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(R2170) Delta-Continuous Functions In Interval-Valued Neutrosophic Soft Topological Spaces And An Application Using Distance And Similarity Measures, B. Vijayalakshmi, S. Madhunika Jun 2026

(R2170) Delta-Continuous Functions In Interval-Valued Neutrosophic Soft Topological Spaces And An Application Using Distance And Similarity Measures, B. Vijayalakshmi, S. Madhunika

Applications and Applied Mathematics: An International Journal (AAM)

This paper introduces delta-continuous functions in interval-valued neutrosophic soft topological spaces and investigates their fundamental properties. Additionally, delta-irresolute functions are introduced within the same framework. The relationships between these functions and existing function classes are explored. Several theorems, accompanied by illustrative examples, are provided to support the theoretical findings. The study also includes an application of the proposed concepts to distance and similarity measures.


(R2159) A Novel Extension Of Picard’S Method For Fractional Initial Value Problems With Convergence Analysis On Finite And Infinite Intervals, Jag Mohan, Anju Sood Jun 2026

(R2159) A Novel Extension Of Picard’S Method For Fractional Initial Value Problems With Convergence Analysis On Finite And Infinite Intervals, Jag Mohan, Anju Sood

Applications and Applied Mathematics: An International Journal (AAM)

In recent years, fractional differential equations have emerged as powerful tools for modeling phenomena with memory and hereditary effects, owing to their non-local characteristics. These equations excel in tackling intricate problems across physics, engineering, and other fields. As analytical solutions are often infeasible, numerical methods play a vital role in their practical application. In this study, we have generalized Picard’s method to address fractional differential initial value problems with Caputo derivative, establishing an existence and uniqueness theorem applicable to both finite and infinite intervals. To substantiate our findings, we provide an example with graphical evidence demonstrating the convergence of the …


(R2175) Application Of Similarity Measures On Bipolar Complex Neutrosophic Matrices In United Nations’ Sdg-17 Using Python, T. Muthuraji, N. Krishnapraveen Jun 2026

(R2175) Application Of Similarity Measures On Bipolar Complex Neutrosophic Matrices In United Nations’ Sdg-17 Using Python, T. Muthuraji, N. Krishnapraveen

Applications and Applied Mathematics: An International Journal (AAM)

The increasing complexity of decision-making environments demands mathematical frameworks capable of modeling bipolar, indeterminate, and phase-dependent uncertainty simultaneously. Bipolar Complex Neutrosophic theory provides such a structure, but the extension of similarity measures to matrix-based environments remains largely unexplored. In this study, we formally develop cosine, Dice, Jaccard, and hybrid vector similarity measures for Bipolar Complex Neutrosophic Matrices (BCNMs). Each matrix element is represented by a Bipolar Complex Neutrosophic Number (BCNN), enabling structured representation of multidimensional uncertainty within a matrix framework. We also design and implement efficient Python-based computational tools to automate similarity evaluation for BCNMs. The proposed algorithms reduce computational …


(R2185) Operations On Bipolar Complex Neutrosophic Matrices And Its Application In Un’S Sdg-14 & Sdg-3 Using Python, N. Krishnapraveen, T. Muthuraji Jun 2026

(R2185) Operations On Bipolar Complex Neutrosophic Matrices And Its Application In Un’S Sdg-14 & Sdg-3 Using Python, N. Krishnapraveen, T. Muthuraji

Applications and Applied Mathematics: An International Journal (AAM)

Decision-making in sustainability oriented environments frequently involves bipolar evaluations, indeterminate information and phase dependent uncertainty that cannot be adequately represented by existing neutrosophic matrix models. To address this limitation, this study introduces a Bipolar Complex Neutrosophic Matrix (BCNM) framework that integrates bipolar semantics with complex valued uncertainty in a coherent algebraic structure. Fundamental operations and structural properties are rigorously established to ensure mathematical consistency. To facilitate practical multi criteria decision analysis (MCDA), novel score, accuracy, and hybrid aggregation operators are developed. The computational feasibility of the proposed approach is analyzed, demonstrating linear complexity with respect to the number of alternatives …


(R2191) The Study Of Stokes Drag In The R4bp Under The Effect Of Coriolis And Centrifugal Forces With Variable Mass, Amit Mittal, Krishan Pal, Rajiv Aggarwal, Rajveer Singh Jun 2026

(R2191) The Study Of Stokes Drag In The R4bp Under The Effect Of Coriolis And Centrifugal Forces With Variable Mass, Amit Mittal, Krishan Pal, Rajiv Aggarwal, Rajveer Singh

Applications and Applied Mathematics: An International Journal (AAM)

In this paper, we examine the existence, locations, and stability of the equilibrium points under the combined effects of Stokes drag and small perturbations in the Coriolis and centrifugal forces in the triangular restricted four-body problem (TR4BP) with variable mass. A triangular (Lagrangian) configuration is formed by the three primary bodies, which occupy the vertices of an equilateral triangle. All the primaries are treated as point masses to study the dynamical behavior of an infinitesimal body. The numerical results indicate that, under the influence of Stokes drag, none of the equilibrium points lie along a straight line. The centrifugal force …


(R2140) Verifying The Proper Efficiency In Multi-Objective Problems, Javad Bavali, Hadi Basirzadeh Jun 2026

(R2140) Verifying The Proper Efficiency In Multi-Objective Problems, Javad Bavali, Hadi Basirzadeh

Applications and Applied Mathematics: An International Journal (AAM)

Over the past decade, numerous approaches have been put forward to address multi-objective optimization problems-focusing on approximating proper efficient solutions instead of the efficient solutions. These methods are important because, according to Geoffrion’s conjecture, proper non-dominated solutions constitute a dense subset of the non-dominated solution set. In the current study, first, using the definition of Kuhn-Tucker’s proper efficiency, we present a linear subproblem that investigates the proper efficiency of a randomly selected feasible point. Additionally, the relationship between the different types of solutions to this sub-problem and the proper efficient solutions of the main problem has been analyzed. Next, we …


(R2187) Analysis Of Neurological Impairments In Hospitalized Patients Using Cubic Neutrosophic Sets, B. Anitha, M. Lavanya Jun 2026

(R2187) Analysis Of Neurological Impairments In Hospitalized Patients Using Cubic Neutrosophic Sets, B. Anitha, M. Lavanya

Applications and Applied Mathematics: An International Journal (AAM)

This study introduces an MCDM-based framework for identifying neurological diseases in hospitalized patients using symptom-based evaluations. A team of interns, guided by the chief doctor, was responsible for determining each patient’s precise condition from the presented neurological symptoms. To enhance diagnostic accuracy, the interns employed the TOPSIS and WASPAS methods to assess and rank the potential disease options. The combined analysis yielded a clear identification of the highest ranked disease for every patient, highlighting the effectiveness of these MCDM techniques in supporting clinical decision making.


Data Scheduling Using Distance Function With Single-Pass Processing, Mahmood Shakir Hammoodi, Suhad Hatim Jihad, Mithal Hadi Jebur Jun 2026

Data Scheduling Using Distance Function With Single-Pass Processing, Mahmood Shakir Hammoodi, Suhad Hatim Jihad, Mithal Hadi Jebur

Baghdad Science Journal

Task scheduling is one of the most fundamental difficulties confronting numerous sectors, including education, healthcare, and industrial management. Scheduling quality has a direct impact on performance efficiency, resource utilization, and end user satisfaction. With the growing volume and diversity of data, there is a greater demand for intelligent systems that can handle the spatial and temporal complexity of jobs and resource allocation. As a result, modern data analysis and decision-making processes have become critical for ensuring workflow optimization while reducing time and space waste. This study proposes an innovative approach to task scheduling that combines multidimensional data analysis using Data …


Optimized Multi-Criteria Routing Algorithm For Durable Wireless Sensor Networks, Ghaihab H. Adday, Maha S. Abdulridha, Hasanain A. Alsreeh, Taj-Aldeen N. Abdali Jun 2026

Optimized Multi-Criteria Routing Algorithm For Durable Wireless Sensor Networks, Ghaihab H. Adday, Maha S. Abdulridha, Hasanain A. Alsreeh, Taj-Aldeen N. Abdali

Baghdad Science Journal

The Internet of Things and the Fourth Industrial Revolution (IR 4.0) rely on Wireless Sensor Networks (WSNs) as their underlying infrastructure. WSNs have recently attracted significant attention due to their crucial applications, such as monitoring applications. Geographic routing algorithms are widely used in WSNs because event location is often more critical than node identification. However, these algorithms still face challenges, such as workload imbalance and high energy consumption. Energy consumption is particularly vital in WSNs due to the sensor nodes' limited power resources. This work proposed an enhanced geographic routing algorithm based on the Technique for Order of Preference by …


Architecting Reliable Multi-Agent Systems With Large Language Models Through Model-Driven Engineering, Najma Imtiaz Ali, Aadil Jamali, Imtiaz Ali Brohi, Noor Zaman Jhanjhi, Emaliana Kasmuri Jun 2026

Architecting Reliable Multi-Agent Systems With Large Language Models Through Model-Driven Engineering, Najma Imtiaz Ali, Aadil Jamali, Imtiaz Ali Brohi, Noor Zaman Jhanjhi, Emaliana Kasmuri

Baghdad Science Journal

Multi-agent systems based on large language models (LLM) are said to be able to provide flexible and scalable collaboration, but are often unstable, adversarially active, biased in their representations, and expensive to compute - aspects that hinder their use in safety-critical or resource-sensitive systems. To overcome these deficiencies, a model-driven engineering framework, the MDE-Agentware, has been implemented: a model-based engineering paradigm, which represents multi-agent architectures through a typed domain specific metamodel, and generates executables that are conforming with instrumented runtime monitoring, tool wrappers and energy-conscious invocation policies. The main novelties of the approach include (i) a formal model-to-code transformation, enforcing …


Effective Scene Classification In Arabic Films Using Custom And Pre-Trained Cnn Architectures, Asraa Muayed Abdalah Jun 2026

Effective Scene Classification In Arabic Films Using Custom And Pre-Trained Cnn Architectures, Asraa Muayed Abdalah

Baghdad Science Journal

Because of their rich visual diversity, unique cinematic styles, and the dearth of expert-annotated datasets devoted to Arab cinema, accurately classifying scenes in Arabic films is still a challenging task. A novel Convolutional Neural Network (CNN) architecture created particularly for Arabic film scene recognition will be discussed in the current research. The main goal of the study is to figure out how well the proposed CNN recognises and classifies Arabic scenes from films when compared with existing pre-trained architectures. According to the findings of six transfer learning models, a comparative analysis was carried out. We developed a new dataset that …


Tlenet-Transformer For Epilepsy Detection With Futuristic Iomt Plans, Jayanthi Vajiram, Sivakumar. S Jun 2026

Tlenet-Transformer For Epilepsy Detection With Futuristic Iomt Plans, Jayanthi Vajiram, Sivakumar. S

Baghdad Science Journal

Temporal Lobe Epilepsy (TLE) is the most prevalent subtype of focal epilepsy, often posing diagnostic difficulties due to its complex clinical features. To address these challenges, this study proposes TLENet-Transformer, a novel deep learning architecture tailored for precise TLE identification. The study begins with skull stripping, bias field correction, z-score normalization, and Gaussian filtering; these methods are implemented to enhance image quality. Following this, a segmentation method based on an optimized Fuzzy C-Means clustering algorithm is employed, providing accurate delineation of regions. At this point, the segmented images are subsequently mapped to a pre-labelled Automated Anatomical Labelling (AAL) template to …


Neural Feature Crossing For Cross-Domain Recommendation In Knowledge Management Systems, Imran Khaled, Faiez Gargouri Jun 2026

Neural Feature Crossing For Cross-Domain Recommendation In Knowledge Management Systems, Imran Khaled, Faiez Gargouri

Baghdad Science Journal

Recently, the rapid growth of digital knowledge resources has created an urgent need for advanced recommendation systems that capable to operate across various domains. This paper introduces KnowledgeXRec, a domain-aware hybrid recommendation framework that models both shared and domain-specific user-item interactions within a unified end-to-end architecture. Domain-specific feature crosses capture patterns unique to educational and cultural domains, while shared layers enable cross-domain knowledge transfer. Learnable embedding is represented categorical features such as learning style, age group, and content attributes, and the model is jointly optimized using binary cross-entropy loss with Adam optimizer. Findings provide evidence that KnowledgeXRec consistently outperforms seven …


How Esl/Efl Textbooks Are Created: A Description Of The Publishing Processes For Elt Coursebooks, Timothy P. Arnold Jun 2026

How Esl/Efl Textbooks Are Created: A Description Of The Publishing Processes For Elt Coursebooks, Timothy P. Arnold

Theses and Dissertations

The purpose of this study was to describe the current ELT textbook publishing processes and evaluate a descriptive model of the publishing processes. While criticisms of ELT textbooks abound (Akbari, 2008; Bell & Gower, 2011; Jordan & Gray, 2019; Tomlinson & Masuhara, 2008; Long, 2016; etc.), little previous research has focused on describing the ELT textbook publishing. This is despite most criticisms appearing to focus on aspects of ELT textbooks that come about during the publishing processes. The work of Littlejohn (1992), McGrath (2013), and Yildiz and Harwood (2023) are exceptions to this. To provide additional descriptive information on the …


Influence Of Transformational Leadership On Volunteer Retention, Kirk David Hillabrand Jun 2026

Influence Of Transformational Leadership On Volunteer Retention, Kirk David Hillabrand

Walden Dissertations and Doctoral Studies

No abstract provided.


Her Voice In Photos: Empowering Women Through The Lens Of Resilience, Doryn Wallach Jun 2026

Her Voice In Photos: Empowering Women Through The Lens Of Resilience, Doryn Wallach

Theses - ALL

Women in midlife (ages 40–65) face a convergence of psychosocial stressors, including hormonal transitions, caregiving demands, identity shifts, and cultural invisibility, yet accessible, non-clinical supports remain scarce. This program evaluation examined whether participatory therapeutic photography, paired with brief written reflection and community witnessing, could function as an art therapy-informed, strengths-based intervention for this population. Five participants completed a week-long photography sequence structured around a challenge, reframe, and reflect arc, selecting three captioned images and a written reflection to represent their experience. Images were displayed in a digital frame installed where three midlife women served as community witnesses. The researcher collected …


From Regionalism To Continentalism: Lessons From Ecowas For The Implementation Of Afcfta., Michael Agbo Jun 2026

From Regionalism To Continentalism: Lessons From Ecowas For The Implementation Of Afcfta., Michael Agbo

Theses - ALL

Abstract: This thesis examines the Economic Community of West African States (ECOWAS) as a test for understanding Africa’s continental economic integration under the African Continental Free Trade Area (AfCFTA). It argues that the persistent failures of state-led integration, in this matter, the ECOWAS, from the repeated inability to roll out a single currency for trade within West Africa to the deliberate infiltration of France and other Western capitalist interests in the economic lives of the people of West Africa, are not just incidental failures of political will or technical implementation setbacks. They are consequences of building Pan-Africanism and integration efforts …


Neither Here Nor There: Cultural Identity Among Vietnamese Immigrants, Duyen Thu Pham Jun 2026

Neither Here Nor There: Cultural Identity Among Vietnamese Immigrants, Duyen Thu Pham

Theses - ALL

Acculturation is a fundamental aspect of the migration experience that enables individuals to adapt to new environments while maintaining meaningful connections within both familial and social spheres. Depending on class, economic conditions, and sociopolitical context, experiences of acculturation differ across generations. This thesis argues that, through the ongoing process of cultural negotiation, Vietnamese immigrants create unique cultural identities that balance adaptation to the host country with the preservation of Vietnamese cultural values, beliefs, and practices. It also explores how migration history, intergenerational differences, and cultural memory influence varied experiences of acculturation and belonging among Vietnamese immigrants in the United States. …


Dimensional Welfare Beyond Pain: Extending The Precautionary Principle In Birch’S “The Edge Of Sentience”, Willa M. Lane, Nicola S. Clayton Jun 2026

Dimensional Welfare Beyond Pain: Extending The Precautionary Principle In Birch’S “The Edge Of Sentience”, Willa M. Lane, Nicola S. Clayton

Animal Sentience

Birch's (2024) The Edge of Sentience identifies sentience candidates primarily through the pain-focused LSE Criteria. Yet, as Birch himself notes in Proposal 17, sentience is not pain. We argue that statutory welfare protections must therefore reach beyond pain, and that the right tool for doing so is Birch et al.’s (2020) dimensionality framework, which characterises conscious experience across five domains. Used together, the LSE Criteria establish that welfare is at stake, while the dimensionality framework maps what is at stake beyond pain to provide a taxon-specific profile of where captivity impoverishes experience. We apply this approach to invertebrate welfare and …


Assessing Clinician Preference For Redirection Of Care In Neonatal Tracheostomies, Gabriella Destefano, Alla Kushnir, Perri Donenfeld Jun 2026

Assessing Clinician Preference For Redirection Of Care In Neonatal Tracheostomies, Gabriella Destefano, Alla Kushnir, Perri Donenfeld

Cooper Rowan Medical Journal

A spectrum of indications exists for the implementation of neonatal tracheostomies, ranging from short-term airway control to congenital airway anomalies. The decision to initiate long-term mechanical ventilation is multifaceted and can be influenced by factors such as physician preferences, caregivers’ attitudes, and comorbidities. It is important to have an ethical framework in place to guide the treatment of preterm neonates who may require long term mechanical ventilation. This study examines physician perspectives on the ethics of neonatal tracheostomy, focusing on the treatment of infants with bronchopulmonary dysplasia. A mixed methods study, consisting of demographic information and 5 clinical vignettes centering …


Preserving The Family In The Globalized Era: Explaining State Discouragement Of Women’S Rights And The Gap Between Law And Family Realities In Tajikistan, Ivy Alexandra Raines Jun 2026

Preserving The Family In The Globalized Era: Explaining State Discouragement Of Women’S Rights And The Gap Between Law And Family Realities In Tajikistan, Ivy Alexandra Raines

Dissertations - ALL

This dissertation is guided by a two-part research question, which begins by asking why Tajikistan exhibits low levels of gender equality within the family despite strong international commitments and a formally secular legal framework. The second question builds on the first by asking why a state that offers legal guarantees in line with its international commitments, as outlined by Article 16 of the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW), invests significant energy in discouraging divorce rather than in safeguarding women’s rights that would support their ability to leave harmful marital situations. Employing qualitative discourse …


Impure Evidentialism: Essays On The Sources & Structure Of Doxastic Normativity, Felipe Oliveira Jun 2026

Impure Evidentialism: Essays On The Sources & Structure Of Doxastic Normativity, Felipe Oliveira

Dissertations - ALL

The four papers of my dissertation provide a new defense of Impure Evidentialism. The combination of evidentialism about normative reasons for belief with pragmatic encroachment (i.e. impurism) about epistemic justification is a familiar and intuitive view. However, many of the combo view’s finer points, unique advantages, and objections have not been addressed. My dissertation fills this gap by offering a new defense and in-depth look of what I take to be the most plausible version of the combo view. My version of Impure Evidentialism offers an improved and comprehensive account of the norms that govern our beliefs, explains why these …


Three Essays On Political Economy And International Trade, Shuo Zhang Jun 2026

Three Essays On Political Economy And International Trade, Shuo Zhang

Dissertations - ALL

This dissertation is composed of three papers that explore how institutions, globalization, and trade shocks affect individuals' political preferences and firms' behavior. The first paper studies how mass protest events drive political change among citizens. I exploit the 2019 Anti-Extradition Law Amendment Bill Movement (ANTI-ELAB protest) in Hong Kong and its impact on the subsequent 2019 Hong Kong District Council Election. Taking advantage of a granular dataset of organized events during the protest, I exploit spatial variation in protest intensity, as measured by the number of events, across Constituency Areas. Empirical results show that in Constituency Areas with higher protest …


Older Recent Widows’ Physical Activity Before And After Spouses’ Deaths A Qualitative Investigation Of The Impact Of Duration And Intensity Of Care Work And Social Support, Mary Theresa Pagan Jun 2026

Older Recent Widows’ Physical Activity Before And After Spouses’ Deaths A Qualitative Investigation Of The Impact Of Duration And Intensity Of Care Work And Social Support, Mary Theresa Pagan

Dissertations - ALL

Abstract This study investigates and expands understanding of how care work, widowhood, social support, and physical activity intersect in the lives of older recent widows. The study addresses three primary research questions examining the duration and intensity of care work, pre- and post-death social support, and factors that influenced widows’ physical activity before and after the death of their spouses. Thirty semi-structured, face-to-face interviews conducted with heterosexual widows aged 60 and older residing in Upstate New York who were widowed within 6–24 months prior to interview. Interviews explored care work experiences, social support, widowhood transitions, and both structured and non-structured …


Spatial Capital Dynamics Examining Ecological Distribution Conflicts Within The Electric Vehicle Supply-And-Consumption Chain, Alice Piva, Anna Kondi, Beatriz Couto, Chaitaly Deshpande, Dieudonné E. Da Costa, John Smith, Josephine Agbeko, Et Al. Jun 2026

Spatial Capital Dynamics Examining Ecological Distribution Conflicts Within The Electric Vehicle Supply-And-Consumption Chain, Alice Piva, Anna Kondi, Beatriz Couto, Chaitaly Deshpande, Dieudonné E. Da Costa, John Smith, Josephine Agbeko, Et Al.

Michigan Tech Publications

Energy transitions are often celebrated as pathways to a greener future. Yet, they frequently reproduce spatially uneven burdens and patterns of dispossession, particularly affecting marginalised communities from the Global South. While climate justice debates have advanced, their spatial dimension has received comparatively less systematic attention. This paper documents an experimental use of spatial capital as a lens to analyse how green transitions reshape territorial agency and reinforce spatial inequalities. The three case studies across the electric vehicle chain show how spatial capital illustrates the sustainability agenda’s capacity to reshape people’s ability to access, inhabit, and act within their territories.


Unfriending The Kids: The Problematic Race To Childproof Social Media, Randolph A. Robinson Ii Jun 2026

Unfriending The Kids: The Problematic Race To Childproof Social Media, Randolph A. Robinson Ii

Cleveland State Law Review

A growing number of states have recently enacted new laws with the goal of protecting young people from potential harm allegedly caused by social media use. These laws are diverse in their approaches but broadly seek to limit youth access to social media platforms by imposing age verification and parental consent requirements. These laws directly implicate the First Amendment rights of both young users who will no longer be able to access speech or speak on social media platforms as well as adult users who must now submit to age verification to access these quintessential forums for political discourse.

These …


Behavioral Drafting: Defining A Field Hiding In Plain Sight, Christopher R. Trudeau Jun 2026

Behavioral Drafting: Defining A Field Hiding In Plain Sight, Christopher R. Trudeau

Cleveland State Law Review

Fine print is everywhere. It governs how we bank, shop, work, travel, and even receive medical care. Yet most people never read it—and those who try often give up because they are overwhelmed by technical jargon, impenetrable legal clauses, and strategically hidden terms. Still, these documents are not neutral. Every choice of wording, structure, and design quietly shapes behavior: nudging people to click “I agree,” to remain enrolled, or to give up rights they never realized they had.

This Article gives that reality a name—behavioral drafting. Borrowing insights from behavioral science, it shows how legal documents exploit well-documented tendencies to …


A Bone To Pick: Back To The Basics In Food Product Liability With A Necessary Reformation Of The "Hybrid" Negligence Standard, Clay Cutteridge Jun 2026

A Bone To Pick: Back To The Basics In Food Product Liability With A Necessary Reformation Of The "Hybrid" Negligence Standard, Clay Cutteridge

Cleveland State Law Review

Ohio does not use the traditional negligence standard in determining negligence in food product liability cases. Instead, Ohio uses what is called the hybrid test. The hybrid test analyzes what a consumer would reasonably expect to find in their food, and Ohio courts consider the naturalness of an object to the food it is in to be the determinative factor: natural objects should be reasonably expected and cannot give rise to successful claims of negligence. This hybrid test fails to consider that food is complex, and consumers often cannot know what to reasonably expect in the food they buy. The …


Quality Improvement Project: Improving Confidence And Clinical Judgment Through Simulation Remediation In Nursing Students, Erica Gillespie Jun 2026

Quality Improvement Project: Improving Confidence And Clinical Judgment Through Simulation Remediation In Nursing Students, Erica Gillespie

Doctor of Nursing Practice Projects

Simulation is a critical component of nursing education, providing students with a safe environment to develop clinical judgment and confidence before entering clinical practice. However, students may experience anxiety and difficulty meeting competency expectations during simulation. This quality improvement project evaluated whether structured simulation remediation improved confidence and clinical judgment among associate degree nursing students. The project was guided by the NLN Jeffries Simulation Framework, and Kotter’s 8-Step Change Model supported implementation. A quantitative, quasi-experimental pre-/post- intervention design was used. Nine nursing students voluntarily participated. During remediation, students reviewed recordings of their initial simulation experiences and completed guided reflection questions …


Cerebrovascular And Bleeding Outcomes Of Warfarin Versus Direct Oral Anticoagulants Therapy For Atrial Fibrillation: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Abeer A. Alomairi, Rana Alduhaysh, Alaa Samandar, Abeer Alshehri, Ghada Alabdullah, Saud Almutairi, Faisal Althekair Jun 2026

Cerebrovascular And Bleeding Outcomes Of Warfarin Versus Direct Oral Anticoagulants Therapy For Atrial Fibrillation: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Abeer A. Alomairi, Rana Alduhaysh, Alaa Samandar, Abeer Alshehri, Ghada Alabdullah, Saud Almutairi, Faisal Althekair

Neurosciences

Objectives: To compare the effects on cerebral health in atrial fibrillation patients receiving either warfarin or direct oral anticoagulants (DOACs). Atrial fibrillation is linked to a higher likelihood of both stroke and cognitive impairment. While warfarin has historically served as the leading anticoagulant treatment, DOACs are now more frequently viewed as alternatives with an improved safety profile.

Methods: The methodology involved an extensive search of multiple databases, completed up to June 2024. This search yielded randomized controlled trials, which together enrolled over 60,000 participants between the ages of 70 and 84. The DOACs studied were dabigatran, rivaroxaban, apixaban, and edoxaban, …