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Rural Families' At-Home Stem Tinkering Stimulates Creativity, Self-Expression, And Social-Emotional Engagement, Kristie S. Gutierrez, Kylie J. Swanson, Margaret R. Blanchard Jan 2025

Rural Families' At-Home Stem Tinkering Stimulates Creativity, Self-Expression, And Social-Emotional Engagement, Kristie S. Gutierrez, Kylie J. Swanson, Margaret R. Blanchard

Teaching & Learning Faculty Publications

Introduction: Informal STEM learning experiences include visits to museums, zoos, and aquariums as well as experiments and other activities performed at home. Family involvement in these experiences has been linked to increased student interest and participation in STEM fields; yet, scant research has been conducted on at-home STEM.

Methods: This descriptive case study investigated the tinkering experiences of nine rural middle school students and their families who participated in a series of interactive, at-home activities. The overarching research question was, in what ways do families engage in at-home STEM interventions? Data analyses of at-home audio recordings were guided by the …


Fostering Critically Conscious Lesson Planning In A Generative Artificial Intelligence Era, Derek Riddle, Paula Cristina Azevedo, Catharyn Shelton, Jaime Colwell, Jori Beck Jan 2025

Fostering Critically Conscious Lesson Planning In A Generative Artificial Intelligence Era, Derek Riddle, Paula Cristina Azevedo, Catharyn Shelton, Jaime Colwell, Jori Beck

Teaching & Learning Faculty Publications

Teacher candidates (TCs) use digital resources and social media to plan and develop learning material, and with publically accessible generative artificial intelligence (GAI), TCs are able to generate lesson plans within seconds rather than hours or days. While there is research on how to support TCs' evaluation of reliable digital media, there is little known on how to prepare TCs for GAI content. Using the complementary frameworks of Freire’s (1970) critical consciousness and Jonnasen’s (1991) theory of constructivism, this in-progress design based research seeks to develop an adaptable framework that addresses the evolving nature of technology, specifically GAI, and the …


A Framework For Task Offloading In Heterogeneous Computing Applications Within The Fog Ran Architecture, Samira Taheri, Neda Moghim, Naser Movahhedinia, Sachin Shetty Jan 2025

A Framework For Task Offloading In Heterogeneous Computing Applications Within The Fog Ran Architecture, Samira Taheri, Neda Moghim, Naser Movahhedinia, Sachin Shetty

VMASC Publications

Fog Radio Access Network (Fog RAN) has recently emerged as a promising architecture for supporting low-latency applications by bringing fog nodes and cloud resources closer to end users. However, existing research on computational offloading in Fog RAN lacks a comprehensive framework that addresses three key aspects: where to offload tasks, which processing nodes to utilize, and how to allocate resources for tasks with varying latency requirements. To address this gap, we propose TOFRA (Task Offloading for Fog RAN), a novel latency-aware task offloading framework. TOFRA is a centralized system that determines the optimal offloading strategy, whether to execute tasks locally, …


A Review Of Infrared Thermography Applications For Civil Infrastructure, Prabal Shrestha, Onur Avci, Sahabeddin Rifai, Feras Abla, Michael Seek, Karl Barth, Udaya Halabe Jan 2025

A Review Of Infrared Thermography Applications For Civil Infrastructure, Prabal Shrestha, Onur Avci, Sahabeddin Rifai, Feras Abla, Michael Seek, Karl Barth, Udaya Halabe

Engineering Technology Faculty Publications

Civil infrastructure is continuously subject to aging and deterioration due to multiple factors, which lead to a decline in performance and impact structural health. Accumulated damage on structures increases operational costs and poses significant risks to public safety. Effective maintenance, repair, and rehabilitation strategies are needed to ensure civil infrastructure’s overall safety and reliability. Non-Destructive Evaluation (NDE) methods are utilized to assess latent damage and provide decision-makers with real-time information for mitigating hazards. Within the last decade, there has been a significant increase in the research and development of innovative NDE techniques to improve data processing and promote efficient and …


Wrongful Migration: A Hidden Culprit Behind Flank Pain, Ryan Miller, Anjeza Cipi, Emma Pierce Jan 2025

Wrongful Migration: A Hidden Culprit Behind Flank Pain, Ryan Miller, Anjeza Cipi, Emma Pierce

Department of Emergency Medicine Faculty Publications

[Introduction] A 32-year-old woman with no significant past medical history presented to the emergency department with 11 days of fever, fatigue, chills, and new-onset fullness in her left flank. She denied dysuria, abdominal pain, or vaginal bleeding. Vital signs showed fever and mild hypotension, and the physical examination revealed left-sided abdominal distension. Laboratory results demonstrated leukocytosis and a lactate of 3.2 mmol/L. She appeared nontoxic but was persistently febrile despite initial fluids and antibiotics. Computed tomography—shown in Figure 1, and ultrasound—shown in Figure 2, were obtained and revealed the diagnosis.


Preliminary Validity Of A Daily Functional Status Pain Assessment Tool, Wally R. Smith, Rehan Qayyum, Alexandra Ulbing, Margaret S. Guy, Daniel M. Sop, Yue May Zhang Jan 2025

Preliminary Validity Of A Daily Functional Status Pain Assessment Tool, Wally R. Smith, Rehan Qayyum, Alexandra Ulbing, Margaret S. Guy, Daniel M. Sop, Yue May Zhang

Department of Medicine Faculty Publications

Objectives: Readiness for discharge for a sickle cell disease vaso-occlusive crisis is dictated by factors far beyond pain control, including physical function/activity. We therefore designed and tested a functional status-based pain assessment questionnaire in SCD patients hospitalized with vaso-occlusive crises.

Methods: Sickle cell disease patients on a preselected nursing unit rated 10 draft Functional status-Based Pain Assessment items of activities of daily living on a 5 point Likert scale (0-5) from “very easy” to “very difficult” daily on each day of their admission until discharge, at approximately the same time. Concurrently, they reported Numeric Rating Scale (0-10) pain intensity. …


Drug-Induced Leukocytoclastic Vasculitis From An Unreported Source: Daptomycin, Jennifer K. Priessnitz, Timothy Kuzel, Lindsay Ackerman, Nelson Nicolasora Jan 2025

Drug-Induced Leukocytoclastic Vasculitis From An Unreported Source: Daptomycin, Jennifer K. Priessnitz, Timothy Kuzel, Lindsay Ackerman, Nelson Nicolasora

Department of Medicine Faculty Publications

Leukocytoclastic vasculitis (LCV) is a rare small-vessel vasculitis caused by immune-complex-mediated deposition on endothelial cells of dermal capillaries. Common triggers include medications, infections, autoimmune disorders, and malignancies. We present a case of a 58-year-old male who developed daptomycin-induced LCV after being treated for Methicillin-resistant Staphylococcus aureus (MRSA) endocarditis. The patient experienced painful palpable purpura on his lower extremities, which was diagnosed as LCV by skin biopsy. At the time of the biopsy, warfarin and daptomycin were discontinued, and the patient was transitioned to heparin and ceftaroline. MRSA-induced LCV was ruled out, due to negative blood cultures and adequate source control …


Group Antenatal Care Positively Transforms The Care Experience: Results Of An Effectiveness Trial In Malawi, Crystal L. Patil, Kathleen F. Noor, Esnath Kapito, Li C. Liu, Xiaohan Mei, Elizabeth Chodzaza, Genesis Chorwe-Sungani, Ursula Kafuulafula, Elizabeth T. Abrams, Allissa Desloge, Ashley Gresh, Rohan D. Jeremiah, Dhruvi R. Patel, Anne Batchelder, Heidy Wang, Jocelyn Faydenko, Sharon S. Rising, Ellen Chirwa Jan 2025

Group Antenatal Care Positively Transforms The Care Experience: Results Of An Effectiveness Trial In Malawi, Crystal L. Patil, Kathleen F. Noor, Esnath Kapito, Li C. Liu, Xiaohan Mei, Elizabeth Chodzaza, Genesis Chorwe-Sungani, Ursula Kafuulafula, Elizabeth T. Abrams, Allissa Desloge, Ashley Gresh, Rohan D. Jeremiah, Dhruvi R. Patel, Anne Batchelder, Heidy Wang, Jocelyn Faydenko, Sharon S. Rising, Ellen Chirwa

Department of Medicine Faculty Publications

Background

We developed and tested a Centering-based group antenatal (ANC) model in Malawi, integrating health promotion for HIV prevention and mental health. We present effectiveness data and examine congruence with only the Group ANC theory of change model, which identifies key processes as supportive relationships, empowered partners in learning and care, and meaningful services, leading to better ANC experiences and outcomes.

Methods

We conducted a hybrid effectiveness-implementation trial at seven clinics in Blantyre District, Malawi, comparing outcomes for 1887 pregnant women randomly assigned to Group ANC or Individual ANC. Group effects on outcomes were summarized and evaluated using t-tests, Mann-Whitney, …


Late Diagnosis Of Klinefelter Syndrome: Overcoming Phenotypic Variability And Diagnostic Oversights, Amna Kamran, Chinelo Okigbo Jan 2025

Late Diagnosis Of Klinefelter Syndrome: Overcoming Phenotypic Variability And Diagnostic Oversights, Amna Kamran, Chinelo Okigbo

Department of Medicine Faculty Publications

We report a case of Klinefelter syndrome (KS) diagnosed in adulthood, emphasizing the impact of phenotypic variability and the declining reliance on physical examination in delayed recognition. A 27-year-old male with obesity, low libido, and biochemical and clinical primary hypogonadism was found to have 47, XXY karyotype, consistent with KS. His hypogonadism was initially attributed to obesity and overlooked, despite classic signs of a micropenis and small testes. The case highlights the importance of physical examination, comprehensive history, and clinician awareness in diagnosing KS, particularly in atypical presentations. KS is associated with increased risks of osteoporosis, cardiovascular disease, and psychosocial …


Sarcoidosis With Isolated Osseous Manifestations Mimicking Metastatic Malignancy, Ahmed Ismail, Ahmed Saleh, Yanis Boumber Jan 2025

Sarcoidosis With Isolated Osseous Manifestations Mimicking Metastatic Malignancy, Ahmed Ismail, Ahmed Saleh, Yanis Boumber

Department of Medicine Faculty Publications

Sarcoidosis is an inflammatory disease of unknown etiology that commonly involves multiple organ systems, with the lungs and lymph nodes most frequently affected. Osseous involvement, although recognized, is considered uncommon and often overlooked due to its nonspecific clinical and radiographic features. Patients may be asymptomatic or present with pain, swelling, and functional limitations of the affected limb. Imaging can reveal findings such as bone lesions that mimic malignancy, including lytic or sclerotic changes. Diagnosis relies on histopathological confirmation of non-caseating granulomas. Treatment is directed at symptom relief and preservation of limb function. Here, we present a rare case of isolated …


Green Chelation Strategy For Deashing Of Algal Biomass, Agyare Asante, George Daramola, Ryan W. Davis, Sandeep Kumar Jan 2025

Green Chelation Strategy For Deashing Of Algal Biomass, Agyare Asante, George Daramola, Ryan W. Davis, Sandeep Kumar

Civil & Environmental Engineering Faculty Publications

This study investigated a green chelation strategy for deashing algal biomass using nitrilotriacetic acid (NTA) and deionized water (DI) to enhance its suitability for biofuel and bioproduct applications. Solid-state algal turf scrubber (SS ATS), green algal turf scrubber (ATS), and Scenedesmus were analyzed, with Scenedesmus selected for detailed evaluation due to its high ash removal efficiency. The objective was to optimize a purification process that minimizes ash and heavy metal content while preserving biochemical integrity. Algal biomass underwent sequential washing with DI, NTA, and NTA+DI under varying temperatures (90-130 °C). Analytical techniques including Fourier Transform Infrared (FTIR) spectroscopy, Inductively Coupled …


Social Susceptibility-Driven Longitudinal Tornado Reconnaissance Methodology: 2021 Midwest Quad-State Tornado Outbreak, John W. Van De Lindt, Wanting "Lisa" Wang, Blythe Johnston, P. Shane Crawford, Guirong Yan, Thang Dao, Trung Do, Katie Skakel, Mojtaba Harati, Tu Nguyen, Robinson Umeike, Silvana Croope Jan 2025

Social Susceptibility-Driven Longitudinal Tornado Reconnaissance Methodology: 2021 Midwest Quad-State Tornado Outbreak, John W. Van De Lindt, Wanting "Lisa" Wang, Blythe Johnston, P. Shane Crawford, Guirong Yan, Thang Dao, Trung Do, Katie Skakel, Mojtaba Harati, Tu Nguyen, Robinson Umeike, Silvana Croope

Civil & Environmental Engineering Faculty Publications

With the impact of climate change, the intensity and frequency of tornado events have been increasing. Enhancing tornado reconnaissance methods can comprehensively capture building damage and recovery data following tornado events and outbreaks, thereby strengthening community resilience against the threat of future tornado events. Advancements in tornado data reconnaissance research have embraced remote sensing techniques to assess building damage after tornado events, supplanting traditional reconnaissance methods relying on handheld cameras with GIS mapping. Community resilience research offers a groundbreaking perspective, stressing the importance of assessing buildings throughout their recovery cycle-from damage and functionality to recovery-and considering their socioeconomic stability in …


Flexible Hybrid Self-Powered Piezo-Triboelectric Nanogenerator Based On Bto-Pvdf/Pdms Nanocomposites For Human Machine Interaction, Wentao Dong, Mengyun Li, Chang Chen, Kun Xie, Jinhua Hong, Lin Yang Jan 2025

Flexible Hybrid Self-Powered Piezo-Triboelectric Nanogenerator Based On Bto-Pvdf/Pdms Nanocomposites For Human Machine Interaction, Wentao Dong, Mengyun Li, Chang Chen, Kun Xie, Jinhua Hong, Lin Yang

Civil & Environmental Engineering Faculty Publications

As flexible and wearable electronics play more and more important role in smart watches, smart glass and virtual reality, and the power supply to the wearable electronics have been revealed more attentions for long-term usage and continuous healthy monitoring. To overcome the challenge, flexible self-powered BTO-PVDF/PDMS piezoelectric-triboelectric electric hybrid generators (BPP-HNG) are developed to human gesture monitoring and human machine interaction (HMI) application without external power supply. BPP-HNG based on BTO-PVDF and PDMS films are prepared by sol-gel and spin-coating method. When the BTO content is 20 wt.%, BPP-HNG exhibits better electrical performance with an output voltage of 20.51 V. …


Revealing Rainfall Partitioning Characteristics Of Shrubs In Semi-Arid Sandy Land: Based On In-Situ Measurement Data, Hu Liu, Limin Duan, Yongzhi Bao, Xin Tong, Huimin Lei, Zhiming Han, Wenrui Zhang, Xixi Wang, V. P. Singh, Tingxi Liu Jan 2025

Revealing Rainfall Partitioning Characteristics Of Shrubs In Semi-Arid Sandy Land: Based On In-Situ Measurement Data, Hu Liu, Limin Duan, Yongzhi Bao, Xin Tong, Huimin Lei, Zhiming Han, Wenrui Zhang, Xixi Wang, V. P. Singh, Tingxi Liu

Civil & Environmental Engineering Faculty Publications

Rainfall is partitioned by the vegetation canopy into three components: throughfall, stemflow, and canopy interception, which profoundly influence key hydrological processes, including vegetation growth, groundwater recharge, water cycling, and regional water balance. However, research comparing the applicability of throughfall measurement methods in semi-arid shrub communities remains scarce, and quantitative analyses of rainfall partitioning processes based on in-situ observations are still inadequate. This study focuses on the sand-fixing pioneer vegetation of semi-arid sandy land, Caragana microphylla, and conducts simultaneous throughfall measurements using the rain gauge method and the trough method to compare the differences between the two approaches. Based on …


Biochar For Soil Amendment: Applications, Benefits, And Environmental Impacts, Ujjwal Pokharel, Gururaj Neelgund, Ram L. Ray, Venkatesh Balan, Sandeep Kumar Jan 2025

Biochar For Soil Amendment: Applications, Benefits, And Environmental Impacts, Ujjwal Pokharel, Gururaj Neelgund, Ram L. Ray, Venkatesh Balan, Sandeep Kumar

Civil & Environmental Engineering Faculty Publications

The excessive use of chemical fertilizers results in environmental issues, including loss of soil fertility, eutrophication, increased soil acidity, alterations in soil characteristics, and disrupted plant–microbe symbiosis. Here, we synthesize recent studies available from up to 2025, focusing on engineered biochar and its application in addressing issues of soil nutrient imbalance, soil pollution from inorganic and organic pollutants, soil acidification, salinity, and greenhouse gas emissions from fields. Application of engineered biochar enhanced the removal of Cr (VI), Cd²+, Ni²+, Zn²+, Hg²+, and Eu³+ by 85%, 73%, 57.2%, 12.7%, 99.3%, and 99.2%, …


A Two-Hit Model Of Executive Dysfunction: Simulated Galactic Cosmic Radiation Primes Latent Deficits Revealed By Sleep Fragmentation, Richard A. Britten, Ella N. Tamgue, Paola Arriaga Alvarado, Arriyam S. Fesshaye, Larry D. Sanford Jan 2025

A Two-Hit Model Of Executive Dysfunction: Simulated Galactic Cosmic Radiation Primes Latent Deficits Revealed By Sleep Fragmentation, Richard A. Britten, Ella N. Tamgue, Paola Arriaga Alvarado, Arriyam S. Fesshaye, Larry D. Sanford

Department Radiation Oncology & Biophysics Faculty Publications

Future Artemis-class missions to Mars will expose astronauts to prolonged space radiation (SR), sleep disruption, and operational demands requiring greater autonomy, placing decision making and executive function at heightened risk. Both SR and sleep fragmentation (SF) independently impair cognition, yet their combined effects remain poorly understood. Using the Associative Recognition Memory and Interference (ARMIT) task, we assessed cognitive performance in male rats exposed to 10 cGy of Galactic Cosmic Ray simulation (GCRsim), SF, or both. Under well-rested conditions, GCRsim-exposed rats exhibited overt deficits in the C.1.2 stage, performing at chance when reinforcement contingencies shifted, consistent with impaired cognitive flexibility. In …


Securitization Of African Migrants In Europe And North America, Chick Edmond Jan 2025

Securitization Of African Migrants In Europe And North America, Chick Edmond

Political Science & Geography Faculty Publications

The securitization of African migrants in Europe and North America refers to the framing of immigrants as an existential security threat rather than a socioeconomic or humanitarian concerns. This discourse driven by political rhetoric, media narratives, and policy measures, often depict African migrants as risks to national security, cultural identity, and economic stability. Governments in host countries employ stringent border controls, detention and deportation policies often justified by counterterrorism and crime prevention frameworks. However, critics argue that securitization exacerbates xenophobia, violates human rights, and fails to address root causes of migration, such as conflict, poverty, and climate change. This paper …


Manifesting A Shift In The "Overton Window": The Threat Of Project 2025 On The Lgbtq+ Community In Higher Education, Athena M. King, Sara Sanatkar Jan 2025

Manifesting A Shift In The "Overton Window": The Threat Of Project 2025 On The Lgbtq+ Community In Higher Education, Athena M. King, Sara Sanatkar

Political Science & Geography Faculty Publications

Since the first Trump administration, historically marginalized groups in the United States have been subjected to greater instances of bigotry and discrimination due to conservative influence on sociopolitical institutions. These actions suggest a shift in the "Overton Window," whereby policy preferences previously deemed "unacceptable" are given consideration in the mainstream, especially by conservative policy actors. "Project 2025" is a comprehensive plan to restructure the federal government according to conservative dictates in the second Trump administration. This article is an examination of how higher education may be impacted by this plan, especially as it relates to LGBTQ+ faculty, administration, staff, and …


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 Jan 2025

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 …


The Effect Of Inelastic Compression Wraps On The Quality Of Life Of People With Chronic Venous Insufficiency: A Single-Center, Single-Arm Prospective Study, Abby Hargis Smits, Marita Yaghi, Narges Maskan Bermudez, Hadar Lev-Tov Jan 2025

The Effect Of Inelastic Compression Wraps On The Quality Of Life Of People With Chronic Venous Insufficiency: A Single-Center, Single-Arm Prospective Study, Abby Hargis Smits, Marita Yaghi, Narges Maskan Bermudez, Hadar Lev-Tov

Department of Medicine Faculty Publications

Background/Objectives: First line therapy for all manifestations of chronic venous insufficiency (CVI) is compression. However, patients frequently report dissatisfaction with compression stockings. Therefore, there is a need to find alternative therapeutic options that can promote compliance. Here, we investigate the impact of the novel, inelastic compression wrap device on quality of life (QoL) in patients with CVI who have failed therapy with compression stockings in the past. Methods: We conducted a six-week, open-label, single-center, non-blinded, prospective cohort study. The primary endpoint was the change in QoL over 6 weeks as measured by the Chronic Venous Disease Quality of Life Questionnaire …


Generating Real-World Evidence In Early Alzheimer's Disease: Considerations For Applying The Target Trial Emulation Framework To Study The Safety Of Anti-Amyloid Therapies, Xiaojuan Li, Sonal Singh, Bahareh Rasouli, Jennifer Lyons, Noelle M. Cocoros, Richard Platt, Ivan Abi-Elias, Jerry H. Gurwitz Jan 2025

Generating Real-World Evidence In Early Alzheimer's Disease: Considerations For Applying The Target Trial Emulation Framework To Study The Safety Of Anti-Amyloid Therapies, Xiaojuan Li, Sonal Singh, Bahareh Rasouli, Jennifer Lyons, Noelle M. Cocoros, Richard Platt, Ivan Abi-Elias, Jerry H. Gurwitz

Department of Medicine Faculty Publications

Anti-amyloid beta monoclonal antibodies (anti-Aβ mAbs) have received approval from the US Food and Drug Administration for the treatment of patients with mild cognitive impairment or mild dementia due to Alzheimer's disease (collectively known as early AD) based on evidence from clinical trials. However, whether findings from these trials are generalizable to the real world is uncertain. We need reliable evidence on the real-world safety of these treatments to inform decision making for clinicians, patients, and caregivers. Using lecanemab as an exemplar, we outline the key considerations in designing and implementing an observational study on safety and utilization outcomes using …


The Reliability Gap: How Traditional Search Engines Outperform Artificial Intelligence (Ai) Chatbots In Rosacea Public Health Information Quality, Houston C. Nelson, Morgan T. Beauchamp, April A. Pace Jan 2025

The Reliability Gap: How Traditional Search Engines Outperform Artificial Intelligence (Ai) Chatbots In Rosacea Public Health Information Quality, Houston C. Nelson, Morgan T. Beauchamp, April A. Pace

Department of Medicine Faculty Publications

Background: The internet has become a primary source of health information for the public, with important implications for patient decision-making and public health outcomes. However, the quality and readability of this content vary widely. With the rise of generative artificial intelligence (AI) tools such as ChatGPT and Gemini, new challenges and opportunities have emerged in how patients access and interpret medical information.

Objective: To evaluate and compare the quality, credibility, and readability of consumer health information provided by traditional search engines (Google, Bing) and generative AI platforms (ChatGPT, Gemini) using three validated instruments: DISCERN, JAMA Benchmark Criteria, and Flesch-Kincaid Readability …


Oral Microbiome And Inflammatory Bowel Disease: New Understanding And Call To Action, Michael Saadeh, Sydney Donohue, Shaina Ailawadi, Gordon Hong, David A. Johnson Jan 2025

Oral Microbiome And Inflammatory Bowel Disease: New Understanding And Call To Action, Michael Saadeh, Sydney Donohue, Shaina Ailawadi, Gordon Hong, David A. Johnson

Department of Medicine Faculty Publications

The oral microbiome is the second largest microbial community in the human body after the gut microbiome. It includes an array of fungi, bacteria, amoebae, flagellates, archaea, and viruses, all of which are potential pathogens. This microbiome can act as a facilitator not only for protection but also for aggravation when dysbiosis occurs. Although conventional thought is this is primarily in terms of oral health issues, such as dental caries and gingival disease. The systemic effects of the oral microbiome however, are relevant to both gastrointestinal (GI) disease and non-GI disease. These systemic risks occur for several reasons, including upregulation …


Medical Students' Attitudes Towards Research Participation After The United States Medical Licensing Examination Step 1 Scoring Change, Danxun Li, Nina Li, Curt Bay, Uzoma Ikonne Jan 2025

Medical Students' Attitudes Towards Research Participation After The United States Medical Licensing Examination Step 1 Scoring Change, Danxun Li, Nina Li, Curt Bay, Uzoma Ikonne

Department of Medicine Faculty Publications

Background

The recent transition of scoring for the United States Medical Licensing Examination (USMLE) Step 1 exam from a numerical grading system to pass/fail system has significant implications for residency applicants. It is anticipated that research productivity will gain greater importance in the evaluation process. To understand how medical institutions can best support students, we seek to understand medical students' motivations and experience conducting research in medical school after the USMLE Step 1 scoring change.

Methods

This is a mixed-methods, cross-sectional study that examines the motivations and barriers that medical students face in conducting academic or clinical research. A survey …


Blunt Trauma Causing Thrombotic Occlusive Myocardial Infarction, Jace Bradshaw, Alleabelle Bradshaw, Rishab Agarwal, P. Logan Weygandt Jan 2025

Blunt Trauma Causing Thrombotic Occlusive Myocardial Infarction, Jace Bradshaw, Alleabelle Bradshaw, Rishab Agarwal, P. Logan Weygandt

Department of Medicine Faculty Publications

Introduction: Traumatic myocardial infarction (TMI) is a rare but serious complication of blunt chest trauma, typically arising from coronary artery dissection, intramural hematoma, or myocardial contusion. Early recognition and intervention are critical, but diagnosis can be challenging given the broad differential for chest pain in trauma patients.

Case presentation: A 66-year-old female presented to a quaternary academic emergency department after a motor vehicle collision with progressive chest pain. Initial electrocardiogram (ECG) showed hyperacute T-waves in lead III, ST depression with T-wave inversion in aVL, and ST depression in V2, with posterior leads revealing ST elevation in V7–V9. Trauma imaging ruled …


Multisociety Guidance For Infection Prevention And Control In Nursing Homes, Lona Mody, Sonali D. Advani, Muhammad Salman Ashraf, Allison H. Bartlett, Suzanne F. Bradley, Deborah P. Burdsall, Jennifer A. Hanrahan, Susan S. Huang, Robert L.P. Jump, Lindsay Nicolle, Mary-Claire Roghmann, Patricia Stone, Rekha K. Murthy Jan 2025

Multisociety Guidance For Infection Prevention And Control In Nursing Homes, Lona Mody, Sonali D. Advani, Muhammad Salman Ashraf, Allison H. Bartlett, Suzanne F. Bradley, Deborah P. Burdsall, Jennifer A. Hanrahan, Susan S. Huang, Robert L.P. Jump, Lindsay Nicolle, Mary-Claire Roghmann, Patricia Stone, Rekha K. Murthy

Department of Medicine Faculty Publications

This multisociety guidance was endorsed by SHEA, APIC, IDSA, PALTmed, and AGS. It provides recommendations for infection prevention and control (IPC) in the context of the complexity of nursing home care in the United States: increased medical acuity of residents, the spread of multidrug-resistant organisms, and the threat of emerging pathogens. Recommendations and implementation suggestions address IPC leadership, staffing, and resources, healthcare personnel and residents‘ adherence to precautions and effective hand hygiene, outbreak preparedness, training, occupational health, cleaning and disinfection in the care environment, and the involvement of IPC in the facility. The guidance also addresses the challenges of maintaining …


Women Leaders' Lived Experiences Of Bravery In Leadership, Michelle E. Bartlett Jan 2025

Women Leaders' Lived Experiences Of Bravery In Leadership, Michelle E. Bartlett

Educational Leadership & Workforce Development Faculty Publications

Purpose

The research aims to understand the stories of women leaders who have demonstrated bravery in leadership. By analyzing their lived experiences through storytelling and narratives, it seeks to shed light on the challenges and motivations behind their brave actions, contributing to a deeper understanding of bravery in leadership within gender and organizational contexts.

Design/methodology/approach

This study adopts a qualitative multiple case study approach, focusing on the autobiographical accounts of three women leaders to explore their experiences of bravery in leadership. Utilizing narrative analysis (NA), it is grounded in ethical leadership theory and narrative identity theory. The research method involves …


Feel Bad To Discard A Fashion Product: How Ai Designers Influence Individuals' Sustainable Consumption, Ha Kyung Lee, Dooyoung Choi Jan 2025

Feel Bad To Discard A Fashion Product: How Ai Designers Influence Individuals' Sustainable Consumption, Ha Kyung Lee, Dooyoung Choi

Educational Leadership & Workforce Development Faculty Publications

This study explores how AI technology in fashion design influences consumers' sustainable consumption behaviors, focusing on emotional attachment to products. By comparing AI-generated and human-designed fashion items, the study examines how designer type impacts negative emotions about discarding products, mediated by emotional attachment. Results from two experimental studies reveal that designer type significantly affects negative emotions toward discarding human-designed items, but emotional attachment was not influenced by designer type in the first study. This lack of difference may be due to personal characteristics that moderate the effect. The second study found that individuals who perceive AI as human-like form stronger …


Exploring The Impact Of Value Co-Creation Through Ai-Driven Chatbbots On Customer Repeat Purchases, Dooyoung Choi, Jaeha Lee Jan 2025

Exploring The Impact Of Value Co-Creation Through Ai-Driven Chatbbots On Customer Repeat Purchases, Dooyoung Choi, Jaeha Lee

Educational Leadership & Workforce Development Faculty Publications

Drawing on the Stimulus-Organism-Response (S-O-R) framework, this study explores how perceived value co-creation during chatbot interactions influences customer repeat purchase intentions through cognitive, emotional, and social responses to chatbots. A survey of 220 participants revealed that perceived value co-creation significantly affected repeat purchase intentions, with cognitive evaluations, emotional reactions, and social value serving as key mediators. However, the direct effect of value co-creation on purchase intentions was not significant. The findings suggest that while value co-creation enhances consumer engagement, repeat purchases occur only when consumers experience positive cognitive, emotional, and social outcomes. Therefore, it is crucial for retailers to incorporate …


The Influence Of Shopping Context And Anthropocentric Bias On Consumer Preferences For Human And Ai Designers In Fashion, Dooyoung Choi, Ha Kyung Lee, Christina Soyoung Song, Ji Young Lee Jan 2025

The Influence Of Shopping Context And Anthropocentric Bias On Consumer Preferences For Human And Ai Designers In Fashion, Dooyoung Choi, Ha Kyung Lee, Christina Soyoung Song, Ji Young Lee

Educational Leadership & Workforce Development Faculty Publications

This study explores how shopping contexts (hedonic vs. utilitarian) influence consumer preferences for AI- vs. human-designed fashion products. In Study 1, participants with hedonic motivations preferred human-designed items, while those with utilitarian motivations preferred AI-designed products, supporting the hypothesis that shopping context affects designer preferences. Study 2 further investigates the mediation of competence-warmth traits in designer preferences and the moderation of anthropocentric bias. It finds that hedonic shopping contexts increase the desire for warmth-related traits, leading to a preference for human designers, while utilitarian contexts favor competence-related traits and AI designs. Additionally, individuals with higher anthropocentric biases showed stronger preferences …