Digital Commons Network^™

Knowledge Closed-Loop Driving-Based Intelligent Game Confrontation Simulation, Quan Liu, Yu Wang, Linyue Liu, Hao Chen, Jian Huang

Journal of System Simulation

Abstract: For human-machine intelligence integration and collaborative intelligence enhancement, a “knowledge-model-data-knowledge” closed-loop paradigm for combat simulation is proposed to guide the design of a DRL-based game confrontation simulation architecture. By building a combat priori knowledge-guided DRL agent model, mining and analyzing the time series data of agent interactions generated during simulations, and extracting combat posterior knowledge that expands the cognition boundaries of commanders, the knowledge closed-loop driving mechanism for intelligent combat simulations is achieved. The experimental results indicate that the proposed mechanism can effectively endow the combat simulation system with intelligence growth capabilities, providing valuable reference for the deepening …

Management Of Acute Myeloid Leukemia: A Review, Chetan Jeurkar, Lana King, David Baek, Lindsay Wilde, Gina Keiffer, Margaret Kasner

Kimmel Cancer Center Faculty Papers

Background/Objectives: Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy with historically poor outcomes, particularly among older adults and patients harboring high-risk molecular features. Advances in genomic profiling have enabled the development of targeted therapies, reshaping treatment algorithms beyond conventional cytarabine-anthracycline induction and hypomethylating agent-based regimens. This review summarizes current evidence and emerging therapeutic strategies across four evolving areas: menin inhibition, FLT3 inhibition, IDH inhibition and treatment approaches for TP53-mutated AML. Methods: We reviewed published clinical trials, preclinical studies, and ongoing clinical trials evaluating targeted therapies in AML. Emphasis was placed on agents with regulatory approval or substantial clinical development, …

A Positive Roi, Healthy Workforce, And Increased Retention Through Transition To Practice, Jamie Emery, Emily Calabro, Heather Coleman, Robin Peterson

Creating Healthy Work Environments (CHWE)

Background and Purpose: In 2023, 32.8% of all newly hired RNs leave within the first year, constituting more than a quarter of all RN separations. The average turnover cost for a bedside RN surpasses $52K, and each percentage shift in RN turnover will result in an extra cost/savings of approximately $380K annually for the average hospital. Further, the current national RN vacancy rate stands at a critical 15.7%.

The American Nurses Association (ANA) has called for a greater focus on recruiting and retaining nurses through residency or fellowship programs that transition nurses into new practice settings using evidence-based criteria.

In …

Enhancing The Professional Well-Being Of Us Nurses Through Healthy Nutrition, Emily Daly Matthews, Emma Kurnat-Thoma

Creating Healthy Work Environments (CHWE)

Poor diet is the leading cause of mortality in the U.S. due to the direct relationship with diet-related chronic diseases including cardiovascular disease (CVD) and type 2 diabetes (T2D) which disproportionally affects underserved communities and exacerbates U.S. health disparities. ^1,2,3 The U.S greatly needs effective, evidence-based policy solutions to significantly improve nutrition and foster an equitable and sustainable food system to improve health and reduce diet related chronic disease.⁴ Approximately half of nurses in the United States have poor diet according to a 2018 systematic review.⁵ Healthy nutrition policy solutions should be implemented in the nursing workplace to …

Comparative Safety, Efficacy, And Predictors Of Complete Occlusion Of Flow Diverter Devices In The Treatment Of Unruptured Distal Anterior Cerebral Artery Aneurysms, Hamza Adel Salim, Luca Scarcia, Frédéric Clarençon, Orabi Hajjeh, Motaz Daraghma, Davide Simonato, Yan-Lin Li, Eimad Shotar, Kevin Premat, Pascal Jabbour, Stavropoula Tjoumakaris, Michael R. Gooch, Marios Psychogios, Nikos Ntoulias, Peter Sporns, Ajit S. Puri, Jasmeet Singh, Anna Luisa Kuhn, Ameer E. Hassan, Oktay Algin, Markus A. Möhlenbruch, Sophia Hohenstatt, Riccardo Russo, Mauro Bergui, Oded Goren, Matthew J. Kole, Nourou Dine Adeniran Bankole, Richard Bibi, Gregoire Boulouis, Takeshi Morimoto, Fumihiro Sakakibara, Raoul Pop, Ciprian Juravle, Joanna W. K. Ho, Ãngel Ferrario, Virginia Pujol Lereis, Jared Cooper, Chirag D. Gandhi, Giancarlo Salsano, Lucio Castellan, Arturo Consoli, Alessandro Sgreccia, Eytan Raz, Charlotte Chung, Julien Burel, Chrysanthi Papagiannaki, Umair Rasheed, Khawaja Muhammad Baqir Hassan, Hong Tao, Zhe Ji, Riitta Rautio, Matias Sinisalo, Maria Ruggiero, Elvis Lafe, Valerio Da Ros, Luigi Bellini, Joseph Domenico Gabrieli, Francesco Causin, Michael R. Levitt, Kate Carroll, Zachary Abecassis, Antonio Armando Caragliano, Sergio Lucio Vinci, Guillaume Bellanger, Christophe Cognard, Gaultier Marnat, Lisa Saleille, Nicola Limbucci, Francesco Capasso, Mariangela Piano, Claudia Rollo, Alexis Guedon, Francesco Arpaia, Andrea Romi, Fortunato Di Caterino, Alessandra Biondi, Erwah Kalsoum, Mykola Vyval, Adrien Guenego, Than Nguyen, Mohamad Abdalkader, Thibault Agripnidis, Aman B. Patel, Vitor Mendes Pereira, Maurizio Fuschi, Alessandro Pedicelli, Vivek Yedavalli, Max Wintermark, Andrea M. Alexandre, Adam A. Dmytriw, Creta Investigators

Department of Neurosurgery Faculty Papers

BACKGROUND: Flow diverters (FDs) are increasingly used for cerebral aneurysms, including distal anterior cerebral artery (DACA) aneurysms, but comparative data between devices in this challenging location are limited.

OBJECTIVE: To compare the safety and efficacy of Pipeline, Silk Vista Baby (SVB), and FRED Jr. FDs for unruptured DACA aneurysms and identify predictors of complete occlusion.

METHODS: We retrospectively analyzed 166 patients treated with FDs at 39 centers in 14 countries (2018–2022) from the CRETA registry. Outcomes included aneurysm occlusion (O’Kelly–Marotta [OKM] scale), complications, retreatment, modified Rankin Scale (mRS) scores, and independent predictors of complete occlusion using multivariable Cox regression.

RESULTS: …

Resource-Efficient Continuous Learning Framework For Edge Real-Time Video Analytics, Shuxia Wu, Junjie Zhang, Delong Chen, Zheyi Chen

Journal of System Simulation

Abstract: By deploying lightweight models at the network edge, edge systems can provide services of real-time video analytics. However, due to the data drift caused by the discrepancy between model training and actual deployment, it is challenging to construct lightweight models that match real-world environments. To address this challenge, a resource-efficient continuous learning framework for edge real-time video analytics (CL4VA) was proposed. A region of interest-granularity predictor for accuracy degradation was introduced to efficiently select key samples from real-time video streams. A two-layer mixed sample pool was constructed to adaptively trigger the model's continuous learning and avoid the issue of …

Reinforcement Learning Based Method For Uav Team Orienteering Optimization Under Multi-Constraint Condition, Can Yang, Kai Chen, Feng Zhu

Journal of System Simulation

Abstract: Traditional optimization methods struggle with efficiency, while reinforcement learning approaches often yield low solution quality and high training costs. In response, this paper proposes an attention mechanism-based reinforcement learning method. A dynamic attention strategy network with multi-information fusion is designed to improve solution quality. A visibility-graph approach is employed to simplify threat zone constraints and speed up convergence, and a decoding sequence reordering mechanism is introduced for further performance optimization of the solution. The simulation results show that the method generates high-quality solutions within milliseconds, achieving total rewards that approach or even surpass those obtained by traditional solvers …

Strike Strategy Planning Method Of Unmanned Ground Vehicles Based On Improved Ppo Algorithm, Bingkun Wang, Yue Wang, Mei Yang, Pengnian Zhang, Bohao Fan, Jie Tang

Journal of System Simulation

Abstract: An improved PPO algorithm based on the hybrid action space and gated recurrent unit (GRU) is proposed to address the limitations of predefined strike rules in maximizing the hitting accuracy of unmanned ground vehicles and the difficult coupling and optimization of continuous motion planning and discrete strike decision-making. The environmental model and target model are built for the process of unmanned ground vehicles' strike missions, coupled with a three-layer model for unmanned ground vehicles that fuses kinematic constraints, situational awareness, and dynamic decision-making. Two distinct policy networks are employed, including the continuous motion planning network for path planning, and …

Intelligent Decision-Making Method In Imbalanced Air Combat Based On Asymmetric Self-Play, Wei Zheng, Jiahao Tang, Xiaoping Xiong, Xin Fan

Journal of System Simulation

Abstract: To solve the problem of strategy convergence caused by role homogenization in traditional self-play for imbalanced air combat, an intelligent decision-making method based on asymmetric selfplay was proposed. This method decoupled tactics from control by employing a hierarchical reinforcement learning framework and designed differentiated reward functions for advantaged and disadvantaged sides. Bidirectional independent policy pools were constructed to promote the co-evolution of strategies. The proximal policy optimization algorithm was utilized to train the model. Experiments in 1v1 weapon-imbalanced and 2v1 numerically-imbalanced scenarios demonstrate that compared to symmetric self-play, the proposed method increases the kill rate of the advantaged …

Agent-Based Pathfinding Method For Indoor Fire Emergency Evacuation, Ao Tian, Jianqin Zhang, Zheng Wen, Chaonan Hu, Hong Zhao, Bo Shen

Journal of System Simulation

Abstract: To improve emergency evacuation efficiency and reduce casualties in dynamic fire scenarios, a real-time path re-planning method based on agents and dynamic A* algorithm framework is proposed. The behavior and actions of the agent is modeled. A reward function is designed, and an agent-based evacuation framework is constructed. Based on fire simulation data, a dynamic cost network involving parameters such as thermal radiation, smoke visibility, and CO concentration is constructed to achieve spatiotemporally continuous modeling of fire environments. By optimizing the composite cost function through dynamic weight allocation, combined with an improved heuristic function and dynamic search mechanism, local …

Staff Education To Improve Hygiene In Psychiatric Inpatients With Depression, Daina Aina Adebayo-Lewis

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice (DNP) staff education project was to enhance psychiatric nursing staff's knowledge and attitudes regarding the promotion of hygiene among adult behavioral health inpatients. Hygiene neglect is a widespread concern in psychiatric units as patients often experience psychomotor retardation, hopelessness, and low motivation that hinder self-care. To address this gap, a staff education program was implemented. Staff members (N = 35) participated in live huddle-based education sessions that included case discussions, demonstrations, and reflection exercises. Participants completed pre- and posttests measuring knowledge (10 items) and attitudes (6 Likert-scale items). Following the education, staff …

Relationship Between Transportation Availability And Obstetric Access In Predicting United States Maternal Death Rates, Veronica N. Trueblood

Walden Dissertations and Doctoral Studies

Maternal mortality remains a significant challenge in the United States with substantial variation across counties reflecting differences in health care delivery systems and access to obstetric services. Fragmented obstetric care networks, hospital closures, and geographic barriers to care contribute to delays in prenatal and emergency obstetric services, increasing the risk of preventable maternal deaths. Guided by the social determinants of health (SDOH) framework, this quantitative cross-sectional health services study examined relationships between transportation availability, obstetric care access, and county-level maternal mortality in the United States. A national scope was required to achieve an adequate analytic sample size, as maternal mortality …

Exploring Strategies To Improve Turnover Staffing Shortages And Support For In-Home Family Caregivers, Katrina V. Tate

Walden Dissertations and Doctoral Studies

Home care workers play a vital role in supporting older adults, yet retaining staff in these positions can often be challenging. The purpose and review question for this integrative review concerned the strategies and best practices for home health agencies to retain formal caregivers and implement in-home/informal caregiving as an integral component of the caregiving team. Penchansky and Thomas’s theory of access supported this study by highlighting how the qualities and expectations of home care workers align with their patients. A comprehensive review of the literature resulted in 53 articles, which were screened for quality and relevance. Of these, 24 …

Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore

Walden Dissertations and Doctoral Studies

This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …

Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth

Walden Dissertations and Doctoral Studies

Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …

Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha

Walden Dissertations and Doctoral Studies

This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …

Obesity And The Gut Microbiota In The Middle East: A Cross-Cultural Study Of Lebanese And Emirati Adults, M. Ali Ahmad, M. Abou-Samra, E. Blaak, M. Karavetian, C. Ayoub Moubareck, K. Venema

All Works

Obesity is a growing public health concern in the Middle East and North Africa (MENA) region, yet limited research has explored how gut microbiota varies between Arab populations. This study compared the gut microbiota composition and diversity of Emirati and Lebanese adults with obesity and assessed the role of age and nationality in shaping microbial variation. A total of 43 Emirati and 30 Lebanese individuals with obesity (body mass index (BMI) ≥35 kg/m2) were recruited. Participants provided anthropometric and biochemical data, dietary records, and stool samples for 16S rRNA sequencing. The analysis revealed significantly higher BMI, weight, and fat mass …

Symmetric Orthogonalization And Probabilistic Weights In Resource Quantification, Gökhan Torun

Turkish Journal of Physics

Transforming nonorthogonal bases into orthogonal ones often compromises essential properties or physical meaning in quantum systems. Here, we demonstrate that Löwdin symmetric orthogonalization (LSO) outperforms the widely used Gram–Schmidt orthogonalization (GSO) in characterizing and quantifying quantum resources, with particular emphasis on coherence and superposition. We employ LSO both to construct an orthogonal basis from a nonorthogonal one and to obtain a nonorthogonal basis from an orthogonal set, thereby mitigating ambiguity related to the basis choice in defining quantum coherence. Unlike GSO, which depends on the ordering of input states, LSO applies a symmetric transformation that treats all vectors equally and …

Optical Textures Of A Uniform Liquid Crystal Lattice: Monte Carlo Simulations With Newton Colors And Mueller Matrix Analysis, Yakup Emül

Turkish Journal of Physics

The optical textures of a uniform liquid crystal (LC) molecule lattice structure were explored through Monte Carlo (MC) simulations, combined with Mueller matrix (MM) formalism and Newton’s color theory. These simulations utilized a Lebwohl-Lasher (LL) type interacting LC lattice under periodic boundary conditions, generating ensemble-averaged configurations at two temperature regimes (kBT = 0.9 and 1.2), corresponding respectively to nematic and isotropic states. These configurations were then incorporated into the MM framework to evaluate the polarization states of transmitted light. To visually interpret the resulting interference phenomena, we propose a new visualization method based on a modern interpretation of Newton’s color …

Illinois State University Founding Celebration Old Main Bell Ringing And Awards Ceremony Program, February 19, 2026, Illinois State University

Founding Celebration Programs

Program for annual event celebrating the founding of Illinois State Normal University on February 18, 1857. This program was initially made available as a Foleon website. An Internet Archive capture of the site is available at https://web.archive.org/web/20261007170256/https://illinoisstateuniversity.foleon.com/founding-celebration/microsite-copy-1/. A PDF copy of the program's text and images is also available to download from this page.

The Impact Of Face Masks On Social Perception Is Age-Dependent, Farid Pazhoohi, Maryam Rostami-Aghoui, Sepide Pazhouhi, Keina Aoki, Alan Kingstone

School of Psychology

Human faces are critical for social communication, enabling individuals to make rapid judgments about traits like trustworthiness and competence. Previous research suggests that face masks can enhance perceptions of trustworthiness and, to a lesser extent, competence, although findings on competence are more variable and context-dependent. Additionally, age-related facial cues influence social judgments, with older and younger faces being evaluated differently. This research examined the impact of face masks on perceptions of trustworthiness and competence across two age groups: young adults (Study 1) and old adults (Study 2). Study 1 revealed that face masks increased perceptions of trustworthiness and competence for …

Human Trafficking In Central Asia: A Product Of Its Environment, Matt V. Tenberg

Binghamton University Undergraduate Journal

Human trafficking is a complex puzzle when considering all the effort it takes to traffick another person. Many often wonder how one gets trafficked, and what is the appropriate response to human trafficking? A couple of answers can be found when analyzing Central Asia’s ongoing crisis of human trafficking into its territory. Central Asian countries have historically been combating human trafficking after the fall of the Soviet Union. However, after analyzing the laws and methods in place, it is clear that the countries are not succeeding in eliminating this problem. The countries of Kazakhstan, Uzbekistan, and Kyrgyzstan are grounds for …

Food Councils And Federal Committees: Community Responses To Inaction On Food Insecurity By Government, Kevin O'Connell, Liam R. Rupprecht

Binghamton University Undergraduate Journal

Food insecurity is a devastating force in the United States, as shown by its destructive impact on vulnerable groups like children, racial minorities, and those in poverty. Non-white urban communities of color especially have significantly higher rates of household food insecurity due to systemic racism in American food systems. Despite the prevalence of these factors, they are consistently overlooked by public and private forces. Federal efforts have failed to resolve the issue, leaving it to local “food council” organizations that attempt to help through advocacy and charity. These groups face a difficult task: how can they work to mitigate food …

Stuck Behind Bars: How Neglect Of The Mental Health Epidemic In U.S. Correctional Facilities Fuels Recidivism, Alayna Bhatti

Binghamton University Undergraduate Journal

The nation is failing to protect the rights of all citizens. Various studies and sources of academic research show that health services in U.S. prisons fall far below the standards for health services on the ‘outside world’. Legal scholar Joshua Price highlights how mentally ill inmates are victims of the U.S. criminal justice system. “A set of institutions disavowed responsibility, leading to conditions where their own demons got the better of them, with awful consequences. Did these institutions, or the people in them, love justice?” (Price, 501) How is justice really served when these inmates are destined to be trapped …

Teaching Undergraduate Human Rights Research Through The Arts, Humanities, And Social Sciences, Alexandra Moore

Binghamton University Undergraduate Journal

A note from guest editor, Alexandra Moore.

Watching The Watchers: Redefining Privacy And Human Rights In Correctional Surveillance, Ianna H. Choi

Binghamton University Undergraduate Journal

Incarcerated individuals exist in a space where security and privacy constantly clash. This study examines how surveillance technologies—biometric monitoring, video surveillance, and electronic tracking—in correctional settings impact the privacy rights of those incarcerated. Through a review of peer-reviewed literature, and insights from informal conversations with incarcerated individuals at Broome County Jail, this research examines the ethical, legal, and social implications of surveillance in carceral facilities, focusing on how constant monitoring impacts privacy, relationships, and mental well-being. Expanding beyond jails, the study considers surveillance in state and federal prisons, evaluating its implications under the United Nations International Covenant on Civil and …

Incarcerated Youths In Canada And The United States: A Comparative Analysis, Grace A. Mastrangelo

Binghamton University Undergraduate Journal

Are children, who commit adult crimes, deserving of adult punishments? According to the United Nations, not if it harms their well-being. Article 3 of the Convention on the Rights of the Child (CRC) adopted by the United Nations in November 1989, states that 1) the best interests of the child should be the primary consideration of all state actions involving children, 2) governments must allot children the protection and care necessary for their well-being, and 3) governmental institutions, services, and facilities that deal with children must uphold adequate standards for the safety, health, and supervision of children. The CRC is …

Advocating For The Workforce And Work Environment: Diversity In Meaningful Recognition, Alexis Elizabeth Hayes, Michelle Hehman, Carliss D. Ramos, Joanne Muyco

Creating Healthy Work Environments (CHWE)

Background/Introduction: Meaningful recognition (MR) is a critical component of a Healthy Work Environment (HWE) which impacts nursing retention and work engagement ^1,4,5. In the United States, workers are four times more likely to perceive their work environment as inclusive if a valued amount of recognition is received^1,5. While there is an increased push for diversity in the healthcare workforce to mitigate disparities, attention may need to focus on diversity in MR^2,3. This could have the potential to lower burnout, maintain a diverse workforce and create a healthy yet inclusive work environment ^2. Furthermore, leaders need …

Attitude Of Health Professions Students Regarding Interprofessional Education In Pakistan: A Scoping Review, Sumaira Khowaja-Punjwani, Afifa Tabassum, Shams Nadeem Alam, Syeda Kauser Ali, Lubna Baig

Creating Healthy Work Environments (CHWE)

Introduction: The secret to success in a fast-paced hospital setting where patients confront complicated concerns is interprofessional collaboration. Interprofessional collaboration could be achieved through interprofessional education (IPE). The objective of this study is to ascertain the quantity, variety, and breadth of research papers on Pakistani health professions students' (HPS) attitudes toward interprofessional education (IPE).

Methods: A scoping review was conducted from March 2022 to August 2022. PICO framework was used for developing research question. Iterative process for literature search was done by development of search terms using Mesh terminologies, Boolean operators and keywords to capture the studies of interest from …

2026-02-18 Fragments Literary And Arts Magazine Is ‘Curio’ For Student Work, Maya Deguzman

The Spectator Online

No abstract provided.