Digital Commons Network^™

Hypoglossal Neuropathy In The Pathogenesis Of Fibrosis-Related Late-Radiation Associated Dysphagia: A Correlative Analysis Utilizing Electromyography To Explore The Frequency Of Clinical And Subclinical Neuropathy In A Pilot Dysphagia Trial, Holly Mcmillan, Christine Okoro, Sheila Buoy, Karin Woodman, Nicolaas Anderson, Stephen Y Lai

Faculty, Staff and Student Publications

Background: Late radiation-associated dysphagia (late-RAD) commonly presents in patients with signs of hypoglossal neuropathy, with hallmark clinical features including lingual atrophy, deviation, and fasciculation. Gold-standard electromyography (EMG) has not been used to explore the frequency of hypoglossal neuropathy in patients with late-RAD.

Methods: Exploratory post hoc secondary analysis of MANTLE trial (NCT03612531) was completed. The presence of cranial nerve XII (CN XII) neuropathy was classified by (1) features of clinical assessment as well as (2) intramuscular genioglossus EMG pre-MANTLE intervention in disease-free HNC survivors ≥ 2 years post-radiotherapy (RT) with grade ≥ 2 fibrosis and dysphagia.

Results: All …

Circulating Fatty Acid Binding Protein 4 (Fabp-4) Concentrations And Mortality In Individuals With Colorectal Cancer In The European Prospective Investigation Into Cancer And Nutrition Study, Thu Thi Pham, Katharina Nimptsch, Krasimira Aleksandrova, Mazda Jenab, Veronika Fedirko, Anne Tjønneland, Gianluca Severi, Matthias B Schulze, Renée Turzanski Fortner, Verena Katzke, Claudia Agnoli, Carlotta Sacerdote, Rosario Tumino, Simona Signoriello, Camino Trobajo-Sanmartín, Jesús-Humberto Gómez, María-Dolores Chirlaque, Maria-Jose Sánchez, Marta Crous-Bou, Anne May, Alicia Heath, Dagfinn Aune, Elisabete Weiderpass, Tobias Pischon

Faculty, Staff and Student Publications

Human fatty acid binding protein‐4 (FABP‐4), a protein elevated in obesity that promotes colon cancer cell invasiveness and metastasis, may be associated with higher mortality in individuals with colorectal cancer (CRC) and may serve as a mediator of the obesity–mortality association in these individuals. We used a causal diagram to inform covariate selection and applied Cox proportional hazards models to estimate hazard ratios (HRs) for CRC‐specific, non‐CRC‐specific, and all‐cause mortality by FABP‐4 levels measured in baseline blood samples from 1371 incident CRC cases from the European Prospective Investigation into Cancer and Nutrition cohort. Competing risk analyses were adapted for CRC …

Neurological Recovery After Ich Is Mediated By The Aryl Hydrocarbon Receptor-Bilirubin Interplay Through Improved Erythrophagocytosis, Xiurong Zhao, Shun-Ming Ting, Guanghua Sun, Jaroslaw Aronowski

Faculty, Staff and Student Publications

Hematoma clearance after ICH is a pro-hemostatic process aiming at repair/recovery and is achieved through microglia/macrophages (MMΦ)-mediated erythrophagocytosis. Upon the engulfment of masses of erythrocytes and toxic hemolysis products, hemoglobin and heme, phagocytes convert them to bilirubin (BrB). Bilirubin is essentially not soluble in water and when overproduced, it precipitates within the cell causing injury. Thus, keeping bilirubin soluble and at a low intracellular level is needed for proper function of MMΦ. Here, using cultured microglia (MG), we found that intracellular formation of BrB in microglia during erythrophagocytosis coincides with the activation of transcription factor AhR, and AhR target genes …

The American College Of Radiology Diagnostic Fluoroscopy Dose Index Registry Pilot: Dosimetric Performance And Benchmarking Challenges, Steve D Mann, Donald L Miller, Grant Fong, Allen R Goode, Emily L Marshall, Pavlina Boxx, Celalettin Topbas, Alan H Schoenfeld, Vivek Singh, Jie Zhang

Faculty, Staff and Student Publications

Background: The ACR Diagnostic Fluoroscopy Dose Index Registry (DIR-Fluoro) is expanding to include diagnostic fluoroscopy. Variations in dose reference points and overhead radiography events may introduce unique challenges for benchmarking.

Purpose: To survey the technological status and dosimetric performance of fluoroscopes participating in the DIR-Fluoro pilot project, focusing on longitudinal stability and variability of fluoroscopic dose reporting accuracy across multiple institutions and vendors.

Methods: Sixty-six fluoroscopic systems from nine institutions (24 facilities) were surveyed for facility type, fluoroscope type, image receptor type, age, dose reporting capabilities, and other key features. Of these, 56 were evaluable. Semi-annual measurements assessed reference air …

Circulating Metabolites, Genetics And Lifestyle Factors In Relation To Future Risk Of Type 2 Diabetes, Jun Li, Jie Hu, Huan Yun, Zhendong Mei, Xingyan Wang, Marta Guasch-Ferré, Buu Truong, Jordi Merino, Chengyong Jia, Miguel Ruiz-Canela, Casey M Rebholz, Eun Hye Moon, Taryn Alkis, Guning Liu, Jie Yao, Xiyuan Zhang, Bianca C Porneala, Jordi Salas-Salvadó, Thomas J Wang, Josée Dupuis, Elizabeth Selvin, Xiuqing Guo, Shilpa N Bhupathiraju, Jennifer A Brody, Yongmei Liu, Alexis C Wood, Kari E North, Su Yon Jung, Ching-Ti Liu, Nona Sotoodehnia, Simin Liu, Lesley F Tinker, A Heather Eliassen, Joann E Manson, Jose C Florez, Robert E Gerszten, Clary B Clish, Liming Liang, Rozenn N Lemaitre, Katherine L Tucker, Stephen S Rich, Jerome I Rotter, Miguel Angel Martínez-González, Kathryn M Rexrode, James B Meigs, Eric Boerwinkle, Robert C Kaplan, Frank B Hu, Bing Yu, Qibin Qi

Faculty, Staff and Student Publications

The human metabolome reflects complex metabolic states affected by genetic and environmental factors. However, metabolites associated with type 2 diabetes (T2D) risk and their determinants remain insufficiently characterized. Here we integrated blood metabolomic, genomic and lifestyle data from up to 23,634 initially T2D-free participants from ten cohorts. Of 469 metabolites examined, 235 were associated with incident T2D during up to 26 years of follow-up, including 67 associations not previously reported across bile acid, lipid, carnitine, urea cycle and arginine/proline, glycine and histidine pathways. Further genetic analyses linked these metabolites to signaling pathways and clinical traits central to T2D pathophysiology, including …

50k4life: A Smart Study Protocol To Improve Walking Engagement In Public School Employees On The Us-Mexico Border, Jennifer J Salinas, Susan W Buchholz, Zenong Yin, Jennifer L Gay, Jing Wang, Mark G Wilson, Zuber Mulla, Elizabeth Ramirez, Deborah Parra Medina

Faculty, Staff and Student Publications

Introduction: Mexican Americans living in the U.S.-Mexico border region suffer disproportionately from preventable cardiometabolic and cancer diseases. Workplace health promotion programs that include physical activity promotion are promising strategies to address this public health problem to improve physical activity engagement. Workplace-based programs can increase moderate to vigorous physical activity (MVPA) engagement while addressing barriers associated with inactivity.

Methods: We plan to conduct a clustered Sequential Multiple Assignment Randomized Trial (SMART) to determine the effectiveness of a workplace walking challenge intervention - 50,000 for Life (50K4Life) - in improving brisk walking engagement (at least 7000 steps/day, representing approximately 50,000 steps/week) for …

A Guide To Transcriptomic Deconvolution In Cancer, Yaoyi Dai, Shuai Guo, Yidan Pan, Carla Castignani, Matthew D Montierth, Wenyi Wang

Faculty, Staff and Student Publications

Cancer tissues are heterogeneous mixtures of tumour, stromal and immune cells, where each component comprises multiple distinct cell types and/or states. Mapping this heterogeneity and understanding the unique contributions of each cell type to the tumour transcriptome is crucial for advancing cancer biology, yet high-throughput expression profiles from tumour tissues only represent combined signals from all cellular sources. Computational deconvolution of these mixed signals has emerged as a powerful approach to dissect both cellular composition and cell-type-specific expression patterns. Here, we provide a comprehensive guide to transcriptomic deconvolution, specifically tailored for cancer researchers, presenting a systematic framework for selecting and …

Digital Marine Citizenship Toolkit: Connecting To The Sea – The Role Of Digital Engagement For Marine Citizenship, Katharine Willis, Kizzy Beaumont

School of Art, Design and Architecture

Digital Marine Citizenship (DMC) uses creative and digital tools, often developed through artistic and creative practice, to help people connect with, care for, and takeaction for their local seas. It offers practical ways to understand our relationship withthe ocean and to play an active role in shaping sustainable coastal futures.By combining creativity and technology, and working with artists and communitiesto design meaningful experiences, DMC helps turn awareness into action and fosters a shared sense of belonging to the marine environment.This Toolkit has been created to inspire and support practitioners, community groups, and organisations who want to explore digital and creative …

Morphodynamics Of A Composite Barrier System, Westward Ho!, North Devon, Uk, Cerys Rimmer, Gerd Masselink, Mark Wiggins, Lauren Biermann

School of Biological and Marine Sciences

Understanding and predicting the morphodynamic evolution of gravel barrier systems is essential for coastal management, as these features provide natural protection for infrastructure and ecosystems. This study uses the composite gravel barrier system of Westward Ho!, south west England, characterised by a sandy intertidal region and a gravel high tide ridge, to quantify the morphological behaviour of this barrier system and link the dynamics to the external forcing, notably sea-level rise and waves. Since 1887, the barrier has retreated by 97 m, with an average retreat rate of 0.71 m yr−1. Over the period 2007–2024, the system lost approximately 216,000 …

Regional Geography And Tuning Systems Of Traditional Georgian Folk Music, Alex Kutubidze

Dissertations, Theses, and Capstone Projects

The project focuses on the traditional folk music of Georgia, mapping the geographical distribution of singing traditions across the country’s historical regions. Because vocal traditions and stylistic features of Georgian folk music vary significantly across historical regions, the project highlights these differences for the audience, which might be interested in learning Georgian folk music, seeking a basic understanding of its structure, or planning to visit the country for cultural or educational purposes related to folk music.  In addition, this work examines the tonal organization of Georgian traditional music, drawing on recent ethnomusicological research. It engages with ongoing scholarly discussions regarding …

Open To The Public(S): Privatized Public Space, Technology, And Aspirational Wealth At Hudson Yards, Troy Simpson

Dissertations, Theses, and Capstone Projects

Using the publicly accessible plaza at the Hudson Yards development in New York City as a backdrop, this dissertation provides an examination of mechanisms by which public spaces—already under pressure from a range of factors including privatization and securitization—are further transformed via processes associated with the notion of smart cities initiatives, or platform urbanism. Following a literature review and presentation of relevant contextual background related to the history and configuration of the site, the data chapters present a range of operational and material mechanisms that cumulatively establish a class-based strategic provision of narrow boundaries for visitor access and activities oriented …

Culture And Its Discontents: Versions Of Matthew Arnold From The 1860s To The 1980s, Jarrett Moran

Dissertations, Theses, and Capstone Projects

Between the 1860s and the 1980s, the concept of culture articulated by Matthew Arnold provided a widespread and persistent language for making claims about who was ready for inclusion in British politics and identity and who was not yet ready or even incapable of being included. Scholarship on Arnoldian culture has often focused on presenting just one version of Arnold, whether as a cultural elitist, a progenitor of literary studies, or proponent of “doing away with classes.” This dissertation instead shows that Arnold’s concept of culture was so pervasive and persistent because he could be appropriated and redefined by people …

Cartels As Foreign Terrorist Organizations? How Mexican Americans Think About U.S. Security Policy, Jesus J. Garcia-Gomez

Dissertations, Theses, and Capstone Projects

This thesis examines the political, social, and security implications of the U.S. government’s designation of cartels as Foreign Terrorist Organizations (FTOs), with a particular focus on its effects on U.S.–Mexico relations and Mexican American communities. While existing research has extensively analyzed counterterrorism and cartels, there is still an open debate regarding the justification to designating cartels as FTOs. Additionally, there is a gap in the scholarship focus on Mexican American communities’ opinion. This study addresses both gaps by analyzing how terrorism labels reshape security cooperation, legal authorities, and public perceptions of cartels, violence, and drug addiction in Mexico and the …

Less Self, Less Fear: Manipulation Of The Self Using Virtual Out-Of-Body Experiences To Alter The Conscious And Unconscious Experience Of Emotion, Dillon Freed

Dissertations, Theses, and Capstone Projects

This study investigated whether adopting an out-of-body perspective in virtual reality (VR) reduces subjective and physiological emotional responses to vicarious pain stimuli compared to inhabiting a first-person embodied avatar. Twenty-four participants experienced two counterbalanced VR conditions: (1) Avatar Embodiment (AV), in which they inhabited a photorealistic avatar from a first-person perspective, and (2) a Virtual Out-of-Body Experience (vOBE), in which they observed their avatar from a displaced third-person perspective. In both conditions, participants viewed a standardized series of vicarious pain images while electrodermal activity was recorded and self-report measures of embodiment (AV) and disembodiment (the vOBE state), emotional intensity (a …

A Critical Lens On Emotions And Learning: Shame, Loneliness, And Alienation In Community College, Mike Rifino

Dissertations, Theses, and Capstone Projects

This dissertation explores how community college students make sense of and navigate their emotions related to learning. Community colleges are two-year public higher education institutions that primarily serve working-class and students of color, enrolling almost half of all current undergraduates in the United States, yet their experiences are rarely addressed by researchers. Drawing on critical theories (e.g., feminist politics of emotions, Black feminist/queer women of color theorizing), emotions in this study are conceptualized as socio-politically situated, shaped by institutions and ideologies distributed through power across intersecting social identities. Although emotion research in higher education has grown substantially in the past …

Reimagining Safety And Justice: Experiences Of And Resistance To Police Sexual Violence In New York City, Priscilla Bustamante

Dissertations, Theses, and Capstone Projects

In the era following both Black Lives Matter and #MeToo, police sexual violence (PSV) currently constitutes the second most commonly reported police complaint after excessive force. Police across the U.S. are caught for some form of sexual misconduct once every five days, with on-duty officers found to commit sexual assaults at more than double the rate of the general population. The gendered and racialized perpetration of sexual violence extends far beyond policing; however, it has been intensified within the masculine, militarized carceral structures designed to legally control and punish.

Accordingly, this dissertation utilizes an interdisciplinary, multi-method approach to offer what …

At The Margins Of History, The Body Moves And Knows: Carmen As Myth, Flamenco As A Fugitive Form Of Knowledge Transmission, Inmaculada Zanoguera Garcias

Dissertations, Theses, and Capstone Projects

My research, grounded in decolonial historiography and performance studies, examines how Spain has historically relied on the exoticized Other for the construction of its national identity. At the center of my analyses is Carmen, the eponymous protagonist of French writer Prosper Mérimée’s 1845 novella Carmen. Through this dissertation, I attend to the process through which this fictional character turned into the enduring myth of Carmen—the Orientalized, quintessential Spanish woman—and the consequences that upholding this myth has on the real lives of women, historically and contemporarily. I depart from the assumption that this myth-making process emerged in response to Spain’s inability …

Voces Of Teachers And The Politics Of Literacy: A Case Study Of Multilingual Kindergarten In A Midwestern Urban District, Rachel Chapman

Dissertations, Theses, and Capstone Projects

The United States is home to more international immigrants than any other country in the world with about a quarter of its children learning two or more languages while growing up. This study explored teachers’ experiences with children's home languages as they learned English for the first time in a kindergarten classroom. In kindergarten, children build their emergent literacy skills as they enter the beginning stages of reading, when children use letter sounds to decode words. Because teachers have largely been left out of the debate about policy formation and curriculum on teaching reading, this study focused on teachers’ experiences …

Online Visual Query System For Real-Time Large-Scale Spatio-Temporal Data Explorations With Error Bounds, Xueqi Huang

Dissertations, Theses, and Capstone Projects

Modern datasets continue to grow in size, dimensionality, and heterogeneity, creating increasing tension between the need for responsive, interactive analysis and the computational cost of accessing, aggregating, and visualizing large volumes of data. Traditional database engines and visualization tools often assume that full data retrieval is feasible or that exact computation is necessary for meaningful insight. In practice, however, analysts frequently benefit from timely, uncertainty-aware approximations than from delayed and exact results. This thesis investigates how data summarization techniques, specifically mergeable sketches can be combined with progressive, out-of-core visualization methods to support interactive exploration of datasets that exceed main memory. …

Courts Of New York: A Visual Atlas Of The City’S Public Basketball Spaces, Nathaniel Rattner

Dissertations, Theses, and Capstone Projects

Basketball courts in New York City are recreation facilities, community anchors and part of the city’s cultural image. In the basketball capital of the world, New Yorkers are rarely more than a few blocks away from a court. The visual diversity of these courts, however, is not widely documented in systematic ways.

This project makes that diversity visible to the public, combining open data, aerial imagery and computational analysis to document this important public space across the five boroughs. It is a narrative story and digital atlas of New York City’s public basketball courts, using surface color as a way …

Protein Allostery Probed By Ligands Across Sites, Virgil A. Woods

Dissertations, Theses, and Capstone Projects

Allostery is a pervasive regulatory principle throughout biology, yet the structural pathways by which distal inputs alter active‑site chemistry within protein structures remain incompletely defined and exploited. This dissertation uses protein tyrosine phosphatase 1B (PTP1B) as a tractable model to map those pathways with complementary experimental and computational tools. I integrate high‑resolution hydrogen-deuterium exchange mass spectrometry (HDX-MS), room-temperature crystallography, NMR, steady-state kinetics, crystallographic pseudo-ensembles, and machine-learning-guided ligand discovery. The working premise is that regulation reflects redistribution within a conformational ensemble rather than a binary switch. That orthogonal perturbations by small molecules, mutations, and protein partners can be used to both …

Good Mothers: Black Disabled Mothers & The Family Policing System, Siobhan Pokorney

Dissertations, Theses, and Capstone Projects

Good Mothers: Black Disabled Mothers & the Family Policing System is a qualitative study utilizing 16 in-depth individual interviews with mothers who broadly identified as Black, disabled mothers who had at least one interaction with the family policing system as adults in or around NYC. The study examines the work these mothers engage in to navigate their identities and strategically present themselves as good mothers while facing state surveillance and oppressive systems (specifically the family policing system) which automatically frame them as “unfit mothers.” It traces their experiences and the identity work that they engage in through the anticipatory trauma …

How To Search For The Engram: Optogenetics And Network Dynamics, Claudia Garcia Jou

Dissertations, Theses, and Capstone Projects

Memories are thought to be encoded by ensembles of neurons called "engram cells", because their artificial activation with optogenetics leads to the behavioral expression of a memory. However, the physiological mechanisms that mediate this process remain unknown. In this thesis, I investigate how optogenetic stimulation of memory-tagged cells changes neuronal firing, spatial coding, and the geometry of neural manifolds. I used an active place avoidance task and a foraging task to label engram cells in the dorsal hippocampus with Channelrhodopsin2 (ChR2). I then recorded the hippocampal activity response to optogenetic stimulation in mice under anesthesia, head-fixed, or freely moving. I …

The Concept Of Environmental Injustice In Allergy And Asthma, Ekta Perera, Christopher Codispoti, Mahboobeh Mahdavinia

Faculty, Staff and Student Publications

Purpose of review: This review examines how environmental injustice contributes to disparities in allergic diseases, including asthma, allergic rhinitis, and atopic dermatitis. It focuses on the role of social, geographic, and economic inequities in shaping disease prevalence, severity, and access to care among underrepresented racial and ethnic communities.

Recent findings: Recent studies emphasize the persistent exposure of low-income and racially marginalized populations to environmental hazards such as air pollution, substandard housing, and climate-related changes, factors that are linked to increased prevalence and severity of allergic diseases. While environmental policies have led to overall improvements in air quality, disparities in exposure …

Stimulated Cytokine Production, Attachment, And Emotional Well-Being In Dementia Spousal Caregivers, Daniel L Argueta, Sarah Roberts, Kelly N Brice, E Lydia Wu-Chung, Vincent D Lai, Jensine Paoletti-Hatcher, Bryan T Denny, Charles Green, Samantha Henry, Luis D Medina, Paul E Schulz, Jennifer Stinson, Cobi Heijnen, Christopher P Fagundes

Faculty, Staff and Student Publications

Background: Proinflammatory cytokine production may be related to poor emotional adjustment in dementia spousal caregivers. People who display attachment insecurity may be at increased risk for adverse caregiving experiences and poor psychosocial outcomes.

Objective: This study aimed to understand whether proinflammatory cytokine production was associated with anticipatory grief, caregiver burden, and depressive symptoms and whether those relationships were stronger for caregivers higher on attachment anxiety or avoidance.

Method: A sample of 103 dementia spousal caregivers provided self-report data on demographics, health information, and psychosocial outcomes. We also determined lipopolysaccharide-induced whole-blood interleukin-6, interleukin-1β, tumor necrosis factor-α, and interleukin-10 production and combined …

Cultural Influences On Camouflaging And Autistic Burnout: Examining The Experiences Of Latino Autistic Young Adults, Antonio F Pagán, Katherine A Loveland, Ron Acierno

Faculty, Staff and Student Publications

The present study explored the relationship between camouflaging, autistic burnout, and cultural factors in Latino young adults with autism spectrum disorder (ASD). While autistic burnout and camouflaging have been widely studied in general ASD populations, limited research has focused on Latino individuals, who may experience unique pressures due to cultural values such as collectivism, familism, and traditional gender roles. Participants (N = 56) from the ¡Iniciando! la Adultez therapy program completed measures assessing burnout, camouflaging, acculturation, and cultural values. Results indicate that participants reported moderate to high levels of autistic burnout, with the highest levels observed in heightened self-awareness …

Insomnia In Stimulant Use Disorders: Prevalence And Associations With Negative Affect, Isabella G Bourtin, Constanza De Dios, Jessica Vincent, Joy M Schmitz, Scott D Lane, Heather E Webber

Faculty, Staff and Student Publications

Research suggests that sleep disturbances are common among people who use psychostimulants, including cocaine use and methamphetamine use. These sleep disturbances hinder recovery, heighten relapse risk, and worsen physical and mental health outcomes. This study aimed to estimate the prevalence and severity of insomnia among individuals who use cocaine and methamphetamine and to explore potential psychological factors that are associated with more severe insomnia. The sample included participants who completed in-person screening assessments for ongoing studies at an outpatient research clinic. As a part of this screening, participants completed the Insomnia Severity Index (ISI) and validated assessments of psychological domains …

Design Of Lithium-Based Battery Electrolyte Compositions For Extreme Operating Conditions Using Alternative Solvents, Co-Solvents And Additives, Michael J. Keating

Dissertations, Theses, and Capstone Projects

Lithium-ion battery utilization is widespread due to relatively high capacity and long cycle life. Advanced technologies have specific demands of their energy storage devices that traditional Li-ion batteries are unable to meet. Lithium-ion batteries utilize a graphite anode which has a limited theoretical capacity. Traditional lithium-ion batteries also utilize flammable solvents in their electrolyte mixtures. Due to the flammable electrolyte, lithium-ion batteries are not considered practical for large scale applications. Additionally, the lithium-ion battery has a narrow optimal operating temperature window. The temperature limitation of lithium-ion batteries leads to issues for many applications such as operating in extreme temperature environments, …

The Rhetorical Agency Of Student-Parents: Assembling, Archiving, And Naming Practices And Interpretations That Transform Worlds, Dhipinder Walia

Dissertations, Theses, and Capstone Projects

This dissertation is an interdisciplinary project that uses interview data collected from six student-parents attending Bronx Community College during 2024 to 2025. Using rhetorical and critical discourse analysis, this dissertation argues student-parents enact their rhetorical agency to transform their college experience. Specifically, student-parents use their rhetorical agency to interpret time and place in a way that centers their own wellbeing as well as the wellbeing of their children. This dissertation focuses on interpretations and ordinary practices that reimagine what time and place can look and feel like on a college campus. Additionally, student-parents enact their rhetorical agency through ordinary practices …

Distribution Of Power In South Asia: Assessing Sino-Indian Conflict Propensity, Fatima Faisal

Dissertations, Theses, and Capstone Projects

In international relations, the distribution of power is a key theme impacting the propensity for nations to break into wars; however, the vast academic literature is Eurocentric with a concentration on the United States and the Soviet Union. This paper shifts to the unexplored distribution of power in South Asian with a particular focus of Sino-Indian border conflicts namely the Sino-Indian War (1962), the Nathu La and Cho La clashes (1967), the Arunachal Ambush (1975), Sumdorong Chu standoff (1987), the Armed Confrontation (2013), and the Doklam Standoff (2017), and the Galwan Valley (2020) to determine if the region was more …