Digital Commons Network^™

Infectious Scleritis: A Comprehensive Narrative Review Of Epidemiology, Clinical Characteristics, And Management Strategies, Hamidreza Ghanbari, Masoud Rahimi, Ali Momeni, Kiana Hassanpour, Nikoo Bayan, Karen E. Lee, Alex Hansen, Ali R. Djalilian, Christopher J. Rapuano, Mohammad Soleimani

Wills Eye Hospital Papers

This study aims to provide an update on infectious scleritis (IS). A comprehensive search was conducted using Google Scholar, Scopus, and PubMed. IS is a rare but critical condition that presents significant diagnostic challenges and often leads to poor visual outcomes. It accounts for approximately 5%-10% of scleritis cases and warrants significant attention due to its delayed diagnosis. Ocular surgery is the primary contributor to IS, accounting for a substantial proportion of cases ranging from 58% to 83%, followed by trauma contributing to approximately 10% of cases. IS can be caused by various microorganisms, including bacteria (86%-87%), fungi (11%-13%), viruses, …

The Influence Of Sociodemographic Factors On Opioid Mortalities In The U.S. State Of Georgia, Theresa Highsmith

Walden Dissertations and Doctoral Studies

Since the late 1990s, the United States has been in the midst of an opioid epidemic that continues to present significant public health challenges. Opioid-related mortality, particularly involving fentanyl, has disproportionately affected vulnerable populations. The purpose of this quantitative study was to examine the associations between educational level, homelessness, and alcohol use with opioid-related overdose deaths involving fentanyl, while controlling for age, gender, and marital status, among Black and White populations in the U.S. state of Georgia. The theoretical framework was Bronfenbrenner’s socioecological model, which recognizes that individual behavior is influenced by multiple levels of factors, including interpersonal, community, and …

Insights From The Front Line: Uplifting Stories Of The Covid-19 Pandemic Through The Eyes Of The Public Health Workforce In Iowa, Heidi Haines, Amanda Sursely, Hanh Pham, Rylee Beltran, Daniel K. Sewell, Lina Tucker Reinders, Natoshia Askelson, Sarah Dixon, Kaitlin Emrich, Christine Estle, Michelle Lewis, Jimmy Reyes

Faculty Publications

Introduction: SARS-CoV-2 was declared a pandemic in March 2020. Studies have characterized some of the negative impact of the pandemic on public health workers (PHW), but few have explored the strength and coping strategies used. Our study documents the experiences of PHW in Iowa during the pandemic. Methods: We used an innovative mixed methods data collection tool, SenseMaker^® to gather stories from PHW in Iowa between March and July 2022. Participants provided additional data about their story via structured follow-up questions. We conducted descriptive analyses of the quantitative questions. A qualitative thematic and sentiment analysis was applied to all …

Effects Of Oxygen Manipulation On Myofibroblast Phenotypic Transformation In Patients With Radiation-Induced Fibrosis, Eric Mastrolonardo, Sarah Sussman, Bo Yun, Victor Jegede, Dev Amin, Joel Rosenbloom, Andrew P. South, Voichita Bar-Ad, Peter J Wermuth, Adam J. Luginbuhl

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

We tested if hyperoxic conditions can reduce the proportion of active myofibroblasts, which are assumed to be a major driver of head and neck radiation-induced fibrosis, as measured by expression levels of pro-fibrotic genes. Radiated, non-cancerous soft tissue from the head and neck and skin/soft tissue from non-radiated flap donor site were collected from each patient. Myofibroblast density was quantified using immunofluorescence staining with α-SMA and DAPI and visualisation under confocal microscopy and compared between baseline non-radiated and radiated tissue from the same patient. From each tissue specimen, fibroblast cell lines were cultured and exposed to either normoxic, hypoxic, or …

The Histone H3 Lysine 36 Demethylase Kdm2a/Fbxl11 Controls Polycomb-Mediated Gene Repression And Germ Cell Development In Male Mice, Michael T Bocker, Grigorios Fanourgakis, Kristie Wetzel, Pavel A Komarov, Hélène Royo, Alexia Rohmer, Sunwoo Chun, Ching-Yeu Liang, Hubertus Kohler, Taiping Chen, Xiaohong Mao, Mark A Labow, Reginald A Valdez, Michael B Stadler, Dirk G De Rooij, Paola Capodieci, John Tallarico, Antoine H F M Peters, Thomas B Nicholson

Faculty, Staff and Student Publications

KDM2A/FBXL11 is a Jumonji-domain containing lysine demethylase catalyzing the removal of mono- and di-methyl modifications of histone H3 lysine 36 (H3K36me1/2). While Kdm2a is required for mouse embryogenesis, its role in adult physiology has been largely unexplored. Using conditional deletion approaches, we demonstrate that Kdm2a deficiency leads to testicular atrophy and male infertility. Although spermatogonial stem cells remain unaffected, proliferating and differentiating spermatogonia exhibit delayed cell cycle progression and apoptosis. RNA-sequencing of purified spermatogonia and spermatocytes reveals Kdm2a-dependent repression of over 750 genes during spermatogonial differentiation. Chromatin immunoprecipitation followed by sequencing (ChIP-seq) demonstrates increased H3K36me2 levels at CpG-rich gene promoters …

Another Step In The Anti-Abortion Agenda, Aziza Ahmed

Shorter Faculty Works

Trump’s recently passed “One Big, Beautiful Bill” bars Medicaid reimbursements to Planned Parenthood for one year – a provision now temporarily blocked after Planned Parenthood filed suit. But the measure builds on, and must be read against, the backdrop of Medina v. Planned Parenthood, a recent and disastrous Supreme Court ruling initiated by South Carolina and now poised to inspire copycat efforts in other states. The case starkly illustrates the Court’s continued alignment with an anti-abortion agenda advanced through state governments. As Justice Jackson forcefully argued, the decision forms part of a broader assault on civil rights – and …

Constitutive Il-7 Signaling Promotes Car-Nk Cell Survival In The Solid Tumor Microenvironment But Impairs Tumor Control, Matthew Dysthe, Ishwar Navin, Dayenne Van Leeuwen, Josue Pineda, Corrine Baumgartner, Cliona M Rooney, Robin Parihar

Faculty, Staff and Students Publications

Background: Adoptive transfer of chimeric antigen receptor (CAR)-expressing natural killer (NK) cells has demonstrated success against hematological malignancies. Efficacy against solid tumors has been limited by poor NK cell survival and function in the suppressive tumor microenvironment (TME). To enhance efficacy against solid tumors, stimulatory cytokines have been incorporated into CAR-NK cell therapeutic approaches. However, current cytokine strategies have limitations, including systemic toxicities, exogenous dependencies, and unwanted TME bystander effects. Here, we aimed to overcome these limitations by modifying CAR-NK cells to express a constitutively active interleukin (IL)-7 receptor, termed C7R, capable of providing intrinsic CAR-NK cell activation that does …

Rishon Le-ẒIyyon, Winepress Park: Geomorphology And Sedimentology, Joel Roskin, Yotam Asscher

Qadum: Journal of Excavation Reports from Israel

An extensive brown sandy double-unit sediment, draping large parts of the archaeological remains at the Winepress Park in Rishon Le-Ẓiyyon, is suggested to be associated with the previously reported, undated ʻEn Ha-Qore clay. Based on relative age port-OSL profiling, the depositional mechanism of this unit and the overlying sand is suggested to be related to late Holocene, dune-dammed winter ponds. These aeolian-fluvial dune-damming processes may have been partly triggered by intensive Byzantine human activity that may have led to sand mobilization.

Rishon Le-ẒIyyon, Winepress Park: Remains Of Agricultural Activity From The Byzantine And Early Islamic Periods And Remains From The Ottoman Period And The British Mandate Era / ראשון לציון, גן הגיתות: שרידי פעילות חקלאית מהתקופות הביזנטית והאסלאמית הקדומה ושרידים מהתקופה העות'מאנית ומימי המנדט הבריטי, Ayelet Dayan, Aviva Bouchenino

Qadum: Journal of Excavation Reports from Israel

Five excavation seasons conducted in and around the archaeological Winepress Park in Rishon Le-Ẓiyyon uncovered the agricultural hinterland of a settlement active during the Byzantine and Early Islamic periods. The finds included architectural remains, three winepresses and several installations. The locally produced and imported domestic pottery from the Byzantine period suggests a residential zone—possibly a farmhouse—that likely served the tenants operating the nearby winepresses. The number and size of the winepresses indicate that wine production at the site was intended not only for local consumption but also for export. Activity at the site ceased during the Early Islamic period, when …

Humanization Strategy Of The Public Urban Space In Cairo, Rania Badawy Shokry

Mansoura Engineering Journal

An accurate scientific definition of the term “humanization of cities” has not yet crystallized, which refers the term to the word from which it is derived. She is "human". Obviously, anything contrary to it is inhuman; starting from wild nature or a life entirely dependent on vehicles. If a person cannot dispense with vehicles when carrying out his daily activities, then here we know that the standard of humanization in a place is low. However, if the planning of a city or neighborhood takes into account the needs of the population and the human standard, then the city may reach …

Essays On Freedom And Power, John Acton

Hannah Arendt Marginalia - All

New York : [Published by Noonday Press], 1955, [c1948]

Call #: New York : JC571 .A14 1955

Excerpted pages contains marginalia, underlining and marginal lining

PDF Information: 77 pages – 4.5 MB

Agency Protocol: A Decentralized Trust-Building System Using Domain-Specific Merit And Economic Stakes To Incentivize Promise-Keeping In Agent-To-Agent Interactions, David Joseph

Defensive Publications Series

The Agency Protocol defines a decentralized trust infrastructure in which autonomous agents cooperate by issuing cryptographically‑signed, domain‑scoped promises and verifiable assessments. Each promise carries a dual‑component stake—an at‑risk credit deposit and a non‑refundable operational‑cost fee—that is locked in content‑addressed storage and returned or slashed according to assessment consensus. Assessments are merit‑weighted; an agent’s merit is a non‑transferable, domain‑specific reputation score updated by matrix‑factorized aggregation of historical outcomes, while credits form a fully transferable internal currency. Merit discounts future stake requirements, creating a positive feedback loop that makes honest behaviour utility‑maximising.

External facts enter the system through a decentralised oracle …

Investigating Respiratory Viral Pathogens In Pediatric Age Groups, Yaser Ali Hussein Musawa, Fatma Esenkaya Taşbent, Mehmet Özdemir

Journal of Pediatric Infectious Diseases

Objective: Respiratory viral infections are the leading causes of morbidity and mortality in children. Acute respiratory infections account for approximately 20% of childhood fatalities. This study aimed to retrospectively investigate the respiratory viral agents and epidemiological characteristics, in pediatric patients. Methods: The study included pediatric patients, aged 0-18 years. A retrospective analysis was conducted on 5,253 samples sent to the microbiology laboratory with suspected respiratory tract infection between January 1, 2020 and December 31, 2023. Sixteen different viral agents were investigated in samples using multiplex PCR. The enrolled patients were divided into three groups. Positive results were examined in terms …

Prognostic Nutritional Index For Predicting Late-Onset Sepsis And Mortality In Late Preterm Infants: A Retrospective Study, Nurdan Dinlen Fettah, Nihan Yıldırım Yıldız, Seda Aydoğan, Meltem Aksu, Ferit Kulalı, Nur Aycan

Journal of Pediatric Infectious Diseases

Objective: Neonatal sepsis is a critical condition with considerable mortality and morbidity. The prognostic nutritional index (PNI), calculated from serum albumin level and lymphocyte count, is a marker for assessing nutritional and inflammatory states. This study evaluates the clinical value of PNIs in predicting late-onset sepsis and mortality in late-preterm neonates. Methods: This retrospective single-center study included 210 neonates with suspected sepsis. Clinical and laboratory data were collected, and PNI was calculated using the formula: serum albumin (g/L) + 5 × total lymphocyte count (10^9/L). Of the total cohort, 130 neonates with confirmed sepsis were assigned to the sepsis group, …

Utility And Impact Analysis Of Inpatient Pediatric Physiologic Monitoring, Anand Gourishankar, Monaliza Evangelista, Misti Ellsworth, Jean Hsu

Journal of Pediatric Intensive Care

Objective: This study aimed to study the practice and effect of monitoring pediatric patients in the length of stay (LOS). Methods: We performed a prospective, observational study of pediatric patients in the general ward from October to December 2016. We have recorded the use of cardiac, pulse-oximeter, or both, and as per physician order at time of patient admission. We have studied the proportions of monitoring at different patient groups. We have applied linear regression model to investigate the relationship between LOS and cardiopulmonary monitoring, orders, and medical complexity. Results: Among 399 patients, patients with cardiac and pulse oximeter monitoring …

Multisystem Inflammatory Syndrome In Children Associated With Covid-19 Infection: A Comprehensive Review, Alejandra Isabel Meza-Contreras, Marcelo Nicolas Galdos-Bejar, Raffo Escalante-Kanashiro

Journal of Pediatric Intensive Care

Objectives: The Multisystem Inflammatory Syndrome in Children (MIS-C) is a post-infectious syndrome associated with COVID-19 disease in children. The aim of this study is to conduct a thorough review to assist healthcare professionals in diagnosis and management of this complication of COVID-19 disease in children Material and Methods: A thorough systematic review was conducted through an on-line search based on MIS-C with the primary focus on epidemiology, clinical characteristics, diagnosis, pathophysiology, management and long-term follow-up. Results: This syndrome is characterized by an exaggerated and uncontrolled release of pro-inflammatory cytokines involving dysfunction of both innate and adaptive immunity. In this review, …

Analytical Solution And Stability Of Ψ-Prabhakar Delayed Systems: Application To Antibiotic Production, Mustafa Aydin

Turkish Journal of Mathematics

The analytical solution of the linear ψ -Prabhakar delay differential equations is explored using the method of variation of parameters, in which a ψ -general delayed exponential matrix function is introduced. The ψ -Prabhakar calculus is enhanced in terms of the semi-group property, inversion results, and several simplified calculations and relations. The system's stability is analyzed within the framework of Ulam-Hyers stability. Finally, the theoretical findings are validated through an application to antibiotic production.

Brexit And The Devolution Of Uk Settlements: A Qualitative Case Study Of The Socio-Political Factors And Consequences Of Brexit On Scotland, Deborah Erioluwa Adeniji

Masters Theses

This paper takes a real in-depth look at the United Kingdom’s position in the geopolitical landscape before and after one of the most crucial votes in the nation’s history, namely the Brexit vote of 2016. To bring clarity to those who may be new to UK politics, it is important to note that Brexit is an abbreviated term for Britain’s exit, or departure, from the European Union (EU). This paper explores the position of the United Kingdom, or Britain, in the world before and after its departure from the European Union. Throughout the course of this paper, the following questions …

Adam Urda V. Jeffrey Sokso

2025 Decisions

USDC for the Middle District of Pennsylvania

Corecivic Inc V. Governor Of New Jersey

2025 Decisions

USDC for the District of New Jersey

Usa V. Joseph Cammarata

2025 Decisions

USDC for the Eastern District of Pennsylvania

Diptiben Patel V. Attorney General United States Of America

2025 Decisions

Agency

Molly M. Patrick V. W. Roger Miers, Order On Motion To Dismiss, John J. Goger

Superior Court of Fulton County: Metro Atlanta Business Case Division Opinions

No abstract provided.

Act With Nmosd: A Targeted, Telehealth-Delivered Mental Health Intervention For Patients & Caregivers, Darcy C. Esiason, Patrick J. Smith, Charles L. Peppers, Emily Wakschal, Leigh Andrews, Chelsi N. Nurse, Hallie M. Kushner, Christopher F. Drescher, Heather Bruschwein, Wendy Erler, Tom Hattrich, Ankita Deshpande, Michael Levy, Thomas P. Leist, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: The rare, unpredictable, debilitating nature of neuromyelitis optica spectrum disorder (NMOSD) constitutes a unique psychological burden. This single-arm, pilot clinical trial examined the effectiveness of Acceptance and Commitment Therapy (ACT) tailored to meet the psychological burden of NMOSD, a brief telehealth-delivered intervention, targeting this burden.

METHODS: Forty-three adults with NMOSD (76 % aquaporin-4 seropositive (AQP4+)) in USA, with elevated anxiety and/or depression completed 6-weeks of an experiential talk therapy designed to increase psychological flexibility and valued action, specifically tailored to address the psychological burden of NMOSD: Acceptance and Commitment Therapy (ACT) w NMOSD. Patients attended via Zoom, along with …

Rene Hernandez-Garcia V. Attorney General United States Of America

2025 Decisions

Agency

Self-Care: The Solution To Exhaustion For Captain (O-3) Chaplains, James W. Gladden

Doctoral Dissertations and Projects

The U.S. Army Chaplain Corps is a unique group of Soldiers who have been called to serve as professional military religious leaders in a military context, nurturing the living, caring for the wounded, and honoring the fallen. In meeting those objectives in the military, some Chaplains find themselves reaching a level of exhaustion that could have long-term damage to their spiritual, emotional, mental, and physical well-being. At the battalion level, Captain (O-3) Chaplains are the Religious Leaders who will face the brunt of the stress, as they are the first to respond to boots-on-ground ministry at the tactical level. On …

In Lieu Of The Nlra, Gali Racabi

Cornell Law Faculty Working Papers

The National Labor Relations Act (NLRA) deteriorates from constitutional attacks and political sabotage. As labor law buckles, its preemption regime, a keystone of U.S. labor governance, has become unsustainable. This Article argues that labor law must flip its federal default by empowering and expanding state-level labor institutions and expanding gaps in NLRA preemption doctrine. Eighteen states already maintain NLRA-like statutory frameworks, and fourteen more recognize workers’ rights to unionize and act collectively as a state public policy. These under-examined laws hint at an alternative labor governance model in lieu of the NLRA.

Building on emerging preemption challenges, weaknesses in federal …

Digital Identity Management As A Critical Criminal Justice And Homeland Security Legal Issue: A Qualitative Analysis Of The Reasonable Person Factors Involved In Court Decisions, William H. Nicholson

Doctoral Dissertations and Projects

The purpose of this descriptive qualitative applied study is to define and explain through analysis the reasonable person standard as it relates to prosecution and sentencing computer crime cases involving digital identities while addressing the problem of digital anonymity. This has been done by analyzing computer crime cases with the advent of current and planned technologies, and surveying potential jurors to understand the current state of knowledge of digital attribution. This descriptive qualitative research method analyzed the problem through the use of criminological theories of control and social learning theory to better understand the reasonable person standard in computer crime …

The Life And Times Of Francis T. Nicholls: General, Lawyer, Governor, Jeffrey Paul Drury

Doctoral Dissertations and Projects

The life and times of Francis T. Nicholls, soldier, lawyer, judge, twice governor of Louisiana, and justice of the Louisiana Supreme Court.

The Regulars: Joseph Russell Knowland And The Roots Of Contemporary Republican Conservatism, Ron Cook

Doctoral Dissertations and Projects

The “regular” Republicans were the conservatives within the reform-dominated Republican Party at the dawn of the twentieth century. Heirs of the Republican “stalwarts” of the Gilded Age, they were the “machine,” “establishment,” and “old guard” Republicans in the Age of Theodore Roosevelt. Overall, they preferred traditional, “patron-based” and “service-oriented” party organization over the “issue-driven coalitions” of progressive reformers. Across most of the nineteenth century, American politics was rooted in simple party identity, and this traditional “politics of organization.” In the early twentieth century, however, progressives ushered in what historian Arthur Schlesinger, Jr., later called a “politics of ideology,” grounded not …