Digital Commons Network^™

Acute Esophageal Necrosis: A Case Series Of Two Critically Ill Patients, Shadan Mehraban, Jonathan London, Leilah Tisheh, Jiya Mulayamkuzhiyil, Mario Mekhail, Zubin Tharayil, Chris Lascarides, Pranay Srivastava, Prakash Viswanathan

Journal of Community Hospital Internal Medicine Perspectives

Acute esophageal necrosis (AEN) is a rare syndrome, characterized by extensive circumferential necrosis of the esophageal mucosa at the gastroesophageal junction. AEN carries significant morbidity and mortality, and early recognition is crucial for management. We present a case series of AEN in two critically ill patients, one who presented with coffee ground emesis and diabetic ketoacidosis (DKA) and the other one who presented with upper gastrointestinal bleed in the setting of malignancy and concurrent infection with active antibiotic use. Prompt diagnosis and management of both AEN and its underlying causes are crucial to improve patient outcomes.

Acute Kidney Injury (Aki) In Adults With Leukemia: A Nationwide Inpatient Retrospective Analysis, Barath Prashanth Sivasubramanian, Sindhu Chandra Pokhriyal, Shashvat Joshi, Diviya Bharathi Ravikumar, Viraj Panchal, Ibthisam Ismail Sharieff, Tenzin Tamdin, Madhumithaa Jagannathan, Parvathy Anitha Rajeev, Idopise Umana

Journal of Community Hospital Internal Medicine Perspectives

Background: Leukemia ranks among the top three cancers in those who have Acute Kidney Injury (AKI), with an incidence of 7.5 % in hematological malignancies. Through this study, we aimed to assess the mortality of severe sepsis (SS), thrombocytopenia, and metabolic encephalopathy (MetE) in Leukemia with AKI.

Methods: We conducted a retrospective analysis using the National Inpatient Sample (2018e2021). Adults with Leukemia primarily admitted with AKI were included, and mortality was calculated. Patients were stratified by SS, thrombocytopenia, and MetE. Propensity matching for age over 60 and gender, and multivariate regression were performed with p ≤ 0.05.

Results: Among 388,449 …

The Association Of Non-Invasive Ventilation And Mortality In Covid-19 Induced Acute Respiratory Distress Syndrome, Chahat Puri, Akshay Duddu, Gina Patel, Sahib Singh, Juan Negrin, Lauren Greenburg, David Vitberg, Elisabeth M. Carr

Journal of Community Hospital Internal Medicine Perspectives

BACKGROUND - The COVID-19 pandemic caused a major burden on the healthcare system. Since the beginning of the pandemic, the timing of intubation in patients with COVID-19 induced acute respiratory distress syndrome (ARDS) remained an area of debate. STUDY DESIGN AND METHODS - A single-center, retrospective cohort study of all adult patients (n=161) with COVID-19 admitted to the ICU with acute hypoxic respiratory failure were included. The group was divided into patients intubated after a trial of NIV (N=100) and patients intubated without a trial of NIV (N=61). The primary outcome was to compare the mortality rates between the two …

Incidence, Associated Abnormalities, And Outcomes Of Dextrocardia: A Registry-Based Study In Saudi Arabia, Naif Saad Alghasab, Bandar Alshehri, Sulaman Almesned, Hassan Harbi, Reem Alameer, Fahad Alshehri, Ahmad Alzeid, Meshari Alzhrani, Ghazi T. Almutiri, Sara Abou Al-Saud, Fahad Alobaid, Khalid S. Alnajashi, Federica Fogacci, Arrigo F.G. Cicero, Suleiman M. Kharabsheh

Journal of the Saudi Heart Association

Objective: The right-sided positioning of heart during embryonic development is termed dextrocardia, and it may be isolated or associated with visceral dextroposition or malformation. However, there are few studies on the condition. This study aimed to determine the incidence of cardiac and non-cardiac malformations, long-term follow-up, and survival analysis of patients with dextrocardia. Methods: This was a retrospective chart review of dextrocardia cases at King Faisal Specialist Hospital & Research Centre in Riyadh, Saudi Arabia from April 22, 1975, to December 31, 2016. A total of 259,246 transthoracic echocardiograms from that period were reviewed, and 357 patients were included in …

Wrapped In The American Flag: Liberal Activism And Queer Political Organizing Post-1940s, Sam Markley

IdeaFest

By analyzing the United States Lavender Scare and immigration policy of the 1950s, this paper attempts to shed light on how the distinction between “American” and “Un-American” remains at the center of Queer rights advocacy. The heightened fear over the survival of the nation, along with the view of Queer immigrants as threats to the nation, was used to tighten immigration restrictions. This restriction, however, is complicated by existing prejudices against racial minorities and women. Queer rights groups began to rise to prominence during this time and mobilize against claims that they were anti-American or subversive deviants, working through the …

Third To Fifth-Grade Teachers’ Challenges When Teaching Reading Comprehension Skills To English Language Learners In Northern Virginia, Lorraine A. Wickham-Ellis

Walden Dissertations and Doctoral Studies

Third to fifth-grade teachers in a Northern Virginia Title 1 elementary school faced challenges when teaching reading comprehension skills to English language learners (ELLs) which impacted ELLs’ performance on state-mandated tests. Framed by Cummins’s second language acquisition theory, the purpose of this basic qualitative study was to explore third to fifth-grade teachers’ challenges in teaching reading comprehension skills to ELLs and their suggestions for improved training and resources in a Northern Virginia Title 1 elementary school. Two research questions addressed the teachers’ challenges and suggestions for improved training and resources. Semistructured interviews were used to collect qualitative data from nine, …

Using Remote Behavioral Skills Training To Teach Staff To Implement Augmented Competing Stimulus Assessments, Tanvi Pendharkar

Doctoral Dissertations - College of Arts and Sciences

Despite a growing number of Board Certified Behavior Analysts^®(BCBA), there are many geographic regions without access to behavior analytic services. Remote training methods that can be implemented without face-to-face contact allow for behavior analytic services to reach areas without local BCBAs to provide services. One such method with promise for remote application is behavioral skills training (BST). BST consists of instructions, modeling, rehearsal, and feedback. BST has been used to train behavior-analytic service providers to implement a variety of procedures, but BST has yet to be used to teach clinicians how to conduct augmented competing stimulus assessments (A-CSA). …

Usa V. Ronell Moses, Jr.

2025 Decisions

USDC for the Western District of Pennsylvania

The Effects Of Multiple Exemplar Instruction On A Bidirectional Naming Repertoire In Children With Autism Spectrum Disorder, Madison Appelbaum

Theses

Neurotypical children normally acquire language skills in their natural environment. However, children with autism spectrum disorder (ASD) typically require specialized interventions to acquire language and communication skills (Yoon et al., 2023). A behavior repertoire that has been shown essential for the fast and incidental acquisition of language in children is bi-directional naming (BiN). Multiple exemplar instruction (MEI) has been used to facilitate the acquisition of BiN in children with ASD. In the present study, we replicated and extended previous research (e.g., Yoon et al., 2023) to evaluate the effect of MEI on the emergence of BiN repertoire in three elementary …

Effects Of Self-Monitoring On Teachers’ Behavior-Specific Praise And Students’ Behavior In A Center-Based Classroom, Samantha Walsh

Theses

The current study explores the effects of self-monitoring on teachers' use of behavior-specific praise (BSP) and its impact on student behavior in a center-based classroom. Self-monitoring, a cost-effective and time-efficient intervention, has been proven effective in previous research for enhancing educator performance. However, previous studies have often combined self-monitoring with other interventions, leaving a gap in understanding its effects in isolation. This study aims to replicate the work of Justus et al. (2023) by examining the impact of self-monitoring on paraprofessionals in a center-based classroom with students aged 6-10. Using a multiple baseline design across participants, three paraprofessionals were trained …

Pragmatic Approaches To Data Breach Prevention: Strategies Employed By It Managers, Thompson Adefemi Olatuyi

Walden Dissertations and Doctoral Studies

The increasing frequency and complexity of data breaches present critical challenges for cybersecurity managers responsible for protecting organizational assets. This qualitative phenomenological study examined how information technology (IT) managers conceptualize, strategize, and apply best practices to prevent breaches in complex environments. Unmanaged risks can compromise sensitive systems, disrupt operations, and erode stakeholder trust. Business and IT leaders must proactively address these threats to avoid reputational damage, financial loss, regulatory penalties, and loss of competitive advantage. Grounded in Actor-Network Theory (ANT), the study examined insights gathered from 20 experienced IT managers in multiple countries, using semi-structured questionnaires and organizational documents. Thematic …

Robust Embeddings Of Genetics, Anatomy, And State Decoded From A Neuron’S Activity, Aidan Schneider

Arts & Sciences Graduate Student Theses and Dissertations

Neural spike trains are shaped by both extrinsic inputs and intrinsic structural constraints. While prior work has focused on how spike timing encodes externally driven variables, such as stimuli or behavior, this dissertation explores whether principles that organize neural activity in space and time—such as genetic cell type, anatomical location, and arousal state—are also embedded in the spiking output of individual neurons. I hypothesize that these organizing principles are not quenched as irrelevant variability, but rather multiplexed within the neural code itself. To test this, I attempt to decode these principles from the spike trains of neurons recorded in behaving …

How Are We Defining Preoperative Anemia? A Comparison Of Various Anemia Thresholds Among Patients Undergoing Short-Construct Lumbar Spinal Fusion, Tariq Issa, Omar Tarawneh, Teeto Ezeonu, Mark Lambrechts, Mark Kurd, Ian Kaye, Jose Canseco, Alan Hilibrand, Alex Vaccaro, Christopher Kepler, Gregory Schroeder

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Anemia is a risk factor for increased transfusions. However, various definitions of anemia have been described in scientific literature and a consensus on how to appropriately diagnose anemia or who to preoperatively optimize is lacking. We aimed to compare multiple anemia definitions and evaluate if any threshold best predicts transfusion requirements and surgical outcomes following spinal fusion.

METHODS: We conducted a retrospective cohort study of 1-2 level posterior spinal fusions. Preoperative hemoglobin was defined based on preoperative laboratories within 28 days of surgery. Anemia was diagnosed using the World Health Organization (WHO), the American Society of Hematology (ASH), and …

Correction: Turn-On Fluorescent Glucose Transport Bioprobe Enables Wash-Free Real-Time Monitoring Of Glucose Uptake Activity In Live Cells And Small Organisms, Monica S. Hensley, David Hutchings, Abdelrahman Ismail, Micaela Rayne Geborkoff, Thomas Werner, Marina Tanasova

Michigan Tech Publications

Correction for “Turn-on fluorescent glucose transport bioprobe enables wash-free real-time monitoring of glucose uptake activity in live cells and small organisms” by Monica S. Hensley et al., RSC Chem. Biol., 2025, 6, 987–995, https://doi.org/10.1039/D4CB00239C.

The authors regret that two contributors, Micaela Rayne Geborkoff and Professor Dr Thomas Werner, were inadvertently omitted from the original author list of this article. Both individuals made significant contributions to the research reported.

Micaela Rayne Geborkoff was involved in the design, planning, and execution of the Drosophila experiments, specifically in the growth and treatment of fruit fly larvae. Professor Dr Thomas Werner provided …

162-164 East 82nd Apts Llc V. Garrido

All Decisions

The tenant moved for partial summary judgment on a laches defense in a non-payment proceeding, seeking to preclude a possessory judgment for arrears from 2020 to January 2023. The court found that the landlord's four-year delay in bringing the case was unexplained and that the landlord failed to provide proof of prior notice to the tenant for the arrears. The court also recognized prejudice to the tenant, a long-term resident, who would be unable to pay the large sum. Accordingly, the court granted the motion, barring the landlord from seeking a possessory judgment for any arrears before November 2022, but …

Deployable Systems Eat, Utah State University Space Dynamics Laboratory

Space Dynamics Laboratory Publications

What Are Mechanisms?

• Moving Mechanical Assembly (MMA)

• A device that controls the movement of a deployable or other movable system of a space or launch vehicle

• Why do mechanisms exist?

• 1) Fit within launch vehicle or dispenser
• 2) Stow for launch loads
• 3) Change position or pointing once on orbit
• 4) Deploy objects

Wendy Kooken, Wendy Kooken, Nathalie Romero '25, Posse Legacy Project, Illinois Wesleyan University

All oral histories

Interview of Wendy Kooken, PhD, RN on July 3, 2025. Wendy Kooken, PhD, RN, Posse 4 and Posse 7 mentor and Associate Professor of Nursing at Illinois Wesleyan University.

Synthesis And Evaluation Of Novobiocin Analogues As Potential Inhibitors Of Polymerase Theta Polθ In Dna Damage And Repair, Mohammed Essam Albuhluli

Theses and Dissertations

Killing tumors while leaving normal cells unharmed is the goal of precision cancer therapy, a challenging feat that is enabled by targeting tumor-specific vulnerabilities [1]. Targeting Polθ potentiates PARP inhibitors (PARPi) in specifically killing homology-directed repair (HDR)-deficient tumor cells and re-sensitize PARPi resistant tumor cells [1]. The induced essentiality between Polθ and HDR-deficiency underscores the value of Polθ as a therapeutic target in the context of tumors with HDR genetic mutations [1]. The helicase-like domain (HLD) is a super family 2 (SF2)-type domain with DNA-dependent ATPase activity [1]. We previously discovered that the antibiotic NVB acts as an inhibitor of …

The Role Of Cultural Humility In Enhancing Successful Intercultural Relationships, Felix Enyan

Research Papers

In the 21^st century, it is easy to locate a large group of population in U.S America. For society to thrive, a good intercultural relationship is a fundamental building block for societal advancement. However, individuals inherit cultural biases that discourages healthy intercultural relationships. Concepts like cultural humility aid in addressing the status quo. Cultural humility encourages lifelong learning and self-criticism of one’s view thereby acknowledging inherent bias. To remedy the status quo, cultural humility is introduced to intercultural communicators and individuals engaging in intercultural relationships.

Innovations In Percussion Literature: The Role Of Composers And Percussionists In Shaping The Evolution Of The Craft, Noah N. Newsom

Research Papers

No abstract provided.

Imaging Sciences Teachers’ Experiences With Simulation-Based Clinical Training Curriculum, Mandy Stelz

Walden Dissertations and Doctoral Studies

Simulation-based education (SBE) is currently being used in imaging sciences education with no set standards or best practices. Grounded in the framework drawn from Kolb’s experiential learning theory and Magana’s T3 framework of innovation, the purpose of this qualitative study was to explore imaging science teachers’ experiences using SBE for clinical training. The participants were 12 imaging science teachers that have taught imaging science students using SBE for a minimum of 3 years. Data were collected using semistructured interviews. Through thematic analysis, four themes were identified: (a) imaging science teachers reported a wide variety of tools and types of SBE …

Jamaican Blue Mountain Coffee Farmers’ Effective Strategies For Achieving Profitability, Norman Washington Grant

Walden Dissertations and Doctoral Studies

Jamaican Blue Mountain (JBM) coffee farmers often fail to improve production, which has the potential for adverse business outcomes. Farmers and business owners are concerned about the sustainability of their farm operations, which is essential for achieving profitability. Grounded in Hawley’s risk theory of profit, the purpose of this qualitative multiple case study was to identify and explore effective strategies that JBM coffee farmers used to achieve profitability. The participants were six JBM coffee farm owners in the Jamaican coffee industry who used effective strategies to achieve profitability. Data were collected using semistructured interviews and a review of organizational marketing …

Implementation Of Inclusive Education In Elementary Schools In Balikpapan City: Challenges, Solutions, And Impacts, Firman Firman, Ganjar Susilo, Tri Astuti Nur’Aini

Journal of ICSAR

The goal of implementing inclusive education in schools is to guarantee that every student, including those with special needs, receives a high-quality education. This research seeks to evaluate how inclusive education is being carried out in primary schools (SD) in Balikpapan City, with a focus on the challenges faced, solutions proposed, and the effects on student development. A descriptive qualitative method was employed, utilizing observation, interviews, and documentation techniques. Data analysis followed Miles and Huberman's framework, involving data description, analysis, and drawing conclusions. The findings indicate that inclusive education in Balikpapan City's elementary schools holds significant potential to transform the …

Innovation And Quality Of Teacher Training In The Transformation Of Special Education Toward Inclusive Learning In The Sdgs Era, Vasas Elkasih Lase, Fariyeni Fariyeni, Dessy Masita, Teguh Shulha Shidqi, Elsa Elfrina

Journal of ICSAR

To achieve the Sustainable Development Goals (SDGs), particularly Goal 4 on inclusive and equitable education, the transformation of special education into high-quality inclusive learning is crucial. One key aspect of this transformation is teacher training and the quality of teaching services. Although inclusive education policies have been implemented inany schools, challenges remain regarding teacher preparedness and the contextual relevance of training. This study investigates how teachers and school leaders in special schools (SLB) understand and implement inclusive education transformation within a changing socio-cultural context. This research uses a qualitative case study approach, involving participant observation, semi-structured interviews, and document analysis …

Enhancing Thematic Learning Outcomes And Reducing Maladaptive Behaviors In Autistic Students Through The Busy Web Media, Hartini Nara, Rohmah Ageng Mursita, Ashi Thariq Jaatshiah

Journal of ICSAR

This study aims to develop Busy Web Media as a tool for thematic learning, designed to reduce maladaptive behaviours in autistic students in grade VI at Sekolah Matahari Bunda. Using the Research and Development (R&D) method in conjunction with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation), the study involved expert evaluations at various stages. Media experts, content specialists, and autism experts provided their assessments, with all evaluations indicating high feasibility. Specifically, the media expert rated the product positively, emphasising its design and usability. The subject matter expert found the content highly appropriate for the curriculum, and the autism expert …

Digital Menstrual Health Education For Adolescent Girls With Intellectual Disabilities: Evidence From The Kesmens Digital Media Intervention, Ana Fatimatuzzahra, Endang Rochyadi, Riksma Nurhami Akhlan, Een Ratnengsih, Mughi Puspa Annisi

Journal of ICSAR

Adolescent female with intellectual disabilities often encounter substantial barriers in managing menstrual hygiene, which may negatively impact their physical health, social integration, and personal autonomy. These challenges are largely attributed to the absence of concrete and developmentally appropriate educational tools, along with limited support from families and educators during menstruation. This study evaluates the effectiveness of the KESMENS Digital Book, a family assisted multimedia learning resource, in improving menstrual hygiene management skills among adolescents with intellectual disabilities. Using a Single Subject Research method with an A B design, the intervention was implemented for a junior high school student at SLBN …

Ptpn11 Mutations Define A Rare But Highly Adverse Subset Of Myelodysplastic Syndromes, Alexandre Bazinet, Alex Bataller, Guillermo Montalban-Bravo, Kelly Chien, Koji Sasaki, Wei Ying Jen, Mahesh Swaminathan, Tapan Kadia, Courtney Dinardo, Farhad Ravandi, Guillermo Garcia-Manero, Hagop Kantarjian

Faculty, Staff and Student Publications

No abstract provided.

Detection Of Beef Mince Adulteration Based On Sparse Hyperspectral Feature Selection Algorithm, Ma Yongbo, Peng Yu, Xu Yiping, Li Dan

Food and Machinery

［Objective］ To achieve high -precision detection of beef mince adulterated with pea protein,duck mince,chicken mince,and pork mince by combining hyperspectral technology with sparse hyperspectral feature selection.［Methods］ The original spectral data of the beef mince samples is extracted and processed using standard normal variable transformation (SNV ),multiplicative scatter correction (MSC ),first -order differential (D1),and moving average (MA) preprocessing methods.A hyperspectral feature selection algorithm is designed based on sparse representation.This algorithm constructs a sparse dimensionality reduction framework and uses swarm intelligence optimization to optimize and solve the objective function of spectral feature selection.The spectral data dimensionality is reduced as much as possible …

Online Detection Of Citrus Sugar Content Based On Visible Near-Infrared Reflectance Spectroscopy, Li Liqiao, Gao Zongyu, Shi Ruyi, Nie Jing, Chai Jianmin, Liu Wei

Food and Machinery

［Objective］ To lower the complexity,improve the accuracy and reduce the damage of the detection process of citrus sugar content.［Methods］ An online detection device for citrus sugar content is designed based on visible near -infrared reflectance spectroscopy.With Jinniu Citrus as the research object,the modeling set and verification set are divided by sample set partitioning based on the joint x-y distance (SPXY ) classification method.The partial least square regression (PLS) modeling and detection effects after pretreatment are respectively compared and analyzed by methods including multiple scattering correction (MSC ),standard normal variation (SNV ),and SG -smoothing (SG) to determine the optimal pretreatment method.At …

Non-Destructive Detection Of Kiwifruit Internal Quality Based On Improved Deep Convolutional Neural Network And Spectral Technology, Chen Wei, Fei Wenyuan, Li Chao, Wei Chenxi

Food and Machinery

［Objective］ Dry matter and sugar content are two important indicators affecting the quality of kiwifruit.To achieve rapid and accurate detection of these indicators,a non -destructive detection method for key internal quality indicators of kiwifruit is proposed,integrating improved deep convolutional neural network with spectral technology.［Methods］ A spectrometer was used to collect spectral data of kiwifruit,and the data were transformed into two types of two -dimensional images using Gramian Angular Field (GAF ) transformation.An improved convolutional neural network model with multi -dilated convolutions was constructed to predict and analyze key quality indicators of kiwifruit.The model consists of two independent CNN modules connected …