Digital Commons Network^™

Using The Consolidated Framework For Implementation Research To Identify Church Leaders’ Perspectives On Contextual Determinants Of Community‑Based Colorectal Cancer Screening For Black Kentuckians, Aaron J. Kruse-Diehr, Derek Cegelka, Carlee Combs, Rose Wood, Elizabeth Holtsclaw, Jerod L. Stapleton, Lovoria B. Williams

UK CARES Faculty Publications

Background Black Kentuckians experience more deleterious colorectal cancer (CRC) outcomes than their White counterparts, a disparity that could be reduced by increased screening in Black communities. Previous research has shown that Black Kentuckians may not be equitably informed of different CRC screening options by health care providers, making community‑based screening a potentially effective option among this disparate population. We used the Consolidated Framework for Implementation Research (CFIR) to identify church leaders’ perspectives of con‑ textual factors that might influence community‑based screening and explore the feasibility of using church‑based screening outreach.

Methods Six participants were selected, based on leadership roles and …

Protocol For A Feasibility Randomized Controlled Trial Of Gentle Yoga In Older Patients Discharged From Phase Ii Cardiac Rehabilitation, Geunyeong Cha, Misook L. Chung, Nicholas R. Heebner, Ulf G. Bronas, Martha J. Biddle, Chin-Yen Lin, Junghee Kang, Jia-Rong Wu, Jessica H. Thompson, Ashmita Thapa, Debra K. Moser

UK CARES Faculty Publications

Background: Physical activity (PA) is essential following an acute cardiac event. Cardiac rehabilitation (CR) is commonly prescribed, and PA after CR is recommended. Because of age-related changes in functional ability and multi-comorbidity, many older cardiac patients struggle to continue performing PA at home after CR. Depressive symptoms and anxiety are prevalent in cardiac patients and associated with poor self-care, including lack of daily PA. Yoga has been demonstrated to improve psychological and physical health outcomes in cardiac patients, but it is unknown whether yoga, modified for older CR patients – Gentle Yoga – is beneficial in managing psycho- logical distress …

Glioblastoma Standard Of Care: Effects On Tumor Evolution And Reverse Translation In Preclinical Models, Louis Rodgers, John L. Villano, Anika M. S. Hartz, Björn Bauer

UK CARES Faculty Publications

Glioblastoma (GBM) presents a significant public health challenge as the deadliest and most common malignant brain tumor in adults. Despite standard-of-care treatment, which includes surgery, radiation, and chemotherapy, mortality rates are high, underscoring the critical need for advancing GBM therapy. Over the past two decades, numerous clinical trials have been performed, yet only a small fraction demonstrated a benefit, raising concerns about the predictability of current preclinical models. Traditionally, preclinical studies utilize treatment-naïve tumors, failing to model the clinical scenario where patients undergo standard-of-care treatment prior to recurrence. Recurrent GBM generally exhibits distinct molecular alterations influenced by treatment selection pressures. …

Public Library Lending Programs Increase Radon Testing In Rural Communities, Stacy Stanifer, Kathy Rademacher, Whitney Beckett, King Simpson, Mary Kay Rayens, Amanda Thaxton Wigging, Ellen J. Hahn

UK CARES Faculty Publications

Radon exposure is the second leading cause of lung cancer, yet few Americans test their homes for radon, particularly in rural areas. The academic team and community partners engaged the public library systems in four rural counties to offer digital radon detectors for check-out as a means of increasing the public’s access to free radon testing. The check-out procedures and instructional materials were created through an iterative process, and library personnel were educated on radon and home radon testing prior to launching the lending program. Library patrons reported high usability, feasibility, and acceptability of the program. Library patron- staff interactions …

Adapting The Serious Illness Conversation Guide For Unhoused Older Adults: A Rapid Qualitative Study, Abigail Latimer, Natalie D. Pope, Chin-Yen Lin, Junghee Kang, Olivia M. Sasdi, Jia-Rong Wu, Debra K. Moser, Terry A. Lennie

UK CARES Faculty Publications

Background Older adults experiencing homelessness (OAEH) age quickly and die earlier than their housed counterparts. Illness-related decisions are best guided by patients’ values, but healthcare and homelessness service providers need support in facilitating these discussions. The Serious Illness Conversation Guide (SICG) is a communication tool to guide discussions but has not yet been adapted for OAEH.

Methods We aimed to adapt the SICG for use with OAEH by nurses, social workers, and other homelessness service providers. We conducted semi-structured interviews with homelessness service providers and cognitive interviews with OAEH using the SICG. Service providers included nurses, social workers, or others …

What Influences Trust In And Understanding Of Clinical Trials? An Analysis Of Information And Communication Technology Use And Online Health Behavior From The Health Information National Trends Survey, Aurora Occa, Allison S. Merritt, Allison Leip, Jerod L. Stapleton

UK CARES Faculty Publications

Background: Using information and communication technologies to seek, discuss, and share health-related information influences people’s trust and knowledge of several health practices. However, we know little about the associations between individuals’ information and communication technology use and their perceptions of trust and knowledge of clinical trials. Examining these associations may lead to the identification of target audiences and channels for developing effective educational interventions and campaigns about clinical trials.

Methods: In this study, we analyzed Health Information National Trends Survey data to document perceptions of clinical trial-related knowledge and trust that were recently added as questions in this annual national …

Cancer Research Provides A Model For Advancing Clinical Trials In Dementia In The Era Of Disease-Modifying Alzheimer’S-Type Dementia Therapies, Gregory Jicha, Thomas Tucker, Susanne Arnold, Peter T. Nelson

Neurology Faculty Publications

Dementia and cancer are multifactorial, widely-feared, age-associated clinical syndromes that are increasing in prevalence. There have been major breakthroughs in clinical cancer research leading to some effective treatments, whereas the field of dementia has achieved comparatively limited success in clinical research. The lessons of cancer research may help those in the dementia research field in confronting some of the dilemmas faced when the clinical care regimen is not entirely safe or efficacious. Cancer clinical trials have assumed that untreated individuals with cancer are at high risk for morbidity and mortality after primary diagnoses. Thus, patients deserve a choice of clinical …

Estimating Socio-Economic Status For Alzheimer’S Disease Trials, D. M. Rentz, J. D. Grill, D. P. Molina-Henry, Gregory Jicha, Michael S. Rafii, A. Liu, Reisa A. Sperling, Paul Aisen, R. Raman

Neurology Faculty Publications

INTRODUCTION: Metrics of a participant’s socioeconomic status (SES) are not routinely collected or standardized in clinical trials. This omission limits the ability to evaluate the generalizability of trial results and restricts clinicians from confidently interpreting the efficacy of new treatments across important sub-populations. METHODS: We adapted an SES measure of social disparity; the Hollingshead Two Factor Index of Social Position, which combines education and occupation into a single metric. We modernized the 1965 occupations to reflect the 2017 careers tabulated by the US Bureau of Labor Statistics. We currently use this adapted measure in Alzheimer’s Clinical Trials Consortium studies. RESULTS: …

Clinical Trial Protocol For Beach: A Phase 2a Study Of Mw189 In Patients With Acute Nontraumatic Intracerebral Hemorrhage, Radhika Avadhani, Wendy C. Ziai, Richard E. Thompson, W. Andrew Mould, Karen Lane, Angeline Nanni, Michael Lacobelli, Matthew F. Sharrock, Lauren H. Sansing, Linda J. Van Eldik, Daniel F. Hanley

Neurology Faculty Publications

Patients with acute spontaneous intracerebral hemorrhage (ICH) develop secondary neuroinflammation and cerebral edema that can further damage the brain and lead to increased risk of neurologic complications. Preclinical studies in animal models of acute brain injury have shown that a novel small-molecule drug candidate, MW01-6-189WH (MW189), decreases neuroinflammation and cerebral edema and improves functional outcomes. MW189 was also safe and well tolerated in phase 1 studies in healthy adults. The proof-of-concept phase 2a Biomarker and Edema Attenuation in IntraCerebral Hemorrhage (BEACH) clinical trial is a first-in-patient, multicenter, randomized, double-blind, placebo-controlled trial. It is designed to determine the safety and tolerability …

Multiomics Analysis To Explore Blood Metabolite Biomarkers In An Alzheimer’S Disease Neuroimaging Initiative Cohort, Takaki Oka, Yuki Matsuzawa, Momoka Tsuneyoshi, Yoshitaka Nakamura, Ken Aoshima, Hiroshi Tsugawa, Alzheimer’S Disease Metabolomics Consortium

Neurology Faculty Publications

Alzheimer’s disease (AD) is a neurodegenerative disease that commonly causes dementia. Identifying biomarkers for the early detection of AD is an emerging need, as brain dysfunction begins two decades before the onset of clinical symptoms. To this end, we reanalyzed untargeted metabolomic mass spectrometry data from 905 patients enrolled in the AD Neuroimaging Initiative (ADNI) cohort using MS-DIAL, with 1,304,633 spectra of 39,108 unique biomolecules. Metabolic profiles of 93 hydrophilic metabolites were determined. Additionally, we integrated targeted lipidomic data (4873 samples from 1524 patients) to explore candidate biomarkers for predicting progressive mild cognitive impairment (pMCI) in patients diagnosed with AD …

Evaluating A Rapid Coaching Intervention Delivered Remotely: Teaching Naturalistic Language Strategies To A Parent Of Child With Down Syndrome, Pallie Gullett

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Parents of young children play a significant role in their child’s communication development during early childhood. Many parents of children with or at risk for disabilities could benefit from learning ways to promote their child’s communication. This study implemented a rapid coaching intervention to teach a parent of a child with Down syndrome how to implement naturalistic language strategies such as expanding on their child’s play, providing linguistic input during play, and arranging the environment to create an opportunity for their child to communicate.

Examining The Effects Of Technology-Signaled Noncontingent Reinforcement On Disruptive Behavior During Small-Group Instruction For Elementary Students With Autism Spectrum Disorder, Casey Ecklar

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study aims to expand upon existing research by examining the effects of teacher-implemented noncontingent reinforcement (NCR) through technology-signaled reinforcement breaks for elementary students with autism spectrum disorder (ASD) during small-group instruction. The primary research question guiding this inquiry is: Does the implementation of a technology-signaled NCR package, which delivers breaks on a fixed-time interval schedule, effectively reduce disruptive behavior among elementary students with ASD in a small group setting? By integrating technology into the reinforcement process, this study seeks to enhance engagement and minimize disruptive behaviors, thereby fostering a more conducive learning environment. The findings are expected to contribute …

Building Rural Resilience: A Rural And Farm Youth Safety And Well-Being Curriculum, Kelly Mcfarland

Theses and Dissertations--Community & Leadership Development

Mental health is a growing concern in today’s youth (CDC, 2023). The suicide rates in youth have been on a rise, increasing the need for mental health literacy (CDC, 2023). Mental health is often neglected in people’s lives, especially in rural areas (Boyd et al., 2008). This study answers four research questions: 1) Has the Building Rural Resilience: A Rural and Farm Youth Safety and Well-being Curriculum increased students' knowledge to recognize stress factors among rural communities and farmers? 2) Has the Building Rural Resilience: A Rural and Farm Youth Safety and Well-being Curriculum increased students' knowledge to recognize stress …

Cancer Survivorship Care In The United States At Facilities Accredited By The Commission On Cancer, Julia Stal, Kimberly A. Miller, Timothy W. Mullett, Judy C. Boughey, Amanda B. Francescatti, Elizabeth Funk, Heidi Nelson, David R. Freyer

Markey Cancer Center Faculty Publications

IMPORTANCE Since 2021, American College of Surgeons Commission on Cancer (CoC) accreditation standards require providing a survivorship program for patients with adult-onset cancer treated with curative intent. Since more than 70% of all patients with cancer in the US are treated at CoC-accredited facilities, this presents an opportunity for a landscape analysis of survivorship care availability.

OBJECTIVE To determine the prevalence, types, and outcomes of cancer survivorship services at CoC-accredited facilities.

DESIGN, SETTING, AND PARTICIPANTS This survey study used an anonymous, online, cross-sectional survey conducted from May 4 to 25, 2023. Participants were CoC-accredited facilities in the US representing diverse …

Nalfurafine Promotes Myelination In Vitro And Facilitates Recovery From Cuprizone + Rapamycin-Induced Demyelination In Mice, Ross Van De Wetering, Rabia Bibi, Andy Biggerstaff, Sheein Hong, Bria Pengelly, Thomas E. Prisinzano, Anne C. La Flamme, Bronwyn M. Kivell

Markey Cancer Center Faculty Publications

The kappa opioid receptor has been identified as a promising therapeutic target for promoting remyelination. In the current study, we evaluated the ability of nalfurafine to promote oligodendrocyte progenitor cell (OPC) differentiation and myelination in vitro, and its efficacy in an extended, cuprizone-induced demyelination model. Primary mouse (C57BL/6J) OPC-containing cultures were treated with nalfurafine (0.6–200 nM), clemastine (0.01–100 μM), T3 (30 ng/mL), or vehicle for 5 days. Using immunocytochemistry and confocal microscopy, we found that nalfurafine treatment increased OPC differentiation, oligodendrocyte (OL) morphological complexity, and myelination of nanofibers in vitro. Adult male mice (C57BL/6J) were given a diet con- taining …

The Potential Beneficial Role Of Anti-Platelet/Anti-Coagulant Medications On Diabetic Retinopathy: A Scoping Review Protocol, Sarah Draud, Qingjun Wang, Lauren E. Robinson

Markey Cancer Center Faculty Publications

Diabetic retinopathy (DR) is a prevalent microvascular complication of diabetes mellitus (DM, both types 1 and 2), affecting millions of individuals worldwide. DM is known to induce changes in platelet function and hemostasis, thereby elevating the risk of thrombotic incidents. The hyperglycemic environment in DM can trigger platelet hyperactivity, potentially exacerbating the onset and progression of DR. Despite the intricate pathophysiology of DR, which involves oxidative stress, inflammation, retinal neovascularization, and the disruption of the blood-retina barrier, the specific mechanisms underlying platelet hyperactivity in the microvasculature of DM patients remain inadequately explored. Antiplatelet and anticoagulation medications have proven beneficial in …

Ezh2 Inhibition Promotes Tumor Immunogenicity In Lung Squamous Cell Carcinomas, Tanner Ducote, Xiulong Song, Kassandra J. Naughton, Fan Chen, Daniel Plaugher, Avery R. Childress, Abigail R. Gellert, Erika M. Skaggs, Xufeng Qu, Jinze Liu, Jinpeng Liu, Fei Li, Kwok-Kin Wong, Christine F. Brainson

Markey Cancer Center Faculty Publications

Two important factors that contribute to resistance to immune checkpoint inhibitors (ICI) are an immune-suppressive microenvironment and limited antigen presentation by tumor cells. In this study, we examine whether in- hibition of the methyltransferase enhancer of zeste homolog 2 (EZH2) can increase ICI response in lung squamous cell carcinomas (LSCC). Our in vitro experiments using two-dimensional human cancer cell lines as well as three-dimensional murine and patient-derived organoids treated with two inhibitors of the EZH2 plus IFNγ showed that EZH2 inhibition leads to expression of both MHC class I and II (MHCI/II) expression at both the mRNA and protein levels. …

The Effect Of A Signal Peptidase Mutation On Protein Secretion By The Maize Anthracnose Pathogen Colletotrichum Graminicola, Renata Belisario

Theses and Dissertations--Plant Pathology

Colletotrichum graminicola infects maize during several phases of plant growth, resulting in anthracnose leaf blight, stalk rot, and top die-back diseases. This ubiquitous fungus has significant destructive potential and causes millions of dollars of losses annually in North America. Colletotrichum graminicola is hemibiotrophic and initially invades living host cells via biotrophic primary infection hyphae before switching to necrotrophy and inducing host cell death, host cell-wall degradation, and lesion development.

An insertional mutation in the 3’UTR region of a gene (Cpr1), which encodes a homolog of the noncatalytic SPC22/23 subunit of the endoplasmic reticulum associated signal peptidase complex, completely …

Crowdsourced Geospatial Data Is Reshaping Urban Sciences, Xiao Huang, Siqin Wang, Tianjun Lu, Yisi Liu, Leticia Serrano-Estrada

Earth and Environmental Sciences Faculty Publications

For many years, urban sciences relied heavily on traditional, authoritative data sources. However, a paradigm shift has occurred recently with the advent of citizen-driven data contribution. This evolution in data acquisition for urban science is attributable to advancements in positioning and navigation technologies, widespread use of digital devices, the rise of Web 2.0, enhanced broadband communications, and refined data management techniques. The significance of crowdsourced geospatial data in the realm of urban sciences is now widely acknowledged. A diverse array of novel data sources has been increasingly gaining prominence. These include, but are not limited to, social media platforms, street …

Crowdsourcing Geospatial Data For Earth And Human Observations: A Review, Xiao Huang, Siqin Wang, Di Yang, Tao Hu, Meixu Chen, Mengxi Zhang, Guiming Zhang, Filip Biljecki, Tianjun Lu, Lei Zou, Connor Y. H. Wu, Yoo Min Park, Xiao Li, Yunzhe Liu, Hongchao Fan, Jessica Mitchell, Zhenlong Li, Alexander Hohl

Earth and Environmental Sciences Faculty Publications

The transformation from authoritative to user-generated data landscapes has garnered considerable attention, notably with the proliferation of crowdsourced geospatial data. Facilitated by advancements in digital technology and high-speed communication, this paradigm shift has democratized data collection, obliterating traditional barriers between data producers and users. While previous literature has compartmentalized this subject into distinct platforms and application domains, this review offers a holistic examination of crowdsourced geospatial data. Employing a narrative review approach due to the interdisciplinary nature of the topic, we investigate both human and Earth observations through crowdsourced initiatives. This review categorizes the diverse applications of these data and …

Impacts Of Anthropogenic Sedimentation On Shell-Bed Habitats In Lake Tanganyika, Africa, Michael Soreghan, Andrew Cohen, Michael M. Mcglue, Kevin M. Yeager, Emily Ryan, Alison Johns, Ishmael Kimirei

Earth and Environmental Sciences Faculty Publications

Lake Tanganyika, in central Africa, contains a diverse and endemic fauna under threat from global climate change, overfishing, and nearshore sediment pollution. Previous studies of sediment pollution focused justifiably on impacts along rocky shorelines where diversity is high, but Lake Tanganyika also contains widespread shelly accumulations (shell beds) unprecedented in the modern East African lakes, but where impacts are less con- strained. Here we integrate multiple datasets from three sites along the Tanzanian shoreline to explore how variation in sedimentation rates and sediment quality impacts shell-bed substrate and diversity and abundance of ostracodes and sponges across sites that exhibit varying …

Synthesis, Characterization, And Performance Assessment Of Reusable And Biodegradable Antimicrobial Polymeric Membranes For Aerosolized Pathogen Inactivation And Filtration, Ebuka Ogbuoji

Theses and Dissertations--Chemical and Materials Engineering

Air filtration technology has proven effective in purifying air by trapping particulates which can cause adverse health effects. High Efficiency Particulate Air (HEPA) filters, capable of capturing over 99.99% of PM_0.3, are recommended for critical applications. However, conventional non-woven HEPA filters rely on electrostatic interactions to trap smaller particles, which can deplete over time or after cleaning, reducing filtration efficiency and posing health risks. Additionally, these filters contribute to plastic waste.

This dissertation investigated the feasibility of using flat sheet polymeric membranes fabricated via nonsolvent-induced phase separation (NIPS) as reusable and biodegradable alternatives to commercially available non-biodegradable air …

Combining Spatially Fractionated Radiation Therapy (Sfrt) And Immunotherapy Opens New Rays Of Hope For Enhancing Therapeutic Ratio, Qiuxia Lu, Weisi Yan, Alan Zhu, Slavisa Tubin, Waleed F. Mourad, Jun Yang

Radiation Medicine Faculty Publications

Spatially Fractionated Radiation Therapy (SFRT) is a form of radiotherapy that delivers a single large dose of radiation within the target volume in a heterogeneous pattern with regions of peak dosage and regions of under dosage. SFRT types can be defined by how the heterogeneous pattern of radiation is obtained. Immune checkpoint inhibitors (ICIs) have been approved for various malignant tumors and are widely used to treat patients with metastatic cancer. The efficacy of ICI monotherapy is limited due to the “cold” tumor microenvironment. Fractionated radiotherapy can achieve higher doses per fraction to the target tumor, and induce immune activation …

Evaluating The External Human-Machine Interface Of Autonomous Vehicles On Pedestrian Safety At Mid-Block Crossings: A Virtual Reality-Enabled Simulation Study, Zizheng Yan, Hong Yang, Junqing Wang

Kentucky Transportation Center Presentations

No abstract provided.

A Unified Framework For Calculation Of Surrogate Safety Metrics For Autonomous Vehicles In Work Zones, Marcus Putz, Sean Brennan

Kentucky Transportation Center Presentations

No abstract provided.

Multivariate Model Of Road Crashes For Vulnerable Users, Jonathan Agüero-Valverde, Darío Vargas Aguilar

Kentucky Transportation Center Presentations

No abstract provided.

Equitable Roadways: Analyzing Rural-Urban Road Safety In Nevada For Informed Strategic Planning, Khandaker Arafin Islam, Shashi Nambisan

Kentucky Transportation Center Presentations

No abstract provided.

Unintended Consequences: Changes In Driver Behavior Associated With The Adoption Of Advanced Driver Assistance Systems, Nischal Gupta, Peter T. Savolainen

Kentucky Transportation Center Presentations

Advanced driver assistance systems (ADAS) are a disruptive precursor to fully autonomous vehicles (AVs), which will have far-reaching impacts on the nature of travel. With various ADAS features becoming increasingly common in vehicles, some unintended changes in driving behavior are expected including engaging in more risk-taking behavior while driving. To that end, the present study utilizes survey-based data of 1,000 Michigan adults and investigates the likelihood of drivers engaging in three different driving behaviors- cell phone use, consumption of alcohol, and tailgating when driving a vehicle with collision alert systems by means of multivariate ordered probit regression analysis. Results showed …

Long-Term Cardiometabolic Effects Of Preconceptional And Prenatal Opioid Exposure In The Adult Offspring, Nermin Hassan Mohamed Selim Ahmed

Theses and Dissertations--Pharmacology and Nutritional Sciences

Opioid use disorder (OUD), one of the greatest public health threats in the US, requires urgent attention. In 2022, the CDC reported 107,941 overdose deaths, over 70% attributed to synthetic opioids such as fentanyl (FEN). An alarming increase in opioid use disorder (OUD) diagnoses in pregnant people resulted in a 5-fold rise in cases of neonatal opioid withdrawal syndrome (NOWS). This condition elicits sympathetic overactivity, neural hyperexcitability, and a stress reaction characterized by tachycardia and hypertension. Whether prenatal exposure to fentanyl induces cardiovascular dysfunction in the offspring remains undetermined, impeding the timely development of strategies to mitigate OUD-related health risks …

Using Agency Data For Research Development, Lou Hurst

Research Analytics Summit 2024

This session will explore ways to locate, analyze, and present sponsor-provided data to guide research development. Individual investigators, who may be proposing to a funder for the first time, often want to know about funding success rates, as well as more nuanced insight into the kinds of projects agencies tend to favor. They may also benefit from insight into changing workforce demographics and career trajectories in their discipline. At the departmental and institutional level, leadership seeks information about trends in funding availability and mechanisms, and in patterns of grants made, to better position themselves for these opportunities. As a research …