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Articles 169651 - 169680 of 1826543
Full-Text Articles in Entire DC Network
Eocene (50–55 Ma) Greenhouse Climate Recorded In Nonmarine Rocks Of San Diego, Ca, Usa, Adrian P. Broz, Devin Pritchard-Peterson, Diogo Spinola, Sarah Schneider, Gregory Retallack, Lucas C.R. Silva
Eocene (50–55 Ma) Greenhouse Climate Recorded In Nonmarine Rocks Of San Diego, Ca, Usa, Adrian P. Broz, Devin Pritchard-Peterson, Diogo Spinola, Sarah Schneider, Gregory Retallack, Lucas C.R. Silva
Purdue University Libraries Open Access Publishing Fund
Nonmarine rocks in sea cliffs of southern California store a detailed record of weathering under tropical conditions millions of years ago, where today the climate is much drier and cooler. This work examines early Eocene (~ 50–55 million-year-old) deeply weathered paleosols (ancient, buried soils) exposed in marine terraces of northern San Diego County, California, and uses their geochemistry and mineralogy to reconstruct climate and weathering intensity during early Eocene greenhouse climates. These Eocene warm spikes have been modeled as prequels for ongoing anthropogenic global warming driven by a spike in atmospheric CO2. Paleocene-Eocene thermal maximum (PETM, ~ 55 Ma) kaolinitic …
Thin-Film Nanocomposite Membranes With Alumina Nanoparticles For Textile Wastewater Treatment Applications, Amr Mohamed Tayel
Thin-Film Nanocomposite Membranes With Alumina Nanoparticles For Textile Wastewater Treatment Applications, Amr Mohamed Tayel
Theses and Dissertations
Thin-film nanocomposite (TFN) membranes are gaining great interest in industrial wastewater treatment due to their superior performance, especially for higher water flux and pollutants’ rejection, as well as improved chemical, thermal and mechanical stabilities, compared to other types of membranes. The performance of TFN membranes can be enhanced using different types of nanofillers, among which ceramic nanomaterials, such as Al2O3, offer a promising potential for applications involving treatment of industrial wastewater such as textile effluents, and this is due to their stability, hydrophilicity, and relative low cost. The study of the TFN membrane properties and structure allows the optimization and …
Exploring The Relationships Between Health Literacy And Hba1c In A Rural Border Region, Stephen Jaime
Exploring The Relationships Between Health Literacy And Hba1c In A Rural Border Region, Stephen Jaime
Dissertations
Aims/Objectives: The purpose of this study was to describe the relationships between select sociodemographic and clinical characteristics, individual health literacy levels, and hemoglobin A1c (HbA1c) levels among Hispanic patients with diabetes living in a rural border region.
Background: The frequency of complications from diabetes can increase as HbA1c levels rise, causing the person with diabetes to be at greater risk for blindness, amputation, or renal failure. Unfortunately, people of Hispanic background are at higher risk of developing diabetes compared to non-Hispanic Whites. Many people living in rural towns that border Mexico are of Hispanic background, increasing their risk of developing …
Potential Causal Association Between Gut Microbiome And Posttraumatic Stress Disorder, Qiang He, Wenjing Wang, Dingkang Xu, Yang Xiong, Chuanyuan Tao, Chao You, Lu Ma, Junpeng Ma, Caroline M. Nievergelt, Adam X. Maihofer, Torsten Klengel, Elizabeth G. Atkinson, Chia Yen Chen, Karmel W. Choi, Jonathan R.I. Coleman, Shareefa Dalvie, Laramie E. Duncan, Mark W. Logue, Allison C. Provost, Andrew Ratanatharathorn, Murray B. Stein, Katy Torres, Allison E. Aiello, Lynn M. Almli, Ananda B. Amstadter, Søren B. Andersen, Ole A. Andreassen, Paul A. Arbisi, Ariane Rung, Et Al
Potential Causal Association Between Gut Microbiome And Posttraumatic Stress Disorder, Qiang He, Wenjing Wang, Dingkang Xu, Yang Xiong, Chuanyuan Tao, Chao You, Lu Ma, Junpeng Ma, Caroline M. Nievergelt, Adam X. Maihofer, Torsten Klengel, Elizabeth G. Atkinson, Chia Yen Chen, Karmel W. Choi, Jonathan R.I. Coleman, Shareefa Dalvie, Laramie E. Duncan, Mark W. Logue, Allison C. Provost, Andrew Ratanatharathorn, Murray B. Stein, Katy Torres, Allison E. Aiello, Lynn M. Almli, Ananda B. Amstadter, Søren B. Andersen, Ole A. Andreassen, Paul A. Arbisi, Ariane Rung, Et Al
School of Public Health Faculty Publications
Background: The causal effects of gut microbiome and the development of posttraumatic stress disorder (PTSD) are still unknown. This study aimed to clarify their potential causal association using mendelian randomization (MR). Methods: The summary-level statistics for gut microbiome were retrieved from a genome-wide association study (GWAS) of the MiBioGen consortium. As to PTSD, the Freeze 2 datasets were originated from the Psychiatric Genomics Consortium Posttraumatic Stress Disorder Working Group (PGC-PTSD), and the replicated datasets were obtained from FinnGen consortium. Single nucleotide polymorphisms meeting MR assumptions were selected as instrumental variables. The inverse variance weighting (IVW) method was employed as the …
The Utilitarian Islamic Modernity Of Ḥasan Al-ʿAṭṭār (1766–1835), Ian Greer
The Utilitarian Islamic Modernity Of Ḥasan Al-ʿAṭṭār (1766–1835), Ian Greer
Theses and Dissertations
In this thesis, I describe and analyze the manifestations of modern thought in the life and works of Ḥasan al-ʿAṭṭār (d. 1835), an Egyptian Islamic scholar who served as Shaykh al-Azhar in the 1830s, in concert with Muḥammad ʿAlī Pasha. These manifestations were significantly influenced by the writings and ideas of Ottoman ʿulamāʿ and political elites which al-ʿAṭṭār would have encountered during his 10-year journey across the Empire. The thesis will also explore the content of al-ʿAṭṭār’s political, legal and social thought, which was guided by a unique form of ‘Islamic utilitarianism’ which reaches across his writings and the reforms …
Spartan Daily, January 31, 2024, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, January 31, 2024, San Jose State University, School Of Journalism And Mass Communications
Spartan Daily, 2024
Volume 162, Issue 3
Ideology Of Disaster Education Trauma Handling Post-Earthquake In Picture Stories Book: Critical Discourse Analysis, Silvia Damayanti, I Nyoman Suarka, Maria Matildis Banda, Ketut Widya Purnawati
Ideology Of Disaster Education Trauma Handling Post-Earthquake In Picture Stories Book: Critical Discourse Analysis, Silvia Damayanti, I Nyoman Suarka, Maria Matildis Banda, Ketut Widya Purnawati
International Review of Humanities Studies
This research analyzes the ideology that the author intends to instill in picture storybooks for children in Japan. The study aims to explore how the author conveys the ideology of handling trauma in children after earthquake disasters. The objects of the study are two picture storybooks titled "Yuzuchan" and "Yappari Ouchi Ga Ii Na." The research was conducted qualitatively using the documentary data search method. The analysis was carried out with van Dijk's CDA theory and Peirce's Semiotics Theory. The results of the analysis reveal that "Yuzuchan" and "Yappari Ouchi Ga Ii Na" are picture storybooks produced to help children …
Prosumer Behavior Of The Army Fandom Of Bts In Indonesia As A Form Of New Consumerist Society, Larassatti Dharma Nanda, Joesana Tjahjani
Prosumer Behavior Of The Army Fandom Of Bts In Indonesia As A Form Of New Consumerist Society, Larassatti Dharma Nanda, Joesana Tjahjani
International Review of Humanities Studies
One of the most influential K-pop groups in the world is Bangtan Sonyeondan, abbreviated as BTS. BTS' success can also be determined by their extensive community of fans who create a fandom culture worldwide, including in Indonesia. This paper investigates the BTS fandom consumerism behavior, which is called ARMY, and its relation to Indonesia's participatory fan culture. This research focuses on how BTS's managing company creates a fandom image and how Indonesian fans react. This article is qualitative research using a literature review as the method. Analysis of this paper uses the consumerist society theory by Jean Baudrillard (1986) to …
Role Of Fat Talk On The Relationships In The Bruneian Chinese Society, Shee Ping Khoo, Brice Tseen Fu Lee
Role Of Fat Talk On The Relationships In The Bruneian Chinese Society, Shee Ping Khoo, Brice Tseen Fu Lee
International Review of Humanities Studies
This research paper examines the role of “fat talk” in relationships in Bruneian Chinese society. “Fat talk” refers to negative comments about one's weight or body shape towards oneself or others. Using qualitative research methods, the study explores the perceptions and experiences of Bruneian Chinese individuals regarding “fat talk”, factors leading to the discussion of the topic, and its impact on their relationships with their peers. The findings suggest that while “fat talk” is prevalent in Bruneian Chinese society, it can have both positive and negative effects on relationships. The study aims to highlight the importance of addressing the “fat …
Developing An Instrument To Measure Group Dynamics Awareness: A Mixed Methods Study, John Weng
Developing An Instrument To Measure Group Dynamics Awareness: A Mixed Methods Study, John Weng
Dissertations
In a world that is increasingly volatile, uncertain, complex, and ambiguous, adaptive leaders are needed more than ever. Based on group relations programs developed by the Tavistock Institute, a pedagogy known as case-in-point has recently been brought to prominence and incorporated into leadership development programs. These methods claim to develop systems thinking and individuals’ leadership capacity with little prior empirical research.
This mixed methods exploratory study explored individual awareness of group dynamics, a key outcome in case-in-point programs, and adaptive leadership theory. The goal was to create an instrument to measure awareness of group dynamics: the Group Dynamics Awareness Questionnaire …
Towards A Servingness Advising Approach: From The Advisors’ Perspective At A Hispanic-Serving Institution, Salvador Gomez-Pantoja
Towards A Servingness Advising Approach: From The Advisors’ Perspective At A Hispanic-Serving Institution, Salvador Gomez-Pantoja
Dissertations
Research on student success is replete with studies showing that academic advisors play a vital role in shaping students' achievement, tenacity, and persistence (Hatch & Garcia, 2017; Hunter & White, 2004; Kuh et al., 2005; Kuhn, 2008; Pascarella & Terenzini, 2005; Strayhorn, 2015). Using the multidimensional conceptual framework of servingness in HSIs (Garcia et al., 2019) as a lens, I conducted a collaborative action research study that examined an academic advising model that was recently launched at a large, public, four-year Hispanic-Serving Institution (HSI). Specifically, the purpose of this study was to examine the experiences of advisors who are part …
Verbal Abuse, Violence Prevention Climate, And Psychological Safety Among Pediatric Nurses, Donna Bigani
Verbal Abuse, Violence Prevention Climate, And Psychological Safety Among Pediatric Nurses, Donna Bigani
Dissertations
Purpose: The purpose of this study was to describe the relationships among demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety.
Specific Aims: Specific aims were to describe: (1) demographic characteristics, verbal abuse, violence prevention climate, and the perception of team psychological safety by pediatric nurses; (2) relationships among select demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety; and (3) the variance in team psychological safety accounted for by select demographic characteristics, verbal abuse, and violence prevention climate.
Background: Psychological safety is a key element for nursing practice and healthcare teams. Patient and employee safety …
Virtual Reality & Pilot Training: Existing Technologies, Challenges & Opportunities, Tim Marron, Niall Dungan, Brian Mac Namee, Anna Donnla O'Hagan
Virtual Reality & Pilot Training: Existing Technologies, Challenges & Opportunities, Tim Marron, Niall Dungan, Brian Mac Namee, Anna Donnla O'Hagan
Journal of Aviation/Aerospace Education & Research
The introduction of virtual reality (VR) to flying training has recently gained much attention, with numerous VR companies, such as Loft Dynamics and VRpilot, looking to enhance the training process. Such a considerable change to how pilots are trained is a subject that warrants careful consideration. Examining the effect that VR has on learning in other areas gives us an idea of how VR can be suitably applied to flying training. Some of the benefits offered by VR include increased safety, decreased costs, and increased environmental sustainability. Nevertheless, some challenges ahead for developers to consider are negative transfer of learning, …
On Strong Solvability Of One Nonlocal Boundary Value Problem For Laplace Equation In Rectangle, Telman Gasymov, Baharchin Akhmadli, Ümi̇t Ildiz
On Strong Solvability Of One Nonlocal Boundary Value Problem For Laplace Equation In Rectangle, Telman Gasymov, Baharchin Akhmadli, Ümi̇t Ildiz
Turkish Journal of Mathematics
One nonlocal boundary value problem for the Laplace equation in a bounded domain is considered in this work. The concept of a strong solution to this problem is introduced. The correct solvability of this problem in the Sobolev spaces generated by the weighted mixed norm is proved by the Fourier method. In a classic statement, this problem has been
Invariant Symplectic Forms On Number Fields, Ahmad Rafiqi, Ayberk Zeyti̇n
Invariant Symplectic Forms On Number Fields, Ahmad Rafiqi, Ayberk Zeyti̇n
Turkish Journal of Mathematics
We show that a number field of the form Q(λ) admits a symplectic form which is invariant under multiplication by λ if and only if the minimal polynomial of λ is palindromic of even degree. In particular, if λ is an algebraic integer, it is forced to be a unit. In the case when the minimal polynomial of λ is palindromic of degree 2d, we show that there is a d-dimensional space of invariant symplectic forms on Q(λ) .
Built Environment And Rural Women: A Case Study Approach, Jeanine E. Gangeness
Built Environment And Rural Women: A Case Study Approach, Jeanine E. Gangeness
Dissertations
Obesity is a worldwide concern resulting in disease and disability which disproportionately impacts women and rural populations. Rural women tend to be physically inactive and are at higher risk for obesity. The purpose of this case study was to describe and explain (1) the perceptions of rural women regarding rural built environments conducive to physical activity, and (2) what influences availability, accessibility, acceptability, and maintenance of these built environments for physical activity of rural women.
Alumni Spotlight: Andrew C. Kassner '83, Julia Sonenshein
Alumni Spotlight: Andrew C. Kassner '83, Julia Sonenshein
NYLS Community News
No abstract provided.
Energy Justice And Renewable Rikers, Rebecca Bratspies
Energy Justice And Renewable Rikers, Rebecca Bratspies
University of Miami Law Review
Unsustainable energy practices generate the lion’s share of global carbon emissions as well as staggering levels of deadly particulate pollution. Replacing the current dirty, fossil fuel-based system with affordable, clean energy is both a human rights imperative and a climate change necessity. This transition, which has already begun, creates the opportunity to do things differently. By confronting the structural racism embedded in existing energy structures, we can build a just transition rather than just a transition. This Article uses New York City’s Renewable Rikers project as a case study to explore how we might take advantage of the intersections between …
Seeding A Movement: Indigenous Food Sovereignty, Mariaelena Huambachano
Seeding A Movement: Indigenous Food Sovereignty, Mariaelena Huambachano
University of Miami Law Review
For many Indigenous peoples, well-being is bound up with and inseparable from the natural world. But since colonialism, Indigenous traditions and access to traditional foods or foodways have been disrupted, imperiling their health and well-being. In this Article, I discuss the role of Indigenous cosmovision/worldview and Indigenous Food Sovereignty in achieving environmental justice. Specifically, in this Article, I discuss that despite, or perhaps because of, efforts to deny Indigenous peoples’ access to healthy and culturally appropriate foods, Indigenous Food Sovereignty took a rise of preciousness in informing natural regenerative food systems, and ultimately, “holistic/collective well-being.”
Indigenous Knowledge As Evidence In Federal Rule-Making, Edward Randall Ornstein
Indigenous Knowledge As Evidence In Federal Rule-Making, Edward Randall Ornstein
University of Miami Law Review
Recent and historic federal guidance instructs agencies to consider Indigenous Knowledge in decision-making where it is available. However, tribal advocates are faced with many hurdles, in the form of “information quality” criteria, which requires the collection and dissemination of Indigenous Knowledge to conform to a complex set of procedural rules before agencies may be willing to consider it as evidence for rule-making. This Article seeks to define Indigenous Knowledge, highlight the hurdles to its implementation by federal agencies, and equip tribal advocates and officials with strategies and a demonstrative example of best practices for the packaging and presentation of Indigenous …
Public Health Impacts And Intra-Urban Forced Displacement Due To Climate Gentrification In The Greater Miami Area—Community Lawyering For Environmental Justice And Equitable Development, Theresa Pinto, Abigail L. Fleming, Sabrina Payoute, Elissa Klein
Public Health Impacts And Intra-Urban Forced Displacement Due To Climate Gentrification In The Greater Miami Area—Community Lawyering For Environmental Justice And Equitable Development, Theresa Pinto, Abigail L. Fleming, Sabrina Payoute, Elissa Klein
University of Miami Law Review
Because Miami-Dade County is “ground zero” for such climate effects as sea-level rise and increasingly hazardous, climate-driven Atlantic hurricanes, the coral rock ridge that runs along the Eastern coast of South Florida is a prime target for redevelopment and “climate” gentrification. Through a community and movement lawyering for environmental justice approach, we partnered with local community organizations to contribute to the ongoing work of community-driven equitable development. In partnership, we developed an environmental public health study to understand and document the public health effects on disadvantaged communities in Miami-Dade County from forced intra-urban displacement due to redevelopment that is being …
Evolving Legal Conceptions Of “Energy Communities”, Uma Outka
Evolving Legal Conceptions Of “Energy Communities”, Uma Outka
University of Miami Law Review
The concept of “energy communities” has had long-standing and evolving significance in the United States and in other countries around the world. Under the Biden Administration, the term “energy communities” has acquired new legal meanings that differ by context and continue to evolve. This Article traces the shifting meaning of “energy communities” and examines how it relates to other dominant references to “communities” in the context of energy law and policy, including environmental justice, low-income, underserved, and disadvantaged communities, as well as newer community-scale energy system innovations, such as community solar or “advanced energy communities.” International comparisons, such as with …
On The Invariance Of Hyperstoneanness Under Lattice Isomorphisms, Banu Güntürk
On The Invariance Of Hyperstoneanness Under Lattice Isomorphisms, Banu Güntürk
Turkish Journal of Mathematics
Let X and Y be compact Hausdorff spaces with Y hyperstonean. In this paper, we prove that if C(X,R) and C(Y,R) are lattice isomorphic then these Banach spaces are linearly isometric, and, consequently, X and Y are homeomorphic, which in turn implies that X is also hyperstonean. Actually, we prove more than what is announced in the headline above. This result, in some ways, is a generalization of the well-known Banach-Stone theorem.
Some Estimates On The Spin−Submanifolds, Serhan Eker
Some Estimates On The Spin−Submanifolds, Serhan Eker
Turkish Journal of Mathematics
In this paper, an optimal lower bound is given for the Submanifold Dirac operator in terms of the trace of an Energy−Momentum tensor, scalar curvature and mean curvature. In the equality case, it is proven that the submanifold is Einstein if the normal bundle is flat. Key words: Spin geometry, eigenvalues,
Poor Oral Health Is Associated With Inflammation, Aortic Valve Calcification, And Brain Volume Among Forager-Farmers, Benjamin C. Trumble, Matthew Schwartz, Andrew T. Ozga, Gary T. Schwartz, Christopher M. Stojanowski, Carrie L. Jenkins, Thomas Kraft, Angela R. Garcia, Daniel K. Cummings, Paul L. Hooper, Daniel Eid Rodriguez, Kenneth Buetow, Bret Beheim, Andrei Irimia, Gregory S. Thomas, Randall C. Thompson, Horus Team, Margaret Gatz, Jonathan Stieglitz, Caleb E. Finch, Michael Gurven, Hillard Kaplan
Poor Oral Health Is Associated With Inflammation, Aortic Valve Calcification, And Brain Volume Among Forager-Farmers, Benjamin C. Trumble, Matthew Schwartz, Andrew T. Ozga, Gary T. Schwartz, Christopher M. Stojanowski, Carrie L. Jenkins, Thomas Kraft, Angela R. Garcia, Daniel K. Cummings, Paul L. Hooper, Daniel Eid Rodriguez, Kenneth Buetow, Bret Beheim, Andrei Irimia, Gregory S. Thomas, Randall C. Thompson, Horus Team, Margaret Gatz, Jonathan Stieglitz, Caleb E. Finch, Michael Gurven, Hillard Kaplan
ESI Publications
Poor oral health is associated with cardiovascular disease and dementia. Potential pathways include sepsis from oral bacteria, systemic inflammation, and nutritional deficiencies. However, in post-industrialized populations, links between oral health and chronic disease may be confounded because the lower socioeconomic exposome (poor diet, pollution, low physical activity) often entails insufficient dental care. We assessed tooth loss, caries, and damaged teeth, in relation to cardiovascular and brain aging among the Tsimane, a subsistence population living a relatively traditional forager-horticulturalist lifestyle with poor dental health, but minimal cardiovascular disease and dementia. Dental health was assessed by a physician in 739 participants aged …
The Market For Bankruptcy Courts: A Case For Regulation, Not Obliteration, Brook E. Gotberg
The Market For Bankruptcy Courts: A Case For Regulation, Not Obliteration, Brook E. Gotberg
BYU Law Review
Large corporate debtors typically file for bankruptcy only after conducting a thorough analysis as to the most favorable venue for the case. Recent legislation has proposed to severely limit all corporate debtors’ ability to select bankruptcy venue. The messaging behind calls for venue reform is outwardly altruistic: it is said to be necessary to facilitate access to justice and to prevent abuse of the system. However, the push for venue reform is largely driven by professional envy and a distrust of specific judges based on unpopular high-profile rulings. Placing new constraints on the ability to choose venue will not achieve …
Garrity Immunity And The U.S. Armed Forces, Bretton H. Laudeman, Gabriel J. Chin
Garrity Immunity And The U.S. Armed Forces, Bretton H. Laudeman, Gabriel J. Chin
BYU Law Review
The U.S. military is one of the nation’s largest and most important public employers. Given the unique nature of military service, the service branches have a strong interest in ensuring the integrity of their ranks. Yet the military lacks a critical force-management tool used by every other public employer to investigate workplace misconduct: the ability to demand answers to potentially incriminating questions under Garrity v. New Jersey, 385 U.S. 493 (1967). The Garrity solution, known as “Garrity immunity,” strikes a critical balance between the government’s interests in workplace oversight and accountability with the employee’s Fifth Amendment right against self-incrimination by …
Ukraine, Urban Warfare, And Obstacles To Humanitarian Access: A Predicament Of Public International Law, Harriet Norcross Eppel
Ukraine, Urban Warfare, And Obstacles To Humanitarian Access: A Predicament Of Public International Law, Harriet Norcross Eppel
BYU Law Review
Humanitarian assistance is not carried out in a vacuum. As urban warfare historically complicates humanitarian aid’s access to civilians in war zones, Ukraine, having suffered and still facing highly publicized violence in civilian-dense areas, has encountered dire obstacles in acquiring necessary resources for civilians’ survival, including both direct and incidental attacks on humanitarian access. Thus, it is vital the international legal community take measures to mitigate current and future dangers of urban warfare, as well as design new solutions, such as strengthening current international law under which obstructing humanitarian access constitutes a violation of jus cogens principles, attempting to induce …
Harnessing Physical Activity Monitoring And Digital Biomarkers Of Frailty From Pendant Based Wearables To Predict Chemotherapy Resilience In Veterans With Cancer, Gozde Cay, Yvonne H Sada, Mohammad Dehghan Rouzi, Md Moin Uddin Atique, Naima Rodriguez, Mehrnaz Azarian, M G Finco, Sarvari Yellapragada, Bijan Najafi
Harnessing Physical Activity Monitoring And Digital Biomarkers Of Frailty From Pendant Based Wearables To Predict Chemotherapy Resilience In Veterans With Cancer, Gozde Cay, Yvonne H Sada, Mohammad Dehghan Rouzi, Md Moin Uddin Atique, Naima Rodriguez, Mehrnaz Azarian, M G Finco, Sarvari Yellapragada, Bijan Najafi
Center on Aging Staff Publications
This study evaluated the use of pendant-based wearables for monitoring digital biomarkers of frailty in predicting chemotherapy resilience among 27 veteran cancer patients (average age: 64.6 ± 13.4 years), undergoing bi-weekly chemotherapy. Immediately following their first day of chemotherapy cycle, participants wore a water-resistant pendant sensor for 14 days. This device tracked frailty markers like cadence (slowness), daily steps (inactivity), postural transitions (weakness), and metrics such as longest walk duration and energy expenditure (exhaustion). Participants were divided into resilient and non-resilient groups based on adverse events within 6 months post-chemotherapy, including dose reduction, treatment discontinuation, unplanned hospitalization, or death. A …