Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 6571 - 6600 of 1821584

Full-Text Articles in Entire DC Network

System And Method For Cost-Per-Second Active Dwell Verification Based On Client-Side Physiological And Behavioral Telemetry, N/A Anonymous Aug 2026

System And Method For Cost-Per-Second Active Dwell Verification Based On Client-Side Physiological And Behavioral Telemetry, N/A Anonymous

Defensive Publications Series

A system and method are disclosed for establishing a real-time verification and monetization model for digital content delivery based on live client-side physiological and behavioral telemetry. A client-side telemetry agent monitors neural-engagement proxies, including micro-movement patterns, scroll-stop deceleration, and haptic sensor variances, at a high sampling frequency. These proxies are processed into a normalized attention score representing the focus intensity of a viewer. To facilitate real-time financial tracking, the system integrates a robust communication protocol. A server-side dynamic billing gate establishes a secure, low-latency connection with the client-side agent to stream the attention score packets in real time. The server-side …


Asymptotic Enumeration Of K-Bounded Functions Using Toeplitz Matrices, Tiago Cavalcante Trindade, Pedro Martineli Aug 2026

Asymptotic Enumeration Of K-Bounded Functions Using Toeplitz Matrices, Tiago Cavalcante Trindade, Pedro Martineli

Rose-Hulman Undergraduate Mathematics Journal

We introduce the concept of $(\alpha, \lambda)$-bounded functions, characterized by limited local variation, which is especially useful in discrete sets. Initially, we formally define these functions and investigate their fundamental properties, highlighting significant differences from continuous functions. The main result obtained is the asymptotic estimate of $a(n, k)$, representing the number of functions from $[n]$ to $[n]$ that are $k$-bounded with respect to the Manhattan distance. The proof of this result combines Toeplitz matrices with a well-known inequality from graph theory.


Ronald E. Mcnair Research Symposium Presentation Schedule 2026, Mcnair Scholars Program Aug 2026

Ronald E. Mcnair Research Symposium Presentation Schedule 2026, Mcnair Scholars Program

McNair Symposium

This is the presentation schedule for the 24th Undergraduate Ronald E. McNair Research Symposium 2026.


Beyond The Indicators: Community-Defined Sustainability In Bario, Sarawak, Rhonwyn Hagedorn Aug 2026

Beyond The Indicators: Community-Defined Sustainability In Bario, Sarawak, Rhonwyn Hagedorn

Capstone Collection

This study examines how Kelabit community members in Bario, Sarawak, Malaysian Borneo define and practice sustainability within community-based tourism (CBT), and how these local understandings align with or diverge from the United Nations Sustainable Development Goals (SDGs). The study used a thematic analysis drawing on fifteen semi-structured interviews with Kelabit community members, supplemented by tourist questionnaires and document analysis of online tourism materials. Four themes emerged: sustainability as collective stewardship; community decision-making and collaboration; cultural identity as the core of tourism; and equity, participation, and the limits of growth. Findings suggest that Kelabit community members hold a holistic, relational, and …


From Crisis To Reform: How The 1918 Influenza And Covid-19 Pandemics Redefined The Relationship Between Nurses And The American Healthcare System., Anh N V Le Aug 2026

From Crisis To Reform: How The 1918 Influenza And Covid-19 Pandemics Redefined The Relationship Between Nurses And The American Healthcare System., Anh N V Le

Undergraduate Research and Scholarship Symposium

The 1918 Influenza and COVID- 19 pandemic have become two major public health crises that reshaped the role of nurses in the America healthcare system. Although a hundred years apart, both pandemics revealed how deeply the country depends on nurses during emergencies without proper and efficient strategies. This paper argues that these pandemics acted as turning points that redefined the social contract between nurses and the U.S. healthcare system. By examining historical context, nurses’ responsibilities, public perception, and long-term effects, this research show how pandemics expanded nurses’ authority while also exposing long-term weakness of the systems. In 1918, nurses were …


The "3 A'S" Of Sport Specialization: Emerging Themes To Characterize Athletes' Sport Participation Pathway Decisions, Adelaide F. Stark, Justin S. Disanti Ph.D. Aug 2026

The "3 A'S" Of Sport Specialization: Emerging Themes To Characterize Athletes' Sport Participation Pathway Decisions, Adelaide F. Stark, Justin S. Disanti Ph.D.

Undergraduate Research and Scholarship Symposium

In this study, former youth sport participants were grouped by their developmental sport pathways (i.e., if they specialized and when they specialized over the course of their participation) to identify emerging themes regarding why they chose their respective pathway, as well as how this impacted their sport experience. 948 participants completed a retrospective survey measure detailing their sport histories. Based on their specialization trajectory across their sport involvement (i.e., during elementary school, middle school, and high school) participants were sorted into three participation pathways – Early Specialization, Late Specialization, or Continued Multi-sport. Participants responded to open-ended questions about their decision-making …


Impacts Of Climate Change On Microalgae: Physiological Responses And Future Adaptations - A Review, Mohamed Zein Alabdein Nassar Aug 2026

Impacts Of Climate Change On Microalgae: Physiological Responses And Future Adaptations - A Review, Mohamed Zein Alabdein Nassar

Blue Economy

Climate change is increasingly affecting aquatic ecosystems, including microalgae (phytoplankton), which play a crucial role as primary producers and account for nearly half of global carbon fixation. This review synthesizes recent advances in understanding the effects of climate change on microalgae from physiological, ecological, and molecular perspectives. Increased temperatures, ocean acidification, changes in light regimes, and nutrient variability greatly affect microalgal growth, photosynthesis, and community structure, often promoting smaller and more stress-tolerant species. These changes also contribute to the expansion and intensification of harmful algal blooms, with serious ecological and economic consequences. Microalgae exhibit diverse adaptive responses, including metabolic reprogramming, …


Ctamj Forum On Mshsl Activities: Speech, Kathleen Walker, Scott Voss, Tanner Sunderman, Rebecca Meyer-Larson Aug 2026

Ctamj Forum On Mshsl Activities: Speech, Kathleen Walker, Scott Voss, Tanner Sunderman, Rebecca Meyer-Larson

Communication and Theater Association of Minnesota Journal

The CTAM Journal seeks to raise up voices from notable interest groups. Occasionally, individuals are asked to share their thoughts on issues that pertain to the target readership of CTAMJ.

For this special forum, four coaches share their voices on Minnesota State High School Speech: Kathleen Walker (Fairmont), Scott Voss (Apple Valley), Tanner Sunderman (Mounds Park), and Rebecca Meyer-Larson (Moorhead).


Lights, Camera, Acting! A Collaborative, Interdisciplinary Approach To Basic Filmmaking, Jessica Maloney, Chris Nelson Aug 2026

Lights, Camera, Acting! A Collaborative, Interdisciplinary Approach To Basic Filmmaking, Jessica Maloney, Chris Nelson

Communication and Theater Association of Minnesota Journal

No film studio? No problem! This activity is designed to introduce basic concepts of filmmaking across disciplines such as theatre and communications, but could be used by either. It includes an emphasis on acting as well as the technical processes and procedures on set. We have geared this activity specifically towards use in a cross-listed class in Communication and Theatre Arts.


Everything I Learned About Teacher Noticing I Learned From Yoga Teacher Training, Grace Giorgio Aug 2026

Everything I Learned About Teacher Noticing I Learned From Yoga Teacher Training, Grace Giorgio

Communication and Theater Association of Minnesota Journal

The following activity promotes teacher noticing as a pedagogical tool for teachers in training, with a focus on the public speaking classroom. Many students enter the public speaking classroom filled with performance anxiety and fears of how their peers will perceive them. When a teacher can tap into these concerns via by noticing how students are reacting in the moment, they can assuage those anxieties and fears. Hence, teaching instructors effective teacher noticing in teacher training improves the classroom experience for teachers and students alike.


The Chameleon Experience: Queer Identity, Mental Health, And Transformation, Cameron Penny Aug 2026

The Chameleon Experience: Queer Identity, Mental Health, And Transformation, Cameron Penny

Communication and Theater Association of Minnesota Journal

In this autoethnographic piece, I examine the correlation between queer identity and mental health through reflective analysis of my own experiences within a Western socio-cultural setting. I expand external perspectives on the queer experience by highlighting the normalization of queer prejudice and its adverse impact on self-image. I share how the religious praxis of Catholicism enforces binary conformity by promoting dichotomous thinking that simultaneously constricts queer expression and subjugates implicit biases. In tandem, I utilize autoethnography as my medium because it provides a unique outlet to raise awareness for chronically stigmatized identities by centering marginalized voices (Atay, 2011; Chavez, 2013). …


Best Practices And An Agenda For Research In Benefits Communication, Kristi Egbert, Anne Kerber Aug 2026

Best Practices And An Agenda For Research In Benefits Communication, Kristi Egbert, Anne Kerber

Communication and Theater Association of Minnesota Journal

Benefits communication is information an employer/organization provides to employees about the types of benefit plans offered and information about them (i.e., health insurance, retirement, vacation time). Despite its importance to jobs across all sectors of the workforce, there is a dearth of current academic research regarding benefits communication. This paper defines benefits communication, examines its impact on organizations and workers, and explores existing research on best practices. Findings underscore the complexity of benefits material and emphasize the need for simpler and clearer language, employee-preferred formats, and adequate time for employees to review information and receive guidance from a knowledgeable source. …


Communication & Theater Association Of Minnesota Journal, Volume 49, Issue 1, 2026 Aug 2026

Communication & Theater Association Of Minnesota Journal, Volume 49, Issue 1, 2026

Communication and Theater Association of Minnesota Journal

Volume 49, Issue 1 (2026) of the Communication & Theater Association of Minnesota Journal.


Preface, Prof. Anandan Sambandam, Prof. Rengaraj Selvaraj, Dr. Nawal Al Rasbi Aug 2026

Preface, Prof. Anandan Sambandam, Prof. Rengaraj Selvaraj, Dr. Nawal Al Rasbi

Sultan Qaboos University Journal For Science

It is our great honor and privilege to present this Special Issue on ``Chemistry of Nanomaterials: Synthesis, Characterization and Applications'' in the Sultan Qaboos titled University Journal for Science (SQUJS). This thematic collection showcases research that highlights the important role of nanomaterials in addressing contemporary scientific, technological, environmental, and biomedical challenges. The contributions featured in this Special Issue reflect the remarkable diversity and interdisciplinary research in the area of nanoscience and technology. The papers demonstrate how nanoscale engineering is driving innovation across multiple disciplines, from the development of advanced photocatalytic systems for sustainable energy conversion and environmental remediation to the …


Amplifying Community Voices In Climate Policy: Attitudes On Climate Change And Decarbonization In Cache County, Cristina Chirvasa, Rivkah Haubner, Stacia Ryder Aug 2026

Amplifying Community Voices In Climate Policy: Attitudes On Climate Change And Decarbonization In Cache County, Cristina Chirvasa, Rivkah Haubner, Stacia Ryder

Transforming Communities

Climate change is altering global ecosystems and imperiling human health, but knowledge of these impacts does not always translate into adaptation and mitigation action. Many solutions fall under decarbonization, or the reduction and capture of atmospheric carbon. These actions are increasingly developed at more localized, sub-state levels. Thus, understanding the attitudes of Cache County, Utah, residents, including students and faculty at Utah State University, toward different decarbonization techniques will be important to building successful climate action plans and policies. Here, as part of a large-scale collaborative group of different on-campus departments and community partners, we held focus groups to examine …


Confidence Versus Competence: Addressing Nursing Knowledge Gaps In Catheter Care To Reduce Catheter-Associated Urinary Tract Infections, Leslie Anne Villanueva Bautista Aug 2026

Confidence Versus Competence: Addressing Nursing Knowledge Gaps In Catheter Care To Reduce Catheter-Associated Urinary Tract Infections, Leslie Anne Villanueva Bautista

Master's Projects and Capstones

Catheter-associated urinary tract infections (CAUTIs) remain among the most prevalent and preventable healthcare-associated infections (HAIs), contributing substantially to patient morbidity, mortality, prolonged hospitalization, and healthcare expenditures. Most hospital-acquired UTIs are related to urinary catheters, and this burden costs the United States alone an estimated $340 to $450 million annually (Yang et al., 2022). CAUTIs are UTIs that occur in patients with indwelling urinary catheters. This quality improvement project aimed to increase adherence to existing bladder scanning protocols and strengthen urinary catheter care to prevent CAUTI. Baseline staff nurse knowledge was obtained, and reinterpretation of the facility’s existing protocols and bundles …


Techniques, Skills, And Synthesis For “Cooking” In The Organic Laboratory, Emily C. Sylvester, Tim Evans Aug 2026

Techniques, Skills, And Synthesis For “Cooking” In The Organic Laboratory, Emily C. Sylvester, Tim Evans

Open Education Materials

Lab manual for CHEM 211L, Organic Chemistry I Laboratory. Provides background and procedures for laboratory experiments, including fundamental techniques and several organic syntheses.

Creative Commons attribution.


From Prairie To Practice: Environmental Controls And A Forensic Taphonomic Framework In Southeastern Nebraska, Jessica F. L. Gammage Aug 2026

From Prairie To Practice: Environmental Controls And A Forensic Taphonomic Framework In Southeastern Nebraska, Jessica F. L. Gammage

Nebraska Academy of Sciences: Programs and Proceedings

Forensic taphonomy examines the postmortem processes that affect human remains, but much of the existing research has been developed in environments that differ significantly from those encountered in the Central Great Plains. This creates limitations when applying established models to regions like southeastern Nebraska, where decomposition is shaped by tallgrass prairie ecosystems, loess-derived soils, and strong seasonal variability. Addressing this gap is important for improving the accuracy and reliability of medicolegal interpretations.

This study evaluates how environmental conditions influence decomposition in southeastern Nebraska and proposes a regionally grounded framework for forensic taphonomic research. Drawing on existing literature, regional ecological data, …


The Use Of Chitosan-G-Poly (Acrylic Acid-Co-Acrylamide) In The Delivery Of Imatinib In The Small Intestine, Dawson Ohrt, Clint Everard Aug 2026

The Use Of Chitosan-G-Poly (Acrylic Acid-Co-Acrylamide) In The Delivery Of Imatinib In The Small Intestine, Dawson Ohrt, Clint Everard

Nebraska Academy of Sciences: Programs and Proceedings

The use of hydrogels as drug delivery systems is the future of biotechnology, hydrogels can offer a new way of controlled delivery to specific areas of the body. Hydrogel also create new possibilities for treatments of gastrointestinal stromal tumors (GISTs). There are many different types of hydrogels that can be used in drug delivery. Hydrogels offer customizability in regard to the release of drugs in specific environments. The chemical properties of hydrogels allow for them to be manipulated for specific functions such as release at a specific pH . The hydrogel being used in the study is Chitosan-G-Poly (Acrylic Acid …


Developing An Object Level Understanding Of Sine And Cosine As Ratios And A Coherent Trigonometry, Jeffrey Peter Nair Aug 2026

Developing An Object Level Understanding Of Sine And Cosine As Ratios And A Coherent Trigonometry, Jeffrey Peter Nair

Theses and Dissertations

Solving right-triangle problems as well as integrating right-triangle and circular trigonometry into a coherent understanding are documented challenges for students. Prior research has deeply investigated students constructing ratio meanings for sine and cosine using a circle-first approach, which then can be extended to right triangles. Also, past work has separately documented distinct meanings that are useful for sine and cosine, in addition to the ratio meaning, including as lengths in a unit circle and coordinate points. This study took these existing ideas and put them together into one possible developmental progression, based on APOS theory, where students can learn length, …


Temperature And Hydrologic Context Influence Methane Variability In A Low-Salinity Marsh, Zoie Brauser Aug 2026

Temperature And Hydrologic Context Influence Methane Variability In A Low-Salinity Marsh, Zoie Brauser

Dissertations and Theses

Coastal wetlands are biogeochemical hotspots that capture and transform carbon and nutrients. Wetland restoration is increasingly used as a climate mitigation strategy because of wetlands' capacity to sequester large amounts of carbon. However, low-salinity tidal marshes exhibit high variability in methane (CH4) emissions, which could partially offset carbon sequestration under certain conditions. Understanding the drivers of CH4 variability is crucial for restoration and conservation work. This project uses an observational research approach to assess the relationships between environmental factors and carbon dioxide (CO2) and CH4 soil gas fluxes in a restored low-salinity tidal marsh …


Draining The Risk, Holding The Line: A Nurse-Driven Approach To Catheter-Associated Urinary Tract Infection Prevention, Thy Nguyen Aug 2026

Draining The Risk, Holding The Line: A Nurse-Driven Approach To Catheter-Associated Urinary Tract Infection Prevention, Thy Nguyen

Master's Projects and Capstones

Catheter-associated urinary tract infections (CAUTIs) remain among the most common preventable healthcare-associated infections, with CMS eliminating reimbursement for hospital-acquired cases since 2008. Within a five-unit, high-acuity microsystem at an urban acute care hospital, four CAUTIs were documented between January and July 2026 despite established prevention protocols. Adherence gaps were identified in catheter necessity assessment, maintenance practices, and nurse-driven removal protocol use. This quality improvement project was guided by the Johns Hopkins Evidence-Based Practice framework and Lewin's Change Theory. A targeted nursing education intervention addressing bladder scanning, dependent loop identification, and catheter care bundle adherence was implemented across the microsystem over …


Improving Adherence To Remote Patient Monitoring (Rpm) For Patients With Hypertension, Chioma Udegbune Aug 2026

Improving Adherence To Remote Patient Monitoring (Rpm) For Patients With Hypertension, Chioma Udegbune

Student Scholarly Projects

Practice Problem: Hypertension is a leading contributor to cardiovascular disease, and suboptimal adherence to remote patient monitoring (RPM) limits opportunities for timely intervention and effective blood pressure management in outpatient primary care.

PICOT: The PICOT question that guided this project was: Among outpatient clinic nursing staff responsible for remote patient monitoring (RPM) in adults with hypertension (P), how does implementation of a structured nurse-led education and reminder protocol (I), compared to standard RPM practices consisting of routine onboarding and passive reminder processes (C), influence patient adherence to RPM protocols (O) over a 10-week period (T)?

Evidence: Evidence supports nurse-led education, …


Addressing Haitian High School Students’ Educational Challenges Through Their Self-Cultural Awareness, Gregory Louis Aug 2026

Addressing Haitian High School Students’ Educational Challenges Through Their Self-Cultural Awareness, Gregory Louis

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The study is grounded in the understanding that culturally responsive education practices can promote academic success and empower students to navigate multiple cultural contexts. A review of literature highlighted the complexities of Haitian students' educational experiences, the impact of cultural identity on academic achievement, and the need for further research on this topic.

The research employed in-depth, semi-structured interviews with Haitian high school students and their parents to gather data on their experiences, perceptions, and attitudes towards education and cultural identity. The study aimed to contribute to a deeper understanding of the educational experiences of Haitian students and inform strategies …


Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu Aug 2026

Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu

Walden Dissertations and Doctoral Studies

Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …


Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn Aug 2026

Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …


Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik Aug 2026

Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik

Walden Dissertations and Doctoral Studies

Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …


Changes In Psychological Adjustment Among Laryngectomized Patients Through Nursing Intervention: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Ichiro Ota, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Hirokazu Uemura Aug 2026

Changes In Psychological Adjustment Among Laryngectomized Patients Through Nursing Intervention: Rct, Kumiko Kotake, Kaori Haba, Mami Kurita, Ichiro Ota, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi, Yoriko Hara, Hirokazu Uemura

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine changes in psychological adjustment among laryngectomized patients through nursing interventions and to verify the effectiveness of these interventions.

Methods: Of the 76 hospitalized laryngectomy patients who received the study explanation and provided consent, 74 were included. The intervention involved providing information through interviews and a guidebook. The study method involved conducting follow-up surveys at preoperative, pre-discharge, and three months, six months, and one year post-discharge to examine the temporal changes in psychological adjustment. This study used the Nottingham Psychological Adjustment Scale for laryngectomized patients. The higher the subscale score, the greater …


Shape: A Photovoice Study Exploring Student And Educator Perceptions Of School Built Environments, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson Aug 2026

Shape: A Photovoice Study Exploring Student And Educator Perceptions Of School Built Environments, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson

International Nursing Research Congress (INRC)

Background: School buildings shape daily experiences, well-being, and professional satisfaction for those who work and learn within them. Schools are increasingly primary access points for student health services.1 Teaching in public schools ranks among the most stressful occupations, driving burnout and turnover.2 As these groups spend most days in schools, the built environment serves as a crucial social determinant of health.3 Factors like extreme temperatures, poor air quality, and noise pollution impact health outcomes4-6, creating barriers to learning.7 Limited nurse-driven research exists on how building attributes impact well-being. Spatial Habits Advance Personal Excellence examines …


Opioid Overdose Simulation Training For Staff: An Educational Development Project, Brooke Van Buskirk, Tyler Langley, Nancy S. Goldstein Aug 2026

Opioid Overdose Simulation Training For Staff: An Educational Development Project, Brooke Van Buskirk, Tyler Langley, Nancy S. Goldstein

International Nursing Research Congress (INRC)

Outpatient medical facilities have become more likely to encounter in-office emergencies related to opioid overdoses. Literature analysis found gaps in health team response capability in outpatient healthcare settings.1

Our aim was to design and implement an opioid overdose simulation at an outpatient substance use disorder clinic. Literature reviewed found 4 essential themes to guide our curriculum development: simulation training, emergency action protocols, response training and equipment readiness.2,3,4,5 These themes were used to create an algorithm on best-practice for overdose response and guided our simulation development.

A four-step simulation was designed including pre-brief education, low-fidelity mannequin simulation, high-fidelity simulation …