Digital Commons Network^™

Week 6: The Witness Of Suffering, Calvin University

Campus Ministries Resources

No abstract provided.

A Novel “Stairstep” Approach To The Management Of Extreme Hypernatremia Using Continuous Kidney Replacement Therapy And Hypertonic Saline, Bahar Barani, Xuexin Lu, Darcy Weidemann, Judith Vansickle, Vimal Chadha, Nathan Beins

Posters

Hypernatremia is defined as a serum sodium greater than 145 mEq/L and is due to either a deficit of free water or excess sodium intake. Extreme hypernatremia (sodium level > 190 mEq/L) is immediately life–threatening with mortality rates > 60%. It is especially challenging to avoid complications, such as permanent neurological injury, respiratory failure, and profound electrolyte derangement, when children are in kidney failure. Established guidelines are lacking for correcting such extreme levels due to a paucity of information in the literature, although general recommendations are to decrease levels by no more than 10-12 mEq/L per day to prevent neurological complications. We …

Recombinant Erythropoietin Use For Anemia Of Prematurity: A Three Year Since Center Experience, Hannah Darland, Krishna Dummula, Chaitali Mahajan, Vishal Pandey

Posters

Background: Anemia is a common disorder of prematurity secondary to limited blood volume, excessive blood draws, inadequate nutrition, poor iron reserves, and insufficient endogenous erythropoietin. While many NICUs use recombinant erythropoietin (rEpo) to treat anemia of prematurity, the absence of universal guidelines has led to variability in dosing and schedules. Here we present our experience on the use of rEpo in a level 3 NICU. Our unit protocol uses 400 IU/kg three times a week for a total of 9 doses if hematocrit < 30%. Objectives: The purpose of this study was to evaluate the response to rEpo in infants with anemia of prematurity. Methods: Charts of infants born between 2018 and 2020 with gestation ≤34 weeks who received rEpo for anemia of prematurity were retrospectively reviewed. We defined response to therapy as an increase of hematocrit by 5% from pre-treatment baseline. Infants who did not achieve the therapeutic goal or who received blood transfusions were considered non-responders. Neutropenia, thrombocytopenia, and retinopathy of prematurity (ROP) requiring treatment were treated as adverse events. Results: A total of 44 infants were treated with rEpo during the study period. Clinical characteristics are described in Table I. Average hematocrit at birth was 44.8±7.5 (32.7 to 60.8). Infants were started on rEPO at a median corrected age of 33.3 ±3 weeks and a weight of 1674±622 g. Average DOL was 37±18 at initiation of therapy. Average baseline hematocrit at the start of therapy was 27.9±1.8%. 80% of patients (35/44) responded with increase of hematocrit by >5%, 20% (9/44) did not respond. 75% of infants (33/44) received all 9 doses. 11 patients received …

No Suspicion For Nocarh: A Cautionary Tale Of Anchoring Bias, Nicole Demarco, Julia Allyson Hays, Bonnie Sullivan, Michael Price, Kimberly A. Horii, Shannon Haines

Posters

Introduction: Neonatal onset of cytopenia autoinflammation rash and hemophagocytic lymphohistiocytosis syndrome (NOCARH), a subset of hemophagocytic lymphohistiocytosis (HLH), is a rare and life-threatening condition characterized by uncontrolled immune response. It presents a diagnostic challenge in neonates due to the overlap of clinical features with other conditions, particularly congenital infections. We report a case of NOCARH in a late pre-term neonate, highlighting an atypical age group and the diagnostic difficulty of this syndrome. Case Presentation: A 1 day old ex-35 week er neonate presented to a level 4 NICU with chief complaints of pancytopenia,; an extensive petechialmaculopapular rash of on the …

Week 1: Can I Get A Witness?, Calvin University

Campus Ministries Resources

No abstract provided.

Analysis Of Traffic Crash Data In Kentucky 2020-2024, Paul Ross, Eric Green, Christopher Blackden, Christopher Van Dyke

Kentucky Transportation Center Research Report

No abstract provided.

From Chatbots To Thought Bots: Teaching And Learning In The Age Of Ai, Stephen J. Mcconnell

Proceedings of the New York State Communication Association

Dr. Stephen McConnell’s keynote address took place on Friday, October 18, 2025, at the 82^nd Annual NYSCA Conference. In this personal but scholarly discussion, Dr. McConnell explores how various AI technologies do more than “assist” us – they also socialize us. He describes and explains several case studies that were part of his course at New York University entitled “Communications and AI,” and provides us with ten principles for teachers and students to become active participants with the tools of AI.

Dr. McConnell is a media scholar whose research focuses on the intersection of AI, digital communication platforms and …

Lung Cancer Prevention Among Appalachian Kentucky Women, Jessica R. Thompson, Nancy E. Schoenberg, Pamela C. Hull

Anthropology Faculty Publications

Purpose: Appalachian Kentucky (KY) residents experience the highest lung cancer rates in the US with declines lagging among women; we sought to uncover barriers and facilitators to lung cancer prevention for Appalachian KY women and to identify community-specific interventions. Approach: We utilized concept mapping, a participatory mixed method, to generate consensus on perceived barriers and facilitators. Setting/Participants: We recruited 71 adult women from Appalachian KY counties. Method: After collecting online concept mapping data, we used multidimensional scaling to generate a point map of perceived similarities and hierarchical cluster analysis to create a thematic cluster map. We compared average cluster ratings …

Prevalence Of Oral Mucosal Lesions Among Geriatric Dental Patients In Egypt: A Cross-Sectional Study, Dalia Ghalwash, Ahmed Hamdy, Sara Abd El-Wahed

Dentistry

Background. The oral health needs of older adults must be prioritized due to the shifting demographics of the population and rising life expectancy. This study investigated the prevalence of oral mucosal lesions (OMLs) among geriatric dental patients in a sample of the Egyptian population and explored the association with age, gender, smoking habit, as well as the impact on the quality of life. Methods. This cross-sectional study screened 300 geriatric dental patients aged 65 years or older, from several dental hospitals and mobile clinics in various regions in Egypt. Demographic data and information regarding denture use, systemic diseases, and smoking …

Systematic Hazard Analysis Of Flare System Nodes In Chemical Process Safety, Hayder A. Alhameedi, Athmar A. Alzubaidi, Joseph D. Smith, Doug Allen, Saud Aldawood, Paul Ani

Chemical and Biochemical Engineering Faculty Research & Creative Works

Multidimensional consequences may arise from an accident in the flare system of any chemical or petrochemical plant due to the improperly managed flare system, which can lead to the presence of the toxic and flammable gases. The Hazard and Operability Study (HAZOP) is a systematic method used to assess and identify risks that can occur during operation, ensuring risk reduction and the safety of using equipment or units. This study aims to apply the HAZOP technique to identify the hazards associated with the gas flaring process in an air-assisted flare. The air-assisted flare system was subdivided into four sections (nodes), …

Identification Of Flow Regime In A Co-Current Upflow Packed Bed Reactor (U-Pbr) Using Gamma-Ray Densitometry (Grd), Youssef Yatimi, Ahmed Alalou, Muthanna H. Al-Dahhan

Chemical and Biochemical Engineering Faculty Research & Creative Works

Owing to their significant impact on the reaction rate, the comprehensive understanding of the hydrodynamics in any novel design of the Upflow Packed Bed Reactor (U-PBR) is essential for the optimization of its throughput. In this regard, the identification of the flow regime is of paramount importance. Therefore, in this work, we use the photon counts time-series data obtained using the non-invasive Gamma-ray densitometry (GRD) to identify, for the first time, the flow regimes and their transition velocities at two axial locations (Z/D=0.8,1.56) and five radial locations (r/R=0,±0.5,±0.9) within the packed catalysts' bed of U-PBR with a novel plenum design …

Variational Temporal Deconfounder Network For Individualized Treatment Effect Estimation With Longitudinal Observational Data, Hao Dai, Yu Huang, Yuxi Liu, Xing He, Jingchuan Guo, Mattia Prosperi, Jiang Bian

Faculty, Staff and Student Publications

Objective: By leveraging real-world electronic health record (EHR) data, this study set out to estimate individualized treatment effects (ITE) in longitudinal observational settings to advance personalized medicine, addressing key challenges that are often observed in real-world clinical scenarios and pose statistical challenges, including hidden confounding and dynamic treatment regimens.

Methods: We propose the Variational Temporal Deconfounder Network (VTDNet), a novel framework designed to account for time-varying hidden confounding using a variational recurrent transformer-based autoencoder. Specifically, VTDNet comprises three critical components: a temporal Encoder-Decoder structure to capture hidden representation, a Treatment Block that captures interdependencies among multiple treatments, and a Potential …

Auricular Point Acupressure For Older Adults With Chronic Low Back Pain: A Randomized Controlled Trial, Jennifer Kawi, Chao Hsing Yeh, Nada Lukkahatai, Hulin Wu, Natalia E Morone, Ronald Glick, Elizabeth A Schlenk, Claudia Campbell, Johannes Thrul, Xinran Huang, Hongyu Wang, Hejingzi Monica Jia, Paul Christo, Constance Johnson

Faculty, Staff and Student Publications

Objective: Efficacious modalities are limited in chronic low back pain (cLBP). We determined the efficacy of auricular point acupressure (APA) in older adults with cLBP.

Design: 3-arm randomized controlled trial.

Setting: Baltimore, Maryland.

Participants: Participants, ≥60 years with cLBP, were randomized (1:1:1) to APA with ear points targeted to cLBP (T-APA, n = 92), points nontargeted to cLBP (NT-APA, n = 91), or waitlist education control (n = 89), and followed up to 6 months (6M). Participants in the APA groups received 4 weekly APA sessions; the education control group received 4 weekly educational sessions.

Intervention: APA.

Main outcomes and …

Assessment Of Microbial Quality And Safety, Including Aflatoxin B1, In Buckwheat Flour And Groats, La Fontaine Bahatsi

Department of Food Science and Technology: Dissertations, Theses, and Student Research

Buckwheat (Fagopyrum esculentum), a gluten-free pseudocereal, has gained popularity in global food markets for its nutritional value and functional properties. However, despite its health-promoting potential, buckwheat is vulnerable to microbial contamination and mycotoxin accumulation during cultivation, processing, and storage. These factors present significant food safety concerns that remain understudied, particularly in North America.

This study investigated the microbiological quality and mycotoxin contamination of buckwheat flour and groats collected from different suppliers via online sourcing. Samples were collected in two consecutive years (2024-2025). Microbiological quality, including aerobic plate counts (APC), Enterobacteriaceae, coliforms, E. coli, yeasts, and molds, was evaluated …

Enhanced Key Generation Method Using Deep Q-Networks Algorithm With Chaotic Maps, Ali A. Mahdi, Mays M. Hoobi

Mesopotamian Journal of CyberSecurity

In contemporary digital environments, exponential cyber threat growth has made cryptographic key generation a critical security challenge. Traditional Pseudo-Random Number Generators (PRNGs) and existing chaos-based methods often exhibit insufficient entropy, limited randomness quality, and inadequate resistance to statistical attacks. Current implementations frequently produce suboptimal entropy values and fail to meet modern cryptographic security standards and rigorous randomness testing protocols. This paper aims to design and implement an advanced cryptographic key generation system that combines Deep Q-Networks (DQN) algorithms with multiple chaotic maps to produce cryptographically secure stream key bits with high randomness and strong resistance to cryptanalytic attacks. The proposed …

Blockchain-Based Accountability: A Systematic Literature Review, Nabeel Z. Tawfeeq, Dujan B. Taha

Mesopotamian Journal of CyberSecurity

The Blockchain algorithm has advanced the accountability and transparency of modern digital infrastructures. Enforcing responsible behavior and data integrity across distributed environments involves several key components, such as smart contracts, access control models, cryptographic techniques, and a decentralized identity framework. Because the blockchain ledger is immutable and transparent, once a transaction is recorded, it cannot be altered without detection, making fraudulent actions easily traceable and thereby ensuring accountability. However, the need for hybrid approaches that combine on-chain and off-chain solutions for an efficient reliability system introduces challenges, including privacy preservation, scalability, and regulatory compliance. This paper analyzes the effective features …

A Proposed Algorithm For Avoiding Jammer In Structure-Free Wireless Sensor Networks, Zainab Shaker Matar Al-Husseini, Hussain K. Chaiel, Amel Meddeb, Ahmed Fakhfakh, Ahmed Fakhfakh

Mesopotamian Journal of CyberSecurity

Wireless Sensor Networks (WSNs) have emerged as a transformative technology with applications in critical and often inaccessible environments, including military and security domains. These networks comprise cooperative sensor nodes that gather and relay data to a base station. However, their inherent resource constraints—particularly the non-rechargeable nature of energy—pose a major challenge to network longevity and reliability. Conventional fixed-path transmission protocols exacerbate this issue, as energy-depleted or jammed nodes can disrupt communication, leading to partial or complete data loss. The primary objective of this study is to design and evaluate a structure-free transmission protocol that dynamically adapts data routing in order …

Organization Research As An Applied Science: Lessons From Fields That Shape Practice And Policy, Stephen X. Zhang, Gokhan Ertug

Research Collection Lee Kong Chian School Of Business

As an applied science, our field aims to improve organizational effectiveness and solve practical problems (Hideg, DeCelles & Tihanyi, 2020; Pfeffer & Fong. 2002; Pillutla & Thau, 2013). However, despite the increasing sophistication in methods and greater emphasis on theory in recent decades, we have not made commensurate strides in relevance and impact. As we see it, the heart of this challenge is the culture in our field that demands novel theoretical advancement from every paper (Aguinis & Cronin, 2022), which may inadvertently constrain our ability to address pressing organizational challenges. Previous appeals to enhance our impact as an applied …

Masthead

University of the Pacific Law Review

No abstract provided.

From The Intermediate Impossible To Core Democratic Check: The Future Of The Right To Counsel For Crime Victims, Margaret Garvin

University of the Pacific Law Review

No abstract provided.

Race, Class, And The Victims’ Rights Movement, Michael Vitiello

University of the Pacific Law Review

No abstract provided.

September 2025 Table Of Contents Newsletter - Library Changes, Brooke Cox, Kayla Birt Flegal

Table of Contents Newsletter

Fall term greetings from the library. You know what they say about change! This summer brought several changes to the library. We closed the Music and Media Library in the Green Center for the Performing Arts and closely followed funding challenges at the Indiana State Library.

See this month's Table of Contents for more updates about new displays as well as a tribute to Rick Provine.

Crypto Regulation In The Time Of Trump, Lawrence J. Trautman

Michigan Technology Law Review

Donald Trump’s election as president during November 2024 results in perhaps the most dramatic philosophical change in approach to governmental regulation in over ninety years. The Great Depression of the 1930s created a need for regulatory reform and resulted in the advent of such new regulatory frameworks as the U.S. Securities and Exchange Commission (SEC). It has been the purpose of the SEC to create and nurture efficient securities markets enabling vibrant capital formation while preventing fraud upon the investing public. At issue is the contrast between the regulatory regime in place since 1933-34 and the Trump Administration’s desire to …

Strategies And Considerations For Forming And Managing Community Advisory Boards From Health Research With Transgender And Nonbinary Communities, Mannat Malik, Anushka Aqil, Jennifer L. Glick, Jean Michel Brevelle, Anthony Black, Kellan Baker, Arjee Restar, Molly Gribbin, Colin Flynn, Danielle German

School of Public Health Faculty Publications

Purpose: There is limited research on the use of community advisory boards (CABs) in health research with transgender and nonbinary communities. Transgender communities are navigating challenging histories of health researcher exploitation and research distrust alongside exponential research growth. We explored strategies for forming and managing CABs when conducting transgender community-informed health research. Methods: We used purposive and snowball sampling to identify key informants (KIs): research leaders, implementing staff, and community partners engaging in transgender health research. Between October 2018 and December 2020, we conducted 30 semi-structured in-depth interviews. We used coding followed byiterative thematic analysis and memoing to identify themes. …

District Attorney Staffing Needs And Municipal Courts Of Concurrent Jurisdiction

Miscellaneous Reports

No abstract provided.

Reducing Tennessee's Evidence Backlog By Expanding Forensic Crime Lab Capacity

Miscellaneous Reports

No abstract provided.

Montana Voices Amplified: My Perspective: The World Is Not Unbreakable, Katie Neskey, University Of Montana Rural Institute

Independent Living and Community Participation

RIIC employee Katie Neskey talks about helping her child manage anger and express emotions healthily.

Remedies For Non-Disclosure In Asset Sales: Voidance Vs. Damages, Albert H. Choi, Kathryn E. Spier

Law & Economics Working Papers

This paper analyzes the problems of non-disclosure in the context of an asset sale between a buyer and a seller. The seller can have important information about the asset and can opportunistically decide not to disclose that information to the buyer, and the buyer may sue the seller ex post for remedy. The buyer and the court have a choice over different types of remedy. The paper considers three different remedy regimes: (1) no liability; (2) voidance; and (3) damages. Under voidance, the buyer can rescind the transaction (return the asset and get the price back), while with damages, the …

September 2025 Library News, University Libraries

Library News

No abstract provided.

Uncovering Environmental Justice Disparities: Tree Canopy Inequality In Low-Income Marginalized Communities, Emmanuel Wallace

Tennessee State University Alumni Theses and Dissertations

Tree canopy inequality in low-income marginalized communities is a direct result of decades of environmental injustice within urban communities in the United States, specifically the Home Owner’s Loan Corporation. This phenomenon underscores the disproportionate distribution of tree cover, green spaces, and their myriad benefits in neighborhoods marked by poverty and social vulnerability. Rooted in a history of discriminatory urban planning practices and systemic disparities, tree canopy inequality has profound consequences on residents' health and well-being. It leads to urban heat island effects, reduced air quality, and additional socio-economic disparities. On average, urban communities of color have 33% less tree canopy …