Digital Commons Network^™

Management Algorithm For Vasoplegic Shock After Cardiac Surgery: An Interdisciplinary Collaboration, Subhasis Chatterjee, Jamel Ortoleva, Rakesh C Arora, Kelci R Dalton, Daniel T Engelman, Natalia Ivascu Girardi, Michael C Grant, Travis J Miles, Marc R Moon, Orlando R Suero, Erica Wittwer, Patrick M Wieruszewski

Faculty, Staff and Students Publications

Background: Vasoplegic shock is distributive shock that follows cardiopulmonary bypass, characterized by hypotension, low systemic vascular resistance, and catecholamine resistance despite preserved or elevated cardiac output. Reported incidence ranges from 5% to 50%. Associated adverse outcomes include acute kidney injury, prolonged intensive care unit stay, and mortality. A single, universally accepted consensus definition is lacking, and few evidence-based best-practice management strategies exist.

Methods: A panel of 12 clinicians-cardiac surgeons, anesthesiologists, intensivists, and pharmacists-from 6 institutions conducted a structured expert review. PubMed and Embase were searched for research studies, including clinical trials, retrospective analyses, and mechanistic studies covering epidemiology, risk factors, …

The Relational Perspective Among Lesbian, Gay, Bisexual, And Transgender Older Adults In Long-Term Care Supports And Services, Jeffrey Lentz

The Journal of Public and Professional Sociology

Autonomy is a vital element of quality of life in long-term care, especially for older Lesbian, Gay, Bisexual, and Transgender adults, who are at higher risk of requiring long-term care services and supports (LTCSS) in the future. Key risk factors include a lack of family of origin and a higher prevalence of chronic conditions and disabilities. Many older LGBT adults fear long-term care institutions for various reasons (i.e., fear of discrimination and mistreatment by administrators, staff, and other residents, and a need to be forced back into the closet). This paper applies Perkins et al.’s relational perspective to older LGBT …

Computational Assessment Of A Lyophilized Native-Oxytocin Trehalose-Glass Formulation At Ph 4.5 For Thermostable Parenteral Use: Bayesian Shelf-Life Modeling From Published Degradation Kinetics With A Trehalose-Peptide Molecular-Dynamics Literature Synthesis, Chaiyapat Chuenglertsiri

Defensive Publications Series

This in-silico feasibility analysis discloses, as defensive prior art (CC BY 4.0), a lyophilized formulation of native oxytocin in an amorphous trehalose dihydrate glass with D-mannitol crystalline bulking agent and a low-concentration sodium-acetate buffer fixing pH about 4.5 (the published maximum-stability pH), reconstituted on use for standard parenteral (IM/IV) administration to prevent postpartum haemorrhage. No wet-lab data are generated; all numbers are computational extrapolations from peer-reviewed parameters. Using the published Hawe et al. (2009) pH 4.5 Arrhenius kinetics (Ea = 116.3 kJ/mol) as a Bayesian prior, a PyMC posterior contrasts the aqueous product (retaining only about 25% intact oxytocin after …

Moving Beyond Occupational Health: Lessons From Implementing Integrated Worker Health Programs Among Informal Workers In Thailand, Orrapan Untimanon

Journal of Health Research

Background: This paper aims to present practical experiences and lessons learned from applying an integrated worker health approach among informal workers in Thailand. The approach draws on the concept of Total Worker Health (TWH) and is implemented through Primary Care Units (PCUs).

Methods: This is an invited commentary.  

Results: Key steps included: (1) identification of occupational health (OH) services provided by PCUs; (2) development and refinement of an integrated worker health assessment tool based on TWH principles; (3) assessment and problem identification among informal workers, highlighting combined occupational and lifestyle-related risks; (4) design and implementation of integrated interventions; and (5) …

Aligning Sport Management Programs With The Evolving Needs Of Hopeful Intercollegiate Athletic Administrators., Kelly P. Elliott, Don Rockey

The COSMA Journal

Pathways to becoming an Athletic Director (AD) vary considerably across intercollegiate athletics, highlighting the need for sport management programs to better align academic preparation with evolving professional expectations. While prior research has explored AD roles across NCAA divisions, limited attention has been given to how academic curricula and experiential learning opportunities support students pursuing these careers. This study examines differences in sport management curricula and experiential offerings across programs affiliated with Division I FBS, Division I FCS, Division II, Division III, and NAIA institutions. Two research questions guided the study: (1) What differences exist in required coursework across divisions? and …

Preoperative Low-Intensity Blood Flow Restriction Training Does Not Improve Quadriceps Strength Or Hypertrophy After Anterior Cruciate Ligament Reconstruction, Daniel Mcgurren, Kaycee Glattke, Molly Klanderman, Jedediah Lee, Anikar Chhabra, Arthur De Luigi

Journal for Sports Neuroscience

Objectives: To investigate the efficacy of a preoperative low-intensity blood flow restriction (LI-BFR) training intervention for patients undergoing anterior cruciate ligament reconstruction (ACLR).

Design: Pilot study

Methods: Twenty-eight patients undergoing primary ACLR participated in either a LI-BFR training or sham intervention at a rate of 2 sessions per week for 2 weeks before surgery. Quadriceps strength and cross-sectional area were measured via handheld dynamometry and leg press test before and after the intervention before surgery and at 5 different time points after surgery, through 24 weeks after surgery.

Results: Adjusting for sex, time, and strength/hypertrophy at baseline, there were no …

The Readiness Reset: Sleep, Stress, And Pain Management For Tactical Performance, Lauren Fried

Tactical & Occupational Performance Conference

Tactical professionals operate in high-demand environments where sleep disruption, chronic stress, and persistent pain are often normalized, but these factors significantly affect readiness, resilience, and long-term performance. This session explores how sleep, stress, and pain interact at the physiological and neurological levels to influence decision-making, recovery, injury risk, and operational effectiveness in first responders and military personnel.

Participants will gain a deeper understanding of how nervous system regulation, circadian rhythms, and pain perception affect both physical and cognitive performance under stress. Drawing on current research and applied human performance principles, this session highlights practical, field-applicable strategies that tactical professionals and …

Football’S Climate Own Goal: The Case For Abolishing The Fifa World Cup, Toby Miller, Joan Pedro-Carañana

Fast Capitalism

This paper criticizes the environmental devastation and pervasive greenwashing associated with corporate football, with a particular focus on the FIFA men’s World Cup Finals. Analysis of past World Cups—Germany (2006), South Africa (2010), Brazil (2014), and particularly Qatar (2022)—reveals a consistent failure by FIFA and host nations to meet climate goals. Furthermore, major teams and governing bodies like UEFA and FIFA depend on sponsors from environmentally-damaging industries that utilize these sports for green cover, deflecting attention from their nefarious activities. As future World Cups expand (2026, 2030, 2034) and move to climate-vulnerable nations, the environmental impact is projected to worsen. …

Costing The Earth: Critical Reflections On The Growth Of Fifa’S World Cup Tournaments, Barry Smart

Fast Capitalism

The paper provides a critical analysis of the growth of FIFA’s World Cup tournaments. Consideration is given to FIFA’s status as a global organization, specifically its extensive reach, standing, and responsibility, as well as the interests and concerns driving its expansion policies.  While expansion has fostered greater inclusion and increased global engagement it has also aroused growing climate and environmental concerns. FIFA claims to have a broad social mission, a fundamental social role, and acknowledges the requirement for good governance. In addition, FIFA has expressed a commitment to the protection of human rights and has outlined its climate strategy, which …

A Micropolitics Of Soccer Visibility: Sports And American Exceptionalism Through A Nashville Lens, John Sloop

Fast Capitalism

This essay uses the occasion of the 2026 World Cup to investigate the ways “soccer” or football in the United States has reflected the ideology of US exceptionalism as well as a wide array of other ideological nodal points. By performing a microhistory of soccer as it was covered in the local news in Nasvhille, I bring into relief the ways our understanding of soccer today continues to be constrained by its ideological roots in terms of nationalism, gender, race, and class.

Incorporating Feminist Ethics Of Care Into The American Women’S Soccer Market, Julie Brice, Verity Postlethwaite

Fast Capitalism

This paper offers a critical commentary on the professionalization of women’s soccer in the United States, exploring the intersection of feminism and capitalism. Drawing on feminist economic theory, we reflect on how feminist values and an ethics of care have been mobilized within women's professional soccer. To accomplish this, we focus specifically on two Southern Californian women’s soccer teams from two iterations of the women's professional soccer league in the US—the San Diego Spirit of the Women’s United Soccer Association and Angel City Football Club of the National Women’s Soccer League. Through historical and contemporary examples, we illustrate how feminist …

Platform Telecracy: Soccer, Capital, And Media After Galeano, Jason Ludwig

Fast Capitalism

This article builds on on Eduardo Galeano's concept of "telecracy"  to theorize "platform telecracy," an updated framework for analyzing the relationship between soccer, media infrastructure, and capital in the era of digital platforms.  The article argues that the transition from broadcast television to online platforms has fundamentally transformed how soccer media is produced, circulated, and monetized. Where Galeano's broadcast telecracy (Telecracy 1.0) commodified the live match broadcast, platform telecracy (Telecracy 2.0) assetizes match footage, enabling its endless fragmentation and recirculation across digital platforms as a source of continuous advertising and subscription revenue.

From Many Green New Deals To The New Green Scam, Timothy W. Luke

Fast Capitalism

This preliminary critical analysis explores the decisive shift in U.S. environmental policy from the Biden Administration, which still honored the mythic might of FDR’s 1930s New Deal, to the rapid implementation of a President Trump's MAGA ("Make America Great Again") approaches to environmental conservation and protection policy. The Biden Administration’s and the Democratic Party also entertained “Green New Deal” measures despite their often misunderstood connections to statist class compromises and corporatist legitimation dynamics that alienated many conservatives and the GOP, as exemplified by the Project 2025 program from the Heritage Foundation behind the Second Trump administration.  As a mix of …

Cyberzombies And The Afterlife Of Thought: Dead Labor, Ai, And The Necropolis Of Capital, Craig Van Pelt

Fast Capitalism

This essay presents a novel Marxist theory of artificial intelligence (AI) as the latest expansive form of dead labor. Drawing on Marx’s Grundrisse (1993 [1973]), I argue that modern AI systems function as cyberzombies: digital entities animated by appropriated dead cognitive labor. This dead cognitive labor operates as seemingly autonomous machine cognition, reproducing the core feature of capital: the domination of living labor by accumulated past labor. These cyberzombies accelerate the widening cognitive rift—the structural separation between communities that supply resources for AI to function and the actors who accumulate the resulting knowledge. The essay concludes that cyberzombies reveal an …

Attached To The Algorithm: Investigating The Relationship Between Adult Attachment Styles And Instrumental And Relational Dependency On Large Language Models, Jim Zapf, Ala Yankouskaya, Timothy J. Evans, Andrew J. Graham, Abigail Hill, Troy Backhuus

Journal of Counseling and Psychology

The rapid growth of large language models (LLMs) raises questions for counselors regarding when such tools are used adaptively versus when they foster dependency. Guided by attachment theory and a dual-dimension view of AI reliance, this study examined whether adult attachment styles predict instrumental (task/decision support) and relational (companion-like) dependency on LLMs, whether spiritual engagement relates to these dependencies, and whether levels differ by age. Faculty, staff, and students who had used an LLM completed the LLM-D12 and the ECR-R (N = 515). Analyses showed that instrumental dependency on LLMs was highest among individuals high in avoidance, with modest additional …

Should I Supersede Or Should I Go: Individual Protection And Private Company Interests In Implementing A Federal Biometric Privacy Law, Jessica Oshanani

Journal of Civil Rights and Economic Development

(Excerpt)

Section I of this Note will define and discuss biometrics. Section II will discuss key biometrics legislation and Section III will explain the impact of BIPA on other state biometric privacy laws.

Next, Section IV will explain the impact of biometric privacy violations and separate controlling state laws on individuals, while Section V will explain the impact of biometric data laws on private companies.

Section VI will identify potential federal laws on the horizon, then Section VII will explain the concept and application of preemption.

Finally, Section VIII will discuss the benefits of administrative agency overview, and Section IX …

The Cruelty Is The Point: How The Extreme Psychological Effects And Punitive Ineffectiveness Of Solitary Confinement Culminate In An Unconstitutionally Disproportionate Punishment, Zachary Bosak

Journal of Civil Rights and Economic Development

(Excerpt)

This Note will propose that solitary confinement can be wholly abolished under the Eighth Amendment to the Constitution. This Amendment provides in full that “[e]xcessive bail shall not be required, nor excessive fines imposed, nor cruel and unusual punishments inflicted.” When taken in a broad, isolated sense, the meaning of and purpose behind this Amendment are straightforward and uncontroversial; the founders meant to protect Americans from “methods of punishment” considered unreasonably severe and inhumane. However, when one attempts to place this Amendment within the context of a legal issue, its clarity erodes, and questions arise as to its applicability. …

"In Hog Hollow", Kendall Thurman

Cumberland Medica

"In Hog Hollow" is a poem I wrote in the fall while walking through a trail of the same name. A few days before, I had cared for a patient in the ER who was on hospice for end-stage liver cancer. The smells and sights of fall evoked my emotions as I contemplated his death.

Mobility And Flexibility For The Tactical Athlete, Nancy Henderson, Haley Worst, Michelle Geter, Mikal Mascarello, Josie Stirling

Tactical & Occupational Performance Conference

Mobility and Flexibility for the Tactical Athlete

Caring For Our Neighbors: Public Prayer As A Pastoral Tool For Multicultural Communities, Gilbert Perez

School of Theology and Seminary Graduate Papers/Theses

Throughout 2025 and in the first few months of 2026 there has been an increased presence of immigration law enforcement in the state of Minnesota, which has extended into the central Minnesotan diocese of St. Cloud.

Adaptive Intervention Strategies In Co-Evolving Multiplex Networks: A Reinforcement Learning Approach To Real-Time Misinformation Containment, Anjali Ashokrao Bhadre Dr., Harshvardhan Prabhakar Ghongade Dr.

Northeast Journal of Complex Systems (NEJCS)

The growing transmission of misinformation via social media creates serious challenges to public health, democracy and social cohesion. To date, methods used to contain misinformation rely upon static representations of networks and set rules for interventions. In contrast, this study presents the first Multiplex Adaptive Reinforcement Intervention Network (MARIN), a framework for real-time adaptive intervention in the context of dynamic misinformation transmission using co-evolving multiplex networks and deep reinforcement learning. Unlike past studies that have assumed static network structures, MARIN has the ability to allow for dynamic changes in network topology as a result of both misinformation transmission and intervention …

Skin Lesion Classification Using Cnn Model And Augmented Dataset, Mohammed Nawzad Mohammed-Ramzi, Aso M. Aladdin

Journal of Soft Computing and Computer Applications

Skin cancer is a deadly disease. Skin lesion classification is a critical challenge due to its prevalent and deadly nature. Skin lesions are difficult for dermatologists to detect using eye examination, which is time-consuming and variable. A deep learning model of skin lesions classification has been proposed using a Convolutional Neural Network (CNN) trained on the HAM10000 dataset of 10,015 dermatoscopies. To improve resilience and address the dataset's extreme class imbalance, data augmentation techniques such as geometric transformations, brightness/contrast adjustments, blurring, noise addition, histogram equalization, color space alterations, and elastic deformations are used. With a carefully balanced 10% test set, …

Potential Rainwater Harvesting Site Selection Using Satellite Data And Geomatics Approaches In Shatt Al-Hillah, Babil Province, Iraq, Atheer Askar Ismail, Basheer S. Jasim, Khalid Qaraghuli, Zulfaqar Sa'adi

Engineering and Technology Journal

Water scarcity remains a major environmental and socio-economic challenge in arid and semi-arid regions, where efficient Rainwater Harvesting (RWH) can be a promising solution in providing adequate water. An integrated approach for site selection of RWH in Shatt al-Hilla Region of Iraq using satellite imagery and geomatics techniques. The Landsat 9 OLI/TIRS data, and a 30-meter spatial resolution Digital Elevation Model (DEM) were used to extract several key indicators, including Soil-Adjusted Vegetation Index (SAVI), Modified Normalized Difference Water Index (MNDWI), Bare Soil Index (BSI), slope, and aspect. Using geographic information system (GIS) weighted overlay analysis (WOA), each factor was weighted …

Enhanced Thermal Energy Storage In Buildings: Impregnation, Leakage, And Environmental Performance Of Organic And Inorganic Pcm Composites, Gökhan Genç, Esra Yılmaz, M. Yusuf Yazıcı

Journal of Sustainable Construction Materials and Technologies

This study experimentally investigates the impregnation and leakage performance of various organic (tobacco, sawdust, bay leaf, black cumin) and inorganic (vermiculite, perlite, bentonite, sepiolite) carrier materials used for phase change material (PCM) integration in building applications. The commercial paraffin-based PCM RT-31 was used as the thermal storage medium. Impregnation and leakage tests were conducted to evaluate the PCM absorption capacity, form stability, and energy storage potential of each carrier. The results revealed that perlite (C = 80%) and bay leaf (C = 78%) exhibited the highest impregnation capacities due to their porous and fibrous structures; however, they also demonstrated significant …

Influence Of Smoking On Mlh1 Gene Polymorphism: Insights Into Colorectal Cancer Incidence, Ali Mohammed Al-Abedi, Rand Muhammed Abdul-Hussein Al-Husseini

Al-Bahir

Background: Colorectal cancer (CRC) is a leading cause of cancer-related mortality worldwide. The MutL Homolog 1 (MLH1) gene plays a critical role in DNA mismatch repair (MMR). Evidence suggests cigarette smoking increases CRC risk, potentially interacting with genetic factors.

Materials and Methods: This case-control study involved 50 Iraqi CRC patients and 50 age- and gender-matched healthy controls. The PCR-RFLP technique was employed for genotyping the -93G/A (rs1800734) polymorphism. Statistical analysis included Chi-square, Fisher's Exact Test, and logistic regression adjusted for confounders. Hardy-Weinberg Equilibrium (HWE) was assessed in controls.

Results: The frequency of the rs1800734 variant was significantly higher in CRC …

Dual-Action Antibacterial Agents Targeting Biofilm Reduction And Membrane Disruption In Staphylococcus Aureus, Rahmat Folashade Zakariyah, Waliyullahi Akorede Husain, Elohor Precious Samuel, Wonder Olanipekun Oloruntoba, Fatmah Opeyemi Saka, Khalid Ayinde Oyelami, Mariam Temitope Baker

Al-Bahir

Antimicrobial resistance in Staphylococcus aureus is a serious global health problem as the organism rapidly develops resistance against widely used antibiotics. This study sought to investigate the antibacterial and antibiofilm properties of γ-Tocopherol, a natural compound from Ocimum gratissimum, as well as its synergism with 5-hydroxymethylfurfural (5-HMF) against S. aureus. The antibacterial activities and minimum inhibitory concentrations of the compounds were determined using agar diffusion and microbroth dilution methods, respectively. Biofilm reduction was evaluated using 2,3,5-triphenyltetrazolium chloride (TTC) assay and membrane integrity was evaluated using the crystal violet microtiter plate assay and the ion leakage assay. The results …

Techno-Economic And Environmental Analysis Of Wind-Powered Green Hydrogen Production In Nigeria, Ignatius Kema Okakwu, Ayodeji Akinsoji Okubanjo, Samson Oladayo Ayanlade, Akintunde Samson Alayande, Solomon Olanrewaju Giwa, Abraham Olatide Amole, Etinosa Noma-Osaghe, Ajibola Oluwafemi Oyedeji

Al-Bahir

Green hydrogen is becoming a viable option for clean energy, and the need to reduce greenhouse gas emissions has also become a popular sustainable energy source. In this paper, we evaluate the technoeconomic and environmental feasibility of green hydrogen production from wind energy in five Nigerian cities: Kano, Jos, Maiduguri, Ikeja, and Ikorodu. Energy potential from wind energy is estimated by using the Weibull distribution method, and six wind turbines are used to calculate electricity generation and hydrogen production. Economics of wind power are estimated through levelized cost of energy (LCOE), levelized cost of hydrogen (LCOH), payback period (PBP), and …

Evaluating The Efficacy Of Green-Method-Prepared Zinc Oxide Nanoparticles On Gene Expression Of Efflux Pumps In Klebsiella Pneumoniae Bacteria Isolated From Women With Gestational Diabetes, Wissam Qadry Mutaab, Rana J. Shaker

Al-Bahir

Vaginitis is one of the most common women's health problems, and its severity increases in pregnant women with gestational diabetes due to higher susceptibility to infection and increased rates of antibiotic resistance. The research problem: The increasing prevalence of multidrug-resistant isolates of Klebsiella pneumoniae and its association with AcrAB-TolC ejaculation pumps limits treatment efficacy, while the effect of green-method nanoparticles on gene expression of these pumps remains unclear. This paper aimed to detect the acrA and acrB genes in K. pneumoniae isolates and evaluate the effect of zinc oxide nanoparticles prepared with garlic and rosemary extracts on their gene expression. …

Gci Cifrs‑N V4.0 — Universal Food‑Water‑Energy Nexus For Desert, Disaster, And Remote Deployment, Michael Victor Caldwell Mr.

Defensive Publications Series

The CIFRS‑N v4.0 Universal Nexus is a modular, skid‑mounted system designed to provide water, soil and nutrients, energy, and food production in extreme or resource‑limited environments:

• Hyper‑arid deserts

• Disaster zones (floods, earthquakes, conflict)

• Refugee camps

• Remote communities and off‑grid outposts

The system is presented in three build paths, so different teams can choose what they can realistically build:

Option A — Fully Buildable Today  

• Uses only off‑the‑shelf, proven technologies and simple fabrication.

Option B — Hybrid Real‑World + Near‑Future  

• Adds advanced but physically realistic modules inspired by the inventor’s prior work (Hyperion, VABR, Phoenix‑Cracker, Arachne, Omni‑Vortex, etc.).

Option C — …

Kin A487: Administration & Supervision In Kinesiology, T. J. Miller

Publications

Critiques and evaluates the technical, leadership, and supervisory skills necessary to safely and effectively administer kinesiology-related programs. Presents theoretical, practical, and research perspectives. Special Note: Community engagement & Interviews will be required.