Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Law (431896)
- Social and Behavioral Sciences (403655)
- Arts and Humanities (290047)
- Education (235024)
- Medicine and Health Sciences (203416)
-
- Life Sciences (117117)
- Physical Sciences and Mathematics (115479)
- History (114485)
- Business (107390)
- Engineering (82849)
- Higher Education (77688)
- Communication (73599)
- Sociology (65445)
- Public Affairs, Public Policy and Public Administration (63119)
- Public Health (55725)
- Library and Information Science (53172)
- Religion (50265)
- Medical Specialties (46112)
- United States History (45911)
- Psychology (45478)
- Journalism Studies (35091)
- Political Science (34561)
- Accounting (34241)
- Mass Communication (32985)
- Economics (32856)
- Social History (31727)
- Educational Administration and Supervision (31408)
- Environmental Sciences (30755)
- Computer Sciences (29951)
- Constitutional Law (29650)
- Institution
-
- University of New Mexico (85694)
- University of Montana (66867)
- University of Mississippi (65955)
- University of South Florida (62447)
- University of New Hampshire (62171)
-
- University of Nebraska - Lincoln (60130)
- Utah State University (47134)
- Brigham Young University Law School (42635)
- University of Colorado Law School (35096)
- Georgia Southern University (32682)
- Brigham Young University (31006)
- San Jose State University (27872)
- University of Central Florida (27569)
- Eastern Illinois University (26947)
- California Polytechnic State University, San Luis Obispo (26527)
- University of Kentucky (26340)
- Murray State University (26115)
- University of North Dakota (23546)
- Washington University School of Medicine (23246)
- University of Dayton (22990)
- Purdue University (21928)
- Louisiana State University (21663)
- City University of New York (CUNY) (20671)
- Western Michigan University (20599)
- Western Kentucky University (19829)
- The Texas Medical Center Library (18766)
- University of Michigan Law School (18684)
- Portland State University (18421)
- University of South Carolina (18368)
- Walden University (18114)
- Keyword
-
- Newspaper (44672)
- Press release; media release; press statement; news media information (30839)
- Humans (22188)
- Education (21068)
- Student newspaper (17992)
-
- Newspapers (16983)
- History (16602)
- United States (13844)
- Newsletter (13249)
- COVID-19 (12258)
- Spartan Daily (12028)
- Higher education (11714)
- EIU (11367)
- Bowling Green State University (11262)
- Female (10833)
- Faculty (10146)
- Michigan (9900)
- Latin America (9787)
- Students (9598)
- Eastern Illinois University (9577)
- Pennsylvania (9571)
- Daily Eastern News (9422)
- Periodicals (9143)
- Male (9127)
- Spanish (9044)
- Collegeville (8872)
- BG News (8848)
- Student newspapers (8472)
- University of New Mexico (8455)
- Western Kentucky University (8421)
- Publication Year
-
- 2026 (60715)
- 2025 (88266)
- 2024 (100744)
- 2023 (91547)
- 2022 (93036)
-
- 2021 (95996)
- 2020 (93557)
- 2019 (90543)
- 2018 (89245)
- 2017 (88459)
- 2016 (87671)
- 2015 (82099)
- 2014 (76845)
- 2013 (73703)
- 2012 (73310)
- 2011 (62282)
- 2010 (59714)
- 2009 (55781)
- 2008 (51275)
- 2007 (46421)
- 2006 (44810)
- 2005 (40981)
- 2004 (38239)
- 2003 (35529)
- 2002 (33791)
- 2001 (32115)
- 2000 (30978)
- 1999 (28233)
- 1998 (27617)
- 1997 (26654)
- Publication
-
- Theses and Dissertations (50278)
- University of Montana News Releases, 1928, 1956-present (30909)
- Faculty Publications (27272)
- Electronic Theses and Dissertations (21002)
- Faculty Scholarship (20584)
-
- Dissertations (17885)
- Walden Dissertations and Doctoral Studies (16609)
- Articles (14224)
- Session Laws 1951-2000 (13139)
- Open Access Publications (11655)
- Theses (11537)
- Spartan Daily (School of Journalism and Mass Communications) (11107)
- Daily Mississippian (all digitized issues) (10882)
- Masters Theses (10072)
- Documents (9841)
- Montana Kaimin, 1898-present (9454)
- Faculty, Staff and Student Publications (9450)
- African American Funeral Programs (9158)
- BG News (Student Newspaper) (8960)
- All Graduate Theses and Dissertations, Spring 1920 to Summer 2023 (8856)
- Michigan Law Review (8522)
- Utah Supreme Court Briefs (1965 –) (8082)
- Santa Fe New Mexican, 1883-1913 (8047)
- Master's Theses (7956)
- Honors Theses (7651)
- 2020-Current year OA Pubs (7449)
- WKU Administration Documents (7412)
- News Releases (7291)
- USF Tampa Graduate Theses and Dissertations (7079)
- Doctoral Dissertations and Projects (7025)
- Publication Type
Articles 10321 - 10350 of 2913340
Full-Text Articles in Entire DC Network
Water Scarcity On Arizona’S Navajo Nation, As An Environmental Justice Issue, Chenoa Marks
Water Scarcity On Arizona’S Navajo Nation, As An Environmental Justice Issue, Chenoa Marks
Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal
For the Navajo–or Diné, meaning ‘the people’ in Diné Bizaad (Navajo language)–water is not only a resource. It is life, story, and relationship. It is tied to origin, movement, and balance within the natural and spiritual world. Water exists not only in rivers and rainfall, but in teachings, ceremonies, and the way knowledge is passed down from one generation to the next. In this sense, water is both physical and cultural, shaping how people live, understand the land, and connect to one another.
At the same time, water on the Navajo Nation–known by the Diné as Diné Bikéyah, also translated …
From Pensions To Portfolios: How Retirement Financialization Reshapes Women's Retirement Security In The United States, Elena Lam, Evelyn Williams, Raylynn Miller
From Pensions To Portfolios: How Retirement Financialization Reshapes Women's Retirement Security In The United States, Elena Lam, Evelyn Williams, Raylynn Miller
Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal
This paper examines how the financialization of retirement has reshaped women’s retirement security in the United States. Rather than focusing primarily on the gender wage gap, the paper argues that the shift from defined-benefit (DB) pensions to defined-contribution (DC) retirement accounts has transformed retirement from a system based on institutional guarantees into one that depends on uninterrupted employment, regular contributions, financial knowledge, and market performance. Through a review of existing literature and U.S. retirement data, the paper shows how retirement risk has increasingly been transferred from employers and collective institutions to individual workers. The analysis identifies several mechanisms through which …
Improving Urban Planning Through Agent Based Modeling And Q-Learning, Tristan Kalvoda
Improving Urban Planning Through Agent Based Modeling And Q-Learning, Tristan Kalvoda
Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal
This paper explores the use of agent-based modeling (ABM), enhanced by reinforcement learning techniques such as Q- learning, to optimize urban transportation systems. The focus is on modeling and improving aspects such as traffic design, vehicular flow, and pedestrian mobility. The central research question is how to effectively simulate realistic agent behavior in order to develop models that can inform and support policy-making for more efficient and adaptive urban planning. The paper presents and analyzes simulation-based case studies that demonstrate how learning agents can repro- duce realistic movement patterns and provide insights for larger-scale urban systems.
Zero Trust Architecture And Ransomware Mitigation, Ely Johnson
Zero Trust Architecture And Ransomware Mitigation, Ely Johnson
Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal
Ransomware has become a critical threat to modern enterprises, exploiting excessive privileges and flat network architectures to spread rapidly. Traditional perimeter-based security models are insufficient, as they rely on implicit trust within internal networks. This paper examines how Zero Trust Architecture (ZTA) mitigates ransomware through least privilege access, continuous monitoring, and micro- segmentation. Experimental results show that ZTA can significantly reduce impact, limiting encryption to about 20% of targeted files while preserving most data. Continuous monitoring enables rapid detection (5.3 seconds) with high accuracy (up to 97.2%) and a 78% reduction in false positives. Micro-segmentation further restricts lateral movement, reducing …
Security Limitations Of The Can Bus And Detection Through Power Fingerprinting, Ken Broden
Security Limitations Of The Can Bus And Detection Through Power Fingerprinting, Ken Broden
Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal
This paper examines the vulnerabilities of the Controller Area Network (CAN), the standard communication protocol used in most modern vehicles. It explains why CAN is widely adopted and outlines key security weaknesses in its design. The paper then reviews recent research efforts to detect and mitigate these vulnerabilities, with particular focus on an approach to origin authentication that relies on the unique power consumption patterns of each individual electronic control unit on a CAN bus.
Collaborative Curriculum Design For Culturally And Historically Responsive Education: Implications From Initial Program Evaluation, Christine L. Craddock, Rachel Juergensen, Shelley Rouser, Michael Ryan, Diamond Lee
Collaborative Curriculum Design For Culturally And Historically Responsive Education: Implications From Initial Program Evaluation, Christine L. Craddock, Rachel Juergensen, Shelley Rouser, Michael Ryan, Diamond Lee
Current Issues in Middle Level Education
This article discusses a unique program initiative of one university’s education department to interrogate teacher education coursework together as educators and researchers. We evaluated the course curriculum of five different courses together as a team on a routine basis and documented our thoughts and discussion through video and an organized survey tool. This tool was developed according to Muhammad’s five pursuits of culturally and historically responsive education which include: identity, skills, intellect, criticality, and joy. This produced qualitative and quantitative findings related to methods for adapting and adjusting course instruction, content, and assessments according to the pursuits. Relatedly, it promoted …
Setting The Stage For Surviving Cancer, Kelly Allen
Setting The Stage For Surviving Cancer, Kelly Allen
The Open Journal of Occupational Therapy
Margaret Petersen, theater artist and assistant stage manager of the Grand Rapids Ballet, is featured in the cover art for the Summer 2026 issue of the Open Journal of Occupational Therapy (OJOT). The self-portrait photograph depicts Petersen standing cheerfully on a terrace, dressed as an orange “safety cone” holding onto an IV pole. She takes in some fresh air as she receives her chemotherapy medication at the Lemmen-Holton Cancer Pavillion. Donned in orange coveralls and a modified hat topped with a small traffic cone and the word SAFETY emblazoned across the front, it is the costume she created to wear …
Occupational Therapy's Role In Optimizing Health Using 4ms Framework: Primary Care And Beyond, Nicole Karabas, Lydia Royeen, Bridget Hahn
Occupational Therapy's Role In Optimizing Health Using 4ms Framework: Primary Care And Beyond, Nicole Karabas, Lydia Royeen, Bridget Hahn
The Open Journal of Occupational Therapy
As the older adult population in the United States continues to grow rapidly, the health care system faces increasing challenges in meeting their complex needs. A proactive, rather than reactive, approach to health care is necessary to support older adults in maintaining function and well-being. The Age-Friendly Health Systems 4Ms Framework; What Matters, Medication, Mentation, and Mobility, provides an evidence-based model for optimizing care across settings. Occupational therapists are uniquely positioned to implement the 4Ms framework because of their holistic and client-centered approach to evaluation and intervention.
By addressing "What Matters," occupational therapists align care with individual goals and daily …
Occupational Therapists’ Emerging Role In Running Bereavement Support Groups, Diana Daus, Rondalyn V. Whitney, Susan Taddonio
Occupational Therapists’ Emerging Role In Running Bereavement Support Groups, Diana Daus, Rondalyn V. Whitney, Susan Taddonio
The Open Journal of Occupational Therapy
Grief is well recognized as a stress response and, as such, significantly impacts engagement in meaningful occupational performance and engagement in meaningful occupations. Prolonged grief disorder (PGD), a newly recognized diagnosis, reflects the public health risk for the bereaved. Multiple client factors and performance patterns of those experiencing grief disrupt multiple areas of occupation. This opinion paper evaluates occupational therapy’s role in bereavement groups in the occupational therapy scope of practice.
Incivility And Toxicity In Occupational Therapy Academic Environments, Sharon Gutman, Sandra Rogers, Rondalyn V. Whitney
Incivility And Toxicity In Occupational Therapy Academic Environments, Sharon Gutman, Sandra Rogers, Rondalyn V. Whitney
The Open Journal of Occupational Therapy
Toxicity in the academic environment is defined as an insidious form of behavior that is characterized by overt negativity with the intent to cause harm and includes bullying, manipulation, gas lighting, discrimination, preferential treatment, and ostracization. Reasons accounting for the existence of toxicity in academia include long-standing cultural norms of competition for scarce resources, devaluing of collaboration, unrealistic workload expectations and benchmarks for success, a milieu of excessive and negative critique, low salaries and professional rewards, and a hierarchical ranking system that encourages abuse of power without consequences. The impact of toxicity in academia on occupational therapy faculty include high …
Primary Care Reimbursement: Current Processes And Future Advocacy, Brenda Koverman, Monika I. Robinson, Lydia Royeen
Primary Care Reimbursement: Current Processes And Future Advocacy, Brenda Koverman, Monika I. Robinson, Lydia Royeen
The Open Journal of Occupational Therapy
Occupational therapy’s (OT) role in primary care is emerging as a viable practice area. Yet, operational efforts that include reimbursement continue to lag and have been identified as a barrier to entry. Current literature reveals confusing and overlapping reimbursement descriptions. Payment for services is critical for the sustainability of this practice area. This paper proposes a taxonomy to assist frontline clinicians, leaders, and provider practice managers to determine the best reimbursement strategy for their specific clinic. Differentiating and defining payment models, reimbursement determinants, and reimbursements methods allows OT leaders a shared language. Implementing the best reimbursement tactic will ensure the …
Integrating Occupational Therapy In Homeless Street Outreach, Andrea Leflore, Cassandra Pagliaruli, Ryan Thomure
Integrating Occupational Therapy In Homeless Street Outreach, Andrea Leflore, Cassandra Pagliaruli, Ryan Thomure
The Open Journal of Occupational Therapy
People experiencing unsheltered homelessness (PEUH) face multifaceted barriers to daily activity performance, characterized by barriers to performing basic needs, maintaining immediate safety, and accessing resources to manage health and transition into housing. Systemic barriers further impact access to care with discrimination in health care and homeless settings. With homelessness steadily increasing in the U.S., federally-funded initiatives have prioritized street outreach as an effective approach to meeting people where they are living with contextually adapted services. Street outreach interventions bring resources directly to communities, prioritizing relationship building to facilitate transitions to more stable living situations. This article presents a case analysis …
Occupational Therapy Students’ Demonstration Of Interprofessional Competencies During Simulation: An Observational Analysis, Elizabeth Crampsey, Shelley Cohen Konrad, Debra J. Ford
Occupational Therapy Students’ Demonstration Of Interprofessional Competencies During Simulation: An Observational Analysis, Elizabeth Crampsey, Shelley Cohen Konrad, Debra J. Ford
The Open Journal of Occupational Therapy
Quality care and patient safety are primary goals in health care, with interprofessional collaboration as a crucial strategy to achieve them. This study reports the behavioral outcomes of Occupational Therapy (OT) students applying core competencies, like Communication and Teamwork, during a longitudinal case-based team simulation activity designed to enhance interprofessional education (IPE). The activity was designed to improve implementation of IPE competencies during a collaborative teamwork exercise with standardized patients. A content analysis using the Interprofessional Collaborator Assessment Rubric (ICAR) assessed 21 graduate OT students’ deployment of IPE core competencies while participating in a semester-long interprofessional simulation (Sim-IPE) activity. Findings …
Exploring Student And Faculty Perspectives On Professionalism In Occupational Therapy Education, Mary Roduta Roberts, Jilaine Barton, Amy Janzen, Carolina Johnson, Lauren Painchaud
Exploring Student And Faculty Perspectives On Professionalism In Occupational Therapy Education, Mary Roduta Roberts, Jilaine Barton, Amy Janzen, Carolina Johnson, Lauren Painchaud
The Open Journal of Occupational Therapy
The development of professionalism is critical for occupational therapy (OT) students to become competent occupational therapists. This paper reports on the first phase of a multi-phase project to develop and pilot a situational judgement test to support teaching, learning, and development of professionalism in an OT program. The purpose of this study was to explore faculty and students’ perspectives on professionalism and OT. Twenty-two semi-structured interviews were completed with students (n = 18) and faculty (n = 4). The main insights shared included challenges in defining professionalism in OT, the importance of context, and differing perspectives on the effectiveness of …
Occupational Therapy Holistic Admissions At A Public, Urban Research University: Process, Outcomes, And Transitions, Ashley Stoffel, Dalmina Arias, Toni Van Denend, Caitlin Smith, Jenica Lee, Maria Larson, Gail Fisher
Occupational Therapy Holistic Admissions At A Public, Urban Research University: Process, Outcomes, And Transitions, Ashley Stoffel, Dalmina Arias, Toni Van Denend, Caitlin Smith, Jenica Lee, Maria Larson, Gail Fisher
The Open Journal of Occupational Therapy
Implementing a holistic admissions process reflecting the mission of the university provides the means to expand enrollment of students from diverse backgrounds who have life experiences and values that are well matched to the communities they serve. This article explores the historical significance, outcomes, and transitions of a holistic admissions process in a public, urban research university.
The holistic admission process outlined in this article offers a balanced and equitable approach to student selection by considering a broad array of backgrounds, experiences, and attributes beyond traditional metrics, such as grades. With a commitment to inclusivity, access, and belonging, the department …
Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi
Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi
The Open Journal of Occupational Therapy
Background: There is a need to identify a wider variety of neurodiversity-affirming interventions within the scope of occupational therapy. Therapeutic drumming, percussive music-making as a therapeutic intervention, holds potential for occupational therapy practice, though few studies have explored its efficacy with this population. The purpose of this study was to explore the design and effectiveness of therapeutic drumming for autistic youth from perspectives of drumming facilitators to identify relevant outcome variables and usefulness in the study and practice of therapeutic drumming.
Methodology: This exploratory feasibility study recruited twelve facilitators and 10 autistic youth. An occupational therapy graduate student …
Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey
Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey
The Open Journal of Occupational Therapy
Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic.
Objective: This qualitative study examined how COVID-19 impacted access to EI therapy services from the perspectives of families and EI providers in the San Francisco Bay Area. The study aimed to identify existing barriers and new pandemic-specific challenges to inform strategies for improving continuity and quality of EI care during future service disruptions.
Methods: Semi-structured virtual interviews were conducted with caregivers of eligible infants and EI providers. …
Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park
Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park
The Open Journal of Occupational Therapy
Background: Despite the large number of children with disabilities, there is little research focused on the experiences families with a child who has a disability have while at theme parks. Both play and leisure participation offer meaningful opportunities for self-expression and can support skill acquisition and building social connections, particularly in family-oriented environments, like amusement parks.
Methods: Using environmental assessments, surveys, and semi-structured interviews, this mixed-methods study explored the experiences of these families, specifically looking at accessibility and participation in the theme park environment. Thirty-seven parents and guardians completed the online survey, while 10 individuals also elected to …
The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller
The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller
The Open Journal of Occupational Therapy
Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.
Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …
A Retrospective Study Correlating Omsq-12 And Quickdash Scores Of Post-Operative Upper Extremity Patients, Sabrina Nassir, Mariem Metry, Yuju R. Huang
A Retrospective Study Correlating Omsq-12 And Quickdash Scores Of Post-Operative Upper Extremity Patients, Sabrina Nassir, Mariem Metry, Yuju R. Huang
The Open Journal of Occupational Therapy
Background: This retrospective study aimed to identify a correlation between the Örebro Musculoskeletal Screening Questionnaire (ÖMSQ-12) and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) of postoperative male patients with elbow and or wrist/hand conditions. The study aimed to discover how an individual’s comorbidities affect overall functionality over 6 weeks of treatment at Select Physical Therapy Hand Therapy in Orange, CA.
Methods: Data collected from male workers' compensation patients (N = 43) aged 20-50 years with elbow and/or wrist/hand conditions from January 1, 2021, to January 1, 2025, were included. Throughout a patient's therapy experience, they are …
The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon
The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon
The Open Journal of Occupational Therapy
Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.
Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point …
Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller
Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller
The Open Journal of Occupational Therapy
This article explores the expanding role of occupational therapy in chronic disease management, prevention, and caregiver supported care. Occupational therapy is uniquely positioned to support health promotion and caregiver training but remains underused in prevention-focused health care models. Current literature from the Open Journal of Occupational Therapy highlights the importance of caregiver training, the systemic barriers limiting occupational therapy's role in chronic disease management, and the need for the profession to embrace a broader role within this area of practice.
A Mixed-Methods Pilot Investigation Of Act Workshops In Integrated Primary Care, Katherine Buckheit, Kyle Possemato, Mara Sindoni, Luke Mitzel, Niranjala Yogaratnam, Allyson Smith, Lilian Dindo
A Mixed-Methods Pilot Investigation Of Act Workshops In Integrated Primary Care, Katherine Buckheit, Kyle Possemato, Mara Sindoni, Luke Mitzel, Niranjala Yogaratnam, Allyson Smith, Lilian Dindo
The Journal of Integrated Primary Care
Mental health symptoms are prevalent and associated with considerable disease burden. However, most individuals who would benefit from mental health treatment do not receive appropriate care. Barriers such as logistical challenges and stigma often prevent access to traditional services. Alternative delivery modalities and settings may reduce these barriers. This pilot study evaluated the acceptability and preliminary effectiveness of single day Acceptance and Commitment Therapy (ACT) workshops delivered in a non-traditional setting, integrated primary care. Acceptability was operationalized as treatment engagement and treatment satisfaction. Preliminary effectiveness was operationalized as within-condition change in mental health symptoms. Participants were 32 Veterans Affairs (VA) …
Small Cell Lung Cancer In A Never-Smoking Patient: A Case Highlighting Diagnostic And Screening Gaps In Primary Care, Edward Hamilton, Alexandra She, Francis Jenney
Small Cell Lung Cancer In A Never-Smoking Patient: A Case Highlighting Diagnostic And Screening Gaps In Primary Care, Edward Hamilton, Alexandra She, Francis Jenney
The Journal of Integrated Primary Care
Small cell lung cancer (SCLC) is best known in relation to tobacco exposure and tends to be seen in advanced disease. Contemporary guidelines in lung cancer screening demonstrate a strong emphasis on smoking exposure, which may serve as a barrier to recognition in never-smokers who lack conventional risk factors. As a result, SCLC in never-smokers remains an important but underrecognized consideration in general and primary care settings. The current case involves a 65-year-old African American man who has never been a smoker but who presented with progressive thoracic pain, shortness of breath, and unintended weight loss, leading to the discovery …
Ambient Agent Swarm With Soft Contract Negotiation For Proactive Network Monitoring, Ryan Holland, Elango Ganesan
Ambient Agent Swarm With Soft Contract Negotiation For Proactive Network Monitoring, Ryan Holland, Elango Ganesan
Defensive Publications Series
Proposed herein is a hybrid cloud-edge ambient agent swarm for network operations, where specialized agents coordinate through soft capability contracts rather than rigid interfaces. The proposed approach enables continuous proactive monitoring and interactive troubleshooting in one system, while reducing latency and bandwidth through edge-local diagnostics with cloud-level synthesis. It is designed for enterprise-scale operations where platform teams need independent agent evolution, graceful fallback behavior, and consistent multi-domain triage with bounded deep-dive analysis.
Graph-Constrained Code Generation For Deep Metadata Environments, Pradeep Shankara, Anil Nagalla, Richard Yang, Vinay Anand
Graph-Constrained Code Generation For Deep Metadata Environments, Pradeep Shankara, Anil Nagalla, Richard Yang, Vinay Anand
Defensive Publications Series
Generative artificial intelligence models may face challenges generating source code for languages that rely on deep, nested metadata stored in data repositories, which can result in functionally limited or non-compilable output. A graph-constrained code generation framework can address this by extracting metadata from a target system and translating it into one or more knowledge graphs that model structural dependencies. An automated agent may traverse these graphs to perform a multi-hop context retrieval based on a developer's request. This collected context can then be used to construct a detailed, constraint-enforcing prompt for a large language model. This process of grounding the …
System And Method For Zero Copy Machine Learning Inference Using Non Owning Shared Memory Model Views, Faiz Ahmed
System And Method For Zero Copy Machine Learning Inference Using Non Owning Shared Memory Model Views, Faiz Ahmed
Defensive Publications Series
A system and method are disclosed that eliminate model loading in machine learning inference by enabling inference processes to operate directly on a shared, already‑resident model representation, wherein trained model parameters are stored as native binary structures in operating‑system managed shared memory and are accessed by inference processes through non‑owning typed memory views that require no allocation, copying, or deserialization; the shared memory region serves as the authoritative representation of the model and includes a control header and a plurality of model slots arranged in a double‑buffered configuration, wherein model updates are performed by writing a model into an inactive …
Reference-Model-Equivalent Weekly Utilization Cap Computed Directly From The Billing Ledger, Gustavo Matthew Assuncao
Reference-Model-Equivalent Weekly Utilization Cap Computed Directly From The Billing Ledger, Gustavo Matthew Assuncao
Defensive Publications Series
This document discloses, as enabling public prior art, a method and system for enforcing a periodic utilization cap over heterogeneous large-language-model (LLM) usage without maintaining a separate rate-limit counter store. The consumption of models with different price/performance profiles is normalized onto a single synthetic currency — base-equivalent tokens — by assigning each model a drain weight pinned to the ratio of that model's provider output price to a chosen base model's output price. The cap for a given account is enforced before each call by computing the account's current-window utilization on demand, as a query-time SQL CASE aggregation over the …
Usage-Row-Gated Exactly-Once Prepaid Debit Protocol For Metered Llm Turns, Gustavo Matthew Assuncao
Usage-Row-Gated Exactly-Once Prepaid Debit Protocol For Metered Llm Turns, Gustavo Matthew Assuncao
Defensive Publications Series
This document discloses, as enabling public prior art, a computer-implemented protocol for debiting a prepaid credit wallet exactly once for a metered large-language-model (LLM) turn, and for doing so without ever producing either of the two well-documented failure classes of naive metered billing: the double-debit (a retried turn charged twice) and the free turn (a completed provider call that never bills, or that records usage telemetry without a matching charge). The core mechanism is an ordering invariant executed inside one database transaction: after acquiring a row-level exclusive lock on the wallet row, the system performs the metered-usage telemetry INSERT first, …
Media-Baked Convergent First-Boot Network Bring-Up, Gustavo Matthew Assuncao
Media-Baked Convergent First-Boot Network Bring-Up, Gustavo Matthew Assuncao
Defensive Publications Series
This document discloses, enables, and dates a method and system for driving a freshly imaged bare-metal server from power-on to a single-homed, remotely reachable management state without any console interaction, any human network operator, and — critically — without any cloud or on-network metadata source. A generator bakes a per-node convergence agent directly into the operating-system install media under the vendor-supplement ($OEM$) payload path. During installation the OS setup engine copies that agent onto the target file system. A tiny first-boot script then registers a privileged (SYSTEM) scheduled task that re-executes an idempotent convergence agent on every subsequent boot until …