Digital Commons Network^™

Bilateral Lower Palpebral Conjunctival Protrusion In A Patient With Traumatic Unilateral Carotid-Cavernous Fistula, Sharfuddin M. Chowdhury, Omar A. Ababtain

Saudi Medical Journal

No abstract provided.

Validity And Reliability Of The Arabic Voice Activity And Participation Profile (A-Vapp) Questionnaire, Nawaf S. Alqarni, Hamad F. Alrabiah, Nasser F. Alsunbul, Manal A. Bukhari, Mohamed Farahat, Mohammed Almohizea, Tamer A. Mesallam, Khalid H. Malki

Saudi Medical Journal

Objectives: The purpose of this study was to translate and validate the Voice Activity and Participation Profile (VAPP), a comprehensive tool for assessing the impact of voice disorders on daily life activities and social participation, into Arabic and to test its reliability among voice disorders patients in Riyadh, Saudi Arabia \looseness-1 Methods: A descriptive, questionnaire-based validation study was conducted at two university hospitals from December 2023 to September 2024. The VAPP was translated using forward and backward translation methods from English into Arabic. The questionnaire's reliability and internal consistency were assessed using Cronbach's alpha and test-retest reliability. To measure …

A Comprehensive Analysis Of Overweight, Obesity, And Failure To Thrive In Pediatric Inpatients: Prevalence, Diagnostic Practices, And Management Approaches At A Tertiary Hospital In Riyadh, Saudi Arabia, Ibrahim A Al Alwan, Elaf A Alshammari, Ahmed A Alabdulkarim, Abdulaziz A Ajeebi, Afnan A Alhazimi, Nawaf A Alhamied, Deema Y Alasmari

Saudi Medical Journal

Objective: This study aimed to assess the prevalence, diagnostic accuracy, and inpatient management of pediatric weight abnormalities at a tertiary children's hospital in Riyadh, Saudi Arabia, using a retrospective cohort design. Methods: The study analyzed medical records of pediatric inpatients aged 2–14 years admitted to King Abdullah Specialized Children's Hospital (KASCH) in 2023. Data collected included anthropometrics, dietary history, physical activity, diagnostic workup, and treatment plans. Overweight and obesity were classified using BMI percentiles, while FTT was identified via weight-for-age and growth percentile criteria. Descriptive statistics were used to analyze diagnostic accuracy and factors influencing missed diagnoses. Results: Of 7,771 …

Semaglutide In Metabolic Medicine: A Review On Clinical Applications And Emerging Therapeutics, Abdulrahman A. Aljabri

Saudi Medical Journal

Obesity and type 2 diabetes mellitus affect over 800 million and 537 million individuals worldwide. Semaglutide, a weekly glucagon-like peptide-1 receptor agonist, has advanced treatment of pathophysiological processes linked to metabolic dysregulation. This review consolidates evidence on its mechanisms of action, clinical effectiveness across established and emerging applications, safety, and prospects for personalized therapy. Clinical studies have shown that semaglutide sustains glycemic control, promotes substantial weight loss, and provides cardiovascular and renal protection. Recent FDA clearance marks the first therapeutic alternative for metabolic dysfunction-associated steatohepatitis among the emerging applications. Pharmacogenomic insights facilitate personalized therapy; however, clinical applications remain in experimental …

Impact Of Clinical Pharmacist Educational Intervention On Lipid Profile And Its Clinical Outcomes, Saad Saeed Alqahtani

Saudi Medical Journal

Objective: To assess how clinical pharmacist-led educational interventions affect lipid profile parameters and related clinical outcomes in cardiovascular disease-risk individuals. Methods: This systematic review completed as according to PRISMA 2020 principles. Searches were done on PubMed, ScienceDirect, ProQuest, Google Scholar, DOAJ, Scopus, and Web of Science. Studies examining impact of the pharmacists' educational initiatives on lipid levels were included. However, case reports, conference proceedings, and studies in other languages not in English, and studies lacking full-text access were excluded from the review. Following screening and eligibility assessment, a total of 33 papers were included out of the 1731 records found. …

A Multi-Task Cnn-Lstm Model With Attention Mechanism For Climate Temperature Forecasting Over Iraq, Salim M. Mohammed, Omar M. Mustafa, Lailan M. Haji, Omar M. Ahmed

Al-Bahir

Accurate forecasting of climate temperature at the regional scale is crucial to agriculture planning, water resource management, and disaster preparedness. Still, due to the nonlinear and complicated temporal patterns in regions such as Iraq, conventional climate models fail to meet this imperative. This paper presents a novel deep learning model that not only predicts monthly average temperature values but also predicts the temperature trend, hence addressing the regional climate prediction problem holistically. The proposed model is designed as a multi-task deep learning framework integrating Convolutional Neural Networks, Long Short-Term Memory networks, and an attention mechanism to process historical monthly temperature …

Health Effects Of Cadmium And Manganese Exposure On Luteinizing Hormone Levels: A Pilot Study Of Female Infertility, Shatha F. Alhous, Anees A. Al-Hamzawi, Murtadha Sh. Aswood

Al-Bahir

Female infertility occurs for many reasons, some unknown. Exposure to heavy metals is a risk factor that negatively impacts on female reproductive system. Therefore, this study aimed to evaluate the effect of cadmium Cd and manganese Mn on luteinizing hormone LH levels for females’ infertility. This study included a healthy group (n = 20), primary infertile females (n = 40), and secondary infertile females (n = 20) collected from Al-Zahraa hospital in Najaf center, Iraq. The Atomic Absorption Spectroscopy (AAS) was used to measure the cadmium and manganese concentrations and LH levels were measured by a Maglumi 800 from Snibe …

Voltage-Mode Driver With Sar-Based Termination Calibration, Moustafa M. Elsayed, Abeer T. Khalil, Sameh A. Ibrahim, Mohy Eldin A. Abo-Elsoud

Mansoura Engineering Journal

This paper introduces a DAC-based four-level pulse-amplitude modulation (PAM-4) driver capable of operating at data rates up to 80 Gb/s in 65-nm CMOS technology. A replica-based termination calibration loop is proposed to preserve driver linearity across process, voltage, and temperature (PVT) variations. The proposed driver achieves a relative level mismatch (RLM) of 99.3%. In addition, the transmitter demonstrates a vertical eye opening of 134.8 mV and a horizontal eye opening of 0.44 UI under worst-case conditions.

A Prosecutor’S Ethical Duty To Divert, Jordan Stevenson

Legal Writing Competition Winners

In an American courtroom, litigants are divided across an aisle, a gavel grants or divests rights, and a community takes sides. This creates a narrative of duality in the justice system, which many believe is vital to the adversarial legal system. A criminal trial is seen as perpetrator versus victim, but the legal posture is actually government versus individual. In fact, a prosecuting attorney has ethical obligations not just to victims, witnesses, and the broader community, but to defendants as well, in part due to their tremendous discretion to bring or dismiss criminal charges. A prosecutor’s power is far too …

Exploring The Connection Between Cultural Humility And The Hexaco 60 Pi-R Among Licensed Professional Counselors In The United States, Debbie Franzen Franzen-Lang

Walden Dissertations and Doctoral Studies

Cultural humility is essential to effective counseling across diverse populations, yet its dispositional foundations remain unclear, limiting the development of evidence based, personality informed training strategies in counselor education. Grounded in Foronda’s Cultural Humility theory, this quantitative, nonexperimental study examined the relationship between personality traits and cultural humility among licensed professional counselors in the United States. The participants included 125 licensed professional counselors who completed the HEXACO PI R 60-item inventory and Foronda’s Cultural Humility Scale. The results of a multiple linear regression were statistically significant for the overall model, F(6,118) = 6.165, p < .001, R² = .239, accounting for 23.9% of the variance in cultural humility. Openness to experience was a significantly negative predictor (B = –.519, p < .001), indicating that higher openness scores were associated with lower cultural humility; honesty-humility was not statistically significant (p = .052), and the remaining traits also were not significant predictors. These findings complicate assumptions about the dispositional roots of cultural humility and suggest potential implications for counselor education, including experiential learning, reflective supervision, and skills-based training that may support cultural humility development. The results suggest that personality traits may play a role in cultural humility and may have implications for integrating personality-related insights into multicultural frameworks, conceptualizing humility as a dynamic construct influenced by both traits and context.

2026-03-20 Minutes & Appendices, Longwood University

Board of Visitors Meeting Minutes 1964-

No abstract provided.

Enacting Tension: A Phenomenological, Art-Based Study Of Nicu Siblings’ Lived Experience Through Engagement With Dramatic Reality, Rebecca A. Versaci

Expressive Therapies Dissertations

A Neonatal intensive care unit (NICU) hospitalization reorganizes family life, yet siblings’ perspectives are rarely centered in NICU research. This phenomenological, art-based dissertation explores NICU siblings’ lived experience as revealed through the roles they created during engagement in dramatic reality. Eight child siblings of NICU patients participated in a storymaking and improvisational role-play intervention. Transcripts, participant artwork, and stories were examined through thematic analysis, and dramaturgical coding. Three central tensions organized children’s dramatic worlds: It’s Hard to be Together and It’s Hard to be Apart, I Want to be Free, but I am Trapped; I Want to Help …

Dartmouth Global Health Equity In Rwanda: An Oral History, Joseph Martinelli

Dartmouth College Master’s Theses

After the genocide in Rwanda in 2014, there were as few as 100 physicians left to provide health care for the entire country. The Rwandan Ministry of Health reached out to US academic institutions for assistance in rebuilding capacity and educating Rwanda’s next generation of medical professionals. The Human Resources for Health (HRH) program in Rwanda was instituted and led by the Rwandan Ministry of Health with support from the Clinton Health Access Initiative. The Geisel School of Medicine led by its Center for Global Health Equity, participated in the HRH program in Rwanda, from 2012 to 2019. This oral …

Converting The Social Security Trust Fund Into A Sovereign Wealth Fund: A Proposal To Secure The Future, Keanu Moore

Dartmouth College Master’s Theses

This thesis proposes the conversion of the Social Security Trust Fund into a sovereign wealth fund (SWF), paired with the phased creation of a mandatory retirement savings system for all working-age Americans. In response to forecasts projecting Trust Fund depletion by 2034, the proposed portfolio shift would diversify assets beyond U.S. Treasuries into global equities, real estate, alternatives, and fixed income, with the goal of enhancing long-term returns while remaining passively managed. While this reform would extend the Fund’s solvency, it is not, on its own, a permanent fix. To ensure structural sustainability beyond the exhaustion date, the thesis proposes …

The Plra's Carceral Litigation Penalty, Alexander Afnán

Penn State Law Review (2003 - Present)

No abstract provided.

Egbert V. Boule, Fisher V. Hollingsworth, And The Death Of Bivens:Rethinking Civil Rights Remedies For Federal Prisoners, Joseph D. Sclesky

Penn State Law Review (2003 - Present)

No abstract provided.

The Development Of Poker As A Sport In Japan: Intersections With Culture, Law And Public Administration, And Community, Masatoshi Minowa

Japanese Society and Culture

This study examines the emergence of poker as a competitive mind sport in Japan, a country where strict anti-gambling laws (Penal Code Article 185) prohibit cash wagering. Drawing on secondary materials—including newspaper and magazine reports, and online media—as well as primary data from Poker Guild Corporation and interviews with the Kamiichi Town Planning Division, the research applies established theoretical frameworks (Getz & Page’s event tourism, Putnam’s social capital, Reith’s techno-economic systems) to analyze the distinctive evolution of Japanese poker culture. Findings reveal that tournament‐focused venue operations and the innovative Poker Web Coin system have fostered a nationwide network of skill‐based …

Restricting Academic Dishonesty At A Japanese University, Joel Weinberg

Japanese Society and Culture

This research explores three approaches to handling academic dishonesty: punitive, preventive, and positive. First, the history of cheating and the punitive approach is briefly discussed. Next, research results of a preventive approach that was used at a Japanese university are given. During this research, three surveys were conducted to gauge students’ opinions about cheating, to account for the methods, and to measure the prevalence of cheating on post-reading quizzes. The survey results show that at least eleven types of cheating on post-reading quizzes were used and that non-cheating students were concerned about this issue. As a result of the surveys, …

Healthcare Decision-Making In An Ageing Society: Legal, Policy, And Ethical Challenges In Japan, Yukio Sakurai

Japanese Society and Culture

This paper examines the evolving landscape of healthcare decision-making in Japan’s rapidly ageing society, with a focus on the legal, policy, and ethical challenges it entails. It analyzes the limitations of the adult guardianship system, the risks associated with family-dependent decision-making, and the underutilization of advance care planning (ACP). The study further considers how demographic shifts, advances in medical technology, and socio-legal inertia affect end-of-life care, particularly for individuals with diminished capacity. A central theme is the inherent ethical dilemma in balancing individual autonomy with Japan's cultural context, where explicit self-assertion can be challenging, especially for older adults. Cultural dimensions …

Supervisor Behaviors And Perceived Organizational Impact Of Telework: A Work Disruption Perspective, Tsuyoshi Ohira, Masaki Hosomi

Japanese Society and Culture

As telework (e.g., working from home) has become widespread, understanding its organizational impact from managers’ perspectives and identifying supervisor behaviors that influence this impact are critical. Drawing on work disruption theory, we examined the relationships between four supervisor behaviors in the Health and Safety Executive (HSE) management competencies—respectful and responsible (RR), managing and communicating work (MCW), reasoning and managing difficult situations (RDS), and managing the individual within the team (MIT)—and the perceived organizational impact of telework. We also tested whether telework rate and intensity moderated these relationships. Survey data were collected from 239 supervisors at two time points. Results showed …

Freedom Of Expression And The Right To Protection Against Defamation: Cf. Handling Of The Libel Of The Criminal Law And The Libel Of The Civil Law, Masumi Shizawa

Japanese Society and Culture

This study reviews natures of the Constitution, Civil Code, and Criminal Code of Japan in terms of the right to protection against defamation, and explores the foundations thereof. The point of it is to clarify the nature of the right to protection against defamation as indicated in the Constitution. 　The right to protection against defamation, along with the right to privacy, has long been recognized as a personal right. While the right to privacy relates to the private domain, the right to protection against defamation relates to one’s social reputation. The Constitution of Japan does not clearly stipulate the right …

The Bison, March, 20, 2026

The Bison Newspapers

No abstract provided.

Information Manager (Bim) Role Profiles, Davitt Lamon, Robert Moore, Stephen Lynam

Reports

This document, Information Manager (BIM) Role Profiles, has been prepared in support of the Irish Government’s Building Information Modelling (BIM) Mandate. It is the result of a collaborative effort between Build Digital, the Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation (DPER), the Infrastructure Division, and the National Standards Authority of Ireland (NSAI). Its primary purpose is to define the competencies, responsibilities, and experience required for Information Management (BIM) roles to facilitate the successful digital delivery of public works projects. It is important to recognise that under the ISO 19650 series of standards, Information Management is defined as …

March 20, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Employment Contracts, Working Time, And The Well-Being Of Schoolteachers In Japan, Haojun Gong, Shinpei Sano

Japanese Society and Culture

This paper quantitatively analyzes trends in the working hours of schoolteachers in Japan using Teaching and Learning International Survey (TALIS) data from three survey waves. The analysis focuses on differences between fixed-term and permanent employment contracts and on school environment variables, and their relationships with working hours and teacher well-being. Teachers on permanent contracts tend, on average, to work longer hours than those on fixed-term contracts, largely because of greater time spent on administrative duties and extracurricular activities. School environmental characteristics and principal leadership show only weak statistical associations with total working hours. Subjective job satisfaction is lower, and workload …

Exploring The Definition Of Child Poverty : For Consideration Of Legal Policy, Kazuko Ikeya, Fumie Adachi, Kazutoshi Imade

Japanese Society and Culture

We explore the definition of child poverty for consideration of legal policy.

Survey of the actual situation in local governments and private organizations concerning child poverty.

① Some parents don’t know how to prioritize their spending, and there are cases where parents don’t provide for their children.

② This cannot be addressed only with financial investment.

It is inappropriate to define child poverty only by low household income. It should also be

defined as whether children are being provided for through their development.

Social Security And The International Covenant On Human Rights: A Case Seeking The Dismissal Of Public Assistance Application Denial, Hiroshi Saito

Japanese Society and Culture

Using the case of rejection of request for medical assistance made by an undocumented resident in Japan, I considered the applicability of the International Covenant on Human Rights to social security. The central issue here is whether the distinction between Japanese nationals and foreign nationals for reasons of national finances is reasonable and objective. In conclusion, determining reasonable and objective criteria requires a comprehensive approach that goes beyond legal interpretation. The process must consider broader factors, including Japan’s role in the international community and the global trend toward advancing human rights protections.

Hands Free Policy Brief, Ryan E. Spohn, Justin Nix, Sadaf Hashimi, Travis Carter, Seth Goldsmith, Nikolas Hahn

Reports

Owning a motor vehicle and a smartphone are modern conveniences that most Nebraskans were accustomed to by 2024. 1 The combination has, however, proven to be a modern challenge for roadway safety. Traffic crashes stemming from cellphone distractions have increased steadily since 2016, and traffic fatalities have fared no better since 2019. 2 Cellphone laws restricting the use of cellular devices while operating a motor vehicle may offer some relief. Although most states, including Nebraska, have text-messaging bans, others have begun instituting additional legislative mandates prohibiting cellphones while driving—often termed a hands-free policy (HFP). The purpose of this policy brief …

The Scarlet - Volume Civ, No. 9 (March 20, 2026), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The March 20, 2026 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University.

Entrepreneurship Forum To Convene At Insight Park, Staff Report

University of Mississippi News

OXFORD, Miss. – The University of Mississippi will host the 2026 Mississippi Entrepreneurship Forum on April 9-10, bringing together leaders from public and private institutions of higher education across Mississippi to share campus-based entrepreneurship efforts.