Digital Commons Network^™

The Art Of Translation, Steven Harvey

Creative Nonfiction Magazine

No abstract provided.

How And Why, Jane Bernstein

Creative Nonfiction Magazine

No abstract provided.

Extraordinary Or Excessive? Rethinking Nonretroactive Changes In Decisional Law As Grounds For Compassionate Release, Anna Zumbar

Akron Law Review

Federal courts are deeply divided on whether nonretroactive changes in decisional law affecting sentencing are an “extraordinary and compelling reason” for compassionate release under 18 U.S.C. § 3582(c)(1)(A), The First, Second, Fourth, and Tenth Circuits recognize district courts’ broad discretion to weigh such changes, emphasizing that broad judicial discretion supports consideration of any relevant factors. In contrast, the Sixth, Seventh, Eights, and D.C. Circuits exclude nonretroactive changes in decisional law from consideration, confining “extraordinary and compelling reasons” to narrower circumstances. This circuit split has produced inconsistent outcomes, with similarly situated defendants subject to disparate treatment based solely on geography. The …

Keeping Children Safe: Bring Kayden's Law To Ohio, Christina Woods-Tsiperson

Akron Law Review

After decades of punishing murder-suicide headlines, a growing body of evidence now corroborates what female domestic violence survivors have said for years: that family courts deciding child custody cases disproportionately reject mothers’ allegations of domestic violence and paternal child abuse. From prominent legal scholars to local family law attorneys (and increasingly, investigative reporters), many modern voices contend that mothers specifically face a litany of obstacles in court, including heightened judicial suspicion that they are “parental alienators,” a widespread minimization of coercive control, and state legal standards that  emphasize shared parenting over child safety.

Following the widely publicized murder of seven-year-old …

Pork Producers, Product Bans, And Petering Out Dormant Commerce Clause Extraterritoriality Inquiries, Sam Kalen

Akron Law Review

Constitutional commentary on the dormant Commerce Clause (DCC) reflects the Court’s persistent failure to appreciate how the clause’s contemporary application is problematic.  The 2023 Pork Producers case was a propitious opportunity for the Court to resolve lingering issues, such as whether the DCC ought to include an inquiry into whether a subnational regulation produces impermissible extraterritorial effects, or whether the Pike v. Bruce Church balancing test remains an apt function for the judiciary.  The Court squandered that opportunity, unfortunately.  And this article examines how that transpired.  It explores how product bans, such as the one adopted by California for humane …

Unfit For Human Consumption: A Bone To Pick With Boneless Wings, H. Beau Baez

Akron Law Review

This article examines defective food laws after the Ohio Supreme Court held that “boneless” in boneless chicken wings does not mean “without bones.” The result in this case is a man with permanent injuries was precluded from recovering damages after eating a menu item described as “boneless.”

The article begins by discussing the case, Berkheimer v. REKM, and the rationale used by the court for allowing summary judgment against the plaintiff.  Next, the article examines legal history, beginning with 13^th century unwholesome food statutes.  This section demonstrates that the law for unwholesome food, until the 20^th century, …

Habitat Destruction: The Where Of Biodiversity Law, Andrew W. Torrance Ph.D., Bill Tomlinson Ph.D.

Akron Law Review

The existence of appropriate habitats is essential to the continued existence of all species with which humans share the Earth. However, humans are currently enacting changes around the globe--anthropogenic environmental disruption--that threaten the habitats of many species. In this article, we first summarize existing habitat-related law in various countries, including legal designation of areas for protection (e.g., national parks), laws that enable conservation organizations to purchase but not utilize development rights, and international treaties such as the Convention on Biological Diversity or the Ramsar Convention on Wetlands of International Importance. We then propose a suite of novel approaches …

Exploratory Study Of The Importance Of Emotional Intelligence In Relation To Organizational Performance: The Case Of Managers, Safae El Ghazi, Mounia Cherkaoui

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This exploratory study investigates the relationship between emotional intelligence and organizational performance among Moroccan managers. Based on qualitative interviews, the findings highlight the growing importance of emotions and human factors in managerial performance.

Comparing Educational Pathways For Denturists To Become Maxillofacial Prosthetic Specialists In The Us And The Uk, Minseok Kim

Oral Health

Abstract

In the absence of formal training, licensure, and professionalism, this scientific literature review will seek to include denturists in the American maxillofacial prosthetics industry. Denturists are oral health professionals who perform oral examination, design, manufacture, and place removable oral prostheses. In other regions of the world, they are also known as clinical dental technologists and dental prosthetists. This practice is not widespread in the US. The review can also be assessed on the model mediated by PRISMA, which is concentrated on the experiences of international education in the United Kingdom, Canada, and Australia, where the concentration further revolves around …

Practice Variability And Unplanned Extubation Rates Across Pediatric Intensive Care Units, Krista Wollny, Amy Metcalfe, Karen Benzies, Simon J. Parsons, Tolulope Sajobi, Deborah Mcneil

Journal of Pediatric Intensive Care

Objectives The purpose of this study was to describe the care of intubated patients in pediatric critical care. Acknowledging there are several perceived factors that contribute to unplanned extubations, a secondary objective was to describe how practice variation may relate to observed differences in unplanned extubation rates. Methods A survey about practices related to the care of intubated patients was distributed to all PICUs participating in the Virtual Pediatrics System (VPS, LLC). Unplanned extubation rates for 2019-2020 were obtained from VPS. Univariate and bivariate analyses were performed to describe the responses, with unplanned extubation rates calculated as means. The text …

Development And Optimization Of A Remote Pediatric Cardiac Critical Care Bootcamp Using Telesimulation, Felina Mille, Amy Romer, Tarif A. Choudhury, Adrian D. Zurca, Stacie B. Peddy, Keith Widmeier, Marjorie Hamburger, Venkat Shankar

Journal of Pediatric Intensive Care

Objectives: We developed a novel cardiac critical care bootcamp consisting of didactic, small-group and simulation sessions. The bootcamp was remote due to the COVID-19 pandemic and included telesimulation. We aimed to assess learners’ reactions to the bootcamp and their perception of telesimulation. Methods: Paired anonymous surveys were administered before and after participation. Surveys assessed participants’ comfort in independently managing cardiac critical care scenarios, perceptions of telesimulation, barriers to its effectiveness, and specific feedback on course components. Results: Forty-three fellows from 10 institutions joined the bootcamp over two years. 38 pre- and 28 post-course surveys were completed. The course was rated …

The Association Of Teamwork And Adverse Tracheal Intubation–Associated Events (Tiaes) In Advanced Airway Management In The Pediatric Icu, John F. Jennings, Sholeen Nett, Rachel Umoren, Robert Murray, Aaron Kessel, Natalie Napolitano, Michelle Adu-Darko, Katherine Biagas, Philipp Jung, Debra Spear, Simon Parsons, Ryan Breuer, Keith Meyer, Matthew Malone, Asha Shenoi, Anthony Lee, Palen Mallory, Awni Al-Subu, Keiko Tarquinio, Lily Glater, Megan Toal, Jan Hau Lee, Matthew Pinto, Lee Polikoff, Erin Own, Iris Toedt-Pingel, Mioko Kasagi, Laurence Ducharme-Crevier, Makoto Motomura, Masafumi Gima, Serena Kelly, Josep Panisello, Gabrielle Nuthall, Kelsey Gladen, Justine Shults, Vinay Nadkarni, Akira Nishisaki

Journal of Pediatric Intensive Care

Background: Tracheal intubation in critically ill children is a life-saving, but high-risk procedure that involves multiple team members with diverse clinical skills. We aim to examine the association between the provider-reported teamwork rating and the occurrence of adverse tracheal intubation–associated events (TIAEs). Methods: A retrospective analysis of prospectively collected data from 45 pediatric intensive care units (PICUs) in the National Emergency Airway Registry for Children (NEAR4KIDS) database from January 2013 to March 2018 was performed. A composite teamwork score was generated using the average of each of five (7-point Likert scale) domains in the teamwork assessment tool. Poor teamwork was …

Outcomes Of Pediatric Patients With Sepsis Managed On Extracorporeal Membrane Oxygenation: An Analysis Of The Elso Registry, Adrian Holloway, Jason Custer, Ripal Patel, Peta Alexander, Peter Rycus, Cortney Foster, Dayanand Bagdure, Angelina June, Vladimir Michtcherkin, William Blackwelder, Carissa Baker-Smith, Adnan Bhutta

Journal of Pediatric Intensive Care

Objective: Extracorporeal Membrane Oxygenation (ECMO) support is increasingly used for refractory septic shock. There is lack of data on the outcomes of children requiring ECMO support for refractory septic shock. Our study objective was to describe the variables associated with survival, risk factors for mortality and outcomes of children requiring ECMO support for refractory shock. Materials and Methods: Retrospective registry study of 340 international centers contributing data to the ELSO Registry, analyzing children <18 years who received ECMO with septic shock, severe sepsis, sepsis, SIRS, toxic shock syndrome, shock associated with infection and septicemia from any organism from 1990 to 2015. Outcomes were analyzed by categorizing the data into survivors and non-survivors. Logistic regression models were used to describe the association of dependent variable and multiple independent variables. Results: A total of 1928 patients were identified which met the inclusion criteria. 744 (38.5%) of the cohort survived. Survivors in this cohort tend to have longer duration of ECMO (230 hrs vs 201 hrs, p =0.005) and shorter time from intubation to ECMO cannulation (87 hrs vs 116 hrs, p =0.0033) when compared to non-survivors. Survivors were also noted to have higher pH, higher serum bicarbonate, higher saturations, and higher systolic, diastolic, and mean arterial pressures compared to non-survivors. Conclusions: These results suggest that early initiation of ECMO therapy for refractory sepsis is associated with better patient outcomes. ECMO is unlikely to recover patients once circulatory and metabolic collapse has developed.

Decompressive Craniectomy In Pediatric Traumatic Brain Injury: A Retrospective Cohort Study, Wan Xin Yew, Jan Hau Lee, Hongxing Dang, Sharon Yin Yee Low, Dianna Sri Dewi, Shu-Ling Chong

Journal of Pediatric Intensive Care

Introduction: Decompressive craniectomy in children with traumatic brain injury (TBI) and refractory raised intracranial pressure (ICP) remains controversial. We aimed to describe the clinical and operative characteristics of children with moderate to severe TBI who underwent decompressive craniectomy, and compare outcomes with those who received medical therapy. Methods: We performed a retrospective observational cohort study on children < 16 years old with moderate to severe TBI (Glasgow Coma Scale, GCS ≤ 13 who underwent DC in 2 pediatric centers in Singapore and China between 2014 and 2017, and compared their outcomes to children who underwent medical treatment, among participating centers of the Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN). We defined poor functional outcomes as moderate, severe disability, vegetative or comatose state, or mortality, using the Pediatric Cerebral Performance Category scale. We performed multivariable logistic regression to identify predictors for poor functional outcomes. Results: We analyzed 18 children who underwent DC with 214 who had medical therapy. A greater proportion of children with DC (14, 77.8%) experienced poor functional outcomes, compared to those with medical therapy (87, 41.2%, p=0.003). Children who underwent DC had fewer median 14-day ICU-free days (2.5 days, interquartile range, IQR 0.0 – 5.8 vs 8.0, IQR 0.0 – 11.0, p=0.033), median 28-day hospital-free days (0 days, IQR 0.0-3.5 vs 11.0, IQR 0.0 – 21.0, p=0.002) and 14-day mechanical ventilation-free days (6.5 days, IQR 0.0 – 12.3 vs 11.0, IQR 3.0 – 14.0, p=0.011). After accounting for age, sex, GCS, cerebral edema, uncal herniation, nonaccidental injury (NAI) and need for intubation, there was no significant association between decompressive craniectomy and poor functional outcomes (aOR 1.59, 95% CI 0.35 – 7.24, p = 0.548). Conclusions: Children with DC had severe injuries, prolonged hospital and ICU stays. Future studies are needed to understand the effectiveness of DC on children with TBI.

A Case Report Of Shwachman-Diamond Syndrome And Literature Review, Xinfeng Gao, Jizhong Wang

Journal of Pediatric Genetics

Shwachman–Diamond syndrome (SDS) is a rare autosomal recessive genetic disorder, with approximately 90% of cases caused by pathogenic variants in the SBDS gene. This report describes a case of SDS diagnosed during the management of acute appendicitis. The patient, a male aged two years and 11 months, was admitted for emergency surgery for acute appendicitis. Subsequent evaluation revealed pancreatic exocrine dysfunction, pancreatic steatosis, abnormal liver function, and a history of recurrent diarrhea and neutropenia. Next-generation sequencing identified compound heterozygous SBDS variants: NM_016038.2:c.183_184TA>CT (p.Lys62*) and NM_016038.2:c.258+2T>C. This case highlights the importance of considering SDS in children presenting with recurrent …

Fanconi-Bickel Syndrome With Variable Phenotypes: A Case Series Highlighting A Successful Pregnancy Outcome From A Tertiary Care Center In North India, Pragya Kafley, Varunvenkat M. Srinivasan, Chaitra Ravi, Sangeeta Das, Pooja Motwani, Kausik Mandal

Journal of Pediatric Genetics

Fanconi-Bickel syndrome (FBS) is a rare autosomal recessive disorder caused by biallelic mutations in the SLC2A2 gene, characterized by proximal renal tubular dysfunction, hepatomegaly, and growth failure. We report five patients from three unrelated families in North India, including a sibling trio with significant intrafamilial variability and one of the few documented successful pregnancies in an affected female. Genetic testing identified a recurrent nonsense variant c.1093C>T (p.Arg365Ter) in two families and a missense variant c.1330T>C (p.Trp444Arg) in the third. The phenotypic spectrum ranged from mild growth delay to severe skeletal involvement and poor therapeutic response. Our report underscores …

A Study Of Diagnostic Experience And Impacts Of Rare Disease Diagnosis In Children And Their Families: Insights From India, Nidhi Vijay, Ashok Gupta, Priyanshu Mathur, Megha Sharma

Journal of Pediatric Genetics

Objective: Many rare diseases are usually misdiagnosed or diagnosed late. Delays in diagnosis have led to delayed treatment, resulting in poor outcomes. This study aims to shed light on the Indian scenario and help formulate schemes for early diagnosis, management of rare diseases and to uncover the unmet needs of the families of children with rare diseases. Methods: The target population were families with a child (17 years or younger) with any rare disease coming to SPINPH, Jaipur. The first author met face-to-face with the parents and they were made to answer a questionnaire. The questionnaires were checked for completeness …

Tethered Spinal Cord And Urinary Tract Complications In Trisomy 18, Michael A. Phillipi, Ladawna Gievers, Jesse L. Winer, Casey Seideman, Amanda J.H. Kim

Journal of Pediatric Genetics

Background: Trisomy 18 is an aneuploidy that has historically been associated with early mortality However, recently parents of children with complex conditions are more often pursuing life-prolonging medical interventions. The increasing use of neonatal intensive care has led to longer lifespans in infants affected by trisomy 18, allowing for later complications to emerge. While many comorbidities have been reported in the literature, tethered cord has rarely been reported in this population. This study examines the potential relationship between trisomy 18, tethered spinal cord, and related urinary tract complications. Methods: A retrospective chart review of subjects admitted to a single quaternary …

Lesch-Nyhan Disease A Treatable Mimicker Of Dyskinetic Cerebral Palsy In Boys: Insights From An Indian Series Of Six Cases With Report Of Four Novel Variants, Vykuntaraju K. Gowda, Spoorthy Nelaji Karunakar, Varunvenkat M. Srinivasan, Viveka-Santhosh Reddy

Journal of Pediatric Genetics

Background: HPRT1-related disorders are X-linked metabolic disorders of the purine pathway caused due to mutations in the hypoxanthine-guanine phosphoribosyl transferase (HPRT1) gene and present with features of dyskinetic cerebral palsy, self-mutilation/behavioral abnormality, and hyperuricemia in variable severity. Objective: Describe the clinical characteristics and treatment outcome of a series of 6 children with Lesch-Nyhan disease. Methods: Retrospective chart review from September 2022 to July 2024 of six molecularly confirmed cases of Lesch-Nyhan disease from India. Results: A total of 6 boys are described here. The mean age of onset was since birth, the age of diagnosis was 2 years 7 months, …

Lived Experiences Of Law Enforcement Officers Assigned To Co-Response Teams Responding To Mental Health Crises, Roxanne Miller

Walden Dissertations and Doctoral Studies

Law enforcement officers are increasingly called upon to respond to mental health crises, yet their experiences as members of co-response teams (CRTs) remain underexplored. This study was conducted to address that gap by examining the lived experiences of officers assigned to CRTs that pair specially trained officers with mental health clinicians to respond jointly to calls involving individuals in crisis. The purpose of this qualitative phenomenological study was to describe how officers experience CRT work and how it shapes their perceptions, practices, and professional identity. The study was guided by Lazarus and Folkman’s transactional theory of stress, appraisal, and coping, …

Investigating Sex Offenders’ Experience Of Being Registered As A Sex Offender, Stacey Mitchell-Swingle

Walden Dissertations and Doctoral Studies

In society, sex offenders are subject to unforeseen consequences of the sex offender registry. The purpose of this qualitative study was to investigate how the sex offender registry contributes to the mental distress of registered sex offenders and their concerns about recidivism. This study addressed a gap in understanding the sex offender registry experiences from the offender’s perspective. The research question addressed how adult male registrants describe their experiences of mental distress associated with registration and how they perceive registration as shaping their risk of reoffending. The theoretical framework was John Braithwaite’s reintegrative shaming theory, with a specific focus on …

Impact Of Burnout And Empathy On Correctional Officers’ Aggression, Sagan Ladd

Walden Dissertations and Doctoral Studies

Correctional officers experience persistent occupational stress that places them at elevated risk for burnout, which may negatively affect emotional functioning and increase aggression. Guided by general strain theory, this quantitative nonexperimental correlational study examined the relationships between burnout, empathy, and aggression among uniformed correctional officers working in U.S. jails and prisons. Participants (N = 58) completed the Maslach Burnout Inventory, the Interpersonal Reactivity Index, and the Buss–Perry Aggression Questionnaire–Short Form through an anonymous online survey. Simple and multiple linear regression analyses were conducted to answer three research questions. Results indicated that burnout significantly predicted aggression, F(1, 56) = 12.38, p < .001, R² = .18, such that higher burnout was associated with higher aggression scores. Empathy did not significantly predict aggression, F(1, 56) = 2.32, p = .133, R² = .04, though the relationship trended negatively. A multiple regression analysis revealed that burnout and empathy together significantly predicted aggression, F(2, 55) = 7.74, p = .001, R² = .19; however, burnout remained the only significant predictor when controlling for empathy. Additional analyses indicated that burnout significantly predicted all four facets of aggression: verbal aggression, physical aggression, anger, and hostility. These findings suggest that burnout plays a central role in aggression among correctional officers and highlight the importance of organizational and mental health interventions aimed at reducing burnout to promote staff well-being and institutional safety.

Graduates’ Perceptions Of Their High School Career Technical Education Work-Based Learning Experiences, Cheryline M. Hewitt

Walden Dissertations and Doctoral Studies

Little is known about how career and technical education (CTE) work-based learning (WBL) programs support student academic achievement and workforce outcomes. Guided by Kolb’s experiential learning theory, the purpose of this basic qualitative study was to explore high school graduates’ perceptions of their CTE WBL experiences and to identify how completing a CTE WBL program supported and hindered their academic and workforce achievement. Ten graduates of CTE WBL programs were recruited via postsecondary CTE school outreach, Facebook, and LinkedIn groups and participated in a semistructured interview. Thematic analysis using open coding was conducted. The data analysis resulted in three identified …

Taming Psoriatic Inflammation: Targeting The Inos–Oxidative Stress–Necroptosis Axis For Precision Therapy, Tolulope Omotope Omolekan, Tithi Roy, Jean Christopher Chamcheu

Faculty Publications

Necroptosis is increasingly recognized as a central driver of psoriatic inflammation, promoting keratinocyte death and sustaining immune activation. Recent evidence shows that inducible nitric oxide synthase (iNOS) deficiency and exogenous nitric oxide (NO) supplementation ameliorate psoriasis-like dermatitis in mice by reducing oxidative stress and constraining necroptotic signaling. These findings identify iNOS-derived NO as both a mediator of reduction–oxidation (redox) imbalance and a key regulator of necroptosis, thereby advancing mechanistic insight into psoriatic pathogenesis. Importantly, they highlight the iNOS–oxidative stress–necroptosis axis as a translationally actionable therapeutic target. Modulating necroptotic cell death through NO-based interventions may restore epidermal homeostasis and improve clinical …

The Expansion Of Exposure Notification Software To Enhance Disease Surveillance And Ring Vaccination, Julia Felton

URGENT Matters

No abstract provided.

Stress And Emotion Regulation In U.S. Undergraduate Students: A Theoretical And Narrative Review, Joshua Ross Pilchik

ETD Collection

Everyone experiences stress, but young adulthood brings some of the most intense and impactful stressors people face in their entire lives. For U.S. undergraduate students, persistent academic, financial, and social demands are ever-present, concurrent with a niche developmental period marked by identity exploration, assumption of new life roles, and growing autonomy (Arnett, 2000, 2015). Emotion regulation guides the ways people influence which emotions they have, when they have them, and how they experience or express them (Gross, 1998, 2015). Emotion regulation acts as a cornerstone for how students interpret and respond to these stressors (Compas et al., 2014; Aldao, 2013), …

Spectator 2026-01-29, Editors Of The Spectator

The Spectator

No abstract provided.

Clinical Outcomes Of Patients Hospitalized For Conventional Pacemaker Implantation With Protein-Energy Malnutrition, Phuuwadith Wattanachayakul, Pojsakorn Danpanichkul, Chalothorn Wannaphut, Hamza Tahir, John Malin, Thanathip Suenghataiphorn, Kanokphong Suparan, Aman Amanullah

Einstein Health Papers

INTRODUCTION: The impact of protein-energy malnutrition (PEM) on patients hospitalized for conventional pacemaker implantation remains poorly understood.

METHODS: We utilized the 2020 U.S. National Inpatient Sample (NIS) database to evaluate the impact of PEM on the in-hospital outcomes of patients who underwent conventional pacemaker implantation. Patients aged 18 and older were identified by ICD-10 CM and PCS codes. Multivariable survey logistic and linear regression analyses were employed to examine in-hospital outcomes, including in-patient mortality, system-based outcomes, and post-procedural complications.

RESULTS: A total of 108 020 patients were identified with 4315 (3.99%) diagnosed with PEM. The mean age of the cohort …

Strengthening The Use Of Sexual And Reproductive Health And Rights Evidence In Refugee And Humanitarian Settings, Baobab Research Programme Consortium

Humanitarian Task Force

This guide offers practical, experience-based direction for strengthening the uptake of sexual and reproductive health and rights (SRHR) evidence in refugee and humanitarian settings. Drawing on five years of Baobab’s work in Uganda and Ethiopia, it outlines principles for effective research uptake, including embedded partnerships, rigorous locally owned methods, stakeholder engagement, capacity development, adaptive communication, and continuous learning. The guide illustrates how these approaches enabled pioneering evidence generation—such as the first Humanitarian Violence Against Children Survey (VACS)—and informed service innovations, national policy reforms, and cross-country learning. It provides a replicable framework for translating SRHR research into action and system level …

Psychologists’ Attitudes On Capital Punishment And Interpretation Of The American Psychological Association’S Ethics Code, Darya Baugh-Ruschman

Walden Dissertations and Doctoral Studies

When defendants are sentenced to death due to the nature of the crime, psychologists may be asked to participate in these cases, performing tasks such as conducting competency evaluations. Because the American Psychological Association (APA) Ethics Code states that psychologists cannot participate in activities that violate human rights, an ethical debate has emerged regarding whether they should participate in capital cases. The present study examined psychologists’ opinions on capital punishment and their interpretation of the APA Ethics Code, which does not specifically define what constitutes a violation of human rights. The theoretical framework for the study is the ethical decision-making …