Digital Commons Network^™

Icos And Icos Ligand: Expression Patterns And Outcomes In Oncology Patients, Mina Nikanjam, Shumei Kato, Daisuke Nishizaki, Donald A Barkauskas, Sarabjot Pabla, Mary K Nesline, Jeffrey M Conroy, Aung Naing, Razelle Kurzrock

Faculty, Staff and Student Publications

Background: Inducible T-cell co-stimulator (ICOS) and its ligand (ICOSL) form a complex, two-faced immune machinery that can lead to both immune stimulation and inhibition.

Objective: We explored ICOS transcriptomic expression patterns and their relationship with other checkpoints and with outcomes in patients with advanced/metastatic cancers.

Design: This was a retrospective cohort study.

Methods: RNA expression for ICOS and other immune checkpoints was quantified by RNA sequencing and stratified by rank values into high (75-100 percentiles) and low (0-24 percentiles). Fischer's exact tests were used for univariate analyses to evaluate independent predictors of ICOS high and logistic regression was used for …

Isatuximab For The Treatment Of Multiple Myeloma: Current Clinical Advances And Future Directions, Paul G Richardson, Elisabeth K O'Donnell, Peter O'Gorman, Lisa B Leypoldt, Jacob Laubach, Francesca Gay, Xavier Leleu, Thierry Facon, Philippe Moreau, Meletios A Dimopoulos, Hartmut Goldschmidt, Elias K Mai, Michele Cavo, Katja C Weisel, Jesus G Berdeja, Robert Z Orlowski, Meral Beksaç, Aurore Perrot, Joseph Mikhael, Thomas Martin

Faculty, Staff and Student Publications

Introduction: The addition of the anti-CD38 monoclonal antibody isatuximab to standard therapies is transforming the care of patients with newly diagnosed multiple myeloma (NDMM), as previously seen in the relapsed/refractory setting. This is particularly important for patients with NDMM as early treatment with effective, well tolerated therapies may ensure better clinical outcomes.

Areas covered: Here, we examine recent results from pivotal Phase 3 and 2 clinical trials that demonstrate efficacy and safety of isatuximab across multiple combinations, for both transplant-ineligible and transplant-eligible NDMM patients. We then evaluate long-term outcomes from the IKEMA and ICARIA-MM trials as well as real-world evidence …

Continued Positive Job Search Experience For New Pathologists Seeking First Employment During The Covid-19 Pandemic (2020-2022), Julie Katz Karp, Amanda Lofgreen, Kristen Johnson, Melissa R George, Stephanie Barak, Bronwyn H Bryant, Mary P Berg, John M Childs, Barbara E C Knollman-Ritschel, Victor G Prieto, Kristie L White, Cindy B Mccloskey

Faculty, Staff and Student Publications

Context.—: As pathologists retire and leave the field, it is critical to accurately capture employment trends for new-in-practice pathologists. There is always interest in the job market for newly graduated pathology trainees and prospective pathology trainees, but it is unclear how the COVID-19 pandemic may have affected the job search experience.

Objective.—: To provide an update on trends gleaned from a survey of pathology graduates' job search experiences during the COVID-19 pandemic.

Design.—: We analyzed data from an annual job search survey sent by the College of American Pathologists Graduate Medical Education Committee between 2020 and 2022 to College of …

Effectiveness And Acceptability Of Ventilation Modifications In Healthcare Facilities, Liberia 2022–2023, Ronan F Arthur, Ashley Styczynski, Krithika Srinivasan, Amos Tandanpolie, Philip Bemah, Ethan Bell, Jason R Andrews, Tom Baer, Jorge L Salinas

Faculty, Staff and Student Publications

Objective: To evaluate the effectiveness and acceptability of ventilation interventions in naturally ventilated hospitals in Liberia.

Design: Difference-in-differences analysis of pre- and post-air changes per hour of intervention and control spaces.

Setting: Hospitals in Bong and Montserrado Counties, Liberia.

Participants: Seventy patient care spaces were evaluated at baseline. Six spaces underwent physical intervention modifications, while 2 spaces were assessed for indirect effects and 2 others used as controls. Healthcare workers were interviewed to assess ventilation knowledge and acceptability.

Interventions: Ventilation interventions included the installation of window screens, louvered doors and windows, and wind turbines.

Methods: We measured carbon dioxide levels …

The Abuse Of Neutrality, Rebecca Ingber

Articles

Neutrality law is a musty and obsolete body of international law that nevertheless rears its creaky head now and again in dangerous ways, most recently in the Russia-Ukraine conflict. The law of neutrality is a study in contradictions. It is obsolete yet remains on the books in treaties and military manuals. It purports to keep the peace and protect non-warring states yet today is invoked to expand conflict and protect aggressors. The legal benefits of neutrality have been entirely overtaken by other regimes. And yet neutrality law has not lost its luster despite losing its value. Instead of letting it …

The Immigration Subpoena Power, Lindsay Nash

Articles

For over a century, the federal government has wielded the immigration subpoena power in darkness, forcing private individuals, subfederal governments, and others to help it detain and deport. This vast administrative power has remained opaque even to those who receive these subpoenas and invisible to those it affects most. Indeed, the very people targeted by these subpoenas often don’t know they exist, much less how they facilitate arrest and deportation. For these reasons—and more—this power has escaped the legal battles raging over other immigration enforcement tactics and the scrutiny of journalists, scholars, and courts. Thus, as state- and locality-held information …

Rectifying The Rome Statute And Draft Articles On Prevention And Punishment Of Crimes Against Humanity To Include The Slave Trade, Jocelyn Getgen Kestenbaum

Articles

The slave trade is commonly misperceived as a historical crime. Yet, the scourge of the slave trade is present throughout the world today. Combatting these ongoing atrocity crimes is essential to ensure that human rights are upheld by the international community. The crime of the slave trade fills an impunity gap, especially in light of recentharms perpetuated by the Islamic State of Iraq and Syria (ISIS) against the Yazidi in Iraq. Revitalization of the conceptualization of the slave trade as a crime under international law might ensure greater enforcement of one of the oldest core international crimes. Critical proposed amendments …

Towards The Faa's Next Century: Clarifying Disclosure Requirements In Arbitration, Andrea K. Schneider, Brian Farkas

Articles

This essay provides a roadmap to the current landscape of neutrality and disclosure. It then suggests three possible reforms to the FAA that would provide better guidance to arbitrators, parties, and courts. Moreover, this essay argues that if the FAA cannot be sufficiently amended, states should take the lead. States can continue to more clearly outline disclosure requirements and enforce clearer standards than the current version of the FAA.

Wnt7a, Naomi M Calhoun, Richard R Behringer

Faculty, Staff and Student Publications

WNT7A regulates numerous developmental processes. It can activate canonical and non-canonical signaling depending on context. It is expressed in the developing central nervous system, limb buds, reproductive organs, and other tissues. Spontaneous and targeted Wnt7a mutations in mouse models resulted in abnormal limbs, defects in male and female reproductive tract organs, infertility, and defects in cerebellar axon remodeling. In zebrafish, wnt7aa mutants exhibited neurogenesis and angiogenesis defects in the central nervous system. In humans, recessive WNT7A missense and nonsense mutations resulted in severe limb and pelvic bone defects. Alterations in WNT7A expression correlated with multiple types of cancer.

Bismuth-Infused Perivascular Wrap Facilitates Delivery Of Mesenchymal Stem Cells And Attenuation Of Neointimal Hyperplasia In Rat Arteriovenous Fistulas, Allan John R Barcena, Joy Vanessa D Perez, Marvin R Bernardino, Jossana A Damasco, Erin Marie D San Valentin, Carleigh Klusman, Benjamin Martin, Gino Martin Canlas, Francisco M Heralde, Natalie Fowlkes, Richard R Bouchard, Jizhong Cheng, Steven Y Huang, Marites P Melancon

Faculty, Staff and Student Publications

BACKGROUND: Mesenchymal stem cells (MSCs) have emerged as novel therapies for supporting arteriovenous fistula (AVF) maturation, and bioresorbable polymeric scaffolds have enabled sustained MSC delivery into maturing AVFs. However, the radiolucency of biopolymeric wraps prevents in vivo monitoring of their integrity and location, hindering long-term preclinical investigations.

METHODS: We infused bismuth nanoparticles (BiNPs) into polycaprolactone (PCL) to fabricate an electrospun perivascular wrap capable of MSC delivery and conducive to longitudinal monitoring using conventional imaging. We tested the wraps' effects on the attenuation of markers of neointimal hyperplasia (i.e., endothelial dysfunction, hypoxia, and inflammation), the leading cause of AVF failure, in …

A Clinical Practice Review Of Optimizing The Approach For Correction Of Thoracolumbar Deformity— When And How To Perform Anterior Releases And Fusion, Brian M. Phelps, Munish C. Gupta

2020-Current year OA Pubs

No abstract provided.

Caregiver Worry About Covid-19 As A Predictor Of Social Mitigation Behaviours And Sars-Cov-2 Infection In A 12-City U.S. Surveillance Study Of Households With Children, Steven M Brunwasser, Katherine Rivera-Spoljaric, Et Al.

2020-Current year OA Pubs

OBJECTIVE: Understanding compliance with COVID-19 mitigation recommendations is critical for informing efforts to contain future infectious disease outbreaks. This study tested the hypothesis that higher levels of worry about COVID-19 illness among household caregivers would predict lower (a) levels of overall and discretionary social exposure activities and (b) rates of household SARS-CoV-2 infections.

METHODS: Data were drawn from a surveillance study of households with children (

RESULTS: Caregivers with high enrollment levels of worry about COVID-19 illness were more likely to reduce direct social contact outside the household, particularly during the U.S.'s most deadly pandemic wave. Households of caregivers with …

Cultures For Acid-Fast Bacilli: Are We Being Good Stewards?, Jennifer Hanrahan, Julie D. Sill, Patricia Ver Schneider, Jessica F. Copeland, Elsie Frimpongmaa Amoako-Kissi, Ogochukwu O. Ilobi, Angela J. Toepp

Department of Medicine Faculty Publications

Objective: To describe the use of cultures for acid-fast bacilli (AFB) and situations in which AFB cultures are unlikely to be of clinical benefit.

Design: Retrospective descriptive study of AFB cultures submitted to Sentara Health microbiology laboratory from December 1, 2021, to December 1, 2023. Data were collected from the electronic medical record and included patient demographics, the service line that ordered the culture, specimen source, and culture results.

Setting: Sentara Healthcare System.

Patients: All patients who had specimens submitted to the microbiology laboratory during the study period were included.

Results: A total of 13,944 AFB cultures from 8,243 …

Arthroscopic Inlay Biceps Tenodesis Using A Tendon-Docking Anchor, Mark G. Soliman, Katherine S. Worcester M.S., Thomas E. Herron, Kevin F. Bonner

Department of Medicine Faculty Publications

Pathology of the long head of the biceps tendon can be treated surgically with a multitude of tenodesis techniques; however, there is a lack of consensus on which technique provides the most optimal outcomes. Commonly used methods include inlay tenodesis with a bone tunnel and interference screw construct and onlay tenodesis with anchors or unicortical buttons. Although current methods typically provide satisfactory outcomes, many surgeons believe complications and failure rates remain suboptimal across techniques. In this article, we present an arthroscopic suprapectoral biceps tenodesis technique using an anchor device that was developed to address the shortcomings of current techniques, optimize …

The Military's Constitutional Role, Brenner M. Fissell

Faculty Publications

A basic principle of the American constitutional order is that civilian authority must be supreme over that of the military. The violation of this principle by the British was one of the grievances enumerated in the Declaration of Independence, and the Framers responded with a Constitution that made military rule impossible. But why is so-called “civilian control” of the military so important? This deep normative question has yet to be thoroughly answered by scholars, most of who assume it away as a given. This Article takes up that task, using contemporary political theory to defend the principle of civilian control. …

Selected Topics In Blockchain-Aided Iot Inference, Yiming Jiang

Doctoral Dissertations

"Blockchain has recently been considered in the Internet of Things (IoT) to secure data exchanges and storage across various engineering applications. This newly emerging blockchain-aided IoT (BIoT) network has been applied to a great deal of security-related applications. However, the BIoT still has the vulnerability that can be exploited by attackers, potentially impairing the performance of BIoT applications. Despite this, research addressing the vulnerability has been limited. This work presents four studies aimed at addressing critical gaps in current BIoT research.

The first study introduces a Time-Restricted Double-Spending Attack (TR-DSA) model for Proof-of-Work (PoW)-based blockchains, where the adversary only conducts …

Phase-Field Modeling Of Rapid Solidification Processes, Nima Najafizadeh

Doctoral Dissertations

"Many advanced manufacturing processes such as additive manufacturing utilize rapid solidification of alloys, as it enables the formation of exotic non-equilibrium microstructure and thus improved properties. However, the interrelationship between the processing parameters and the resulting microstructure in rapid solidification is yet to be fully understood. We aim to investigate the microstructure evolutions during the rapid solidifications using phase-field modeling. The phase-field method assumes a diffuse interface, which avoids tracking the moving interface and hence enables efficient numerical simulations for complex microstructure evolution. A phase-field model with coupled solute-thermal diffusion and solute trapping effect is developed to investigate the rapid …

Application Of Artificial Intelligence Techniques To Improve Leadership Decision Making With Uncertainty, Michael David Parrish

Doctoral Dissertations

"Every good leader is a good manager, but not every good manager is a good leader. The difference between the leader and the manager is critical decision-making. Today’s decision-making environment is characterized as Volatile, Uncertain, Complex, and Ambiguous (VUCA). With the exponential increase in the technical capabilities of systems, the human has become the weakest link in the use of such systems. To remain relevant, good leaders must continuously adapt to new advances in technology and processes.

The research contributions of this work provide several unique and novel solutions for leaders to utilize artificial intelligence tools to improve and optimize …

Effect Of Thermomechanical Processing And Heat Treatment On The Microstructure And Mechanical Properties Of Ultra-High Strength Steels, Rogerio Antao Cardoso

Doctoral Dissertations

"A martensite-based and an austenite-based Fe-Mn-Al steels were investigated aiming the pilot-scale production of steels that meet military specifications for Rolled Homogeneous Armor (RHA) and High-hardness Armor (HHA) plates. Each material underwent specific thermomechanical processes and the following hardness, Charpy V-notch (CVN) impact toughness at -40 °C and room-temperature tensile properties were correlated with the resulting microstructures.

Specimens of the martensitic steel were austenitized at 1010 °C, quenched and tempered at 150, 175, 200, 225 and 250 °C for times up to four hours. As for the Fe-Mn-Al steel, its hot rolling schedule was design to promote strain accumulation in …

Sensor Embedding And Thermal Monitoring Strategies For Laser-Foil-Printing Additive Manufacturing, Tunay Turk

Doctoral Dissertations

"This work investigates Laser Foil Printing (LFP), a novel metal additive manufacturing (AM) process that fabricates parts layer-by-layer using metal foils. To enhance LFP productivity, the process steps were optimized, and an 88.1% reduction in processing duration was achieved. A unique aspect of this study was the introduction of laser polishing as an edge polishing technique within the LFP process. This innovative approach, employing an overlapping spiral pattern, leverages selective laser remelting and erosion to effectively suppress elevated edges. To stabilize the molten melt pool, a discrete spot scanning strategy was implemented. The fabricated parts were subjected to detailed analysis, …

Processing And Densification Of Multi-Phase High-Entropy Ceramics, Steven Smith

Doctoral Dissertations

"This work focuses on the processing and densification of multiphase, high-entropy ceramics to promote their use in friction stir welding technologies. Several high-entropy systems including high-entropy borides, carbides, and their composites were produced. Boro/carbothermal and carbothermal synthesis were used to produce high-entropy powders from oxide powder mixtures. Composites of high-entropy borides and high-entropy carbides were produced using a sequential approach to produce both phases. The carbide was first produced using carbothermal reduction, then ZrH2 and B4C were added to the carbide powder to produce the high-entropy boride phase. The resulting powder was densified by spark plasma sintering and pressureless sintering, …

Drone-Based Multimodal Sensing On Vegetations And Data Analytics For Early Detection Of Gas Leakage From Underground Pipelines, Pengfei Ma

Doctoral Dissertations

"This study explored the feasibility of using multimodal remote sensors in the early detection of natural gas leaks from underground pipelines, as vegetation situated above pipelines can discern microbial changes in soil when affected by gas and exhibit physiological stress symptoms on leaves. Three sensors (RBG, thermal, and hyperspectral cameras) were utilized to monitor vegetation stress as an indicator of gas leaks. A laboratory experiment was conducted to evaluate the workability of vegetation for gas leak detection. Regular hyperspectral imagery was collected from test vegetations to identify gas stress and distinguish it from other environmental stressors such as salinity impact, …

A Hybrid Data Processing, Computational Intelligence, And Complex Systems Modeling Approach For Describing And Predicting The Bitcoin Market, Oluwadamilare Akinpelu Omole

Doctoral Dissertations

"The Bitcoin market, like traditional financial markets, is a complex system with intricate interdependencies and nonlinear interactions among various market elements. This, coupled with the inherent uncertainty and high volatility present, makes predicting Bitcoin price movements difficult. The lack of understanding of the underlying market dynamics often results in significant losses for investors and traders. Existing studies have focused on the use of predictive models, which have not sufficiently captured the complexities of the market and cannot forecast extreme market events. This research endeavors to bridge this gap by combining data processing techniques, computational intelligence, and complex systems theory to …

Atmospheric Transport Of Radionuclides, Meteorological Data Mining & Synthesis For Site Data Supplementation, Ben Yao Sonpon

Doctoral Dissertations

"This research aligns with the NRC's vision of implementing risk-informed decision-making to support its regulatory charter. The suite of tools developed includes automated procedures for data mining and extracting meteorological (met) data from various national and regional repositories. A second data analytics tool automates the process of data fusion into a uniform format while preserving data fidelity. Autocorrelations were then established, and correlation coefficients were calculated between the Callaway Nuclear Power Plant (Callaway) and nearby off-site weather stations. The complexity of these correlations depends on factors such as physical proximity, geographic features, and topology, potentially necessitating multivariate analysis (MVA). Furthermore, …

Shock Wave And Vortex Ring Dynamics From Explosively Driven Shock Tunnels, Rachel Louise Bauer

Doctoral Dissertations

"Blast and shock tubes are frequently used to create shock waves to study their effects and impacts on structures, humans, and personal protective equipment. These tubes are also found in other industries including wind tunnels for aerodynamic testing, jet engines for propulsion research, spacecraft reentry simulations, and industrial applications such as material testing and high-velocity impact studies. Despite their widespread use, there is no standard design, with variations in geometry, size, and energy sources. Current research only evaluates the peak pressure of the shock wave produced and does not consider the effects of changing the size or geometry of the …

The Evolving Use Of Strategic Planning Tools In The Manufacturing Environment: Implications For Quality 4.0 And Beyond, Richard Lee Wilson

Doctoral Dissertations

"Having a strong strategic plan is critical for success for any business no matter the size of the organization, the product or service they provide, or the industry they serve. There are many methods businesses use to develop their strategic plans. One such method is known as Hoshin Kanri, which has been in use for decades. However, recent years have seen an increase in artificial intelligence, big data, data analytics, and other technology tools to create cyber physical systems on the manufacturing floor. The increase in technology in manufacturing to integrate cyber systems with physical systems spawned a new industrial …

Leveraging Deep Learning Models And Social Media Data For Enhanced Situation Awareness In Disaster Management, Ademola Abdulganiyu Adesokan

Doctoral Dissertations

"In recent years, social media has become a crucial source of real-time data for disaster management, supporting emergency responses when traditional channels like 911 are overcrowded and overwhelmed. It offers authorities valuable data for developing effective strategies, especially when swift actions are essential to save lives. However, the informal language, ambiguous meanings, and irrelevant content on social media pose challenges to accurate classification and hinder the efficient extraction of disaster-relevant information, leading to inefficiencies in emergency response efforts.

This research focuses on seven key questions: i) How can we detect, classify, and analyze hate and offensive tweet emotions during large-scale …

Transport And Plugging Behavior Of Co2-Resistant Preformed Particle Gels In High Conductive Channels For Conformance Control, Adel Alotibi

Doctoral Dissertations

"Improving oil recovery is essential with rising global oil demand and declining production in mature fields. CO₂ flooding has been widely applied as a major Enhanced Oil Recovery (EOR) method due to its effectiveness in boosting oil recovery while enabling safe carbon storage in the subsurface. However, in fractured and highly heterogeneous reservoirs, CO₂ often flows through paths of least resistance, leading to early breakthrough or quick excessive CO₂ production and leaving substantial oil in unswept zones or areas. Traditional in-situ polymer gels have been applied to control CO₂ flooding conformance, their performance has been varied, …

Development And Testing Of Irradiation-Tolerant High-Entropy Alloys, Matthew John Luebbe

Doctoral Dissertations

"High entropy alloys (HEAs) are a novel class of alloys made of multiple principal elements in near equal proportions. They have been observed to possess an array of useful engineering properties, such as good ductility and fracture toughness, high temperature strength, oxidation and corrosion resistance and irradiation resistance. This makes them promising candidates for harsh environments, especially nuclear reactors. These properties could potentially realize advanced Gen IV nuclear reactor designs. However, most HEA compositions contain Co, which activates under irradiation, generating safety and waste management concerns. This work studies three compositions of Co-free HEAs whose strength and microstructures are evaluated …

Investigation Of Shockwave Behavior To Inform Helmet Design Using Schlieren Imagery And Free-Field Blasts, Cody Jh Thomas

Doctoral Dissertations

"Ballistic resistance of military helmet designs is a prioritized feature to protect warfighters from traumatic brain injury. However, injuries from shock-based threats have not been optimized for warfighter protection and have resulted in the prevalence of blast-induced traumatic brain injury (bTBI). Research gaps were identified in understanding the under wash effect using free field blasts and schlieren imagery. Thus, the following were investigated: (1) overpressure changes on a warfighter’s head due to directionality from a blast, (2) shock wave dampening effects of viscoelastic materials in helmets, and (3) geometric effects of a helmet brim design in the reduction of bTBI. …