Digital Commons Network^™

Regional Citrate Anticoagulation And Infectious Complications In Critically Ill Children And Young Adults Receiving Continuous Renal Replacement Therapy, Katja M Gist, Sai Prasad N Iyer, H David Humes, Stuart L Goldstein, Mihaela Damian, Andrea Cappoli, Catherine Joseph, Danielle E Soranno, Michelle Starr, Ashita Tolwani, Kevin K Chung, Theresa Mottes, Huaiyu Zang, Jangdong Seo, Nicholas J Ollberding, Shina Menon

Faculty, Staff and Students Publications

Introduction: Recent studies have identified an association between regional citrate anticoagulation (RCA) and subsequent infectious complications during continuous renal replacement therapy (CRRT). We aimed to determine if RCA was associated with infectious complications in children and young adults receiving CRRT.

Methods: A secondary analysis of the multinational Worldwide Exploration of Renal Replacement Outcomes Collaborative in Kidney Disease (WE-ROCK) registry (34 centers, 9 countries), was performed, including patients from 2015 to 2018. Patients were excluded if they (1) died within 72 h of CRRT initiation, had minor trauma or were postsurgical (analysis 1), or (2) met an exclusion in analysis 1 …

Reaching International Consensus On The Definition Of Refractory Migraine Using The Delphi Method, Jennifer Robblee, Fawad A. Khan, Michael J. Marmura, Hope L. O'Brien, Lawrence D. Robbins, Marielle K. Samaha, Morris Levin, Simona Sacco, Raffaele Ornello, Stephanie J. Nahas, Heike Hesse, Annika Ehrlich, Adam S. Sprouse-Blum, Christina Sun-Edelstein, Bronwyn Jenkins, Elizabeth K, Seng, Shivang Joshi, Meredith J. Barad, Mi Ji Lee, Sheena K. Aurora, Mario Fernando Prieto Peres

Department of Neurology Faculty Papers

Aim: Despite its frequency in tertiary headache centers, the International Classification of Headache Disorders, 3rd edition (ICHD-3) does not include refractory migraine. Multiple definitions have been proposed with a recent 2020 proposal for both refractory migraine and resistant migraine by the European Headache Federation (EHF). The aim is to reach an international consensus on the definition of refractory migraine.

Methods: This study is a Delphi consensus carried out by a group of international experts in headache medicine. Following a focus group, a panel of 20 experts and one facilitator reviewed the EHF proposed criteria to build upon their definitions. The …

Modern Zombies As Subaltern In Max Brooks’S World War Z: An Oral History Of The Zombie War (2006), Hamza Alwan Jaber, Azhar Noori Fejer

Alustath Journal for Human and Social Sciences

Max Brooks’s World War Z (2006) has made many contributions to the zombie genre, particularly in making it an international plague. With key situations occurring in the Middle East, which in the Christian tradition will be the location of the “End of Days,” the Apocalypse, the Armageddon at the Megiddo. While Brooks was not the first to assign infectious disease/plague/epidemiology as the cause of zombies, he emphasized that explanation for the 21st-century culture that has been rife with fears of disease and pandemics, from Ebola, Bird flu, etc. This study aims to show the image of the modern zombie as …

Symptoms Of Anxiety And Depression In Mothers Of Children With Autism Spectrum Disorder, Hawra Muhammad Khrebit, Iman Hasan Jadan

Alustath Journal for Human and Social Sciences

The current research aimed the anxiety and depression scale of (HADS, 1983). The scale consisted of (14) paragraphs, and the sample size of the research was (145) mothers of autistic children in Baghdad Governorate, both sides of Karkh and Rusafa

The Effect Of Sample Size Differences On Calculating The Conditional Standard Error Of Achievement Tests, Khalid Jamal Jasim, Haris Sahib Naji

Alustath Journal for Human and Social Sciences

The aim of the research was to study the effect of sample size differences (200, 400, 600) on calculating the conditional standard error using the Lord and Keats methods in achievement tests according to the classical measurement theory. The results showed that the difficulty coefficients ranged between 0.42 and 0.73 with an average of 0.60, and the discrimination coefficients ranged between 0.17 and 0.47 with an average of 0.36, with the exception of two items that did not meet the conditions. All the wrong alternatives were effective with negative values, and the Cronbach’s alpha reliability coefficient was 0.879, The Lord …

Foreign Language Anxiety In Learners’ Oral Performance In English, Niaam Ali Hasan

Alustath Journal for Human and Social Sciences

The present research is a reasonably comprehensive investigation into the multilevel effect of foreign language anxiety on oral performance in the English language. It probes deep into complex interfaces of anxiety levels, language proficiency, the nature of tasks, and speaking performance for an all-encompassing perspective of the complex dynamics that govern language learning in educational contexts. Drawing on an extensive data collection program amongst a diverse group of international students, this paper identifies and explores a number of key statistical trends that would suggest high levels of anxiety strongly collocated with poor oral performances, particularly in formal assessment tasks.

It …

Misandry And Men’S Equity In Selected Novels By Female Authors, Omar Abbas Sallal

Alustath Journal for Human and Social Sciences

This study aims to shed light on the concept of misandry in selected novels by Octavia E Butler and Margaret Atwood. Several previous studies dealt with the concept of misogyny in detail and depth, so it became necessary to present a different point of view. This study reached the following results, analysing the female and male characters to accurately determine the concept of misandry. This study gives a different model of female novelists’ novels to inform the reader of the existence of two sides of female writers, and the novelist Suanne Laqueur was taken as a counter example to the …

The Palestinian-Israeli Conflict Through Chomsky And Bremmer’S Interviews: A Critical Discourse Analysis, Noora Jameel, Sarab Khalil

Alustath Journal for Human and Social Sciences

The Palestinian-Israeli conflict is seen as one of the most serious and controversial issues in the world. In this paper, the researcher seeks to highlight some crucial points with regard to this conflict by adopting critical discourse analysis (CDA) as the primary means of analysis. Since conflicts are usually accompanied by social wrongs, it is more appropriate to use Fairclough’s 2010 approach to CDA in order to get more logical results. However, the study aims to provide a critical analysis of two selected interview by two famous figures; Ian Bremmer and Noam Chomsky in order to highlight the following points: …

Alpiscorpius Huyukensis Sp. N., An Unexpected New Species From Sultan Mountains, Konya Province, Turkey (Scorpiones: Euscorpiidae), Ersen A. Yağmur, Halil İ. Yaylı

Euscorpius

A new scorpion species, Alpiscorpius huyukensis sp. n., is described from the western foothills of the Sultan Mountains, Konya Province, in the Aegean Region of western Turkey, based on morphological characters. The species is assigned to the genus Alpiscorpius Gantenbein et al., 1999, due to the presence of three trichobothria in the em series on the external surface of the pedipalp patella. A. huyukensis sp. n. can be readily distinguished from its all congeners by its yellowish-orange or greyish-orange body and yellow metasomal coloration, the fifth metasomal segment bearing distinct ventrolateral carinae, the presence of six trichobothria in the …

“Pride And Despair”: Denethor’S Struggles Against His Self-Woven Death, Ali Mirzabayati

Journal of Tolkien Research

This paper examines Denethor, Steward of Gondor, as a central figure illustrating the interplay of pride, fear, and mortality in The Lord of the Rings. It analyzes how his Númenórean heritage, grief over the loss of his sons, and obsession with control shape his decisions, leading to passivity, mistrust, and self-destruction. Drawing on Northern literary traditions, including the Danes’ prayers to the Gastbona in Beowulf and Boethian reflections on pride and despair, the study situates Denethor’s downfall within a broader cultural and philosophical context. By exploring how his fear of death undermines judgment and heroic potential, the paper highlights …

A Framework For The Role Of Vegetation Selection In Enhancing Educational Outdoor Spaces Through Ai Technology., Amira Mohamed, Mirette A. Esmat, Amira Mahrous Dr

Journal of Engineering Research

Well-designed outdoor spaces are increasingly recognised as critical components of environmental sustainability and community building within higher education institutions. Among the most influential elements in shaping these spaces is the strategic selection of vegetation, which must balance aesthetics, functionality, ecological value, and long-term maintenance. However, traditional plant selection methods remain time-consuming, labour-intensive, and often dependent on subjective judgement, posing significant challenges for landscape architects and campus planners. This paper explores the application of artificial intelligence (AI) as a transformative solution to enhance the plant selection process in educational outdoor environments. It introduces a comprehensive AI-driven framework that integrates key variables—including …

Assessment Of Radiological Risk Hazard Indices For Diverse Environmental And Biological Samples: A Comprehensive Review, Israa K. Ahmed, Sabah S. Farhan, Jamal M. Rzaij

Al-Bahir

Radiological risk assessment is pivotal for safeguarding human health and ecosystems amid expanding radiation applications in technology and medicine. This review systematically evaluates the efficacy of hazard indices like the Annual Effective Dose Equivalent (AEDE) and Excess Lifetime Cancer Risk (ELCR) across environmental (soil, water) and biological (tissues, crops) samples, addressing critical gaps in comparative methodologies, a PRISMA-guided systematic. Literature review was conducted across Scopus, PubMed, and Web of Science, analyzing more than 100 peer-reviewed studies (2010–2024) that met the inclusion criteria: English-language publications, multi-index comparisons, and empirical validations. Exclusion criteria removed non-peer-reviewed works and studies focusing on a single …

The Spread Of China’S Cultural Soft Power Through The Chinese New Year Festival In Pontianak, Kevin Thedeus, Nuraeni Nuraeni

Global: Jurnal Politik Internasional

Chinese New Year (CNY) celebration is one of the biggest celebrations for the Chinese Indonesians in Pontianak. This celebration allows the Chinese ethnic groups to remember and maintain their traditional roots while living in the host country. However, the high interest from non-Chinese Indonesians in visiting and participating in the CNY celebration raises questions about whether this diasporic activity unintentionally strengthens the favourability of the Indonesian people towards China and is used as a means of China's soft power. This study will discuss the spread of culture from the CNY Festival in Pontianak, which can serve as an instrument of …

Dedication, R. J. Lambert, Randall W. Monty, Sarah Warren-Riley

Writing and Language Studies Faculty Publications

Shortly after this special issue had gone to press, we lost our friend, collaborator, and co-editor, Ms. Kymberly Morquecho.

Introduction To Special Issue On Unjust “Permission Structures” In/As Technical Communication, R. J. Lambert, Randall W. Monty, Kymberly O. Morquecho, Sarah Warren-Riley

Writing and Language Studies Faculty Publications

The term “permission structure” has been popularized to describe a specific rhetorical strategy whereby communicators use the audience's existing beliefs and values to persuade them to change their original positions and/or take actions they otherwise would not. Even in its popular uses, permission structuring may be usefully understood as a form of technical communication by which audiences are strategically persuaded to accept or reject complex policy, scientific, and legal topics. However, scholars must resist popular jargon outpacing and superseding the use of technical concepts and critical discourse. Taken together, the seven articles in this special issue potentiate multiple critical, pedagogical, …

Self-Talk Speaks Loud: A Bibliometric Dissection Of Its Rise In Counseling Practices, Sri Purwanti, Wahyu Nanda Eka Saputra

Buletin Konseling Inovatif

This study aims to map global trends in self-talk using a bibliometric approach. The data source was entirely drawn from the Scopus database, focusing on publications containing keywords related to self-talk, such as self-talk, talk, and relationship. The analysis was conducted on 960 selected documents published between 1975 and 2025. The results show a significant increase in publications since 2020, reflecting a growing need for self-talk approaches that support mental health and psychological well-being. Authors from various countries contributed differently, with the United States dominating in terms of both publication volume and citations, while developing countries such as Indonesia have …

Aphasia In South Asian Languages (Asal) Project: A Protocol Of Connected Speech Tasks For Investigating Cross-Linguistic Grammatical Profiles In Aphasia For South Asian Languages, Arpita Bose, Sakshi Bhatia, Lakshmi Venkatesh, Sayantani Banerjee, Gurujegan Murugesan, Sunila John, Sakshi Upadhyay, Manaswita Dutta, Mythili Menon, Danielle Fahey, Multiple Additional Authors

Speech and Hearing Sciences Faculty Publications and Presentations

Background

Languages vary in their syntactic (e.g. word order in sentences), lexical (e.g. presence of specific word classes), and morphological (e.g. inflectional or derivational forms of words) properties. This cross-linguistic variation in language typology influences the manifestation of agrammatic symptoms. However, most theoretical models of agrammatism are based on English and a few European languages, limiting their generalizability. This narrow focus neglects the rich syntactic, lexical and morphological variations available in languages globally. Clinically, the lack of language-specific characteristics of agrammatic impairments limits translational potential for precise and improved diagnosis. The Aphasia in South Asian Languages (ASAL) project addresses this …

Trajectories Of Recovery After Intravenous Propofol Versus Inhaled Volatile Anaesthesia (Thrive) Randomised Controlled Trial In The Usa: A Protocol, Bethany R Tellor Pennington, Laura Swisher, Mara L Bollini, Michael S Avidan, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Millions of patients receive general anaesthesia every year with either propofol total intravenous anaesthesia (TIVA) or inhaled volatile anaesthesia (INVA). It is currently unknown which of these techniques is superior in relation to patient experience, safety and clinical outcomes. The primary aims of this trial are to determine (1) whether patients undergoing (a) major inpatient surgery, (b) minor inpatient surgery or (c) outpatient surgery have a superior quality of recovery after INVA or TIVA and (2) whether TIVA confers no more than a small (0.2%) increased risk of definite intraoperative awareness than INVA.

METHODS AND ANALYSIS: This protocol was …

News And Notes

Appalachia

A Look Back at the Appalachian Mountain Club’s Long-Ago Membership Practices. 350th Year Since King Philip’s War on Talcott Mountain in Connecticut. Northeast Snow Survey Feasibility Study. All Out: AMC’s Action Plan for 2025-2030.

Matty's First Hike: Hiking Spain's Northwest Coast With A Baby And A Beagle, Katy Dycus

Appalachia

New parents venture along the coast of Galicia, from the Cliffs of Loiba to O Esteiro and back, with their son in a carrier.

Barefooting The Northeast 111: A Hiker Discovers The Intensity Of Pinpricks, Grit, And Mud, Kenneth A. Posner

Appalachia

Climbing without shoes in the Catskills, then the Adirondacks, the White Mountains of New Hampshire, and Maine, he learned to focus on the here-and-now.

Burning Solitudes: Mountain Storytelling In The Age Of Social Media Reproduction, Katie Ives

Appalachia

A deep exploration into the contradictions of recording mountain experiences while having them.

Appalachia Summer/Fall 2025: Complete Issue

Appalachia

Summer/Fall 2025 - Volume LXXVI, Number 2 - Issue #260. On the Ground and Screen: Stories of smartphones in wild places.

Naming Practice Effects And Inconsistencies Relate To Treatment Outcome In People With Aphasia, Janina Wilmskoetter, Katherine Blackwood, Sigfus Kristinsson, Grant Walker, Julius Fridriksson, Deena Schwen Blackett, Dirk B. Den Ouden, Chris Rorden, Argye E. Hillis, Gregory Hickok, Sara Sayers, Leigh Ann Spell, Leonardo Bonilha

Communication Sciences and Disorders Faculty Articles and Research

Background and aims

Method

Somatostatin Receptor 2 Overexpression In Hepatocellular Carcinoma: Implications For Cancer Biology And Therapeutic Applications, Servando Hernandez Vargas, Solmaz Aghaamiri, Jack T Adams, Tyler M Bateman, Belkacem Acidi, Sukhen C Ghosh, Vahid Khalaj, Ahmed O Kaseb, Hop S Tran Cao, Majid Momeny, Ali Azhdarinia

The Brown Foundation: Institute of Molecular Medicine

Background: Somatostatin receptor 2 (SSTR2), a G protein-coupled receptor, is overexpressed in multiple malignancies, including hepatocellular carcinoma (HCC). While SSTR2 has traditionally been viewed as an inhibitory receptor involved in suppressing hormone secretion and cell proliferation, emerging evidence suggests a more complex role in cancer biology. However, the functional implications of SSTR2 expression in HCC remain poorly understood. This study aimed to systematically investigate the molecular landscape associated with SSTR2 expression in HCC and evaluate its potential as a therapeutic target.

Methods: SSTR2 expression patterns across 22 tumor types were assessed using TNMplot, and its expression in HCC was further …

Molecular Architecture And Mechanical Response In Polymeric Materials: Thin Films, Linear-Ring Elastomers, And Lignin, Siteng Zhang

Theses and Dissertations

Understanding the mechanical behavior of polymeric materials is critical to advancing modern technologies, from flexible electronics to sustainable adhesives. This dissertation investigates the micromechanics of polymer thin films, dual-network elastomers, and bio-based lignin materials, with an emphasis on deformation mechanisms, network topology, and mechanical properties. The work combines principles of polymer physics with materials science to uncover structure–property relationships that inform polymer design. This dissertation primarily uses coarse-grained and atomistic molecular dynamics simulations to investigate molecular-scale behavior beyond experimental reach. Through these methods, critical insights are gained into how entanglement, topology, and chain architecture govern bulk material performance. The first …

An Exploration Of Temporally Differentiated Associations Between Alcohol Outlets, Social Disorganization, And Assaults: A Multilevel Approach, Jinuk Jeong, Yunho Yeom

Publications and Research

A substantial body of research consistently shows that the concentration of alcohol outlets is positively associated with violent crimes, such as assaults. While recent studies have incorporated both spatial and temporal dimensions of this relationship, particularly within-day variations, how this temporally differentiated association of alcohol outlets with violent crimes varies depending on the broader context, such as social disorganization, remains underexplored. This study addresses this research gap by investigating whether the relationship between alcohol outlets and assaults in New York City from 2017 to 2019 differs by time of the day, while accounting for neighborhood structures in terms of their …

Pediatric Epilepsy Surgery: The Noninvasive Presurgical Evaluation, Deepankar Mohanty, Michael Quach

Faculty, Staff and Students Publications

Background: Drug-resistant epilepsy is a debilitating condition that afflicts individuals across all demographics, including children. The only recourse for many of these individuals is neurosurgery to reduce seizure burden, by either resecting or ablating the cerebral source or modulating it with a stimulator device. In either case, a thorough presurgical evaluation is required to identify brain regions of interest and construct an appropriate surgical plan. The scope of this evaluation has grown rapidly over the years as new and refined techniques have emerged. The aim of this article was to condense the most salient points regarding investigational tools used commonly …

Potential For Therapeutic Alteration Of The Underlying Biology Of Epilepsy, Michael R. Sperling, Jurriaan M. Peters, Qian Wu, Michelle Guignet, H. Steve White, Evelyn K. Shih, Leock Y. Ngo, Enrique Carrazana, Adrian L. Rabinowicz

Department of Neurology Faculty Papers

Approximately 30-35% of people with epilepsy experience seizures despite taking antiseizure medications. Recurrent seizures that are independent of status epilepticus can be associated with neuronal injury and structural changes to the brain, as well as diminished cognitive function, mood, and quality of life. A treatment that alters the underlying biology of epilepsy, thereby reducing the seizure burden and its attendant consequences, would be of great value in preventing these detrimental effects. In this review, we summarize preclinical and clinical research on pharmacological treatments that may favorably alter the underlying biology of epilepsy (i.e., disease modification or antiepileptogenesis). A reduction in …

Does The Language Spoken In The Home Affect Family Asthma Management For Hispanic Children?, Sharon D. Horner, Megan C. T. Hebdon

International Nursing Research Congress (INRC)

Purpose: This study of Hispanic families with school-aged children (ages 7-12) who are diagnosed with asthma examined the influence of language spoken in the home on family asthma care and access to care.

Background: Asthma is the most common chronic condition in childhood, affecting 8% of all U.S. children. Children who live in poorer families or who are members of ethnic minority groups are disproportionately burdened. Hispanic individuals have 1.2 greater odds of having asthma compared to non-Hispanic white individuals. In Texas, Mexican Americans make up the largest portion of Hispanics, and 11.5% of Mexican American children have asthma …