Digital Commons Network^™

Speculative Resource Pre-Warming Based On Partial Agent Output, Sarita A. Joshi, Lavi Nigam

Defensive Publications Series

In multi-agent systems, such as those organized as directed acyclic graphs, cold-start initialization latency at transitions between agent nodes can create performance bottlenecks. This delay can occur when a system waits for an upstream agent to complete its task before preparing resources for the subsequent downstream agent. The described systems and techniques can address this by implementing speculative resource pre-warming. A system can monitor the partial output of an active upstream agent to extract a routing fingerprint and predict the likely next agent in the workflow. Based on this prediction, computational resources for the downstream agent, such as models and …

Adaptive Real-Time Ml Monitoring, Drift Detection, Cross-Environment Psi, And Hyperscale Authorization For Multi-Rail Payment Fraud Prevention, Durga S. Kala, Jun Xu, Ankana Sonowal, Yidong Fu

Defensive Publications Series

A computer-implemented system for monitoring machine learning model input feature health in a payment transaction authorization network. The system includes a distributed audit log extraction pipeline configured to ingest ML model scoring event records, filter records by model identifier and issuer processor affiliate identifier, and flatten nested JSON request and response structures into columnar format. The system includes a transaction-type partitioning module configured to split the flattened dataset into per-transaction-type subsets corresponding to different authorization pathways. The system includes a numerical feature statistics engine configured to compute distributional statistics for numerical scoring features. The system includes a population stability index …

A Review On Traditional And Modern Aspects Of Vitex Negundo L.: Ethnomedicine, Phytochemistry, And Pharmacology, Tathagata Khanra, Suvasish Mitra, Subham Saha, Maitryee Mondal, Subhash C. Mandal

International Journal of Traditional Knowledge

Vitex negundo L., or five-leaved chaste tree, is a medicinally significant plant widely distributed in Asia and other tropical regions, frequently utilized in traditional healing systems for a spectrum of ailments. This comprehensive review consolidates current knowledge on the botany, traditional uses, phytochemical constituents, and pharmacological potentials of Vitex negundo L. The plant is rich in diverse bioactive compounds such as flavonoids, alkaloids, glycosides, and terpenoids, which are primarily responsible for its multidimensional therapeutic actions. Scientific investigations have substantiated its role in exerting anti-inflammatory, analgesic, antimicrobial, antioxidant, hepatoprotective, nephroprotective, insecticidal, anticancer, and antidiabetic effects, among others. Research reveals promising enzyme-inhibitory, …

Siddha Formulations: A Traditional Reservoir Of Valuable Medicines For The Contemporary World, Agnes Preethy

International Journal of Traditional Knowledge

Traditional Medicine had been practised for many centuries in different parts of the world. However, the deep insights drawn from the traditional knowledge have remained highly localized as it had been privy only to the generations of traditional medicine practitioners. This, combined with lack of scientific evidence of their therapeutic action, had limited access, acceptance and awareness of these preparations to the larger segment of the community. The emergence of new lifestyle disorders and drug-resistant diseases in recent years has fuelled the search for alternate treatment strategies and has revived interest in traditional medicines. Concerted efforts to decipher the molecular …

Ayurvedic Herbs In The Management Of Benign Prostatic Hyperplasia: A Comprehensive Narrative Review, Latha Damle, Chandrasekhar C

International Journal of Traditional Knowledge

Benign Prostatic Hyperplasia (BPH) is a common, non-cancerous enlargement of the prostate gland, primarily affecting older men. It frequently leads to lower urinary tract symptoms (LUTS) such as increased urinary frequency, urgency, nocturia, and weak urine flow, which can significantly impair quality of life. Standard treatments for BPH include alpha-blockers, 5-alpha reductase inhibitors, and surgical interventions. However, limitations in efficacy and potential adverse effects have driven interest in complementary and traditional therapies, including Ayurveda. In Ayurvedic medicine, BPH is described as Mutraghata and Vatashthila, conditions attributed to an imbalance of Vata and Kapha doshas that disrupt normal prostate and …

Unveiling The Night-Flowering Jasmine: A Comprehensive Review Of Nyctanthes Arbor-Tristis’ (Oleaceae) Phytochemistry, Ethnomedicine, And Therapeutic Potential, Subham Saha, Soumya Mitra, Tathagata Khanra, Saban Karmakar, Tamalica Hore, Subhash C. Mandal

International Journal of Traditional Knowledge

Nyctanthes arbor-tristis (NAT), typically known as Night-flowering Jasmine or Harsingar or Parijat, is one of the prominent medicinal plants indigenous to the Indian subcontinent. Its application dates back to ancient times, with substantial documentation in former religious texts. Native communities have traditionally used this for various human ailments and as an ornamental plant. Leaves, flowers, seeds and stems of this plant are rich in various primary and secondary metabolites, providing a wide range of pharmacological effects. The most abundantly found phytoconstituents belong to iridoid glycosides, such as arbortristosides. Comprehensive research has investigated its potential in anticancer, antiviral, and anti-inflammatory activities, …

Gaining From Captured Indian Traditional Knowledge Systems: Paths Taken And Way Forward, Ramasami T

International Journal of Traditional Knowledge

India’s scientific heritage is deeply reflected in Ayurveda, a tradition of integrative medicine documented for over two millennia. P.C. Ray, the father of modern chemistry in India, highlighted the depth of ancient chemical knowledge and early use of mercury compounds, while M.S. Valiathan later revived and analyzed the classical texts of Charaka, Sushruta, and Vagbhata to bridge Ayurveda with modern science. Building on this foundation, the Government of India launched initiatives linking Ayurveda with genomics, personalized medicine, and rasayana therapies, yielding promising insights such as the genetic basis of prakriti classifications and protective effects of Amalaki Rasayana. Efforts like the …

Hudson Hospital Opco Llc V. Cigna Health And Life Insurance Co

2026 Decisions

USDC for the District of New Jersey

Washington Search And Seizure Law: 2026 Update, Justice Charles W. Johnson, Justice Debra L. Stephens, Justice Steven González

Seattle University Law Review

This Survey is intended to serve as a resource which Washington lawyers, judges, law enforcement officers, and others can turn to as an authoritative starting point for researching Washington search and seizure law. In order to be useful as a research tool, this Survey requires periodic updates to address new cases interpreting the Washington constitution and the U.S. Constitution and to reflect the current state of the law. As the U.S. Supreme Court has continued to examine Fourth Amendment search and seizure jurisprudence, its decisions and reflections on Washington law are discussed.

Most of the Survey cases involve the Washington …

Getting Money Out Of Politics By Putting Money Into Politics: A Few Modest Proposals To Reform Seattle’S Democracy Voucher Program, Decker O’Donnell

Seattle University Law Review

Seattle’s Democracy Voucher Program offers an unconventional response to the growing influence of money in American elections: rather than restricting political spending, it seeks to amplify the participation of ordinary voters by providing publicly funded vouchers that residents may assign to participating candidates. This Article examines the program’s development, operation, and constitutional foundation within the modern campaign-finance framework established by Buckley v. Valeo and subsequent Supreme Court decisions. It argues that democracy vouchers provide a constitutionally viable means of broadening participation in campaign financing while mitigating the influence of wealthy donors. The Article identifies two weaknesses in the current system: …

Hospital Charity Care And Medical Debt Among Low-Wage Workers In The United States, Mathieu Despard, Stephen Roll, Eva Stahl, Camila Salvagno, Ruth Lande

Center for Social Development Research

With one in five low-wage workers reporting medical or dental debt they cannot afford to pay, financial assistance programs (also known as charity care) are an important resource. Federal law requires nonprofit hospitals to offer such programs, but evidence suggests that workers experience administrative burdens in learning about and applying for the assistance. Drawing upon data from the Workforce Economic Inclusion and Mobility (WEIM) survey, this brief presents findings on associations between the characteristics of low-wage workers and their experiences with financial assistance programs. The brief also shares examples of how hospital policies and patients’ needs may not align, presenting …

Connecting Families Through Cash Transfers And An Enabling Environment In Colombia, Mexico, And The Philippines: A Qualitative Study, Johanna K P Greeson, John Gyourko, Sarah Wasch, Kristin Mallory, Lory Fehlig, Cesar Jácome, Nestor David Lara Yanes, Fátima Areli Ruiz Gutiérrez, Dennis Guamos, Adele R. Lehman

Faculty Scholarship

Nearly 700 million people worldwide live in extreme poverty, and almost half of the world’s population lives below the poverty line. Cash transfer programs are increasingly used to address poverty’s effects on family well-being, yet less is known about how families experience programs that combine cash transfers with peer-driven mutual aid. Children International’s (CI) Community Independence Initiative (CII) provides conditional cash transfers and promotes family-led goal setting, mutual support, and shared learning. This qualitative study explored how families in Colombia, Mexico, and the Philippines experienced CII and made meaning of its material and relational components. We conducted focus groups with …

Ai And Data Literacy Scales: Review And Item Analysis For Nursing-Specific Assessment, Mikyoung Angela Lee, Fabio D'Agostino, Ann Wieben, Pankaj Vyas, Bader G. Alreshidi, Lisiane Pruinelli, Marisa Sileo, Jethrone Role, Holly Bullion, Emiliane Nogueira De Souza, Janet Northcote

International Nursing Research Congress (INRC)

Background: The rapid integration of artificial intelligence (AI) and data-driven decision-making in healthcare requires nurses to develop strong AI/data literacy.[1,2] Literature and industry reviews identified inconsistent data literacy definitions and few nursing-focused tools,[3] underscoring the need for validated instruments for nursing.

Purpose: To (1) review existing AI/data literacy instruments, (2) conduct item-level mapping to four frameworks representing data processes and competencies, and (3) guide nursing-specific instrument development.

Methods: Eleven international experts in nursing informatics and data science reviewed AI literacy scales from Lintner’s review[4] and five nurse-focused data literacy scales identified via Google Scholar. From 24 instruments, 475 items were …

Nurses’ Contributions To Virtual Care Delivery In Primary Care: A Scoping Review, Crystal Vaughan, Julia Lukewich, Maria Mathews, Lindsay Hedden, Ruth Martin-Misener, Marie-Eve Poitras, Shabnam Asghari, Michelle Swab, Dana Ryan

International Nursing Research Congress (INRC)

Background: Virtual care is increasingly used to improve access to primary care (1,2). However, the roles of primary care nurses (i.e., nurse practitioners [NPs], registered nurses [RNs], licensed practical nurses [LPNs]) in virtual care delivery are not clearly defined. A better understanding of these roles can improve their integration and optimization in virtual primary care delivery and the availability and quality of virtual primary care (3,4).

Objectives: The purpose of this scoping review was to identify and map the international literature on nurses’ roles in virtual care delivery in primary care.

Methods: Following Joanna Briggs Institute methodology (5), we searched …

Practice Environment And Job Outcomes Among Nurse Practitioners Caring For Patients With Dementia, Lusine Poghosyan, Maura Dougherty, Kathleen Flandrick, Miles Degrazia, Joshua Porat-Dahlerbruch, Grant Martsolf, Soo Borson, Tatiana Sadak, Jianfang Liu

International Nursing Research Congress (INRC)

Background: As the number of Americans living with dementia rises, healthcare delivery systems face increasing pressure to provide dementia-specific services to improve patient and family outcomes. The growing primary care Nurse Practitioner (NP) workforce plays a pivotal role in dementia care; however, many NPs practice in poor environments that lack needed organizational attributes and support to maximize their contributions. We examined the associations between the NP practice environment and key indicators of workforce sustainability—burnout, job satisfaction, and intent to leave.

Participants and Setting: We conducted a national cross-sectional survey of NPs caring for patients with dementia in 2022-2023. A total …

Cultural Tailoring And Co-Design Of Telehealth Interventions With Immigrants And Refugees, Saleema Allana, Thuvaraha Jeyakumaran, Dhruv Rathod, Maham Khan, Darryl Ku, Raza M. Haider, Victoria Smye, Richard Booth

International Nursing Research Congress (INRC)

Background: Immigrants and refugees face significant barriers in accessing and using telehealth.(1,2) Although cultural tailoring and co-production approaches are recommended,(3) little is known about how deeply these practices are integrated into existing telehealth interventions for these populations.

Purpose: The purpose of this scoping review was to map the current evidence on telehealth interventions involving immigrants and refugees, assess how cultural tailoring was applied using the Cultural Sensitivity Framework, and evaluate the extent to which co-design approaches were used.

Methods: We conducted this scoping review following PRISMA-ScR.(4) Systematic search was undertaken in MEDLINE, CINAHL, Scopus, and Cochrane using telehealth, immigrant, and …

Feasibility Of A Nurse Led Sailing Program To Enhance Resilience Among Autistic School Aged Children, Myrian Sze Nga Fan, William Ho Cheung Li, Laurie Long Kwan Ho, Kay Rawbone, Kai Chow Choi, Rob Allen, Trinitey Letterman, Sek Ying Chair

International Nursing Research Congress (INRC)

Promoting resilience and mental health among autistic children remains a global health priority, consistent with the United Nations Sustainable Development Goal 3 and the World Health Organisation’s vision for inclusive, community based care. While existing interventions focus on functional outcomes, resilience among autistic children remains understudied. To address this gap, a nurse led community based sailing program was developed and implemented in partnership with Sailability Hong Kong.

A pilot assessor blinded, parallel group randomised controlled trial evaluated the program’s feasibility, acceptability, and preliminary effects. Children aged 7–12 years with autism diagnosis were recruited, then randomised to either: (1) an intervention …

The Impact Of Covid-19 On The Mental Health And Well-Being Of Black And Latinx Nurses In California, Jerry John Ouner, Patience Afulani, David A. Asakitogum, Nneka Umeh, Monica Getahun, Jaffer Okiring, Michael Denyu, Orlando Harris, Osamuedeme Odiase

International Nursing Research Congress (INRC)

On January 31, 2020, Santa Clara County reported California’s (CA) first COVID-19 case. As the pandemic unfolded, health systems were severely strained, and health care workers faced dual exposure risks from their communities and households alongside heightened occupational risk from direct patient care.1,2 For Black and Latinx nurses, COVID-19’s disproportionate impact on their communities intensified stress, fear, and uncertainty, and when combined with the demands of frontline work, greatly increased their risk of psychological distress and burnout. We examined COVID-19’s impact on the mental health and well-being of Black and Latinx nurses in CA.

Method: We conducted an explanatory sequential …

Developing Congenital Heart Disease Screening: Adult From Heart To Sole, Tami L. Jakubowski, Sarah Curtis, Carole Kenner, Marina Boykova, Simranjot Mann, Emma Cartnick, Mia Conners, Kayla Creedon

International Nursing Research Congress (INRC)

Introduction: “Adult From Heart to Sole” is a study exploring a non-invasive, low-cost screening method for congenital heart disease (CHD).

Methods: This pilot study explores identification of a specific crease on the sole of the foot as a marker for early detection of CHD in newborns. A Qualitrics survey was developed and distributed on social media platforms (Facebook, LinkedIn, etc) and the Adult Congenital Heart Association “Studies Recruiting Subjects” webpage. Participants were asked about demographic data, whether they have been diagnosed with a CHD and what type, if they have the specific crease on either foot, and if they have …

Building Tomorrow's Innovators: A Model Fusing Research, Collaboration, And Entrepreneurship, Modupe Akintomide, Monica Nandan, Joy Falilatu Li, Toi-Ann Kingsby, Dandre Williamsons, Ben Karanja, Blessing Anyanwu, Maggy Boadu

International Nursing Research Congress (INRC)

Background: Integrating research, interprofessional teamwork, and entrepreneurship into undergraduate education enhances student achievement and success [1–3]. Traditional teaching methods often fall short due to limited experiential opportunities [4–6].

Aim: To evaluated the effectiveness of a course designed on the Research, Interprofessional Collaboration, and Entrepreneurship (RICE) Model in improving undergraduate competencies in research methodology, interdisciplinary teamwork, and entrepreneurial thinking skills.

Methods: Using a quality improvement framework, we developed and infused the RICE Model into a tuition-free, credit undergraduate course embedded in our Vertical Integrated Programs (VIP) funded research project. It was built around three pillars: (1) Research (R), emphasizing hands-on methodology …

Championing Change: Igniting Innovation In Age-Friendly Care, Tru P. Byrnes, Amanda Gregory, Carolyn Lehman, Karrie Love, Kathleen Mescall, Gretchen Simon, Shelby Whitlow

International Nursing Research Congress (INRC)

The goal was to enhance nurses’ knowledge and confidence in delivering person-centered, age-friendly care by introducing the 4Ms framework and interdisciplinary approaches to geriatric health through a dynamic conference with expert speakers and entertaining skits designed to engage and educate.

The aging population in the U.S. is growing rapidly, accounts for 40% of hospilized patients.(1) With aging, individuals often experience a combination of physiologic and pathophysiologic changes, which can lead to chronic illnesses.(2) Nearly 64% of those aged 65 and older have at least two chronic conditions.(3) However, nurses often lack geriatric expertise. Equipping nurses with education and resources fosters …

Nursing Beyond Borders: Ethics, Trust, And Relational Safety In Global Practice, Jitana P. Benton-Lee, Jerry John Ouner, Amy Beth Staley, Jasper Erwin Tolarba, Regina Yuen, Siobhan O'Connor, Charlotte Mcardle

International Nursing Research Congress (INRC)

Nurses encounter ethical dilemmas daily in clinical, community, and cross-cultural care settings. Relational ethics provides a guiding foundation for ethical nursing practice by emphasizing human connection, mutual respect, and shared meaning rather than rules, duties, or procedural norms alone. This workshop examines how relational ethics operates across borders, highlighting how nurses adapt their communication strategies, clinical judgment, and ethical reasoning to support individuals whose cultural values, histories, and expectations of care differ from their own. By framing ethics as relational rather than universal, the session positions relational safety as an essential precursor to ethical decision-making and professional accountability.

The workshop …

Making An Impact! Development Of An Interprofessional Clinical Effectiveness Training Program, Katherine Melton, Kara Misto, Ashley Perry, Michelle Marie Parent, Christian Keenan, Olivia Young, Katherine Mason

International Nursing Research Congress (INRC)

Achieving and maintaining meaningful change in patient safety outcomes remains an ongoing challenge.(1) Clinical Effectiveness Education (CEE) is a promising method to help address the challenge of creating sustainable change in healthcare. CEE is a comprehensive approach to improving patient safety by educating healthcare team members in methods to use best-evidence to inform care decisions.(2) Two foundational CEE strategies are Evidence-Based Practice (EBP) and Quality Improvement (QI). EBP and QI practices have both been shown to have a positive impact on patient safety and return on investment.(1,3) Despite its documented benefits, CEE is not typically covered in-depth in health-professions education …

Retrieval Strategies For Embolized Left Atrial Appendage Closure Devices, Usama Sadiq, Muneeba Ali, Stacey Damito, Maxwell Ambrosino, Muhammad Sabri, Muhammad Ahmad Sadiq, Muhammad Hamza Sadiq, Richard Kovach, Sheena Rastogi, Muhammad Raza

Abington Jefferson Health Papers

BACKGROUND: Device embolization (DE) is a rare but potentially life-threatening complication of left atrial appendage occlusion (LAAO). As landmark trials broaden the eligible population for LAAO, operator preparedness for DE management becomes increasingly critical.

CASE SUMMARY: We present 4 cases of LAAO DE managed with distinct retrieval strategies: 1) open surgical retrieval with concurrent AtriClip ligation for an endothelialized left atrial device; 2) sequential transseptal then retrograde arterial snaring for intraprocedural migration to the abdominal aorta; 3) transseptal retrieval using a dedicated ONO system with cerebral embolic protection for partial left atrial dislodgment; and 4) retrograde large-bore arterial retrieval for …

Allograft Tendon Pretensioning Technique Guide., Joseph R Brown, Robert W Mendicino

Surgery Articles

In foot and ankle surgery, allograft tendons are frequently used in both primary and revision cases to enhance stability and function. However, postoperative complications, such as creep, can compromise the intended correction and stability over time. This paper presents a practical guide on pretensioning techniques prior to implantation, aiming to reduce creep and improve long-term outcomes. Using two common allograft specimens, we demonstrate pretensioning methods with specific focus on tendon stitching, techniques for securing the allograft to the graft board, optimal tensioning and time parameters. We recommend pretensioning at 80 N for approximately 30 min to effectively decrease creep and …

Presence And Impact Of Herbicides On Intertidal Benthic Communities, Marco Sanderson

Electronic Theses and Dissertations

The growing reliance and widespread use of herbicides on a global scale is negatively affecting non-targeted biota and, consequently, their ecosystems. Herbicide levels and their impacts have been extensively researched around the world in riverine and lacustrine ecosystems. However, studies of the levels and effects of herbicides on coastal intertidal benthic communities have been lacking. This study focused on testing spectrophotometric methodologies for herbicides (atrazine and glyphosate) and documenting their presence and levels in sediment, water, and biotic tissue of intertidal coastal beaches and marshes of Waties Island and Singleton Swash, Horry County, South Carolina. A laboratory microcosm was employed …

Trophic Ecology Of A South Carolina Estuarine Predator Guild, Shane John Molander

Electronic Theses and Dissertations

Estuaries are among the world’s most productive ecosystems in the world and are characterized by the convergence of two distinct habitats, creating a mosaic of environmental conditions from inland rivers to the nearshore ocean. Many fishes occupy estuaries during various life stages for growth, reproduction, or foraging, and may reside in them seasonally. The co-occurrence of species, particularly upper-trophic level carnivores, can result in competitive interactions for prey resources within a shared environment. Identifying the degree of these interactions as well as understanding basal energy consumption can inform food web dynamics and how overlapping species use shared spaces. I used …

Citizen Science As A Long-Term Environmental Baseline: Assessing Impacts Of A Small Dam Removal In Montana, Usa, Bethany Blakey, Natalie Bursztyn

Watershed Sciences Student Research

As dam removals increase in frequency across Europe and North America, most research has focused on the impact of larger dam removals, despite the removal of small dams being much more common. There are hundreds of small dams in Montana, USA, and this research investigates impacts on stream ecology and morphology using citizen science data collected over eight years spanning before and after a 2020 small dam removal in Rattlesnake Creek. We analyzed pebble count grain size distributions and aquatic macroinvertebrate biotic indices from 2017 to 2024 to assess changes in sediment transport and macroinvertebrate population as well as evaluate …

Artificial Intelligence And Social Equities: Navigating The Intersectionalities In A Digital Age (Editorial), Daisuke Akiba, Julie Albright

Publications and Research

This editorial article introduces and synthesizes the Special Issue, “Artificial intelligence and social equities: navigating the intersectionalities in a digital age,” which examines how AI systems intersect with race, ethnicity, and interconnected identity dimensions across global contexts. The eight contributions span healthcare, digital media, higher education, organizational communication, and speculative futures, addressing anti-racist psychiatric algorithms, AI-generated visual disinformation, epistemic injustice between the Global North and South, algorithmically mediated rural–urban divides, culturally untranslated technology transfer, accessibility auditing across the AI lifecycle, and the tension between mechanical objectivity and empathic understanding. Read together, they show that AI is neither inherently …

Psychosis Among Justice-Involved Youth, Muhubo Y. Alinur

Master of Arts in Human Services

Abstract

Justice-involved youth face considerable mental health challenges, yet psychotic symptoms are frequently overlooked or misclassified as behavioral problems. This capstone critically reviews peer-reviewed literature on the prevalence, risk factors, assessment strategies, clinical needs, and systemic responses related to psychosis in justice-involved adolescents. Literature was sourced from Concordia University, St. Paul Library, Google Scholar, and PubMed. Research indicates that these youth often experience complex, overlapping issues such as trauma, substance use, mood disorders, neurodevelopmental difficulties, and barriers to accessing appropriate mental health care. Unaddressed, these co-occurring needs can result in punitive or unsuitable responses from justice and related systems when …