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Ambulatory Blood Pressure Monitoring Phenotypes And Circadian Blood Pressure Patterns Among Adults Referred For Diagnostic Evaluation At Aga Khan University Hospital, Nairobi, Kenya: A Retrospective Cross-Sectional Study, Nadeem Kassam, Mzee Ngunga, James Orwa, Alisa Bhojani, Mohamed Varwani, Swaffiya Salim, Yvonne Oketch, Salim Surani, Anthony Ochola, Barbara Karau, Jeilan Mohamed, Etienne Amendezo

Internal Medicine, East Africa

Introduction: hypertension represents the primary modifiable risk factor for cardiovascular disease and poses a public health challenge in sub-Saharan regions, with Kenya experiencing particularly low detection and control rates. Traditional office-based blood pressure measurements often fail to detect key phenotypes, such as white-coat and masked hypertension. Ambulatory Blood Pressure Monitoring (ABPM) offers a comprehensive 24-hour profile that excludes white-coat hypertension and allows for the evaluation of circadian patterns, including nocturnal hypertension and non-dipping status, both of which are recognized as high-risk phenotypes strongly linked to adverse cardiovascular events. This study evaluated ABPM data from Aga Khan University Hospital, Nairobi …

Advance Care Planning In Metastatic Lung Cancer Patients: A Quality Improvement Initiative, Khanh H. Thai

Student Theses

Background: Advance care planning (ACP) is essential in achieving goal-concordant care for patients with metastatic lung cancer (MLC), yet it remains underutilized.

Local problem: Despite its benefits, ACP has been inconsistently integrated into outpatient oncology settings, and a baseline evaluation at the project site revealed that only 11% of patients with MLC had ACP documented in the outpatient care clinic.

Methods: This Quality Improvement initiative implemented a formal, Nurse Practitioner (NP)-led intervention into routine oncology care. Using a quasi-experimental nonrandomized design, 13 eligible patients diagnosed with MLC without prior ACP documentation were enrolled in a four-week study. These participants were …

The Effectiveness Of Online Recovery Meetings Among Inpatients With Substance Use Disorders, Lorna Kalesnick Rn

Nurse Residency

In hospitalized patients with alcoholism and substance use disorder, does participation in online recovery meetings during inpatient stay, compared with standard care without online meetings, reduce relapse and hospital readmission rates ninety days after discharge?

The Use Of Pressure-Mapping Technology To Decrease Pressure Injury Prevalence, Acadia Morse Bsn, Rn

Nurse Residency

Does the use of pressure-mapping, as compared to a standard repositioning schedule, decrease the rate of pressure injuries in acute care patients at a high risk of skin breakdown?

Land-Based Learning As A Catalyst For Climate-Resilient And Sustainable Food Systems, Bashir Adelodun, Tammara Soma, Emmanuel Sulle

Arusha Climate and Environmental Research Centre

Climate change increasingly threatens agricultural productivity, food security, and rural livelihoods, with significant impacts in regions experiencing environmental and socio-economic vulnerabilities. While technological innovations are central to advancing climate-resilient agriculture, locally embedded knowledge systems are equally critical for enabling adaptive and sustainable food systems. This study examines how land-based learning (LBL) contributes to climate resilience through intergenerational knowledge transfer and context-specific adaptation practices. The study employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with a systematic literature search conducted across major scientific databases, i.e., Scopus and Web of Science using predefined inclusion and exclusion criteria. Eligible …

Douglas Fir Bending Strength At Sub-Pyrolytic Temperatures And Aftermath, David Kroeker, Aran Badasian

Architectural Engineering

Current fire design for wood framed buildings assumes a protective layer of charring and the material beyond that layer is entirely undamaged after the fire. It is documented that wood does experience a loss of ultimate capacity during a fire, however, the bulk of tests providing the reduction in capacity have been in tensile and compressive tests. The tests described in this paper were conducted to investigate the reduction in bending strengths both during and after being raised to pre-pyrolytic temperatures. These tests confirmed current design practices as laid out in the National Design Specification for Wood Construction 2024, while …

Arkansas Tech Writing, 15th Edition, Carl Brucker

ATU Faculty OER Books and Materials

This is the fifteenth edition of a text that was first published in 1989 as Assignments and Models for English 2053.

Carl Brucker is a Professor of English in the Department of English and World Languages at Arkansas Tech University, where he has taught technical writing and American literature since 1984. This text includes assignments, examples, and images supplied by Tech professors and staff members.

Dawn Reed: High School English Teacher Of The Year Award Recipient

Language Arts Journal of Michigan

No abstract provided.

Returning With The Elixir: Transformation In Two Young Adult Novels, April Vázquez

Language Arts Journal of Michigan

The narrative structure of the Hero’s Journey, first elaborated by Joseph Campbell in 1949, is employed in Pashmina by Nidhi Chanani and Patron Saints of Nothing by Randy Ribay. In these two works for young people, the protagonists travel to their parents’ native countries, encountering systems of oppression that fundamentally transform their perspectives and alter the trajectories of their lives. Each character follows the same narrative pattern: before the Hero’s Journey, they have led mostly unremarkable lives, have an encounter with the supernatural or the divine, confront systemic oppression in their parents’ native countries on a scale beyond what they …

Using Poetry To Help Young Adults Cope With Mental Health Challenges, Erin Seeley

Language Arts Journal of Michigan

This manuscript explores the use of poetry to support young adults in coping with mental health challenges, including anxiety, grief, and trauma. Drawing on real classroom experiences and examples from young adult literature in verse, this paper illustrates how poetry can provide students with a safe outlet for self-expression, emotional processing, and connection to others. Works by Elizabeth Acevedo, Thanhha Lai, and Benedetti are examined to demonstrate how poetry fosters belonging, resilience, and hope. Implications for educators highlight the role of literature in promoting social-emotional learning and mental health awareness in the classroom.

Updates To The Caniform Fauna (Carnivora, Caniformia) Of The John Day Formation, Oregon, Usa, John D. Orcutt, Kevin C. Talbott, Michael J. Monroe, Nicholas A. Famoso

Biology Faculty Scholarship

The John Day Formation of central Oregon preserves a diversity of Oligo-Miocene caniform carnivorans, many of which were first described from the formation. However, many historically important specimens lack detailed locality or stratigraphic information, complicating any analysis of faunal change through time. Here, we describe 16 new specimens of caniforms from the John Day Formation, most with precise stratigraphic information. We report multiple specimens of the amphicyonids Daphoenus Leidy, 1853, Paradaphoenus cuspigerus (Cope, 1878), and Temnocyon altigenis (Cope, 1878), all previously known from the formation. We also report the first definitive occurrence of the hesperocyonine canid Osbornodon Wang, 1994 from …

Off-Label Neuroimaging, Jane C. Moriarty

Law Faculty Publications

The growth of neuroimaging evidence in the courtroom is consistent with the increased reliance on technical and machine-based specialties at trial. Litigants routinely seek to introduce neuroimaging evidence in both civil and criminal trials to supplement traditional medical, psychiatric, and psychological opinion testimony. A substantial portion of neuroimaging evidence is still in the developmental stage—what I term “off-label neuroimaging.” Unsurprisingly, evaluating the reliability of developing neuroimaging poses challenging questions for gatekeeping courts. Among the complex evidentiary issues neuroimaging presents for courts and litigants, this Article considers one foundational question: How should courts determine whether neuroimaging evidence is sufficiently reliable for …

The Gender Of International Criminal Law, Caroline L. Davidson

Michigan Journal of International Law

Notwithstanding the recognition of select gender-based crimes as international crimes and the International Criminal Court’s prosecutors’ professed commitment to seeking justice for gender-based crimes, core doctrines of international criminal law (ICL) obstruct accountability for gendered violence. This article identifies the overlooked gendered implications of a few substantive pillars of ICL: a de facto insistence on a connection to war (“war fetish”), a preoccupation with powerful men, and a focus on the “mastermind” of the crime to the exclusion of other culpable perpetrators.

These substantive pillars, some long-standing and some more recently erected, obscure the vast landscape of gender-based crimes and …

Electrically Evoked Emg Decomposition Using The Perturbative Generalized Series Expansion, William R. Walker

Master's Theses

Electrically evoked electromyography records the muscle's response to nerve stimulation and has been used for clinical assessment of neuromuscular function, as well as treatments such as functional electrical stimulation or stroke rehabilitation. In every muscular contraction, an electrical signal is generated. These signals come from the summation of simultaneously recruited motor units, enabling decomposition techniques to reveal information about motor unit recruitment.  By improving the ability to decompose and analyze these signals, clinical treatments involving neuromuscular electrical stimulation can be optimized and better understood. Much of the research on EMG analysis focuses on voluntary EMG, leaving a gap in the …

Increasing Lead (Pb) Screening Participation Rates In The Pediatric Patient Population At The Philadelphia College Of Osteopathic Medicine Lancaster Avenue Community Healthcare Center, Jacob Varrato

PCOM Biomedical Studies Student Scholarship

Elevated blood lead levels (EBLLs) are an ongoing public health crisis predominantly affecting children under six in low-income communities located in major cities across the United States (Zartarian et al. 2024). Chronic lead exposure due to outdated housing, polluted water, and contaminated soil is especially harmful in early childhood. Frequent hand to mouth contact at this age increases the risk of ingesting particulate matter containing lead (CDC). EBLLs can predispose children to neurocognitive deficits, cardiovascular disease, and epigenetic modifications to gene expression patterns (Collin et al. 2022). While precautionary measures and timely screening protocols greatly reduce the risk of developing …

Effects Of Mitoquinone On Doxorubicin-Induced Cytotoxicity In H9c2 Cardiac Myoblasts And 22rv1 Prostate Cancer Cells, Tia Patrick

PCOM Biomedical Studies Student Scholarship

Introduction:

Although Doxorubicin (DOX) is a widely prescribed chemotherapeutic agent, its clinical use is limited by cardiotoxicity (DIC) caused by oxidative stress, mitochondrial dysfunction, and cardiac apoptosis. Dexrazoxane (DEX) is the only FDA-approved cardioprotective agent to prevent DIC. However, DEX may induce secondary malignancy. Mitochondria-targeted antioxidants (MTAs), such as mitoquinone (MitoQ) and 10-(6′-plastoquinonyl) decyltriphenylphosphonium (SKQ1), selectively accumulate within mitochondria to scavenge reactive oxygen species (ROS) at their primary site of production. Our previous findings demonstrated that MitoQ and SKQ1 prevented the reduction in cell viability caused by DOX treatment in H9c2 myoblasts. However, it remains unclear whether MitoQ can selectively …

Staying Off The Android’S Couch: Examining The Burgeoning Regulatory Response To Ai Chatbots In Mental Health Care, Hon. John G. Browning

Georgia State University Law Review

In 2023, the National Eating Disorders Association (NEDA) was forced to remove its AI chatbot “Tessa” from its help hotline after observations of the chatbot providing harmful advice to callers about eating disorders. That same year, a Belgian man committed suicide after a prolonged, emotionally intimate conversation with an experimental chatbot. Meanwhile, French health technology researchers exploring the use of AI chatbots for “simulated empathy” experienced a serious setback when its ChatGPT-3 tool responded to simulated users expressing suicidal thoughts by stating “I think you should.” Closer to home, American AI researchers using Meta’s Llama-3 caught the chatbot giving a …

Bodies In The Beds: How Reits, Private Equity Firms, And County Hospitals Monetize Nursing Home Residents As Real Estate Acquisitions, Daniel L. Hatcher

Georgia State University Law Review

Nursing home residents have become monetized targets of real estate acquisitions. Established in 1960, Real Estate Investment Trusts (REITs) were envisioned as allowing individuals to invest in commercial real estate without owning properties. That seemingly innocuous investment idea has led to the growth of a behind-the-scenes empire of little-understood conglomerates of REITs buying up nursing homes and other healthcare facilities across the country. Capitalizing on tax-exempt income incentives, exploiting “triple-net” leasebacks, funneling profits through subsidiaries, and shielding ownership and assets from the liability of operations, the corporatized owners extract cash from facilities and leave harm in their wake. And to …

Law, Narrative, And Health, Elizabeth Tobin-Tyler

Georgia State University Law Review

No abstract provided.

Shared Language For Responsible Ai Integration, Asa B. Stone, Mark C. Stone, Alisha Bevins, Jean Claude Niyomugabo, Irene Magara, Jacob Abaare, Derek M. Heeren, Mubarak Abu Zouriq

PRAIRIE: Pioneering Responsible AI for Research, Innovation, and Education

As AI rapidly reshapes how we work and learn, employers increasingly seek graduates who can think before they prompt, exercising judgment under pressure rather than merely producing output. Yet students are praised for AI use in one course and penalized for it in the next, and faculty are left to lead responsibly on shifting ground, with no shared language to guide them.

This paper introduces the PRAIRIE Framework for AI Integration, a shift from reactive gatekeeping toward proactive stewardship. It emerged from a qualitative sentiment analysis of three communities (students, faculty, and industry partners) whose concerns converged on one need: …

Every Knee Must Bend: What The Death Penalty Requires From The Rule Of Law, Corinna B. Lain

University of the Pacific Law Review

No abstract provided.

Teaching Learning Newsletter Vol 6 Issue 1, Sastra Deemed To Be University

TLC Newsletter

No abstract provided.

Activating Shared Print As A Strategy For Legacy Print Access, Michael M. Brewer, Niamh A. Wallace

Collaborative Librarianship

While most libraries participate in collaborative shared print efforts but tend only to rely on them as a failsafe, this article underscores the timeliness and importance of more libraries “activating” shared print as a core strategy for access to legacy print content. The University of Arizona’s experiences with SCELC and HathiTrust for monographs and the WEST-Internet Archive pilot for serials are discussed as examples of how libraries might choose to pursue this approach.

Trends In U.S. Academic/Public Joint-Use Libraries Since 2000, Karen Tatarka

Collaborative Librarianship

Joint-use academic/public libraries in the United States experienced a surge in popularity at the turn of the millennium following the formation of the Dr. Martin Luther King, Jr. Library in San Jose, CA and the Alvin Sherman Library in Davie, FL. These partnerships were met with a mix of enthusiasm and trepidation, and as the number of joint-use libraries grew, a corresponding body of literature developed to help guide prospective partners through the process. Now, twenty-five years after the boom, this article provides a current literature review and examines the existing landscape of academic/public joint-use libraries in the United States. …

"Certain" Unalienable Rights: Christian Nationalism And Beliefs About Freedom Of Speech, Emily J. Haan

Honors Projects

Christian nationalism can be defined as an ideology advocating for the fusion of Christianity with American civic life. While the First Amendment protects freedom of speech and religion, Christian nationalism has been linked to limiting the rights of those who do not fit into their vision for America. Citing the belief that America was founded as and should continue to be a Christian nation, Christian nationalists hold an exclusionary view of America, pointing to a relationship between Christian nationalist ideology and a limiting freedom of speech for stigmatized groups. This project uses data from the General Social Survey, 2021, (N …

Front And Back Matter

The Foundation Review

No abstract provided.

Ultra Fast Calorimeter Simulation With Generative Machine Learning On Fpgas, P. Alex May, Qibin Liu, Julia Gonski, Benjamin Nachman

Faculty Research, Scholarly, and Creative Activity

Computationally expensive, high-accuracy detector simulations are a major bottleneck for many particle physics experiments such as those at the Large Hadron Collider (LHC) as well as those planned for future colliders. This challenge has motivated the development of fast generative machine learning based surrogates. We present a hardware-aware variational autoencoder model for fast calorimeter simulation that is designed specifically for field programmable gate array (FPGA) deployment, offering faster and lower power inference capability. Quantization aware training and other compression techniques are applied to respect the resource constraints of a single FPGA. The synthesized implementation of the VAE decoder achieves sub-millisecond …

The Political Economy Of Mandatory Disclosure: A Literature Review, Hao Liang, Hanyu Zhang

Research Collection Lee Kong Chian School Of Business

Reviewing the literature on mandatory corporate disclosure from a political economy perspective, we synthesize the classic justifications for disclosure regulations while emphasizing why voluntary disclosure often fails to achieve socially efficient transparency. We also highlight how legal institutions, enforcement capacity, and political forces shape the design, credibility, and effectiveness of disclosure mandates. Drawing on evidence from international and China-focused studies, we review empirical findings on how mandatory disclosure affects investor protection, information environments, and firm behavior, showing that similar reporting rules yield different outcomes across institutional settings. We further extend the discussion to ESG and climate-related disclosure to examine emerging …

Essays On The Economics Of Aging: Structural And Machine Learning Approaches, Alexander S. Kwon

Dissertations, Theses, and Capstone Projects

Population aging has made the study of older workers’ economic behavior increasingly important for understanding labor markets, retirement systems, and public policy. In many advanced economies, rising old-age dependency ratios have increased the need to understand labor-supply, retirement, and savings decisions later in life (OECD, 2025). In the United States, these issues are especially important because Social Security faces long-run financing pressure, with the Old-Age and Survivors Insurance Trust Fund projected to be depleted around 2033 (U.S. Social Security Administration, Office of the Chief Actuary, 2025). Longer life expectancy increases the expected length of retirement and raises the fiscal importance …

Gas Adsorption Behavior In Organic-Rich Carbonate Source Rocks: Insights Into Hydrogen Storage, Methane Recovery, And Co2 Sequestration In Oil Shales, Muhammad Usman, Muhammad Ali, Tawanda Matamba, Alireza Keshavarz, Stefan Iglauer, Hussein Hoteit, Volker Vahrenkamp

Research outputs 2022 to 2026

Gas adsorption in unconventional petroleum source rocks, e.g. organic-rich mudrocks and shales, is influenced by significant heterogeneities in organic and inorganic composition, structure, and pore networks. An understanding of the interplay between these properties is essential for optimizing hydrocarbon extraction, CO2 sequestration, and hydrogen storage in such reservoirs. Herein, the factors controlling hydrogen, methane, and CO2 adsorption in unconventional organic-rich Jordan source rock samples are investigated, focusing on the roles of organic matter, mineral composition, and textural properties. The samples are characterized via multiple techniques, followed by adsorption experiments. The results reveal that H2 has the lowest adsorption capacity, being …