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Advances And Challenges In Digitally Connected Point-Of-Care Biosensing, Abdellatif Ait Lahcen, Jegan Rajendran, Gymama Slaughter Jan 2026

Advances And Challenges In Digitally Connected Point-Of-Care Biosensing, Abdellatif Ait Lahcen, Jegan Rajendran, Gymama Slaughter

Center for Bioelectronics Publications

Point-of-care (POC) biosensors are undergoing a paradigm shift from isolated diagnostic tools to digitally connected, intelligent platforms that enable continuous and decentralized healthcare delivery. This review critically examines recent advances in wearable, implantable, and portable biosensors, highlighting how integration with wireless communication, the Internet of Medical Things (IoMT), and artificial intelligence is transforming their functionality and clinical utility. Particular attention is given to innovations such as smartphone-enabled interfaces, cloud-based analytics, and machine learning-assisted analysis, which collectively enhance sensitivity, specificity, and user accessibility across diverse healthcare settings, from personalized home monitoring and bedside diagnostics to deployment in resource-limited regions. The review …


Ai-Assisted Surface-Enhanced Raman Spectroscopy For Cardiovascular Diagnostics: From Plasmonic Materials To Clinical Translation, Anju Joshi, Gymama Slaughter Jan 2026

Ai-Assisted Surface-Enhanced Raman Spectroscopy For Cardiovascular Diagnostics: From Plasmonic Materials To Clinical Translation, Anju Joshi, Gymama Slaughter

Center for Bioelectronics Publications

Raman spectroscopy (SERS) has emerged as a powerful analytical technique, offering molecular fingerprint specificity and ultrasensitive detection of cardiac biomarkers. Recent advances in plasmonic nanostructures, surface functionalization strategies, and flexible sensing platforms have significantly improved the analytical performance of SERS-based biosensors. In parallel, the integration of artificial intelligence (AI) and machine learning has enabled robust interpretation of complex spectral datasets, facilitating automated biomarker classification and improved diagnostic accuracy in heterogeneous biological environments. Despite these advances, the field remains fragmented, with limited integration between nanomaterial design, biomarker selection, and data-driven analysis, and persistent challenges related to reproducibility, standardization, and clinical validation. …


Nanofibrous Materials And Nanoparticles For Combating Antimicrobial Resistance: Synthesis, Integration, And Translational Perspectives, Rewati Raman Ujjwal, Ashish Dilip Sutar, Rahul Shukla, Gymama Slaughter Jan 2026

Nanofibrous Materials And Nanoparticles For Combating Antimicrobial Resistance: Synthesis, Integration, And Translational Perspectives, Rewati Raman Ujjwal, Ashish Dilip Sutar, Rahul Shukla, Gymama Slaughter

Center for Bioelectronics Publications

Antimicrobial resistance (AMR) is a major global health challenge driven by mechanisms such as biofilm formation, efflux pumps, and genetic mutations. Nanoparticulate and fibrous materials have emerged as promising strategies to overcome these limitations through multimodal antimicrobial action and controlled drug delivery. This review highlights recent advances in electrospun nanofibrous systems, including natural and synthetic polymer-based scaffolds, stimuli-responsive nanofibers, and functionalized patches. Nanoparticle-loaded nanofiber systems demonstrate enhanced performance, including bacterial eradication, sustained drug release, and significant biofilm disruption. Multifunctional systems combining antimicrobial, antioxidant, and immunomodulatory properties further show synergism. Emerging innovations, such as piezoelectric and smart sensing systems, enable self-powered …


Linker-Free Gold-Sputtered Tapered Optical Fiber Plasmonic Sensors For High-Sensitivity Refractive Index Detection In Microfluidic Platforms, Erem Ujah, Gymama Slaughter Jan 2026

Linker-Free Gold-Sputtered Tapered Optical Fiber Plasmonic Sensors For High-Sensitivity Refractive Index Detection In Microfluidic Platforms, Erem Ujah, Gymama Slaughter

Center for Bioelectronics Publications

Gold-sputtered tapered optical fiber (Au-TOF) sensors were developed for high-sensitivity refractive-index (RI) detection using aqueous glucose standards spanning 1.33–1.41 RIU (0–50% w/v). The sensors were fabricated using a reproducible workflow combining flame-brushing tapering, plasma surface preparation, and rotational magnetron sputtering, enabling azimuthally uniform gold coatings without the use of thiol or sulfur linker chemistries. Two sputtering durations (24 s and 30 s) were investigated to examine thickness-dependent plasmonic coupling and sensing performance. Optical measurements were conducted using a broadband supercontinuum source and compact spectrometer within a 20 µL microfluidic sensing chamber. Increasing glucose concentration produced a monotonic decrease in transmission …


Electrochemical Hemoglobin Biosensors For Point-Of-Care Diagnostics, Ashwini Dantanarayana, Gymama Slaughter Jan 2026

Electrochemical Hemoglobin Biosensors For Point-Of-Care Diagnostics, Ashwini Dantanarayana, Gymama Slaughter

Center for Bioelectronics Publications

Hemoglobin (Hb) and its glycated variant (HbA1c) are essential clinical biomarkers for diagnosing anemia, acute hemorrhage, and long-term glycemic control. The growing demand for decentralized point-of-care (POC) testing has accelerated the development of rapid, inexpensive, and portable electrochemical sensing platforms. These technologies exploit the intrinsic redox activity of the heme prosthetic group, yet achieving efficient direct electron transfer (DET) remains a fundamental challenge because the electroactive iron center is deeply embedded within the globin structure. This review critically examines recent advances in electrochemical Hb sensing, tracing the evolution of electrode architectures from conventional carbon substrates to nanostructured materials, including graphene, …


Engineering Electrospun Pvdf Nanofibers For Next-Generation Wearable Bioelectronics, Reshmi Banerjee, Gymama Slaughter Jan 2026

Engineering Electrospun Pvdf Nanofibers For Next-Generation Wearable Bioelectronics, Reshmi Banerjee, Gymama Slaughter

Center for Bioelectronics Publications

Electrospun poly(vinylidene fluoride) (PVDF) and P(VDF-TrFE) nanofibers offer a mechanically flexible, high-surface-area platform for wearable bioelectronics, including piezoelectric sensing and self-powered operation. This review establishes a process–structure–property–performance framework for engineering electrospun PVDF- and P(VDF-TrFE)-based wearable systems. Relationships amongst precursor composition, electrospinning parameters, fiber morphology and alignment, crystalline phase formation, dipole orientation, and device-level piezoelectric performance are examined. Electrospinning is compared with other established fabrication methods including solution casting, spin coating, melt processing, phase inversion, and printing in terms of electroactive β-phase fraction, flexibility, scalability, manufacturing complexity, cost, and wearable-device suitability. Device architectures and performance are evaluated across pressure and strain …


Write For Mental Wellness - Writing For Self-Advocacy, Ypsiwrites, #Wishyouknew Washtenaw Jan 2026

Write For Mental Wellness - Writing For Self-Advocacy, Ypsiwrites, #Wishyouknew Washtenaw

YpsiWrites Programming

No abstract provided.


Write For Mental Wellness - Writing For Social Advocacy, Ypsiwrites, #Wishyouknew Washtenaw Jan 2026

Write For Mental Wellness - Writing For Social Advocacy, Ypsiwrites, #Wishyouknew Washtenaw

YpsiWrites Programming

No abstract provided.


Enhancing Traffic State Estimation At Bottlenecks Through Improved Demand Modeling: A Greenshields-Grounded Approach, Yuyan Annie Pan, Xianbiao Hu, Qing Tang, Yanyan Chen, Xuesong (Simon) Zhou Jan 2026

Enhancing Traffic State Estimation At Bottlenecks Through Improved Demand Modeling: A Greenshields-Grounded Approach, Yuyan Annie Pan, Xianbiao Hu, Qing Tang, Yanyan Chen, Xuesong (Simon) Zhou

Civil & Environmental Engineering Faculty Publications

Accurate estimation of traffic state under oversaturated conditions is fundamental to a wide range of transportation applications. While intuitive, volume-to-capacity (q/qc) ratio-based link performance functions (LPF) are challenged by the U-shaped pattern of real-world speed-flow plots, which contradict the monotonic assumptions of link performance models such as the Bureau of Public Roads (BPR) function, particularly when q/qc ≥ 1. This study addresses this critical gap by proposing an enhanced demand estimation method grounded in the Greenshields model, incorporating a real-time inflow correction factor to more accurately capture traffic demand at bottlenecks. In parallel, a modified LPF is introduced, replacing …


Optimizing Maintenance Routes For Highway Infrastructure Using Leader-Follower Autonomous Vehicles, Qing Tang, Chenxi Chen, Xianbiao Hu, Yuxin Ding, Tianjia Yang Jan 2026

Optimizing Maintenance Routes For Highway Infrastructure Using Leader-Follower Autonomous Vehicles, Qing Tang, Chenxi Chen, Xianbiao Hu, Yuxin Ding, Tianjia Yang

Civil & Environmental Engineering Faculty Publications

The Autonomous Truck Mounted Attenuator (ATMA), a leader–follower style connected and automated vehicle system, enhances safety during transportation infrastructure maintenance in work zones. However, the significantly lower speed of ATMA, compared to regular vehicles, causes moving bottlenecks that reduce roadway capacity and prolong queuing, leading to further delays. Different ATMA routes lead to varying patterns of time-dependent capacity drop, affecting the user equilibrium traffic assignment and resulting in differing system costs. This study aims to optimize ATMA routing within a network to minimize the system cost associated with its slow-moving operation. To this end, a queuing-based traffic assignment approach is …


Short-Term Response Mechanisms Of Water Quantity And Quality Of Daihai Lake Under Temperature-Driven Changes, Hao Zhang, Xiaohong Shi, Xianhua Li, Junping Lu, Ruizhong Gao, Xixi Wang, Shuhao Zhang, Longmei Xie, Yu Liu Jan 2026

Short-Term Response Mechanisms Of Water Quantity And Quality Of Daihai Lake Under Temperature-Driven Changes, Hao Zhang, Xiaohong Shi, Xianhua Li, Junping Lu, Ruizhong Gao, Xixi Wang, Shuhao Zhang, Longmei Xie, Yu Liu

Civil & Environmental Engineering Faculty Publications

Temperature-driven mechanisms involving complex feedback and lag that affect the evolution of hydrological processes and ecological functions in cold- and arid-region lakes represent a core scientific issue in current hydrology and lake ecology research. In this study, based on month-scale temperature and environmental factor data from Daihai Lake in Inner Mongolia from January to December 2023, statistical methods (redundancy analysis, Tukey's test analysis, correlation analysis, structural equation modeling), time series analysis methods (dynamic time warping), and machine learning methods (random forest) were combined. A hierarchical and phased response framework was constructed that encompassed driver identification, path tracing, lag characterization, and …


Occupational Exposure To Pesticides Increases The Risk Of Amyotrophyc Lateral Sclerosis: A Systematic Review And Meta-Analysis, France Labrèche, Pamela Prudhomme, Maryse Gagnon, Nicolas Dupré, Sabrina Gravel Jan 2026

Occupational Exposure To Pesticides Increases The Risk Of Amyotrophyc Lateral Sclerosis: A Systematic Review And Meta-Analysis, France Labrèche, Pamela Prudhomme, Maryse Gagnon, Nicolas Dupré, Sabrina Gravel

Études primaires

Objective To systematically review the evidence on the association between occupational exposure to pesticides and the risk of amyotrophic lateral sclerosis (ALS).

Methods A systematic search, conducted in eight bibliographic databases for publications between 1990 and 2025, identified observational studies estimating the risk of ALS after occupational pesticide exposure. Study quality was assessed using the WHO Risk of Bias (RoB) assessment instrument for systematic reviews, with the ROBINS-E (RoB in non-randomised studies of exposure) tool domains of bias. Pooled risk estimates were produced using random-effects models with restricted maximum likelihood, heterogeneity was assessed with I² statistics, and meta-regressions and publication …


On The Use Of Hearing Aid Algorithms In Industrial Noise: Balancing Speech Intelligibility And Hearing Protection, Solenn Ollivier, Fabien Bonnet, Alexis Pinsonnault-Skvarenina, Christian Giguère, Jérémie Voix, Hugues Nélisse Jan 2026

On The Use Of Hearing Aid Algorithms In Industrial Noise: Balancing Speech Intelligibility And Hearing Protection, Solenn Ollivier, Fabien Bonnet, Alexis Pinsonnault-Skvarenina, Christian Giguère, Jérémie Voix, Hugues Nélisse

Études primaires

Hearing protection devices (HPDs) are widely used to mitigate the risks of noise-induced hearing loss in industrial environments. However, conventional HPDs can often hinder communication for workers with hearing loss. While those workers may rely on hearing aids in their daily lives, the potential benefits and associated risks of using such devices in noisy workplaces remain unexplored. This study evaluated the effects of different hearing aid signal processing algorithms on speech intelligibility and estimated noise exposure under industrial noise conditions to characterize the balance between communication and protection needed to develop solutions for workers with hearing loss. A digital hearing …


Tracking Vigilance While Driving: Pilot Study Of Heart Rate Variability Classification Under A Controlled Sleep-Deprivation Protocol, James Elber Duverger, Eli Moser, Philippe Boudreau, Marie Claude Ouimet, Diane B. Boivin, Alireza Saidi Jan 2026

Tracking Vigilance While Driving: Pilot Study Of Heart Rate Variability Classification Under A Controlled Sleep-Deprivation Protocol, James Elber Duverger, Eli Moser, Philippe Boudreau, Marie Claude Ouimet, Diane B. Boivin, Alireza Saidi

Études primaires

Decreased vigilance associated with drowsiness is a major cause of motor vehicle crashes, but its physiological characterization and detection remain difficult due to behavioral and environmental confounding factors. This study presents an original experimental framework combining a highly controlled sleep-deprivation protocol, repeated driving simulations, and a machine-learning-based heart rate variability (HRV) analysis to study the physiological and behavioral changes in vigilance during a prolonged period of wakefulness while driving. Twelve healthy young adults participated in a 30-h sleep-deprivation constant routine protocol that included driving simulations every two hours, with data collection: electrocardiography (ECG), subjective ratings of drowsiness, psychomotor vigilance test, …


The Impact Of Emergency Remote Education On Teacher Environment Quality—A Systematic Review, Jenne' M. Porter Jan 2026

The Impact Of Emergency Remote Education On Teacher Environment Quality—A Systematic Review, Jenne' M. Porter

Master's Theses and Doctoral Dissertations

The abrupt onset of emergency remote education (ERE) during the COVID-19 pandemic exposed significant gaps in the conditions necessary for teachers to sustain instruction. This systematic review explores how ERE impacted teacher environmental quality, including access to technology, institutional and collegial support, professional development (PD), and teacher well-being and efficacy. Teacher environmental quality, in this context, refers to the teacher-centered conditions that influence educators’ ability to teach effectively during ERE. The study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. It systematically analyzed scholarly literature, applied clear inclusion criteria, and evaluated study quality using a …


Seasonal And Lunar Patterns Of Peach Blossom Jellyfish (Craspedacusta Sowerbii) In Michigan, Claire Kozal Jan 2026

Seasonal And Lunar Patterns Of Peach Blossom Jellyfish (Craspedacusta Sowerbii) In Michigan, Claire Kozal

Master's Theses and Doctoral Dissertations

The peach blossom jellyfish (Craspedacusta sowerbii) is the only freshwater medusa found in the United States, yet its distribution, abundance, and mechanisms of dispersal remain poorly understood. Given its uncertain status, understanding the ecology of this species is a priority. To characterize population dynamics during the medusa season, surface water temperature and medusa abundance were surveyed at six inland lakes in Michigan. Occurrence records of C. sowerbii in Michigan were then used to compare co-occurrence patterns with nine aquatic invasives as a window into potential dispersal mechanisms and to create a regional ecological niche model. Medusae were observed in one …


From Nesting To Emergence: Environmental Drivers Of Hatchling Success In Blanding’S Turtles And Implications For Management In Southeast Michigan, Morgan Boyer Jan 2026

From Nesting To Emergence: Environmental Drivers Of Hatchling Success In Blanding’S Turtles And Implications For Management In Southeast Michigan, Morgan Boyer

Master's Theses and Doctoral Dissertations

Blanding’s turtles (Emydoidea blandingii) are long-lived turtles whose populations are highly sensitive to juvenile recruitment. We used intensive nest monitoring, microclimate logging, soil measurements, and local weather data at two Southeast Michigan sites to quantify how nest placement, incubation environments, and substrate conditions influence emergence success and hatchling condition. Nesting females were morphologically similar in size and produced average clutch sizes for the species (8 ± 2 eggs). Nest sites were found on relatively open, disturbed uplands with sandier soil substrates. Emergence success was generally high (≈ 70-80%) in nests protected from predation. Sandy loam had the highest success rates …


Tracking Antibiotic Resistant And Multidrug Resistant Bacteria And Antibiotic Resistance Genes In The Huron River Watershed: A Vital Water Resource In Southeast Michigan, Evan Siemienkiewicz Jan 2026

Tracking Antibiotic Resistant And Multidrug Resistant Bacteria And Antibiotic Resistance Genes In The Huron River Watershed: A Vital Water Resource In Southeast Michigan, Evan Siemienkiewicz

Master's Theses and Doctoral Dissertations

Antibiotic resistance is a growing global public health concern that extends beyond clinical settings and into natural freshwater environments, where resistant bacteria and antibiotic resistance genes (ARGs) can persist and disseminate through watersheds. Despite growing recognition of freshwater systems as environmental reservoirs of resistance, no published studies have examined antibiotic resistance within the Huron River watershed in Southeast Michigan. Water samples were collected monthly from May through October 2025 at 10 sites along the Huron River. E. coli and Enterococcus isolates were evaluated for resistance to eight antibiotics using the Kirby-Bauer disk diffusion method, and environmental DNA was analyzed by …


Full Proceedings, Nckri Jan 2026

Full Proceedings, Nckri

Sinkhole Conference 2026

No abstract provided.


A Prison Of Poverty: How The Current State Of Supplemental Security Income (Ssi) Disincentivizes Saving And Entering The Workforce, Conor Mccormick Jan 2026

A Prison Of Poverty: How The Current State Of Supplemental Security Income (Ssi) Disincentivizes Saving And Entering The Workforce, Conor Mccormick

Western New England Law Review

Our current Social Security structure provides disability benefits through two programs: Title II Social Security Disability Insurance (SSDI) and Title XVI Supplemental Security Income (SSI). This Note will argue that the current structure of the SSI program actually disincentivizes disabled folk whom are able to work from returning to or entering the work force. A number of factors adversely affect an SSI recipient: (i) the strict definition of “disabled” to mean an inability to engage in a “substantial gainful activity level”; (ii) a cap on the total assets one can hold earn before losing benefits; (iii) poorly framed work incentive …


Evolving Execution Methods: The Constitutionality Of Nitrogen Hypoxia Through Pain, Precedent, And Practicality, Reem Haikal Jan 2026

Evolving Execution Methods: The Constitutionality Of Nitrogen Hypoxia Through Pain, Precedent, And Practicality, Reem Haikal

Western New England Law Review

Method-of-execution challenges have intensified as lethal injection protocols face chronic instability. This Article evaluates whether execution by nitrogen hypoxia violates the Eighth Amendment and argues that it does not. The analysis applies Baze and Glossip to two questions: whether nitrogen hypoxia presents a substantial risk of severe pain and whether a feasible and readily implemented alternative would materially reduce that risk. This Article synthesizes historical Eighth Amendment principles with the contemporary record from executions by nitrogen hypoxia, related litigation materials, medical testimony, and physiological literature on inert-gas hypoxia.

The evidence indicates that nitrogen hypoxia typically produces rapid loss of consciousness …


A Cautionary Tale: A Case For Abolishing The Addict-Inpossession Statute On Constitutional Grounds, Jonathan Bruce Jan 2026

A Cautionary Tale: A Case For Abolishing The Addict-Inpossession Statute On Constitutional Grounds, Jonathan Bruce

Western New England Law Review

Are drug users second-class citizens under the Second Amendment? The Federal Government enacted the Gun Control Act in 1968 which imposed heaps of new regulations relating to private gun ownership, including enacting criminal statutes, namely 18 U. S. C. §922(g), which allows an individual to face charges if that individual is categorized under any of § 922(g)’s enumerated subsections. In 2010, the United States Supreme Court issued its landmark decision in District of Columbia vs. Heller, establishing the right of the people to own and possess firearms for self-defense, regardless of any association with “the militia” as described in the …


Banking Vs. Tech: The Fight For The Future Of Money, Gopika Shah Jan 2026

Banking Vs. Tech: The Fight For The Future Of Money, Gopika Shah

Case Western Reserve Law Review

No abstract provided.


Essay – When Disability Is Different: Reasonable Accommodations And Higher Education Dei, Katherine A. Macfarlane Jan 2026

Essay – When Disability Is Different: Reasonable Accommodations And Higher Education Dei, Katherine A. Macfarlane

Case Western Reserve Law Review

No abstract provided.


Discrimination Through The Direct Threat Defense: A Case Study Of Healthcare Providers With Hiv, Melinda R. Week Jan 2026

Discrimination Through The Direct Threat Defense: A Case Study Of Healthcare Providers With Hiv, Melinda R. Week

Case Western Reserve Law Review

No abstract provided.


Banned, Burned, And Bound: Increasing Protections Surrounding Students’ Right To Receive Information In K-12 Schools, Catherine A. Mcclure Jan 2026

Banned, Burned, And Bound: Increasing Protections Surrounding Students’ Right To Receive Information In K-12 Schools, Catherine A. Mcclure

Case Western Reserve Law Review

No abstract provided.


Legalizing Magic Mushrooms: A Different Set Of Laws For A Different Kind Of Drug, Edward S. Adams Jan 2026

Legalizing Magic Mushrooms: A Different Set Of Laws For A Different Kind Of Drug, Edward S. Adams

Case Western Reserve Law Review

No abstract provided.


When To Bite Back: Queerness, Resistance, And Reclamation Of The Monstrous Identity In Andrew Joseph White’S Hell Followed With Us, Aster J. Mehigan Mx. Jan 2026

When To Bite Back: Queerness, Resistance, And Reclamation Of The Monstrous Identity In Andrew Joseph White’S Hell Followed With Us, Aster J. Mehigan Mx.

English

Who gets the right to define morality? Who gets to define what is monstrous? Frankenstein’s Creature, the vampires of Lost Boys, The Craft’s head witch Nancy Downs; these characters follow a pattern through the decades of those alienated from society, in this case being written with queer subtext, being deemed as monstrous. These queer monsters become the villains of the story, causing chaos, death and destruction in their wake, seeking revenge against a world that ostracizes them. The 2022 dystopian YA horror of Hell Followed With Us by Andrew Joseph White challenges the villanized monstrous identity through its transgender protagonist …


Clinical Challenges Associated With Enhancing Hypertension Among The Underserved African American Population, Ashley Richardson Jan 2026

Clinical Challenges Associated With Enhancing Hypertension Among The Underserved African American Population, Ashley Richardson

Doctor of Nursing Practice (DNP) Scholarly Projects

Background 

African Americans face a significantly higher prevalence of hypertension, tend to develop complications at younger ages, and have disproportionately higher mortality rates. Key social determinants of health (SDoH)—including food deserts, unequal access to healthcare, and geographic disparities in healthcare resources—contribute to these ongoing inequities. Addressing both systemic and individual barriers is crucial for effective hypertension management.

Objective

This study aims to assess the effectiveness of a culturally relevant, community-based intervention designed to reduce both systolic and diastolic blood pressure among Black adults with uncontrolled hypertension.

Methods 

Quality improvement (QI) initiatives typically employ multicomponent, equity-focused models. The primary components of …


Data Repository For: Dorsey Et Al., 'Rapid Transient Uplift Driven By Active Slab Tear, Southern Calabria, Italy', Rebecca J. Dorsey, Nathan D. Brown, Sergio G. Longhitano, Marco Meschis, Domenico Chiarella, Charles P. Ogle Jan 2026

Data Repository For: Dorsey Et Al., 'Rapid Transient Uplift Driven By Active Slab Tear, Southern Calabria, Italy', Rebecca J. Dorsey, Nathan D. Brown, Sergio G. Longhitano, Marco Meschis, Domenico Chiarella, Charles P. Ogle

Earth & Environmental Sciences Datasets

Southern Italy preserves a well-studied record of deformation and uplift related to migrating oblique collision, trench retreat, and tearing of subducted ocean slabs. However, the surface expression of these processes is incompletely understood due to a lack of reliable ages for marine terraces >200 m above sea level (masl). Here we use luminescence methods to date shallow marine sands from terraces ~ 100 to 1,000 masl in southern Calabria and interpolate the results with regional surface mapping. Burial ages overlap across the full range of sampled elevations with a weighted mean of 118.8 ± 8.7 thousand years before present (ka). …