Digital Commons Network^™

Variational Speculative Decoding: Rethinking Draft Training From Token Likelihood To Sequence Acceptance, Xiandong Zou, Jianshu Li, Jing Huang, Pan Zhou

Research Collection School Of Computing and Information Systems

Speculative decoding accelerates inference for (M)LLMs, yet a training-decoding discrepancy persists: while existing methods optimize single greedy trajectories, decoding involves verifying and ranking multiple sampled draft paths. We propose Variational Speculative Decoding (VSD), formulating draft training as variational inference over latent proposals (draft paths). VSD maximizes the marginal probability of target-model acceptance, yielding an ELBO that promotes high-quality latent proposals while minimizing divergence from the target distribution. To enhance quality and reduce variance, we incorporate a path-level utility and optimize via an Expectation-Maximization procedure. The E-step draws MCMC samples from an oracle-filtered posterior, while the M-step maximizes weighted likelihood using …

Train In Vain: Functionality-Preserving Poisoning To Prevent Unauthorized Use Of Code Datasets, Yuan Xiao, Yuchen Chen, Jiaming Wang, Wei Song, Jun Sun, Shiqing Ma, Yanzhou Mu, Juan Zhai, Chunrong Fang, Jin Song Dong, Zhenyu Chen

Research Collection School Of Computing and Information Systems

The widespread availability of large-scale code datasets has accelerated the development of code large language models (CodeLLMs), raising concerns about unauthorized dataset usage. Dataset poisoning offers a proactive defense by reducing the utility of such unauthorized training. However, existing poisoning methods often require full-dataset poisoning and introduce transformations that break code compilability. In this paper, we introduce FunPoison, a functionality-preserving poisoning approach that injects short, compilable weak-use fragments into executed code paths. FunPoison leverages reusable statement-level templates with automatic repair and conservative safety checking to ensure side-effect freedom, while a type-aware synthesis module preserves type correctness, suppresses static-analysis warnings, and …

Itimo: An Llm-Empowered Synthesis Dataset For Travel Itinerary Modification, Zhuoxuan Huang, Yunshan Ma, Hongyu Zhang, Hua Ma, Zhu Sun

Research Collection School Of Computing and Information Systems

Addressing itinerary modification is crucial for enhancing the travel experience as it is a frequent requirement during traveling. However, existing research mainly focuses on fixed itinerary planning, leaving modification underexplored due to the scarcity of shape need-to-modify itinerary data. To bridge this gap, we formally define the itinerary modification task and propose a general pipeline to construct the corresponding dataset, namely iTIMO. This pipeline frames the generation of shape need-to-modify itinerary data as an intent-driven perturbation task. It instructs large language models to perturb real-world itineraries using three operations: REPLACE, ADD, and DELETE. Each perturbation is grounded in three intents: …

Bridging Llm Embeddings And Vae Parameters For Disentangled Recommendation, Nhu-Thuat Tran, Hady Wirawan Lauw

Research Collection School Of Computing and Information Systems

Disentangled recommendation within the Variational Autoencoder (VAE) framework aims to capture multiple user interests. While effective, these VAEs are fundamentally constrained by their reliance on interaction data alone, lacking the rich external semantic knowledge needed to properly structure and separate latent interests. Meanwhile, Large Language Models (LLMs) excel at deriving profound user preference signals from textual data. Prevailing methods for integrating LLMs into recommendation, however, either focus on single-interest modeling or perform a shallow fusion by aligning LLM and VAE representation spaces. Thus, they fail to fundamentally shape the VAE's latent space for multi-interest learning, hindering recommendation performance. To bridge …

The Accidental Entrepreneur: How Military Spouses Take Their Careers Into Their Own Hands, Jennifer Barnhill, Rosalinda Maury, Jeanette Harvie

Institute for Veterans and Military Families

The Accidental Entrepreneur is the second narrative profile in the Reimagining Military Spouse Employment series, a companion to the initiative's data briefs. Through the story of a mid-career military spouse who builds a business after repeated career disruptions, it examines why many spouses turn to entrepreneurship and what stands in their way. The profile covers the barriers spouses face when starting a business, including access to funding, certifications, and grants, along with the reality that self-employment does not eliminate the military spouse earnings penalty. It offers guidance for military spouses considering entrepreneurship and for the community leaders positioned to support …

Neural Network Technologies In The Automatical Control Systems Of Absorption Process For Pureficating Natural Gas, Abdishukurov Maqsudovich Shavkat Mr, Xuecheng Li Li Xuecheng Mr

Technical science and innovation

Analysis of methods and algorithms for synthesizing adaptive control systems for technological processes based on the neural network approach is carried out in this search. The stages of mathematical modeling of complex technological processes using neural network technology were considered. Additionally, an algorithm for solving the interpolation and extrapolation problem that arises in the training process a neural network to control system was proposed. At the final stage of this article, algorithms based on neural network technology are synthesized for the control system for the parameters of the technological process of natural gas purification by absorption

Universal Rules Of The Russian Sound Verbs’ Synthesis: Representation In A Matrix Of Forms, Irina V. Ivliyeva

Arts, Languages and Philosophy Faculty Research & Creative Works

English Abstract:

The article is devoted to the construction of a system of universal rules for the synthesis of modified verbs of the Russian language and ways of presenting them in a matrix table of forms. The aim of the study is to identify parameters of the sound process relevant for predicting the composition of modified sound verbs’ nests, and in developing a system of rules of word-formation synthesis. The research material consisted of 152 base verbs of sound in the Russian language and their 880 modified derivatives.

Methods of lexical-semantic, word-formation (WF) and component analysis are used in the …

An Emergent Seafood Nationalism Takes Hold In The United States, Owen Temby

School of Earth, Environmental, & Marine Sciences Faculty Publications

This paper introduces the concept of ‘seafood nationalism’ to describe how, since 2024–2025, the United States increasingly uses tariffs, trade remedies, food safety enforcement and origin-based rules to favour American seafood over foreign products. Federal actions include Executive Order 14276, Restoring American Seafood Competitiveness, which directs agencies to address unfair trade practices, unsafe imports and to develop a coordinated seafood trade strategy. Additional measures include a tariff package imposing a 10% duty on nearly all seafood imports and 30% on seafood from China, as well as new anti-dumping and countervailing duty orders on warm-water shrimp. This paper presents Gulf …

Hsv-1 Us3 Hijacks Conserved Actin Regulatory Complexes To Drive F-Actin Remodeling, Md Imran Hossain, Md Arifuzzaman, Md Mehedi Hasan, Seung Jong Park, Leila Rahimian, Ojasvi Dutta, Vladimir Chouljenko, Harikrishnan Mohan, Reza Ghavimi, Konstantin G. Kousoulas

Computer Science Faculty Research & Creative Works

The herpes simplex virus 1 (HSV-1) US3 is a multifunctional serine/threonine kinase that promotes HSV-1 replication and spread. But its role and the mechanisms by which US3 regulates actin cytoskeletal remodeling remain poorly defined. We combined flow cytometry, confocal microscopy, immunoprecipitation-mass spectrometry (IP-MS), protein complex mapping, and machine learning to characterize US3-mediated F-actin dynamics. Flow cytometry and confocal microscopy showed that wild-type HSV-1 induces significant F-actin remodeling, while the ΔUS3 mutant displays F-actin levels comparable to uninfected cells, identifying US3 as a key regulator. IP-MS identified 47 high-confidence US3 interactors enriched in conserved actin regulatory complexes, including Arp2/3 nucleation machinery, …

Proteogenomics Of Hypertrophic Cardiomyopathy Reveals Subtype-Specific Therapy, Ke Ma, Jie Yang, Hongchang Guo, Ping Li, Xiaowei Li, Zhujun Dong, Jing Zhang, Congcong Zhang, Pengli Yang, Chongpei Hua, Shuolin Zhu, Guoqing Li, Jianchao Zhang, Ningyu Ding, Jizheng Wang, Xin-Liang Ma, Zhuofeng Lin, Jianzeng Dong, Yang Li, Yulin Li

Department of Emergency Medicine Faculty Papers

BACKGROUND: Hypertrophic cardiomyopathy (HCM) is a heterogeneous disease with diverse prognosis. The underlying mechanisms remain unknown, resulting in limited risk stratification and therapeutic strategies. This study aimed to elucidate molecular subtypes of HCM through integrated proteogenomic analysis and explore subtype-specific therapeutic strategies.

METHODS: We conducted an integrated proteogenomic analysis of 132 patients with HCM using myocardial samples, incorporating whole-exome sequencing, RNA sequencing, and proteomics. Unsupervised clustering was used to identify HCM subtypes, which were validated in heart tissues and human induced pluripotent stem cell-derived cardiomyocytes from 2 independent HCM subsets. Subtype-specific signatures and pathways were explored, and their causal link …

Offshore Philanthropy: A Critical Look At Family Offices Using Hybrid Trusts, Hang Wu Tang

Research Collection Yong Pung How School Of Law

Family offices manage substantial wealth and often undertake philanthropic initiatives as part of their broader objectives. These offices may assume a variety of legal forms, ranging from corporations, partnerships, trusts administered by private trust companies or a combination of these forms. This article is concerned with family offices which use trusts administered by private trust companies in offshore jurisdictions. In response to competition for global wealth, several offshore jurisdictions have enacted trust laws that relax traditional doctrinal constraints to accommodate the needs of family offices. These include the creation of discretionary trusts for hybrid purposes in perpetuity ie trusts that …

Accélérer Le Changement Pour Les Adolescentes D’Afrique De L’Ouest Et Du Centre Grâce À L’Autonomisation Économique, Mame Soukeye Mbaye, Sarah Engebretsen, Maty Dia, Karen Austrian

Adolescents and Young People

La série « L’avenir des filles en point de mire : données probantes d’Afrique de l’Ouest et du Centre » examine les défis auxquels font face les adolescentes de la région et met en lumière des approches éclairées par les données probantes pour améliorer leurs conditions de vie. Cette note résume les données disponibles sur l’autonomisation économique des adolescentes — revenus, moyens de subsistance, épargne, inclusion financière, capacité d’action, transition vers le monde du travail, ou l’ensemble de ces éléments — en Afrique de l’Ouest et du Centre, en s’appuyant notamment sur les données issues des pays prioritaires du GIRL …

Donor-Derived Cell-Free Dna As A Prognostic Biomarker After Heart Transplantation: The Define-Ht Study, Palak Shah, Paul J. Kim, Kelly H. Schlendorf, David A. Baran, Monica M. Colvin, Adam D. Devore, Howard Eisen, Kambiz Ghafourian, Michael M. Givertz, Eileen Hsich, Jaime L. W. Kennedy, Evan P. Kransdorf, Jose N. Nativi-Nicolau, Jignesh Patel, Eleni Tseliou, Omar Wever-Pinzon, Andrew Doud, Michelle S. Bloom, Sandra A. Carey, Navchetan Kaur, D Giovanni Biagini, Kyle E. Marshall, Michael Olympios, Mandeep R. Mehra, Josef Stehlik

Department of Medicine Faculty Papers

BACKGROUND: Measurement of donor-derived cell-free DNA fraction (dd-cfDNA%) and donor quantity score (DQS) is a noninvasive biomarker of acute rejection in heart transplantation (HT). Its prognostic value beyond histopathology remains uncertain.

OBJECTIVES: This study sought to evaluate associations between donor-derived cell-free DNA (dd-cfDNA) and clinically meaningful outcomes using a composite endpoint of treated rejection, graft dysfunction, retransplantation, or death within 1 year post-HT.

METHODS: The DEFINE-HT (Development of Noninvasive Cell-free DNA to Supplant Invasive Biopsy in Heart Transplantation) was a prospective, observational study following adult HT recipients at 10 U.S. centers for 1-year post-HT; blood was collected for dd-cfDNA testing …

Pearson Syndrome: Expanding The Clinical Spectrum Of A Mitochondrial Cytopathy-A Case Report, Alizah Faisal, Hooria Waqas, Hania Masood, Armeen Butt, Saad Rahman, Muhammad Sheraz Hameed, Syed Rafay Hussain Zaidi, Ali Iqbal, Muhammad Usama Naveed

Department of Medicine Faculty Papers

BACKGROUND: Pearson syndrome (PS) is a rare multisystem mitochondrial disorder characterized by single large-scale mitochondrial DNA deletions (SLSMDs). It typically presents in infancy with refractory sideroblastic anemia, exocrine pancreatic insufficiency, and failure to thrive. Due to its heterogeneous manifestations and resemblance to other hematological conditions, early diagnosis remains a clinical challenge.

CASE PRESENTATION: A south asian male infant presented with persistent pancytopenia, severe anemia unresponsive to intravenous and oral iron and multivitamin supplements, exocrine pancreatic insufficiency, failure to thrive, and metabolic acidosis. Born to consanguineous parents, the child had a significant family history of early infant deaths and hematological abnormalities. …

An Exploratory Analysis Of Neurocognitive Performance And Posttraumatic Stress Disorder (Ptsd) Among Latinx Asylum Seekers, Elsie A. Arias

Doctoral Dissertations

Asylum seekers are exposed to violence and traumatic events in their home countries at high rates, leading to mental health challenges such as posttraumatic stress disorder (PTSD). PTSD symptoms and comorbidities such as depression and alcohol misuse are associated with impacts to multiple domains of cognitive functioning among populations such as Veterans. However, the neurocognitive performance of Latinx asylum seekers who experience PTSD symptoms are under-documented in the current literature despite its meaningful impact on clinical care engagement and navigation of the legal process. This study utilized an exploratory, quantitative, cross-sectional design to examine whether higher levels of self-reported PTSD, …

Other People's Poverty, Emmanuel Hiram Arnaud, Shaun Ossei-Owusu

Faculty Scholarship

Puerto Ricans have a relationship with the United States that is historically unparalleled. They have been citizens of the United States since 1917, served in every major conflict since World War I, and have been influential members of American culture, politics, and society. Yet, Puerto Rico is not fully part of the United States. The island of 3.2 million people— more than the population of eighteen states—is a U.S. territory. This means the federal government wields its complete and largely unrestrained plenary power over the Island, often treating Puerto Ricans differently than the rest of the United States. This differential …

King Arthur And The Sword In The Stone: A Medieval Latin Account, Christopher Berard, Morris Tichenor

Humanities Program Faculty Publications

How did King Arthur draw the sword from the stone and claim the throne of Britain? Here we present a translation of a medieval Latin account recounting this famous episode, along with Arthur’s victories, conquests and final battle.

Large Language Model-Driven Agents In Virtual Reality For Inclusive Communication Training, Ziming Li

Theses

Vocational training programs aimed at improving the employability and autonomy of autistic individuals primarily focus on enhancing social communication skills. However, developing and implementing such training activities often demands significant time and effort from job coaches, who must adapt to various interview and workplace scenarios while customizing the training to meet the specific needs of autistic trainees. These challenges create barriers for job coaches to efficiently train autistic individuals and objectively evaluate their performance. To address these challenges, this dissertation explores the use of virtual reality (VR) and large language model (LLM)-driven agents to create customizable and interactive training platforms …

The Use Of Assisted Repeated Reading To Increase Fluency And Comprehension Among Adolescent English Language Learners, Matthew J. Wentzell

School of Education and Leadership Student Capstone Theses and Dissertations

Wentzell, M. (2026). The Use of Assisted Repeated Reading to Increase Fluency and Comprehension Among Adolescent English Language Learners

The purpose of this study was to examine the impact of audio-assisted repeated reading on fluency and comprehension among adolescent English learners and gauge their opinions on the intervention and its impact on their reading ability. Areas of exploration within the literature review included the evolution of fluency research, the relationship between fluency, prosody, and comprehension, and fluency within the context of English learners. Additionally, the literature review encompassed the strategy of repeated reading with and without audio-assistance and its …

Faculty List

Journal of Dispute Resolution

No abstract provided.

The Limits Of Disclosure: Artificial Intelligence, Arbitration, And The Illusion Of Informed Consent, Rishi Batra

Journal of Dispute Resolution

Consider the following scenario: A warehouse worker brings a wage and hour claim against her employer under her state's labor code. Her employment contract, which she signed on her first day of work, contains a mandatory arbitration clause that she did not negotiate, did not fully read, and — like most employees in her situation — did not fully understand. An arbitrator is appointed, a hearing is held, and an award is issued in the employer's favor several weeks later, denying the employee's claims entirely. The award is well-organized and internally consistent, addressing each of the worker's claims with what …

A Decade Of Change: Technology’S Impact On Negotiation Deepens In The Age Of Ai, Noam Ebner

Journal of Dispute Resolution

When people consider the notion of negotiation changing, they tend to look first toward that magnificent negotiation construct, “the table.” Here are some immediately apparent areas of table-novelty: • There is often a screen on our table, rather than another person sitting across from us. • The table we “go” to negotiate at is not in our office or that of our counterpart; rather, it is a communications system such as email or an online platform developed by a third-party provider. • The table, in its online-platform form, sometimes structures process and facilitates communication in ways that our trusty old …

Mirror, Mirror On My Screen, Can You Feel Like A Human Being?, Lauren A. Newell

Journal of Dispute Resolution

We cannot go anywhere without encountering artificial intelligence (AI) these days. AI has infiltrated our phones, our cars, and our washing machines. It is with us in doctors’ offices, at the drive-through, and at sporting events. It has taken over our calendars and our inboxes and our videoconferences, and it would like to help us brush our teeth, too.

Beyond City Limits: Access To Adr And Child Client-Directed Counsel In Missouri’S Rural Family Courts, Reghan Matlock

Journal of Dispute Resolution

Reba McEntire once sang, “Don’t trust your soul to no backwoods southern lawyer”—a warning that still echoes in today’s debates about rural justice and representation. The catchy murder ballad captures a story driven by dramatic family ties and a broken justice system. While the song exaggerates for effect, it taps into a realistic concern: an existing divide in access to justice between rural and urban communities. This divide impacts all areas of law, including family law—where concerns about confidentiality and privacy are heightened because small communities make it difficult to shield sensitive matters from public view. The divide is troubling, …

Evolution, Structuration Theory, And New Research On Free Will, James Lull

Faculty Research, Scholarly, and Creative Activity

Classic structuration theory explains how social actors use their personal and collective agency to contend with the structural forces they encounter in everyday life. The antonimous interface between structure and agency is analyzed from an evolutionary communication perspective as it applies to structuration theory generally and to media audiences specifically. The explanatory power of structuration theory is then reconsidered in light of new research on an eternally profound question: Is the power of human agency restricted, if not entirely eliminated, by a lack of free will that can be exercised in human endeavors? Although the nature of structural influence is …

Mapping Dna Methylation Signatures To Identify Epigenetic Variation Across Subcortical Regions Of The Human Posttraumatic Stress Disorder Brain, Hongyu Li, Yujing Liu, Yiming Shi, Jiawei Wang, Tuan P Nguyen, Yuhan Xie, Wangjie Zheng, Youshu Cheng, Dianne A Cruz, Jennifer L Modliszewski, Rosemarie Terwilliger, Alexa-Nicole Sliby, José Jaime Martínez-Magaña, Janitza L Montalvo-Ortiz, John D Roache, Lynnette A Averill, Stacey Young-Mccaughan, Paulo R Shiroma, Bertrand R Huber, David A Lewis, Jill Glausier, Paul Holtzheimer, Matthew J Friedman, Jing Zhang, Alan L Peterson, Chadi G Abdallah, Amir Valizadeh, Xinyu Zhang, Ke Xu, John H Krystal, Ronald S Duman, Hongyu Zhao, David L Corcoran, Douglas E Williamson, Matthew J Girgenti

Staff and Researcher Publications

Background: Posttraumatic stress disorder (PTSD) is a mental disorder that may occur in the aftermath of severe psychological trauma. Epigenetic changes in the brain may play a critical role in understanding the neurobiology of PTSD by linking environmental traumatic stress exposure to lasting alterations in gene expression that shape neuronal function.

Methods: We examined 1,065,750 DNA methylation (DNAm) sites from 171 donors including neurotypical controls and PTSD and major depressive disorder (MDD) cases across 6 regions implicated in the fear circuitry of the brain. We performed RNA sequencing (RNA-seq) to examine changes in gene expression and linked these changes to …

An Integrated Cardiometabolic Genetic Testing Program In A Predominantly Hispanic Population Within A Community Setting, Bo Yuan, Layla A Abushamat, Stacey Pereira, Surya Narayan Mulukutla, Grace E Tietz, Eric Venner, Sara E Kalla, Breanna Lee, Donna Muzny, Ginger Metcalf, Mullai Murugan, Sarah H Elsea, Senkottuvelan Kadirvel, Lele Li, Joshi Stephen, Shengfeng Xu, Victoria Yi, Monica Sulit, Christie L Kovar, Kimberly Walker, Marie-Claude Gingras, Jianhong Hu, Fei Yan, Taeko Gerber, Viktoriya Korchina, C Michael Fordis, Ruchi Gaba, Mahesh Changlani, Herschl Silberman, Hadley Stevens Smith, Christine M Eng, Jennifer E Posey, Clarisa Medina, Lisa R Treviño, Christie M Ballantyne, Richard A Gibbs, Ashok Balasubramanyam

Center for Medical Ethics and Health Policy Staff Publications

Purpose: This study aimed to apply cardiometabolic genetic testing in a community setting with a predominantly Hispanic population and assess feasibility and perspectives toward genetic testing.

Methods: A genome-sequencing-based genetic panel for cardiometabolic disorders (177 genes related to monogenic conditions, 2 LPA risk alleles, 2 pharmacogenomic loci, and ancestry-adjusted polygenic risk scores for type 2 diabetes and coronary artery disease) was deployed in community cardiology and endocrinology clinics in South Texas. A survey on perceptions toward genetic testing was administered after return of results.

Results: Testing was completed for 776 patients (18-92 years old, 92% Hispanic). 26 patients (3.4%) were …

Patient Perspectives On Psychiatric Polygenic Risk Scores In Reproductive Decision-Making And Polygenic Embryo Screening., Lauren A Ginn, Amanda R Merner, Page M Trotter, Kaitlynn P Craig, Abigail C Martinez, Ana Lucía Battaglino, Dorit Barlevy, Daphne M Ayton, Takahiro Soda, Eric A Storch, Gabriel Lázaro-Muñoz, Stacey Pereira

Center for Medical Ethics and Health Policy Staff Publications

Polygenic risk scores (PRS) estimate individuals' genetic risk for developing multifactorial conditions. Recent genome-wide association studies have enabled development of psychiatric PRS, which hold potential to streamline diagnosis and treatment of psychiatric conditions. As individuals with mental illness often identify concern about passing on psychiatric conditions as a key factor in family planning, some may also seek to use psychiatric PRS in reproductive decisions like childbearing or embryo selection for in vitro fertilization. Despite calls for increased regulation, there remains no clinical consensus on the utility of psychiatric PRS in reproductive contexts. Therefore, we conducted semi-structured interviews of adults with …

Clinical Features And Dental Pathologies In Maxillary Sinus Fungal Balls And Odontogenic Sinusitis, Eunice Im, Lane Donaldson, Avraham Adelman, Nithin D Adappa, Yi-Wei Chen, Nikita Chapurin, Jennifer E Douglas, Glen E D'Souza, Jacob Eide, Maria Espinosa, Chia-Hsiang Fu, Meha G Fox, Rohit Garg, Edward C Kuan, Michael A Kohanski, Marta Kwiatkowska, Kevin Li, Derek H Liu, Tran Bao Locke, Chih-Feng Lin, Chadi Makary, Alice Ottavi, Peter Papagiannopoulos, James N Palmer, Charles C L Tong, Bobby A Tajudeen, Sanjena Venkatesh, Kimberly Wei, Frederick Yoo, Alison J Yu, Jun Jin, Alberto M Saibene, John R Craig

Faculty, Staff and Students Publications

Objectives: While maxillary sinus fungal balls (MSFB) can be associated with odontogenic conditions (MSFBO), MSFBO clinical and dental features have not been compared to odontogenic sinusitis (ODS). This multicenter study aimed to compare characteristics of MSFB, MSFBO, and ODS.

Methods: A multicenter international retrospective cohort study was conducted on adults with MSFBs and ODS who underwent sinus surgery. First in MSFBs, it was determined whether different dental conditions were more likely in FB versus non-FB sides. Second, clinical features and dental pathologies were compared between MSFBO and ODS. For analyses, dental conditions were considered individually and as two groups: infectious …

Social Determinants As Pathways In Disparities In Oral Cavity Cancer Stage At Diagnosis: A Registry-Based Analysis From 2010–2020, Guillermo A Tortolero, Erich M Sturgis, Itunu O Sokale, Abiodun Oluyomi, Kristina R Dahlstrom, Aaron P Thrift

Faculty, Staff and Students Publications

Purpose: Racial and ethnic differences in oral cavity cancer (OCC) stage at diagnosis are substantial, but the reasons remain unclear. We assessed insurance status and social neighborhood factors as potential pathways.

Methods: Using the Texas Cancer Registry, we identified adults diagnosed with OCC between 2010 and 2020. We examined the crude and multivariable associations of race and ethnicity, insurance status, and social neighborhood factors with stage at diagnosis. We investigated the mediating effects of insurance status and neighborhood-level social factors on racial and ethnic differences in stage at diagnosis using four-way decomposition with modified Poisson regression and robust standard errors. …