Digital Commons Network^™

Echo-Ct: An Interdisciplinary Videoconference Model For Identifying Potential Postdischarge Transition-Of-Care Events., Mariana R Gonzalez, Lauren Junge-Maughan, Lewis A Lipsitz, Amber Moore

Project ECHO Bibliography

BACKGROUND: Discharge from the hospital to a post-acute care setting can be complex and potentially dangerous, with opportunities for errors and lapses in communication between providers. Data collected through the Extension for Community Health Outcomes- Care Transitions (ECHO-CT) model were used to identify and classify transition-of-care events (TCEs).

METHODS: The ECHO-CT model employs multidisciplinary videoconferences between a hospital-based team and providers in post-acute care settings; during these conferences, concerns regarding the patient's care transition were identified and recorded. The videoconferences took place from January 2016 to October 2018 and included patients discharged from inpatient medical and surgical services to a …

Neutrosophic Sets And Systems, Vol. 40,2021, Florentin Smarandache, Mohamed Abdel-Basset, Said Broumi

Neutrosophic Sets and Systems

No abstract provided.

Dectin-1-Mediated Dc-Sign Recruitment To Candida Albicans Contact Sites, Rohan P. Choraghe, Aaron K. Neumann

Pathology Research and Scholarship

At host-pathogen contact sites with Candida albicans, Dectin-1 activates pro-inflammatory signaling, while DC-SIGN promotes adhesion to the fungal surface. We observed that Dectin-1 and DC-SIGN collaborate to enhance capture/retention of C. albicans under fluid shear culture conditions. Therefore, we devised a cellular model system wherein we could investigate the interaction between these two receptors during the earliest stages of host-pathogen interaction. In cells expressing both receptors, DC-SIGN was quickly recruited to contact sites (103.15% increase) but Dectin-1 did not similarly accumulate. Once inside the contact site, FRAP studies revealed a strong reduction in lateral mobility of DC-SIGN (but not …

Source Localization With Machine Learning, Arjun Gupta

Electrical and Computer Engineering ETDs

Source localization with sensor arrays have found applications across domains beginning with radar and sonar, astronomy, acoustics, bio-medical devices and more recently in autonomous cars and adaptive communication systems. The knowledge of the spatial spectrum not only provide information about the source and interference but also assists in increasing signal integrity and avoid interference. This provides an added degree of freedom in the form of spatial diversity. This research investigates spatial spectrum estimation of waveforms from the signals sampled by arbitrarily distributed sensors. Conventional high resolution algorithms such as root-MuSiC fails to perform accurate source localization due to the reliance …

Strength, Fracture Evolution, And Permeability Changes From Confined Brazilian Tests On Sandstone, Tyler Louis Hagengruber

Civil Engineering ETDs

This research reports on confined Brazilian strength tests and concurrent permeability testing on sandstone. The majority of the tests measured permeability during loading to failure in the confined extension region. Additional testing includes unloading and reloading cycles to detect the development of microcracks and the dependence of permeability on mixed stress conditions. Further testing characterizes fracture networks by observing porosity changes due to microcrack interactions before peak load. All tests involve 5 cm diameter disk-shaped, jacketed samples that are subjected to confining stresses while they are diametrically loaded. Specially designed end caps allow for gas flow measurements. The test configuration …

Harvard Crimson Interviews Vinay Harpalani: ‘Complete Switch In Position’: Legal Experts Say Biden Likely To Back Harvard In Race-Conscious Admissions Suit, Vinay Harpalani, Benjamin L. Fu, Vivi E. Lu

Faculty Scholarship

Many education and legal experts expect President-elect Joe Biden's Justice Department will extend support to universities — including Harvard — currently embroiled in legal challenges from anti-affirmative action group Students for Fair Admissions.

--

Vinay Harpalani, a law professor at the University of New Mexico, said he believes the Department of Justice will reverse course and file an amicus brief in support of Harvard if the case is appealed even further.

“If the case goes to the U.S. Supreme Court, I would expect the Biden administration to file an amicus brief in favor of Harvard — so complete switch in …

Early Introduction Of Trauma-Informed Care In A Medical School Curriculum, Anusara Carolyn Ice, Heather Metcalf, Rachel Mnuk

HSC Education Days

The long-term effects of trauma are pervasive among patients, manifesting as chronic conditions, maladaptive behaviors, and non-adherence to care. One way to improve health outcomes is through implementation of universal trauma-informed care (TIC). TIC is a strengths-based care delivery approach focused on recovery and healing through safe, collaborative relationships between patients and healthcare providers. Awareness of TIC is essential for practicing clinicians. TIC is often incorporated into discussions related to OB/GYN; however, all specialties care for patients who have experienced trauma. The UNM medical school curriculum does not include focused TIC content for Phase I students. Medical students should develop …

Escaping The Boredom Of Online Learning: The Implementation Of Virtual Escape Rooms, Sarah Patel

HSC Education Days

Educational innovations are necessary to improve student learning outcomes and motivation. However, the COVID-19 pandemic created barriers in implementing in-person strategies to facilitate students’ understanding and application of course material. To promote educational content delivery in online learning, the College of Nursing faculty have implemented revolutionary teaching methods, including escape rooms, to enhance students’ virtual learning experiences. Escapes rooms allow students to apply clinical judgement skills to escape a virtual room by integrating knowledge gained from course content. In person escape rooms promote team work principles for individuals to gather clues to “escape” their room or environment. The same techniques …

Impact Of Virtual Curriculum On Shelf Exams, Stephen Esguerra, Fiona Thuy Nguyen, Joyce Pang, Bradley Pickett, Ming Li Wang

HSC Education Days

The COVID-19 pandemic has drastically transformed the third-year medical school curriculum. Due to the AAMC and public agencies’ guidelines, there was an abrupt cessation of teaching medical students in the clinical setting. At the UNM SOM, students were transitioned to a hybrid curriculum consisting of 6 months of 3-week virtual clerkships followed by 6 months of clinical clerkships. At the end of each virtual rotation, students were required to take the NBME shelf exams. This study aims to examine the difference between the shelf exam scores of the class of 2022 to the class of 2021 and 2020 students. De-identified …

Virtual Radiology Education During The Covid-19 World Pandemic, S Elman, Jennifer S. Weaver

HSC Education Days

The COVID-19 pandemic necessitated a paradigm shift in traditional radiology education. Conventional teaching and imaging review at the Picture Archive and Communication System (PACS) workstation and didactic group lectures/case conferences are no longer feasible due to physical distancing requirements. We will discuss our implementation of a videoconferencing system, including web cameras for virtual PACS image review and teaching as well as for didactic lectures/case conferences. We discuss the importance of social inclusiveness and well-being in radiology education while physically distanced, to prevent feelings of isolation. Many faculty and learners reported virtual PACS learning is nearly identical to in person learning. …

Virtual Introductory Lecture Series For First Year Radiology Residents During The Covid-19 World Pandemic, Tim Naney, S Elman, Jennifer S. Weaver

HSC Education Days

Physical distancing requirements of the COVID-19 pandemic can result in increased educational and social stresses on first year radiology residents. Faculty can no longer easily welcome and quickly integrate new residents into the radiology department via social events at the beginning of the academic year due to limitations of physical distancing requirements. Interactions between new residents and faculty/senior residents in the reading room has also been limited due to physical distancing requirements. As a result, we developed a virtual introductory lecture series for our first year residents to introduce them to key elements of radiology education, rotation expectation, and daily …

Valued Information Resources When Making Diagnoses: The Experiences Of Medical Students In A Clinical Reasoning Course, Jonathan D. Eldredge, Laura J. Hall, Sumit J. Patel

HSC Education Days

OBJECTIVES: The clinical reasoning process, aimed at making an accurate diagnosis, represents a complex activity. No studies to date have reported on how medical students harness existing information resources in their clinical reasoning courses to arrive at correct diagnoses. This study fills that gap. METHODS: Cross Sectional Study. An anonymous survey asked students to recall their most useful information resources halfway through their three clinical reasoning courses. Students then were asked to evaluate the comparative usefulness of these selected resources. Finally, students reported on those resources that they no longer found useful. This survey sought to learn what information resources …

Creative Activities For Trying Times, Crystal Sanchez, Christopher Nelson

HSC Education Days

Teaching during a pandemic calls for some restructuring of traditional in-person classes and a great deal of creativity. The amount of time that students are spending online has increased dramatically, and with that comes an increased effort to keep students engaged. The traditional case study is a great teaching tool but it can be difficult to manage in a large classroom, and requires a specific progression to answer all the questions. A segmented unfolding case study is one option. Each student group is given a portion of the patient’s story along with critical thinking questions. This allows for the class …

A Randomized Control Trial To Test A Peer Support Group Approach For Reducing Social Isolation And Depression Among Female Mexican Immigrants, Janet Page-Reeves, Cristina Murray-Krezan, Lidia Regino, Jackie Perez, Molly Bleecker, Daniel Perez, Bill Wagner, Susan Tigert, Elaine L. Bearer, Cathleen E. Willging

Pathology Research and Scholarship

BACKGROUND: Female Mexican Immigrants (FMIs) experience high rates of depression compared with other populations. For this population, depression is often exacerbated by social isolation associated with the experience of immigration. Aim 1. To measure whether a culturally situated peer group intervention will reduce depression and stress associated with the experience of immigration. Aim 2. To test whether an intervention using a "women's funds of knowledge" approach results in improved resilience, knowledge and empowerment. Aim 3. To investigate whether a culturally situated peer group intervention using a women's funds of knowledge approach can give participants a sense and experience of social …

Answer Note “A Novel Method For Solving The Fully Neutrosophic Linear Programming Problems: Suggested Modifications”, Ranjan Kumar, Seyyed Ahmad Edalatpanah, Sudipta Gayen, Said Broum

Neutrosophic Sets and Systems

No abstract provided.

Modeling Customer Lifetime Value Under Uncertain Environment., Eman Aboelhamd, Mohamed Abdel-Basset, Hamed M. Shamma, Mohamed Saleh, Ihab El-Khodary

Neutrosophic Sets and Systems

No abstract provided.

Issues Of Diversity And Inclusion In Torts Cases, Carol M. Suzuki

Faculty Book Display Case

Drawing upon the experience of faculty from across the country, Integrating Doctrine and Diversity is a collection of essays with practical advice, written by faculty for faculty, on specific ways to integrate diversity, equity and inclusion into the law school curriculum. Chapters will focus on subjects traditionally taught in the first-year curriculum (Civil Procedure, Constitutional Law, Contracts, Legal Writing, Legal Research, Property, Torts) and each chapter will also include a short annotated bibliography curated by a law librarian. With submissions from over 40 scholars, the collection is the first of its kind to offer reflections, advice and specific instruction on …

Impact Of A Multidisciplinary Workflow On Safety And Management Of Patients With Heparin-Induced Thrombocytopenia, Sheh-Li Chen, Andrew P. Stivers, Jonathan D. Cicci, Tanner L. Hedrick, Marian A. Rollins-Raval, Raj S. Kasthuri, Kalynn A. Northam

Pathology Research and Scholarship

PURPOSE: Heparin-induced thrombocytopenia (HIT) is a serious complication of heparin administration. Management strategies are complex and include discontinuing heparin products, initiating alternative anticoagulants, interpreting laboratory test results, documenting heparin allergies, and providing patient education. Medication error reports and a retrospective review conducted at an academic medical center revealed an opportunity for a quality improvement initiative and led to the creation of a multidisciplinary workflow for the management of HIT. In a pre-post study, the impact of the multidisciplinary workflow on the safety and management of HIT was evaluated.

METHODS: The preimplementation group consisted of adult patients tested for suspected HIT …

Entrustable Professional Activities In Hematopathology Pathology Fellowship Training: Consensus Design And Proposal, Kristie White, Julianne Qualtieri, Elizabeth L. Courville, Rose C. Beck, Bachir Alobeid, David R. Czuchlewski, Julie Teruya-Feldstein, Lorinda A. Soma, Sonam Prakash, Dita Gratzinger

Pathology Research and Scholarship

Hematopathology fellowship education has grown in complexity as patient-centered treatment plans have come to depend on integration of clinical, morphologic, immunophenotypic, molecular, and cytogenetic variables. This complexity is in competition with the need for timely hematopathology care with stewardship of patient, laboratory, and societal resources. Accreditation Council for Graduate Medical Education Milestones provide a guidance document for hematopathology training, but fellows and their educators are in need of a simple framework that allows assessment and feedback of growth toward independent hematopathology practice. Entrustable professional activities provide one such framework, and herein, we provide proposed Hematopathology Fellowship Entrustable Professional Activities based …

Statistical Modeling Of Hpc Performance Variability And Communication, Jered B. Dominguez-Trujillo

Computer Science ETDs

Understanding the performance of parallel and distributed programs remains a focal point in determining how compute systems can be optimized to achieve exascale performance. Lightweight, statistical models allow developers to both characterize and predict performance trade-offs, especially as HPC systems become more heterogeneous with many-core CPUs and GPUs. This thesis presents a lightweight, statistical modeling approach of performance variation which leverages extreme value theory by focusing on the maximum length of distributed workload intervals. This approach was implemented in MPI and evaluated on several HPC systems and workloads. I then present a performance model of partitioned communication which also uses …

Nature’S Personhood And Property’S Virtues, Laura Spitz, Eduardo M. Peñalver

Faculty Scholarship

This Article evaluates the strategy of claiming personhood for natural objects as a way to advance environmental goals in the United States. Using the Colorado River Ecosystem v. Colorado litigation as the focus, we explore the normative foundation of the claim—elements of nature are legal persons—and the work personhood is being asked to do by the plaintiff and other environmental activists. We identify three possibilities: procedural work, substantive work, and rhetorical work. Of those, we suggest the plaintiff’s strongest case is rhetorical. We say this not only because it will likely be difficult to convince a judge to extend standing …

2021 Multi-Sector General Permit Stormwater Pollution Prevention Plan V.1, Notice Of Intent, 2020 Msgp Annual Report, National Technology & Engineering Solutions Of Sandia

2015 Multi-Sector General Permit

Stormwater discharges from industrial activities at Sandia National Laboratories/New Mexico (SNL/NM) are eligible for coverage under the National Pollutant Discharge Elimination System (NPDES) Multi-Sector General Permit (MSGP). This Stormwater Pollution Prevention Plan (SWPPP) was prepared by National Technology and Engineering Solutions of Sandia (NTESS) for the Department of Energy (DOE) National Nuclear Security Administration (NNSA) Sandia Field Office (SFO), owner of SNL/NM, located in Albuquerque, NM. This SWPPP was prepared in compliance with the 2021 MSGP (effective March 1, 2021) and includes a description, potential pollutant sources, and control measures for each permitted site; and stormwater monitoring and compliance plans.

A Standardized Protocol For The Comprehensive Assessment Of Dental Hygiene Work, Shawn C Roll, Mark E Hardison, Jane L Forrest, Nikki L Colclazier, Joyce Y Sumi, Nancy A Baker

Pediatrics Research and Scholarship

BACKGROUND: Work-related musculoskeletal disorders are prevalent in dental hygienists. Although engineering controls and ergonomic training is available, it is unclear why this intransigent problem continues. One possible barrier is that a comprehensive, standardized protocol for evaluating dental hygiene work does not exist.

OBJECTIVE: This study aimed to generate a valid and reliable observational protocol for the assessment of dental hygiene work.

METHODS: An iterative process was used to establish and refine an ecologically valid video acquisition and observation protocol to assess key activities, tasks, and performance components of dental hygiene work.

RESULTS: Good inter-rater reliability was achieved across all variables …

Acoma Pueblo Tribal Court Handbook (2021), Tribal Law Journal Staff

Tribal Law Journal

This handbook helps take some of the mystery out of practicing in tribal courts. Without the necessary information to learn new rules and protocols many attorneys are understandably reluctant to practice in a new jurisdiction. As a result, tribal courts are underused or misused. This handbook is intended to help attorneys and advocates become more aware of the various individual tribal court systems and to learn their rules and protocol.

Taos Pueblo Tribal Court Handbook (2021), Tribal Law Journal Staff

Tribal Law Journal

This handbook helps take some of the mystery out of practicing in tribal courts. Without the necessary information to learn new rules and protocols many attorneys are understandably reluctant to practice in a new jurisdiction. As a result, tribal courts are underused or misused. This handbook is intended to help attorneys and advocates become more aware of the various individual tribal court systems and to learn their rules and protocol.

A Call To Action For Librarians: Countering Conspiracy Theories In The Age Of Qanon, Stephanie Beene, Katie Greer

University Libraries & Learning Sciences Faculty and Staff Publications

Librarians empower learners to become discerning citizens through a set of diverse skills and literacies. To cultivate critical thinkers, librarians continue to build innovative practices, even as technology rapidly evolves. However, the pervasiveness of misinformation and disinformation, most recently seen in the conspiratorial worldviews of QAnon, challenges librarians to center critical thinking in their information literacy praxis. In this article, we provide a concise overview of QAnon and the problems that contemporary internet conspiracy theories like it pose. We offer an epistemological shift for information literacy, from heuristics to mindsets and behaviors, drawing on disciplines external to librarianship. Finally, we …

Florid Mesothelial Hyperplasia Associated With Abdominal Wall Endometriosis Mimicking Invasive Carcinoma, Edgar G. Fischer, Shweta Agarwal

Pathology Research and Scholarship

Florid mesothelial hyperplasia typically occurs in the pelvis, abdomen, or chest associated with an underlying neoplastic or inflammatory process. These lesions are of clinical significance because they can mimic a neoplasm. Early reports were published in the 1970s, but only a few case series of such lesions have been published in the gynecologic pathology literature. Here, we report a case of florid mesothelial hyperplasia with an infiltrative growth pattern, mimicking an invasive carcinoma. The lesion was associated with endometriosis forming a mass lesion in the abdominal wall. Histologically, tubular arrangements and nests of mesothelial cells, some with artifactual slit-like spaces, …

Recommendations For Clinical Laboratory Testing For Protein S Deficiency: Communication From The Ssc Committee Plasma Coagulation Inhibitors Of The Isth, Richard A. Marlar, Jana N. Gausman, Hiroko Tsuda, Marian A. Rollins-Raval, Herm Jan M. Brinkman

Pathology Research and Scholarship

Hereditary deficiencies of protein S (PS) increase the risk of venous thrombosis; however, assessing the plasma levels of PS can be difficult because of its complex physiological interactions in plasma, sample-related preanalytical variables, and numerous acquired disease processes. Reliable laboratory assays are essential for accurate evaluation of PS when diagnosing a congenital deficiency based on the plasma phenotype alone. This report presents the current evidence-based recommendations for clinical PS assays as well as when to test for PS abnormalities.

Circhomer1 Has Biomarker Potential For Cortical Dysfunction In Psychiatric Disease, Amber Zimmerman, Alexander Hafez, Jason P. Weick, Nora Perrone-Bizzozero, Nikolaos Mellios, Jonathan Brigman

Brain & Behavioral Health Research Day

Circular RNAs (circRNAs) are an emerging class of long non-coding RNAs with complex regulatory potential that can impact gene expression and function. However, the vast majority of circRNAs have not been characterized and little is known about their function in the brain despite their abundance in cortical tissue. Recent work has focused on circRNAs as biomarkers for disease and therapeutics due to their increased stability since their biogenesis through backsplicing renders them resistant to RNA degradation. CircRNAs are developmentally regulated and differentially regulated in brain disorders including Alzheimer’s Disease (AD) and schizophrenia (SCZ). While plasticity-related protein-coding genes have been associated …

Neural Network Based Occupancy Prediction Using Patterns Detected In Wifi Occupancy, Krishna Chaitanya Jagadeesh Simma, Thomas P. Caudell, Susan M. Bogus

Civil Engineering Faculty Publications

The role of occupants in building energy management is well established. Occupant information from commercial buildings can function as a metric for the heating, ventilation, and air conditioning (HVAC) loads. Predicting these loads ahead in time could aid in setting up HVAC protocols to minimize wasteful energy demand and improve occupant comfort. To this extent, several frameworks were proposed that use occupancy data collected from commercial office buildings and graduate student offices to predict occupancy. However, the occupancy data collected in these frameworks are controlled and have limited complexity compared to larger commercial spaces such as airports, libraries, lecture halls, …