Digital Commons Network^™

Research On Node-Improved Energy Dissipation Wear Model For Fretting Fatigue Prediction In Railway Press-Fit Shaft, Hang Wang, Lijun Zhang, Weijian Zhang, Hongtao Li, Hong Chi, Kai Yang, Jixu Zhou, Li Ai

Civil Engineering Faculty Publications

As a key component of the traveling system of high-speed trains, the axle is crucial for its safe operation. The current research on the fretting wear and fatigue development of shafts suffers from the problems of low local simulation accuracy of the wear model and the lack of detection and validation methods for the dynamic expansion of wear and fatigue. To this end, this study firstly proposes a new node-improved form of energy dissipation wear model, which is more sensitive to the contact behavior of the asperity body in the overfilled region and the energy transfer process; it exhibits wear …

The Influence Of Family Literacy Playgroups On Early Childhood Development And Parent Efficacy In Hispanic Families: A Qualitative Phenomenological Case Study, Karen R. Loper

Graduate Theses, Dissertations, and Capstones

This qualitative phenomenological case study is focused on the engagement of Hispanic children between 18 and 36 months of age and their parents in a family literacy program. Participation in a family literacy program was associated with changes in the cognitive, social, and emotional development of children, as well as the self-efficacy of their parents in parenting skills. Grounded in the social theories of Vygotsky, Bandura, and Bronfenbrenner, this study relates the importance of language acquisition, literacy skills, and self-efficacy to a community setting where conversation is encouraged and reading engagement is modeled. The Hispanic population is underrepresented in the …

Predictors Of Final Visual Outcome In Patients With Leber Hereditary Optic Neuropathy Treated With Lenadogene Nolparvovec Gene Therapy, Robert C Sergott, Valerio Carelli, Nancy Newman, Valérie Biousse, Patrick Yu-Wai-Man, Catherine Vignal-Clermont, Constant Josse, Magali Taiel, José-Alain Sahel, Piero Barboni

Wills Eye Hospital Papers

PURPOSE: This exploratory analysis aimed to identify predictive factors of final best-corrected visual acuity (BCVA) in patients with Leber hereditary optic neuropathy (LHON) harboring the m.11778G>A mutation who received lenadogene nolparvovec gene therapy.

METHODS: The following covariates were individually evaluated as possible factors associated with improved final BCVA: age, gender, timing of treatment, baseline BCVA value, and baseline optical coherence tomography (OCT) parameters. Univariate analyses were performed from three phase 3 studies (RESCUE, REVERSE, and REFLECT), using BCVA at 1.5 years post-treatment as the dependent variable.

RESULTS: In 113 eyes treated at least 6 months after disease onset, the …

Re: Comment Letter For The Butte Priority Soils Operable Unit (Bpsou) 2022 Draft Final Insufficiently Reclaimed Sites Sampling: Bres No. 32 Site Evaluation Summary Report (Dated December 11, 2024), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Patient Information Needs During Ambulatory Medication Changes: A Qualitative Study, Elaine Giletta, Vanessa B. Hurley, Yushi Yang, Jessica L. Schwartz, Rabia Jalalzai, Nicole L. Mollenkopf, Raquel Mayne, Samantha I. Pitts

Journal of Patient-Centered Research and Reviews

Purpose: We performed interviews with patients and caregivers to explore whole-person, whole-regimen information needs at times of routine outpatient medication changes. We categorized information needs in this relatively unstudied context and identified which needs were commonly recognized as insufficiently met.

Methods: We explored the content of the semi-structured interviews, which involved nine patients and two caregivers of pediatric patients, all of whom experienced a recent medication change in the outpatient setting of a large urban academic healthcare system. We used inductive thematic analysis to organize information needs into categories to identify key information gaps.

Results: We identified five categories of …

Tow Tank Testing Of A 1:70 Froude Scaled Floating Offshore Wind Turbine, Adam Roberts, Saeid Kazemi, Frédéric Le Pivert, Tom Tosdevin, Adan Lopez-Santander, Matthew Craven

Faculty of Science and Engineering Datasets

These test cases cover the towing behaviour of a 1:70 scale model of the IEA 15MW reference wind turbine on the UMaine VolturnUS-S semi-submersible platform. They consist of towing at different speeds and in different configurations in calm waters, regular and irregular wave conditions, and some focused waves. No wind was applied to the turbine during towing and the model does not have an accurate rotor, meaning all cases only consider the hydrodynamic loading with a small amount of air resistance on the tower and platform due to the tow speed. All tests were conducted at the Boldrewood Towing Tank …

Wind Tunnel Model Of The Jack Rabbit Ii Field Experiments In The Mock Urban Array: Part 2. Approach Wind Conditions And Particle Image Velocimetry Measurements Of Simulated Chlorine Releases, Paulo V. Lopez, Thomas O. Spicer, Chad T. Smith

Chemical Engineering Faculty Publications and Presentations

The Jack Rabbit II (JR-II) Mock Urban Environment field test was reproduced in a 1:50 scale physical model in the wind tunnel at the Chemical Hazards Research Center of the University of Arkansas. The agreement of the approaching wind characteristics between field test and model was verified using 3D Laser Doppler Velocimetry (LDV). 2D Particle Image Velocimetry (PIV) tests were conducted in the model to obtain velocity measurements in the MUE. Velocity measurements taken before and during a simulated chlorine release were compared. PIV results show the general flow complexity in the last rows of the MUE and the impact …

Isolation Enhancement Based On Tm010 And Te30 Mode Characteristics In A Patch Antennas Using Genetic Algorithm Optimization For Ku-Band Applications, Muddineni Raveendra, U. Saravanakumar, P. Padmaloshani, P. Saam Prasanth Dheeraj, Anand Anbalagan, R. Sreelakshmy

Electrical and Computer Engineering Faculty Publications and Presentations

This paper proposes a novel technique to enhance isolation in rectangular patch antennas by leveraging the mode characteristics of TM010 and TE30 to achieve better than −40 dB between the transmitter and receiver with dual‐polarization features. The primary innovation of this work lies in achieving significant isolation enhancement solely by combining two resonant modes with orthogonal polarizations, without incorporating any additional design elements such as parasitic components or decoupling structures. To validate the isolation enhancement based on these mode characteristics, a pair of rectangular transmitter and receiver patch antennas was designed to operate in the frequency range from 14 to …

Respiratory Compensated Robot For Liver Cancer Treatment, Yue Chen, Mishek Jair Musa

Patents Granted

A robotic platform system having a lower stage with a motorized cartesian carriage, an upper stage, and a needle insertion module that connects both stages together.

Re: Comment Letter For The Butte Priority Soils Operable Unit (Bpsou) 2022 Draft Final Insufficiently Reclaimed Sites Sampling: Bres No. 38 – Sister Dump Site Evaluation Summary Report (December 31, 2024), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Cancer Vaccination And Immune-Based Approaches In Pancreatic Cancer, Matthew D. Bloom, Ali Raza Shaikh, Zhengyang Sun, Babar Bashir, Adam E. Snook

Department of Medical Oncology Faculty Papers

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy with high recurrence rates even after curative resection and adjuvant chemotherapy. Although immunotherapeutic approaches, such as immune checkpoint blockade (ICB), have revolutionized the treatment of some solid tumor malignancies, this has not been the case for PDAC. Several characteristics of PDAC, including its distinctive desmoplastic tumor microenvironment (TME), intratumor heterogeneity, and poor antigenicity and immune cell infiltration, contribute to its dismal immunotherapeutic landscape. Cancer vaccines offer one approach to overcoming these barriers, particularly in the resectable or borderline resectable settings, where tumor burden is low and immunosuppression is less pronounced. Various vaccination …

What Can We Learn From The High School Math Reform Efforts In California, Georgia, And Oregon? A Policy Analysis, Yanira Vazquez

Teacher Education, Educational Leadership & Policy ETDs

Using publicly available data sources, this policy analysis examined how three states—California, Georgia, and Oregon—approached high school mathematics reforms to address questions regarding what prompted these states to revise their high school math standards and course pathways; how their approaches to reform were similar or different; and what other states could learn from their methods.

Individual state cases were developed, focusing on content standards, course pathways, and graduation requirements. A cross-case study was created to compare reforms from the three states.

While all states aimed to reform high school mathematics to address equity issues and offer options aligned with students’ …

Theoretical And Experimental Investigation Of Liquid-Liquid Phase Separation: Characterizing Elastin-Like-Polypeptides, Adam D. Quintana

Chemical and Biological Engineering ETDs

This dissertation develops and validates a semi-empirical Flory–Huggins-based interaction model, combined with Cahn–Hilliard simulations, for predicting multi-component liquid–liquid phase separation (LLPS) in elastin-like polypeptide (ELP) systems. Equilibrium droplet compositions, measured using a PDMS-based microfluidic device, enabled direct parameterization of interaction coefficients. The model was applied to generate phase diagrams and assess composition dependence in ternary mixtures. Cahn–Hilliard simulations were conducted to explore potential phase morphologies under different interfacial conditions. Multi-component Lattice Boltzmann simulations were implemented to model droplet morphology evolution under varying interfacial and diffusive parameters, reproducing experimentally relevant morphologies. A three-phase wetting study revealed conditions for selective wetting and …

The Role Of Emotional Intelligence In Enhancing Organizational Resilience: Examining The Moderating Impact Of Transformational Leadership, Abdallah Q. Bataineh, Mohammad Alhur, Dhia Qasim, Ahmed Shuhaiber

All Works

In an era of persistent economic uncertainty and supply chain disruptions, organizational resilience has emerged as a critical determinant of long-term sustainability, particularly in rapidly evolving industries such as food manufacturing. Emotional intelligence (EI) has been identified as a key driver of resilience, enabling individuals and organizations to better adapt, recover, and grow in the face of challenges. This study aims to investigate the impact of EI on organizational resilience and to assess the moderating role of transformational leadership in this relationship within the context of Jordan’s yogurt industry. A quantitative research design was employed, and data were collected in …

A Systems Engineering Approach To Improve Alarm Management And Nurse Mental Workload, Benjamin D. Elmore

LSU Doctoral Dissertations

Alarm fatigue has been a consistent problem nurses have experienced for decades. The effects of excessive nuisance alarms leads to adverse effects such as desensitization, missed alarms, frustration, and increased risk to patient safety. Other research has provided explanations on alarm fatigue causes and developed solutions for reducing nuisance alarms or minimizing effects, but few have examined the problem from a sociotechnical systems perspective. This study applied the Systems Engineering Initiative for Patient Safety (SEIPS) framework to define, design, and test an alarm management intervention compatible with a Progressive Care Unit (PCU)’s sociotechnical subsystems. The SEIPS application is unique from …

The Design And Effect Of Continuum Robot Compliance On Locomotion, Parsa Molaei

LSU Doctoral Dissertations

Continuum robots, due to their compliant structures and ability to navigate through constrained environments, offer significant advantages in applications requiring safe physical interaction and dexterous motion. However, challenges related to limited structural stiffness, payload capacity, and precise control remain open problems in the field. This dissertation presents novel contributions aimed at addressing these limitations through two main actuation units of continuum robots: tendon-driven continuum robots (TDCRs) and concentric tube robots (CTRs). In the first part, we focus on methods to improve the stability and modify the stiffness of the TDCR. A tendon decoupling strategy is introduced for planar TDCRs. The …

Anion Exchange Membrane Transport And Accelerated Testing Methods For Co2 Electrolyzers With Cu-Based Electrocatalyst, John C. Hendershot

LSU Doctoral Dissertations

Electrocatalytic carbon dioxide (CO₂) reduction to C₂₊ products holds promise for low carbon intensity fuels, chemicals, and food; however, durability challenges, particularly bicarbonate (HCO₃^-)and carbonate (CO₃^2-) salt precipitation, hinder their commercialization. This report considers water (H₂O) and ion transport properties of conventional anion exchange membranes (AEMs) in zero-gap membrane electrode assembly (MEA) configurations using Cu electrocatalysts. Transport characterization includes H₂O diffusion, permeability, potassium (K⁺) diffusion, and transference numbers using three commercial AEMs, including piperidinium-based (Versogen), quaternary ammonium-based (Fumasep), and imidazolium-based (Dioxide Materials) membranes. Accelerated lifetime …

Met Pathway Inhibition Increases Chemo-Immunotherapy Efficacy In Small Cell Lung Cancer, Raúl Del Rey-Vergara, Miguel Alejandro Galindo-Campos, Pedro Rocha, Marina Carpes, Carlos Martínez, Silvia Menéndez, Adrià Rossell, Albert Iñañez, Sandra Pérez-Buira, Federico Rojo, Ramon Gimeno, Dolores Isla, Jon Zugazagoitia, Cristina Martí Blanco, Rosario García-Campelo, Alberto Moreno-Vega, Luis León-Mateos, Ángel Callejo Mellén, Kwon-Sik Park, Simon Heeke, John V Heymach, Álvaro Taus, Luis Paz-Ares, Ana Rovira, Edurne Arriola

Faculty, Staff and Student Publications

The introduction of immunotherapy as a first-line treatment for advanced small cell lung cancer (SCLC) represents significant progress, yet there remains an opportunity to further improve patient outcomes. Hepatocyte growth factor (HGF) receptor (MET) pathway activation promotes epithelial-mesenchymal transition, driving chemoresistance and potentially impairing the efficacy of immunotherapy. In SCLC mouse models, adding MET inhibition to chemo-immunotherapy (anti-PD-L1) reduces tumor growth, extends survival, and reshapes the tumor microenvironment by decreasing suppressive myeloid cell infiltration and enhancing the immune response. Analysis of pretreatment human SCLC tumor samples reveals that myeloid-enriched immune infiltrates may contribute to chemo-immunotherapy resistance. Elevated serum HGF levels …

Facts And Hopes: Toward The Next Quantum Leap In Melanoma, Keith T Flaherty, Andrew E Aplin, Michael A Davies, Nir Hacohen, Meenhard Herlyn, Patrick Hwu, James Mulé, Jennifer A Wargo, David E Fisher

Faculty, Staff and Student Publications

Outcomes from advanced melanoma, the deadliest of the skin cancers arising from melanocytes and capable of widely metastasizing, have greatly improved, with death rates decreasing for patients with American Joint Committee on Cancer stage 4 melanoma by 3% to 5% annually over the past 10 years. This improvement is a result of advances in both targeted therapy and immunotherapy. BRAF and MEK inhibitors for advanced melanoma have led the way for targeted cancer strategies and first-in-class approvals for immune checkpoint blockers targeting CTLA4, PD-1, and LAG3; T-cell engager therapy targeting the antigen gp100; and tumor-infiltrating lymphocyte therapy. All of these …

Targeting The Cd40 Costimulatory Receptor To Improve Virotherapy Efficacy In Diffuse Midline Gliomas, Sara Labiano, Javier Marco-Sanz, Iker Ausejo-Mauleon, Virginia Laspidea, Reyes Hernández-Osuna, Daniel De La Nava, Marisol Gonzalez-Huarriz, Timothy N Phoenix, Ibon Tamayo, Marta Zalacain, Andrea Lacalle, Lucía Marrodan, Montserrat Puigdelloses, Irati Hervás-Corpión, Maria C Ochoa, Noelia Casares, Oren J Becher, Candelaria Gomez-Manzano, Juan Fueyo, Jaime Gallego Perez-Larraya, Ana Patiño-Garcia, Marta M Alonso

Faculty, Staff and Student Publications

Diffuse midline glioma (DMG) is a devastating pediatric brain tumor. The oncolytic adenovirus Delta-24-RGD has shown promising efficacy and safety in DMG patients but is not yet curative. Thus, we hypothesized that activating dendritic cells (DCs) through the CD40 costimulatory receptor could increase antigen presentation and enhance the anti-tumor effect of the virus, resulting in long-term responses. This study shows that the intratumoral co-administration of Delta-24-RGD and a CD40 agonistic antibody is well tolerated and induces long-term anti-tumor immunity, including complete responses (up to 40%) in DMG preclinical models. Mechanistic studies revealed that this therapy increased tumor-proliferating T lymphocytes and …

Technology Roadmap Of Micro/Nanorobots, Xiaohui Ju, Chuanrui Chen, Cagatay M Oral, Semih Sevim, Ramin Golestanian, Negin Bouzari, Mario Urso, Jong Seok Nam, Yujang Cho, Xia Peng, Fabian C Landers, Shihao Yang, Azin Adibi, Nahid Taz, Raphael Wittkowski, Daniel Ahmed, Wei Wang, Veronika Magdanz, Mariana Medina-Sánchez, Maria Guix, Naimat Bari, Bahareh Behkam, Raymond Kapral, Yaxin Huang, Jinyao Tang, Ben Wang, Konstantin Morozov, Alexander Leshansky, Sarmad Ahmad Abbasi, Hongsoo Choi, Subhadip Ghosh, Bárbara Borges Fernandes, Giuseppe Battaglia, Peer Fischer, Ambarish Ghosh, Beatriz Jurado Sánchez, Alberto Escarpa, Quentin Martinet, Jérémie Palacci, Eric Lauga, Jeffrey Moran, Miguel A Ramos-Docampo, Brigitte Städler, Ramón Santiago Herrera Restrepo, Gilad Yossifon, James D Nicholas, Jordi Ignés-Mullol, Josep Puigmartí-Luis, Yutong Liu, Lauren D Zarzar, C Wyatt Shields, Longqiu Li, Shanshan Li, Xing Ma, David H Gracias, Orlin Velev, Samuel Sánchez, Maria Jose Esplandiu, Juliane Simmchen, Antonio Lobosco, Sarthak Misra, Zhiguang Wu, Jinxing Li, Alexander Kuhn, Amir Nourhani, Tijana Maric, Ze Xiong, Amirreza Aghakhani, Yongfeng Mei, Yingfeng Tu, Fei Peng, Eric Diller, Mahmut Selman Sakar, Ayusman Sen, Junhui Law, Yu Sun, Abdon Pena-Francesch, Katherine Villa, Huaizhi Li, Donglei Emma Fan, Kang Liang, Tony Jun Huang, Xiang-Zhong Chen, Songsong Tang, Xueji Zhang, Jizhai Cui, Hong Wang, Wei Gao, Vineeth Kumar Bandari, Oliver G Schmidt, Xianghua Wu, Jianguo Guan, Metin Sitti, Bradley J Nelson, Salvador Pané, Li Zhang, Hamed Shahsavan, Qiang He, Il-Doo Kim, Joseph Wang, Martin Pumera

Faculty, Staff and Student Publications

Inspired by Richard Feynman’s 1959 lecture and the 1966 film Fantastic Voyage, the field of micro/nanorobots has evolved from science fiction to reality, with significant advancements in biomedical and environmental applications. Despite the rapid progress, the deployment of functional micro/nanorobots remains limited. This review of the technology roadmap identifies key challenges hindering their widespread use, focusing on propulsion mechanisms, fundamental theoretical aspects, collective behavior, material design, and embodied intelligence. We explore the current state of micro/nanorobot technology, with an emphasis on applications in biomedicine, environmental remediation, analytical sensing, and other industrial technological aspects. Additionally, we analyze issues related to …

Online Citizen Science In Higher Education Courses, Stacy Cotey, Amy K. Dunbar-Wallis, Yaela N. Golumbic, Pankaj Mehrotra, David A. Beamer, Heather D. Vance-Chalcraft

Michigan Tech Publications

Climate change and biodiversity loss require us to engage the next generation of scientists in addressing global ecological issues. Introducing undergraduate students to citizen science allows them to learn scientific processes and content while contributing to real-world applications. We conducted a systematic review of literature to (1) identify what types of undergraduate courses and institutions use citizen science, (2) list the projects and platforms that have been implemented in online courses in undergraduate education, (3) examine how students participated in the projects through online courses, and (4) summarize learning objectives and reported benefits of student participation. In all, 44 studies …

An Extended Robust Optimisation Approach For Sustainable And Resilient Supply Chain Network Design: A Case Of Perishable Products, Seyed Ashkan Hosseini Shekarabi, Reza Kiani Mavi, Flavio Romero Macau

Research outputs 2022 to 2026

Disruptions and uncertainties pose considerable challenges in supply chain (SC) operations, requiring robust, strategic approaches. This study addresses financial resource allocation between supply chain network (SCN) design and external market investments, explicitly considering budget allocation and sales representative selection for perishable products. We propose a novel axis-shift robust (AxShR) method combined with an enhanced p-robust optimisation framework to manage multiple complex uncertainties. The model introduces a new resilience strategy allowing retailers to transfer products within the SCN, and apply artificial intelligence (AI) via a neural network to predict disruptions by evaluating risk indicators such as supplier location risk, raw material …

H2-Rich Biogas Production From Fixed Bed Wheat Straw Pyrolysis And The Potential Of Produced Biochar As H2 Storage Material, Tawanda Matamba, Hussein Rasool Abid, Alireza Keshavarz, Stefan Iglauer

Research outputs 2022 to 2026

H2 is a clean energy source, and is targeted as one of the ways to transition from fossil fuels. However, there are drawbacks in production and storage of hydrogen. To cover the supply, we need H2 from many resources and because of its low density we need materials that can store bulky quantities of H2. Here we investigated the potential of a renewable source (waste wheat straw) to produce and store H2 through pyrolysis and adsorption. The impact of pressure and temperature (500–900 °C, and 1.01–30 bar range) on the selectivity of H2 rich gas production was systematically investigated; and …

A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas

Walden Dissertations and Doctoral Studies

Cultural and social factors, such as ethnic and racial backgrounds, religion, and supernatural beliefs, influence mental health utilization among African Americans. Past studies show that Rastafarians underutilize mental health services due to the stigma associated with mental health. However, there remains a gap in the literature regarding the incorporation of culturally sensitive and inclusive approaches in mental illness treatment. Per the biopsychosocial (BPS) pathways framework, biological, psychological, and social factors interact to provide a holistic architype of mental illness. The framework can be applied to understand how mental health stigma is influenced by personal beliefs, experiences, values, cultural, and societal …

Integrating Artificial Intelligence And Machine Learning Technologies Into Common Operating Picture And Course Of Action Development, C. Anthony Pfaff, Christopher John Hickey

Books, Monographs & Collaborative Studies

C. Anthony Pfaff and Christopher John Hickey, Principal Investigators

©2025 C. Anthony Pfaff. All rights reserved.

Integrating Artificial Intelligence and Machine Learning Technologies into Common Operating Picture and Course of Action Development explores the potential of artificial intelligence (AI) and machine learning to revolutionize military planning processes by enhancing situational awareness and expediting course of action development within the Joint planning process. The study delves into technical, organizational, and resource considerations that are critical for AI integration. In addition, the study highlights the importance of clean, structured data in training AI systems, addresses challenges in data collection across varying formats …

The Call Of Cucurrucucú, Rachel Olivia Blair

Dissertations and Theses

This is a site of geologic excavation; where charged voices like porous monoliths and forked-tongue shapeshifters call out in fragmented polyphony. What lies broken or misshapen, what can be pieced back together.

What is purity when the body that is being inherited is drowning in murky waters.

Low-Bandwidth, High-Sensitivity Telemetry Signal To Optimize Osc Launch Power During Deployment And Regular Operation, Anonymous

Defensive Publications Series

The present disclosure relates to methods and systems employing a low-bandwidth, high-sensitivity telemetry signal integrated into optical line systems to dynamically optimize the launch power of an Optical Supervisory Channel (OSC) during both deployment and normal operation. Traditionally, OSC power management faces challenges such as receiver overload on short spans and insufficient received power on longer spans, requiring manual provisioning. The disclosed telemetry signal independently and reliably measures optical span loss across an extended range (up to approximately 50 dB), significantly exceeding the measurement capabilities of conventional OSC signals. Using telemetry-derived span-loss data, OSC launch power can be automatically and …

The Long Pivot: The Development Of The Joint Warfighting Concept, Wilson C. Blythe Jr.

Joint Force Quarterly

Military strategy evolves in response to global threats and technological advancements. This article examines the development of the Joint Warfighting Concept, a pivotal shift in U.S. military thinking towards confronting peer adversaries. The concept emerged from a process of reorienting the Department of Defense away from counterinsurgency operations and towards potential conflicts with modernized Russian and Chinese forces. Initially hindered by a lack of urgency, efforts to address this strategic shift gained momentum through initiatives like the Third Offset Strategy and subsequent national security documents. The Joint Warfighting Concept provides a unified vision for future warfare, guiding force modernization and …

Revive: Getting Medical Supplies And Expertise Right In Distributed Maritime Operations, Seth Reini, Jonathan J. Haase

Joint Force Quarterly

In recent conflicts, military medical providers have set impressive records for battlefield care, setting a “golden hour” precedent. In a conflict with the People's Republic of China, however, the “golden hour” aspiration will be severely challenged if not untenable. Here, the paradigm will be Distributed Maritime Operations, air superiority will be challenged, and vast distances exist between treatment locations. With patients potentially being held for hours or days, updated medical treatment strategies, logistics methodologies, and transport capabilities will be necessary. This paper focuses on leveraging Military Sealift Command platforms for multi-mission usage by transporting medical supplies to Navy ships in …