Digital Commons Network^™

Regulatory Whiplash: The Sec’S Proxy Advisor Reversal And A Delaware-Inspired Sliding Scale Framework For Judicial Review, Alexandra Pellegrino

Brooklyn Journal of Corporate, Financial & Commercial Law

The Securities and Exchange Commission’s 2020 regulation of proxy advisory firms, and its abrupt 2022 recission, triggered a consequential circuit split that exposes a deeper tension in administrative law: how courts should review agency reversals in regulatory environments where stability and adaptability are both essential. In National Association of Manufacturers v. Securities Exchange Commission, the Fifth Circuit invalidated the recission for failing to adequately address reliance interests and prior factual findings. In contrast, the Sixth Circuit in Chamber of Commerce v. Securities Exchange Commission upheld the agency’s reversal under a more deferential interpretation of Federal Communications Commission v. Fox Television …

Discharge Preparedness Assessment Using The Path-S Tool With Stroke Patient Caregivers, Sue B. Pugh

Group: Samford University Moffett & Sanders School of Nursing

Background of Project:

• Stroke is the leading cause of disability in the United States.
• Caregivers are a vital component to successful discharge.
• Inpatient rehabilitation facilities (IRF) are designed to prepare individuals and their caregivers for the transition to home.
• IRF’s measure their success using post discharge surveys.
• The IRF involved in this project measured discharge preparedness against a benchmark score.
• A low score of 3.03/5.0 with a benchmark of 3.4/5.0 resulted in the creation of a key performance initiative regarding discharge preparedness. 

The purpose of this project is to utilize an evidence-based tool in the assessment of stroke caregiver preparedness …

Association Between Glucagon-Like Peptide-1 Receptor Agonists And Suicidality: A Systematic Review, Timothy H. Chan, Leon E. Cosler, Michael R. Gionfriddo, Emily E. Leppien, Eleanor J. Sommers, Mia E. Lussier

Pharmacy Faculty Scholarship

Aims: We aimed to examine the association between GLP-1 RA use and suicidal ideation or behaviours through a systematic review of observational studies. Materials and methods: A comprehensive search of MEDLINE, PubMed, EMBASE, CINAHL and PsycINFO was conducted from database inception through December 11, 2025. Observational studies investigating suicidal ideation, suicide attempts or complete suicide among adults using GLP-1 RAs were included. Eligibility screening, data extraction and risk of bias assessments were performed independently and in duplicate, with disagreements resolved by a third reviewer. Results: Forty-three studies were included. Findings varied by study design. Some case reports suggested a temporal …

Medical Monitoring Working Group Meeting Minutes, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Measuring Treatment Burden With The Treatment Burden Questionnaire (Tbq): A Narrative Literature Review And Implications For Geriatric Research And Clinical Practice, Jennifer Li-Wang, Sophia Hernandez, Sahana Ramasamy, Lawrence Qu, Jack Banks, Rafael Samper-Ternent, Holly Holmes, Aanand Naik, Dana Giza

Faculty, Staff and Student Publications

Background: Treatment burden refers to the demands that healthcare places on a patient's daily life, including managing appointments, medications, and lifestyle adjustments. It is a critical concern for older adults, particularly those with multiple chronic conditions. High treatment burden has been associated with poorer treatment adherence, increased disruptions in care, and diminished quality of care. The Treatment Burden Questionnaire (TBQ) is a validated tool that has been successfully used to measure treatment burden in a variety of geographic, clinical, and research settings.

Methods: We conducted a narrative literature review to identify studies that have applied the TBQ in older adult …

Optimization And Energy Efficiency Analysis Of An Automatic Feed Mixer With A Rotating Drum Mechanism, Kris Witono, Talifatim Machfuroh, Nurlia Pramita Sari, Lisa Agustriyana, Aini Lostari

Journal of Mechanical Engineering Science and Technology (JMEST)

Energy-efficient feed mixer machines are important for improving the productivity and sustainability of small and medium-scale livestock farms. Previous studies primarily focused on either structural performance or mixing efficiency, with limited studies integrating both aspects. Therefore, this study evaluated an automatic rotating-drum feed mixer by combining Finite Element Method (FEM) analysis and energy modeling. The study used FEM simulations for different materials, namely A36 steel alloy, stainless steel 304, aluminium 6061, and galvanized steel, with thicknesses of 3 mm and 4 mm, as well as different drum systems. The FEM results showed that all evaluated materials met the minimum safety …

Models, Agency, And Expectations: A Mixed-Methods Study Of How Character Develops In Middle School, Aaron J. Schwindt

LSU Doctoral Dissertations

This explanatory sequential mixed-methods study investigated how character develops among middle school students at an international school recognized as a "National School of Character." Despite significant investment in character education (CE), a lack of formal evaluation exists, particularly regarding the process of development during the critical middle school years, a period of intense neurological and social change. Grounded in Bandura's Social Cognitive Theory (SCT), this study aimed to (1) understand how character develops, (2) compare development before and after program enhancements, and (3) assess the program's impact on discipline. Phase 1 collected Character Growth Index (CGI) survey data from students …

From Code To Calm: Cold Debriefing And Spiritual Sessions For Icu Nurses, Cailin Ford Bsn, Rn-Bc, Va-Bc, Taryn Sheehy Bsn, Rn, Ccrn, Julie Mackenzie Msn, Rn Agcns, Jeanne Hlebichuk

Nursing

Debriefing after critical events promotes communication, teamwork, and performance improvement. Concurrently, a positive spiritual climate is also linked to improved teamwork and safety climates, as well as reducing RN intent to leave and turnover (Celano et al., 2022). Clinical RNs engaged with professional governance identified an opportunity to expand on a nurse-led hot debriefing project and incorporate a second phase consisting of cold and spiritual debriefing. In this second phase, cold and spiritual debriefing was piloted in a 30-bed cardiovascular ICU, staffed with 110 RNs. First, standard cold debriefing materials were developed with organization specific resources. Two RN project leads …

The Impact Of Microvascular Fluorescence Angiography (Mfa) On Healing And Outcomes Of Hyperbaric Oxygen Therapy Patients Following Lower Extremity Amputations Complicated By Flap Ischemia, Gaurav Narula, Benjamin Banks, Prashan Gunasekera, Dawn Wankowski, David Boulware, Sarah Riutta, Laurie Gesell

Aurora GME

No abstract provided.

Improving Explainability And Interpretability Of Neural Networks Via Hyperparameter-Extended Influence Functions, William Breslin

Dissertations and Theses

Understanding how model predictions and training outcomes vary with changes in data, features, and modeling choices is central to explainable artificial intelligence. This dissertation introduces a unified framework for explainability by generalizing classical influence functions to encompass user-defined hyperparameters embedded in the training loss, model architecture, or data representation. By extending influence functions in this way, the framework broadens their applicability and integrates multiple explainability techniques into a single, coherent approach. It provides a common mathematical foundation linking data impact, feature importance, and model design analysis, and supports a broad class of additional explainability analyses beyond these settings. The demonstrated …

Design And Implementation Of Error Estimators For Finite Element Eigenvalue Problems, Gabriel Esteban Pinochet Soto

Dissertations and Theses

We present three publications, all encompassed under the umbrella of a posteriori error estimation theory for eigenvalue problems for finite element discretizations. The central objective of the research is the development of a general framework for the study of reliable estimation of eigenvalues and eigenspaces. We introduce applications to problems of theoretical interest as well as problems arising in real-life scenarios, such as optical fibers. The first paper focuses on the implementation of a dual-weighted residual error estimator for a nonselfadjoint eigenvalue problems arising from the study of leaky modes in optical fibers---Maxwell's equations, Perfectly Matched Layers, and a conforming …

Serum-Derived Albumin As A Cryoprotective Agent For The Long-Term Storage Of Red Blood Cells: A Preliminary Examination, Thomas Bailey-Schmidt, Christine V Saunders, Chloë E George, Thomas G Scorer, Lynn M R Mccallum, Tracey E Madgett

School of Biomedical Sciences

BACKGROUND: Cryopreservation extends the shelf life of red blood cells (RBC) from weeks to years, offering major advantages for blood banking logistics, especially in remote environments. However, current glycerol-based methods, though effective, are limited in scope due to complex post-thaw washing and incompatibility with routine clinical workflows. This study evaluated plasma-derived albumin as a potential alternative cryoprotective agent (CPA) for human RBC.

STUDY DESIGN AND METHODS: Donor-derived RBC were suspended in 25% w/v bovine serum albumin (BSA) prepared in various diluents and tested for biocompatibility and cryoprotective efficacy under rapid freezing (immersion in liquid nitrogen) and gradual freezing with storage …

Draft Final 2024 Unreclaimed Sites Sampling: Ur-21 Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Risk Factors And Prevention Strategies For Complex Regional Pain Syndrome Following Fractures: A Scoping Review, Tina Tran, Brian H. Tran, Tatum R. Dam, Ank A. Agarwal, Moorice Caparó

Student Publications

Complex regional pain syndrome (CRPS) is a neuropathic pain disorder characterized by pain disproportionate to the severity of the inciting injury, persisting beyond the expected period of tissue healing. CRPS can significantly impact functional outcomes, but despite increasing research, risk factors and preventive strategies remain incompletely characterized. The objective is to map the existing evidence on risk factors and preventive strategies for CRPS following fracture, including trauma-related, surgical, and patient-related contributors, and identify gaps in current prevention and risk stratification approaches. A comprehensive search of PubMed, Embase, and Scopus was conducted from database inception through March 17, 2026. Eligible studies …

Pfas Toxicity: What’S True, What’S Not, And What Really Matters, Jamie C. Dewitt, Ian T. Cousins, Gretta Goldenman, Dorte Herzke, Rainer Lohmann, Mark Miller, Carla A. Ng, Martin Scheringer, Xenia Trier, Zhanyun Wang

Graduate School of Oceanography Faculty Publications

A substantial body of evidence exists demonstrating that exposure to per- and polyfluoroalkyl substances (PFASs) poses a risk to human health. Data from epidemiological studies of those exposed occupationally or environmentally demonstrate adverse health risks, and these health effects are concordant with data from toxicological studies. Systematic reviews, conducted by agencies, organizations, and independent scientists that synthesize and integrate these data streams, have concluded that a range of health risks arise from PFAS exposure, including different types of cancer, especially kidney and testicular cancer, metabolic alterations such as increased liver enzymes and increased cholesterol, immune dysfunction such as reduced vaccination …

Politainment And Celebrity Officials In Online Journalism: A Study Of Kompas.Com And Public Discourse In Indonesia, Dewi Y. Cahyani

JURNAL KOMUNIKASI INDONESIA

This study examines how politainment shapes the news coverage of public officials with celebrity backgrounds (celebrity officials) in Indonesia's post-electoral governance context. Focusing on Kompas.com during the first six months of the Prabowo–Gibran administration, the study integrates theories and concepts of politainment, celebrity politics, and the public sphere to address a gap in global scholarship. Existing research has largely focused on Western democracies, electoral campaigns, and social media platforms, while paying limited attention to how politainment operates within professional online journalism in emerging democracies. Using a mixed-method approach that combines quantitative content analysis of 102 news articles with qualitative framing …

Early Neurodevelopmental Outcomes In A Child With Tuberous Sclerosis Complex Treated With Everolimus And Vigabatrin, Sarah Ml Wilson, Megan Samuels, Luana Pimentel, Shelley Varnado, Claire Sartwell, Rosleen Mansour, Deborah Pearson, Hope Northrup, Mary Kay Koenig

Faculty, Staff and Student Publications

Objectives: To report early neurodevelopmental outcomes in a child with Tuberous Sclerosis Complex (TSC) treated with everolimus and vigabatrin.

Methods: The authors report a five-year-old girl with Tuberous Sclerosis Complex who was initiated on vigabatrin at seven weeks old to treat infantile spasms and on everolimus at two months of age to treat a subependymal giant cell astrocytoma. Neuropsychological assessments were conducted in this patient at 12, 24, and 36 months using the Bayley-III and Vineland-II.

Results: On the Bayley-III, the patient had a high average cognitive composite score at 12 months and a high average language composite score at …

The Normative Evolution Of Political Crime In Egyptian Criminal Law 1881 – 1981, Anas Sayed Elkorashy

Theses and Dissertations

This thesis examines the historical evolution of the Egyptian criminal justice system's approach to managing political opposition. It employs the concept of "political crime" as a heuristic for analyzing the prosecution of dissent, despite the absence of a statutory definition within the legal system. By situating these practices within the broader context of political conflict, the study traces how criminal law has been used to manage rivalry and neutralize perceived threats to the state. Drawing on Fraenkel’s theory of the "Dual State," the thesis argues that modern Egyptian criminal justice has developed through a distinctive dual structure. The research distinguishes …

Design And Analysis Of Hydrogen Fuel Cell Powered Aircraft Using Wuads Design Code, Baiming Zhang, Duyen Nguyen, Mike Kiely, Ramesh Agarwal

Mechanical Engineering and Materials Science Independent Study

This report presents the application and validation of the Washington University Aircraft Design Software (WUADS) using the Dornier 228 as a representative short- to mediumrange aircraft case study. The objective of this work is to improve the reliability of the WUADS model by testing its ability to reproduce the geometry, weight, aerodynamic performance, stability characteristics, and mission behavior of an existing aircraft with known design and performance data. The Dornier 228 was selected because of its regional aircraft configuration and its relevance to future hydrogen fuel-cell aircraft studies. In this work, key aircraft parameters, including fuselage dimensions, wing geometry, passenger …

Biodegradable Pcl–Plga Electrospun Nanofibers For Localized Cancer Therapy, Rahul Tiwari, Pranav, Joel Delossantos, Eswara N.H.K. Ghali, Luis Chavez, Vishal Sharad Chaudhari, Songyang Han, Subhash Chauhan, Murali Yallapu

School of Medicine Publications

Localized chemotherapy offers a promising strategy to improve therapeutic efficacy while minimizing the systemic toxicity of conventional cancer treatment, particularly following tumor resection. Electrospun nanofibers are well suited for this purpose due to their high porosity, extracellular matrix-mimicking architecture, and capacity for localized drug release. In this study, electrospun nanofibers based on PCL and PLGA were developed for localized cancer therapy. Three distinct nanofibrous architectures were fabricated: PCL nanofibers, PCL−PLGA blended nanofibers, and PCL−PLGA multilayered (tetra-layered) nanofibers, and their encapsulation efficiency was determined by high-performance liquid chromatography (HPLC). Scanning electron microscopy confirmed uniform, bead-free nanofibrous morphologies, while Fourier transform infrared …

Raymond Zhuang V. Pena

All Decisions

The Civil Court dismissed this no-grounds holdover because the lease lacked a conditional limitation permitting the landlord to terminate the tenancy early. The court found the relevant lease provisions did not "provide that the term of the lease will automatically expire upon the lapse of time fixed in the notice," as required. Without a valid conditional limitation, the landlord lacked a cause of action, citing Fourth Hous. Co., Inc v Bowers and 1900 Albermarle, LLC v Solon.

Mejia V. Rosas

All Decisions

In this holdover, the court grants respondent's motion to dismiss where the petition pleaded alternate theories of occupancy: either the tenant had no rights, or was a licensee and therefore failed to comply with RPAPL 741(4). This case is useful to distinguish the holding in Kew Gardens v. Bucheli, 69 Misc 3d 129(A) (App Term, 2d Dept 2020), which allows pleading inconsistent theories under certain circumstances.

Preserving The Harvest: How To Preserve Chokecherries, Callahan K. Adams, Andrea Schmutz

All Current Publications

A treasured wild fruit in Utah and across the Intermountain West, chokecherries offer both cultural heritage and culinary versatility. With proper handling and research-tested preservation methods, you can safely transform them into delicious jellies, syrups, and more. Whether using a steam juicer or stovetop method, following tested recipes and adjusting for elevation ensures both safety and quality. This fact sheet provides information and recipes to safely preserve chokecherries.

A Systematic Literature Review On Data-Efficient And Adaptive Learning Techniques For Encrypted Traffic Classification Under Modern Protocols, Muntakimur Rahaman, Azwan Mahmud, Azlan Abd Aziz, Osama M. S. Abujawa, Ji-Jian Chin

School of Engineering, Computing and Mathematics

Recent studies suggest that few-shot and zero-shot learning methods, drawing on meta-learning, self-supervised approaches and metric-learning ideas, can classify encrypted traffic (TLS 1.3 and QUIC) with competitive accuracy across different protocol conditions. This systematic literature review (SLR) investigates 22 studies selected from an initial pool of 500 papers using PRISMA 2020, focusing on current methodologies for non-stationary network traffic classification, with particular attention to few-shot, zero-shot, and meta-learning approaches. The research addresses four questions: (1) Which approaches have been employed for non-stationary network traffic classification and threat detection? (2) How do hybrid or cross-domain models improve adaptation, detection and overall …

Spontaneous Isolated Celiac Artery Dissection - A Case Report, Marina Takawy, Yousef Waly, Mohanad Shehadeh, Mostafa Najim, Richard Alweis

Advances in Clinical Medical Research and Healthcare Delivery

Introduction: Spontaneous isolated celiac artery dissection (SICAD) is a rare condition, with an unpredictable natural history. It typically affects middle aged men with risk factors including hypertension and smoking. It can remain asymptomatic, and for many patients is detected as an incidental finding. The increasing number of reported cases over the past decade has been attributed to advances in imaging modalities. Management strategies vary depending on presentation. Case presentation: We describe a case of SICAD with atypical demographics. A 77-year-old female with no smoking history presented with progressively worsening abdominal pain. Contrast-enhanced CT revealed an isolated celiac artery dissection. She …

Toxoplasmosis-Associated Immune Reconstitution Inflammatory Syndrome In A Patient With Newly Diagnosed Hiv/Aids, Shivam Singh, Divya Samat Md, Viraj Shah, Kelly Brenan-Rothschild, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Background: Cerebral toxoplasmosis is a common cause of central nervous system (CNS) lesions in advanced HIV, and initiation of antiretroviral therapy (ART) can precipitate immune reconstitution inflammatory syndrome (IRIS). Toxoplasma-related IRIS is rare but poses significant diagnostic and therapeutic challenges. Case Presentation: We report a 40-year-old male with advanced HIV (CD4 <35 cells/mm3, viral load 540,000 copies/mL) who initially presented with seizures and multiple ring-enhancing supratentorial lesions. Serology and cerebrospinal fluid (CSF) polymerase chain reaction (PCR) confirmedToxoplasma gondii, and he was treated with high-dose sulfamethoxazole-trimethoprim, dexamethasone, and ART. A lymph node biopsy revealed granulomatous inflammation with intracellularHistoplasmaspecies. One month later, following brief interruption of anti-toxoplasma therapy, he developed recurrent seizures and radiographic progression despite ART adherence. Repeat evaluation excluded other infections or malignancy. Brain biopsy confirmedT. gondii, and IRIS was diagnosed. The patient improved with re-initiation of high-dose anti-toxoplasma therapy, corticosteroids, and seizure prophylaxis. Discussion: This case illustrates paradoxical toxoplasmosis-associated IRIS in the context of advanced HIV and concurrent opportunistic infection. Early recognition, exclusion of alternative diagnoses, and continuation of ART with targeted antimicrobial therapy are essential. Conclusion: Clinicians should maintain a high index of suspicion for IRIS in HIV patients with CNS …

Ultrasound-Guided Epidural Caudal Block For Lumbar Spinal Stenosis In A Patient With Severe Scoliosis: A Case Report, Theresia Chandra Tania Novy, Daniel Hadimartana, Maria Jessica Yaputri

Advances in Clinical Medical Research and Healthcare Delivery

Background: Lumbar spinal stenosis (LSS) is a common degenerative condition in the elderly characterized by narrowing of the spinal canal that leads to neural compression and symptoms such as low back pain, neurogenic claudication, and sensory disturbances. LSS may coexist with degenerative lumbar scoliosis (DLS), which can further complicate clinical presentation and management. While surgical treatment is often considered for severe cases, nonsurgical interventions remain important treatment options, particularly for elderly patients with comorbidities. Case Presentation: We report the case of a 69-year-old male presenting with chronic low back pain for more than two years, accompanied by radiating pain, numbness, …

Appendiceal Neuroendocrine Tumor: A Case Report, Daniel Zipfel, Thomas Russo, Mathew Devine

Advances in Clinical Medical Research and Healthcare Delivery

Neuroendocrine tumors (NETs) are rare neoplasms that most commonly occur in the gastrointestinal tract, lungs, and pancreas but may arise anywhere where there are neuroendocrine cells within the body. When neuroendocrine tumors metastasize to the liver, patients present with carcinoid syndrome, a group of symptoms characterized by flushing, diarrhea, and right-sided heart disease. However, many NETs do not cause carcinoid syndrome, sometimes leading to a unique clinical presentation. Patients may present with symptoms of appendicitis, ovarian torsion, or be completely asymptomatic. We report a case of a 25-year-old male with a Grade 1 neuroendocrine tumor of the appendix, who underwent …

Checkpoint Inhibitor–Associated Autoimmune Diabetes Following Pd-1 Blockade: Severe Diabetic Ketoacidosis After Pembrolizumab, Divya Samat, Osadebamwen Osaghae, Shivam Singh, Mohammad Abu Tineh, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Immune checkpoint inhibitors (ICIs) have transformed cancer therapy by enhancing antitumor T-cell activity through blockade of inhibitory pathways including programmed cell death protein 1 (PD-1) and its ligand (PD-L1). Loss of immune tolerance can lead to immune-related adverse events (irAEs), including endocrine toxicities. Checkpoint inhibitor–associated autoimmune diabetes (CIADM) is rare but clinically significant because it often presents abruptly with diabetic ketoacidosis (DKA) and profound insulin deficiency. We describe an 81-year-old male with stage III clear-cell renal cell carcinoma who developed abrupt-onset autoimmune diabetes 8 weeks after initiating adjuvant pembrolizumab. The patient presented with severe hyperglycemia and high anion-gap metabolic acidosis …

Intravenous Phenytoin-Induced Purple Glove Syndrome With Transient Hyperpigmentation: A Rare Adverse Drug Reaction In An Elderly Patient, Aarthi Ma, Revanth R

Advances in Clinical Medical Research and Healthcare Delivery

Background: Purple Glove Syndrome (PGS) is an uncommon but potentially serious adverse effect of intravenous (IV) phenytoin, characterized by limb pain, swelling, and purple-blue discoloration near the injection site. Although self-limiting in most cases, it can progress to ischemia or necrosis. Case Presentation: A 68-year-old male with a prior cerebrovascular accident (CVA) and coronary artery disease (CAD) was admitted for seizure management. He received IV phenytoin 100 mg thrice daily. By the evening of Day 1, he developed pain, edema, and purplish discoloration at the right wrist, followed by hyperpigmentation on the left palm and right-hand nails. IV …