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Binucleation And Seasonal Cycle Of Sertoli Cells In The Western Lesser Siren, Siren Nettingi (Caudata: Sirenidae), S. E. Trauth Jun 2026

Binucleation And Seasonal Cycle Of Sertoli Cells In The Western Lesser Siren, Siren Nettingi (Caudata: Sirenidae), S. E. Trauth

Journal of the Arkansas Academy of Science

I examined binucleation and the seasonal cycle of Sertoli cells in the Western Siren (Siren nettingi) using light microscopy and transmission electron microscopy. My primary objective in this study was to report, for the first time, the presence of double nuclei in Sertoli cells in a salamander. This study also represents the sixth contribution in a series of investigations that highlight the novel nature of all aspects of spermatogenesis in this unique salamander. My findings add to a growing list of extraordinary morphological and reproductive features that distinguish this salamander from all other vertebrates.


Testing The Accuracy Of A Bear-Tracking Satellite Transmitter Collar Under Natural Conditions, K. A. Watson, K. Phipps, C. Drexler, C. R. Middaugh, M. Means, M. Hooks Jun 2026

Testing The Accuracy Of A Bear-Tracking Satellite Transmitter Collar Under Natural Conditions, K. A. Watson, K. Phipps, C. Drexler, C. R. Middaugh, M. Means, M. Hooks

Journal of the Arkansas Academy of Science

The Arkansas Game and Fish Commission tracks American black bears (Ursus americanus) using Global Positioning System (GPS) satellite telemetry collars in southeastern Arkansas to assess habitat use and behaviors. Companies test the accuracy of their devices, but researchers have found that natural environments, such as the forested habitat of black bears, can cause an increase in spatial error rates. We therefore tested 1 GPS collar in realistic conditions to help refine data interpretation. We placed the collar at 20 random locations in Columbia County, AR, stratifying habitat type based on data collected from black bears. We determined the …


From Policy To Practice: The Significance Of Evida In Shaping Electric Vehicle Adoption Behavior In Philippine Urban Markets, Darylle Angelo Pamintuan Pineda Jun 2026

From Policy To Practice: The Significance Of Evida In Shaping Electric Vehicle Adoption Behavior In Philippine Urban Markets, Darylle Angelo Pamintuan Pineda

DLSU Senior High School Research Congress

Electric vehicle (EV) adoption in the Philippines remains at an early stage despite the implementation of the Electric Vehicle Industry Development Act (EVIDA), which introduced fiscal and non-fiscal incentives to encourage cleaner transport. This study aimed to examine whether Fiscal Incentives Awareness, Non-Fiscal Incentives Awareness, Charging Infrastructure Perception, and Concern on Upfront Cost significantly influence EV Adoption Intention among urban consumers in San Fernando, Pampanga. It also sought to determine whether Consumer Satisfaction with Government Policies mediates these relationships. The study employed a quantitative, descriptive-correlational research design. Data were gathered through a structured survey administered via Google Forms and printed …


Young Lives, Early Journeys: Understanding Teenage Pregnancies Within Blistt, Meri Elijakim Pereyra Mangulabnan, Vhyen Elliz Maliones Laban, Aaron Nash Sebastian Madriaga, Wade Chrysler Rivera Mondina, Aaron Jay Domingo Selan Jun 2026

Young Lives, Early Journeys: Understanding Teenage Pregnancies Within Blistt, Meri Elijakim Pereyra Mangulabnan, Vhyen Elliz Maliones Laban, Aaron Nash Sebastian Madriaga, Wade Chrysler Rivera Mondina, Aaron Jay Domingo Selan

DLSU Senior High School Research Congress

This research investigated the multifaceted experiences of teenage mothers within BLISTT (Baguio, La Trinidad, Itogon, Sablan, Tuba, Tublay), where adolescent pregnancy remains a persistent social and public health concern. The study highlighted how these young mothers navigated interrupted education, limited economic opportunities, and fragile family relationships, all compounded by cultural stigmas and a lack of reproductive health education. The core research questions explored the lived experiences of these teenagers, the influence of cultural beliefs on societal attitudes, and the challenges and support systems that shaped their lives and futures. Findings revealed that teen mothers within BLISTT faced profound emotional, social, …


Language, Life, And Indigenous Knowledge: Cultural Contexts In Advanced Kaqchikel Maya Language Education Approaches To Indigenous Language Revitalization In Kik'aslemal Ri Kaqchikela': An Advanced Kaqchikel Maya Language Textbook, José Israel Herrera Jun 2026

Language, Life, And Indigenous Knowledge: Cultural Contexts In Advanced Kaqchikel Maya Language Education Approaches To Indigenous Language Revitalization In Kik'aslemal Ri Kaqchikela': An Advanced Kaqchikel Maya Language Textbook, José Israel Herrera

Journal of Maya Heritage

Abstract. This article examines the relationship between Indigenous language revitalization and the continuity of socially embedded systems of knowledge through the case of advanced Kaqchikel Maya language education. Drawing upon scholarship on Indigenous pedagogies, linguistic anthropology, and Indigenous epistemologies, the article explores how culturally grounded approaches to language learning contribute not only to the development of linguistic competence but also to the reproduction of memories, values, and intellectual traditions. Particular attention is devoted to Kik'aslemal ri Kaqchikela': An Advanced Kaqchikel Maya Language Textbook, whose thematic organization and collaborative development illustrate broader processes of knowledge production and cultural continuity. Rather than …


A Scoping Review Of Sycophancy In Large Language Models: Operational And Theoretical Recognition, Kallen Zhou, Manning Littlejohn, Isabella Garrard Jun 2026

A Scoping Review Of Sycophancy In Large Language Models: Operational And Theoretical Recognition, Kallen Zhou, Manning Littlejohn, Isabella Garrard

Endeavors: Mississippi State Undergraduate Research Journal

As large language models (LLMs) usage grows across different domains, sycophancy, the tendency for output to align with users, is increasingly being recognized as a primary issue arising from applying LLMs into critical areas. Current research has provided a variety of theoretical definitions, mitigation techniques, and quantification for sycophancy. However, there is little to no consistency across different papers. This scoping review seeks to connect different works on LLM sycophancy by identifying themes in theoretical definitions, measurement methods, and inducement techniques of sycophancy. By analyzing 26 papers (preprints, conference proceedings, and journal articles) from arXiv, ACL Anthology, and Scopus, this …


‘It’S A Win-Win Situation’— Cultivating University & School Partnerships, Emily Wisniewski, Kelly Virgin, Pauline Skowron Schmidt Jun 2026

‘It’S A Win-Win Situation’— Cultivating University & School Partnerships, Emily Wisniewski, Kelly Virgin, Pauline Skowron Schmidt

Teaching/Writing: The Journal of Writing Teacher Education

This qualitative case study examines Writing Zones, a fifteen-year university–high school partnership that embeds preservice English teachers in secondary classrooms as writing mentors. Drawing on surveys from 20 preservice teachers and eight high school teachers, along with follow-up interviews, the study explores perceptions of preparation, support, and program impact. Findings highlight Writing Zones as a mutually beneficial model that enhances student writing through individualized support while providing authentic, field-based learning for preservice teachers. However, effectiveness was conditional, shaped by mentor preparedness, clarity of roles, communication, and scheduling. The study underscores the importance of intentional training, sustained relationships, and institutional alignment …


Dismantling Future Writing Teachers’ English-Only Assumptions: Composing Videos To Learn The Value Of Linguistic And Cultural Inclusion, Ann N. Amicucci Jun 2026

Dismantling Future Writing Teachers’ English-Only Assumptions: Composing Videos To Learn The Value Of Linguistic And Cultural Inclusion, Ann N. Amicucci

Teaching/Writing: The Journal of Writing Teacher Education

This article presents the results of a study of 12 students’ video composing assignments and accompanying reflections in which students, all of whom were future writing teachers enrolled in an undergraduate TESOL course, examined how well public spaces acknowledged and included multilingual individuals. Students’ videos and reflections demonstrated that the assignment dismantled these future writing teachers’ assumptions that multilingual writers learn best in an English-only environment but perpetuated perceptions of languages as discrete rather than intertwined. Findings are discussed within the context of scholarship on writing teacher education and English-only policy and practice in the U.S.


Who We Are, How We Teach: Writing Teacher Identity In The Secondary Ela Classroom, Danielle Alexander Jun 2026

Who We Are, How We Teach: Writing Teacher Identity In The Secondary Ela Classroom, Danielle Alexander

Teaching/Writing: The Journal of Writing Teacher Education

The journal submission guidelines stated not to include an abstract.


B1) The Implementation Of Digital Tools In The Interpretation Of Heritage From A Cultural And Pastoral Perspective, Silvia Aulet, Anna Gili Vilanova-Prat Jun 2026

B1) The Implementation Of Digital Tools In The Interpretation Of Heritage From A Cultural And Pastoral Perspective, Silvia Aulet, Anna Gili Vilanova-Prat

International Religious Tourism and Pilgrimage Conferences

The digitisation of cultural languages supposes new challenges and opportunities in the interpretation of religious heritage. From a theoretical perspective, sacred sites can be understood as symbolic realities where material and immaterial dimensions converge. Sacred places are not only architectural containers, but spaces of meaning that articulate identity, memory and transcendence (Aulet & Vidal, 2018).

The preservation of the meaning, identity and original function of sacred spaces in contexts of high tourist accessibility (Aulet & Duda, 2020). Technology, far from being a merely instrumental element, can act as a symbolic mediation that reinforces this sustainability if it contributes to improving …


B3) Ai-Enabled Religious Pilgrimage: A Human Centred Sacred Framework For Authenticity And Responsible Transformation, Parichay Parivesh, Razaq Gili Raj Jun 2026

B3) Ai-Enabled Religious Pilgrimage: A Human Centred Sacred Framework For Authenticity And Responsible Transformation, Parichay Parivesh, Razaq Gili Raj

International Religious Tourism and Pilgrimage Conferences

This paper examines how artificial intelligence is reshaping pilgrimage tourism in India by mediating the practical, emotional and spiritual dimensions of sacred travel. While AI is increasingly used in tourism for personalised recommendations, multilingual assistance, predictive crowd management, virtual interpretation and service automation, its application in religious travel requires deeper cultural and ethical reflection. Using India’s large and diverse pilgrimage ecosystem as the focal context, the paper argues that AI should not be treated merely as a tool for efficiency, but as a socio-technical mediator that influences access, authenticity, ritual participation, trust and post-journey meaning-making.

The paper proposes a Human-Centred …


B2) Ai Generated Narratives In Religious Tourism Marketing: Opportunities And Ethical Risks, Md Javed Kawsar, Rashed Gili Khan Jun 2026

B2) Ai Generated Narratives In Religious Tourism Marketing: Opportunities And Ethical Risks, Md Javed Kawsar, Rashed Gili Khan

International Religious Tourism and Pilgrimage Conferences

The rapid advancement of generative artificial intelligence (AI) is beginning to redefine narrative construction in religious tourism marketing, creating new opportunities for digital engagement while also raising critical ethical concerns. As religious destinations increasingly adopt AI-enabled storytelling tools, ranging from conversational agents to multimodal generative systems, the nature of narrative authenticity, cultural sensitivity, and visitor perception is being significantly reshaped. Recent work on AI-driven religious tourism indicates that AI-enabled conversational agents influence tourists’ cognitive and affective evaluations, shaping memorable religious tourism experiences and future engagement intentions, highlighting the transformative potential of AI in sacred contexts. Likewise, studies examining AI-driven strategies …


Cognitive Autonomy In The Age Of Ai: A First-Year University Writing Teacher’S Case For Embodied Learning, Rachel M. Terry Jun 2026

Cognitive Autonomy In The Age Of Ai: A First-Year University Writing Teacher’S Case For Embodied Learning, Rachel M. Terry

Essays in Education

Cognitive autonomy in the age of AI is becoming an urgent concern in higher education. This article argues that first-year writing instruction should recover cognitive autonomy and embodied learning as correctives to technocratic habits shaped by generative AI, digital convenience, and an overreliance on optimization. Drawing on the author’s positionality as a first-year university writing teacher, it examines how students increasingly treat knowledge as detachable information rather than as something formed through disciplined engagement. The article includes examples of handwritten note-taking and annotation as embodied learning that slows thought, deepens synthesis, and supports student agency. It concludes that education should …


Generalized Delayed Black–Scholes Formula, Bi Gole Hubert Le, Auguste Aman Jun 2026

Generalized Delayed Black–Scholes Formula, Bi Gole Hubert Le, Auguste Aman

Journal of Stochastic Analysis

The aim of this paper is to derive an explicit pricing formula for European options when the underlying asset follows a linear generalized delay differential equation in two distinct financial markets. The pricing methodology is based on the construction of an equivalent martingale measure using Girsanov’s theorem. Our models preserve both the no-arbitrage condition and market completeness. As such, this work extends the framework previously developed by Arriojas et al. in [16], providing a broader class of delay-based option pricing models.


Robust Optimal Consumption, Investment And Reinsurance For Recursive Preferences, Elizabeth Dadzie, Wilfried Kuissi Kamdem, Marcel Ndengo Jun 2026

Robust Optimal Consumption, Investment And Reinsurance For Recursive Preferences, Elizabeth Dadzie, Wilfried Kuissi Kamdem, Marcel Ndengo

Journal of Stochastic Analysis

This paper investigates a robust optimal consumption, investment, and reinsurance problem for an insurer with Epstein-Zin recursive preferences operating under model uncertainty. The insurer’s surplus follows the diffusion approximation of the Cramér-Lundberg model, and the insurer can purchase proportional reinsurance. Model ambiguity is characterised by a class of equivalent probability measures, and the insurer, being ambiguity-averse, aims to maximise utility under the worst-case scenario. By solving the associated coupled forward-backward stochastic differential equation (FBSDE), we derive closed-form solutions for the optimal strategies and the value function. Our analysis reveals how ambiguity aversion, risk aversion, and the elasticity of intertemporal substitution …


An Itô Integral For A Two-Sided Lévy Process, Raluca Balan, Jaime Garza Jun 2026

An Itô Integral For A Two-Sided Lévy Process, Raluca Balan, Jaime Garza

Journal of Stochastic Analysis

In this article, we construct an Itô integral with respect to a two-sided finite-variance Lévy process {L(x)}x∈R, without a Gaussian component. Using Rosenthal inequality for discrete-time martingales, we give an estimate for the p-th moment of this integral, for any even integer p ≥ 2. Then, using Poisson-Malliavin calculus, we show that the Itô integral is an extension of the Hitsuda-Skorokhod integral with respect to the compensated Poisson random measure associated to the Lévy process.


Dynamic Context‑Aware Tokenization For Intent‑Driven Agent‑To‑Agent Transactions, Chandra Shekhar Matam, Harshwardhan Tripathi, Nancy Lakra Jun 2026

Dynamic Context‑Aware Tokenization For Intent‑Driven Agent‑To‑Agent Transactions, Chandra Shekhar Matam, Harshwardhan Tripathi, Nancy Lakra

Defensive Publications Series

The present disclosure relates to a dynamic tokenization system for facilitating intent-driven transactions between autonomous agents. The system includes a context-aware token that encodes metadata defining multiple conditional spending profiles associated with distinct transaction intents. An intent declaration module receives specified transaction intents from the initiating autonomous agent, while a policy engine evaluates the declared transaction intent along with contextual factors such as agent identity and historical transaction behavior. A dynamic parameterization mechanism updates the metadata of the context-aware token in real-time, establishing context-specific limits on spending, merchant restrictions, transaction velocity, and expiration rules. During authorization, an authorization network validates …


Eyewear-Integrated Hardware-Enclaved Sensor Gating Interface Utilizing Asynchronous Data Valving And Biomechanical Intent Verification, Daitona Carter Jun 2026

Eyewear-Integrated Hardware-Enclaved Sensor Gating Interface Utilizing Asynchronous Data Valving And Biomechanical Intent Verification, Daitona Carter

Defensive Publications Series

This disclosure details a physical, hardware-enclaved security architecture designed to prevent unauthorized, passive audio and visual data extraction from wearable computing platforms. The framework mechanically decouples micro-electromechanical systems (MEMS) microphone arrays and camera sensors from the primary application processor (AP) and host operating system. Raw environmental data streams are routed exclusively into a hardware-isolated, bare-metal secondary microcontroller core operating a dedicated, secure execution environment. This secondary core controls an asynchronous data valve: raw sensor inputs are buffered in a one-way FIFO queue completely inaccessible to the host processor unless explicitly released by a verified user intent signal. This physical intent …


Regulating Operational States Of An On‑Chip Power Controller, Janardan Prasad Jun 2026

Regulating Operational States Of An On‑Chip Power Controller, Janardan Prasad

Defensive Publications Series

System‑on‑chip architectures often employ primary power controllers to direct the operational states of various internal sub‑systems. Problems can arise during periods of sub‑system inactivity, as the primary power controller remains active to monitor the sleeping domains, resulting in continuous power consumption. The disclosed technology utilizes a secondary power controller manager to govern the clocking and power states of the primary power controller. By evaluating hardware handshakes, initiating duration counters, and deploying finite state machines, the power controller manager transitions the primary power controller into a clock‑gated or power‑gated state during extended periods of sub‑system inactivity. In this way, the disclosed …


Code Generation System With Integration Of Objective User Feedback, Ishac Bertran Jun 2026

Code Generation System With Integration Of Objective User Feedback, Ishac Bertran

Defensive Publications Series

This document describes a self-improving code generation system, also known as a programming assistant, software synthesis tool, or automated coding assistant, that dynamically enhances automated code generation accuracy by using an artificial intelligence (AI) or machine learning system, such as a large language model (LLM), by continuously learning from user interactions. During application development sessions, the system evaluates user feedback in parallel with code generation tasks to separate subjective personal tastes from objective functional corrections. The system distills and merges functional corrections into an aggregated guidelines document that acts as an evolving set of engineering rules so as to enable …


System And Method For Integrating Localized, Verified Volunteer Medical Responses Into Vehicular Emergency Workflows, Anonymous Jun 2026

System And Method For Integrating Localized, Verified Volunteer Medical Responses Into Vehicular Emergency Workflows, Anonymous

Defensive Publications Series

In commercial aviation, the protocol of broadcasting an announcement asking, "Is there a doctor on board?" is a long-standing and effective method for managing in-flight medical emergencies. By leveraging the presence of off-duty medical professionals who happen to be co-located with the emergency, flights can secure immediate, life-saving interventions for conditions such as cardiac events, diabetic shock, or severe allergic reactions. On the road, a parallel opportunity exists. Thousands of off-duty medical professionals—including doctors, nurses, and emergency medical technicians (EMTs)—frequently commute or travel in close proximity to vehicular medical emergencies. Bound by professional ethics and protected by Good Samaritan …


Scalable Replay Service, Komaljot Kaur, Apurba Pandey, Vighnesh R V Jun 2026

Scalable Replay Service, Komaljot Kaur, Apurba Pandey, Vighnesh R V

Defensive Publications Series

A distributed pod coordination system includes a plurality of pods configured to process work from a message queue, each pod assigned a unique pod identifier, and a state store maintaining coordination state including an active pods set, heartbeat keys, and partition maps associating partitions with respective pods. Each pod registers with the state store by obtaining the unique pod identifier, creating a heartbeat key with a time-to-live expiration value, and adding the pod to the active pods set. Each pod periodically refreshes the heartbeat key and participates in master election by querying the active pods set, verifying heartbeat keys, and …


Pixels And Property Rights: Resolving Social Media Ownership Disputes Between Employers And Employees Through Traditional Property Law Frameworks, Brittany Kjerstad Mcknight Jun 2026

Pixels And Property Rights: Resolving Social Media Ownership Disputes Between Employers And Employees Through Traditional Property Law Frameworks, Brittany Kjerstad Mcknight

New Mexico Law Review

Social media accounts have become valuable business assets, yet courts remain divided on how to resolve disputes over their ownership. In employer-employee contexts, some courts have adopted multi-factor tests to determine whether an account belongs to the business or the individual. However, these tests create inconsistent and unpredictable results, leaving businesses and employees uncertain about their rights. Courts should reject ad hoc multi-factor tests and instead rely on traditional legal frameworks, specifically property, contract, and agency law, to resolve social media ownership disputes. By treating social media accounts as non-transferable, revocable licenses governed by contractual terms, courts can apply established …


Rejecting Salinas V. Texas’S Catch-22: Towards State Constitutional Protections For Silence In New Mexico, Kayla Herring Jun 2026

Rejecting Salinas V. Texas’S Catch-22: Towards State Constitutional Protections For Silence In New Mexico, Kayla Herring

New Mexico Law Review

The landmark United States Supreme Court case, Miranda v. Arizona, protects individuals’ constitutional rights in coercive environments, like custodial interrogations, where law enforcement officers apply immense psychological pressure through specialized techniques. However, subsequent caselaw distorts Miranda’s intent to enable prosecutors to comment on silence. Doing so divorces Miranda from the reason the United States Supreme Court established Miranda warnings in the first place. This subsequent caselaw narrows individuals’ constitutional right against having their silence used against them in later criminal proceedings to imply guilt based on the custodial framework established in Miranda. Salinas v. Texas is one of those subsequent …


Advances In Research On Methods For Intelligent Identification Of Seismic Facies, Liu Xingye, Yu Peilin, He Hengjun Jun 2026

Advances In Research On Methods For Intelligent Identification Of Seismic Facies, Liu Xingye, Yu Peilin, He Hengjun

Coal Geology & Exploration

Background The intelligent identification of seismic facies can significantly improve the efficiency of sedimentary system characterization and hydrocarbon reservoir interpretation. However, influenced by factors such as non-stationary geological bodies, high costs of sample labeling, and limited training samples, conventional methods for intelligent identification are generally insufficient to achieve high identification accuracy and widespread application concurrently. Advances This study presents a systematic review of three types of technologies for the intelligent identification of seismic facies, namely unsupervised, supervised, and semi-supervised learning, with each type including deep learning methods. The three technological types are comparatively verified using 3D seismic data from a …


Strategies Banks Use To Improve Customer Satisfaction And Retention, Najimu Gabisi Jun 2026

Strategies Banks Use To Improve Customer Satisfaction And Retention, Najimu Gabisi

Walden Dissertations and Doctoral Studies

No abstract provided.


Leadership Challenges With Multilingual Education Programs Implementation For English Language Learners In K–5 Public Schools, Suzanne Youveup Jun 2026

Leadership Challenges With Multilingual Education Programs Implementation For English Language Learners In K–5 Public Schools, Suzanne Youveup

Walden Dissertations and Doctoral Studies

No abstract provided.


Programs In Physical Therapy, Nursing To Expand In Oxford, Danny Barrett Jr. Jun 2026

Programs In Physical Therapy, Nursing To Expand In Oxford, Danny Barrett Jr.

University of Mississippi News

JACKSON, Miss. – The University of Mississippi Medical Center is bringing physical therapy education to north Mississippi, adding a Doctor of Physical Therapy program in Oxford to meet growing demand for licensed physical therapists across the state.


Community Perceptions And Hospital Selection In Depok: A Comparative Study Of Rsud Anugerah Sehat Afiat And Competitors Based On The 5a Framework, Iva Nur Faridah, Wahyu Sulistiadi Jun 2026

Community Perceptions And Hospital Selection In Depok: A Comparative Study Of Rsud Anugerah Sehat Afiat And Competitors Based On The 5a Framework, Iva Nur Faridah, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

RSUD Anugerah Sehat Afiat (ASA) Depok faces challenges in enhancing service utilization and competitiveness as a public hospital in the increasingly competitive healthcare environment of eastern Depok City. This study aimed to identify factors influencing community preferences in hospital selection and to determine appropriate positioning strategies for RSUD ASA. A mixed-methods case study design was employed. Quantitative data were collected from 132 respondents aged over 25 years who had visited four hospitals included in the study, using structured questionnaires. Qualitative data were obtained through in-depth interviews with eight key informants representing RSUD ASA management. Data analysis was based on five …


Exploring The Determinants Of Operating Room Utilization: A Scoping Review Of Influential Factors In Surgical Efficiency, Isma Sari Chumairah, Masyitoh Basabih Jun 2026

Exploring The Determinants Of Operating Room Utilization: A Scoping Review Of Influential Factors In Surgical Efficiency, Isma Sari Chumairah, Masyitoh Basabih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Optimal utilization of the operating room (OR) is a crucial element in improving the efficiency of surgical services and hospital performance. This scoping review aimed to identify and map the factors influencing OR utilization based on recent scientific literature. We conducted a scoping review using the Population–Concept–Context (PCC) framework and reported it according to the PRISMA-ScR guidelines. We systematically searched PubMed, Scopus, and ScienceDirect for articles published between 2015 and 2025. Eligible studies were screened, and information on study characteristics and reported determinants of OR utilization was extracted and summarized descriptively. Forty studies were included. The reported determinants clustered into …