Digital Commons Network^™

Sacrificial Lambs: The Perils Of Childhood In Shakespeare, Benjamin Sidney Reed

Dissertations and Doctoral Documents from University of Nebraska-Lincoln, 2023–

“Sacrificial Lambs: The Perils of Childhood in Shakespeare” utilizes childhood studies to read five Shakespearean plays and how they portray child characters in perilous situations such as kidnapping, banishment, and murder. It argues these dangers emulate real circumstances young people faced in the early modern period, including the boy actors playing these roles. The dissertation’s key research questions include how children in these plays exhibit agency in the face of danger, how they resist adult systems of power, and how audiences in the sixteenth and seventeenth centuries may have responded to these portrayals of imperiled and rebellious youths. The Introduction …

Interprofessional Community Schools, Shauna Curran, Morgan Bassett, Belle Betit, Kelly Couch, Allie Hegarty, Katelynn Leblanc

CAIEP Spring Showcase 2024

This presentation details the key components of community schools and their importance to community members and students alike. Comprised of four primary pillars, these schools focus on expanding learning opportunities, bringing in a variety of student supports, serving families collectively, while emphasizing the collaborative element of leadership. Community schools serve as an integration point of various elements of a community to come together in order to produce maximum benefits for all.

Program Development For Group Interventions Targeting Loneliness In Older Adults, Antoinette Cave

Capstone Projects

The topic of loneliness is complex and subjective in nature, and treatment of the condition requires the client-centered approach that occupational therapy encompasses within its scope of practice. Using an occupation-based, mental health approach to develop the program, weekly focus groups were created based on participant-preferred activities to decrease loneliness among older adults at PACE InnovAge’s outpatient and assisted living locations in Thornton, Colorado. Education was provided to participants and staff throughout the 14-week experience. Further training and sustainability efforts were created and distributed among participants and staff at the end of the experience through an occupation-based handout with external …

Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before And During Covid-19 Public Health Emergency, Yanlei Ma, Eric T Roberts, Kenton J Johnston, E John Orav, Jose F Figueroa

2020-Current year OA Pubs

IMPORTANCE: Medicaid coverage loss can substantially compromise access to and affordability of health care for dual-eligible beneficiaries. The extent to which this population lost Medicaid coverage before and during the COVID-19 public health emergency (PHE) and the characteristics of beneficiaries more at risk for coverage loss are currently not well known.

OBJECTIVE: To assess the loss of Medicaid coverage among dual-eligible beneficiaries before and during the first year of the PHE, and to examine beneficiary-level and plan-level factors associated with heightened likelihood of losing Medicaid.

DESIGN, SETTING, AND PARTICIPANTS: This repeated cross-sectional study used national Medicare data to estimate annual …

Occupational Therapy Health & Wellness Promotion For Adults Living With Intellectual/Developmental Disabilities, Sydni Rodriguez

Capstone Projects

Based on educational principles and program development, this occupational therapy doctoral capstone experience (DCE) was centered on addressing the health and wellness needs of adults living with intellectual/developmental disabilities (I/DD) at Self-Help Alternative Living Opportunities Michigan (SHALOM), a Christian non-profit organization. Research has shown that adults living with I/DD have an increased chance of having health complications related to health disparities when compared to the general population of adults. Occupational therapists have a profound role in health and wellness as it relates to access and engagement in daily occupations. This DCE was accomplished through development of a recurrent monthly walking …

Does Preoperative Antibiotic Timing Prior To Incision And Drainage Procedures For Severe Odontogenic Infections Affect Length Of Stay Or Reoperation, Dylan Mire

Medicine Research Day

Background: An odontogenic infection can be a life-threatening medical condition which requires incision and drainage (I&D) in the operating room. Prior to these procedures, many patients are started on antibiotics; however, the effects of the timing of starting the antibiotics prior to surgery is not known. Methods: The authors conducted a retrospective cohort study consisting of all adult patients treated in the OR with I&D for odontogenic infections from 1/1/2015 to 7/30/2021 at a large, urban academic hospital. The primary predictor variable was preoperative antibiotic timing—the amount of time between when the antibiotic was given before surgery and incision time. …

Multicenter Study Of Long-Term Outcomes And Quality Of Life In Phace Syndrome After Age 10., Mitchell Braun, Ilona J. Frieden, Dawn H. Siegel, Elizabeth George, Christopher P. Hess, Christine K. Fox, Sarah L. Chamlin, Beth A. Drolet, Denise Metry, Elena Pope, Julie Powell, Kristen Holland, Caden Ulschmid, Marilyn G. Liang, Kelly K. Barry, Tina Ho, Chantal Cotter, Eulalia Baselga, David Bosquez, Surabhi Neerendranath Jain, Jordan K. Bui, Irene Lara-Corrales, Tracy Funk, Alison Small, Wenelia Baghoomian, Albert C. Yan, James R. Treat, Griffin Stockton Hogrogian, Charles Huang, Anita Haggstrom, Mary List, Catherine C. Mccuaig, Victoria Barrio, Anthony J. Mancini, Leslie P. Lawley, Kerrie Grunnet-Satcher, Kimberly A. Horii, Brandon D. Newell, Amy J. Nopper, Maria C. Garzon, Margaret E. Scollan, Erin F. Mathes

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVE: To characterize long-term outcomes of PHACE syndrome.

STUDY DESIGN: Multicenter study with cross-sectional interviews and chart review of individuals with definite PHACE syndrome ≥10 years of age. Data from charts were collected across multiple PHACE-related topics. Data not available in charts were collected from patients directly. Likert scales were used to assess the impact of specific findings. Patient-Reported Outcomes Measurement Information System (PROMIS) scales were used to assess quality of life domains.

RESULTS: A total of 104/153 (68%) individuals contacted participated in the study at a median of 14 years of age (range 10-77 years). There were infantile hemangioma …

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society Expert Consensus Statement On Catheter And Surgical Ablation Of Atrial Fibrillation, Stylianos Tzeis, Ralph J Damiano, Et Al.

2020-Current year OA Pubs

In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017. Seven years after the last consensus, an updated document was considered necessary to define a …

Recent Progress And Challenges Of Implantable Biodegradable Biosensors, Fahmida Alam, Md Ashfaq Ahmed, Ahmed Hasnain Jalal, Ishrak Siddiquee, Rabeya Zinnat Adury, G M Mehedi Hossain, Nezih Pala

Electrical and Computer Engineering Faculty Publications and Presentations

Implantable biosensors have evolved to the cutting-edge technology of personalized health care and provide promise for future directions in precision medicine. This is the reason why these devices stand to revolutionize our approach to health and disease management and offer insights into our bodily functions in ways that have never been possible before. This review article tries to delve into the important developments, new materials, and multifarious applications of these biosensors, along with a frank discussion on the challenges that the devices will face in their clinical deployment. In addition, techniques that have been employed for the improvement of the …

Overview On Silver Nanoparticles: Properties, Preparation And Application For Cancer Therapy, Noor Mohammed Dawood, Lubna Abdalkarim Sabri

Maaen Journal for Medical Sciences

Silver nanoparticles (AgNPs) are an important product from the nanotechnology field, they have gained interest due to their distinctive physicochemical properties includes; good electrical resistance, thermal and chemical stability that largely have been influenced by size, shape, surface properties and composition of AgNPs. Additionally, AgNPs have well-known biological activity, including antimicrobial, antioxidant, anticancer, and anti-inflammation properties and are also used in biomedical devices. Recently, AgNPs have emerged as a potential drug delivery carriers, particulary for enhancing the efficacy of cancer therapeutics. The objective of this narrative review is to compare of various AgNPs preparation methods, with focus on up-to-date approaches. …

Gut Microbiota And Blood Metabolites Related To Fiber Intake And Type 2 Diabetes, Zheng Wang, Brandilyn A Peters, Bing Yu, Megan L Grove, Tao Wang, Xiaonan Xue, Bharat Thyagarajan, Martha L Daviglus, Eric Boerwinkle, Gang Hu, Yasmin Mossavar-Rahmani, Carmen R Isasi, Rob Knight, Robert D Burk, Robert C Kaplan, Qibin Qi

Journal Articles

BACKGROUND: Consistent evidence suggests diabetes-protective effects of dietary fiber intake. However, the underlying mechanisms, particularly the role of gut microbiota and host circulating metabolites, are not fully understood. We aimed to investigate gut microbiota and circulating metabolites associated with dietary fiber intake and their relationships with type 2 diabetes (T2D).

METHODS: This study included up to 11 394 participants from the HCHS/SOL (Hispanic Community Health Study/Study of Latinos). Diet was assessed with two 24-hour dietary recalls at baseline. We examined associations of dietary fiber intake with gut microbiome measured by shotgun metagenomics (350 species/85 genera and 1958 enzymes; n=2992 at …

Strength Properties Of New Glass Ionomer Cements, Tatyana Nam, Mastura Aripova

CHEMISTRY AND CHEMICAL ENGINEERING

The aim of the study is to determine the strength of the developed glass ionomer cements. As a powder of glass ionomer cements, glasses obtained in the SiO2-Al2O3-CaO-ZnO-P2O5-CaF2 system were used. The synthesized glasses are ground in a planetary mill to a dimension of less than 1 μm. Polyacrylic acid was used as the liquid. The effect of the powder/liquid ratio and the glass composition on the strength has been established.

Montana Kaimin, March 28, 2024, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Existence Of A Nonzero Worst-Case Ach For Short-Term Exposure In Ventilated Indoor Spaces, K. A. Krishnaprasad, ‪Nadim Zgheib, K. Choudhary, M. Y. Ha, C. Y. Choi, K. S. Bang, S. Jang, S. Balachandar

Mechanical Engineering Faculty Publications and Presentations

A well-ventilated room is essential to reduce the risk of airborne transmission. As such, the scientific community sets minimum limits on ventilation with the idea that increased ventilation reduces pathogen concentration and thus reduces the risk of transmission. In contrast, the upper limit on ventilation is usually determined by human comfort and the need to reduce energy consumption. While average pathogen concentration decreases with increased ventilation, local concentration depends on multiple factors and may not follow the same trend, especially within short exposure times over large separation distances. Here, we show through experiments and high-fidelity simulations the existence of a …

Impact Of Reasonable Accommodations On Disabled Student–Veteran Higher Educational Achievement, Michael A. Buoniconti

Doctoral Dissertations

Objectives: The purpose of this study was (a) to investigate the degree to which reasonable accommodations affected the educational achievement (graduation and GPA) of U.S. Student–Veterans with military service–connected disabilities and (b) to categorize the accommodations according to impact (positive, mixed, none, and negative). Research Design: Archival and survey data were used to investigate whether there was a relationship between U.S. Student-Veteran level of military service–connected disability, Student-Veteran utilization of reasonable accommodations support, and Student-Veteran higher educational achievement. Two variables (a) U.S. Student-Veteran military service–connected disability severity rating (both continuous and categorical) and (b) U.S. Student-Veteran utilization of reasonable accommodations …

The Impact Of Covid-19 On The Utilization Of Early Magnetic Resonance Imaging (Emri) In The Assessment Of Acute Uncomplicated Low Back Pain (Lbp) And The Subsequent Effect On Health Care Service Utilization And Patient Outcomes, Kimberly Radcliffe

MUSC Theses and Dissertations

OBJECTIVES: To examine changes in MRI rates between Pre-COVID-19 period (Feb-April 2019) and COVID-19 period (Feb-April 2020) among commercially insured patients aged 18-60 with a diagnosis of acute LBP, and to analyze differences in patient characteristics and outcomes between the time periods. Additionally, to examine the impact of eMRI on patient outcomes and health care costs for patients in the COVID-19 period.

DESIGN/METHODS: Using IBM® MarketScan® Commercial Database (MarketScan) we performed a quantitative pre-post comparative retrospective observational study of 117,150 total patients to examine adjusted differences in patient characteristics and rates of MRIs between time periods. We analyzed 49,020 patients …

Amino Acid Formula Induces Microbiota Dysbiosis And Depressive-Like Behavior In Mice, Ji Hu, Kaixin He, Yifei Yang, Chuan Huang, Yiping Dou, Hao Wang, Guorong Zhang, Jingyuan Wang, Chaoshi Niu, Guoqiang Bi, Lan Zhang, Shu Zhu

Journal Articles

Amino acid formula (AAF) is increasingly consumed in infants with cow's milk protein allergy; however, the long-term influences on health are less described. In this study, we established a mouse model by subjecting neonatal mice to an amino acid diet (AAD) to mimic the feeding regimen of infants on AAF. Surprisingly, AAD-fed mice exhibited dysbiotic microbiota and increased neuronal activity in both the intestine and brain, as well as gastrointestinal peristalsis disorders and depressive-like behavior. Furthermore, fecal microbiota transplantation from AAD-fed mice or AAF-fed infants to recipient mice led to elevated neuronal activations and exacerbated depressive-like behaviors compared to that …

Aortic Dissection: The Insidious Menace, Muhammad Umer Riaz Gondal, John Lemoine, Mohammad Baig, Prem Parajuli, Zainab Kiyani, Hamza Khan, Hassam Saif

Transformative Medicine (T-Med)

Introduction:

Aortic dissection represents a critical emergency characterized by the cleavage of aortic wall layers, creating a deceptive false lumen. Associated with high mortality rates, prompt diagnosis and intervention are needed to ensure survival.

Case:

A 63-year-old male with no significant medical history presented to the emergency with two days of worsening mid-sternal chest pain. Upon presentation, he was hemodynamically stable. Blood pressure was 130/85 mm Hg (similar in both arms), heart rate 90 bpm, and saturating 98 % on room air. Physical examination did not reveal any new murmurs. EKG showed normal sinus rhythm, no ischemic changes, and a …

An Automated Method To Detect Tooth Brushing Activity With Smartwatch Sensors, Blake Schleter, Marina Avdonina, Rishiraj Adhikary, Dheryta Jaisinghani, Sougata Sen

Research in the Capitol

Nearly half (46%) of all adults aged 30 years or older show signs of gum disease; severe gum disease affects about 9% of adults.

Brushing your teeth is an incredibly important part of taking care of your oral health and daily hygiene. Dentists recommend that you should brush your teeth twice a day for periods of at least two minutes to achieve adequate results and promote oral health.

Currently, there are very limited solutions available to help people easily and efficiently track their tooth brushing activity.

Nursing Implications For Transgender And Gender Diverse Perioperative Patients: A Discussion Paper, Oona O'Shea, Paula Foran

Journal of Perioperative Nursing

Perioperative nurses must provide culturally competent care to all surgical patients, and understanding gender identity and gender diversity may be the first step to creating an inclusive perioperative practice for transgender and gender diverse patients. In the nurse–patient relationship, limited exposure to and knowledge of diverse populations may negatively affect the health of this important demographic.

When nurses are unaware of how care can be affected by explicit (conscious) or implicit (unconscious) bias, they may use transphobic stereotyping behaviours or act with microaggressions, like using excessive protective attire. Such care may invalidate gender identity and impede trust. In contrast, nurses …

Targeting Mitochondrial Dysfunction Using Methylene Blue Or Mitoquinone To Improve Skeletal Aging., Sher Bahadur Poudel, Dorra Frikha-Benayed, Ryan R Ruff, Gozde Yildirim, Manisha Dixit, Ron Korstanje, Laura Robinson, Richard A Miller, David E Harrison, John R Strong, Mitchell B Schaffler, Shoshana Yakar

Faculty Research 2024

Methylene blue (MB) is a well-established antioxidant that has been shown to improve mitochondrial function in both in vitro and in vivo settings. Mitoquinone (MitoQ) is a selective antioxidant that specifically targets mitochondria and effectively reduces the accumulation of reactive oxygen species. To investigate the effect of long-term administration of MB on skeletal morphology, we administered MB to aged (18 months old) female C57BL/J6 mice, as well as to adult male and female mice with a genetically diverse background (UM-HET3). Additionally, we used MitoQ as an alternative approach to target mitochondrial oxidative stress during aging in adult female and male …

Intouch Week Of March 25, 2024, New York Medical College

InTouch

• 35^th Annual Graduate Student Research Forum Showcases Groundbreaking Research
• NYMC and Regeneron Debut Neighborhood Science Seminar Series
• Orthopedics Research Fellowship Yields Prolific Results for SOM Student
• LCME Elements of the Week
• Tell Us What You Think
• Alumni Spotlight: SLP Alumna Opens Local Private Practice in Honor of Late Sister

Teaching Exercise Physiology With Flipped Classroom Method In The Era Of Covid-19: Experience Of A Remote Course, Valéria Panissa, Cláudia Lúcia De Moraes Forjaz, Bruno Rocha De Avila Pelozin, Gabriel Loureiro Martins, Ailma Oliveira Da Paixão, Raphael Ferreira De Paiva Barreto, Patricia Chakur Brum

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this article is to describe the use of flipped classroom method in a forced remote Exercise Physiology course during the COVID-19 pandemic and assess the students’ motivation and learning throughout the course. METHODS: Undergraduate students received recorded asynchronous activities each week that should be done before a weekly synchronous meeting. During synchronous and asynchronous activities, strategies to emphasize students’ active participation were applied. Weekly, learning evaluation activities were applied, and the motivation was assessed. At the end of the course, students’ motivation and learning about each activity were evaluated. RESULTS: Of the 14 course topics, 2 …

Third Trimester Equivalent Prenatal Alcohol Exposure Leads To Impaired Contextual Conditioning Paralleled By Blunted Activity Of The Anteroventral Thalamus, Mitchell Morningstar, David Linsenbardt, Katalina Lopez, Fernando Valenzuela

Brain & Behavioral Health Research Day

Fetal alcohol spectrum disorders result in a variety of learning and memory deficits. In this original study, we examined learning deficits between a third trimester equivalent alcohol exposure (TTAE) mouse model and their saline control counterparts. Additionally, we assessed the functional connectivity between 100+ brain regions using a marker of neural activity, cFOS. Overall, TTAE mice showed deficits in learning and differential network activation.

“Thrown In Cold Turkey”: Perceived Preparedness And Self-Efficacy In Counseling Trainees Transitioning To The Application Of Theory In A Practicum Or Internship, Monique Alicia Starling

Doctoral Dissertations and Projects

The purpose of this transcendental, phenomenological study was to describe master’s-level counseling trainees’ (MLCTs) perceived preparedness to treat real clients before transitioning to their practicum or internship experience. Adult learning theory and self-efficacy development theory guided this study. The research questions were (a) How do master-level counseling trainees describe their experience of perceived preparedness to real clients before transitioning to their practicum or internship experience? (b) How do study participants describe the influence that the counseling program curriculum, including structure and practicum timing, had on their readiness to transition to practicum or internship? (c) How do study participants describe the …

Exposure To Adverse Childhood Experiences (Aces) Within Rural And Underserved Communities, Lauren T. Sparks

Doctoral Dissertations and Projects

It can be difficult for residents of rural and underserved communities to express their own experiences involving adverse childhood experiences (ACEs). ACEs cause negative health outcomes to those who are exposed to physical, mental, or behavioral abuse. These negative outcomes can affect the individual’s mental health; therefore, it is crucial to create recovery mechanisms for communities that are in dire need of resources. The purpose of this qualitative study was to research the exposure of ACEs throughout three rural and underserved states: Kansas, Oklahoma, and Texas. Each of these states had exposure scenarios which was determined based on the distributed …

Social Barriers And Cyclical Health Inequity: Addressing Disparities In Health, Kaitlyn Gentille

James Madison Undergraduate Research Journal (JMURJ)

This mixed methods study examined the lived experiences of participants negatively impacted by the social determinants of health (i.e., physical environment, economic stability, education), and the repercussions regarding their ability to access quality healthcare. Three themes emerged: evidence of social determinants, barriers to healthcare, and the influence of health insurance. These three themes illustrate the interrelated nature of the social determinants of health and the cyclical entrapment of social injustice and health inequity. To address the realities of the impacts of inequitable healthcare on vulnerable populations, interventions must be initiated to enact tangible, positive change for vulnerable populations.

Health Care Use Experiences Of Ethnoculturally Diverse Immigrant Older Adults: A Meta-Ethnography, Lorna De Witt, Kathryn A. Pfaff, Roger Reka, Noeman Ahmad Mirza

Nursing Publications

Purpose

Current and predicted continued dramatic increases in international migration and ethnocultural diversity of older adult cohorts pose challenges for health care services. Review studies on ethnoculturally diverse older adults and health care show a lack of focus on their service use experiences. This study aims to report a meta-ethnography that addresses this knowledge gap through answering the review question: How do ethnoculturally diverse older adults who are immigrants experience health care services?

Design/methodology/approach

The authors applied a seven-phase method of meta-ethnography to guide the review. The authors conducted two literature searches (April 2018 and June 2020) in MEDLINE, CINAHL, …

Nurse-Led Brief Intervention For Enhancing Safe Sex Practice Among Emerging Adults In Hong Kong Using Instant Messaging: Feasibility Study, Sharon Hoi Lam Pak, Man Ping Wang, Anne M. Teitelman, Janet Yuen Ha Wong, Daniel Yee Tak Fong, Edmond Pui Hang Choi

College of Nursing Faculty Papers & Presentations

BACKGROUND: The incidence of sexually transmitted infections has been increasing throughout the world. Additionally, substantial changes in emerging adults' attitudes toward sex and the popularization of premarital sex could further affect the diagnosis and treatment of sexually transmitted infections. With the high acceptability and effectiveness of instant messaging (IM) interventions for health promotion, there is potential for such interventions to improve condom use knowledge and promote safer sex practice.

OBJECTIVE: The study evaluates the feasibility of a nurse-led IM intervention to promote safer sex practices in emerging adults.

METHODS: A 30-minute adaptive IM intervention and a 5-day booster dose of …

Supporting Underrepresented Students In Health Sciences: A Fuzzy Cognitive Mapping Approach To Program Evaluation., Danielle F. Chiang, Scott A. Guerrero, Emma Sexton, Stephen S. Gardner

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The Students Training in Academia, Health, and Research (STAHR) Program at the University of Missouri-Kansas City (UMKC) strives to help students from low-income families that have experienced educational challenges due to poverty and prepare them to enter, persist, and graduate from a health sciences degree program at UMKC. Students in the program participated in fuzzy cognitive mapping (FCM) sessions to ensure that all voices of the program were heard to improve program implementation, and student success, and contribute to an equitable educational environment.

METHODS: Fuzzy Cognitive Mapping sessions for the 2020-2021 cohort of students (n = 52) were conducted …