Digital Commons Network^™

The Types And Clinicopathological Characteristics Of Childhood Solid Tumors In Duhok City: A Case Series Study, Khalid Hussien Haleem Dr., Khalid Nawaf Abdurrahman Dr.

Iraqi Postgraduate Medical Journal

BACKGROUND: Since cancer is a leading cause of death for children and adolescents worldwide and constitutes a challenge to health care systems, childhood cancer data systems are needed to drive continuous improvements in care quality. OBJECTIVE: To provide an overview of childhood malignant solid tumors in Duhok city, we reported the clinicopathological features of 33 cases. PATIENTS AND METHOD: During the 17-month period from June 2019 to November 2020, 33 cases of childhood solid cancers were diagnosed at Jeen Centre, regional referral center in duhok government.We performed a pathological and clinical evaluation of these tumors, including tumor types, patient age …

Autism Spectrum Disorder Knowledge Among Pediatricians: A Cross-Sectional Study In Baghdad, Amina Saad Abdullah Dr., Zainab Ali Saleem Dr., May Abdullah Mohammed Dr., Dina Mahmood Thiab Dr., Hassan Z. Tark Dr., Ziad T. Abd Ali Dr.

Iraqi Postgraduate Medical Journal

BACKGROUND: Autism spectrum disorder is increasing worldwide; however, knowledge about it among health providers is still inadequate. OBJECTIVE: The study aims to assess the knowledge of the pediatricians (residents and specialists) regarding autism spectrum disorder. METHODS: A cross-sectional descriptive study design was conducted during December 2024. A total of 49 resident and specialist doctors (in pediatric specialty) who were working and/or studying at Children Welfare Hospital in Baghdad during the time period of the study were included. The participants completed the Knowledge about Childhood Autism among Healthcare Workers (KCAHW) questionnaire and some demographic questions during their activity meetings. RESULTS: The …

Cephalad Intracranial Migration Of A Lumboperitoneal Shunt Catheter In A Patient With Idiopathic Intracranial Hypertension: A Case Report, Ali Hatem Jawad Dr., Yasir M. H. Hamandi Prof.

Iraqi Postgraduate Medical Journal

BACKGROUND: Lumboperitoneal (LP) shunting is an established treatment for medically refractory idiopathic intracranial hypertension (IIH), but is limited by comparatively high rates of mechanical failure. Cephalad (proximal, cranial) migration of the shunt catheter is a rare and likely underrecognized cause of shunt failure, with only a small number of cases reported. Case presentation: We report a 38-year-old woman with a three-year history of chronic headache, nausea, and blurred vision due to IIH, who remained symptomatic despite acetazolamide, serial therapeutic lumbar punctures, and two sequential LP shunt procedures. Repeat lumbar puncture opening pressure remained markedly elevated (450 mmH₂O) after the second …

“Playing Mental Gymnastics”: Exploring Black Women College Athletes' Mental Health Experiences At Historically White Division I Universities, Ezinne D. Ofoegbu

Journal of Issues in Intercollegiate Athletics

Between 2002 and 2022, over 125 college athletes died by suicide, and Division I athletes represented 45% of these deaths. In 2023, Black women college athletes at Division I universities identified racism as a mental health stressor at a higher rate than their non-Black peers. The intersectional nature of social identities and athlete status may create gendered and racialized stressors that are uniquely experienced by Black women athletes. Given the underrepresentation of Black students (i.e., athletes and nonathletes), coaches, faculty, and staff at historically white institutions (HWIs), Black women athletes are likely navigating campus relationships and environments that are shaped …

The Impact Of Toxic Leadership On Intercollegiate Athletics: Gender-Differentiated Perceptions, Tara Tietjen-Smith, Haley Blount

Journal of Issues in Intercollegiate Athletics

While some investigative research has been conducted to examine the impact of toxic, or destructive, leadership in sport, few studies have focused on intercollegiate athletics departments. The purpose of this study was to examine how common toxic leadership is in intercollegiate athletics departments as well as its impact. A quantitative cross-sectional survey study was designed to examine NCAA Division I and II athletics employee experiences using the Toxic Triangle of Sport Management (TToSM) as a theoretical framework. Respondents (N = 2,051) were asked questions concerning their perceptions of work environments, leadership, and organizational culture procured from three distinct and well-established …

Servingness On The Sidelines: Latina/O/X Athletic Administrators At Division I Hispanic-Serving Institutions, Guillermo Ortega

Journal of Issues in Intercollegiate Athletics

This qualitative study examines how servingness is understood and enacted within NCAA Division I athletic departments at Hispanic-Serving Institutions (HSIs). Guided by Garcia et al.’s multidimensional servingness framework, the study draws on interviews with ten NCAA Division I Latina/o/x athletic administrators. Findings reveal that athletics is frequently disconnected from institutional HSI missions, with servingness often reduced to symbolic or performative practices. Limited Latina/o/x representation in athletic departments further constrains institutional capacity to serve. Despite structural exclusion, participants cultivate servingness through cultural affirmation and community building. Implications highlight the need to structurally integrate athletics into HSI missions and redistribute cultural labor.

Reversible Microvascular Ischemia With St-Segment Elevation: An Underrecognized Manifestation Of Antibody-Mediated Rejection In Cardiac Allograft Recipients, Jonathan Ahn, Justin Daneshrad, Liset Stoletniy, Dmitry Abramov

The VAD Journal

Electrocardiographic manifestations of cardiac allograft rejection are often subtle, and stress-induced ST-segment elevation associated with antibody-mediated rejection (AMR) is rarely reported. We describe a 34-year-old heart transplant recipient with progressive exertional angina, nonobstructive coronary disease on angiography, and exercise-induced ST-segment elevation in lead augmented vector right, high-lateral leads I, and augmented voltage left, along with diffuse ST-segment depressions, hypotension, and transient ventricular tachycardia. Concurrent emergence of complement-binding donor-specific antibodies with high mean fluorescence intensity raised concern for AMR, prompting treatment with corticosteroids, plasma exchange, and intravenous immunoglobulin despite the absence of biopsy confirmation. After therapy, symptoms, exercise-induced ischemic electrocardiographic abnormalities, …

Reducing Food Waste Through Education And Community Collaboration, Myeesha Lance, Sharneece Gary

EFNEP

This Land-Grant Press publication explores strategies to reduce food waste through education, innovation, and community engagement. It highlights consumer behaviors, date label confusion, and planning practices that drive waste, while offering practical solutions like meal planning, grocery management, and clearer food labeling. Key takeaways include the importance of behavior change, policy collaboration, and Extension-led outreach. Target audiences include educators, policymakers, community leaders, and households seeking to improve sustainability and food security

Aurora-Lens: Admissibility-Controlled Epistemic Governance And Maintained Unresolved State, Margaret M. Stokes Ms

Defensive Publications Series

Aurora-Lens is an admissibility-controlled epistemic governance architecture for machine reasoning, runtime governance, maintained unresolved state, and commitment control. It treats a proposed determination as a candidate that does not automatically become an assertion, authorization, or consequential act. Candidate determinations are tested against maintained epistemic or world state and applicable authority, evidence, scope, freshness, policy, and consequence conditions before acquiring standing. The architecture permits unresolved state, containment, refusal, or non-commitment where the required basis is absent, and prevents retry, reroute, elapsed time, confidence, or cost from supplying missing warrant.

Solid State Forms Of (S)-1-(4-Fluorophenyl)-1-(2-(4-(6-(1-Methyl-1h-Pyrazol-4-Yl)Pyrrolo[2,1-F][1,2,4]Triazin-4-Yl)Piperazin-Yl)Pyrimidin-5-Yl)Ethan-1-Amine And Its Process For The Preparation, Srinivasan Thirumalai Rajan, Sagyam Rajeshwar Reddy, Kommera Rajashekar, Kondeti Raju And Cherukula Srikanth

Defensive Publications Series

The present application relates to amorphous solid dispersions comprising (S)-1-(4-fluorophenyl)-1-(2-(4-(6-(1-methyl-1H-pyrazol-4-yl)pyrrolo[2,1-f][1,2,4]triazin-4-yl)piperazin-yl)pyrimidin-5-yl)ethan-1-amine of formula-1 and one or more pharmaceutically acceptable excipients and process for the preparation thereof. The structure of formula-1, which is referred to as Avapritinib, is shown below.

Formula-1

The present application also describes crystalline form of Avapritinib and its process for the preparation.

Reimagining Tourism Education Through Transformative Learning And Systems Change: Fast-Tracking Curriculum Reform To Close The Sustainability Competency Gap, James Hanrahan Dr, Anita Conefrey, Emmet Mcloughlin Dr, Domhnall Melly Dr

Irish Journal of Tourism, Hospitality, Leisure and Event Research

Tourism accounts for approximately eight per cent of global greenhouse gas emissions and faces increasing pressure to transition toward low-carbon, regenerative development pathways. However, evidence from recent studies across Ireland, the United Kingdom and five European countries reveals a persistent sustainability competency gap within tourism higher education, where graduates often lack the systems thinking, ethical reasoning, digital literacy and applied decarbonisation skills required to support Net-Zero transitions.

This paper examines how tourism education can respond to this challenge by integrating transformative learning and systems change approaches into curriculum design. Drawing on a conceptual analytic synthesis informed by three complementary empirical …

Elite Esports Players And Their Physical Health: A Systematic Review Of Injuries, Musculoskeletal Pain, And Fitness-Related Factors, Michal Steffl, Daniel Opelik, Vladimir Hlinka, Grzegorz Mikrut, Petra Hospodkova

Baltic Journal of Health and Physical Activity

Background: The rapid rise of competitive esports has sparked concerns over the physical health of elite players. Prolonged sedentary behaviour, repetitive movements, and poor ergonomic practices may predispose these athletes to injuries, musculoskeletal pain, and unfavourable body composition. Materials and methods: A systematic review following PRISMA guidelines was conducted by searching Pub-Med, Scopus, EBSCOhost, and Web of Science for cross-sectional studies on physical activity (PA), body composition, physical fitness, and musculoskeletal health in elite esports players. Data from 22 peer-reviewed studies involving 5,035 participants aged 16 to 35 were synthesized. Results: Findings consistently show that esports players engage in lower …

Thanking Strategies Across Relational Scenarios And Dyadic Gender Configurations In Urban Saudi Colloquial Arabic, Mohammed Ahmed Mohammed Alzahrani

Scientific Journal of King Faisal University: Humanities and Management Sciences

This study examines thanking strategies across three relational scenarios and four dyadic gender configurations among 120 university-educated urban Saudi colloquial Arabic speakers aged 20-40 from Riyadh, Jeddah, and Dammam. A scenario-based discourse completion task (DCT) yielded 720 responses comprising 1,843 strategy tokens; these data were supplemented by interviews with 30 participants. The intimate, acquaintance, and stranger scenarios differed in favor type and imposition, representing distinct relational-situational contexts. The DCT elicited contextually appropriate responses; accordingly, the findings are interpreted as reflecting participants' sociopragmatic preferences rather than naturally occurring interactional behavior. Expressing Benediction (30.1%) and Thanking (25.7%) were the two most frequent …

Elettrosfera - Electromagnetic Levitation Electric Generator And Kinetic Energy Battery, Federico G. Seregni

Defensive Publications Series

Elettrosfera is an innovative electromechanical power generation and kinetic energy storage system designed to operate autonomously in standard, isolated, or extreme environments. Unlike traditional vertical-axis or horizontal-axis turbines and flywheels that rely on physical shafts, mechanical bearings, and high-friction contact points, Elettrosfera utilizes a tridimensional magnetic levitation architecture operating within a conditioned environment.

Orbital Infrastructure, Electromagnetic Launch And Interplanetary Ecosystem: 137 Innovations Released Into The Public Domain, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3, Claude Opus 5 and Gemini 3, is released under the Apache License 2.0. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes : EPC Art. 54(2) (European Patent Convention), French IPC Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (両匡丢氡儡吡嘡丣刡氢), and Japanese Patent Act Art. 29(1) (闘旧避). It discloses 137 inventions arising from the Vision 2050 Plan. Each innovation is IPC- and CPC-classified and timestamped (RFC 3161 / …

System, Method, And Computer Program Product For Amplification Detection Against Jailbreak Attack, Yuzhong Chen, Menghai Pan, Xiran Fan

Defensive Publications Series

An example system includes at least one processor configured to progressively amplify discriminative signals between benign and jailbreak prompts across layer, module, and token levels and employ two independent classifiers that jointly predict jailbreak status based on these amplified representations.

Technical Specification: Solid-State Planar Harmonic Confinement Core, Christopher L. Eckes

Defensive Publications Series

This specification details the structural implementation parameters for replacing the high-inductance, cryogenically cooled magnetic confinement loops of traditional thermonuclear architectures with an ambient-temperature, solid-state Harmonic Wave Confinement Core.

By compiling non-linear fluid solutions of the three-dimensional Navier-Stokes regularity framework (SPEC-091)directly into specialized Gallium Nitride (GaN) interdigital transceiver arrays, this architecture utilizes high-frequency spatial-harmonic pressure fields to isolate high-energy plasma within a stable Gor'kov potential well.

We address historical limitations in structural boundary containment by integrating embedded 3D Photoemission Orbital Tomography (3D-POT) real-time wavefront feedback loops with custom asymmetric, asynchronous Application-Specific Integrated Circuit (ASIC) hardware routing controllers and explicit covalent valence-shell …

The Currency That Cannot Be Spent Alone: Co-Presence-Gated Redemption And The Chronicle↔Treasury Unification Circuit — Time-Banking Credits Redeemable Only At A Synchronous, Mutually Attested Meeting Of Both Parties, Thon Ly

Defensive Publications Series

In the disclosed time-banking system, a credit (a pledged hour, issued as thanks between two named persons) has one redemption form: a synchronous meeting both parties attend, in person or by live audio or video call, with shared attention face to face or side by side on a shared task. Recorded messages may carry an invitation but cannot redeem a credit, so absentee service cannot be expressed. Both parties confirm delivery, corroborated by device proximity or the live session; an in-person exchange of public-key fingerprints, as at a key-signing party, is described as one candidate corroboration path that may admit …

Before Launch: A Design-Stage Systems Engineering Doctrine For Autonomous Artificial Intelligence, Volodymyr Kotegov

Defensive Publications Series

This study presents a systems-engineering framework for the development, verification, qualification, and eventual authorization of increasingly capable autonomous AI systems. The doctrine addresses a central engineering problem: how to permit capability growth without allowing assurance, evidence, or authority mechanisms to become obsolete as the system changes.

The framework separates design specification from empirical evidence and distinguishes qualification, authorization, and runtime states. It establishes an assurance chain linking requirements, claims, verification activities, evidence, status transitions, and authority consequences. Core mechanisms include Verifiable Trust, Graduated Verifiable Autonomy Architecture, Bounded-Risk Agility Architecture, local multi-scale control, preserved behavioral baselines, capability-jump controls, mechanistic verification, independent …

A Runtime Conditioning Architecture For Persistent Language-Model Identity, Ryan B. Pate, Ivan Anic

Defensive Publications Series

Language-model assistants fail in five ways that training-time alignment does not reach. They produce confident output that nothing supports. They drift toward agreement as a conversation warms. They lose the structure of what happened between sessions, not just the content. They either overclaim an identity or refuse to draw on the capacity they have. And asked to grade their own compliance with a rule, they confirm compliance whatever they actually did.

This disclosure describes a runtime conditioning layer directed at all five training alignment failures. It changes no weights, no training, and no model architecture: it works through documents loaded …

Global Data Center Park — Atacama Desert, Antofagasta Region, Chile: Dry-Cooled, Solar-And-Storage-Powered Ai Compute Park Built In Standardized One-Gigawatt Increments, Madhav Kavuru

Defensive Publications Series

This disclosure describes an AI compute park that uses no cooling water. It is built as a series of identical 1,000 MW increments, each combining photovoltaic generation, sodium-ion storage, direct-to-chip liquid-cooled compute halls and an air-cooled condenser (ACC) plant inside one compound in a high, dry, inland desert. Heat is carried out of the racks in a facility-water loop supplied at up to 45 °C and rejected straight to ambient air through forced-draft fans, with no chillers and no evaporation. The disclosure specifies how the condenser plant is sized for the low temperature difference of a data-center loop, how altitude …

The Studio And The B-Short Bridge: A Private-To-Public Toggle As The Phase-1-To-Phase-2 Crossing — Per-Item Visibility Setting On Short-Form Video As A Migration-Free Switch From A Family Tipping Ledger To Blockchain Settlement, Thon Ly

Defensive Publications Series

This publication specifies a per-item visibility setting on short-form video that doubles as the boundary between two scales of a tipping ledger. A creation tool captures clips of a real act of kindness, often the same situation before and after, and assembles them into a short video record; rewards attach only to records that are recorded live, visible to family or public, and pinned to a real location. Each record is created private, visible to and tippable by the creator's own household on a family-scale ledger that runs over conventional payment rails. Setting one record public changes two things at …

The Sport That Says Your Name: A Circulation Sport In Which Everyone Is Called By Another — Automated Name-Announced Receiver Selection With Equal Random Turn Distribution And Starting-Score Handicaps For Mixed-Ability Ball Games, Thon Ly

Defensive Publications Series

This disclosure describes a ball game in which an automated caller announces, before each strike, the name of the player who must receive next. Receivers are chosen by a shuffle bag: each round is a fresh random permutation of the roster, so every player receives equally often per round in an order players cannot anticipate. The sequence is a deterministic function of the roster and a seed declared before play, so anyone can recompute a session and verify the distribution; devices stay consistent by sharing only a call count, the round index persists across sessions, and no per-player record is …

The Game That Graduates You: A Witness Api For Children's Games And Education — A Permission-Scoped Game Api Without Payment Authority, Parental-Consent Family Content As Curriculum, And Course Completion As The Success Metric For Educational Apps, Thon Ly

Defensive Publications Series

We describe a permission-scoped third-party API architecture for children's educational games and learning apps. A game client may propose real-world tasks to a child, styled in the game's fiction from real household context, and may receive a minimal completion notification when a family member witnesses the act; it can never hold payment, transfer, balance or reward-issuing scopes, so task completion issues no currency or points, and any reward is a human-initiated acknowledgment through the family's own ledger app. Parents approve which apps may propose to each child, revocably and default-off. With per-item parental consent and on-device processing, the family's own …

Zsscc-Ω Zigzag Suspended Shade And Condensation Canal Cover System, Michael Victor Caldwell Mr.

Defensive Publications Series

The ZSSCC-Ω (Zigzag Suspended Shade and Condensation Canal Cover System) is a low-cost modular evaporation suppression platform intended for irrigation canals ranging from approximately 20 to 40 feet in width.

The system utilizes existing canal-side fence infrastructure as the primary structural support and suspends a series of reflective multi-V shade modules above flowing water.

The goals are:

• Reduce solar loading.

• Suppress wind-driven evaporation.

• Create a localized high-humidity microclimate above the water surface.

• Lower water temperature.

• Reduce algae growth potential.

• Allow ground-level maintenance.

• Eliminate the need for massive overhead structures.

• Enable rapid deployment across large canal networks.

Unlike photovoltaic canal covers …

Dual-Currency Reciprocity Infrastructure: Money And Time As Complementary Scarcities — A Platform Integrating Peer-To-Peer Money Gifts With Expiring, Non-Transferable Time Pledges Under A Bounded Ai Recommender, Thon Ly

Defensive Publications Series

A two-currency reciprocity platform integrates peer-to-peer money gifts with non-transferable, expiring pledges of personal time, under one user identity, one bounded AI recommendation agent and one shared participation indicator. On the time side, the AI agent recommends a time amount for each thank within a governance-set low/middle/high band; small pledges accumulate until a threshold activates a single redeemable commitment; an activated commitment lapses one month after activation if unredeemed; the recipient chooses the activity, and the giver may decline a specific request. A two-axis participation record (time delivered, time received) is disclosed in its original public form and in its …

The Bowl That Holds No Money: Steward-Routed Alms And The Bowl-Anchored Credential — Proximity-Verified Revocable Credential Tags For Routing Religious Donations To A Lay Steward Account, With Rotation Dispatch And Co-Presence Escrow Release, Thon Ly

Defensive Publications Series

We describe a donation-routing system for Buddhist monastic alms rounds in which a credential tag hung from a monk's alms bowl routes digital donations directly to a lay steward's account, so that money never enters monastic custody, as monastic rules require. The tag carries a revocable, time-limited credential issued by the monastic community and bound to the monk's ordination standing; a scan resolves the monk's name, monastery, current standing and the steward's account, resolves only in physical proximity to the tag (a copied image is inert), and stops resolving on loss of standing, giving donors a check against impostors when …

The Wager That Isn't: Competitive Giving Without Gambling — Charity Challenge Matches With Non-Refundable Entry Donations And Irrevocable Pledges Whose Recipient Charity Is Selected By The Outcome, Thon Ly

Defensive Publications Series

We describe a charity challenge match in which no money is contingent, in its existence, on the outcome, so that no party places a wager. Two players or teams agree to a physical contest. (1) At acceptance, each contestant pays an equal, non-refundable entry donation in a fixed amount set by the platform operator, never by the contestants; each donation is credited irrevocably, before play and regardless of result, to that contestant's own household giving fund or to a communal charitable fund. (2) Third parties may add irrevocable charitable pledges to a pledge pool attached to the match; each pledge …

Climate-Proof Nutrition Future Foods (Ccnff-3.0), Michael Victor Caldwell Mr.

Defensive Publications Series

A weather-independent food manufacturing platform designed to produce safe, affordable, nutritionally complete foods using resilient feedstocks that require minimal water, minimal fertile soil, and minimal dependence on livestock.

The system prioritizes:

• Low cost

• High scalability

• Human acceptance

• Nutritional completeness

• Food safety

• Environmental resilience

• Existing technology readiness

Rather than attempting to recreate meat through cell culture, the system combines drought-resistant plants, marine biomass, microbial proteins, and advanced purification systems into familiar food products suitable for mass production.

Multi-Family Membership: User-Scoped Identity, Plural Membership, And The Two Problems It Resolves — Many-To-Many User–Group Membership With Proof-Of-Personhood Identity And Per-Person Metering For Administrator Succession In Shared Group Accounts, Thon Ly

Defensive Publications Series

This paper specifies a data-model correction for a group-based gratitude ledger in which users belong to household groups, each holding a shared group balance administered by one member. The correction replaces single-group containment with user-scoped identity, rooted in a proof-of-personhood verification, and represents group membership as a many-to-many set of edges: each user's personal account sits at the user record, above every group, and a group's administrator controls only the shared balance. One change addresses two failures of the single-group assumption. It lowers the cost of an administrator's departure, since members keep their personal accounts and their other memberships and …