Digital Commons Network^™

Book Review Of Advanced Introduction To Empirical Legal Research, Arevik Avedian

Journal of Legal Education

No abstract provided.

Ms4 Swmpp 2024, National Technology & Engineering Solutions Of Sandia, Llc (Ntess) And Department Of Energy (Doe)

Municipal Separate Storm Sewer System (MS4) Permit

Stormwater discharges from Sandia National Laboratories/New Mexico (SNL/NM) are eligible for coverage under the National Pollutant Discharge Elimination System (NPDES) Municipal Separate Storm Sewer System (MS4) Permit. This Stormwater Management Plan (SWMP) was prepared by National Technology and Engineering Solutions of Sandia (NTESS) for the Department of Energy (DOE) National Nuclear Security Administration (NNSA) Sandia Field Office (SFO), owner of SNL/NM, located in Albuquerque, NM.

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

A Genomics Driven Human Induced Pluripotent Stem Cell Model Of Infant All – Updates On Hematopoietic Differentiation, Meagan Vacek, Jacqelyn Nemechek, Irina Pushel, Priyanka Kumar, Bradley Thornton, Molly Leyda, Midhat Farooqi, Erin Guest, Jay L. Vivian, John M. Perry

Posters

Acute lymphoblastic leukemia in infants (iALL) is a high-risk subtype of childhood leukemia, with poor survival outcomes despite intensive therapies. Rearrangement of KMT2A (KMT2A-r) occurs in 70% of cases and is associated with chemotherapy resistance, early relapse, and rapid leukemic progression, all of which contribute to poor survival outcomes. The most common KMT2A-r in iALL is KMT2A::AFF1 (MLL::AF4), derived from t(4;11)(q21;23). This KMT2A-r generates a driver fusion oncogene which leads to epigenetic dysregulation of target gene transcription. Infant ALL’s cell of origin is thought to be a very early hematopoietic precursor, with transcriptomic studies of iALL blasts showing similarities to …

"Ghosts In This Country": Pediatric Caregiver Perspectives On Immigration Status In The Healthcare Setting, Anik Patel, Ali Fowler, Juan Farias Torres, Ana Contreras, Claudia Zepeda, Estefania Bazan, John Cowden, Frances Turcotte Benedict, Jennifer Watts, Kimberly A Randell

Posters

Background: There are approximately 11.4 million undocumented immigrants (UI) in the United States. Immigration status (IS) is a unique social determinant of health that directly and indirectly impacts health and healthcare access. There are gaps in our understanding about how IS impacts health, particularly because it is not frequently discussed in the healthcare setting. This study expands our understanding of immigrant caregiver perceptions about discussing IS in the healthcare setting and provides insight into specific needs that we may not be currently addressing. Methods: Setting: ED or Spanish-speaking majority pediatric clinic at Children's Mercy Inclusion criteria: Caregivers who are 18+, …

Complete Genome Sequence Of An Indian Outbreak Strain Of Chikungunya Virus, Eshna Laha, Deepak Jena, Viplov K. Biswas, Sharad Singh, Sunil K. Raghav, Asit K. Pattnaik, Soma Chattopadhyay

Nebraska Center for Virology: Faculty Publications

Here, we report the complete genome sequence of an Indian strain of chikungunya virus isolated from an infected patient from Hyderabad, Andhra Pradesh, India, during a massive outbreak in 2005–2006. The genome length spans 11,811 nucleotides and has a poly(A) tail of 29 residues at the 3′ end.

Artificial Intelligence In Orthopaedic Education: A Comparative Analysis Of Chatgpt And Bing Ai’S Orthopaedic In-Training Examination Performance, Clark Chen, Vivek Biololikar, Duncan Vannest, James Raphael, Gene Shaffer

Einstein Health Papers

Background: This study evaluated the performance of generative artificial intelligence (AI) models on the Orthopaedic In-Training Examination (OITE), an annual exam administered to U.S. orthopaedic residency programs. Methods: ChatGPT 3.5 and Bing AI GPT 4.0 were evaluated on standardised sets of multiple-choice questions drawn from the American Academy of Orthopaedic Surgeons OITE online question bank spanning 5 years (2018–2022). A total of 1165 questions were posed to each AI system. The performance of both systems was standardised using the latest versions of ChatGPT 3.5 and Bing AI GPT 4.0. Historical data of resident scores taken from the annual OITE technical …

Barriers Of Access To Primary Healthcare Services By National Health Insurance Fund Capitated Members In Uasin Gishu County, Kenya, Barbara Nawire Were, Eunice Muthoni, Lillian Wambui Muiruri

Population Health, East Africa

Purpose: The study identifes provision of primary healthcare services using the capitated health model as a prerequisite for promoting positive healthcare outcomes for a country’s population. However, capitated members have continued to face challenges in accessing primary healthcare services despite enrolment in the National Health Insurance Fund (NHIF). This study sought to determine if variables such as patient knowledge of the NHIF beneft package, NHIF Premium Payment processes, selecting NHIF capitated health facilities, and NHIF Communication to citizens’ infuences access to primary healthcare services. Method: A cross-sectional analytical research design was adopted. Data was collected from patients who were using …

In This Issuesystematic Revieworiginal Articlescase Report

Saudi Medical Journal

No abstract provided.

Biological Studies Of The Activity Of Manuka Honey Against Carbapenem-Resistant Enterobacterales (Cre) Bacteria, Mamdouh A. Bukhari, Razaz A. Qamash, Rasha A. Bulkhi, Jehad A. Bifari, Omar S. Bakhsh, Khalid O. Hawsawi, Ehab Y. Matuure, Kamil A. Sulaimani, Ashwaq T. Hakim, Maher S. Mujahid

Saudi Medical Journal

Objectives: To evaluate the potency of Manuka honey UMF +15 against Carbapenem-resistant Enterobacterales (CRE). Bacterial resistance is a worldwide problem that is increasing year by year, especially Carbapenem resistance. Alternatives to antibiotics are needed to both reduce costs, and to reduce the spread of antibiotic resistance, with the ultimate goal of saving lives. Methods: The efficacy of Manuka honey UMF +15 was tested by 2 methods; Well diffusion assay and minimum bactericidal concentration (MBC) against twenty Carbapenem-resistant isolates which collected from Makkah city hospitals during three months of study from 1st of September 2023 up to 1st of December 2023. …

Comparative Analysis Of Nutritional Quality And Microbial Contamination In Camel Milk: Evaluating Safety And Public Health Risks Between Camel Milk Obtained From Street Vendors And Farms In Saudi Arabia, Nisreen M. Abdulsalam, Ebtehal M. Alghamdi

Saudi Medical Journal

Objectives: To evaluate the nutritional quality and microbial contamination of raw camel milk sourced from street vendors and compare it with milk obtained from farms, with a particular emphasis on pathogenic organisms. Methods: Twenty samples were systematically collected from street vendors and farms between July 2022 and February 2023 and analyzed at King Fahad Medical Research Centre and the Pharmacy College, King Abdulaziz University, Jeddah, Saudi Arabia. The microbial analysis employed culture-dependent techniques for colony-forming unit analysis and isolation of microbial colonies from milk samples. Microbial identification utilized advanced methods, including VITEK-MS equipment and the MALDI-TOF technique. The chemical composition …

Determination Of The Effectiveness Of The Three-Minute Nutrition Screening (3-Minns) Tool In Adult Patients Hospitalized In A Cardiology Clinic, Asli Onur Canaydin, Habibe Sahin

Saudi Medical Journal

Objectives: To determine the efficacy of the 3-Minute Nutrition Screening (3-MinNS) tool in adults hospitalized for cardiovascular diseases. Methods: In this descriptive cross-sectional study of 759 cardiovascular disease patients in Erciyes University Cardiology Clinic, anthropometric measurements and some routine biochemical parameters were recorded, and nutrition screening tools were used to determine malnutrition status. The power of 3-MinNS to detect malnutrition in cardiovascular diseases patients was calculated. Results: There was a strong positive correlation between 3-MinNS and Nutrition Risk Screening-2002 (NRS-2002) (r=0.719, p <0.001). A moderate agreement was found between 3-MinNS and NRS-2002 (κ=0.496, p <0.001). The sensitivity, specificity, and AUC of 3-MinNS were 79.1%, 75.0%, and 0.851, respectively, and it was determined to be a moderately effective nutrition screening tool that can be used to identify malnutrition in patients with cardiovascular diseases. Conclusion: The 3-MinNS is a moderately effective nutrition screening tool that can be administered within the first 24 hours of hospitalization in patients with cardiovascular diseases.

Is Postoperative Adjuvant Radiotherapy Necessary For Patients With Esophageal Cancer After Neoadjuvant Chemoradiotherapy?: An Analysis Based On The Seer Database, Yuhao Su, Yajing Wang, Chanjun Zhen, Wenwen Bai, Liyuan Fu, Yibing Liu, Ping Zhang, Zhiguo Zhou

Saudi Medical Journal

Objectives: To evaluate the outcomes of adjuvant radiotherapy in patients with esophageal cancer (EC) who underwent esophagectomy following neoadjuvant chemoradiotherapy (NCRT). Methods: The data of EC patients who received adjuvant therapy after NCRT between 2004 to 2019 was retrieved from the SEER database. The patients were split into the adjuvant radiotherapy with or without chemotherapy (RT±CT) and the adjuvant chemotherapy (CT) groups. The process of propensity score matching (PSM) was employed. Results: Following PSM, 157 patients in total were recruited in each treatment group. There were no significant variations in either overall survival (OS) or cancer-specific survival (CSS) between the …

Monoexponential And Advanced Diffusion-Weighted Imaging For Hepatic Fibrosis Staging Based On High Inter-Examiner Reliability, Lesheng Huang, Qian Wei, Hui Peng, Wanchun Zhang, Jiahui Tang, Tianzhu Liu

Saudi Medical Journal

Abstract Objectives: To determine the diagnostic efficiencies of multiple diffusion-weighted imaging (DWI) techniques for hepatic fibrosis (HF) staging under the premise of high inter-examiner reliability. Methods: Participants with biopsy-confirmed HF were recruited and divided into the early HF (EHF) and advanced HF (AHF) groups; healthy volunteers (HVs) served as controls. Two examiners analyzed intravoxel incoherent motion (IVIM) using the IVIM-DWI and diffusion kurtosis imaging (DKI) models. Intravoxel incoherent motion-DWI, DKI, and diffusion tensor imaging parameters with intraclass correlation coefficients (ICCs) of ≥0.6 were used to create regression models: HVs vs. EHF and EHF vs. AHF. Results: We enrolled 48 HVs, …

Physician Practices In Referring Rheumatoid Hand And Thumb Carpometacarpal Arthritis Cases To Hand Surgeons, Zahir T. Fadel, Zainalabden E. Jefri, Hussain A. Alkhalifah, Raghad A. Alzahrani, Mohammed B. Ashi, Osama A. Samargandi

Saudi Medical Journal

Abstract Objectives: To investigate the referral practices across different medical specialties and identify possible barriers to hand surgery referral. Rheumatoid hand deformities (RHDs) and thumb carpometacarpal (CMC) arthritis may require surgery once deformities occur. However, in Saudi Arabia, the rate of referrals to hand surgeons remains low. Methods: This was a cross-sectional study that included 102 consultants of family medicine, rheumatology, and orthopedics across various regions of Saudi Arabia. A total of 30 institutions were contacted and requested to distribute a survey questionnaire to their physicians; these institutions included 8 private hospitals, 16 government hospitals, and 6 primary healthcare centers. …

What Do You Do With A Normal Appearing Appendix?: A National Study Of Pediatric Surgeons, Yasser S. Alfraih, Renad Almutawa

Saudi Medical Journal

Abstract Objectives: Surgeons may encounter a grossly normal appearing appendix in a patient with clinically suspected appendicitis. The purpose of this study is to determine the practice of pediatric surgeons in Saudi Arabia when this is encountered, and determine the reasons behind their decision making. Methods: An electronic survey was sent to all pediatric surgeons in Saudi Arabia. Data points collected included demographics, peri-operative imaging preference, and personal practice when managing an intra-operative grossly normal appendix in symptomatic children. Results: A total of 105 responses were obtained yielding a response rate of 33.8% The majority of respondents, 88 (87.1%) would …

The Influence Of Social, Demographic And Economic Factors On Fertility Trends In Gulf Cooperation Council Countries: A Longitudinal Time Trend Analysis-1980-2021, Sultan A. Meo, Narmeen Shaikh, Anusha S. Meo

Saudi Medical Journal

Abstract Objectives: To analyze the fertility rate trends in the GCC countries and their association with socioeconomic factors so that policymakers may use the study findings for future healthcare plans. Methods: Total population, crude death rate, life expectancy, literacy rate, human development index (HDI), female employment, unemployment rate, urbanisation, gross domestic product (GDP) per capita and inflation were chosen as possible predictors of TFR trends. The data were collected for the Global Burden of Disease 2021 study and other official databases such as the World Bank, the United Nations Development Program and Our World in Data for the 6 Gulf …

Middle East Immunology Summit Of The Gulf Cooperation Council Association Of Immunology And Rheumatology (Gcc Air), 2023 Dubai, United Arab Emirate. Scientific Abstracts And Case Reports, Ahmed S. Zayat, Saadeya Naji, Omar Syed, Adeeba Al-Herz, Ahmed Elasareeri, Mira Merashli, Mahdi Abusalameh, Waleed Hafiz, Elsadeg Sharif, Martin Lee, Fahdah Alokaily, Suad Hannawi

Saudi Medical Journal

No abstract provided.

Do Dieticians Have Weight Biases Towards Themselves And Others?

Saudi Medical Journal

No abstract provided.

Who Director-General Declares Mpox Outbreak A Public Health Emergency Of International Concern

Saudi Medical Journal

No abstract provided.

Who Prequalifies The First Self-Test For Hepatitis C Virus

Saudi Medical Journal

No abstract provided.

Exploring The Potential Of Neutrosophic Topological Spaces In Computer Science, A. A. Salama, Huda E. Khalid, Ahmed K. Essa, Ahmed G. Mabrouk

Neutrosophic Systems with Applications

Neutrosophic topological spaces (NTS) offer a novel framework for uncertainty modeling by incorporating degrees of truth, indeterminacy, and falsity. This paper investigates the potential applications of NTS in computer science. We provide background on neutrosophic sets and their extension to topological spaces. We then explore how NTS could be used for uncertainty modeling in data analysis (e.g., handling noisy data in sensor networks), pattern recognition (e.g., improving image classification with imprecise features), and information retrieval (e.g., enhancing search results by considering relevance uncertainty). We discuss the challenges associated with applying NTS and highlight promising areas for future research, such as …

Food Insecurity Cost Estimates For El Paso: 2023, Thomas M. Fullerton Jr., Gregory S. Schober, Steven L. Fullerton, Eva Moya

Border Region Modeling Project

Food insecurity is a fairly pervasive problem throughout the United States that is especially burdensome for low-income regions. While the latter is generally recognized, there have been very few efforts to quantify the dollar costs of food insecurity, especially at the regional level. This study attempts to do so for El Paso County, Texas. This is achieved by first adjusting for inflation cost estimates in a prior national level study. Regional differences with respect to the nation are then utilized to calculate comparable costs for El Paso. Results indicate that the economic damage wrought by food insecurity in El Paso …

Borderplex Business Barometer, Volume 8, Number 9, Thomas M. Fullerton Jr., Steven L. Fullerton

Border Region Modeling Project

No abstract provided.

The Effect Of Ageing On The Surface Roughness Of Varseosmile Crown Plus And Lithium Disilicate / Suhaenih Budin, Budin Suhaenih

Student Works (2020-2029)

This in-vitro study aims to investigate the effect of artificial ageing on the surface roughness of two groups: 3D printed ceramic-filled hybrid material (VarseoSmile Crown plus) (VSplus group) and milled lithium disilicate glass ceramic (IPS e.max CAD) (Emax group). A total of 20 samples with a sample size of n=10 per group were determined, accounting for a 15% dropout rate. The sample preparation involved fabricating rectangular-shaped samples of both groups with dimensions of 14×12×3 mm. For VSplus (Bego, Bremen, Germany), the samples were 3D printed using a 3D printer (Ackuretta SOL 3D printer), followed by a cleaning process with ethanol …

Multi-Modal Alignment Via Hyperbolic Geometry, Suyu Liu

Dissertations and Theses Collection (Open Access)

Strong capabilities of generalization to unseen domains are vital for deep neural networks. While existing methods have shown promising results without source domain access, they mostly rely on models that are extensively pre-trained on source domains or overlook the intricate hierarchical structures inherent in visual and textual features. These limitations may have bad impacts on performances, especially on datasets with many classes. To overcome this, in this paper we propose a novel approach that projects the model onto hyperbolic geometry and employs geometric optimal transport to align cross-modal features in an unsupervised manner. Unlike Euclidean geometry, hyperbolic geometry is characterized …

Quality Assurance In Software Engineering: A Journey Towards Explainable Automated Solutions, Ratnadira Widyasari

Dissertations and Theses Collection (Open Access)

In today's digital era, the pervasive influence of software on daily life underscores the necessity for high-quality and reliable systems. Software failures can result in substantial harm and financial losses, highlighting the pivotal role of Software Quality Assurance (SQA). While automated SQA techniques have evolved to aid developers in ensuring software quality, the necessity for explainability in these automated solutions has become equally important. For example, in automated fault localization, only identifying suspicious locations is insufficient; it is essential to provide reasoning on why these locations are suspicious. This dissertation presents a series of interconnected studies aimed at developing explainable …

Essays On Corporate Finance, Su Hee Yun

Dissertations and Theses Collection (Open Access)

Chapter 1. The impact of ESG disasters on Green and Brown firms

I investigate the effect of a firm’s prior ESG reputation on the market impact of ESG incidents. I find that firms with a better ESG reputation, i.e., higher ESG ratings, experience less negative stock-market reactions and analysts' forecast revisions compared to firms with a poorer ESG reputation. But managers of Greener firms, when producing earnings guidance, do not forecast a lower impact of these incidents on future earnings. Similarly, actual decreases in future earnings following these incidents are not significantly different between Green and Brown firms. Altogether, the …

Team Development Through Leader Mindfulness And Authentic Leadership: Leader Mindfulness As An Antecedent To Authentic Leadership And Its Relationship With Team Development As Seen In Actual Turnover, Turnover Intention, Performance, Internal Mobility, And Promotions, Stefan Juerg Wermelinger

Dissertations and Theses Collection (Open Access)

The following research examines leader mindfulness as an antecedent to authentic leadership and its relationship with team development seen in actual turnover, turnover intention, performance, internal mobility, and promotions. The study has a significant advantage as team leaders and team members could be surveyed in a real company, and data from the human resource department could be linked to reconstruct the team settings. In addition, insights into internal mobility, actual turnover, and promotions could be calculated.

The study uses a theoretical framework that builds on leader mindfulness as an antecedent of authentic leadership and authentic leadership as a root concept …

Synthesis Of Amorphous And Various Phase-Pure Nanoparticles Of Nickel Phosphide With Uniform Sizes Via A Trioctylphosphine-Mediated Pathway, David Thompson, Adam S. Hoffman, Zachary R. Mansley, Sarah York, Feng Wang, Yimei Zhu, Simon R. Bare, Jingyi Chen

Chemistry & Biochemistry Faculty Publications and Presentations

Nickel phosphides are of particular interest because they are highly active and stable catalysts for petroleum/biorefinery and hydrogen production. Despite their significant catalytic potential, synthesizing various phase-pure nickel phosphide nanoparticles of uniform size remains a challenge. In this work, we develop a robust trioctylphosphine (TOP)-mediated route to make highly uniform phase-pure Ni₁₂P₅, Ni₂P, and Ni₅P₄ nanoparticles. The synthetic route forms amorphous Ni₇₀P₃₀ nanoparticle intermediates. The reactions can be stopped at the amorphous stage when amorphous particles are desired. The amount of P incorporation can be controlled by varying …