encouraged or deterred students from enrolling in Advanced Placement (AP) courses during high school. Grounded in Critical Race Theory, the research reviewed how school systems, relationships with peers and adults, and individual student factors influenced the participants in this study. The researcher utilized semistructured interviews with seven Black students who were currently enrolled in college and had recently graduated high school, and identified the factors that influenced their decision-making process in enrolling in AP courses. Using a thematic analysis approach, data was organized, coded, and then the researcher identified multiple themes emerging from …
Lisocabtagene Maraleucel Combined With Ibrutinib In R/R Cll Or Sll: Primary Results From Transcend Cll 004, William G. Wierda, Kathleen A. Dorritie, Jordan Gauthier, Rajneesh Nath, Thomas J. Kipps, Peter A. Riedell, Herbert A. Eradat, Saad S. Kenderian, Mohamed A. Kharfan-Dabaja, Nirav N. Shah, Scott R. Solomon, Deborah M. Stephens, Daniel A. Ermann, Jon E. Arnason, Abhinav Deol, Tatyana A. Feldman, Charalambos Babis Andreadis, Monalisa Ghosh, Shuo Ma, Stephen J. Schuster, Usama Gergis, Julie M. Vose, Jacob D. Soumerai, Koen Van Besien, Sherilyn A. Tuazon, Serena K. Perna, San-San Ou, Revathi Ananthakrishnan, Neha Rane, Eniko Papp, Sahar Ansari, Ethan G. Thompson, Abood Okal, Leanne Peiser, Yizhe Chen, Sanhita Sengupta, Pradipta Ranjan Ray, Jixian Wang, Tanya Siddiqi
Lisocabtagene Maraleucel Combined With Ibrutinib In R/R Cll Or Sll: Primary Results From Transcend Cll 004, William G. Wierda, Kathleen A. Dorritie, Jordan Gauthier, Rajneesh Nath, Thomas J. Kipps, Peter A. Riedell, Herbert A. Eradat, Saad S. Kenderian, Mohamed A. Kharfan-Dabaja, Nirav N. Shah, Scott R. Solomon, Deborah M. Stephens, Daniel A. Ermann, Jon E. Arnason, Abhinav Deol, Tatyana A. Feldman, Charalambos Babis Andreadis, Monalisa Ghosh, Shuo Ma, Stephen J. Schuster, Usama Gergis, Julie M. Vose, Jacob D. Soumerai, Koen Van Besien, Sherilyn A. Tuazon, Serena K. Perna, San-San Ou, Revathi Ananthakrishnan, Neha Rane, Eniko Papp, Sahar Ansari, Ethan G. Thompson, Abood Okal, Leanne Peiser, Yizhe Chen, Sanhita Sengupta, Pradipta Ranjan Ray, Jixian Wang, Tanya Siddiqi
Journal Articles: Oncology and Hematology
Patients in the liso-cel plus ibrutinib cohort of the phase 1/2, open-label TRANSCEND CLL 004 study had relapsed/refractory chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) and received liso-cel (50×106 [dose level (DL)1] or 100×106 [DL2] chimeric antigen receptor-positive T cells) with concurrent ibrutinib from enrollment through 90 days after liso-cel infusion or longer per investigator discretion. Primary end point was complete response/remission (CR)/CR with incomplete marrow recovery (CRi) by investigator assessment. Among 56 patients who received ibrutinib plus liso-cel (DL1, n=5; DL2, n=51), median (range) age was 64.5 years (44‒77), 98% had high-risk cytogenetics, 55% had progression on Bruton tyrosine …
Monotherapy Versus Combination Levothyroxine And Liothyronine In The Treatment Of Hypothyroidism, Anne F. Thomas
Monotherapy Versus Combination Levothyroxine And Liothyronine In The Treatment Of Hypothyroidism, Anne F. Thomas
The PA Department Journal of Medical Science
Introduction: Primary hypothyroidism is a common condition where the thyroid gland cannot produce free thyroxine (T4), leading to low serum levels of it. For this reason, it is often treated directly with monotherapy synthetic T4 or as a combined synthetic T4/T3. The purpose of this clinical review is to analyze the effectiveness of T4 monotherapy versus T4/T3 combination therapy in normalizing TSH values and improving symptoms in adults with hypothyroidism.
Methods: A specific search strategy in PubMed was used to conduct the research, incorporating key terms such as “hypothyroidism,” “levothyroxine,” “liothyronine,” and “TSH.” Four quality articles were left for final …
Modern Approaches To Mental Health: App-Based Cbt Versus Traditional Psychotherapy, Samira Shende
Modern Approaches To Mental Health: App-Based Cbt Versus Traditional Psychotherapy, Samira Shende
The PA Department Journal of Medical Science
Background: Digital mental health tools are becoming widely used as flexible alternatives to in-person therapy. A key question is how effective they are compared to traditional therapy for people with depression and anxiety.
Objective: To compare how effective digital interventions, like app-based CBT or telehealth, are compared to in-person psychotherapy in reducing symptoms of depression and anxiety in adults.
Methods: A structured PubMed search was conducted using specific search terms, limited to English-language randomized controlled trials, systematic reviews, and meta-analyses published between 2020 and 2025. After screening 116 articles, four high-quality studies were selected for review.
Results: Of the four …
Psilocybin Treatment For Refractory Depression: A Clinical Review, Hailey A. Jensen
Psilocybin Treatment For Refractory Depression: A Clinical Review, Hailey A. Jensen
The PA Department Journal of Medical Science
Introduction:
Depression is a widespread mental illness that affects a large portion of the world population and many of those who suffer from depression are resistant to treatment currently available. The purpose of this review is to compare the efficacy of psilocybin to the current available methods for the treatment of refractory depression.
Methods:
PubMed was searched with the key search terms: resistant depression, psilocybin therapy, and adults. Operators and filters narrowed down the search to 43 results. Four articles were then chosen based on quality and specificity with this review.
Results:
The articles included in this review compare the …
“I Don’T Always See A Future For Me Here”: Oppressive Political Pressures On Lgbtq+ College Students’ Well-Being, Jodi Linley, Olivia M. Copeland, Kathleen J. Buell, Cindy Ann Kilgo, Megan Pendleton, Alex C. Lange, N F. Tennessen
“I Don’T Always See A Future For Me Here”: Oppressive Political Pressures On Lgbtq+ College Students’ Well-Being, Jodi Linley, Olivia M. Copeland, Kathleen J. Buell, Cindy Ann Kilgo, Megan Pendleton, Alex C. Lange, N F. Tennessen
Journal of Queer and Trans Studies in Education
In recent decades, colleges have broadly supported LGBTQ+ students. Now, institutions have shuttered LGBTQ+ initiatives in response to political pressures, with little consideration for the effects on students. This study answers the question, what current policy factors do LGBTQ+ college students describe as affecting their well-being, and in what ways? We analyzed 426 responses from a multi-institution study of LGBTQ+ students. By and large, students feel anxious and fearful as they navigate the current climate. Our analysis illustrated numerous factors, from the President and his administration to states and general emboldened violence, and the real and potential consequences of those …
Civil Death By A Thousand Cuts, Eisha Jain
Civil Death By A Thousand Cuts, Eisha Jain
Faculty Publications
Commentators have leveled trenchant critiques of collateral consequences of criminal conviction, analogizing them to a form of “civil death.” This Essay develops the related concept of “civil death by a thousand cuts” in two senses. First, penalties such as voting bans or deportation after a conviction are often just the tip of the iceberg. Second, a system of far-flung, intertwined civil and criminal penalties portends the death of a civil society capable of recognizing and mediating excessive penalties. Recognizing how these penalties operate—and how difficult they can be to address—is a critical step toward creating a more proportionate criminal legal …