Digital Commons Network^™

A Randomized Study Of Digital Versus Genetic Counselor Return Of Actionable Genetic Research Results To Biobank Participants (Respect3 Study), Anuja Rajendra Godbole, Elisabeth Wood, Brian Egleston, Lily Hoffman-Andrews, Sarah Brown, Sarah Howe, Sanjana Shastri, Rajia Mim, Justin Feng, Anjali Owens, Susan Domchek, Reed Pyeritz, Bryson Katona, Staci Kallish, Giorgio Sirugo, Joellen Weaver, Linda Fleisher, Kuang-Yi Wen, Elena Elkin, Katherine Nathanson, Daniel Rader, Angela Bradbury

Department of Medical Oncology Faculty Papers

BACKGROUND: There is consensus that research participants should be informed about plans for return of genetic research results. However, best practices for return of results in large biobank and cohort studies do not exist currently, and how best to communicate actionable genetic research results remains unclear. While having genetic counselors disclose these results may be ideal to ensure understanding, minimize distress, and optimize medical follow-up, genetic counselor (GC) workforce shortages and costs are barriers. The RESPECT3 study evaluates whether digital delivery alternatives for pre-disclosure education and return of actionable genetic research results is non-inferior to remote telehealth disclosure by a …

Impact Of Tropical Cyclones On Food And Nutrition Security: A Global Scoping Review And Thematic Analysis, Patience M. Chiotha, Budi Haryanto

Jurnal Epidemiologi Kesehatan Indonesia

The increasing frequency and intensity of tropical cyclones driven by climate change pose growing threats to food and nutrition security. Globally, an estimated 80–90 tropical cyclones occur annually, affecting approximately 119 million people. Evidence regarding their impact on food systems, dietary patterns, and nutritional status remains fragmented. This scoping review aimed to map global evidence on the impacts of tropical cyclones on food and nutrition security, identify key pathways of impact, and examine affected indicators at household and individual levels. The review followed Joanna Briggs Institute guidelines and PRISMA-ScR. Searches were conducted in PubMed/MEDLINE, Web of Science, Scopus, and Google …

Risk Factors Of Leptospirosis Among Agricultural Workers In Southeast Asia: Literature Review, Ronggo Adi Wibowo, Wawa Najwa Nurzakia, Meirany Sasitha Kirana, Yulia Arthemisia Wijaya, Jasmine Ayumaharani Sekaryudha, Dwi Sarwani Sri Rejeki, Rosita Dwi Jayanti

Jurnal Epidemiologi Kesehatan Indonesia

The agricultural sector is the primary source of livelihood for communities in Southeast Asia; however, these activities increase the risk of exposure to zoonotic diseases, particularly leptospirosis. Southeast Asia is one of the regions with the highest incidence of leptospirosis in the world. This literature review aims to identify risk factors for leptospirosis among agricultural workers in Southeast Asia. The search for research articles utilized three databases (Google Scholar, PubMed, and ScienceDirect) using a descriptive approach based on literature review and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A total of 9,800 articles were screened for …

Vision Transformer Model For Multiclass Classification And Localization Of Thoracic Abnormalities In Chest X-Rays, Mohammed Ahmed Talab, Sumia Abdulhussien Razooqi Al-Obaidi, Othman I. Hammadi, Suryanti Awang, Nur Syafiqah Mohd Nafis, Hasan Kahtan

Mesopotamian Journal of Big Data

Chest X-rays (CXRs) have been utilized as an important tool for diagnosing thoracic diseases because of their cost-effectiveness and accessibility. However, subtle signs of diseases, anatomical overlap and lack of expert radiologist in certain areas lead to difficulty in reading the CXRs. This indicates the needs of automated diagnostic systems to be accurate. Existing deep learning methods have shortcomings because they require pixel-level annotations to train models well. To address this problem, this study proposes Vision Transformers (ViT) with transfer learning for multiclass classification and weakly supervised localization of thoracic diseases in chest X-ray images. The technique uses patching, positional …

Analisis Disparitas Geospasial Dan Determinan Sosio-Demografis Masalah Kesehatan Jiwa Di Indonesia: Analisis Data Survei Kesehatan Indonesia (Ski) 2023, Alya Zahrah Zhafirah, Sutanto Priyo Priyo Hastono

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kesehatan jiwa merupakan pilar utama pembangunan sumber daya manusia yang kini menjadi tantangan struktural di Indonesia. Masalah ini dipengaruhi secara signifikan oleh determinan sosio-demografi seperti tingkat pendidikan, status ekonomi dan lingkungan. Penelitian ini diinisiasi oleh urgensi untuk memetakan distribusi beban masalah kesehatan jiwa secara nasional sekaligus menginvestigasi ketidakonsistenan prevalensi antara data Riskesdas 2018 dan SKI 2023. Penelitian ini menggunakan desain potong lintang dengan menganalisis prevalensi masalah kesehatan jiwa pada penduduk Indonesia berusia ≥15 tahun, menggunakan data SKI 2023. Kondisi kesehatan jiwa dinilai menggunakan instrumen SRQ-20 untuk mengidentifikasi probabilitas masalah kesehatan jiwa. Hasil utama menunjukkan prevalensi masalah kesehatan jiwa Indonesia tahun …

The Importance Of Proximal Non-Obstructive Plaque For Predicting Risk Of Future Acute Coronary Syndrome In Stable Cad: Prognostic Value Of Coronary Ct Angiography, Har R. S. Dhillon, Hilfan A. P. Lubis, Yuke Sarastri, Andre P. Ketaren, Teuku B. Haykal

Journal of the Hong Kong College of Cardiology

Objective: To evaluate the prognostic value of proximal non-obstructive coronary plaques detected by coronary computed tomography angiography (CCTA) in predicting acute coronary syndrome (ACS) among patients with stable coronary artery disease (CAD). Methods: This retrospective cohort included patients with stable CAD who underwent CCTA at Adam Malik General Hospital, Medan, between January and December 2023. Of 458 patients with non-obstructive plaques, 416 met inclusion criteria and were followed for 18 months. Patients were classified into proximal involvement (left main, proximal left anterior descending artery, proximal left circumflex artery, or proximal right coronary artery) and non-proximal groups. The primary endpoint was …

Venous Thromboembolism Attenuates Brain Cortical Thickness: Evidence From Mendelian Randomization Study, Wenli Gu, Xiu Liu, Christopher Tze-Wei Tsang, Si Yeung Yu, Yan Chen, Jiayi Huang, Yuk Ki Yukie Lam, Tim Yan, Meizhen Wu, Ran Guo, Jingnan Zhang, Ferit Böyük, Yap Hang Chan, Kai Hang Yiu

Journal of the Hong Kong College of Cardiology

Background: Emerging evidence suggests an association between vascular risk factors and changes in brain cortical structure and function. However, the relationship between venous thromboembolism (VTE) and brain cortical remodeling remains unclear, impeding further research on brain cortical dysfunction. Methods: Using summary statistics obtained from genome-wide association studies (GWAS), we conducted two-sample Mendelian randomization (MR) analyses to explore potential causal effects of genetically predisposed pulmonary embolism (PE, N = 361,194), deep vein thrombosis (DVT, N = 462,933) and unspecified VTE (N = 218,792) on brain cortical structure (N = 51,665). Magnetic resonance imaging (MRI)-based measures of brain cortex including …

The Link Between Atrial Fibrillation And Gastroesophageal Reflux Disease - Pathophysiology, Emerging Evidence And Treatment Options, Wojciech Jakub Bajda, Jakub Juszczyk, Negin Fani, Dongwoo Kang, Jerzy Gregorczyk

Journal of the Hong Kong College of Cardiology

Gastroesophageal reflux disease (GERD) and atrial fibrillation (AF) are common conditions that significantly impact gastrointestinal and cardiovascular health. Emerging evidence suggests a bidirectional relationship between these conditions, mainly driven by inflammation and vagal nerve stimulation. Shared risk factors include obesity, obstructive sleep apnea, and hiatal hernias. This review explores the underlying pathophysiological mechanisms that may link GERD and AF, focusing on the roles of autonomic dysregulation, systemic inflammation, and mechanical interactions that may cause symptoms for both diseases. Lifestyle modifications including weight management, along with pharmacological treatments like proton pump inhibitors, have shown promise in managing the symptoms of both …

Approach To Management Of Grown-Up Cyanotic Congenital Heart Disease, Pak-Cheong Chow

Journal of the Hong Kong College of Cardiology

Despite of advances in cardiac and surgical care, some children with complex congenital heart disease remain cyanotic in adulthood. The grown-up cyanotic congenital heart diseases are heterogeneous due to their underlying cardiac anatomy and physiology. Other than cardiovascular problems, they patients are also faced with multi-system complications in the long run. Therefore, these patients need nuanced and comprehensive assessment, regular follow-up monitoring, and multi-facet management. In this article, the types and classification of cyanotic congenital heart diseases, the multi-system complications and the approach to assessment and treatment will be presented.

Mcconnell Caught In 3d: Comparison With Other Etiologies Of Right Ventricular Failure, Shing Ching, Karl Chan

Journal of the Hong Kong College of Cardiology

The McConnell sign is a well-recognized 2D echocardiographic feature of pulmonary embolism characterized by apparent hypokinesia of right ventricular mid and apical free wall segments. However, it is rarely described in 3D echocardiography. We report a case of high-risk pulmonary embolism with the McConnell sign demonstrated in 3D echocardiography. Comparison with other etiologies of right ventricular dysfunction regarding 3D morphology and 2D speckle tracking strain is also discussed.

Quantum Indiscernibility And Perspectivalism, Emily Adlam

Mathematics, Physics, and Computer Science Faculty Articles and Research

It has often been suggested that similar quantum particles may be a counterexample to the principle of the Identity of Indiscernibles. In this article, I discuss the status of indiscernibility in a perspectival approach to quantum mechanics. I argue that adopting an internal physical perspective can have the effect of making entities discernible even if they are not discernible relative to external reference frames, and thus perspectivalism offers a new way to understand the physical meaning of weak discernibility. I discuss whether this approach is circular, and I consider whether the reference frames involved are physically meaningful. I conclude that …

What Is Alive? Students’ Conceptions Of The Traits That Unite Living Organisms, Jeremy L. Hsu, Meredith A. Dorner, Kate Hill

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Biology is the study of life, but students often hold misconceptions about what it means to be alive, with children often associating life with movement. These misconceptions can lead to biases in what students think is alive, with younger children often not thinking of plants as living given their lack of discernable movement. Despite this past work, there have been no prior studies that we are aware of that have examined how students in introductory biology conceptualize what it means to be alive. Here, we draw upon a fortuitous dataset collected from an in-class activity done on the first day …

Non-Hermitian Sl (3, C) Three-Mode Couplers, B. M. Rodríguez-Lara, Hamed Ghaemi-Dizicheh, Shahram Dehdashti, Andreas Hanke, Ahmed Touhami, J. Nötzel

Physics & Astronomy Faculty Publications

Photonic systems with exceptional points, where eigenvalues and corresponding eigenstates coalesce, have attracted interest due to their topological features and enhanced sensitivity to external perturbations. Non-Hermitian mode-coupling matrices provide a tractable analytic framework to model gain, loss, and chirality across optical, electronic, and mechanical platforms without the complexity of full open-system dynamics. Exceptional points define their spectral topology, and enable applications in mode control, amplification, and sensing. Yet N -mode couplers, the minimal setting for N th-order exceptional points, are often studied in specific designs that overlook their algebraic structure. We introduce a general sl(N , C) framework for arbitrary …

High-Power Dual-Channel Chamber For High-Frequency Magnetic Neuromodulation, Xiaoyang Tian, Hui Wang, Boshuo Wang, Jinshui Zhang, Dong Yan, Jeannette Ingabire, Samantha Coffler, Guillaume Duret, Quoc-Khanh Pham, Gang Bao, Junzhe Wang, Ashok Veeraraghavan, Jacob T Robinson, Stefan M Goetz, Angel V Peterchev

Faculty, Staff and Students Publications

Objective. Several novel methods, including magnetogenetics and magnetoelectric stimulation, use high frequency alternating magnetic fields to precisely manipulate neural activity. To quantify the behavioral effects of such interventions in a freely moving mouse, we developed a dual-channel magnetic chamber, specifically designed for rate-sensitive magnetothermal-genetic stimulation, and adaptable for other uses of alternating magnetic fields.

Approach. Through an optimized coil design, the system allows independent control of two spatially orthogonal uniform magnetic fields delivered at different frequencies within a 10 × 10 × 6 cm3 chamber suitable for mouse studies. The two channels have nominal frequencies of 50 and 550 kHz …

Komparatibong Analisis Sa Estetikong Danas Na Hatid Ng Koreanobela At Filipinobela Ayon Sa Mga Pilipinong Manonood, Christine Morit

Mabini Review

The paper highlights a thorough discussion of the vast influence and prominence of Korean dramas (Koreanobela) in the Philippines, which has become a central focus among critics in the discourse of film and television. Their rise in popularity has fostered an appreciation for both local and foreign spaces that continue to shape and influence Filipino culture. Although the importation of films from Latin American countries—an influence rooted in Spanish colonization—is not new in the Philippines, the unparalleled appeal of Korean dramas in capturing the attention of Filipino audiences cannot be denied. To identify the reasons behind this fascination, the researcher …

The Roles Of The Human Resources Management Director And Their Impact On Entrepreneurial Training:An Analytical Study At The Ministry Of Labor And Social Affairs, Ali Abd Al-Salam Abd Al-Daem

Muthanna Journal of Administrative and Economics Sciences

The research problem lies in the weak level of entrepreneurial training in Iraqi ministries despite the importance of the strategic roles of human resources management. The research gap is represented by the scarcity of empirical studies that measure the relative impact of the roles of the HR manager (according to Ulrich’s model) in activating entrepreneurial training within the Iraqi public sector environment. Accordingly, this study aims to analyze the relationship between the roles of the Human Resources Management Director—as a strategic partner, administrative expert, developmental supporter, and change agent—and their impact on activating entrepreneurial training at the Ministry of Labor …

Analyzing The Impact Of Applying Ipsas 42 On Social Benefits In Enhancing Reporting Quality And Promoting Financial Sustainability, Burhan Hussein Khalaf Al-Rawi, Hasan Saleh Yusuf Al-Bajari

Muthanna Journal of Administrative and Economics Sciences

The study aims to explore the impact of applying IPSAS 42 on social benefits in enhancing the efficiency of financial reporting and strengthening the sustainability of financial capabilities within Iraqi government institutions. The study objectives were achieved by examining the nature and objectives of IPSAS 42, assessing the current state of disclosure of social benefits in government financial reports, and measuring the extent to which the social benefits standard contributes to promoting financial sustainability. The study relied on secondary financial data from a set of Iraqi government entities, including current expenditures, capital/investment expenditures, oil revenues, non-oil revenues, fiscal deficit, and …

The Impact Of Corporate Governance Practices On Enhancing The Quality Of Financial Reporting: An Applied Study On A Sample Of Commercial Banks Listed On The Iraq Stock Exchange, Ahmed Hashem Sakr

Muthanna Journal of Administrative and Economics Sciences

This study examines the impact of corporate governance practices on the quality of financial reporting in a sample of commercial banks listed on the Iraq Stock Exchange. Motivated by the increasing need for transparency and reliability in financial information within the Iraqi banking environment characterized by regulatory challenges and economic instability the research investigates how key governance mechanisms contribute to enhancing the credibility and accuracy of financial reports. The study focuses on three core governance indicators: board size, board independence, and audit committee activity, in addition to relevant control variables reflecting firm characteristics.Employing panel data analysis and fixed-effects regression models, …

The Role Of Organizational Resilience In Reducing Organizational Collapse: An Analytical Study Of The Opinions Of A Sample Of Workers In The Tal Afar Education Department, Shuab Ahmed Aziz Al-Mawla

Muthanna Journal of Administrative and Economics Sciences

Purpose: This research aims to study the relationship between organizational resilience (capital resilience, strategic resilience, cultural resilience, learning resilience, and relationship resilience) and organizational breakdown (internal factors, external factors, structural factors, human factors, and financial factors) in the Tal Afar Education Department, Nineveh Governorate. Design/Methodology: Based on stratified random sampling, 400 questionnaires were distributed from a population of 650 to employees of the Tal Afar Education Department. The sample was drawn using Sakran’s (2010) formula. A similar questionnaire was also distributed to principals and assistant principals working in affiliated schools. Of these, 191 questionnaires were deemed valid. The …

Human Talent Management And Its Role In Enhancing The Quality Of Educational Service: An Exploratory Study Of The Opinions Of A Sample Of Supervisors In The General Directorate Of Education Of Nineveh, Ibrahim Khalil Ibrahim Mohammed Al-Hayali

Muthanna Journal of Administrative and Economics Sciences

This research aims to examine the actual role reflected by human talent management, specifically its dimensions (recruitment, performance management, training and development, talent retention), in enhancing the quality of educational service, which includes (the academic background of the teacher, the curriculum, infrastructure and facilities, quality of recruitment, safety and security, development of students’ skills). The research stems from a real problem whose features are embodied in the following question: What is the actual role reflected by the dimensions of human talent management in enhancing the quality of educational service in the researched directorate? Using the descriptive-analytical approach to diagnose and …

The Role Of Digital Governance In Improving The Quality Of Financial Reporting Under Fair Value Measurement In Accordance With International Financial Reporting Standard (Ifrs 13): An Applied Study On Jordanian Banks Listed On The Amman Stock Exchange., Ashraf Hashim Faris Alabdoon

Muthanna Journal of Administrative and Economics Sciences

This study investigates the role of digital governance in enhancing the quality of financial reporting, while examining the mediating effect of fair value measurement under IFRS 13. The study is based on the hypothesis that digital governance practices have a positive impact on improving financial reporting quality within the fair value measurement framework. The empirical analysis focuses on Jordanian commercial banks listed on the Amman Stock Exchange over the period 2017–2024. Data were collected from published annual financial reports to construct a dataset suitable for statistical analysis and to bridge theoretical concepts with practical applications in the banking sector. The …

Blockchain Technology As A Tool To Enhance Information Security Elements In The Government Organizations Sector: An Exploratory Study In The Nineveh Governorate Traffic Directorate, Saif Khalid Zakaria

Muthanna Journal of Administrative and Economics Sciences

Purpose: The objective of this study is oriented to investigate what are the determinant features of Blockchain Technology (BCT) that contribute in boosting ISE factors in governmental institutions. The research work is grounded on referring to the most popular features of Blockchain (BC) in enhancing the core and supportive (ISE). Research Design/ Methods and approach: The data for this research was based on a crosssectional and correlational survey (95 responses were finally analyzed). The collected data were first analyzed using SPSS v.26 and then through variance based structural equation modeling (SEM; Smart PLS v.4) for assessing validity and …

His Role In Government Investment In Economic Development Services In Iraq, Hatem Jabr Atshan

Muthanna Journal of Administrative and Economics Sciences

This study aims to shed light on the reality of government investment spending in Iraq by analyzing its indicators and estimating the government investment spending index and its impact on economic growth for the period 2004-2024, based on theoretical and applied frameworks. The study concluded that the contribution of investment spending to GDP was determined to be between (5.7%) and (69.6%), with an average rate of (17.75%), indicating government involvement in socio-economic fields. There is no financial approach worldwide that reduces the scope of public spending in favor of investment spending in a way that leads to increased economic growth.

Integrated Reporting And Its Role In Enhancing The Reliability Of Financial Reports: The Mediating Role Of Digital Transformation Technology: A Field Study, Mohammed Jumaah Kareem Sajet Al-Barki, Qasim Mohammed Abdullah, Majid Gazi Hasan, Ali Awadh Atshan

Muthanna Journal of Administrative and Economics Sciences

The primary objective of the research is to demonstrate the impact of Integrated Reporting on enhancing the reliability of financial reports through the adoption of digital transformation technology, and to provide the cognitive foundations regarding Integrated Reporting and the reliability of financial reports. The research focused on the community of commercial companies listed on the Iraq Stock Exchange, with the sample limited to seven (7) companies according to specific criteria, as they are listed on the exchange and possess externally audited financial reports. These companies did not experience any mergers during the research period, which allowed for the completion of …

Green Value Chain Analysis And Its Role In Improving Resource Allocation Decisions: A Case Study In Diwaniya Dairy Factory, Ail Abdul-Hussein Hani Al-Zameli, Nabaa Duaa Fakher

Muthanna Journal of Administrative and Economics Sciences

The purpose of this study is to justify the role of The green value chain as a modern technique of management accounting in facilitating investment decisions and optimizing the effectiveness in resources utilization at industrial units. The premise underlying the study is that green value serves as a frame of reference for analysing activities, which in turn allows to separate value-adding from non-value adding ones, leading to cost reduction and environmental soundness. Management is also not about finding faults for waste and allocating funds, it's all about tapping new ways of creating value by eliminating non-value adding activities. The deductive …

Profane Language: On The Philosophy Of Cursing In The Contemporary Era, Billy Jan Puerta

Mabini Review

Politeness is a foundational virtue, instilled from an early age, that fosters human connections and societal engagement. This virtue underscores the tremendous relationship between language and courtesy, highlighting the values of respect in interaction within the community fabric. Language's nature, as a reflection of culture, community, and identity, is analyzed, revealing its capacity to uphold or erode these societal pillars. Despite its potential as a pillar of politeness, profane language presents an ironical contradiction. Profane language mo, mostly known as cursing, emerges as a cultural taboo, marked by its aggressive and often deemed inappropriate nature. This paper dives into why …

Work Environment Quality And Its Relationship To Job Satisfaction In The Kirkuk Education Directorate, Ahmed Abd Saleh

Muthanna Journal of Administrative and Economics Sciences

The study aimed to examine the relationship between the quality of the work environment in its dimensions (teamwork, improvement of working conditions, and motivation) and the achievement of job satisfaction among the employees of Kirkuk Directorate of Education, with a focus on the extent to which the elements of the work environment affect the level of satisfaction and organizational commitment. The study population consisted of 970 employees of the directorate, from which a random sample of 100 employees from various departments and job levels was selected as the study sample. The majority of the sample were male, with work experience …

‘Greening’ Comparative Literature: Human And More-Than-Human World In Zacharias Papantoniou The High Mountains And Roderick O’Grady’S Bigfoot Mountain, Nikoleta Zampaki

Mabini Review

The aim of this article is to explore the symbiotic relationship between human and more-than-human world through a series of descriptions and representations found in the Modern Greek prose titled The High Mountains [Ta Psila Vouna in Modern Greek] of Zacharias Papantoniou, and the Bigfoot Mountain of Roderick O’ Grady, focusing particularly on how humans and nonhumans evolve, live together and communicate. Both authors describe the natural world extensively, focusing on the childish perception and emotions in nature through the beauty and ‘purity’ of mountain life that is full of indigenous practices, myths and legends of the past. Through the …

Sun-Tzuian Critique Of The Russian Strategy In Its War Against Ukraine, Eduard Vicuna

Mabini Review

This study examines the effectiveness of Russian military strategy in the Ukraine war through the lens of Sun-Tzu’s strategic philosophy. Grounded in Sun-Tzu’s principles of warfare, the study evaluates Russian strategy using five key elements: Leader Values, People’s Belief, Mitigation, Environment, and Information. Employing a qualitative methodology, the research analyzes military decisions and tactics based on these strategic dimensions. Findings indicate that while Russia initially relied on deception and overwhelming force, its failure to achieve a swift victory stemmed from flawed planning, underestimated Ukrainian resistance, and logistical challenges. The study highlights the critical role of intelligence, adaptability, and psychological warfare, …

Pagtatahip: Doing Filipino Philosophy, Bernard Bragas

Mabini Review

This paper explains that the way Filipinos were molded cause paradoxes and ambiguities in the way we philosophize. It is then necessary to do pagtatahip (to winnow, as a way of nuancing) for a Filipino Philosophy. This is evident in the philosophical elucidation in the concept of loob by Fr. Alejo In this kind of nuancing, it is evident that Filipino concepts are not outrightly contradictory and not just deliberate acceptance of contradictories. The concept winnowed allows constructing a liberating Philosophy appropriate for a Filipino Philosophy.