Digital Commons Network^™

Ai Privacy And Security In Healthcare: A Systematic Literature Review, Diane Dolezel, Karima Lalani, Valerie Watzlaf, Kerryn Butler-Henderson, Elise V Z Lambert, Mary Morton, Jamie Sand, David Gibbs, Susan Fenton

Faculty, Staff and Student Publications

Background: Artificial intelligence is expanding into telemedicine and telerehabilitation, yet significant privacy and security concerns persist.

Scope: To synthesize empirical evidence on privacy and security approaches in health care, particularly those relevant to distributed home care.

Methodology: A systematic review identified 80 studies (2019 to 2025), and Latent Dirichlet Allocation (LDA) topic modeling characterized the privacy and security themes.

Results: Sixty-six studies addressed privacy, only seventeen addressed security, and three studies addressed both. LDA identified four themes: patient data privacy, federated learning for medical imaging, encrypted training and secure computation, and healthcare data governance. Most studies emphasized privacy-preserving approaches, like …

The Outcome Of Primary Anastomosis Without Diversion Versus With Diversion In Colorectal Cancer Surgeries, Ahmed Sameh, Shams Nazem, Ahmed A Monem, Amr F Elalfy

Mansoura Medical Journal

Background: Anastomotic leakage (AL) is the most feared complication after colorectal surgery. It is a very morbid consequence that is associated with higher morbidity, longer hospital stay, higher medical expenses, or even worse functional outcomes. The role of diverting ileostomy (DI) in reducing the incidence of anastomotic leakage is still debatable. Methods: Our study included 95 patients with left sided colon cancer and rectal cancer, 49 patients in the non-ileostomy group and 46 patients in the ileostomy group after resection anastomosis of the primary tumor. The analysis included the following variables: patient-related variables (age, sex, comorbid conditions, ASA score, smoking …

Effect Of High-Dose Vitamin D Supplementation On Serum Sclerostin Levels In Chronic Kidney Disease Patients: A Randomized Controlled Trial, Mohamed A. Hassany, Mariam A. Fawy

Mansoura Medical Journal

Background Vitamin D deficiency and altered bone metabolism are common in patients with chronic kidney disease (CKD). Sclerostin, a key inhibitor of bone formation, has been implicated in CKD–mineral and bone disorder (CKD-MBD), but the impact of high-dose vitamin D supplementation on circulating sclerostin is unclear. This work examined the effect of intramuscular cholecalciferol on serum sclerostin and bone-related markers in CKD patients. Methods This randomized controlled trial involved 128 adult CKD patients (stages 3–5), 18–70 years, both sexes, with vitamin D deficiency. Adults were equally randomized into two groups: the intervention group received intramuscular cholecalciferol (300,000 IU at baseline …

Chronic Stress And Toxoplasma Gondii Infection: Investigating The Two-Hit Hypothesis On Behavior And Cognition In Chronic Toxoplasmosis Mice Model, Nora Labeeb El-Tantawy

Mansoura Medical Journal

Background: Toxoplasmagondii infects about one third of people around the world and is associated with neuropsychiatric disorders. But not everyone who has it ends up with behavioral symptoms, which is kind of interesting. The study aimed to investigate the two-hit hypothesis, basically testing if chronic stress makes the effects of the infection worse in mice, on behavior and cognition. Methods: Sixty Swiss Webster mice were included in the study divided into four groups (15 for each). Group 1 control, group 2 stressed animals exposed to the chronic unpredictable stress protocol, Group 3 infected with T. gondii, and group 4 received …

Fractional Ablative Co2 Laser Versus Screw Threads In Post-Traumatic Atrophic Linear Scars, Eman Emad Elfeel, Marwa Zohdy Ali, Shereen Ezzalregal Alashry, Sherihan Hassan Allam

Mansoura Medical Journal

Background Scar is the result of the natural healing and reparative process, which are frequently accompanied by a few aesthetic, functional, and social impairments and may negatively affect quality of life. Fractional CO2 laser improves both the pigmentary and textural changes by removing thin layers of skin with minimal thermal damage. Thread lifting technology is a non-surgical facial rejuvenation technology that can minimize postoperative recovery period and scar from the incision Aim To compare the efficacy of fractional ablative CO2 laser therapy versus screw threads in post-traumatic atrophic linear scars. Methods This prospective randomized clinical study included 2 groups; group …

Epa And Nepa’S International Cooperation Provision, Terrence Neal

Faculty Scholarship

The goal of this Article is to analyze and highlight EPA 's authority to undertake international activities - a topic that has been more overlooked than EPA 's foreign policy role itself. In accomplishing this goal, it places particular focus on the nature and scope of Section 102(2)(I) of the National Environmental Policy Act (NEPA). This Article asserts that Section 102(2)(I) is not merely a policy statement. It prescribes both an authorization and a discretionary duty to engage in international environmental cooperation. NEPA's text and legislative history, as well as persuasive judicial and administrative decisions, affirm this. After clarifying Section …

Process Over Product With Labor-Based Grading, Ti Macklin, Nicole Brun-Mercer

Boise State University Publications and Presentations

Many instructors adopt a process approach to writing, assigning multiple drafts and offering feedback for revision; they nonetheless maintain that ultimately a student must receive a grade based on the instructor-determined caliber of the final product in order to maintain high academic standards. This traditional grading system can be demotivating, increase anxiety, discourage creativity and risk-taking, and unleash linguistic bias. In contrast, labor-based grading focuses on effort and improvement and can result in greater student engagement, innovation, and growth. This article explains labor-based grading, illustrates its use in an L2 first-year writing class, and suggests ways to adopt it in …

Buying Blind: Corruption Risk And The Erosion Of Oversight In Federal Ai Procurement, Jessica Tillipman

GW Law Faculty Publications & Other Works

The United States is accelerating toward a corruption crisis of its own making. In its race to rapidly acquire artificial intelligence (AI), current policy risks undermining longstanding procurement integrity safeguards. This article examines how AI increases traditional corruption risks and introduces new vulnerabilities that current oversight mechanisms are ill-equipped to address.

Recent federal AI policies have accelerated adoption while simultaneously narrowing regulatory oversight, effectively leaving “regulation by contract” as the primary—and profoundly inadequate—mechanism for embedding safeguards. The consequence of these policies is that the government is “buying blind,” acquiring AI technologies without adequate transparency, audit rights, or testing requirements. These …

Ethnonationalism By Algorithm, Spencer A. Overton

GW Law Faculty Publications & Other Works

In the United States, artificial intelligence (“AI”) policy has become a critical arena for ethnonationalism—an ideology that defines national belonging through shared ancestry, culture, and language. Amid rapid demographic change and cultural anxiety, the second Trump Administration has harnessed federal AI governance to advance its broader agenda of dismantling diversity—most notably through Executive Order 14,179, “Removing Barriers to American Leadership in Artificial Intelligence” and related legal directives. By eliminating safeguards against algorithmic bias and recasting equity as an ideological threat to innovation, the policies facilitate exclusion under the guise of neutrality. These moves are not merely deregulatory; they represent a …

Transportation Law’S Congestion Problem, Sara C. Bronin

GW Law Faculty Publications & Other Works

Transportation law has a congestion problem: our federalist system of government allows federal and state actors to stymie innovative, locally driven projects that aim to reduce driving. This problem is illustrated in the decades-long legal battles over New York City’s plan to impose “congestion pricing” to toll drivers entering certain parts of Manhattan. Overcoming grandstanding elected officials, lawsuits resting on state and federal supremacy, and even a federal legislative override, congestion pricing was finally launched in January 2025. New Yorkers and suburbanites alike almost immediately started benefiting from cleaner air, faster commutes, safer roads, and increased economic activity and productivity—plus …

Common Schemes, Real Harm: Examining Fraud In Medicare And Medicaid, Hearing Before The United States House Of Representatives Committee On Energy And Commerce, Subcommittee On Oversight And Investigations, Jessica Tillipman

GW Law Faculty Publications & Other Works

The testimony argues that effective Medicare and Medicaid program integrity requires clear definitions, sustained oversight capacity, and incentives aligned toward prevention rather than retrospective recovery. It stresses that “fraud” is a legal determination and should not be conflated with broader measures of improper payments or documentation deficiencies, because that confusion distorts risk assessments and policy responses. It evaluates the current enforcement ecosystem across CMS, HHS-OIG, DOJ, GAO, and state partners, emphasizing coordination, stable resourcing, and accountability in managed care as central to deterrence. It also highlights how advanced analytics and generative AI can both amplify fraud schemes and strengthen detection, …

Policy Brief: The Occ's Unlawful Proposal To Preempt State Interest-On-Escrow Laws Reveals That The Agency's Ultimate Goal Is To Revive Its Illegal De Facto Field Preemption Regime For National Banks, Arthur E. Wilmarth Jr.

GW Law Faculty Publications & Other Works

In December 2025, the Office of the Comptroller of the Currency (“OCC”) issued a proposal to preempt all state laws that require national banks and federal savings associations to pay interest on borrowers’ funds held in mortgage escrow accounts. The OCC’s proposal is unlawful and must be rescinded. Under 12 U.S.C. § 25b and the Supreme Court’s decisions in Cuomo v. Clearing House and Cantero v. Bank of America, the OCC does not have authority to preempt state interest-on-escrow (IOE) laws.

The OCC’s proposal for a categorical, across-the-board preemption of state IOE laws violates three requirements set forth in 12 …

The Unacceptable Risks Of Uninsured Nonbank Stablecoins: Written Testimony Presented To The Uk House Of Lords' Financial Services Regulation Committee, Arthur E. Wilmarth Jr.

GW Law Faculty Publications & Other Works

This written testimony was submitted to the Financial Services Regulation Committee of the United Kingdom House of Lords, in response to that Committee’s “Call for evidence” on the “Growth and proposed regulation of stablecoins in the UK,” https://committees.parliament.uk/call-for-evidence/3845/. This testimony provides an overview of the global stablecoin market and the current leading uses of stablecoins. The testimony also describes the unacceptable dangers that uninsured nonbank stablecoins pose to financial stability, economic welfare, consumer protection, monetary policy, regulatory compliance, and law enforcement. The testimony presents the following policy recommendations:

(1) Stablecoins should be regulated in the same way as bank deposits. …

Justice Kagan’S Presidential Administration Article Twenty-Five Years Later, Richard J. Pierce Jr

GW Law Faculty Publications & Other Works

This article is a contribution to a symposium on the durability of the famous article that Visiting Professor (now Justice) Kagan wrote in 2001 in her successful effort to obtain a tenured position on the Harvard faculty. The title of the article was “Presidential Administration.” Professor Kagan described the history of efforts to govern the administrative state and argued in support of the highly personal and overtly political approach taken by her former boss, President Clinton.

Professor Pierce begins by discussing at length agency adjudication--an important topic that Professor Kagan discussed in only a few paragraphs. He concludes that Professor …

The Promise Of Artificial Intelligence For Identifying And Interpreting The Sources Of International Law, Sean D. Murphy

GW Law Faculty Publications & Other Works

Sir Michael Wood’s remarkable career was deeply enmeshed in the pragmatics of international law; how to make it work as a part of the lawyering that occurs daily in foreign ministries, international organizations, and courts or tribunals. Yet that focus on practical lawyering did not allow him to eschew broader considerations of doctrine and even theory. While his work on the International Law Commission as Special Rapporteur for Identification of Customary International Law was motivated by a sense that national court judges struggled to understand the basic parameters of that source of law, the work necessarily entailed grappling with some …

Chapter 2: Do We Still Believe In Process? Democracy And The Fundamental Value Of Dialog Across Difference, Paul S. Berman

GW Law Faculty Publications & Other Works

This essay surveys a few of the many ways to understand what democracy actually is and how to evaluate when it exists and when it is lost. Ultimately, I argue for a pluralist vision that emphasizes both democracy and law's potential ability to bring multiple communities and differing worldviews into dialog with each other. But no conception of democracy can survive unless people are willing to embrace the idea that a fair process can lead to an undesired outcome and that, therefore, even those who lose in a process can have sufficient faith in that process to abide by and …

Taking Stock Of Comparative Law Teaching In U.S. Legal Education, Francesca Bignami, Irene Calboli

GW Law Faculty Publications & Other Works

For over 25 years, U.S. law schools have sought to globalize their curricula, reflecting the increasing interconnectedness and international scope of legal practice. Although there have been efforts to take stock of the impact of globalization on law schools, the vast majority have focused on international law, not comparative law. This U.S. National Report, written for the International Academy of Comparative Law’s 2026 Congress, fills the knowledge gap. In summer and fall 2024, we conducted a survey that examined course offerings, requirements, and opportunities for JD students. The survey was supplemented by interviews and a literature review of law schools …

Erie And The Constitution's Constraints On General Law, Anthony J. Bellia Jr., Bradford R. Clark

GW Law Faculty Publications & Other Works

The Constitution of 1787 was the instrument by which the people of the States made a partial and conditional transfer of sovereign authority to a new federal government. To preserve the States’ residual sovereignty, the Constitution established a system of conditional federal supremacy. Specifically, it made the federal government’s ability to displace of state law contingent on compliance with specific structural and procedural safeguards. The Supremacy Clause identifies only three sources of “the supreme Law of the Land”—the Constitution, laws enacted pursuant to it, and treaties made under its authority. For each of these sources of law, the Constitution specifies …

Misinformation In Parental Alienation Discourse Can Mislead Courts And Endanger Children, Joan S. Meier

GW Law Faculty Publications & Other Works

Common social science assertions by parental alienation proponents – in expert opinions, judicial trainings and scholarship – can persuade judges that parental alienation is both so real and so destructive that it requires the draconian remedies of removal of children from a loving, physically safe parent and/or forcing them into contact with a parent they fear. These assertions are typically stated as though they are research-based or well-established. Review of cited or other relevant research, however, shows that these assertions are misinformation, unsupported by and/or contrary to established research. This article explores two such claims: first, that children’s fear or …

The Union Gospel Mission Cases, Church Autonomy, And Co-Religionist Hiring: A Response To Professor Esbeck, Robert W. Tuttle, Peter J. Smith

GW Law Faculty Publications & Other Works

Courts have increasingly applied a doctrine of church autonomy to resolve claims involving religious organizations. A recent decision of the Ninth Circuit invoked the doctrine to permit religious employers to favor co-religionists in hiring, even for non-ministerial positions. Professor Carl Esbeck has written a thoughtful critique of the court’s decision. This essay responds to Esbeck and, more broadly, provides a criticism of church autonomy doctrine and a roadmap for decision when the Ninth Circuit’s opinion is reviewed en banc. In our view, courts should apply a doctrine of ecclesiastical abstention, which prevents them from resolving specifically religious questions. But we …

Prediction Of Psychological Alienation From Psychological Capital Among Mothers Of Children With Autism Spectrum Disorder In The Sultanate Of Oman, Azhaar Saif Saud Al Basami, Muna Abdullah Al-Bahrani, Ali Mahdi Kazem

Journal of Educational and Psychological Studies

The aim of the current study is to examine the prediction of psychological alienation through psychological capital, while also measuring the levels of psychological capital and psychological alienation among mothers of children with autism spectrum disorder.”. The study applied a descriptive predictive methodology and the sample consisted of 432 mothers of children with autism spectrum disorder, who were accessed using the convenience sampling method. The Psychological Capital Scale developed by Luthans et al. (2007) and the Psychological Alienation Scale developed by Dean (1961) were used in this study.The study found several results, including the low level of psychological capital among …

Beyond Digital Pessimism: How A Focus On Trust Can Enhance Eu Digital Law, Neil Richards, Woodrow Hartzog, Claire Boine, Lea Despotis

Faculty Scholarship

Lawmakers looking to foster technological innovation on the European market are adopting laws they hope will promote consumer trust in digital products. Their strategy can be broken down into three components. First, they aim to empower consumers to choose how much data they want to share with companies through an express consent framework. Second, they seek to avoid harms from digital products through product safety law such as adapting the Product Safety Regulation to digital products or adopting the AI Act. Third, they endeavor to prevent manipulation of consumers through digital means.

In this essay, we argue that while laudable, …

The Soft Target Curriculum: Using Nigeria's 2026 Cascading Breaches To Teach Foundational Cybersecurity Failures, Chinedum Amaechi, Doris Asogwa, Samuel Alade

Journal of Cybersecurity Education, Research and Practice

SourceURL:file:///home/amaechi/Documents/ *Journal of Cybersecurity Education, Research and Practice (JCERP)*. **Title:** The Soft Target Curriculum: Using Nigeria's 2026 Cascading Breaches to Teach Foundational Cybersecurity Failures.docx

Background: Between March and April 2026, a single threat actor allegedly compromised four Nigerian institutions across banking, payment infrastructure, government registry, and power distribution sectors. The breaches exposed millions of records and disrupted critical services, yet all four exploited elementary vulnerabilities taught in introductory cybersecurity courses. Objective: This pedagogical case study analyzes the four breaches as a unified phenomenon of "normalized negligence" and provides ready-to-use teaching materials for cybersecurity educators. Methods: Using open-source intelligence analysis of …

Schelling & Spinoza, Michael Vater

Philosophy Faculty Research and Publications

Schelling is notorious for having a fluid vision of systematic philosophy and its methods. In an age where philosophy is expected to result in one or two books, not years of discussions with students and colleagues--and certainly not a distillation of one’s way of life--Schelling’s thought has been called protean or restless, or in Hegel’s snarky verdict “an education pursued in public.” The same could be said of Socrates. But there is a truth in these comments; it is difficult to find in fifty-six years of publications, addresses and abandoned manuscripts the single argument that is Schelling’s philosophy. What provokes …

Methods Of Harvest And Compositional Characterization Of Hemp Fibers From Medical Cannabis Biomass Using Detergent Fiber Analysis, Abigail Lazier, Srishti Banerji, Jennifer Macadam, Bruce Bugbee

Publications

Medical cannabis production generates large quantities of stem biomass that is typically discarded despite its potential as a source of natural hemp fibers. This study developed and evaluated two methods for recovering fibers from greenhouse-grown medical cannabis using water retting and compared their composition with commercially produced industrial hemp fibers. Fiber quality was assessed using detergent fiber analyses to quantify cellulose, hemicellulose, and lignin fractions. Both harvest methods produced usable fibers, although one approach (method A) yielded cleaner fibers after shorter retting durations, while the second approach (method B) offered greater potential for large-scale processing. Increasing retting duration improved fiber …

The Cypress Dome 2026, Issue 37, The Cypress Dome Society

The Cypress Dome

Featuring the work of Stephanie Arrarte, Miranda Attales, Al Basbano, Sophia Camarena, Sophia Ferrara, Leo Hall, Sofia Infante Roca, Amelia Kimberling, Emma Kolmetz, Antonio Vincenzo Lanni, Erik Leon, Niko Martin, Mariana Martinez, Esha Modi, Lela Norman, Mariana Perozo, Elio Rotolo, Raiya Shaw, Daniela Torres, Gabriel Walters, and Skyelar Wiedrich.

Founded in 1989 and named after a natural feature of our campus, The Cypress Dome is the University of Central Florida’s undergraduate literary journal. It is edited, designed, and produced by a selected editorial team of students from our literary organization, The Cypress Dome Society, as part of a year-long internship. …

Empowering Change From The Ground Up: Women’S Entrepreneurship In Sub-Saharan Africa’S Informal Sector, Rita Abban, Esi A. Elliot

International Business and Entrepreneurship Faculty Publications

Women’s entrepreneurship in Sub-Saharan Africa (SSA) is a critical driver of socio-economic development, within the informal sector where women enterprises are concentrated. Despite substantial contributions, structural and institutional barriers impede the formalization of these businesses, curbing their economic impact. This study examines how women entrepreneurs in Ghana and SSA navigate informal practices to achieve economic mobility. Employing a systematic literature review - PRISMA framework, the research synthesizes key themes including entrepreneurial capacity, sustainability, intellectual property, and institutional support. A comparative lens incorporating Rwanda and South Africa reveals Ghana’s high rate of female entrepreneurship, predominance of informal trade, and socio-cultural dynamics …

Deep Learning Framework For Sow Posture Classification From Depth Images: Comparison With Data Transformation Techniques, Models, And Cross-Validation, Md Towfiqur Rahman, Tami M. Brown-Brandl, Gary A. Rohrer, Sudhendu R. Sharma, Suzanne M. Leonard, Yeyin Shi

Department of Agricultural and Biological Systems Engineering: Faculty Publications

Piglet preweaning mortality (PWM) in the United States averages ≈14–15%, with sow overlaying causing about one third proportion of these losses. This research aimed to develop and evaluate deep learning models to classify six sow postures using depth images to monitor behaviors linked to overlaying risk. Top-down depth images were captured with Kinect V2^® cameras at 10 frames min^-1 for five consecutive days (2 days before to 2 days after farrowing), yielding 26,506 training images from 18 sows, 17,901 testing images from 12 sows, and 4,697 additional images from three sows in diagonal stalls for external validation. Three …

Assessment Of Soybean Response To Irrigation Variability In Eastern Nebraska Using The Aquacrop Model, Anmol Singh, Saleh Taghvaeian, Yufeng Ge, Derek M. Heeren, Frank Bai

Department of Agricultural and Biological Systems Engineering: Faculty Publications

Soybean [Glycine max (L.) Merr.] is a major irrigated crop in eastern Nebraska, where recent expansions in irrigated agriculture and projected trends in irrigation demand necessitate thorough investigations of approaches that can optimize its irrigation management. In this study, the AquaCrop model was calibrated and validated using 19 variable irrigation treatments from a five-year field experiment. The model accurately simulated canopy cover, soil water content, and grain yield, with validation normalized root mean square error (nRMSE) of 12%, 7%, and 7%, respectively. The model was subsequently applied to estimate soybean yield and water requirement during a 15-year period (2010–2024) …

Adnexal Magnetic Resonance (Adnex –Mr) Scoring System; A New Standardized Method For Characterization Of Adnexal Masses Inside Mansoura University Hospitals, Nora Diaa Ali Okab, Basma Elged, Sherif Abdel Fatah Moustafa, Sieza Samir, Yasser.M. Mesbah

Mansoura Medical Journal

Background Gynecologic masses are the most common subject of gynecologic imaging. The usefulness of MRI is high in the characterization of adnexal masses. The ADNEX MR classification framework was launched to stratify sonographically identified adnexal masses in to five groups based on their probability of malignancy: grade 1 (no lesion), grade 2 (benign), grade 3 (probably benign), grade 4 (indeterminate), and grade 5 (probably malignant). Aim to determine the accuracy of the ADNEX MR scoring system in classification of adnexal masses at Mansoura University Hospitals (MUH). Methods A total of 48 female patients with 52 adnexal masses on ultrasound were …