Digital Commons Network^™

Traditional Chinese Medicine And Healthcare Utilization In Bipolar Disorder: A Population-Based Study With Propensity-Matched And Mirror-Image Analyses, Shu-Ping Chen, Su-Tso Yang, Kai-Chieh Hu, Hui-Chih Chang, Jane Pei-Chen Chang, Kuan-Pin Su

BioMedicine

Background: Bipolar disorder (BD) is a chronic relapsing illness associated with high rates of acute psychiatric hospitalizations (APH) and emergency services (ES) use, placing burdens on healthcare systems. Many patients seek complementary modalities, including traditional Chinese medicine (TCM), alongside standard pharmacotherapy. However, population-based evidence regarding TCM’s effect on acute healthcare utilization in BD is lacking.

Methods: Using data from Taiwan’s Longitudinal Health Insurance Database 2000 (LHID 2000), this population-based study employed propensity score matching (PSM) based on age, gender, the index year (defined as the calendar year of the index date for TCM users and their matched nonTCM counterparts), and …

Topical Peony And Licorice Decoction Attenuates Exercise-Induced Muscle Pain: A Randomized Double-Blind Self-Controlled Trial In Taiwan, Daniel Tzu-Li Chen, Chang-Wei Hsieh, Chia-Han Tsai, Tzung-Yan Lee, Pin-Chun Chen, Pu-Wei Hou, Kuan-Pin Su, Hen-Hong Chang

BioMedicine

Background

Delayed onset muscle soreness (DOMS) is a common phenomenon that occurs after exercise training, resulting in pain and reduced muscle performance. Previous basic and animal studies have reported that oral use of Peony and Licorice Decoction (PLD), a traditional Chinese formula with anti-inflammatory and muscle-relaxing properties, may be safe and effective for DOMS. However, there have been no clinical studies, particularly on the topical use of PLD, in this field to date.

Material and Methods

Our study is a double-blind, randomized, placebo-controlled trial. We recruited healthy male athletes to assess the effect of external PLD, whose bioactive compounds were …

A Causal Association Between Alkaline Phosphatase And Natural-Cause Mortality: A Mendelian Randomization Study In East Asians And Europeans., Hung-Lin Chen, Ping-Hsun Wu, Yi-Ting Lin, Amrita Chattopadhyay, Hsiu-Yin Chiang, Yu-Ting Lin, Ya-Chi Lin, Che-Chen Lin, Min-Yu Chiang, Hung-Chieh Yeh, I-Wen Ting, Yu-Cyuan Hong, David Ray Chang, Jenq-Wen Huang, Yu-Ting Lin, Wei-Chi Syu, Tzu-Pin Lu, Yi-Chun Tsai, Fuu-Jen Tsai, Chin-Chi Kuo

BioMedicine

Background: Although observational studies show a positive association between alkaline phosphatase (ALP) levels and mortality, a causal study is not yet available.

Objective: We conducted a retrospective cohort study and a systematic one-sample Mendelian randomization (MR) study to investigate the causality of ALP on natural-cause mortality.

Methods: The study used a hospital-based cohort of Asian patients recruited from the China Medical University Hospital (CMUH) and a community-based cohort of white European participants from the UK Biobank (UKB). Two retrospective cohorts included 43,994 patients from CMUH and 80,941 participants from UKB, all aged 50–55 years, with ALP measurements. For the MR …

Linking Institutional Ai Capability With Workforce Ai Fluency In Academic Health Institutions, Chin-Chi Kuo, Yu-Ting Lin, Cheng-Chieh Lin, Long-Bin Jeng, Bradley Chen

BioMedicine

No abstract provided.

Americans For Prosperity Foundation V. Anthony Albence

2026 Decisions

USDC for the District of Delaware

Shannon Macdonald V. President Nj State Board Of Medical Examiners

2026 Decisions

USDC for the District of New Jersey

Millentine Coates V. Ford Motor Co

2026 Decisions

USDC for the District Court of the Virgin Islands

In Re: Malik Mugabe A/K/A Marlon Peek

2026 Decisions

USDC for the District of New Jersey

Stanley Aristilde V. New York State Office Of The Comptroller

2026 Decisions

USDC for the Eastern District of Pennsylvania

David Hatchigian V. John Whelan

2026 Decisions

USDC for the Eastern District of Pennsylvania

Cost Analysis Of Rheumatoid Arthritis In Insured Patients And Its Determinant Factors: Data From A National Referral Hospital In Indonesia, Rudy Hidayat, Fara Fauzia, Mochammad Alfansyah Dhifanra, Aries Maulana

Kesmas

Rheumatoid arthritis (RA) leads to progressive functional impairment and considerable economic burden. This study estimated the annual (12-month) cost per patient among patients with RA and its determinant factors. A descriptive cross-sectional economic study of RA patients who had been treated for at least one year at the outpatient clinic of a national referral hospital in Jakarta, Indonesia, and met the 2010 ACR–EULAR criteria. Data collected from January 2023 to December 2024 were obtained from medical and billing records for demographic characteristics, direct medical costs, and DAS28-based disease activity, whereas non-medical and indirect costs were collected through structured patient interviews. …

Determinants Of Multimorbidity Among Stroke Patients For Epidemiological Management In Indonesia's Agro-Coastal Communities, Krish Naufal Anugrah Robby, Isa Ma'rufi, Farida Wahyu Ningtyias, Latifatul Izzah, Nurjazuli Nurjazuli, Suhartono Suhartono, Muchlis Achsan Udji Sofro, Ida Srisurani Wiji Astuti, Olivia Listiowati Prawoto, Dedek Sutinbuk, Taufik Kurrohman, Elhoussin Ouassou

Kesmas

Multimorbidity remains a major public health challenge among stroke patients, particularly in agro-coastal communities characterized by socioeconomic vulnerability, limited healthcare access, and lifestyle changes. This study aimed to analyze the determinants of multimorbidity among stroke patients in agro-coastal communities. A quantitative observational analytical design was employed, involving 45 stroke patients selected through total sampling in Jember District, Indonesia. Data were collected through structured interviews, anthropometric measurements, and secondary health records. The model included biological, socioeconomic, healthcare access, and lifestyle as exogenous variables, with multimorbidity as the endogenous variable. Data were analyzed using PLS-SEM, including evaluation of measurement and structural models …

The Influence Of Budgeting And Financial Reporting On Financial Accountability In Religious Organisations: Evidence From Selected Churches In Tanzania, Plasidi Marcel Bayno, Helena Thomas Haule

Business Management Review

Budgeting processes and financial reporting are widely recognised mechanisms for enhancing financial accountability, yet empirical evidence on how these mechanisms influence financial accountability within faith-based non-profit organisations remains limited. Guided by Stewardship Theory and Stakeholder Theory, this study examines the influence of budgeting processes and financial reporting on financial accountability in religious organisations. Using a deductive approach, empirical data were collected from 173 Catholic and Lutheran parishes in Dar es Salaam, Tanzania, yielding a total of 471 valid responses aggregated at the parish level for analysis using Partial Least Square Equation Modeling (PLS-SEM). The findings reveal that both budgeting processes …

Do Dynamic Capabilities Moderate The Effect Of Managerial Attitudes On E-Marketing Adoption? Evidence From Small And Medium Tourism Enterprises In Zanzibar, Hilal Maabad Ame, Omari Khalifa Mbura, Amani Gration Tegambwage

Business Management Review

This study examines the influence of managerial attitudes and dynamic capabilities on e-marketing adoption among Small and Medium Tourism Enterprises (SMTEs) in Zanzibar. Grounded in the Decomposed Theory of Planned Behaviour (DTPB) and Dynamic Capabilities Theory (DCT), the study tests the effects of perceived ease of use, perceived usefulness, compatibility, and perceived security on e-marketing adoption, with dynamic capabilities examined as a moderating factor. Data were collected from 216 SMTEs operating in the Urban and South Regions of Zanzibar and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that perceived ease of use and perceived security …

The Effect Of External Auditors’ Competence And Independence On The Cost-Saving Of Audit Recommendations: Evidence From Tanzanian Local Government Authorities, Lenatusi Leonard L. Munyangabi, Henry Zeno Chalu, Keregero M. Chirongo

Business Management Review

This study examined the effect of external auditors’ competence and independence on the cost-saving of audit recommendations among Tanzanian Local Government Authorities (LGAs). Persistent non-implementation of audit recommendations in developing countries raises concerns regarding the extent to which audit reports contribute to fiscal prudence and resource efficiency. Grounded in the Theory of Inspired Confidence and Stewardship Theory, the study hypothesized that competent and independent auditors enhance the cost-saving potential of audit recommendations. A descriptive-explanatory design was employed, involving 345 respondents drawn from 126 selected LGAs. Data was collected using structured questionnaires and analyzed through multiple regression analysis. Both independent variables …

Contradictory Oppositions In The Poetry Of Al-Mu’Tamid Bin Abbad, Zahir Badar Al-Ghusaini

Journal of Arts and Social Sciences

This study examines the use of binary oppositions in the poetry of Al-Mu’tamid bin Abbad’s poetry, the last ruler of the ‘Tawaef’ kingdoms (Moulook At-Tawaef) in Al-Andalus with the aim of identifying their impact on the structure of the poetic text.The researchproblem lies in the turbulent stages of Al-Mu’tamid Ibn Abbad’s life—from sovereignty tohumiliation— which were reflected in his poetry, where binary oppositions emerged as a dominant feature in his poeticcollections. The study employed a descriptive-analytical method, subjecting Al-Mutamad’s collection to detailed analysis in order to identify these binary oppositions. The study also applied the statistical approach to produce findings …

Cmsi Translations #35: How To Leverage The "Butterfly Effect" To Cause The Collapse Of "Taiwan Independence" Elements?, Su Ming

CMSI Translations

Intelligent Tools for Designing Operational Concepts: Intelligent Agents Innovating Mechanisms for Victory

If a large model is likened to a machine, interacting via conversation is akin to a worker manually operating that machine. Although machine tools have significantly reduced human workloads, “manual operation” still entails challenges: demanding skill requirements for operators; difficulty in resolving complex, specialized tasks through conversation alone; difficulty in standardizing and reusing repetitive workflows; susceptibility to hallucinations; and the time- and labor-intensive nature of verifying results. To this end, the Department of Theoretical Innovation Research has proposed a technical roadmap for programming large models. The underlying concept …

Beyond The Binary: Strengthening Nursing Students’ Proficiency Of Equitable Health Promotion, Martha K. Findley

Theses

Background: Sexual and gender diverse (SGD) populations continue to experience significant health inequities, yet prelicensure nursing curricula often lack structured, evidence‑based training to prepare students for equitable care.

Purpose: This study evaluated whether a targeted, transgender‑focused simulation could improve nursing students’ clinical knowledge and preparedness for providing equitable health promotion to SGD populations.

Methods: A pre‑/post‑intervention design was used with senior‑level nursing students who completed a transgender patient simulation emphasizing communication, assessment, and equitable health promotion. Students completed a validated survey measuring knowledge and preparedness in caring for SGD patients.

Results: Significant improvements across most survey items demonstrated that the …

Illinois Model Programs Of Study Guide: Education (Draft For Public Comment), Education Systems Center

Practitioner Toolkits and Resources

This draft was available for public comment through September 30, 2026. A final version will be released in October 2026.

Illinois Model Programs Of Study Guide: Digital Technology (Draft For Public Comment), Education Systems Center

Practitioner Toolkits and Resources

This draft was available for public comment through September 30, 2026. A final version will be released in October 2026.

Illinois Model Programs Of Study: Overview Guide (Draft For Public Comment), Education Systems Center

Practitioner Toolkits and Resources

This draft was available for public comment through September 30, 2026. A final version will be released in October 2026.

Illinois Model Programs Of Study Guide: Physical Health (Draft For Public Comment), Education Systems Center

Practitioner Toolkits and Resources

This draft was available for public comment through September 30, 2026. A final version will be released in October 2026.

Implementation Of Medical Documentation Sign-In Sheets For Patient Evaluations And Treatments: A Quality Improvement Project, Madicyn Barnes, Beth Davis, Kaitlyn L. Holland, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Context: Medical documentation of athletic training services at a large, public secondary school was limited to clinically significant or legally sensitive information entered into the electronic medical record (EMR) system. There are only 2 full-time athletic trainers (ATs) providing medical services to over 800 student-athletes across 45 different teams throughout the school year. Due to the large patient load, documentation is difficult to complete and, therefore, limited to the most “significant” information. The purpose of this quality improvement project was to improve medical documentation at this secondary school by implementing physical sign-in sheets in the athletic training facility (ATF) to …

Building On A Strong Foundation: Celebrating Our Past And Looking Toward The Future, Zachary K. Winkelmann

Clinical Practice in Athletic Training

No abstract

Optimal Procedure For Measuring The Parameters Of Optical Signals Considering Noise, Yuriy Gennadyevich Shipulin, Azimjon Mamadaliyevich Xusanov

Chemical Technology, Control and Management

It has been shown that to achieve the required level of measurement accuracy and reliability, it is necessary to transition from quality control of finished products to quality management based on cost-effective methods during the stages when product properties are formed. It is shown that the complexity of measuring optical signal parameters during analysis or synthesis requires them to be considered as part of a general information processing system. Based on the nonlinear filtration method, an optimal procedure for measuring a variable position in time against a background of spatial noise was obtained. Structural diagrams of optimal measuring instruments for …

Robust-Adaptive Estimation Of Unmeasurable States And External Disturbances Of A Dynamic Object Based On An Augmented Kalman Filter, Husan Igamberdiev, Uktam Farkhodovich Mamirov, Lu Liu, Bohong Wang, Bunyod Buronov

Chemical Technology, Control and Management

The paper addresses the problem of joint estimation of the directly unmeasurable states of a dynamic object and of external disturbances when information is available only on the control inputs and on the measured output signals. To solve this problem, a robust-adaptive algorithm based on an augmented Kalman filter is proposed, in which the external disturbance is included in the extended state vector. Two operating modes of the algorithm are considered. For slowly varying disturbances, a random-walk model with a constant process-noise covariance is used, whereas for rapidly varying inputs a signal adaptation  driven by the normalized innovation is proposed. …

Universal Child Development Accounts In Taiwan: Recent Policy Developments, I-Feng Chen, Jin Huang, Michael Sherraden

Center for Social Development Research

On July 24, 2026, Taiwan’s legislature passed the Taiwan Future Account Special Act. If signed into law, the bill would create a national Child Development Account policy with many of the features that research has identified as key design elements for universal children’s account policy. This brief examines the bill and competing proposals, comparing the design elements with features in the Trump Account policy. The brief also details three recommendations for strengthening the policy.

Determination Of The Content Of Water-Soluble Vitamins In The Composition Of Beet Beetroot Composition, Jasur Esirgapovich Safarov, Shakhnoza Abduvaxitovna Sultanova, Muhammad Rasul Oglu Najafli, Doston Ishmuhammat Ugli Samandarov

Chemical Technology, Control and Management

The aim of this study was to determine the content of water-soluble vitamins in various parts of beetroot (pulp, leaves and stems) that had been subjected to various drying methods in a bid to explore the effect of physical processes, i.e., the application of ultrasound, on micronutrient preservation. The experiments were performed at the Department of Service Technologies of Tashkent State Technical University, and chromatographic analysis was performed in the Institute of Bioorganic Chemistry of the Academy of Sciences of the Republic of Uzbekistan. Chromatography was performed on Agilent-1200 chromatograph with Exlipse XDB C18 column and diode array detector using …

Modeling Of A Two-Stage Extractive Distillation Process For The Separation Of 1,3-Butadiene From Pyrolysis-Derived C₄ Fractions, Muxriddin Xudoyor Og‘Li Ibodullayev, Jonibek Farxod O‘G‘Li Norqulov, Olim Rustamovich Abduraxmonov, Orifjon Sharipovich Kodirov

Chemical Technology, Control and Management

The separation of 1,3-butadiene from pyrolysis-derived C₄ fractions represents a challenging task due to the multicomponent nature of the feed and the close boiling points of accompanying hydrocarbons. In this study, a two-stage extractive distillation process was investigated using an acetonitrile–water solvent system to address these challenges. A semi-industrial experimental unit consisting of two extractive distillation columns connected in series was developed and analyzed, and the process configuration was supported by Aspen Plus simulation. The feedstock composition was characterized in detail, revealing that 1,3-butadiene constitutes approximately 40 wt.% of the C₄ fraction, accompanied by significant amounts of propylene, butanes, butanes, …

Fast Algorithms For Combined Synthesis Of Dynamic Object Control Systems, Isomiddin Khakimovich Siddikov, Gulchexra Alimova

Chemical Technology, Control and Management

The paper considers the issues of combined synthesis of a control system for a nonlinear dynamic object. The combined synthesis algorithms are based on the hybrid application of the theory of ordinary differential equations in the Cauchy form and the theory of automatic control. In this case, the dynamics of the control system are described in the input-output representation and by state-space equations. Algorithms for solving stabilization problems, finite control, and the inverse dynamics problem are presented in explicit form. These algorithms are based on the concept of reducibility of a general Cauchy-form system to the block-canonical Frobenius form. The …