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Diet And Migration In The Prehistoric Populations In The Greater Nicoya Region Of Nicaragua, Ashley Nichols Whitten

Theses and Dissertations--Anthropology

The goal of this three-paper dissertation was to engage with the archaeological hypotheses of prehistoric migration from Mesoamerica into the Greater Nicoya Region of Nicaragua. To that aim, this dissertation contains a discussion on the current information supporting and refuting the migratory hypotheses. New data is also presented in the form of stable isotope analysis and bioarcheological analysis of dentition from prehistoric archaeological sites in Pacific Nicaragua.

The first paper titled “Prehistoric Foodways and Migration Hypotheses in the Greater Nicoya Region of Nicaragua” outlines the current available research concerning migration out of Mesoamerica into Pacific Nicaragua. The potential migration is …

Free Food And The Fabric Of Need: Moralized And Institutionalized Care Within Kentucky Charitable Food Programs, Alisha D. Mays

Theses and Dissertations--Anthropology

This dissertation offers a critical ethnographic examination of hunger and charitable food programs (CFPs) in rural Eastern Kentucky, situated within the broader political economy of welfare retrenchment and neoliberal governance in the United States. Through multi-sited fieldwork spanning food pantries, mutual aid networks, state and federal partner agencies, and the regional food bank system, I analyze how hunger is experienced, managed, and framed by clients, volunteers, and organizational staff.

This work uses qualitative methods to weave the lived experiences across intersecting charitable food systems; this dissertation contributes to economic anthropology by illuminating the relational and political dimensions of hunger in …

Regional Authority And Economic Interaction In The Eastern Lower Papaloapan Basin, Veracruz, Mexico, Shayna Skye Lindquist

Theses and Dissertations--Anthropology

This dissertation examines various networks of interaction underlying political and economic organization through a series of three papers that investigate the Eastern Lower Papaloapan Basin (ELPB), Veracruz, Mexico. The three papers are linked through their shared concern with a reliance on models of political economies that fall short in capturing the diverse and nuanced ways individuals and groups cooperated. While my primary focus is on the Early Classic period (AD 300-600), I engaged diverse datasets that provide context from which the ELPB’s Classic period societies emerged. The first two papers present the results of technological and geochemical analyses of obsidian …

Simulations Of Electron Detection Systematic Errors For A Ucna+ Experiment, Rashika Gupta

Theses and Dissertations--Physics and Astronomy

The Ultracold Neutron Asymmetry+ (UCNA+) experiment at the Los Alamos Neu- tron Science Center (LANSCE) Ultracold Neutron source is an upgrade of the UCNA experiment, designed to measure the neutron beta decay asymmetry parameter, A 0 , with a precision of less than 0.2% using polarized ultracold neutrons (UCN). Neutron beta decay is governed by the weak interaction, and a precise measurement of A 0 provides a determination of the axial-vector to vector coupling ratio, λ = gA /gV . When combined with a measurement of the neutron lifetime, this allows the extraction of the Cabibbo-Kobayashi-Maskawa (CKM) matrix element Vud …

Optimizing External Radioactive Calibration Source Strength To Maximize The Livetime Of The Nexo Detector, Thakur P. Bhatta

Theses and Dissertations--Physics and Astronomy

The proposed next Enriched Xenon Observatory (nEXO) experiment aims to detect neutrinoless double beta decay in 136Xe, a rare process with profound implications for particle physics and our understanding of the neutrino. Achieving the required sensitivity demands ultra-low background conditions, making both material radiop urity screening and precise detector calibration essential. This dissertation addresses two key calibration challenges in preparation for nEXO. First, I investigated discrepancies in calibration efficiency measurements of the high-purity germanium (HPGe) detector named as GeIV located 4850 feet under ground at the Sanford Underground Research Facility, Lead, SD. The root cause for the discrepancy was found …

Precision Measurement Of The Muon’ S Anomalous Precession Frequency Using Energy Integrated Analysis In The Fermilab Muon G- 2 Experiment, Joseph Peck

Theses and Dissertations--Physics and Astronomy

This dissertation investigates the anomalous magnetic moment of the muon, aµ, through the Fermilab Muon g -2 Experiment, which aims to measure aµ to a precision of about 140 parts-per-billion.

Muons were injected into a magnetic storage ring where their decay positrons were detected by calorimeters. The changing spin and momentum orientation leads to an oscillation in decay positron counts, known as the anomalous precession frequency ! a. Using the magnetic field and !a measurements, we can determine the value of a µ. This study focuses on the Q-Method determination of !a, which utilizes an energyintegrated reconstruction rather than high-energy …

A Multidisciplinary Approach To The Thermal And Non-Thermal Mechanisms In Galaxy Clusters, Sheng-Chieh Lin

Theses and Dissertations--Physics and Astronomy

Galaxy clusters form at the intersections of the cosmic web and carry imprints of the structure formation history of the universe. As massive, multi-component systems, they offer unique insights into the astrophysical processes that govern both structure formation and galaxy evolution. Observable across the full electromagnetic spectrum, clusters emit photons through a variety of mechanisms, each tracing different physical processes. This dissertation investigates both the thermodynamic and non-thermal properties of the intracluster medium (ICM) to better understand the physical processes shaping observed phenomena. It comprises three main studies, each targeting a different aspect of galaxy cluster physics. In the second …

Structural And Physical Properties Of Solid State Materials: Cegage, Cssni3, And Yb2Si2-XGeXAl, Liam J. Scanlon

Theses and Dissertations--Physics and Astronomy

We present studies of three independent solid state materials: CeGaGe, CsSnI₃, and Yb₂Si_2-xGe_xAl.

CeGaGe is a magnetic candidate Weyl semimetal. Magnetic Weyl semimetals have possible technological applications due to their electronically conducting bulk states, magnetic states, and topologically protected surface states. We grew single crystals of CeGaGe using the zone-refinement method and flux-growth method. With single crystal X-ray and neutron diffraction, we found that zone-refined CeGaGe crystallizes with the I4₁md symmetry (space group 109). With single crystal X-ray diffraction, we found that flux-grown samples of CeGaGe have the …

Community Health Worker-Delivered Tobacco Cessation In A Small Rural County, Ellen J. Hahn, Amanda Bucher, Amanda T. Wiggins, Kathy Rademacher, Whitney Beckett, Leeann Taylor, Audrey Darville, Jean Edward

BREATHE Faculty Publications

Purpose: We evaluated a Community Health Worker (CHW)-Tobacco Treatment Specialist (TTS) model for delivering tailored tobacco treatment counseling and support in a rural, low-resourced county.

Methods: This was an exploratory, prospective study of people 18 years or older who used any tobacco product including e-cigarettes or vapes in the past 30 days. The CHW assessed tobacco use, secondhand smoke exposure, and quit history; and collected an expired breath carbon monoxide sample and a brief health history before providing 4–6 in-person or phone-based sessions involving tailored tobacco treatment counseling and support. The CHW connected participants to a prescriber at a federally …

Implementing And Evaluating A Pilot Interprofessional Training Program To Engage Health Care Teams In Cost Of Care Conversations, Jean Edward, Kimberly D. Northrip, Mary Kay Rayens, Julia Costich, Andrea Welker, Rachel O’Farrell, John A. D'Orazio

Nursing Faculty Publications

Introduction: This study evaluated the impact of Financial and Insurance Navigation Assistance-Training – a pilot interprofessional training program to facilitate cost of care (CoC) conversations and address health-harming social determinants of health in a pediatric hematology–oncology clinic.

Methods: A pre–post study design was used to evaluate the impact of Financial and Insurance Navigation Assistance-Training on an interprofessional health care team's (clinicians, social workers, financial navigator, and legal advocates) knowledge, attitudes, and behaviors related to CoC conversations and screening, referring, and collaborating with interprofessional team members. Data were collected …

Diet Quality Mediates The Relationship Between Chronic Stress And Inflammation In Patients With Metabolic Syndrome, Junghee Kang, Debra K. Moser, Terry A. Lennie, Misook L. Chung, D. Travis Thomas, Martha J. Biddle

Nursing Faculty Publications

Background 

Chronic stress is associated with promotion of inflammation and development of metabolic syndrome, as well as deterioration of diet quality. Inflammation can be modified by changes in dietary intake.

Objective 

The aim of this study was to test the hypothesis that diet quality mediates the relationship of chronic stress with inflammation in patients with metabolic syndrome.

Methods 

Participants with metabolic syndrome (n = 73, 62 ± 12 years old, 71% female) completed questionnaires on chronic stress (Perceived Stress Scale-10) and diet quality (Healthy Eating Index-2020). The Perceived Stress Scale-10 was dichotomized. The Healthy Eating Index-2020 score was used as …

Championing Reproductive And Perinatal Health With The Recovery Community: Improving Access To Healthcare And Health Promotion Resources To Support Recovery, Hartley C. Feld, Alex Elswick, Jeremy Byard, Whitney Beckett, Amanda Fallin-Bennett

Nursing Faculty Publications

Peer recovery support services are instrumental in the promotion of long-term recovery primarily by focusing on building the recovery capital of people with substance use disorders. Women may have specific health-related needs that are not generally part of recovery support staff training. Our team co-created a model by training people with lived experience as coaches to promote the health of women with SUD during the critical period of their reproductive years when mortality from overdose risk is high and can be compounded by issues surrounding pregnancy. We explored the outcomes of a small pilot test of this model to promote …

Evaluating Potential Determinants Of Health System Implementation Of A Virtual Oncology Financial And Legal Navigation Intervention To Address Cancer-Related Financial Toxicity, Jean Edward, Haafsah Fariduddin, Mackenzie Caldwell, Lori P Eisele, Joanna Doran, Monica Bryant, John A. D'Orazio, Anne E. Ray, Kimberly D. Northrip

Nursing Faculty Publications

Background

Integration of comprehensive oncology financial and legal navigation (OFLN) programs within health systems are needed to address cancer-related financial toxicity, however, implementation challenges exist.

Objectives

The aim of this study was to assess contextual factors that may influence implementation of a virtual OFLN intervention within a pediatric and adolescent and young adult oncology clinic and to inform necessary modifications to the proposed implementation strategies, pathways, and workflows.

Methods

We conducted 18 key informant interviews with healthcare team members, patients and caregivers. Data collection and analysis were guided by the Consolidated Framework for Implementation Research (CFIR) to provide a structured …

Degree Of Rurality Moderates The Association Of Sedentary Time With Cognitive Function In Rural Patients With Cardiac Diseases And Depressive Symptoms, Chin-Yen Lin, Jia-Rong Wu, Geunyeong Cha, Junghee Kang, Martha J. Biddle, Misook L. Chung, Ashmita Thapa, Mary Kay Rayens, Linda Gibson-Young, Debra K. Moser

Nursing Faculty Publications

Background: Prolonged sedentary time has been linked to impaired cognitive outcomes. However, the impact of sedentary time on cognitive function at different degrees of rurality is not yet well understood in patients with cardiac diseases and depressive symptoms.

Purpose: To determine whether degree of rurality moderates the relationship between sedentary time and cognitive function.

Methods: This study includes 135 coronary heart disease or heart failure patients, primarily residing in rural Kentucky, including Appalachian areas, United States. Sedentary time was measured by the average daily sedentary time (in minutes) using accelerometry (ActiGraph). Cognitive function was assessed using the Montreal Cognitive Assessment-Blind. …

Challenges And Lessons Learned While Conducting A Diabetes Prevention Program Among Black Churches During The Covid-19 Pandemic, Erika R. Karle, Destiny Cozart, Bassema Abu Farsakh, Victor Afolayan, Treasure Ebikwo, Maranda Brooks, Lovoria B. Williams

Nursing Faculty Publications

We share our experiences conducting a 5-year randomized controlled diabetes prevention project among 20 Black churches in central Kentucky during the COVID-19 pandemic and offer strategies to inform future church-based interventions. Researchers have long recognized the potential to reach Black adults in church settings for health promotion interventions and have implemented trials within this socially rich setting. However, there is a dearth of literature that describes the challenges and lessons learned while conducting these trials. We describe the challenges we experienced and the strategies we used to overcome them to successfully conduct the trial. During the study, we maintained detailed …

Hpv Self-Sampling Promotion Among African American (Aa) And Sub-Saharan African (Sai) Immigrant Women: Adaptation And Usability Testing, Adebola Adegboyega, Gia Mudd-Martin, Nancy Schoenberg, Mark Dignan

Nursing Faculty Publications

Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of an education intervention, “Health is Wealth: A Cervical Health Intervention”, to promote cervical screening and reduce perceived barriers to CC screening among two subgroups of Black women: African American (AA) and sub-Saharan African immigrant (SAI) women.

Methods: In this paper, we describe the process of adapting the Health is Wealth intervention using the Barrera and Castro adaptation framework. The iterative adaptation process included formative focus groups (n …

Improving Lung Cancer Education And Screening Navigation Skills Among Hbcu Health Trainees: A Pilot Study Of Program Connect, Shanada Monestime, Erika L. Thompson, Monica Wilson, Tamara Mccants, Lovoria B. Williams

Nursing Faculty Publications

Lung cancer is the leading cause of cancer death, disproportionately affecting Black communities due to delayed diagnoses and low screening rates. While these disparities persist, few educational interventions aim to equip health professional trainees—particularly those at Historically Black Colleges and Universities (HBCUs)—with the knowledge and confidence to address them. Empowering providers early in their training through culturally tailored education may help build a more prepared, equity-focused workforce. The purpose of this project was to evaluate a culturally tailored lung cancer education program, Program CONNECT, for health professional trainees at HBCUs. Program CONNECT was implemented in regions where lung cancer mortality …

Expression Of Dementia Biomarkers In Appalachian And Non-Appalachian Elvo Patients During Thrombectomy, Neha Anil, Christopher J. Mclouth, Hunter S. Hazelwood, Elise Dahlke, Jacqueline A. Frank, Nathan Millson, Mais Al-Kawaz, Jordan P. Harp, Will Cranford, Shivani Pahwa, David Dornbos, Justin F. Fraser, Keith R. Pennypacker

Biostatistics Faculty Publications

Background/Context: Vascular Cognitive Impairment and Dementia (VCID) affects 25-30% of stroke patients and includes cognitive impairments caused by vascular injury, such as post-stroke dementia. Rehabilitation has the potential to improve the quality of life for patients at risk of developing dementia. However, there is currently no reliable method to identify those at risk of dementia after a stroke. Several biomarkers, including ADRD (Alzheimer’s disease and related dementias) biomarkers (Ab, tau, NfL, and GFAP) and angiogenic factors (VEGF, Flt-1, Tie-2, PIGF, and FGF) have been associated with the development of dementia. Populations in Appalachia experience a higher incidence of stroke and …

Reevaluating The Opportunity For Wind Energy In Kentucky: Advancing Technology, Changing Economics, And Generation Complementarity, Lawrence E. Holloway, Aron Patrick, Dan M. Ionel

Electrical and Computer Engineering Faculty Publications

Recent developments in wind turbine technology, new wind resource data, and new federal tax credits for renewable energy are increasing the suitability of wind electricity generation in Kentucky. In 2022, Kentucky had 68% of its electricity from coal and in 2023 was one of eight U.S. states with no utility-scale wind generation. In the past, the state has been viewed as being generally unsuitable for wind power generation. While wind is not the most economic resource in Kentucky, all states bordering the Commonwealth have wind power. Wind power generation in Kentucky appears increasingly likely in the coming decades to play …

A Review Of The Association Between Dietary Intake And Brain Iron Levels In Older Adults: Preliminary Findings And Future Directions., Valentinos Zachariou, Christopher E. Bauer, Colleen A. Pappas, Brian T. Gold

Behavioral Science Faculty Publications

Background/Objectives: Non-heme iron is essential for critical neuronal functions such as ATP generation, synaptogenesis, neurotransmitter synthesis, and myelin formation. However, as non-heme iron accumulates with age, excessive levels can contribute to oxidative stress, potentially disrupting neuronal integrity and contributing to cognitive decline. Despite growing evidence linking high brain iron with poorer cognitive performance, there are currently no proven methods to reduce brain iron accumulation in aging or to protect cognitive function from iron’s negative effects. Recent studies suggest that nutrition may influence brain iron levels, though the evidence remains limited and mixed. Methods: In this review, we explore recent findings, …

Differential Infiltration Of Key Immune T-Cell Populations Across Malignancies Varying By Immunogenic Potential And The Likelihood Of Response To Immunotherapy., Islam Eljilany, Sam Coleman, Aik Choon Tan, Martin D. Mccarter, John Carpten, Howard Colman, Abdul Rafeh Naqash, Igor Puzanov, Susanne Arnold, Michelle L. Churchman, Daniel Spakowicz, Bodour Salhia, Julian Marin, Shridar Ganesan, Aakrosh Ratan, Craig Shriver, Patrick Hwu, William S. Dalton, George J. Weiner, Jose R. Conejo-Garcia, Paulo Rodriguez, Ahmad A. Tarhini

Markey Cancer Center Faculty Publications

Background: Solid tumors vary by the immunogenic potential of the tumor microenvironment (TME) and the likelihood of response to immunotherapy. The emerging literature has identified key immune cell populations that significantly impact immune activation or suppression within the TME. This study investigated candidate T-cell populations and their differential infiltration within different tumor types as estimated from mRNA co-expression levels of the corresponding cellular markers.

Methods: We analyzed the mRNA co-expression levels of cellular biomarkers that define stem-like tumor-infiltrating lymphocytes (TILs), tissue-resident memory T-cells (TRM), early dysfunctional T-cells, late dysfunctional T-cells, activated-potentially anti-tumor (APA) T-cells and Butyrophilin 3A (BTN3A) isoforms, utilizing …

Population-Based Cross-Sectional Analysis Of Cannabis Use Among Kentucky Adults, 2020– 21, Sydney Shafer, Gunnar Kennedy, W. Jay Christian

UK CARES Faculty Publications

Purpose We conducted this study to assess cannabis use rates in the state of Kentucky relative to socioeconomic, demographic, and geographic factors, as well as reasons for use and modes of use, before the legal medical marijuana market commences in 2025.

Methods We pooled Kentucky Behavioral Risk Factor Surveillance System (BRFSS) data for 2020–2021 and used weighted responses for all analyses. We estimated current cannabis use (at least once in the past 30 days), and heavy use (at least 20 of the past 30 days) prevalence rates for Appalachian, Delta, and Central geographic regions of Ken- tucky. We tabulated descriptive …

Students Participating As Ambassadors For Research In Kentucky (Spark): A Health Equity Undergraduate Research Training Program, Ariel A. Arthur, Rebecca L. Delacerda Allen, Fidelis Y. Sesenu, Maxwell A. Groznik, Carrie B. Oser, Madeline Dunfee, Philip A. Kern, Nancy Schoenberg

UK CARES Faculty Publications

The Students Participating as Ambassadors for Research in Kentucky (SPARK) program provides novel health equity research training and targeted mentorship for undergraduates, particularly those from groups underrepresented in the biomedical and behavioral research and workforce. SPARK aims to address inadequate diversity in the medical and scientific research fields by providing comprehensive research mentorship and skill-building. Unlike most existing research training programs that are brief, focus on laboratory research, or are limited to graduate students and junior faculty, SPARK delivers a 16-month intensive behavioral and population health science training, equipping students with needed tools to conceptualize, plan, execute, and analyze their …

Methanogenesis Kinetics Of Organic Matter Of The Leachate In An Up-Flow Anaerobic Sludge Blanket Reactor, Mohamad Ali Fulazzaky, Ali Yuzir, Tiffany L. Messer, Agus Sofyan

UK CARES Faculty Publications

Understanding the treatment of leachate mediated by the development of anaerobic sludge makes it possible to create an effective design process of biodegradation technology. This study used an up-flow anaerobic sludge blanket (UASB) reactor equipped with a gas–liquid-solid separator to capture CH4 for treating landfill leachate to improve understanding of methanogenesis kinetics of organic matter. The performance of UASB was able to remove 154.75 g/L of chemical oxygen demand (COD) content of the leachate originally anticipated to emit 2.99 L of CH4 production into the atmosphere. The trend in the variation of internal mass transfer (IMT) factor was close to …

Microbial Community Assembly Across Agricultural Soil Mineral Mesocosms Revealed By 16s Rrna Gene Amplicon Sequencing Data, Daniel Lee, Fernanda C C Oliveira, Richard T. Conant, Minjae Kim

UK CARES Faculty Publications

Increasing atmospheric carbon dioxide (CO 2 ) concentrations are impacting the global climate, resulting in significant interest in soil carbon sequestration as a mitigation strategy. While recognized that mineral-associated organic matter (MAOM) in soils is mainly formed through microbial activity, our understanding of microbial-derived MAOM formation processes remains limited due to the complexity of the soil environment. To gain insights into this issue, we incubated fresh soil samples for 45 days with one of three mineral additions: Sand, Kaolinite+Sand, or Illite+Sand. 16S rRNA V3/V4 gene amplicon sequencing was then conducted on samples using an Illumina NextSeq 20 0 0 flow …

Myosin Xva Isoforms Participate In The Mechanotransduction-Dependent Remodeling Of The Actin Cytoskeleton In Auditory Stereocilia, Ana I. López-Porras, Ava M. Kruse, Mark T. Mcclendon, A. Catalina Vélez-Ortega

Neurology Faculty Publications

Auditory hair cells form precise and sensitive staircase-like actin protrusions known as stereocilia. These specialized microvilli detect deflections induced by sound through the activation of mechano-electrical transduction (MET) channels located at their tips. At rest, a small MET channel current results in a constant calcium influx which regulates the morphology of the actin cytoskeleton in the shorter ‘transducing’ stereocilia. However, the molecular mechanisms involved in this novel type of activity-driven plasticity in the stereocilium cytoskeleton are currently unknown. Here, we tested the contribution of myosin XVA (MYO15A) isoforms, given their known roles in the regulation of stereocilia dimensions during hair …

The Effects Of Mosaicism On Biological And Clinical Markers Of Alzheimer's Disease In Adults With Down Syndrome, Laura Xicota, Lam-Ha T. Dang, Alice Lee, Sharon Krinsky-Mchale, Deborah Pang, Lisa Melilli, Sid E. O’Bryant, Rachel L. Henson, Charles Laymon, Florence Lai, H. Diana Rosas, Beau Ances, Ira Lott, Christy Hom, Bradley Christian, Sigan Hartley, Shahid Zaman, Elizabeth Head, Mark Mapstone, Zhezhen Jin, Wayne Silverman, Nicole Schupf, Benjamin Handen, Joseph H. Lee, Alzheimer’S Biomarker Consortium – Down Syndrome (Abc-Ds)

Neurology Faculty Publications

Background Individuals with Down syndrome (DS) are at high risk of early-onset Alzheimer’s disease (AD); yet, some 20 percent do not develop any signs of dementia until after 65 years or in their lifetime. Mosaicism could contribute to this phenotypic variation, where some disomic cells could lead to lower levels of gene products from chromosome 21.

Methods We examined longitudinal neuropsychological and biomarker data from two large studies of DS: the Alzheimer Biomarker Consortium–Down syndrome study (ABC-DS) (n = 357); and a legacy study (n = 468). We assessed mosaicism using karyotyping or GWAS data. Participants had data on plasma …

Targeted Long-Read Sequencing To Quantify Methylation Of The C9orf72 Repeat Expansion, Evan Udine, Nicole Finch, Mariely Dejesus-Hernandez, Jazmyne L. Jackson, Matthew C. Baker, Siva Arumugam Saravanaperumal, Eric Wieben, Mark T. W. Ebbert, Jaimin Shah, Leonard Petrucelli, Rosa Rademakers, Björn Oskarsson, Marka Van Blitterswijk

Neurology Faculty Publications

Background The gene C9orf72 harbors a non-coding hexanucleotide repeat expansion known to cause amyotrophic lateral sclerosis and frontotemporal dementia. While previous studies have estimated the length of this repeat expansion in multiple tissues, technological limitations have impeded researchers from exploring additional features, such as methylation levels.

Methods We aimed to characterize C9orf72 repeat expansions using a targeted, amplification-free long-read sequencing method. Our primary goal was to determine the presence and subsequent quantification of observed methylation in the C9orf72 repeat expansion. In addition, we measured the repeat length and purity of the expansion. To do this, we sequenced DNA extracted from …

Pure Late-Nc, Yuriko Katsumata, Xian Wu, Khine Zin Aung, David W. Fardo, Davis C. Woodworth, S. Ahmad Sajjadi, Sandra O. Tomé, Dietmar Rudolf Thal, Juan C. Troncoso, Koping Chang, Charles Mock, Peter T. Nelson

Biostatistics Faculty Publications

Pure limbic-predominant age-related TDP-43 encephalopathy neuropathologic changes (pure LATE-NC) is a term used to describe brains with LATE-NC but lacking intermediate or severe levels of Alzheimer’s disease neuropathologic changes (ADNC). Focusing on pure LATE-NC, we analyzed data from the National Alzheimer’s Coordinating Center (NACC) Neuropathology Data Set, comprising clinical and pathological information aggregated from 32 NIH-funded Alzheimer’s Disease Research Centers (ADRCs). After excluding subjects dying with unusual conditions, n = 1,926 autopsied subjects were included in the analyses. For > 90% of these participants, apolipoprotein E (APOE) allele status was known; 46.5% had at least one APOE 4 allele. In most …

Alternatives To Dental Opioid Prescribing After Tooth Extraction (Adopt), Douglas R. Oyler, Philip M. Westgate, Sharon L. Walsh, Jennifer Dolly Prothro, Craig S. Miller, Monica F. Roberts, Patricia R. Freeman, Hannah K. Knudsen, Maggie Lang, Enif Dominguez-Fernandez, Marcia V. Rojas-Ramirez

Biostatistics Faculty Publications

Background: Dentists and oral surgeons are leading prescribers of opioids to adolescents and young adults (AYA), who are at high risk for developing problematic opioid use after an initial exposure. Most opioids are prescribed after tooth extraction, but non-opioid analgesics provide similar analgesia and are recommended by multiple professional organizations. Methods: This multi-site stepped wedge cluster-randomized trial will assess whether a multicomponent behavioral intervention can influence opioid prescribing behavior among dentists and oral surgeons compared to usual practice. Across up to 12 clinical practices (clusters), up to 33 dentists/oral surgeons (provider participants) who perform tooth extractions for individuals 12–25 years …