Digital Commons Network^™

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study., Harry Obeng, Emmanuel Tetteh, Sara Malone, Lauren Walsh, Tyler Walsh, Fernando J. Bula-Rudas, Ritu Banerjee, Adam W. Brothers, Joshua C. Herigon, Katie Namtu, Scott Weissman, Daniel Riggsbee, Jared Olson, Debra Lynn Palazzi, Ann L. Wirtz, Matthew Sattler, Jessica Tansmore, Brittany A. Rodriguez, Monica Abdelnour, Joshua R. Watson, Alison C. Tribble, Jessica Gillon, Mari Nakamura, Sarah Jones, Jason G. Newland, Virginia R. Mckay

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND/OBJECTIVES: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

METHOD: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Precision Assessment Of Facial Asymmetry Using 3d Imaging And Artificial Intelligence, Mohamed Adel, Katie Jo Hunt, Daniel Lau, James K Hartsfield, Hugo Reyes-Centeno, Cynthia S Beeman, Tarek Elshebiny, Lina Sharab

Anthropology Faculty Publications

Objectives: There is a growing interest among practitioners in employing artificial intelligence (AI) to enhance the precision and efficiency of diagnostic methods. The objective of this study is to assess the precision of an AI-based method for facial asymmetry assessment using 3D facial images. Methods: The study included 130 patients (84 female, 46 male), analyzing 3D facial images from the Vectra ® M3 imaging system using both manual and AI-based methods. Seven bilateral facial landmarks were identified for manual analysis, calculating the asymmetry index for facial symmetry assessment. An AI-based program was developed to automate the identification of the same …

Outdoor Play And Risk In Kids:: A Cross-Sectional Study, Fiona Armstrong, Michael Barrett, Lorraine D’Arcy, David Gaul

Research Outputs: 2025-Present

Background Outdoor play promotes healthy development in children, fostering physical, social and cognitive growth. Play involving age-appropriate challenges is an important aspect of child development. Physical activity injuries from play are a frequent reason for paediatric emergency department (ED) presentation. Balancing injury prevention with the developmental benefits of risky play is essential for promoting child health and safety.Aim The aim of this study was to describe the circumstances of injury (risky or dangerous play), injuries sustained while playing outdoors and attendance at a large regional paediatric ED service.Methods The electronic medical record system was searched to identify cases of outdoor …

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study, Harry Obeng, Emmanuel Tetteh, Sara Malone, Lauren Walsh, Tyler Walsh, Fernando J Bula-Rudas, Ritu Banerjee, Adam W Brothers, Joshua C Herigon, Katie Namtu, Scott Weissman, Daniel Riggsbee, Jared Olson, Debra Lynn Palazzi, Ann Wirtz, Matthew Sattler, Jessica Tansmore, Brittany A Rodriguez, Monica Abdelnour, Joshua R Watson, Alison C Tribble, Jessica Gillon, Mari Nakamura, Sarah Jones, Jason G Newland, Virginia R Mckay

Faculty, Staff and Students Publications

Background/objectives: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

Method: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Establishing Priority Pediatric Antimicrobial Stewardship Interventions In The Us: Findings From A Delphi Consensus Study, Harry Obeng, Emmanuel Tetteh, Sara Malone, Matthew Sattler, Monica Abdelnour, Virginia R Mckay, Et Al.

2020-Current year OA Pubs

BACKGROUND/OBJECTIVES: Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.

METHOD: A four-round modified Delphi process was conducted to identify and prioritize key pediatric ASP interventions. Experts in antimicrobial stewardship and infectious diseases …

Surprises From The Shadows: Confronting Intrusions From Bots & Generative Ai In Survey Research, Vincent Cho, Sofia I. Duenas

Journal of Educational Research and Practice

Unbeknownst to many researchers, online surveys can be vulnerable to attacks from bots and generative artificial intelligence (AI), which can generate hundreds of fraudulent responses instantly. Confronting this challenge to data integrity, we employed an adaptive approach to test the effectiveness of various anti-fraud tactics (e.g., CAPTCHA; honeypot questions; question pairs; open-ended questions) and to distinguish between good-faith human respondents versus bots or fraudsters. Findings revealed that bots with generative AI capabilities bypassed some conventional defenses, including CAPTCHA, and effectively supplied human-like responses to open-ended questions. Other tactics, like removing response incentives and verifying IP addresses, showed promise but came …

Commemorative Monograph: Padma Shri Dr. K.M. Cherian – A Life In Cardiac Surgery And Institution-Building, Gomathi Sundar

Journal Of Indian Physician Associates

No abstract provided.

A Twisting Trail To Diagnosis: Unraveling Morvan’S Syndrome In Caspr2-Associated Autoimmune Encephalitis, Yashfeen M

Journal Of Indian Physician Associates

This case snippet describes the diagnostic journey and clinical management of a 72-year-old gentleman who presented with progressive cognitive decline, involuntary myoclonus, and severe insomnia. Through a detailed clinical workup, including electromyography and antibody testing, he was diagnosed with Contactin-Associated Protein-Like 2 (CASPR2) antibody-associated autoimmune encephalitis manifesting as Morvan’s syndrome, a rare but reversible neuroimmunological disorder. Prompt initiation of immunotherapy led to gradual improvement, underscoring the value of clinical suspicion, multidisciplinary care, and early intervention. This case serves as a reminder to consider autoimmune etiologies in atypical neuropsychiatric presentations, especially in elderly patients.

Revolutionizing Digital Health In Rwanda: Progress Toward Universal Health Coverage, Roméo Bananeza Mr

Journal Of Indian Physician Associates

Rwanda is an African country that is making rapid progress in all sectors, including digital health. This review explores Rwanda’s transformative journey in digital health, highlighting key achievements, ongoing challenges, community involvement, and future prospects. Rwanda’s commitment is evident in using electronic health records, telemedicine, and mobile health applications. Rwandan institutions, including Rwanda Biomedical Center, Rwanda Ministry of Health, Rwanda Health Information Exchange, Rwanda Development Board, Partners in Health, universities, and several nongovernmental organizations, have made significant contributions to revolutionize digital health in Rwanda. However, the country continues to face barriers, including limited digital infrastructure, financial constraints, and disparities in …

Consent For Organ Donation In India: Factors, Challenges, And Opportunities – A Review, Preetha Vijayalakshmi, Yashfeen M

Journal Of Indian Physician Associates

India’s organ donation rate remains under 1 per million population, markedly lower than the consent rates observed in Canada and Spain. This narrative review synthesizes evidence from Indian and global literature to explore systemic, sociocultural, and individual factors influencing consent for deceased organ donation in India. Systemic barriers include delayed referrals, inadequate hospital infrastructure, and a shortage of trained transplant coordinators. Sociocultural factors, such as family decision-making under the Transplantation of Human Organs Act (1994), religious misconceptions, and concerns about bodily integrity, significantly hinder consent. Individual factors, including low awareness and a knowledge–action gap despite altruistic intentions, impede progress. Comparative …

Evaluation Of Different Design Standards For The Design Of Axial Loaded Concrete Filled Steel Tube Columns Under Fire, Ebtsam Youssef Ibrahim Abd El Ghaffar, Nabil Said Mahmoud, Fikry A. Salem, Mohammed. M. Ghannam

Mansoura Engineering Journal

This paper compares various codes and standards for the behavior of “Concrete-Filled Steel Tubes” (CFST) columns under fire and axial load. The codes evaluated include European standards (EC4.2 and EC3.2), the American standard (AISC 360), and the Australian standard (AS/NZS 2327). The fire resistance of Concrete-Filled Steel Tubular (CFST) and steel hollow (SH) columns was assessed using a computer program developed with Visual Studio .NET. The program's results were compared with previous experimental data to evaluate the accuracy of various codes and standards in predicting the behavior of these columns under fire conditions. This study highlights the importance of selecting …

Germanic Heroes, Courage, And Fate: Northern Narratives Of J.R.R. Tolkien’S Legendarium By Richard Gallant, Cami Agan

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

No abstract provided.

God’S Vow: A Note On C.S. Lewis’S Idea Of Human Freewill And Divine Omnipotence, Matthew Mckenna

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This note uses G.K. Chesterton’s understanding of vows as a hermeneutical key for a line from C.S. Lewis’ Miracles where Lewis says that God relinquishes part of his power by creating freewill. Chesterton’s idea of vows sees them as acts of power and freedom which paradoxically limit one’s freedom in the future by compelling one to keep one’s vow. The vow is an act of freedom which relinquishes one’s freedom by committing one to certain actions. Viewed through this lens, God’s creation of freewill is seen as an act of power and freedom.

Tolkien’S Exceptional Visit To Holland, Revisited: An Acquaintance With Maartje Draak, Bart Jaski, Kris Swank

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

This note revisits J.R.R. Tolkien’s trip to the Netherlands, March 28-31, 1958, including his attendance at the Rotterdam Hobbit-maaltijd (“Hobbit Meal” or “Hobbit Dinner”), and afterwards. It focuses specifically on his interactions with Prof. Dr. Maartje Draak, a prominent Dutch Celticist. Although Prof. Draak is not mentioned in René van Rossenberg’s paper, “Tolkien’s Exceptional Visit to Holland: A Reconstruction” (Mythlore 1996), items from Prof. Draak’s archives at Utrecht University and an offprint paper she sent to Tolkien in 1959 allow us to recover Tolkien’s acquaintance with this important Dutch scholar, to enhance our picture of the famous Hobbit Dinner, …

Unknowing In Tolkien's Legendarium And The Agnosia Of The Elvish Tradition, Benjamin Blakeslee-Drain

Mythlore: A Journal of J.R.R. Tolkien, C.S. Lewis, Charles Williams, and Mythopoeic Literature

The many layers of Unknowing in Tolkien’s legendarium make some of the most profound statements in his work. Unknowing creates space for the reader to have a more active and intimate experience with the text, and supports the central Christian moral message in The Lord of the Rings. The theme of Unknowing ties the legendarium to a larger set of scriptural and Christian writings, including the Book of Job, Mystical Theology, and The Cloud of Unknowing. Finally, Unknowing is shown to be a function of the legendarium reflecting a dominantly Elvish perspective. By dismissing the assumed authority of that perspective, …

A Vision With A Business: Kerista Commune’S Utopian Capitalism, Annelise Vought

Communal Societies

No abstract provided.

Table Of Contents

Communal Societies

No abstract provided.

Far Out West: A Utopian Comic Adventure, Cheryl Coulthard

Communal Societies

No abstract provided.

Review Of Gentle Words: The Meaning And Message Of Shaker Music, Carol Medlicott

Communal Societies

No abstract provided.

International Herb: The Career Of Shaker Herbalist Elisha Myrick, Christian Goodwillie

Communal Societies

No abstract provided.

Contact Tracing: Reflections On “Shaker Fever” Amid Pandemic Lockdowns, Carol Medlicott

Communal Societies

No abstract provided.

Types Of Burns And Burn Care, Frances Hagberg

The Kabod

Burn treatment focuses on minimizing tissue damage, preventing infection, managing pain, and promoting optimal healing. The severity of burns—classified as first, second, or third degree—determines the appropriate therapeutic approach, which may include wound cleaning, topical antibiotics, dressings, fluid resuscitation, and surgical interventions such as debridement or grafting. Effective treatment requires careful monitoring and support through each healing stage to reduce complications and improve functional and cosmetic outcomes.

America’S Best Idea: The Separation Of Church And State, A Review, Michael A. Smith

Bound Away: The Liberty Journal of History

This article critically assesses Randall Balmer’s America’s Best Idea, a historical and legal examination of the Jeffersonian principle of church-state separation. Drawing on Jefferson’s 1802 letter to the Danbury Baptists and Roger Williams’ earlier theological insights, Balmer frames the metaphorical “wall” as both a constitutional safeguard and cultural cornerstone. The review analyzes the book’s treatment of evolving Supreme Court jurisprudence, particularly the shift from strict separationism to accommodationism in recent decisions. It contextualizes this legal transformation within the broader rise of Christian Nationalism, examining the ideological and institutional pressures reshaping civic discourse. While affirming Balmer’s historical rigor and rhetorical …

The Architects Of Consensus: Propaganda, Patriotism, And The Owi’S Battle For The American Mind, Ryan G. Fix

Bound Away: The Liberty Journal of History

During World War II, the Office of War Information (OWI) became the United States' most sophisticated domestic propaganda agency, charged with forging national unity in the face of global conflict. This paper explores how the OWI fused federal authority with private-sector cooperation to influence public sentiment through film, advertising, journalism, and rumor control. Rather than resorting to direct censorship, the agency relied on voluntary collaboration, emotional appeal, and strategic framing to shape a coherent narrative that blurred the line between democratic persuasion and ideological management. Drawing on an extensive range of primary sources, including internal memos, field reports, and public …

High-Quality Language Adherence Evaluation Using A Large Language Model With Ground-Truth Language Annotations, Hongbin Liu, Mingqing Chen, Lun Wang

Defensive Publications Series

Language adherence is a metric that measures whether the responses of an artificial intelligence (AI) model adhere to the user’s desired language(s). Language adherence can be a nuanced aspect of AI-human interaction because the expected language of the model’s response need not be the same as the language used in the user’s prompt. This disclosure describes techniques that enable a general-purpose large language model (LLM) to operate as an accurate, context-aware, and specialized auto-rater. The auto-rater, which notably does not need model retraining, evaluates language adherence. The techniques include a framework for automated language evaluation based on a pipeline with …

Autonomous Agent For End-To-End Cloud Control Testing And Troubleshooting, Varun Bhardwaj, Kunwar Vikas, Nitin Garg, Mudit Jain

Defensive Publications Series

Cloud controls are vital components within compliance frameworks that ensure that organizations meet specific security and regulatory standards in their cloud environments. Current techniques for testing cloud controls are characterized by a lack of automation, substantial manual labor, and an inability to adapt to the growing complexity and volume of compliance requirements. This disclosure describes an autonomous artificial intelligence (AI) agent (referred to as a cloud-control agent) to streamline and accelerate the creation, deployment, and testing procedures for infrastructure-as-code (IaC) cloud controls. Functional correctness of IaC cloud controls is ensured against specified compliant and non-compliant test scenarios without direct human …

The Onshoring Opportunity Framework & National Reshoring Blueprint 2025, Joseph Jm Walker

Defensive Publications Series

This document bundle comprises the Onshoring Opportunity Framework (May 2025) and its clarifying successor, the National Reshoring Blueprint 2025 (August 2025). Originally submitted to U.S. federal departments as an urgent, data-driven strategy to secure critical supply chains, these works are now publicly released due to over ∼6 months of institutional non-response.

Presented as public prior art, this comprehensive resource empowers individuals, communities, and enterprises with the necessary intelligence and tools to initiate decentralized reshoring efforts. The Blueprint introduces six integrated systems designed to: identify manufacturing gaps via Reshore.Gov; facilitate local production through FoundryPods; commercialize U.S. patents through an IP Activation …

The Revival Of 'Actual Damnification' Rule: Deconstructing The Judicial Approach In India And England On Determining Commencement Of Liability In Contracts Of Indemnity, Arunabha Banerjee

National Law School Business Law Review

No abstract provided.

Crayfishes Of Kansas: List Of Taxa, Synonyms, And References, Mark E. Eberle

Sternberg Museum of Natural History Faculty Publications

There are 14 species of crayfishes (Decapoda: Cambaridae) reported from Kansas, although there are questions about the systematics of some taxa. These species are listed by their current names and the synonyms under which they have been reported since 1885, along with their conservation status. Published references that include each species in Kansas are also noted. In addition, information about species with type localities in Kansas and unresolved taxonomic issues are summarized. The list of species has been updated in 2025 to include two species introduced to Kansas and other new information.

Talis 2024 – Infographic: Teacher Views On Ai In The Classroom, Dominique Russell, Jo Earp

Teacher infographics

The Teaching and Learning International Survey (TALIS) captures the knowledge and experiences of school educators. Artificial intelligence (AI) featured as survey topic for the first time in 2024. This infographic shows the percentage of Australian teachers who ‘agreed’ or ‘strongly agreed’ with the following benefits and challenges of using AI tools in education.