Digital Commons Network^™

Draft Final Annual Operations And Maintenance (O&M) Report: Butte Treatment Lagoon (Btl) System – 2025, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Draft Final 2026 Interim Site-Wide Groundwater Monitoring Quality Assurance Project Plan, Woodard & Curran

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Draft Final 2024 Reclamation Improvement Sampling: Bres No. 78 – Original Mine Yard Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Foreign Judgments In U.S. Courts, Yanbai Andrea Wang

Fordham Law Review

American law on foreign judgments is at an inflection point. For over a century, the doctrine has been shaped by concerns about outgoing U.S. judgments seeking asset collection in the civil law countries of continental Europe. But shifting trade flows and changing litigation tactics have carved a new landscape, demanding a return to foreign judgments law’s conceptual and doctrinal underpinnings. This Article first maps the new landscape, in which China is rapidly rising as a foremost foreign judgments interlocutor. Meanwhile, litigants are increasingly pursuing parallel litigation in multiple countries. The impact of incoming judgments and the interactions between related litigations …

Reorganizing The Administrative State: Executive Ambition And Legislative Constraint, Jordan Graber

Fordham Law Review

Beginning in the 1930s, Congress enacted a series of statutes granting presidents the authority to initiate reorganizations of the administrative state. Under these reorganization statutes, the president determined any necessary changes in agency organization and submitted a reorganization proposal to Congress, which could approve or reject the plan. Over the next fifty years, the president and Congress worked cooperatively to promote the effective and efficient functioning of the administrative state.

Despite the successful reorganization initiatives undertaken pursuant to these statutes, Congress has not conferred reorganization authority on any president in the last four decades. As a result, the organization of …

The Glomar Of It All: The Role Of External Disclosures In Agency Refusals To Confirm Or Deny Under Foia, Claire Paulanne Kurzweil

Fordham Law Review

The Freedom of Information Act (FOIA) requires federal agencies to disclose records upon request from the public, subject to statutory exemptions. Increasingly, agencies have relied on a nonstatutory mechanism, known as the Glomar response, to avoid disclosure. This mechanism, which allows agencies to refuse to confirm or deny the very existence of records, prevents courts and FOIA requesters from receiving even the basic information necessary for judicial review. As courts attempt to adapt FOIA’s review framework to the increased evidentiary constraints of Glomar responses, they are divided over whether to consider disclosures from outside the agency responding to the FOIA …

Ursodeoxycholic Acid Prophylaxis After Sleeve Gastrectomy And 1-Year Risk Of Biliary Complications, Arthur Chidi Igbo, John Stevenson, Chimezirim Ezeano, Muaz Alsabbagh, Amulya Suresh, Jason Browne

Aurora GME

Introduction: Real-world effectiveness data for ursodeoxycholic acid (UDCA), commonly prescribed after sleeve gastrectomy to reduce the risk of biliary events, are limited. We evaluated whether UDCA within 6 months of sleeve gastrectomy reduces 1-year biliary complications across a multi-institution network. Methods: We performed a retrospective cohort study on TriNetX (Global Collaborative Network; 17 health care organizations). Adults (18–89 years) undergoing sleeve gastrectomy (CPT 43775) from 9/21/2015 onward were included. Exposure was UDCA (RxNorm 62427) within 6 months post-surgery vs no UDCA in the same window. The index date was the surgery date; outcomes were assessed for 365 days. Primary outcomes …

Vustruct: A Compute Pipeline For High Throughput And Personalized Structural Biology, Christopher W. Moth, Jonathan H. Sheehan, Abdullah Al Mamun, R. Michael Sivley, Alican Gulsevin, David C. Rinker, Zenab F. Mchaourab, Undiagnosed Disease Network, John A. Capra, Jens Meiler

2020-Current year OA Pubs

Effective diagnosis and treatment of rare genetic disorders requires the interpretation of a patient's genetic variants of unknown significance (VUSs). Today, clinical decision-making is primarily guided by gene-phenotype association databases and DNA-based scoring methods. Our web-accessible variant analysis pipeline, VUStruct, supplements these established approaches by deeply analyzing the downstream molecular impact of variation in context of 3D protein structure. VUStruct's growing impact is fueled by the co-proliferation of protein 3D structural models, gene sequencing, compute power, and artificial intelligence. Contextualizing VUSs in protein 3D structural models also illuminates longitudinal genomics studies and biochemical bench research focused on VUS, and we …

Associations Between Source-Specific Nitrate And Nitrite Intakes And Metabolic Dysfunction-Associated Steatotic Liver Disease In Two Prospective Cohorts, Nicola P. Bondonno, Pratik Pokharel, Benjamin H. Parmenter, Liezhou Zhong, Dorit W. Erichsen, Jörg Schullehner, Kirsten Frederiksen, Cecilie Kyrø, Peter Fjeldstad Hendriksen, Jonathan M. Hodgson, Torben Sigsgaard, Christina C. Dahm, Anne Tjønneland, Alysha S. Thompson, Tilman Kühn, Aedín Cassidy, Anja Olsen, Catherine P. Bondonno

Research outputs 2022 to 2026

SummaryBackground and AimsDietary nitrate and nitrite may have source-dependent effects on liver health: plant-sourced nitrate may confer hepatoprotective benefits via its conversion to nitric oxide, whereas nitrate and nitrite from animal foods, processed meats, or contaminated drinking water may promote liver injury via their conversion to N-nitrosamines. We aimed to examine associations between source-specific nitrate and nitrite intakes and incident metabolic dysfunction-associated steatotic liver disease (MASLD) in two large cohorts. Secondary aims were to assess associations with liver MRI biomarkers and to evaluate whether nitric oxide-pathway gene variants modify associations with plant-sourced nitrate/nitrite.MethodsWe analysed 53,854 participants from the Danish Diet, …

Key Insights From The International Icu Diary Conference 2025, Peter Nydahl, Bev Ewens, Anne Sophie Debue, Xavier Fiorilla, Kristin Gabriel, Alessandro Galazzi, Louise Gallie, Nikolas Groth, Carly Hickey, Mark Hudson, Fiona Lynch, Nicola Maxwell, Margo Van Mol, Caroline Renner, Louise Rose, Kate Tantam, Lioudmila Karnatovskaia, Christina Jones

Research outputs 2022 to 2026

We report on the 2025 International ICU Diary Conference that provided a comprehensive update on current knowledge, innovations and global practices related to ICU diaries. Held in a 6-week online format, the event featured 23 speakers and was attended by mean 69.7 (SD 20.5) participants per session. Topics included development of ICU diaries, use in special settings, digital diaries, survivors' and families' experiences, Post-Intensive-Care Syndrome and follow-up and implementation projects. Highlights were innovative solutions for digital diaries and the report of persons with lived and living experiences with diaries, changing the focus on humanising critical care. Relevance for Practice: ICU …

A Systematic Review And Meta-Analysis On The Levels Of Supportive Care Needs In Adults With Cancer, Caroline B. Silveira, Rech, Maria Petropoulou, Pietro S. Rössler, Francine F. De Souza, Helena B. Böhmer, Amanda L. Giacomet, Richard Alejandro B. De Barros, Lucélia De C. De Barros, Vagner R.Z.B. Pereira, Nanci Da S.T. Junqueira, Pedro Lopez

Research outputs 2022 to 2026

Objective: To estimate the levels of supportive care needs among adults with cancer using the Supportive Care Needs Survey–Short Form 34 (SCNS-SF34) and to examine demographic, clinical, and treatment-related determinants. Methods: A systematic review and meta-analysis was conducted (CRD42024604977). Studies reporting SCNS-SF34 scores in adults with cancer were included. Searches were performed across six different databases (November 2024; updated August 2025). Random-effects meta-analyses were undertaken to estimate the pooled mean scores across the five SCNS-SF34 domains and total score. Subgroup and meta-regression analyses explored potential determinants. Results: Ninety-five studies (n = 32,493) were analysed. The unmet needs observed tended to …

A High-Throughput Assay For Monitoring And Quantifying Amyloid-Β Accumulation And Clearance In Alzheimer's Disease Cell Models, Ajish Ariyath, Fraulein Denise Arigo, Anna Fyfe, W. M.A.D.Binosha Fernando, Ralph Martins, Prashant Bharadwaj

Research outputs 2022 to 2026

Amyloidogenic proteins, such as amyloid-β (Aβ), self-assemble into cross-β fibrils whose accumulation is central to Alzheimer's disease (AD). Measuring Aβ aggregation and clearance in living cells remains challenging using current cell-based assays, which are often low-throughput or not suited for real-time monitoring. This study aimed to (1) develop a robust, quantitative, and scalable fluorescence-based assay using Amytracker to monitor Aβ accumulation and clearance in an Aβ-producing neuronal cell model, and (2) validate its utility for mechanistic studies and therapeutic screening. We established a plate-based fluorescence assay using Amytracker in MC65 neuronal AD model expressing the Amyloid precursor protein C-terminal fragment …

Between-Session Reliability And Sensitivity Of Force Production Characteristics Across Various Force-Time Points During The Isometric Single-Leg Long-Lever Bridge, Adam E. Sundh, Nicholas J. Ripley, A. J. Lamb, Conor J. Cantwell, Paul Comfort

Research outputs 2022 to 2026

The purpose of this study was to assess the between-session reliability of peak force and early force-time variables in a unilateral isometric hamstring assessment (isometric long-lever bridge). The sample consisted of 30 collegiate male athletes (age: 19.4±1.3 years; height: 1.79±0.1 m; body mass: 80.4±10.3 kg) with no history of recent hamstring injury (<6 months) who volunteered to participate in the study. All participants performed 3 unilateral maximal voluntary isometric contractions (MVIC) with their heels on force plates and shoulders elevated 15.24 cm, while their hips were secured with a loaded barbell. Data was analyzed to assess the reliability of force values at 50, 100, 150, 200, 250 ms, and peak force (N) across three repeated sessions. Moderate-good relative and absolute reliabilities were observed across all early force-time variables with lower bound ICC values≥0.51 (0.51–0.71) and point estimate CV%≤12.65% (7.63–12.65), with moderate relative (ICC≥0.74; range 0.74–0.92) and absolute (CV%≤6.50%; range 6.48–6.50) reliability for peak force. Trivial to small effect sizes (g≤0.4) were observed between sessions. These findings suggest that the isometric single-leg long-lever bridge (SL-LLB) can be used to reliably monitor peak and rapid force generating capacities to track performance changes over time due to training adaptations as well as acute or chronic fatigue.

Beyond The First Bout: Adaptations To Repeated Injuries Across Physiological And Pathological Conditions, Cory W. Baumann, Christopher P. Ingalls, Kazunori Nosaka, Jarrod A. Call

Research outputs 2022 to 2026

Skeletal muscle exhibits remarkable plasticity following injury, yet most research has focused on responses to a single bout of eccentric contractions. This review addresses adaptations to repeated eccentric contraction–induced injuries across physiological and pathological conditions, with emphasis on insights from preclinical rodent models. In healthy muscle, the repeated bout effect (RBE) reduces strength loss and accelerates recovery after subsequent bouts. However, these adaptations are highly condition dependent. Aging can attenuate the RBE, while dystrophic muscle remains vulnerable to repeated injury despite compensatory remodeling. Other factors, including but not limited to, chronic alcohol intake and malignant hyperthermia can influence these responses, …

Circulating Sphingomyelins Correlate With Plasma T-Tau In Cognitively Unimpaired Older Adults At Risk Of Developing Alzheimer's Disease, Tahmida Sharmin, James D. Doecke, Pratishtha Chatterjee, Steve Pedrini, Hamid R. Sohrabi, Nicholas J. Ashton, Henrik Zetterberg, Manohar L. Garg, Kaj Blennow, Ralph N. Martins

Research outputs 2022 to 2026

Alterations in plasma sphingomyelin (SM) levels have been reported in Alzheimer's disease (AD), pointing to disturbances in lipid metabolism that may contribute to disease pathogenesis. Neuronal damage in early AD triggers tau release into central and peripheral systems. Despite influence from peripheral contributions, alterations in plasma total-tau (T-tau) remain valuable in indicating AD-related neurodegeneration. Investigating relationships between SM metabolism and tau release during preclinical AD may uncover important biochemical processes and support advancing early non-invasive detection and treatment approaches. This cross-sectional study investigated cognitively unimpaired (CU) older adults from the KARVIAH cohort, grouped by cortical amyloid-β (Aβ) status through positron …

Comparing Microbial Communities Of Diseased And Healthy Isopora Palifera Corals And Adjacent Waters At The Cocos (Keeling) Islands, Sophie Preston, Jacquelyn Jones, Megan J. Huggett, Arne A.S. Adam, Nicole E. White, Kar Chun Tan, Zoe Richards

Research outputs 2022 to 2026

Growth anomalies (GAs) are coral diseases characterised by tumour-like skeletal lesions reported globally, yet their causes remain poorly understood. Microorganisms are integral to coral health, but the role of bacterial communities in GAs remains unclear. We investigated an outbreak of GAs in Isopora palifera at the Cocos (Keeling) Islands using 16S rRNA amplicon sequencing to compare bacterial communities of GA-affected and asymptomatic corals, surrounding water and potential pollution sources. Significant differences in bacterial beta diversity were observed across sites, with an interaction between location and coral health status. Coral and water samples hosted distinct microbial communities, but there was no …

Engineered Uio-66-Nh2 Hybrid Nanocomposites For Antifouling Ultrafiltration Membranes With Dual Resistance To Microplastics And Protein Fouling, Mitra Golgoli, Mohadeseh Najafi, Javad Farahbakhsh, Masoumeh Zargar

Research outputs 2022 to 2026

The growing presence of microplastics (MPs) in water and their impact on ultrafiltration (UF) membranes during the early stages of wastewater treatment highlight the need for effective mitigation strategies. This study explores the innovative modification of UF membranes by incorporating various hybrid metal-organic frameworks (MOFs) nanoparticles, including UiO-66-NH2 hybrids with multi-walled carbon nanotubes (MWCNTs) (UiOM), chitosan (UiOC), and sulfobetaine zwitterions (UiOZ). These nanoparticles were synthesized and integrated into innovative UF membranes to compare their performance on MPs fouling effect in particular. The integration enhanced membrane hydrophilicity and altered surface roughness, creating a hydrophilic functional network that improved water permeability. Water …

Growing Older Across Time And Space: The Impact Of Various Forms Of Capital On Social Support Networks Among Older Vietnamese Migrants, Hien Thi Nguyen, Lukasz Krzyzowski, Loretta Baldassar

Research outputs 2022 to 2026

Much has been written about the important role of social support networks (SSNs) for the well-being of older adults, encompassing their social, emotional and practical needs. Less is known about what happens to the SSNs of older people when they migrate, and even fewer studies have examined the impact of different forms of capital on these networks. Drawing on ethnographic interviews and participant observation with 22 older Vietnamese migrants in Australia (2020–21), this paper explores the influence of different forms of social, cultural, economic and symbolic capital on their SSNs. Data analysis comprised egocentric social network analysis of the connections …

Role Of Allied Health Professions In Falls Prevention For Community-Dwelling Older Adults: A Scoping Review, Amy Lawton, Nicholas Tripodi, Rebecca Wospil, Breanna M. Wright, Hylton B. Menz, Suzanne Martin, Daniel R. Bonanno, Corey Linton, Andisheh Bastani, Andrew Ross, Rees Thomas, Daniel Corcoran, Timothy Mcnamara, Danielle Baxter, Brett Vaughan, Rebecca Lane, Jack Feehan

Research outputs 2022 to 2026

Objective: Falls among community-dwelling older adults are prevalent and have serious individual, societal and economic consequences. Allied health professionals provide key falls prevention interventions yet their representation in current clinical practice guidelines is inconsistent. Increased recognition of allied health roles and delivering context-specific guidelines for falls care could help to address workforce gaps and optimise care approaches. This scoping review explored the roles of the allied health professions in falls prevention screening, assessment and intervention for community-dwelling older adults. Design: Scoping review, using the Joanna Briggs Institute methodology for scoping reviews. Data sources: PubMed, CINAHL, Scopus, Cochrane, Web of Science …

Meritocracy And Equal Access To The Public Sector: A Comparative Analysis Of Accessibility To Public Sector Jobs And Public Services, Beomgeun Cho, Heasun Choi

Research Collection School of Social Sciences

This study investigates the impact of meritocracy on equal access to the public sector, focusing on public sector employment and services. While meritocratic principles promote impartiality and fairness in administrative processes, their effectiveness in improving equal accessibility remains understudied and contested. Drawing on the literature linking meritocracy to democratic stability, we argue that strong meritocratic systems enhance equal access to the public sector regardless of social groups and gender by fostering professional stewardship in the bureaucracy and strengthening checks and balances between bureaucrats and politicians. Our findings, drawn from a panel dataset consisting of 161 countries over 49 years, suggest …

The Effect Of A 14-Day Digital Nudge-Based Sleep Hygiene Intervention On Behavioural, Cognitive, And Emotional Well-Being In College Students: An Experimental Approach, Tracy X. Chen, Chi-Ying Cheng, Michelle Koay, Chin Boon Soh, Andree Hartanto

Research Collection School of Social Sciences

Sleep is essential for one's cognitive, psychological, and physical health. Yet, college students often face sleep deprivation due to academic demands, social obligations, and extracurricular commitments. This study implemented a 14-day Digital Nudge-Based Sleep Hygiene Intervention, delivered via a digital platform, to encourage healthier sleep practices among college students. Grounded in nudge theory, the digital intervention used subtle behavioural prompts to improve participants' sleep hygiene without imposing restrictions, demonstrating high adherence and scalability. Participants were guided through daily tasks to enhance autonomy and motivation, such as creating calming bedtime routines. The digital intervention led to positive outcomes across four domains: …

Outcomes Associated With Childhood Parental Divorce: An Umbrella Review Of Meta-Analyses, Gabriel Xing Da Tan, Andree Hartanto, Ysabel Thereze Ang Guevarra, Angel K. M. P. Lee, Jing Jie Kenneth Koh, K Tennakoon Appuhamillage Sandeeshwara Kasturiratna

Research Collection School of Social Sciences

Background: Childhood parental divorce has been consistently associated with a host of negative outcomes across multiple domains, such as socioemotional, behavioural, academic, and physical health, which can persist into adulthood. Despite extensive research on childhood parental divorce, the current literature lacks a systematic, integrated synthesis that clarifies which child outcomes are most consistently associated with parental divorce, as well as the potential moderators influencing these associations. Therefore, we conducted an umbrella review of meta-analyses to bridge this gap by consolidating the existing research and providing an exhaustive overview. Methods: Systematic searches were conducted across various databases and following a two-stage …

Brief Virtual Reality And Mixed Reality Mindfulness Breathing Exercise For Emotional Well-Being And Cognitive Functions In University Students: Within-Subjects Experimental Design Study, Zoey Khai Yee Eun, Charmaine Jiali Koh, Hwajin Yang, Adalia Yin Hui Goh, Meilan Hu, K Tennakoon Appuhamillage Sandeeshwara Kasturiratna, Andree Hartanto

Research Collection School of Social Sciences

Background: Mindfulness has been shown to enhance emotional well-being and cognitive performance, yet much of this evidence stems from interventions requiring prolonged practice, making them time-consuming and less accessible. Recent studies suggest that brief mindfulness sessions may also yield positive outcomes, but the effectiveness of such interventions in virtual reality (VR) and mixed reality (MR) remains underexplored. Objective: This study investigates the effects of brief mindfulness breathing exercises delivered through VR and MR on attentional and emotional restoration and self-control capacity. Methods: Using a within-subjects experimental design, 102 undergraduate participants (n=83, 81.4% female; mean age 20.87, SD 1.89) completed a …

The Smallholder’S Dilemma In Agroecological Transitions: The Diseconomy Of Agroecology For Small Farmers In Industrial Agriculture, Qian Forrest Zhang

Research Collection School of Social Sciences

A scalar contradiction exists between agroecology's three goals: while ecological sustainability is best pursued at the landscape scale, social equity and livelihood goals often require organizing production at the small scale of family farms. In China's ‘industrial agriculture of small farmers’, ecological farming practices became economically unviable at small farmers' minuscule scales. Agroecological transitions almost always first go through a scale expansion, a process fraught with tension. The empirical analysis focuses on three ‘ecological farms’ that enjoyed favorable conditions unattainable to smallholders. Yet, lock-ins across five dimensions have either made their operations economically unsustainable or forced compromises in agroecological principles.

Log Off To Level Up: The Effect Of Social Media Hiatus On Goal Pursuit, Nekysha L. Y. Jalil, Yong Han Tan, Andree Hartanto, Eddie M. W. Tong

Research Collection School of Social Sciences

Concerns are growing that social media, with its constant notifications and attention-grabbing content, may distract individuals and hinder progress toward important goals. Despite its pervasive presence in our lives, the impact of social media on goal achievement has not been thoroughly studied. This within-subject experimental study aims to investigate the effects of social media hiatus (SMH), a short abstinence from social media usage, on goal pursuit processes. Participants (N= 107) completed daily diaries over three consecutive days of SMH and three days of regular social media use. SMH was manipulated by blocking participants’ access to multiple social media platforms. The …

The Restorative Effects Of Nature Exposure Via Virtual Reality On Well-Being, Self-Control, And Working Memory, Zoey K. Y. Eun, Hwajin Yang, Nicole R. Y. Chen, Andree Hartanto

Research Collection School of Social Sciences

The psychological benefits of nature exposure are vital for well-being in an increasingly urbanised world. While previous research has consistently demonstrated the restorative effects of natural environments on both physical and psychological health, findings on virtual nature simulations remain mixed, possibly due to the limited immersive quality of conventional displays. Virtual reality (VR), however, provides immersive visual and auditory engagement, making it a promising alternative for delivering nature-based experiences when direct exposure to real nature environments is unavailable. The present study examined the effects of VR-simulated nature on attentional and emotional restoration and self-control capacity, using a preregistered, within-subjects experimental …

A Stress-Induced Digital Escapism Framework For Understanding The Link Between Stress And Problematic Social Media Use, Hwajin Yang, Frosch Yi Xuan Quek, Xiu Hui Salin Yap, Yue Qi Germaine Tng, Gilaine Rui Ng

Research Collection School of Social Sciences

Given that stress is a significant risk factor for problematic social media use, understanding the underlying psychological mechanisms is essential. We introduce the Stress-Induced Digital Escapism (SIDE) framework, which posits that negative internal emotional responses to external stressors may increase reliance on maladaptive emotion regulation strategies that fail to alleviate distress. These processes may, in turn, strengthen escapism motives that lead to seeking emotional relief through compulsive social media use. Using structural equation modeling (N = 238), we examined three integrated psychological pathways—negative stress reactions, maladaptive emotion regulation strategies, and escapism motives—as sequential mediators linking external demands to problematic social …

Research "Junkification" Is Caused By Researchers, Not Journals, Simon Sebastian Groome, Jose C. Yong, Norman P. Li

Research Collection School of Social Sciences

Concerns about declining research quality have increasingly been framed as “junkification,” whereby academic output expands in volume while declining in epistemic value. A recent paper by Rhodes and Linnenluecke (2025) attributes this trend to changes in publishing, arguing that research quality erodes as journals and publishers become increasingly oriented toward output quantity and metrics, driven by monetization. In 2009, Nobel Laureate James Watson remarked that scientific publishing in the mid-twentieth century was both easier and of a higher standard than today (Web of Stories, 2017). If publishing is much easier of late, as Rhodes and Linnenelucke (R&L) argued, then how …

Synthesis And Evaluation Of Long-Term History-Aware Medical Dialogue, Hebin Hu, Renke Dai, Ah-Hwee Tan, Yilin Kang

Research Collection School Of Computing and Information Systems

An effective healthcare agent must be able to recall and reason over a patient’s longitudinal medical history. However, the absence of datasets with realistic long-term dialogue timelines limits systematic evaluation. Real clinical text is constrained by privacy and ethics, while existing benchmarks focus on isolated interactions, failing to capture cross-session reasoning. We introduce a framework for synthesizing high-quality, long-term medical dialogues with LLMs. Our approach entails a knowledge-guided decomposition into three stages: constructing synthetic patient profiles with diverse disease and complication trajectories, generating multiturn dialogues per encounter, and integrating them into a coherent longitudinal history dataset, MediLongChat. We establish three …

Discriminatory Bankruptcy Trusts, Nicole Langston

Vanderbilt Law Review

Hundreds of thousands of people who’ve been exposed to asbestos and opioids have had their claims funneled into trusts through mass-tort bankruptcy cases. At their start, both the asbestos and opioid epidemics were limited to occupations and geographic locations that primarily affected lower-class white men. Today, however, women and people of color are also harmed. Like the claimants of earlier generations, their claims are funneled into bankruptcy trusts. Women and people of color have unequal access to treatment and have higher mortality rates from their opioid and asbestos exposure, making them more likely to have larger dollar value claims in …