Digital Commons Network^™

Story Forge: A Card-Based Framework For Ai-Assisted Interactive Storytelling, Yaojiong Yu, Gianni Corino, Mike Phillips

School of Art, Design and Architecture

The application of artificial intelligence has significantly advanced interactive storytelling. However, current research has predominantly concentrated on the content generation capabilities of AI, primarily following a one-way ‘input-direct generation’ model. This has led to limited practicality in AI story writing, mainly due to the absence of investigations into user-driven creative processes. Consequently, users often perceive AI-generated suggestions as unhelpful and unsatisfactory. This study introduces a novel creative tool named Story Forge, which incorporates a card-based interactive narrative approach. By utilizing interactive story element cards, the tool facilitates the integration of narrative components with artificial intelligence-generated content to establish an interactive …

Rishon Le-ẒIyyon, Winepress Park: Geomorphology And Sedimentology, Joel Roskin, Yotam Asscher

Qadum: Journal of Excavation Reports from Israel

An extensive brown sandy double-unit sediment, draping large parts of the archaeological remains at the Winepress Park in Rishon Le-Ẓiyyon, is suggested to be associated with the previously reported, undated ʻEn Ha-Qore clay. Based on relative age port-OSL profiling, the depositional mechanism of this unit and the overlying sand is suggested to be related to late Holocene, dune-dammed winter ponds. These aeolian-fluvial dune-damming processes may have been partly triggered by intensive Byzantine human activity that may have led to sand mobilization.

Humanization Strategy Of The Public Urban Space In Cairo, Rania Badawy Shokry

Mansoura Engineering Journal

An accurate scientific definition of the term “humanization of cities” has not yet crystallized, which refers the term to the word from which it is derived. She is "human". Obviously, anything contrary to it is inhuman; starting from wild nature or a life entirely dependent on vehicles. If a person cannot dispense with vehicles when carrying out his daily activities, then here we know that the standard of humanization in a place is low. However, if the planning of a city or neighborhood takes into account the needs of the population and the human standard, then the city may reach …

Essays On Freedom And Power, John Acton

Hannah Arendt Marginalia - All

New York : [Published by Noonday Press], 1955, [c1948]

Call #: New York : JC571 .A14 1955

Excerpted pages contains marginalia, underlining and marginal lining

PDF Information: 77 pages – 4.5 MB

Effects Of Plasma-Activated Water On Wheat: Germination And Seedling Development, Wafaa Abdulrazzaq Abdullah, Hadeel O. Ismael, Duaa A. Uamran, Hammad R. Humud

Karbala International Journal of Modern Science

The food sector must contend with issues such as pathogen resistance to some of the available chemical agents, environmental pollution, and climate change to provide healthy food for livestock and people. The application of atmospheric pressure plasma jets (APPJs) is one potential solution for such problems. Plasma is appropriate for effective surface decontamination regarding food products and seeds, surface decontamination, and achieving improved agricultural production yields. The impact of plasma-activated water (PAW) produced by plasma jet discharge (PJD) system on in vitro-cultivated wheat seeds is examined in this work. For this aim, a plasma jet system was constructed with a …

Novel Suclg1 Variants In A Patient With Fatal Neonatal Onset Succinyl-Coa Ligase Deficiency, Devlynne S. Ondusko, Lauren Culbertson, Cary O. Harding, Cori Feist, Johan L.K. Van Hove, Marisa W. Friederich, Sacha Ferdinandusse, Roxanne A. Van Hove, Jonathan N. Pruneda, Brian Scottoline, Kimberly A. Kripps

Journal of Pediatric Genetics

Succinyl-CoA ligase deficiency is a rare autosomal recessive enzymatic deficiency that causes an energy-deficient state with mitochondrial depletion syndrome. It is often fatal. We present a case of novel variants in SUCLG1 leading to fatal infantile lactic acidosis. Two variants of uncertain significance in trans were identified in SUCLG1: c.901G>A p.(Gly301Arg) paternally inherited and c.532-6T>A maternally inherited. These variants resulted in severely reduced succinyl-CoA ligase activity. This patient exhibited the classical metabolic profile of succinyl-Co-A ligase deficiency and massive elevation of glutamine. Elevated glutamine, in the absence of hyperammonemia, should lead providers to consider succinyl-CoA ligase deficiency in …

46,Xx Disorders Of Sex Development: A Case With P.Arg92trp Variant In Nr5a1, Mehmet Ali Oktay, Agah Akin, Esra Döğer, Gülsüm Kayhan, Gizem Eşme Kocaman, Mahmut Orhun Çamurdan, Aysun Bi̇deci̇

Journal of Pediatric Genetics

Ovotesticular (OT) disorders of sex development (DSDs) are marked by the simultaneous presence of ovarian and testicular tissues within the gonads. The appearance of external genitalia does not necessarily correlate with gonadal histology. Variants in the NR5A1 gene can result in SRY-negative DSD. In this report, we present a case involving a variant in the NR5A1 gene. A 3-year-old phenotypic male presenting with micropenis, penile hypospadias, and a bifid scrotum was identified to have a c.274C > T, p.Arg92Trp variant in the NR5A1 gene, along with a 46, XX karyotype. Genetic factors such as variants in the NR5A1 gene, independent of …

Egfr Mutation In Neonatal Nephrocutaneous Syndrome: Unveiling A Genetic Challenge, Manuela S. Lopes, Cátia Martins, Ana Ferraz, Joana Rosmaninho-Salgado, Rui Castelo, Joaquim Tiago, Leonor Ramos

Journal of Pediatric Genetics

Epidermal growth factor receptor (EGFR) is a transmembrane glycoprotein that exhibits tyrosine kinase signaling activity, playing a pivotal role in various cellular processes. Overexpression or overactivity of EGFR is significantly associated with inflammatory and malignant diseases, particularly lung cancer. Conversely, germline loss-of-function mutations in EGFR have been distinctly linked to a rare condition known as neonatal nephrocutaneous syndrome. We report a case of a preterm female neonate, born to consanguineous parents and from a pregnancy that was complicated by polyhydramnios. From birth, she displayed distinctive clinical features, including fragile skin and widespread erythema, sparse scalp hair, bilateral ankyloblepharon, thick eyebrows, …

The First Turkish Spondylocarpotarsal Synostosis Syndrome Case With Ventricular Septal Defect And Pelvicaliectasia Caused By A Novel Homozygous Frameshift Variation In Flnb, Esra Dirimtekin, Esra Arslan Ateş, Hamza Polat, Eda Almus, Bilgen B. Geckinli

Journal of Pediatric Genetics

Spondylocarpotarsal synostosis syndrome (SCT) (OMIM: 272460) is an autosomal recessive disorder characterized by block vertebrae, carpal-tarsal synostosis and disproportionate short stature. Some clinical characteristics of SCT are dysmorphic facial traits, cleft palate, hypoplastic tooth enamel, brachydactyly, clinodactyly, limited joint movement and mixed hearing loss. Biallelic nonsense and frameshift pathogenic variantions in FLNB gene are associated with SCT. An 8 -year -old patient was referred with a suspicion of skeletal dysplasia. He had short stature, scoliosis, carpal-tarsal synostosis and ventricular septal defect (VSD). Clinical exome sequence (CES) analysis was performed and a novel homozygous frameshift variation in FLNB (c.219_222dup p.Met75Profs*17) was …

Systematic Review About Clinical And Radiologic Manifestations In Patients With Fatco Syndrome, D’Karlo Yosue Dongo Cornejo, Wendy Alessandra Gutiérrez Baca, Maria Cristina Laso Salazar, Hugo Hernán Abarca-Barriga

Journal of Pediatric Genetics

FATCO syndrome (Fibular Aplasia, Tibial Camptomelia, Oligosyndactyly) is characterized by the presence of Fibula Aplasia, Tibial Campomelia and Oligosyndactyly. It is an autosomal dominant congenital genetic disorder, with an infrequent occurrence. This is the main reason behind the limited number of studies carried out to date, and the importance of carrying out this review to enhance the understanding of this syndrome. The objective of this review based on case reports is to describe and analyze the clinical and radiological characteristics of patients diagnosed with FATCO syndrome, in addition to demographic characteristics and concomitant anomalies. The databases used in this review …

Sleep Disordered Breathing In Children With Achondroplasia: 17 Years’ Experience From A Multidisciplinary Team, Maria Jose Guerdile, Virginia Fan, Mariana Del Pino, Vivian Leske

Journal of Pediatric Genetics

The aim of this study was to describe sleep-disordered breathing (SDB) and treatment in children with achondroplasia (ACH). A retrospective longitudinal study was conducted at the Sleep Unit, Hospital de Pediatría Garrahan. Children with ACH, aged 0 to 18 years, referred for SDB due to clinical symptoms or foramen magnum stenosis (FMS) with at least one polysomnography (PSG) between 2002 and 2019 were included in the study. The primary outcomes included SDB typification and therapeutic interventions. We included 89 patients; 79.7% had one PSG, 13.4% had two PSGs, and 5.6% had three PSGs. The first PSG confirmed SDB in 65.16% …

Opportunities For Growth: A Metacognitive Self-Talk Strategy That Improves Classroom Unity And Academic Attitudes, Sera Anello, Michael J. Haslip

Journal of Practitioner Research

This teacher action research study describes the development and application of the opportunities for growth teaching method to increase learner motivation, persistence, cooperation and positive self-talk among primary school students. The approach was implemented with 30 fourth graders in a Philadelphia public school classroom to foster unity, support attitudes toward academics and participation, redefine failure, and reframe challenges. Before this intervention, most of the students lacked self-regulation, self-awareness, and relationship skills needed to thrive. This study investigates how and to what effect the opportunities for growth approach shifts students’ language and mindset about academic and social challenges. Qualitative data was …

Teaching Ai Ethics And Skepticism: The Impact Of Instruction On Ethical Usage On Students’ Perceptions, Jenna D. Justin

Journal of Practitioner Research

This study investigates the ethical implications of artificial intelligence (AI) in K-12 education, focusing on how explicit instruction influences students' perceptions of AI tools like ChatGPT. Conducted with 80 sixth-grade students at A.D. Henderson University School and FAU High School, the research tracks changes in student understanding and skepticism of AI following a World History unit. Pre- and post-instruction surveys revealed a decline in comfort with AI as students became more aware of its ethical concerns, including plagiarism, bias, and misinformation. The findings suggest integrating AI ethics into the middle school curriculum to foster responsible AI usage among students.

Expanding The Role Of Embodiment And Teacher Noticing In Units Coordination And Construction, Claudia Bertolone-Smith, Jonathan Troup, Liza Bondurant, Diana Moss, Hortensia Soto

Journal of Practitioner Research

We aim to expand units coordination and construction assessment by examining the significance of embodiment and teacher noticing, especially in relation to recent developments in equitable mathematics teacher noticing research. We outline our approach as mathematics teacher educators with a wide range of expertise, wherein we investigated how prospective elementary mathematics teachers (PTs) notice students' units construction and coordination through embodied actions and the impact of incorporating a focus on embodiment in assessment. We also address how expanding the understanding of units coordination and construction assessment through embodied noticings can create more equitable classroom spaces. The study emphasizes the need …

Enhancing 5g Non-Terrestrial Network (Ntn) Communications With Machine Learning-Driven Non-Line-Of-Sight (Nlos) Prediction And Mitigation, Alwin Xavier, Wojciech Grobel, Snezana Mitrovic, Vinay Saini

Defensive Publications Series

The innovation proposed herein leverages machine learning to predict Non-Line-of-Sight (NLOS) conditions in a 5G Non-Terrestrial Network (NTN), significantly enhancing communication reliability in such networks. By dynamically encoding these predictions into user equipment (UE) Route Selection Policies (URSPs), the innovation proposed herein optimizes data transfers, ensuring efficient use of satellite coverage and improving overall network performance with minimal changes to the existing 5G core infrastructure.

Enterobacter Cloacae As A Rare Cause Of Cerebral Abscesses In A Neonatal Late-Onset Sepsis – A Case Report And Literature Review With Focus On Risk Factors, Diagnostics And Treatment, Yıldız Yıldırım, Ruy Perez, Rüdiger Wentzell, Clemens Andrée, Martin Weinzierl, Norbert Utz, Tim Niehues

Journal of Pediatric Infectious Diseases

Late-onset sepsis (LOS; sepsis occurring after the first 72 hours of life) increases the morbidity and mortality of premature neonates, especially those with very-low-birth weight (≤1500g). In LOS, Enterobacter cloacae has been rarely described as a cause of secondary brain abscesses. Our case report summarizes important aspects of cerebral abscesses due to an E. cloacae sepsis in a preterm neonate. Our patient received surgical abscess drainage and rational antibiotic treatment employing prolonged meropenem infusions plus fosfomycin and subsequent treatment with oral trimethoprim/sulfamethoxazole. Furthermore, we present a review of the current literature from 2009-2022, comparing cases similar to our case.

Modulation Of Dendritic Cell Phenotypes By Cd4+ Effector Memory T Cell Via Ikzf1-Regulated Il16/Cd4 Signaling In Covid-19 And Kawasaki Disease, Seyan Yan, Kaiming Zheng, Zicheng Zhen, Tianfu Xu

Journal of Pediatric Infectious Diseases

Objective: Kawasaki Disease (KD) is the primary cause of acquired heart disease among children in developed countries and is identified by systemic vasculitis of unknown origin. This research explores the possible common pathogenesis between KD and coronavirus disease 2019 (COVID-19), focusing on the roles of peripheral blood mononuclear cell (PBMC) subpopulations. Methods: We utilized single-cell and bulk RNA sequencing data from COVID-19 and KD patients, as well as healthy controls. Our comprehensive analysis included cell-type identification, pseudotime analysis, cell-cell communication, and transcription factor analysis. Results: Our results show the critical role of CD4+ effector memory T cells and dendritic cells …

The Role Of Hematological Parameters In The Differential Diagnosis Of Testicular Torsion And Epididymo-Orchitis In Children, Mehmet Sarikaya, Fatma Ozcan Siki, Metin Gunduz, Tamer Sekmenli, Muslu Kazım Korez, Ilhan Ciftci

Journal of Pediatric Infectious Diseases

Objective: This study uses various hematological inflammatory parameters to evaluate the diagnostic distinction between testicular torsion (TT) and epididymo-orchitis (EO). These include the neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, systemic immune-inflammation index, systemic inflammation response index, panimmune inflammation value, derived neutrophil-to-lymphocyte ratio, and neutrophil-lymphocyte-platelet ratio. Methods: The demographic data and hemogram parameters of TT and EO cases treated in the pediatric surgery clinic between January 2010 and January 2023 were retrospectively examined. The hematological inflammatory parameters were statistically compared across the groups. Results: The study included 181 patients, categorized into control (n = 60), TT (n = 64), and EO …

Prognostic Value And Clinical Influence Of Long Non-Coding Rna Small Nucleolar Rna Host Gene 1 Expression In Pediatric Pneumonia, Xin Wang, Jiajia Xu, Jingjing Han

Journal of Pediatric Infectious Diseases

Objective: Severe pediatric pneumonia is characterized by acute onset and rapid progression, posing a serious threat to patients' lives. Accurate assessment of the severity of pneumonia is essential for clinical decision-making and prognostication. Studies of acute lung injury and lung cancer have revealed a significant increase in the expression of the long non-coding RNA (lncRNA) small nucleolar RNA host gene 1 (SNHG1) in cells, suggesting that SNHG1 is likely to play an important role in the progression of lung disease. Methods: 72 children with mild pneumonia, 58 children with severe pneumonia and 135 healthy children were selected as study subjects. …

Utility And Impact Analysis Of Inpatient Pediatric Physiologic Monitoring, Anand Gourishankar, Monaliza Evangelista, Misti Ellsworth, Jean Hsu

Journal of Pediatric Intensive Care

Objective: This study aimed to study the practice and effect of monitoring pediatric patients in the length of stay (LOS). Methods: We performed a prospective, observational study of pediatric patients in the general ward from October to December 2016. We have recorded the use of cardiac, pulse-oximeter, or both, and as per physician order at time of patient admission. We have studied the proportions of monitoring at different patient groups. We have applied linear regression model to investigate the relationship between LOS and cardiopulmonary monitoring, orders, and medical complexity. Results: Among 399 patients, patients with cardiac and pulse oximeter monitoring …

Use Of Continuous Eeg Monitoring And Short-Term Outcomes In Critically Ill Children, Xiuhua Liang Bozarth, Pin-Yi Ko, Hao Bao, Nicholas S. Abend, R. Scott Watson, Pingping Qu, Leslie A. Dervan, Lindsey A. Morgan, Mark Wainwright, John K. Mcguire, Edward Novotny

Journal of Pediatric Intensive Care

Objectives: This study aimed to compare short-term outcomes at pediatric intensive care unit (PICU) discharge in critically ill children with and without continuous EEG (cEEG) monitoring. Methods: We retrospectively compared 234 patients who underwent cEEG with 2294 patients without cEEG. Propensity score matching was used to compare patients with seizures and status epilepticus between cEEG cohort and historical cohort. Results: The EEG cohort had higher in-hospital mortality, worse Pediatric Cerebral Performance Category (PCPC) scores, and greater PCPC decline at discharge. In patients with status epilepticus, PCPC decline was higher in the cEEG cohort. Conclusions: PCPC decline at PICU discharge was …

Multisystem Inflammatory Syndrome In Children Associated With Covid-19 Infection: A Comprehensive Review, Alejandra Isabel Meza-Contreras, Marcelo Nicolas Galdos-Bejar, Raffo Escalante-Kanashiro

Journal of Pediatric Intensive Care

Objectives: The Multisystem Inflammatory Syndrome in Children (MIS-C) is a post-infectious syndrome associated with COVID-19 disease in children. The aim of this study is to conduct a thorough review to assist healthcare professionals in diagnosis and management of this complication of COVID-19 disease in children Material and Methods: A thorough systematic review was conducted through an on-line search based on MIS-C with the primary focus on epidemiology, clinical characteristics, diagnosis, pathophysiology, management and long-term follow-up. Results: This syndrome is characterized by an exaggerated and uncontrolled release of pro-inflammatory cytokines involving dysfunction of both innate and adaptive immunity. In this review, …

Post-Intensive Care Syndrome In A Cohort Of School-Aged Children And Adolescent Icu Survivors: The Importance Of Follow-Up In The Acute Recovery Phase, Trevor A. Hall, Rachel K. Greene, Justin B. Lee, Skyler Leonard, Kathryn R. Bradbury, Kurt Drury, Grace Recht, Julie Randall, Megan E. Norr, Cydni N. Williams

Journal of Pediatric Intensive Care

Objectives: Pediatric ICU survivors experience a collection of physical, cognitive, emotional, and social symptoms named post-intensive care syndrome (PICS). We aimed to quantify PICS morbidities from multiple stakeholder perspectives across domains. Methods: Using physician, neuropsychologist, and parent/caregiver completed outcome measures across domains in a cross-sectional analysis of 186 children between the ages of 8 and 19 years with data from a PICU follow-up clinic 1-3 months after PICU discharge, we quantified PICS morbidities and used Spearman correlation to evaluate interdependence of PICS domains. Results: Compared to pre-hospitalization functioning, new PICS related morbidities were observed and significant correlations were identified between …

Impact Of The Covid-19 Pandemic On Children And Families In Picu Follow-Up Clinic, Lucile Barcat, Genevieve Du Pont-Thibodeau, Camille Jutras, Karen Harrington, Simon Macdonald, Laurence Ducharme-Crevier

Journal of Pediatric Intensive Care

Objective: The novel coronavirus disease 2019 (COVID-19) pandemic disrupted the lives of many families, especially those of children with chronic health problems. Little is known about the impact of this pandemic on the health and well-being of critically ill children and their families after their discharge from pediatric intensive care unit (PICU) hospitalization. This study describes the repercussions of the COVID-19 related lockdown on the physical and psychological wellbeing, quality of life, and access to resources of PICU survivors and their families. Method: Prospective cohort study. Telephone encounter. Children and families followed at the Centre Hospitalier Universitaire Ste- Justine PICU …

Impact Of Extended Reality On Robot-Assisted Surgery Training: A Systematic Review And Meta-Analysis, Michael Bickford, Fayez Alruwaili, Sara Ragab, Hanna Rothenberg, Mohammad Abedin-Nasab

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Robot-assisted surgeries (RAS) have an extremely steep learning curve. Because of this, surgeons have created many methods to practice RAS outside the operating room. These training models usually include animal or plastic models; however, extended reality simulators have recently been introduced into surgical training programs. This systematic review and meta-analysis was conducted to determine if extended reality simulators can improve the performance of robotic novices and how their performance compares to the conventional training of surgeons on surgical robots. Using the PRISMA 2020 guidelines, a systematic review was performed searching PubMed, Embase, Web of Science, and Cochrane library for studies …

Some Properties Of Rescaled Sasaki Type Metric On The Coframe Bundle, Habil Fattayev, Arif Salimov

Turkish Journal of Mathematics

In this paper we introduce the rescaled Sasaki type metric on the coframe bundle of a Riemannian manifold and investigate the Levi-Civita connection, curvature tensor, paracomplex structures of coframe bundle with this metric

Janowski Close-To-Convexity Harmonic Mappings, Bushra Arif, Jacek Dziok, Wasim Ul Haq, Mohsan Raza

Turkish Journal of Mathematics

In the present work we introduce harmonic univalent functions related to Janowski close-to-convexity and we provide their necessary and sufficient criteria. The extreme points and topological features of such harmonic mappings will also be investigated. By applying extreme points theory, we obtain integral mean inequalities, distortion theorems, and coefficient estimates for families of harmonic functions.

Approximate Controllability Of Fractional Backward Stochastic Differential Inclusions With Order 1/2 < P < 1, Müberaa Selah

Turkish Journal of Mathematics

In this paper, fractional backward stochastic differential equations are extended to multivalued forms. Since the problem of approximate controllability of the obtained fractional backward stochastic differential inclusions has not yet been addressed in the literature, we focus on the approximate controllability of these systems. The study’s main results, such as existence of the mild solution and approximate controllability for fractional backward stochastic differential inclusions, have been proven through fractional calculus, Bohnenblust-Karlin Theorem, and appropriate conditions.

The Circular Sum Of Points Of An Affine Segment, Mircea Crasmareanu, Marius Munteanu

Turkish Journal of Mathematics

This note introduces a sum for two interior points of an affine segment [AB] based on a trigonometric approach. Some properties of this operation, along with general examples (including squares of endpoints, the midpoint, and the centroid), are discussed. A main result is that the midpoint of a segment is the circular sum of the points dividing the segment with the ratios 4 and 9. In addition, we completely solve a Diophantine equation associated with the circular sum in order to identify all points with integer ratio whose circular sum is a point with integer ratio.

Weighted Inequalities For Discrete Bilinear Hardy-Type Operator With A Matrix, Nazerke Zhangabergenova, Ainur Temirkhanova

Turkish Journal of Mathematics

In this paper, we consider a new discrete bilinear inequality of Hardy-type involving a matrix operator. We establish weight characterizations of this inequality under some conditions on the matrix entries.