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Hypovolemic Shock In The Setting Of Third Spacing With Concentric Left Ventricular Hypertrophy: A Physiology-Guided Management Of Fluid Resuscitation—Case Report And Literature Review, Akram M. Eraky, Yasser Mokhtar, Guy Grabau, Adnan Khan, Mark Jarosz, Alisha Wright, Matthew Grounds, Kyle Kennedy Apr 2026

Hypovolemic Shock In The Setting Of Third Spacing With Concentric Left Ventricular Hypertrophy: A Physiology-Guided Management Of Fluid Resuscitation—Case Report And Literature Review, Akram M. Eraky, Yasser Mokhtar, Guy Grabau, Adnan Khan, Mark Jarosz, Alisha Wright, Matthew Grounds, Kyle Kennedy

GME Publications

Patients with preload-dependent conditions are at high risk of hemodynamic instability from both hypovolemia and hypervolemia. In hypovolemic states, the presence of third spacing may be misleading and obscure true intravascular volume status. Therefore, management of critically ill patients should be guided by a thorough understanding of physiology and pathophysiology to appropriately address hemodynamic derangements. Overreliance on rigid protocols and protocol-driven care without adequate clinical judgment may, in some cases, adversely affect patient outcomes. Herein, we present a case of hypovolemia-induced hypotension in the setting of third spacing and concentric left ventricular hypertrophy.


Glossip’S Road Map To Nowhere, Vida Johnson Apr 2026

Glossip’S Road Map To Nowhere, Vida Johnson

Georgetown Law Faculty Publications and Other Works

The Supreme Court’s 2025 decision in Glossip v. Oklahoma was heralded as a victory for the defense. This essay argues that the 2025 Glossip decision does little to fix the myriad problems that led to Mr. Glossip’s wrongful conviction. While ultimately the Supreme Court reached the correct outcome this time, the ordinary judicial process and its purported safeguards were not what saved Mr. Glossip’s life. Rather, it was random chance that came to Mr. Glossip’s aid.

Ten years earlier, the Supreme Court, with many of the same Justices on the bench now, paved the way for Mr. Glossip’s execution. The …


Quantum Simulation And Nanoscale Sensing Of Many-Body Phenomena With Solid-State Spin Defects, Guanghui He Apr 2026

Quantum Simulation And Nanoscale Sensing Of Many-Body Phenomena With Solid-State Spin Defects, Guanghui He

Arts & Sciences Graduate Student Theses and Dissertations

Emergent phenomena in interacting quantum systems arise from collective behavior that cannot be reduced to single-particle physics. Understanding these phenomena requires platforms capable of both synthesizing many-body states under controlled conditions and probing them at the microscopic scale where correlations originate. Solid-state spin defects, including nitrogen-vacancy (NV) centers in diamond and negatively charged boron vacancy centers in hexagonal boron nitride (hBN), offer precisely this dual capability. In the first part of this dissertation, a strongly interacting NV ensemble is subjected to periodic and quasi-periodic drives to access a long-lived prethermal regime and realize a discrete time quasicrystal (DTQC). In the …


Unraveling The Role Of The C-Terminal Intrinsically Disordered Linker In The Bacterial Cell Division Protein Ftsz, Jessica Louise Bullock Apr 2026

Unraveling The Role Of The C-Terminal Intrinsically Disordered Linker In The Bacterial Cell Division Protein Ftsz, Jessica Louise Bullock

Arts & Sciences Graduate Student Theses and Dissertations

FtsZ is a highly conserved cytoskeletal protein that is essential for organizing the cell division machinery in bacteria. The first observable step in cytokinesis, FtsZ forms a ring at the future division site. The FtsZ ring serves as a platform for recruitment of other division proteins. FtsZ has three major domains: a tubulin-like GTP binding core domain, an intrinsically disordered C-terminal linker (CTL), and a conserved ~11-residue motif known as the C-terminal peptide (CTP). The core domain is sufficient for head-to tail assembly of FtsZ polymers in vitro. The CTP interacts with modulatory proteins to coordinate division, while the CTL …


Practices, Controls And Capabilities A Thematic Analysis Of Big Data In E-Retail Fraud Management, Chiwuokem Nwoko, Maureen Meadows, Justin Okoli, Alexeis Garcia Perez Apr 2026

Practices, Controls And Capabilities A Thematic Analysis Of Big Data In E-Retail Fraud Management, Chiwuokem Nwoko, Maureen Meadows, Justin Okoli, Alexeis Garcia Perez

Plymouth Business School

PurposePrior Big Data and fraud research emphasises technical detection or generic analytics, offering limited empirical insight into how Big Data is operationalised as practices and controls in e-retail fraud prevention. This study examines how e-retail firms translate analytics capabilities into fraud prevention practices and controls.Design/methodology/approachThe study draws on 32 semi-structured interviews across 18 e-retail organisations and applies abductive thematic analysis to examine how Big Data resources are translated into fraud prevention practices and controls.FindingsFindings reveal that Big Data enables fraud prevention not merely through detection technologies, but through two empirically derived transformation practices: (1) Localised Exploitation, which translates complex analytics …


An Assessment Of The Effectiveness Of Records Management On Service Delivery. A Case Study Of Ministry Of Local Government And Rural Development In Zambia, 'Pamela Lweendo Hangoma, Kadeyo M. Kuyela, Sututu Imasiku, Adrian Chisale, Glenda Ntalasha, Matilda Mercy Muchinga, Emma M. Ndalameta-Theo, Dalitso Mvula The Apr 2026

An Assessment Of The Effectiveness Of Records Management On Service Delivery. A Case Study Of Ministry Of Local Government And Rural Development In Zambia, 'Pamela Lweendo Hangoma, Kadeyo M. Kuyela, Sututu Imasiku, Adrian Chisale, Glenda Ntalasha, Matilda Mercy Muchinga, Emma M. Ndalameta-Theo, Dalitso Mvula The

Library Philosophy and Practice (e-journal)

This study assessed records management practices and their influence on service delivery in the Ministry of Local Government and Rural Development in Zambia. The study was guided by the Records Continuum Model, which emphasizes the continuous management of records from creation, capture, organization, use, to preservation. The objectives were to examine current records management practices, assess their effect on service delivery, identify challenges, and propose strategies for improvement. A qualitative case study design was adopted, with data collected from 22 participants across 11 departments through face-to-face interviews, and analyzed thematically using content analysis. Findings revealed that records are generated through …


Nutrition Strategies To Help Children With Arfid Overcome Nutrition-Related Deficiencies, Saul Campos Apr 2026

Nutrition Strategies To Help Children With Arfid Overcome Nutrition-Related Deficiencies, Saul Campos

The Agora

Avoidant/Restrictive Food Intake Disorder (ARFID) is a serious and relatively newly recognized eating disorder that affects children and adolescents. The disorder was formally introduced in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and is characterized by restrictive eating patterns that lead to significant nutritional deficiencies, weight loss or poor growth, dependence on nutritional supplements, or interference with psychosocial functioning (American Psychiatric Association, 2013). Current estimates suggest that ARFID may affect approximately 1–5% of children and adolescents, though prevalence varies depending on the population studied and diagnostic criteria used (Białek-Dratwa et al., 2022). Unlike other eating disorders, …


The Genetics Of Sex, Fortis Brown Apr 2026

The Genetics Of Sex, Fortis Brown

The Agora

Sex is a complex biological process that begins in the womb and lasts into puberty and beyond. It is often presented to society as a binary, chromosome-based system where XX means female and XY means male. In reality, chromosomes are just the beginning of a lifelong process involving hormones that influence biological changes. This process becomes apparent with its errors, known as Differences in Sexual Development (DSDs). DSDs can be caused in two main ways: through changes in either meiosis or in gene expression. While many consider these changes as ‘errors’, the processes that cause them to have been intentionally …


Health Awareness And Relative Energy Deficiency In Ultra-Endurance Female Athletes, Myshel Rodenbeck Apr 2026

Health Awareness And Relative Energy Deficiency In Ultra-Endurance Female Athletes, Myshel Rodenbeck

Doctorate in Kinesiology

Ultra-endurance (UE) participation among female athletes has increased substantially, yet research examining health awareness and physiological risk in this population remains limited. Excessive training combined with inadequate energy intake places ultra-endurance female athletes at elevated risk for the Female Athlete Triad (FAT) and Relative Energy Deficiency in Sport (RED-S), both driven primarily by chronic low energy availability (LEA) and associated with menstrual dysfunction, impaired bone health, metabolic disturbances, and reduced performance.

This mixed-methods, cross-sectional study examined awareness of overall health, fueling behaviors, menstrual health, and recognition of FAT and RED-S among ultra-endurance female athletes over 25 years of age. Participants …


Tri Hita Karana Approach In Social Studies Learning For Grade Iv Of Sdn Mengani To Build Social And Environmental Harmony, Ni Luh Nopi Pujiani, Ida Bagus Putu Arnyana, I Wayan Suja Apr 2026

Tri Hita Karana Approach In Social Studies Learning For Grade Iv Of Sdn Mengani To Build Social And Environmental Harmony, Ni Luh Nopi Pujiani, Ida Bagus Putu Arnyana, I Wayan Suja

Jurnal Pendidikan Humaniora

This study aims to explore the implementation of the Tri Hita Karana (THK) approach in Social Studies (IPS) learning in grade IV of SDN Mengani in order to build social harmony and environmental awareness. The THK approach that focuses on three harmonious relationships, namely Parhyangan (human relationship with God), Pawongan (human relationship with others), and Palemahan (human relationship with the environment), is applied through various relevant learning activities. This study uses a qualitative method with data collection techniques in the form of observation, interviews, and questionnaires. The results show that the THK approach significantly increases students' social harmony and environmental …


Development Of Tpack-Based Learning Book To Improve Learning Outcomes Of Third Grade Students Of State Elementary School 16 Banda Aceh, Nurul Zikri Filina, Siti Mayang Sari, Zahraini Zahraini, Jiyeon Na Apr 2026

Development Of Tpack-Based Learning Book To Improve Learning Outcomes Of Third Grade Students Of State Elementary School 16 Banda Aceh, Nurul Zikri Filina, Siti Mayang Sari, Zahraini Zahraini, Jiyeon Na

Jurnal Pendidikan Humaniora

This research aims to develop a TPACK-based Basic Science learning book as an effort to improve the learning outcomes of class III students at State Elementary School 16 Banda Aceh. This research is a type of research and development (R&D), using the ADDIE method (Analysis, Design, Development, Implementation, Evaluation). The research results prove that the TPACK-based Basic Science learning book is suitable for use with media expert validation results in the very good category (93%), material expert validation in the very good category (94%), language experts showing the very good category (90%). The TPACK-based Basic Science Book can improve the …


Enhancing Learning Outcomes Through The Utilization Of Digital Comics, Sri Mastiah, Rita Novita, Muli Putra, Syarfuni Syarfuni, Jonni Sitorus, Xiu Wen Tay Apr 2026

Enhancing Learning Outcomes Through The Utilization Of Digital Comics, Sri Mastiah, Rita Novita, Muli Putra, Syarfuni Syarfuni, Jonni Sitorus, Xiu Wen Tay

Jurnal Pendidikan Humaniora

Student completeness in learning mathematics is still low and interest in learning is relatively low, because the learning media is less varied and less interesting, and there are still students who have not achieved learning outcomes above the minimum completeness criteria. The purpose of this study was to analyze the use of digital comics in improving mathematics learning outcomes. The research approach used is qualitative and the type of research used is a literature study or literature review. The stages used in this literature study research design include the focus of scientific articles, data collection, data analysis, and conclusions. Based …


Using Tablet Pcs In Teaching, Sarita Veeraragavoodoo Apr 2026

Using Tablet Pcs In Teaching, Sarita Veeraragavoodoo

Jurnal Pendidikan Humaniora

This research purposes is prove the impact of adopting tablet PCs on enhancement of teaching in secondary schools of Mauritius. The research was conducted by mixed method which comprised of quantitative and qualitative approaches. Results from the studies and researches have shown more positive impacts than negative ones which affect teaching in secondary schools of Mauritius. The best means is to resort to applying Tablet PCs within education to promote teaching for efficiency and effectiveness.


Improving Students Reading Comprehension Ability Through Integrated Thematic Learning With School Literacy Movement Support, Ryan Dwi Puspita, Dadang Sunendar, Bachrudin Musthafa, Rully Agung Apr 2026

Improving Students Reading Comprehension Ability Through Integrated Thematic Learning With School Literacy Movement Support, Ryan Dwi Puspita, Dadang Sunendar, Bachrudin Musthafa, Rully Agung

Jurnal Pendidikan Humaniora

PISA's findings reported that Indonesian elementary school students (IESS) achieved their average reading comprehension ability which were below the standard set by OECD. This research proposed school literacy movement (SLM) as an apparatus to cultivate IESS reading and writing skill habit. This study applied quasi-experimental method with employed sample of 126 IESS of 5th and 4th graders and their teachers serving in four schools. This study showed that there was significant effect of ITL to improve IESS reading comprehension ability of 5th graders.


Hurc 2021 Program, James Huff Apr 2026

Hurc 2021 Program, James Huff

Ex Sapientia Loqui

The program for the 2021 inaugural session of Harding Undergraduate Research Conference (HURC), sponsored by the Harding Honors College and the Arkansas Eta chapter of Alpha Chi.


The Social Determinants Of Health And Cancer, Joshua Williams Apr 2026

The Social Determinants Of Health And Cancer, Joshua Williams

Ex Sapientia Loqui

The social determinants of health, as defined by the World Health Organization (WHO), are “the conditions in which people are born, grow, live, work and age, and people’s access to power, money and resources.” Epidemiologists have long studied the nexus between social forces and disease and have widely agreed that such forces are directly causal of pathologies. This paper is an analytic review of the existing literature on several social determinants— namely socioeconomic status (SES), race and ethnicity, age, working and living conditions, and social integration— and how they pertain to the causation, progression, and treatment of cancer.


Teaching Under Pressure: A Study Of Factors Influencing Stress Among Educators, Daniel K. Ashlock, Shaun D. Bell, Victoria K. Hutcherson Apr 2026

Teaching Under Pressure: A Study Of Factors Influencing Stress Among Educators, Daniel K. Ashlock, Shaun D. Bell, Victoria K. Hutcherson

Ex Sapientia Loqui

There were three purposes of this non-experimental study. The first purpose was to determine whether there was a difference in stress levels between teachers of different grade levels. The second purpose was to determine whether there are significant differences in workplace stress among PreK-12 school teachers as a result of the educational setting (either public or private school). The third purpose was to determine if there are significant differences in workplace stress among PreK-12 school teachers as a result of class size. The participants (n=81) included a convenience sample of PreK through twelfth-grade teachers in or around Searcy, Arkansas. Their …


Beyond A Shadow Of A Doubt: Examining The Female Gothic In Mary Shelley's Frankenstein And Bram Stoker's Dracula, Delaney Harrington Apr 2026

Beyond A Shadow Of A Doubt: Examining The Female Gothic In Mary Shelley's Frankenstein And Bram Stoker's Dracula, Delaney Harrington

Ex Sapientia Loqui

This paper establishes characteristics of the Female Gothic subgenre, traces the origin of the fiction subgenre throughout the years, and applies these characteristics to argue that Frankenstein and Dracula should be considered prime examples of feminist literature. I analyse the characters of both novels, as well as the authors' respective intentions and social contexts.


“I Care For Nothing Else”: Prayer In Purgatorio And Paradise Lost, Clara Kernodle Apr 2026

“I Care For Nothing Else”: Prayer In Purgatorio And Paradise Lost, Clara Kernodle

Ex Sapientia Loqui

In Dante's Purgatorio, the penitent souls reform themselves through physical penance and constant prayer. Dante depicts the power of sincere, repentant prayer, as God is more merciful than the earthly institution of the Church, and participates equally with the sinner in the soul's salvation. The efforts of souls in Purgatorio are like our own lives; we too ought to engage in the holy sacrifice of constant, repentant prayer. Further, in Paradise Lost, Milton demonstrates how honest prayer is imperative to salvation.


Solitude And Busyness, Eliza Kuhlmann Apr 2026

Solitude And Busyness, Eliza Kuhlmann

Ex Sapientia Loqui

This essay addresses a prevalent problem in modern society: excessive and out-of-control busyness. It outlines some of the problems of busyness and then offers a solution---namely, solitude. Along with defining the phenomena, the benefits and practical applications of solitude are shared in an attempt to counteract some of the harms of busyness.


In The Shadow Of Justice: How The Mythos Of The Batman Balances Major Ethical Theories In His Pursuit Of Ideal Justice, Camille Bewley Apr 2026

In The Shadow Of Justice: How The Mythos Of The Batman Balances Major Ethical Theories In His Pursuit Of Ideal Justice, Camille Bewley

Ex Sapientia Loqui

For more than eighty years, the Batman character has exhibited a unique synthesis of major theories of Justice, and through his experiences as a vigilante, exemplified the pursuit of the ideal virtue of Justice. Because virtue requires a lived example to be understood, Batman is one of the foundational stories fulfilling this need for one of collective society’s prominent pillars. Within the horror of Gotham City–a hyperbolic, fictional representation of urban corruption–Batman’s actions as a vigilante, walking a tightrope to maintain morality even above the law might not only be justified, but necessary. The Batman’s nature, balancing ethical theories and …


Front Matter, Julie Harris Apr 2026

Front Matter, Julie Harris

Ex Sapientia Loqui

No abstract provided.


Full Issue, Clara Kernodle Apr 2026

Full Issue, Clara Kernodle

Ex Sapientia Loqui

No abstract provided.


Taxing Royalties Where Value Is Created: Is A Redraft Of The Oecd Model Tax Convention Necessary?, Valentina Emanuele Apr 2026

Taxing Royalties Where Value Is Created: Is A Redraft Of The Oecd Model Tax Convention Necessary?, Valentina Emanuele

Florida Tax Review

This Article examines whether Article 12 of the OECD Model Tax Convention should be redrafted to tax royalties where value is created in an increasingly IP-driven and digitalized economy. It traces the historical evolution and current structure of royalty provisions in the OECD, U.N. and U.S. Model Conventions, highlighting inconsistencies between formal source rules and the underlying economics of royalty income. Building on an economic concept of value creation, the Article argues that royalties are best understood as active, business-related income generated through research and development, IP protection and market exploitation across multiple jurisdictions. It then proposes a reallocation of …


The Short-Term Water Quality Impacts Of The College Lake Low-Head Dam Removal, Lorraine L. Upton Apr 2026

The Short-Term Water Quality Impacts Of The College Lake Low-Head Dam Removal, Lorraine L. Upton

Student Scholar Showcase

Dam removal in the United States has become a common practice for stream restoration and community safety. Studies have shown removals to restore an ecosystem to its natural flow, but in urban environments, dams can serve as a retention basin that helps to mitigate increased amounts of stormwater and high pollution loads from increased percentages of impervious surfaces. A central Virginia watershed located in an urbanized community recently experienced a low-head dam removal and its conversion to a constructed wetland. This study assesses the short-term impacts of the dam removal through water quality sampling based on its chemical, biota, and …


Electrostatic Doping Of Graphene For Tunable Diodes, Andrew Bales Apr 2026

Electrostatic Doping Of Graphene For Tunable Diodes, Andrew Bales

Linfield University Student Symposium: A Celebration of Scholarship and Creative Achievement

In this work, devices were fabricated to explore the limits of electrostatically doped graphene diodes utilizing hexagonal boron nitride as an insulating layer. Initial tests confirmed the graphene’s responsiveness to gate voltages and demonstrated the viability of electrostatic doping through a thin insulating layer. Degradation of the graphene during testing resulted in a lack of measurable shifts in the completed devices.


Normal Matrices, Fuzhen Zhang Apr 2026

Normal Matrices, Fuzhen Zhang

Mathematics Colloquium Series

Normal matrices form a central class in matrix analysis, including Hermitian, skew-Hermitian, and unitary, positive semidefinite, permutation matrices and so on. This presentation surveys fundamental properties of normal matrices, including spectral characterization, unitary diagonalization, and trace (in)equality through majorization. It highlights equivalent conditions for normality, with discussions extending to matrix exponentials and polynomials. Examples and counterexamples are provided to clarify certain subtle points about matrix normality. The talk is based on a recent paper published in JMC (joint work with Y.-J. Hu)


Storage-Aware Shuffle Planner (Sasp): A Storage-Constrained Shuffle Optimisation Layer For Distributed Computation Engines, Ananya Verma, Raouf Khan Apr 2026

Storage-Aware Shuffle Planner (Sasp): A Storage-Constrained Shuffle Optimisation Layer For Distributed Computation Engines, Ananya Verma, Raouf Khan

Defensive Publications Series

The present disclosure relates to the field of distributed data processing, in particular to storage-aware adaptive shuffle planning (SASP) for shuffle optimisation in distributed computation engines. SASP provides a storage-aware planning layer that restructures shuffle execution based on actual storage capacity. The system collects object-store telemetry, including bandwidth, IOPS, latency, throttling, and concurrency, to construct a storage pressure vector for each prefix. Concurrently, expected shuffle partition sizes are analysed from execution plans. Based on these inputs, SASP forecasts partition-level strain and generates a Shuffle Prefix Mapping Table (SPMT) to assign partitions to output prefixes, ensuring balanced I/O load. A plan …


Relationship-Validated Unified Payments Interface (Upi) Reverse Payment Safety System For Fraud Prevention, Alok Roy Apr 2026

Relationship-Validated Unified Payments Interface (Upi) Reverse Payment Safety System For Fraud Prevention, Alok Roy

Defensive Publications Series

The present disclosure relates to a system and method for relationship‑validated fraud prevention in digital payment reversal transactions. The system may be configured to monitor incoming transactions to a user account. Based on monitoring, the system may be configured to detect a user initiation of an outgoing payment following receipt of an incoming payment. Thereafter, the system may be configured to determine whether a payer and payee associated with the payment have an established transaction history and further evaluates timing between the incoming payment and the outgoing payment. The system may be then configured to compare an outgoing transaction amount …


Preventing Spurious Bfd Faults On Remote Nodes During Make-Before-Break Updates On Local Nodes, Anonymous Apr 2026

Preventing Spurious Bfd Faults On Remote Nodes During Make-Before-Break Updates On Local Nodes, Anonymous

Defensive Publications Series

The present disclosure relates to a mechanism for preventing spurious Bidirectional Forwarding Detection (BFD) faults during make-before-break (MBB) updates in a segment-routing traffic-engineering (SR-TE) network (10). A first node (12-1), operating as a head-end router, is configured to perform a label-stack update for a first SR-TE candidate path while maintaining continuity of BFD monitoring. Prior to the update, the first node (12-1) disables a local BFD detection timer and transmits a first BFD control packet that omits a reverse-path Binding Segment Identifier (BSID). The packet includes a diagnostic field  instructing a peer node (12-6) to disable its BFD detection timer. …