Digital Commons Network^™

Texas’S Attempt To Compete With Delaware, Robert A. Ragazzo

Fordham Journal of Corporate & Financial Law

Delaware derives substantial economic benefits from attracting incorporation business. Other states have sought to receive a share of these economic benefits. Texas is among them. Part I of this article will consider Texas’s attempt to copy Delaware’s enabling philosophy. It will conclude that, although the Texas courts have not always shared Delaware’s enabling view, the Texas legislature has historically done its best to place Texas on a par with Delaware in terms of its enabling philosophy of corporate governance. In recent times, the Texas legislature has actually outdone the Delaware legislature in creating a pro-managerial corporate environment. Part II of …

A Quantum Quandary: Does Algorithmic Complexity Inherently Diminish Security, Chinyere Isaac-Heslop

Masters Theses & Doctoral Dissertations

Although essential, cryptographic security practice often relies on assumptions and abstractions that are difficult to audit under emerging quantum resource models. This creates an unnecessary barrier between the algorithms that govern the connected and the people cryptography protects. Modern cryptography relies on the assumption that computational complexity guarantees security. As algorithms become increasingly complex, their resistance to attack is presumed to increase. Practical constraints suggest that this relationship is neither linear nor indefinite. Resource limitations, algorithmic structure, and pressures from quantum computing introduce points at which added complexity ceases to improve and may instead degrade cryptographic robustness. This dissertation asks …

Cyber Behaviors And Well-Being In Emerging Adults: Patterns, Determinants, And Gender Differences, Areej Elsayary, Juan Calmaestra, Mercedes Gómez-López

All Works

Technological advances have reshaped the ways in which young people interact, giving rise to a complex digital landscape with implications for their well-being. Despite the growing body of research on cyber behaviors, their potential for both positive and negative well-being outcomes is not yet fully understood, nor is the role of gender in shaping these relationships. The present study aimed to explore the relationship between online moral disengagement, problematic internet use, online disinhibition, and cyberbullying dimensions and emotional, social, and psychological well-being among 671 emerging adults, as well as to examine the potential moderator role of gender. The results revealed …

Does Voluntary Manslaughter Exist In South Dakota?, Gregory Brazeal

Faculty Publications

The American legal tradition generally distinguishes between cold-blooded, premeditated intentional killing and hot-blooded, spontaneous intentional killing. The former has traditionally been categorized as murder and the latter as the lesser crime of “voluntary manslaughter.” South Dakota’s homicide statutes, interpreted based on their plain meaning, depart from this deeply rooted tradition. The closest equivalent to the crime of voluntary manslaughter appears in South Dakota’s first-degree manslaughter statute, which includes a prohibition on homicide “[w]ithout any design to effect death . . . and in a heat of passion, but in a cruel and unusual manner.” The phrase “heat of passion” suggests …

Opportunities To Address Alcohol Use With Community-Based Hiv Testing: A Parallel Mixed Methods Study, William Thomas Allen

Yale Medicine Thesis Digital Library

Background: Unhealthy alcohol use (UAU), defined as alcohol consumption at a level that has caused or has the potential to cause adverse physical, psychological, or social consequences, and particularly heavy episodic drinking (HED), is a risk factor for HIV infection that is often overlooked in HIV prevention settings. UAU impacts HIV infection risk through sexual decision-making mechanisms including condom use and pre-exposure prophylaxis (PrEP) adherence. Community-based HIV service organizations (HSO) may provide an opportunity to reach individuals with overlapping HIV risk, UAU, and low access to traditional healthcare systems. The feasibility and utility of UAU screening and intervention in the …

Two-Level Anterior Cervical Spine Intervention: A Comparative Analysis Of Existing Techniques, Philip Prakash Ratnasamy

Yale Medicine Thesis Digital Library

Background/Scientific Premise: There is growing utilization of surgical intervention for two-level degenerative cervical spine pathology. Multiple treatment options exist. The gold standard remains two-level anterior cervical discectomy and fusion (ACDF), in which the degenerative or herniated cervical discs are removed through an anterior approach to decompress neural elements, followed by fusion of the two involved interspaces to restore stability and alignment. More recently, cervical disc arthroplasty (CDA) has emerged as a viable treatment option for two-level cervical spine pathology, in which the surgeon removes the diseased intervertebral discs and replaces them with artificial discs to reconstruct the segments following decompress …

Association Between Baseline Prostate Mri Pi-Rads And Risk Of Gleason Upgrade During Active Surveillance, Shayan Smani

Yale Medicine Thesis Digital Library

Background: Active surveillance (AS) is the preferred management strategy for men with favorable-risk prostate cancer, aiming to avoid overtreatment while preserving oncologic safety. However, a meaningful proportion of patients experience Gleason Grade Group (GG) upgrading during follow-up, reflecting either biological progression or baseline misclassification. Multiparametric prostate magnetic resonance imaging (MRI), interpreted using the Prostate Imaging–Reporting and Data System (PI-RADS), is well established for detecting clinically significant prostate cancer at diagnosis, yet its prognostic role during AS remains incompletely defined. Specifically, whether baseline PI-RADS scores independently predict the risk of GG upgrading among men managed with AS has not been systematically …

“Treatment Not Tents:" The Medicalization Of Homelessness In California’S 2022-2025 Legislative Agenda, Elana R. Straus

Yale Medicine Thesis Digital Library

Modern homelessness emerged in the 1980s due to political choices that cut the social safety net and decreased the availability of affordable housing. Medicalized views of homelessness that frame homelessness as driven by individual pathology, particularly mental illness and addiction, emerged in research, media, and politics at this time. Homelessness has persisted since and remains particularly high in regions, including California, where the housing markets are most constrained. In this context, California advanced multiple legislative changes between 2022 and 2025 that increased pathways to involuntary treatment and criminal-legal control over people experiencing homelessness. In this thesis, I demonstrate how legislators …

Prevalence, Reporting, And Management Of Interstitial Lung Abnormalities And Incidental Findings On Lung Cancer Screening, Tian Wei Yu

Yale Medicine Thesis Digital Library

Background: Low dose computed tomography for lung cancer screening frequently identifies incidental findings. The most frequent and consequential thoracic and upper abdominal incidental findings include interstitial lung disease (ILD), interstitial lung abnormalities (ILA), emphysema, coronary artery calcification, aortic calcification, aortic aneurysm, and adrenal lesions. Many of these abnormalities carry prognostic and therapeutic implications. However, the prevalence of these findings, variation in reporting practices, and downstream management within integrated health systems remain incompletely characterized, particularly for ILA and ILD.

Research Aims: We aimed to quantify the prevalence of selected incidental findings on lung cancer screening CT across a large multi-hospital health …

Phonetic Attrition As An Outcome Of L1-L2 Phonetic Interaction: Effects Of L2 Exposure In Arabic-English Bilinguals, Dema Smadi

Linguistics & TESOL Dissertations

This dissertation investigates how length of second language (L2) exposure shapes the phonetic relationship between the first language (L1) and the L2 in adult Arabic-English bilinguals. Focusing on the production of voiced stops /b/ and /d/, the study examines how L1 Arabic and L2 English interact within a shared phonetic system and how this interaction develops as a function of increasing L2 exposure. Building on the Speech Learning Model and its revised version (SLM, SLM-r), the study adopts a relational perspective in which L1 and L2 are not treated as independent systems, but as dynamically interacting components of a shared …

Pinky Extension In American Sign Language: Evidence For A Lexically Restricted Morphological Process, Laurel Whitsett

Linguistics & TESOL Dissertations

This study investigates pinky extension (PE) in American Sign Language (ASL). PE involves extending the pinky finger in signs, even though this feature is not present in standard dictionary representations of those signs. Although PE has been previously described as conveying emphasis, this account does not fully explain its distribution. This study asks whether PE reflects a meaningful part of how signs are structured in ASL, rather than a matter of individual style or variation. Focusing on adjectives, it examines whether PE interacts with sentence position. In ASL, certain adjectives may appear either before (prenominally) or after (postnominally) the noun …

Ambient Listening: Using Artificial Intelligence To Transcribe Provider Office Visits, Odia Russette

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Electronic health record (EHR) documentation burdens contribute to increased “pajama time” or after–hours charting, reduced job satisfaction, and provider burnout. Provider burnout leads to provider and critical access point losses. Ambient–listening artificial intelligence (AI) technologies have emerged as a possible tool to reduce charting burdens; however, evidence from outpatient wellness settings remains limited.

Local Problem: At an urban adult wellness clinic in Texas with limited resources for completing tasks, in-clinic and after-hours “pajama time” charting burdens contributed to provider fatigue, job dissatisfaction, and burnout.

Methods: A quality improvement (QI) project using the Plan-Do-Study-Act (PDSA) framework implemented an AI ambient …

Estimating Prep And Voluntary Medical Male Circumcision Prevalence In Three High Hiv Burden Countries, Rose Grace Bender

Yale Medicine Thesis Digital Library

Understanding the impact of specific biomedical interventions is crucial for optimizing HIV prevention strategies. In this study, we estimate of the prevalence of voluntary medical male circumcision (VMMC) and lay out a framework for estimating preexposure prophylaxis (PrEP) in the three high-burden sub-Saharan African countries of Malawi, South Africa, and Zimbabwe. For VMMC, we use a cohort-based simulation framework to model circumcision prevalence in all males over time, allocating VMMC count data to cohorts over time. Model outputs are compared with survey and campaign data, and two parameters, the initial background circumcision prevalence and the age distribution of VMMC procedures, …

Epidermal Differentiation Disorders Across The Lifespan: Growth, Ophthalmologic, And Perinatal Manifestations, Caroline Echeandia-Francis

Yale Medicine Thesis Digital Library

Epidermal differentiation disorders (EDDs) are a heterogeneous group of inherited skin diseases characterized by impaired epidermal barrier function, scaling, and erythema. Although substantial progress has been made in identifying the genetic causes of EDD, long-standing clinical observations—including impaired growth, ectropion, and increased rates of preterm birth—remain poorly characterized across genotypes. The prevalence, severity, and clinical significance of these manifestations have not been systematically evaluated in large, genotype-stratified cohorts, limiting the ability to provide anticipatory guidance and tailored clinical care. This thesis seeks to (1) characterize growth trajectories in children with EDD and determine genotype-specific patterns of growth impairment; (2) assess …

Associating Inflammatory Dermatoses And Gynecological Disorders Using The National Institutes Of Health’S All Of Us Research Program, Christine Myriam Hodelin

Yale Medicine Thesis Digital Library

There remains a gap in the knowledge about the relationship between inflammatory disorders and common gynecological disorders, despite significant quality of life concerns for both. We examined the association between hidradenitis suppurativa (HS) and endometriosis, and the association between atopic dermatitis (AD) and uterine leiomyomas, both with a cross-sectional study using electronic health record and survey data from the National Institutes of Health’s All of Us Research Program.

The All of Us Research Program has a large United States-based cohort and focuses on traditionally underrepresented populations in research. We compared cases and controls, all assigned female at birth, using Pearson’s …

Facial Harmony And Gender Congruence: Patient-Reported Outcomes Of Gender-Affirming Facial Surgery Using The Gender-Q And Gpsq, Helia Hosseini

Yale Medicine Thesis Digital Library

Background:Gender-affirming facial surgery (GAFS) addresses gender dysphoria by aligning facial features with gender identity, with historical emphasis on refining the upper facial third to render patients more attractive and feminine. The GENDER-Q, a novel patient-reported outcome measure (PROM), evaluates aesthetic, functional, and psychosocial outcomes, complementing the Gender Preoccupation and Stability Questionnaire (GPSQ) to assess effects of GAFS in this study. Methodology: Survey data from 86 patients was analyzed using GENDER-Q and GPSQ scores. Higher GENDER-Q scores indicated improved outcomes, whereas lower GPSQ scores reflected reduced gender dysphoria. Pre- and post-operative outcomes were compared using paired and unpaired t-tests. Spearman’s correlation …

Trends, Predictors, And Cerebrovascular Outcomes Of Vertebral Artery Injury In Cervical Fractures, Rahul Jayaram

Yale Medicine Thesis Digital Library

Background and Scientific Premise: Cervical spine trauma is a common emergencydepartment presentation, and vertebral artery injury (VAI) is a potentially occult but serious complication associated with posterior circulation stroke. Identification of patients at risk remains challenging due to subtle presentations, variable screening practices, and limited prior data. Research Aims: The aims of this study were to characterize temporal trends in VAI detection among adult patients presenting to the emergency department with cervical spine fractures between 2010 and 2022, identify independent demographic, clinical, and injury-related predictors of VAI, and evaluate the association between VAI and ischemic stroke within ninety days of …

Neurophysiologic Responses To Endovascular Interventions For Delayed Cerebral Ischemia Management, Rafael Seth Maarek

Yale Medicine Thesis Digital Library

Background/Scientific Premise: Delayed cerebral ischemia (DCI) continues to be a leading cause of poor outcomes in hospitalized aneurysmal subarachnoid hemorrhage (aSAH) patients. In addition to cerebral vasospasm, a growing constellation of pathophysiologic processes has been implicated in the development of DCI, including impaired autoregulation, micro-thrombosis, inflammation, and cortical spreading depolarizations. However, management options for patients showing signs of emerging DCI have largely remained spasmolytic in nature, and it remains unclear if reversing cerebral vasospasm in patients with signs of emerging DCI will reliably improve underlying neurophysiology. To our knowledge, no group has reliably shown postprocedural improvements in quantitative EEG metrics …

The Deepfake Dilemma: Fake Images, Real Victims, And The Legal Void In Addressing Non-Consensual Deepfake Pornography, Elizabeth A. Safaryn

William & Mary Journal of Race, Gender, and Social Justice

This Note evaluates the various legal remedies available to victims of non-consensual deepfake pornography. As deepfakes are a relatively new but rapidly advancing technology, it is difficult for the law to keep up with the mass creation and distribution of AI-generated images on the Internet. With the competing interest of constitutionally protected speech, current deepfake laws fail to address non-consensual intimate image sharing (NCII) explicitly and lack the necessary deterrent effect to curb their proliferation. With an initial background on deepfakes and machine learning, this Note then explores the strained relationship between the First Amendment and the available civil remedies …

The New Transgender Tipping Point: Trumpism, Medical Necessity & Gender-Affirming Care, Molly J. Nunn

William & Mary Journal of Race, Gender, and Social Justice

Following the rise and eventual triumph of Trumpism 2024, President Donald J. Trump and his administration have sought to discredit the internationally recognized standards of effective health care practice for gender-affirming care. Now, ten years after Time Magazine published “The Transgender Tipping Point,” the political discourse of transgender identity is tipping again. Under the second Trump Administration, transgender identity sits at the edge of an abyss. Trumpism seeks to eradicate or significantly limit access to gender-affirming care through executive actions and the judiciary, despite the plethora of medical associations stating that that care is medically necessary. Public policies that widely …

Dad On Duty: The Potential Of Paid Parental Leave Laws, Laura E. Bates

William & Mary Journal of Race, Gender, and Social Justice

The United States is the only industrialized country in the world that does not guarantee its citizens paid parental leave. While the Family and Medical Leave Act provides some employees up to twelve weeks of unpaid leave, its limitations leave most American parents without adequate support. In the absence of a national paid parental leave system, states are stepping in, enacting laws that provide fully or partially paid parental leave. Private employers are also offering paid parental leave in increasing numbers. Despite these efforts, only 27 percent of private-sector American employees have access to paid parental leave.

Men taking paternity …

Export Controls As Intellectual Property Regulation, Doni Bloomfield

Faculty Scholarship

Export-control laws have long regulated information created outside of the U.S. government. Legal scholars have paid little attention to these national-security laws, and have not recognized that the government uses them specifically to assert a right to suppress information held in patent applications and trade secrets. In this Article, I present a new history of the relationship between export controls and intellectual property to show how the government regulates IP transfers, and how the state uses IP laws to national-security ends. Export-control laws regulate IP by controlling how people in the United States and beyond can share or use inventive …

Gpu-Accelerated Biased Random-Key Genetic Algorithms: Framework Optimization And Llm-Driven Configuration, Fnu Harishjitu Saseendran

Open Access Master's Theses

This thesis presents two complementary contributions to the field of GPU-accelerated evolutionary metaheuristics for combinatorial optimization, organized in manuscript format.

The first manuscript, “BrkgaCuda 3.0: A Redesigned Multi-GPU Framework for Biased Random-Key Genetic Algorithms,” presents a ground-up architectural redesign of BrkgaCuda 2.0 that enables a true multi-GPU island model for Biased Random-Key Genetic Algorithms (BRKGA). The BRKGA island model evolves multiple semi-independent populations that periodically exchange elite solutions, a structure that maps naturally to multi-GPU parallelism; however, BrkgaCuda 2.0 is confined to a single GPU. BrkgaCuda 3.0 introduces an IslandManager that distributes populations across any number of GPUs, with multiple …

Sauce For The Gander: The False Symmetry Of Myths And Stereotypes Against The Accused In Sexual Assault Trials, Janine Benedet

Dalhousie Law Journal

As sexual assault laws evolved to be expressed in sex-neutral language, so too have arguments relating to myths and stereotypes in the context of sexual offences. This article evaluates the argument that myths and stereotypes, traditionally a reflection of systemic discrimination against female complainants in rape trials, also operate against male accused. Understood correctly, this trend repackages anti-feminist backlash to early equality reform efforts, ultimately working to revive the belief that women’s accusations of sexual assault are often false. The Supreme Court of Canada’s decision in R v Kruk affirms that this historical context matters when it comes to claims …

Unseen Labour, Unmatched Impact: Struggles And Strategies Of Supervising Lawyers In Canadian Clinical Law Programs, Sarah Buhler, Gemma Smyth

Dalhousie Law Journal

Supervision has been described as the “beating heart” and the “core” of clinical legal education. Yet lawyers who supervise law students in clinical programs have challenging and poorly understood roles within Canadian legal education. This article analyzes interviews with lawyers who supervise students in Canadian law-school affiliated legal clinics. Supervising lawyers describe the tensions between their roles as lawyers, supervisors and mentors, university or non-profit employees, social justice advocates, members of law societies, and clinic team members. These tensions often exist within an environment of lower pay, poor job security, substandard treatment by colleagues, and inadequate training. Despite these challenges, …

The Criminalization Of Black Friendship, Kinship And Belonging, Reakash Walters

Dalhousie Law Journal

This paper posits that the Canadian state's attempt to target organized crime through the Criminal Code's criminal organization provisions has led to the criminalization of everyday expressions of Black life, including the criminalization of Black friendship. The statutory architecture of the regime incentivizes criminal legal actors with limited contiguity to Black culture to conflate bids for connection, association, and friendship within Black communities as gang activity.

Before the criminal organization provisions were enacted, Canada had no legacy of directly criminalizing organized crime. Localized violence in Quebec during the mid-1990s led to rushed amendments to the Criminal Code to target biker …

Lost At Sea: The Managerial Exclusion After Casinos Du Québec, Brian Langille

Dalhousie Law Journal

Is the managerial exclusion constitutionally dead or alive? In Casinos du Québec the Supreme Court of Canada somehow managed to make this a mind-boggling question. The Court also managed to bizarrely but blithely establish a higher threshold test for freedom of association violations than for unconstitutional intrusions upon other Charter freedoms. This comment addresses both of these shocking results but also seeks to go further and show how the Court’s entire freedom of association adventure is not only scary, but also unnecessary.

L’exclusion des postes de direction est-elle constitutionnellement morte ou vivante? Dans l’affaire Casinos du Québec, la Cour suprême …

Healthcare Discrimination Under The Canadian Charter Of Rights And Freedoms, Mélisande Charbonneau-Gravel, Sébastien Jodoin, Siobhan O’Connell

Dalhousie Law Journal

This paper explores the role that the Canadian Charter of Rights & Freedoms could and should play in addressing and redressing discrimination in the context of healthcare in Canada. Drawing on landmark as well as recent jurisprudence, we analyze how sections 7 and 15 of the Charter apply to three types of healthcare discrimination: (1) lack of access to healthcare and health services; (2) lower quality of services, and attitudes and biases faced in diagnosis and treatment; and (3) physical, verbal, psychological, and sexual abuse experienced by patients. Our analysis highlights the ongoing, problematic nature of the prevailing interpretations of …

Front Matter, Anthony G. Amsterdam, Randy A. Hertz

Trial Manual for the Defense of Criminal Cases

The Trial Manual 11 for the Defense of Criminal Cases is a guidebook for criminal defense lawyers at the trial level. It covers the information a defense attorney has to know, and the strategic factors s/he should consider, at each stage of the criminal trial process. It is organized for easy access by practitioners who need ideas and information quickly in order to jump-start their work at any given stage.

Chapter 2 - Outline And Flow-Chart Of A Criminal Case, Anthony G. Amsterdam, Randy A. Hertz

Trial Manual for the Defense of Criminal Cases

Most jurisdictions have two or more distinct sets of criminal procedures to govern charges of differing degrees of gravity. The jurisdictions vary regarding the number of sets of procedures employed (usually two or three), the charges governed by each set, and the particular courts, stages, and practices involved in each set. Local statutes, rules, and customs must be consulted. (In federal practice, for example, criminal prosecutions in the United States District Courts are governed by Rules 1-57 and 59-61 of the Federal Rules of Criminal Procedure; Rule 58 provides a somewhat different set of rules for proceedings in petty-offense and …