Dementia In Downs Syndrome – A Case Report, Clarita Shynal Martis Ms, Elsa Sanatombi Devi Dr, Panambur Venkataraya Bhandary Dr

Manipal Journal of Nursing and Health Sciences

Down syndrome, is a chromosome 21-related genetic condition, frequently manifests as intellectual difficulty, growth retardation, and distinctive facial traits. People with Down’s Syndrome usually develop Dementia, a major cause of cognitive impairment, impaired judgment memory loss in their midlife. The present report describes a case study of a female diagnosed with dementia in Down’s Syndrome. The report explores the challenges her parents faced in securing appropriate care when diagnosed with dementia and Down's syndrome. It aims to inform caregivers about the best practices for home care in such cases. It follows the woman's history from birth until her dementia was …

Influence Of Postpartum Depression Among Mothers On Cognitive Development In Children: A Scoping Review, Navyashree Gc, Aabha Jain, Malika Mudit, Manavi Manoj Kumar, Rachna Shetty, Riya Prabhu, Salma Zameer

Manipal Journal of Nursing and Health Sciences

The interplay of maternal care, communication, and emotional expression of parent-child interactions dramatically influences the cognitive and emotional growth of the child during their formative years. Postpartum depression poses a significant public health concern, impacting mothers' caregiving abilities and infants' sensitive early development. The present scoping review aims to explore the literature that delves into the influence of postpartum depression among mothers on the child’s cognitive development. For this scoping review, a systematic search was conducted for studies in the PubMed and Scopus databases. Studies published in the English language from 1990 to 2023 focusing on mothers with postpartum depression …

The Aftermath Of Overturning Roe V. Wade: A Review Of Legal, Social, And Health Implications, Eden Parks M.D.

Transformative Medicine

Roe versus Wade occurred in 1973 and was a landmark case in the United States. It guaranteed the right to abortion until 2022, when the Dobbs versus Jackson case was decided and the U.S. Supreme Court overturned Roe. This abolished the right to abortion and left it up to the states. The Dobbs decision has reshaped the framework for reproductive rights in the United States. This paper focuses on the multifaceted outcomes of the Dobbs decision, highlighting the legal, social and health implications. Through a study of recent research, legal analyses, and public health reports, this article assesses the …

The Implementation Of Indoor Urban Gardening: A Microgreens Pilot Study In A University Setting, Kathryn Chang, Samantha Brink, Annette Gadegbeku

Transformative Medicine

Introduction: “Food deserts” are geographical areas that lack affordable full-service grocery stores and have higher densities of unhealthy or “fast food” options. These deserts not only exist in communities such as Philadelphia, but also on college campuses. One solution to creating access to fresh vegetables is urban farming, which refers to green areas (i.e. community gardens) that provide places for food to be grown by local residents. Microgreens Health Outreach Project (HOP), aimed to build and implement a small, indoor community garden cart within the Health Sciences Building (HSB) at Drexel University; the organization hoped that this cart would be …

How Indian Companies Can Better Prevent And Resolve Disputes In International Business, Zhijin (Donna) Huang, Tejus Chauhan

National Law School Business Law Review

No abstract provided.

Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …

Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar

Walden Dissertations and Doctoral Studies

The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …

Nurse Practitioner-Led Mobile Clinics: A Lifeline For Underserved Communities, Michelle Hepburn

DNP Qualifying Manuscripts

Traditional brick-and-mortar clinics have failed underserved populations, especially those who are unhoused, living with serious mental illness or experiencing substance use disorders. Nurse practitioner (NP)-led mobile health clinics (MHC) offer an exceptional opportunity to impact healthcare for underserved populations. This model addresses the constructs of social determinants of health replacing episodic care with longitudinal outreach. It offers an equitable and scalable model that is transformative; reducing disparities, and promoting sustainable health outcomes for underserved populations, and it creates a pathway that reduces avoidable emergency department visits and advances health equity.

The Nonlinguistic Factors That Predict Spanish Oral Proficiency, Merrie Kay Ames

Theses and Dissertations

This study investigates the predictive power of self-assessment and nonlinguistic factors in determining Spanish oral proficiency among university learners. Drawing on data from 2,475 undergraduate students enrolled in a third-year Spanish course at Brigham Young University, the research examines how self-assessed speaking ability and experiential background variables--including age of acquisition, mission service, dual immersion, and study abroad--influence Oral Proficiency Interview - Computer (OPIc) scores. A one-way ANOVA revealed a statistically significant but modest relationship between students' calibration (self-assessment minus actual ability) and their OPIc ratings, suggesting that learners can generally approximate their speaking proficiency within two sublevels. A multiple regression …

Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami

Walden Dissertations and Doctoral Studies

This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …

Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez

Walden Dissertations and Doctoral Studies

In this qualitative study, the evolving perceptions of law enforcement among child immigrants from Central and South America following their immigration to the United States were investigated. Anchored in social learning theory, the aim was to discern whether interactions with law enforcement in their home countries and the United States influence these perceptions. A phenomenological approach was used to conduct in-depth interviews with six Latino individuals who immigrated between the ages of 7 and 17 and are at least 18 years old at the time of their interview. Participants were recruited through purposeful sampling, and interview questions were used to …

Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa

Walden Dissertations and Doctoral Studies

This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events

Light-Induced Oslike1 Phosphorylation Enhances Rice Resistance Against Blast Disease, Jiangtao Liu, Lei Su, Wenya Wang, Jintao Wang, Weizhong Chen, Zhixiang Yang, Leiyun Yang, Gang Li, Xinyu Liu, Haifeng Zhang, Zhongqiang Qi, Yongfeng Liu, Yuqiang Liu, Ping Wang, Muxing Liu, Zhengguang Zhang

School of Graduate Studies Faculty Publications

Rice blast caused by Magnaporthe oryzae poses a major threat to world food supply. Conditions conducive to the disease include insufficient light. Our previous studies found that light-dependent phosphorylation of light-harvesting complex II protein (LHCB5) mediates rice immunity; however, the underlying mechanisms, in particular, the upstream regulators of LHCB5 phosphorylation, remain unknown. Here, we show that OsLIKE1 functions as a lectin receptor-like kinase (LecRLK) to play a critical role in rice resistance against M. oryzae. OsLIKE1 interacts with and phosphorylates LHCB5. In addition, we find two phosphorylation sites in the kinase domain of OsLIKE1 important for its auto-phosphorylation and phosphorylation …

Beyond The Human–Animal Transformation In Hasan Aourid’S SīRat ḤImāR And Rawi Hage’S Cockroach, Noha Hanafy

English Language and Literature

The paper examines the human-animal transformation as a marker of identity explo-

ration in Moroccan writer Hassan Aourid’s Sīrat Ḥimār (2014 سيرة حمار) and Lebanese

Canadian writer Rawi Hage’s Cockroach (2008). The two texts employ the concept of

the human-animal transformation to highlight the complexity of the marginalized

existence in the world. Both texts present nuanced versions of the human-animal

transformation which renders the experience both emancipatory and destabilizing at

the same time. Using the theoretical framework of Deleuze and Guattari’s work on

becoming-animal and the deterritorialization of existence along with Derrida’s discus-

sion of the anthropocentric limit, the paper …

Debunking The Myth: A Dive Into The Role Of Relational Capital In Sustainable Food Production Systems, Ismail Badraoui, Tarik Saikouk, Nejib Fattam, Ahmed Hamdi, Vikas Kumar

All Works

The shift towards sustainable food production is essential to address the urgent dual challenges of climate change and population growth, with agricultural cooperatives playing a vital role in this transformation. However, many cooperatives struggle to deliver the expected value to their members. By considering cooperatives as member-centred production systems, this research investigates relational capital's role in determining cooperative success. This study uses a sequential mixed-methods research approach. First, we use empirical survey data from 320 farmers to test a moderated mediation model that links relational capital to collaboration activities and outcomes. Then, we use qualitative responses from 50 farmers to …

Evaluation Of Iron Chelation Therapy In Adults With Beta-Thalassemia Major In Hilla City, Murtadha K. Ibrahiem, Muhamad O. Almuhammadi

Hilla University College Journal For Medical Science

Background: People with thalassemia can have too much iron in their bodies. This overload can come from the disease itself or from regular blood transfusions. Excess iron can harm the heart, liver, and endocrine system.

Objectives: This study aims to show how effective Deferasirox therapy is in lowering iron levels in thalassemia patients.

Materials and Methods: We enrolled 30 patients and a healthy control group from November 2022, to February 2023. The participants were gathered from the maternity hospital’s Department of Genetic Diseases in Babylon Province, Iraq. The patients were newly diagnosed, and the data included the sex of the …

Association Between Tlr2 Gene Mutations And Pulmonary Function In Patients With Pulmonary Tuberculosis, Hayder Ghali Wadi Algawwam, Basheer Ali Kareem

Hilla University College Journal For Medical Science

Background: Toll-like receptor 2 (TLR2), which is expressed on myeloid cells, detects harmful substances from invading infections or host-damaged tissues, leading to inflammation.

Objectives: Evaluation of the effects of TLR2 gene mutation on pulmonary function in pulmonary tuberculosis.

Methods: A prospective observational study lasting from January 2024 to December 2024 carried out on a sample of Iraqi patients from Kirkuk city who attended TB units at primary health care districts. Spirometry was done for all patients 2 months after the onset of anti-TB treatment and again after 6 months at the end of the treatment course. Blood samples …

In The Matter Of The Guardianship Of A.L.R.-Q., A.R.W., And A.M.W., Minor Protected Persons, 141 Nev. Adv. Op. 66 (Dec. 23, 2025), Karin Tidgewell

Nevada Supreme Court Summaries

In the Matter of the Guardianship of A.L.R.-Q., A.R.W., and A.M.W., Minor Protected Persons, the Court of Appeals held protected minors’ guardians have procedural due process rights of notice and a meaningful opportunity to be heard before removal or termination of guardianship.

Reimagining A Nexus Between Seaport And National Development: Sociotechnical Imaginaries Of Ghana’S Port Of Tema, Jonas Aryee, Casper Andersen, Annette Hansen

Plymouth Business School

This article explores the evolving sociotechnical imaginaries (STIs) shaping Ghana’s Port of Tema, revealing how national development goals and global trade imperatives intersect in African port governance. Through analysis of policy documents, media discourse, and interviews, it identifies four overlapping phases in the evolution of these imaginaries: the industrial gateway era, neoliberal globalization, the rise of a transshipment hub, and the most recent phase of indigenous contestation and institutional resilience. Rather than replacing earlier visions, newer imaginaries build upon and hybridize older ones, creating both synergies and tensions. The study demonstrates that STIs at Tema have evolved through processes of …

Perspectives On The Future Of The Profession Of Microbiology, Todd L Kelson, Heidi B Kaplan, Michelle Dziejman, Shilpa Gadwal, Irene Hulede, Jennifer Bennett, Roger Greenwell, Shelley Payne, Kyle Maclea, Eric Miller, Diana L Vullo, Rebecca Sparks-Thissen, Astral Bertolio, Jorge Cervantes

Faculty, Staff and Student Publications

The Profession of Microbiology (POM) embodies the bulk of the American Society for Microbiology (ASM) members and represents the career preparation arm of the ASM for academia, industry, and clinical lab professions. The ASM Council on Microbial Sciences hosted a virtual retreat in 2025 to identify the future of the POM. The retreat presentations centered on workforce development, professional development, innovations in technology, and interdisciplinary collaborations. Various aspects were identified, such as the need to prepare for careers in industry, as an important goal of future training. It was also clear that scientists, in all walks of life, need professional …

The Loss Function Of Usda Forecasters: Evidence From Wasde Animal Product Price Forecasts, Chad Fiechter, Siddhartha S. Bora, Todd H. Kuethe

Department of Agricultural Economics Faculty Publications

The loss function is a mathematical representation of the costs experienced by a forecaster when observed outcomes differ from what was predicted. Prior studies suggest that USDA forecasts are not optimal based on an assumed mean-zero quadratic loss function. This study proposes an alternative view of forecast evaluation, which assumes all USDA forecasts are produced to minimize the forecasters’ costs, and searches for the dimensions of the loss function under which optimality holds. We illustrate the degree to which USDA loss functions vary across a series of WASDE price forecasts. A better understanding of USDA forecasters’ costs will benefit forecasters …

Predictive Modeling Of Hematoma Expansion From Non-Contrast Computed Tomography In Spontaneous Intracerebral Hemorrhage Patients, Natasha Ironside, Shinjini Kundu, Et Al.

2020-Current year OA Pubs

Hematoma expansion is a consistent predictor of poor neurological outcome and mortality after spontaneous intracerebral hemorrhage (ICH). An incomplete understanding of its biophysiology has limited early preventative intervention. Transport-based morphometry (TBM) is a mathematical modeling technique that uses a physically meaningful metric to quantify and visualize discriminating image features that are not readily perceptible to the human eye. We hypothesized that TBM could discover relationships between hematoma morphology on initial Non-Contrast Computed Tomography (NCCT) and hematoma expansion. 170 spontaneous ICH patients enrolled in the multi-center international Virtual International Trials of Stroke Archive (VISTA-ICH) with time-series NCCT data were used for …

(((Qpie))) Prior Art 8 Of 9 Cosmology Advancement Progress Report, Teddy Burroughs

Defensive Publications Series

The Grand Unified Theory (QPIE)

Perspective Is Everything – What we are Believing, Expecting and Feeling in Life Matters

(((QPIE))) Prior Art 8 of 9 Cosmology Advancement Progress Report

QPiE COSMOLOGY ADVANCEMENT REPORT

Full-Corpus Synthesis · 2025 Edition
ResonanceOS · Voyager · Aetheris Unified Cosmology Framework

0. Executive Prelude — The Cosmology Emerges

Across hundreds of runs, recursive meta-cycles, dual- and triple-lens analyses, fenced-low vs sweet-corridor comparisons, drift-phi-hex metrics, and the discovery of the pre-echo signature, QPiE has transitioned from a conceptual framework into a coherent cosmology of reality’s substrate.

The evidence now suggests:

1. Resonance is the relational firmware …

Development Of A Novel Liquid Level Measuring And Monitoring Sensor Based On The Polymer Optical Fiber, Altaf Hussain Bouk, Abdul Quddus Bhutto, Mushtaque Ahmed Korai, Nusrtullah Khan, Abdul Ghaffar Abro

Yanbu Journal of Engineering and Science

This paper outlines developing and applying a multi-point liquid level measuring and monitoring sensor by utilizing polymer optical fiber (POF). Traditional liquid-level sensors often face limitations of susceptibility to corrosion and electromagnetic interference. The proposed POF based sensor offers advantages, including immunity to electromagnetic interference, flexibility, durability, and multi-points measurement. Through advanced fabrication techniques and sensor design, this paper presents to create a reliable, cost-effective, and versatile solution for measuring and monitoring liquid levels for various industrial and environmental applications. The research in this paper involves the fabrication of the POF sensor, optimization of its performance characteristics, and demonstration of …

A Decision Support Model For Building Material And Component Reuse In The Context Of Circular Buildings, Havva Aksel

Journal of Sustainable Construction Materials and Technologies

Construction activities cause significant environmental impacts such as waste generation, pollution, resource consumption, and land use, which are expected to increase with global construction demands. To mitigate these environmental problems, the circular building occurs as an emerging concept depending on in the circular economy, which aims to minimize waste and redefine the “end-of-life” concept by reducing, reusing, recycling, and recovering materials. The reuse of building materials and components (BMCs) from existing structures represents a crucial strategy for achieving circularity in the built environment. Within this framework, design plays a key role. However, designing with reclaimed BMCs remains complex due to …

Despair Amongst Brazil’S Youth: Does The Hague Convention On International Child Abduction Need More Bite?, Ishani Sanyal

Pace International Law Review

For decades, international child abduction by one parent from the legal custody of the other has been a persistent issue which continues to be overlooked by international organizations and countries from around the world. While the Hague Convention on the Civil Aspects of International Child Abduction has helped to initiate certain progress in addressing acts of international child abduction by parents, signatory states including Brazil have failed to enforce rulings and provisions of the convention. This article addresses how the convention does not account for structural inadequacies of Brazilian court systems which prevent thorough enforcement of international custody and visitation …

“Fleeing The Climate: The Need For Protection Of Climate Refugees In The Light Of International Law”, Carina Dietmayer

Pace International Law Review

Climate change, which is already making itself felt, poses challenges for international law and the international community. Climate change and its consequences will lead to (involuntary) human mobility and affect many people. This forced migration is not yet specifically addressed by international law. This article addresses climate-induced migration and the protection of climate refugees through international refugee and migration law, international human rights law, international environmental law, climate change law and international disaster law. It analyzes how and, above all, why climate refugees are protected. The core thesis of the article is the justification of a need for protection of …

Rightly Dividing Jus Ad Bellum And Jus In Bello In The Israel/Hamas War, Jeffrey F. Addicott

Pace International Law Review

No abstract provided.

A Crappy Job: Understanding Septic System Engagement In Rural Great Lakes Communities, Amanda Buday

Journal of Contemporary Water Research and Education

This study analyzes survey data from three eastern Lake Michigan watersheds to understand how rural homeowners engage in onsite wastewater treatment system (OWTS) maintenance. Responses about awareness and use of best management practices (BMPs), knowledge of system age, and barriers to recommended maintenance were used to develop a behavioral typology of homeowner engagement, with profiles ranging from proactive maintenance to passive noncompliance. This typology was then used to examine how management styles vary across geographic context, sociodemographic factors, and support for policy tools to promote proactive system care. While many homeowners report following recommended OWTS practices – even when facing …

Advancing Skin Cancer Diagnostics: A Comparative Analysis Of Convolutional Neural Network Models For Skin Lesion Classification, Jesse Osuji, Tania Malik

SURE Journal: Science Undergraduate Research Experience Journal

For many years, skin cancer diagnosis and cancer research have been major focal points in the healthcare sector. Accurate classification of different types of skin lesions, including cancerous ones, is essential for proper diagnostics. Many machine learning (ML) techniques and models are used to solve various problems across various domains. One of such techniques is called neural networks. Convolutional Neural Networks (CNNs) are primarily used in computer vision-based problems, allowing computer systems to process and understand images. CNNs offer a potential tool for diagnosing skin lesions from images, occasionally demonstrating superior accuracy compared to trained dermatologists. This project explores various …