Digital Commons Network^™

Multiscale Model Of Regional Population Decline In Little Brown Bats Due To White-Nose Syndrome, Andrew M. Kramer, Claire S. Teitelbaum, Ashton Griffin, John M. Drake

Integrative Biology Faculty and Staff Publications

1. The introduced fungal pathogen Pseudogymnoascus destructans is causing decline of several species of bats in North America, with some even at risk of extinction or extirpation. The severity of the epidemic of white-nose syndrome caused by P. destructans has prompted investigation of the transmission and virulence of infection at multiple scales, but linking these scales is necessary to quantify the mechanisms of transmission and assess population-scale declines.
2. We built a model connecting within-hibernaculum disease dynamics of little brown bats to regional-scale dispersal, reproduction, and disease spread, including multiple plausible mechanisms of transmission.
3. We parameterized the model using the approach of …

Multiscale Model Of Regional Population Decline In Little Brown Bats Due To White-Nose Syndrome, Andrew M. Kramer, Claire S. Teitelbaum, Ashton Griffin, John M. Drake

Integrative Biology Faculty and Staff Publications

1. The introduced fungal pathogen Pseudogymnoascus destructans is causing decline of several species of bats in North America, with some even at risk of extinction or extirpation. The severity of the epidemic of white-nose syndrome caused by P. destructans has prompted investigation of the transmission and virulence of infection at multiple scales, but linking these scales is necessary to quantify the mechanisms of transmission and assess population-scale declines.
2. We built a model connecting within-hibernaculum disease dynamics of little brown bats to regional-scale dispersal, reproduction, and disease spread, including multiple plausible mechanisms of transmission.
3. We parameterized the model using the approach of …

Minimum Information About An Uncultivated Virus Genome (Miuvig), Simon Roux, Evelien Adriaenssens, Bas Dutilh, Eugene Koonin, Andrew Kropinski, Mart Krupovic, Mya Breitbart, Karyna Rosario

Marine Science Faculty Publications

We present an extension of the Minimum Information about any (x) Sequence (MIxS) standard for reporting sequences of uncultivated virus genomes. Minimum Information about an Uncultivated Virus Genome (MIUViG) standards were developed within the Genomic Standards Consortium framework and include virus origin, genome quality, genome annotation, taxonomic classification, biogeographic distribution and in silico host prediction. Community-wide adoption of MIUViG standards, which complement the Minimum Information about a Single Amplified Genome (MISAG) and Metagenome-Assembled Genome (MIMAG) standards for uncultivated bacteria and archaea, will improve the reporting of uncultivated virus genomes in public databases. In turn, this should enable more robust comparative …

Pepper Mild Mottle Virus: Agricultural Menace Turned Effective Tool For Microbial Water Quality Monitoring And Assessing (Waste)Water Treatment Technologies, Erin Symonds, Karyna Rosario, Mya Breitbart

Marine Science Faculty Publications

No abstract provided.

Winter Habitats Of Bats In Texas, Melissa B. Meierhofer, Joseph S. Johnson, Samantha J. Leivers

KIP Articles

Few studies have described winter microclimate selection by bats in the southern United States. This is of particular importance as the cold-adapted fungus, Pseudogymnoascus destructans, which causes the fatal bat disease white-nose syndrome (WNS), continues to spread into southern United States. To better understand the suitability of winter bat habitats for the growth of P. destructans in this region, we collected roost temperature and vapor pressure deficit from 97 hibernacula in six ecoregions in Texas during winter 2016–17 and 2017–18. We also measured skin temperature of Rafinesque’s big-eared bats (Corynorhinus townsendii), Townsend’s big-eared bats (C. townsendii), big-brown bats (Eptesicus fuscus), …

Gram-Negative Rod Skin And Soft-Tissue Infections Following Breast Tissue Expander Surgery In Breast Cancer Patients, Ju Hee Katzman, Sadaf Aslam, Donna Mae M Pate, Nicole Guidish, Shelby Power, Clarissa Maravilla, Janelle Perkins, John Greene

Internal Medicine Faculty Publications

Background: Breast cancer patients who undergo tissue expander surgery (TES) are at an increased risk of developing gram-negative rod (GNR) skin and soft-tissue infection (SSIs) and its complications including prolonged antibiotic therapy, antibiotics side effects, and implant removal. Current perioperative antimicrobials focus mostly on gram-positive organisms, but the presence of a foreign body increases the risk of GNR SSI. We describe here the most common GNR bacteria and their susceptibility patterns that cause SSI after TES among breast cancer patients. Methods: We conducted a retrospective cohort study at Moffitt Cancer Center, Tampa, FL from January 2016, to January 2018, on …

Comparison Of Access And Linkage To Care Among People Living With Human Immunodeficiency Virus When Enrolled In Florida Aids Drug Assistance Program (Adap), Greg Matthew E Teo, Nisha Sunku, Suraj Nagaraj, Sadaf Aslam, Rahul Mhaskar, Liwei Chen, Zhi Zhou, Robert L. Cook, Jamie P. Morano, Charurut Somboonwit

Internal Medicine Faculty Publications

Background: The Southeast region of the United States contains nine out of the 10 states with the most severe syndemic of poverty and HIV infection.1 The Florida AIDS Drug Assistance Program (FL-ADAP) and Ryan White network are crucial for linkage to care services. Data from FL-ADAP are available but seldom published; thus this study quantifies this program’s impact on Florida PLWH access and linkage to care.

Methods: Data were obtained from the Florida Cohort, an ongoing cross-sectional survey among health clinics across the State of Florida from 2015 to 2018. Chi-square and binomial multivariate logistic regression analyses correlated anti-retroviral therapy …

Comparison Of Demographics And Risk Factors Between Strongyloides Stercoralis Seropositive And Seronegative Solid-Organ Transplant Candidates: Experience From A Tertiary Acute Care Center In Florida, Carlos J. Perez-Lopez, Sally Alrabaa, Sadaf Aslam, Greg Matthew E Teo, Teayoung Kim, Tea Reljic

Internal Medicine Faculty Publications

Background: Strongyloides stercoralis is a nematode endemic to the tropical and subtropical regions. In the United States, it is mostly found at southeastern states. Most infections are asymptomatic but disseminated and fatal infections have been reported in immunocompromised patients. At our institution, universal screening through Strongyloides antibody detection in serum among solid-organ transplant candidates began since 2010 and all seropositive candidates are treated before transplantation. We previously determined our incidence to be about 5%. The aim of this study was to determine demographic characteristics and risk factors that can be used for more cost-effective targeted screening.

Methods: We performed a …

A Case Series Of Staphylococcus Lugdunensis Infection In Cancer Patients At An Academic Cancer Institute In The United States, Dae Hyun Lee, Olga Klinkova, Jong-Wook Kim, Sowmya Nanjappa, John N. Greene

Internal Medicine Faculty Publications

Background: Staphylococcus lugdunensis is a coagulase-negative staphylococcus (CoNS) that is a part of the normal human skin flora. Even though it belongs to CoNS family, it can cause severe and destructive infections in a similar fashion to Staphylococcus aureus. Skin and soft tissue infections (SSTI), bacteremia and endocarditis are amongst the most common clinical presentations. Diagnosis and clinical presentation of infections caused by S. lugdunensis in cancer patients is limited. Materials and Methods: We performed a retrospective chart review of 24 patients who had cultures positive for S. lugdunensis. Out of 24 patients, 14 patients were diagnosed with …

Nocardia Bejingensis: A Novel Isolate Affecting Immunocompromised Patients In The United States, Shylah M. Moore-Pardo, Johonna Asquith, Sadaf Aslam, Cynthia Mayer, John Greene, Sally Alrabaa

Internal Medicine Faculty Publications

Background: Nocardia species can cause localized or disseminated disease in humans. Infection results from direct inoculation or inhalation. In recent years, several new species have been identified via molecular methods. Further speciation is crucial as each organism has its own spectrum of disease and unique antibiotic susceptibility patterns. Immunosuppression, alcoholism, and certain lung diseases are well-established risk factors for nocardiosis. In fact, cases have incremented in association with increasing population of immunocompromised hosts as well as improved methods for detection and identification. Thus, Nocardia species may be considered opportunistic pathogens.

Nocardia bejingensis was first isolated in 2001 by Wang et …

The Epidemiology, Demographics, And Geographical Distribution Of Human Non-Tuberculosis Mycobacteria (Ntm) Disease In The Endemic Central Florida Region, Cristina Vanessa, Greg Matthew E. Teo, Jamie P. Morano, Beata Casanas, Sadaf Aslam, Jose Montero, Kristen Zeitler, Ripal Jariwala, Anthony Cannella

Internal Medicine Faculty Publications

Background: Of the >100,000 people in the United States infected yearly with non-tuberculosis mycobacteria (NTM), Florida has the highest yearly incidence and prevalence of NTM disease. However, little has been documented on the epidemiology and distribution of NTM disease within Central Florida. Methods: A retrospective case review study was conducted from January, 2011 to December, 2017 at a large tertiary acute care medical center in Tampa, Florida to identify all NTM infection cases. Demographics (age, sex at birth, ethnicity), comorbidities, HIV testing status, residential zip code, NTM species, and specimen sources were collected. Results: Of the 507 isolates, Mycobacterium abscessus …

A Case Of Allergic Bronchopulmonary Aspergillosis (Abpa) In A Patient With A History Of Cocaine Use And Tuberculosis, Noura Ayoubi, Samuel Jalali, Nikesh Kapadia

Internal Medicine Faculty Publications

Aspergillosis refers to a spectrum of disorders that can occur due to colonization with the Aspergillus fungus. Allergic bronchopulmonary aspergillosis (ABPA) is an airway hypersensitivity reaction to the fungus that is almost exclusively seen in patients with cystic fibrosis or asthma. Here, we present a case of ABPA in a patient with a history of chronic cocaine use and tuberculosis and no history of asthma or cystic fibrosis. The patient had presented with progressively worsening dyspnea for three months as well as a 20-pound weight loss. Diagnosis was made with an elevated IgE against Aspergillus and chest CT findings, which …

The Utility Of Double Balloon Urinary Catheter In Reducing Rates Of Catheter-Associated Urinary Tract Infections In A Tertiary Care Teaching Hospital, Ju Hee Katzman, Cristina Vanessa Garcia, Seetha Lakshmi, Peggy Thompson, Lennox Archibald

Internal Medicine Faculty Publications

Background: Catheter-associated urinary tract infections (CAUTI) have been shown to increase hospital length of stay, healthcare costs, morbidity, and mortality. Studies that evaluate the role of urinary catheter design in preventing CAUTI are lacking. One such design is the double-balloon (DB) urinary catheter that has a second distal balloon; this design is aimed at reducing mucosal injury and inhibiting coiling of the in situ catheter. We carried out a comparative study to (a) determine whether CAUTI rates differ for different types of urinary catheters, and (b) identify risk factors associated with the acquisition of CAUTI in patients with DB vs. …

Incorporating Electronic Medical Record Hard Stops To Reduce Inappropriate Clostridioides Difficile Testing At An Academic Medical Center: A Quality Improvement Study, Seetha Lakshmi, Kimberly Atrubin, Andrew Myers, Jonathan Teter, Ripal Jariwala, Kristen Zeitler, Laura Haubner, Terri Ashmeade, Maya Balakrishnan

Internal Medicine Faculty Publications

Background:

Clostridioides difficile is the most common pathogen causing healthcare-associated infections. This study highlights the multi-disciplinary efforts to reduce C. difficile infections (CDI) at a large, tertiary care teaching facility. Methods:

A quality improvement study was performed between March 2017 and April 2018, using six Plan-Do-Study-Act cycles that included transmission prevention, diagnostic stewardship, education, and antimicrobial stewardship. Process measures included hand hygiene, isolation precautions, low-level disinfection compliance, number of tests ordered, lab cancelation of tests, and compliance with the Electronic Medical Record (EMR) hard stop for patients with laxative use, and negative C.difficile test in the past 7 days. Results: …

T2mr: A New Tool For Anti-Fungal Stewardshi, Ripal Jariwala, Kristen Zeitler, Jose Montero

Internal Medicine Faculty Publications

Background: Candidemia is associated with mortality rates between 30 and 50%. T2 magnetic resonance assay (T2MR) is a costly, rapid diagnostic technology that can detect the five most common Candida species in blood with a sensitivity of 91% and specificity of 99.4%. The clinical role of this tool remains unclear but this study shares our clinical experience with T2MR.

Methods: We conducted a retrospective chart review of patients with T2MR testing performed from April 25, 2017 through April 25, 2018. T2MR ordering was restricted to Infectious Diseases pharmacists and physicians without specific ordering criteria. Variables cataloged included the time between …

Impact Of Availability Of Telehealth Programs On Documented Hiv Viral Suppression: A Cluster-Randomized Program Evaluation In The Veterans Health Administration, Michael E. Ohl, Kelly Richardson, Maria C. Rodriguez-Barradas, Roger Bedimo, Vincent Marconi, Jamie P. Morano, Michael P. Jones, Mary Vaughan-Sarrazin

Internal Medicine Faculty Publications

Background: Telehealth may improve care for people with HIV who live far from HIV specialty clinics. We conducted a cluster-randomized evaluation to determine the impact of availability of HIV telehealth programs on documented viral suppression in Veterans Administration clinics. Methods: In 2015–2016, people who previously traveled to HIV specialty clinics were offered telehealth visits in nearby primary care clinics. Patients were cluster-randomized to immediate telehealth availability (n = 925 patients in service areas of 13 primary care clinics offering telehealth) or availability 1 year later (n = 745 patients in 12 clinics). Measures during the evaluation year included telehealth use …

Distinct Effects Of Acute Versus Chronic Corticosterone Exposure On Zebra Finch Responses To West Nile Virus, Lynn B. Martin, Meredith E. Kernbach, Thomas R. Unnasch

Internal Medicine Faculty Publications

Wild animals are exposed to both short- (acute) and long-term (chronic) stressors. The glucocorticoid hormones, such as corticosterone (CORT), facilitate coping with such stressors, but these hormones can have quite distinct effects contingent on the duration of their elevation. Previously, we found that experimental elevation of CORT for 2 days (via implantation) affected zebra finch (Taeniopygia guttata) responses to West Nile virus (WNV). CORT-elevated birds had higher viremia for at least 2 days longer than controls, and West Nile virus (WNV)-associated mortality occurred only in CORT-elevated birds. Here, we queried how acute elevations of CORT, via injection an …

A Case Series Of Elizabethkingia Meningosepticum Bacteremia In The Cancer Population, Dae Hyun Lee, Ishita Mehra, Sanjay Chandrasekhar, Abu-Sayeef Mirza, Rahul Shenoy, Annie Topham, Sowmya Nanjappa, John Greene

Internal Medicine Faculty Publications

Background :Elizabethkingia meningosepticum (E. meningosepticum) is a ubiquitous microorganism previously known as Chryseobacterium meningosepticum. It is emerging as a pathogen responsible for bacteremia in immunocompromised patients such as cancer patients especially those with a history of prolonged hospital stay and frequent instrumentations. Methods: A retrospective chart review of all cases over 10 years in Moffitt Cancer Center showed a total of three patients with E. meningosepticum infection. Results: First patient (history of multiple myeloma) underwent endoscopy complicated by aspiration pneumonia and blood culture positive for E. meningosepticum infection. He was treated with ciprofloxacin, cefoxitin, minocycline and metronidazole and was …

Outcomes Of Extended-Spectrum Β-Lactamase-Producing Escherichia Coli Bloodstream Infection In Neutropenic Patients With Hematological Malignancies, Sadaf Aslam, James Denham, John Greene

Internal Medicine Faculty Publications

Background: Infections with extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae is an emerging problem leading to poor clinical outcomes and increased mortality. The purpose of this study was to determine the prevalence, risk factors and outcomes of ESBL-producing E. coli (EC) in bloodstream infections (BSIs) of neutropenic patients with hematological malignancies and compare the difference with Non-ESBL producing EC.

Methods: Through an IRB approved protocol, a retrospective cohort study was conducted at the H. Lee Moffitt Cancer Center from January, 2007 till October, 2017. Of the 310 records, who had +ive blood cultures for E. Coli, a total of 63 neutropenic patients …

The Impact Of Recent Incarceration On Post-Release Hiv Linkage To Care And Risk-Taking Behaviors In The Setting Of Enhanced Linkage To Care Policies In Florida, Greg Matthew E Teo, Suraj Nagaraj, Nisha Sunku, Sadaf Aslam, Rahul Mhaskar, Liwei Chen, Zhi Zhou, Robert L. Cook, Jamie P. Morano, Charurut Somboonwit

Internal Medicine Faculty Publications

Background: The United States has the largest incarcerated population in the world with 6.61 million adults in 2016.1 While incarceration is a known risk factor for difficulties in linkage to care2–3 and adverse health outcomes4–6, little is published on post-release incarcerated persons living with HIV (PLWH) in Florida.

Methods: Data were acquired from the Florida Cohort, an ongoing, longitudinal, cross-sectional study of PLWH recruited across HIV clinics in the state of Florida, from 2014 to 2018. Chi-square and multiple regression analyses correlated recent incarceration (within last 12 months) with demographics, HIV care adherence, perceived barriers to care, and self-reported high-risk …

Pyoderma Gangrenosum Following Pacemaker Implantation: A Case Report And Review Of Literature, Noura Ayoubi, Zaydi Javeed, Raymond Cutro, Brooke T. Baldwin

Internal Medicine Faculty Publications

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions. Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations. Here, we present a case of PG following pacemaker implantation. A 76-year-old male with a history of rheumatoid arthritis presented to the cardiology team with symptomatic bradycardia. Indications for implantation were met, and the procedure was performed in a routine fashion. The patient returned to clinic for follow-up four days later, complaining of pain at the incision site, coupled with erythema and purulent drainage. Consultations with …

Infectious Complications In Adult Leukemic Patients With Prolonged Neutropenia Undergoing Induction Chemotherapy, Vidhya Sabapathy, Olga Klinkova, Joseph Balbona, John Greene

Internal Medicine Faculty Publications

Background: Induction chemotherapy in patients with the diagnosis of acute leukemia is associated with a high incidence of infectious complications. While prior studies provide information regarding infectious complications in this patient population, more research is needed to evaluate infection complications in a subgroup of leukemic patients with prolonged neutropenia who often require repeat induction chemotherapy.

Methods: This was a retrospective analysis of 61 patients ages 18–85, between January 1, 2010 and March 14, 2018 who were diagnosed and being treated for acute leukemia. All selected patients experienced severe neutropenia (defined as absolute neutrophil count <500/μL) for ≥7 days. 33 patients underwent their first induction chemotherapy while 28 patients underwent repeat induction chemotherapy. Patient characteristics and infectious complications were examined. Analysis was performed to further study blood stream infections in this patient population.

Results: Sixty-one patients, mean age of …

Comparing Trends And Outcomes Among Hiv-Infected Vs. Hiv Uninfected Patients With Tuberculosis: A 5-Year Experience Within The Florida Department Of Health In Hillsborough County, Shylah M. Moore-Pardo, Anteneh Addisu, Tea Reljic, Sadaf Aslam, Beata Casanas

Internal Medicine Faculty Publications

Background: Although the rate of tuberculosis (TB) has significantly declined in the United States, elimination has plateaued. Florida is one of the states with the greatest number of cases. The majority of cases occur in foreign-born individuals. Human immunodeficiency virus (HIV) is also a major contributor. HIV-TB coinfection leads to reciprocal interactions with significant clinical impact. We aim to compare the risk factors, clinical findings, and outcomes among HIV-infected vs. HIV uninfected patients.

Methods: A retrospective cohort study of TB cases over a 5 year period (2012–2017) was conducted. All patients with HIV co-infection with age- and gender-matched HIV negative …

Predictors Of Recurrent Infective Endocarditis In Intravenous Drug Users, Kullatham Kongpakpaisarn, Sadaf Aslam, Musaab Tariq, Rahul Mhaskar, Doosup Shin, Chandrashekar Bohra, Charurut Somboonwit

Internal Medicine Faculty Publications

Background: Caring for hospitalized patients with infective endocarditis (IE) can be challenging due to the nature of the disease and its complications, underlying medical and psychiatric problems, socioeconomic status and environmental factors.Some of these patients develop recurrent IE after the first episode treated. On-going intravenous (IV) drug use after hospital discharge is the highest predictive factor for recurrent IE. Besides IV drug use, there are limited data of other contributing factors to recurrent IE. Those factors may be modifiable during the first hospitalization to reduce the incidence of recurrent IE.

Methods: A retrospective cohort study was conducted at a large …

Are Microclimate Conditions In El Malpais National Monument Caves In New Mexico, Usa Suitable For Pseudogymnoascus Growth?, Terry J. Torres-Cruz, Porras-Alfaro, Nicole A. Caimi

KIP Articles

White-nose syndrome (WNS) is a bat disease caused by the fungal pathogen Pseudogymnoascus destructans, which thrives in cold and very humid environments where bats frequently hibernate. Conidia of Pseudogymnoascus species are often documented on bats prior to the onset of WNS, but characterization of high-risk areas defined by microclimate cave conditions have been lacking. Investigating the occurrence of this fungal genus and appropriate environmental conditions to support P. destructans in southwestern U.S. caves is key to understanding the sites most likely to be impacted by WNS. Microclimate conditions in ten caves at El Malpais (ELMA) National Monument in New Mexico, …

High-Resolution Trophic Models Reveal Structure And Function Of A Northeast Pacific Ecosystem, Szymon Surma, Villy Christensen, Rajeev Kumar, Cameron H. Ainsworth, Tony J. Pitcher

Marine Science Faculty Publications

This paper examines the structure and dynamics of the marine ecosystem surrounding Haida Gwaii (an archipelago in the southeastern Gulf of Alaska). Based on previous research, a set of improved mass-balanced models was constructed in Ecopath with Ecosim (EwE) to represent ecosystem states existing circa 1900, 1950, and currently. These models feature increased taxonomic and ecological resolution relative to their predecessors across trophic levels and size classes from zooplankton to whales. A more detailed representation of Pacific herring (Clupea pallasii), including its age structure, predators, and prey, was introduced to permit modeling of the ecosystem role of herring …

Ifi16, A Nuclear Innate Immune Dna Sensor, Mediates Epigenetic Silencing Of Herpesvirus Genomes By Its Association With H3k9 Methyltransferases Suv39h1 And Glp, Arunava Roy, Anandita Ghosh, Binod Kumar, Bala Chandran

Molecular Medicine Faculty Publications

IFI16, an innate immune DNA sensor, recognizes the nuclear episomal herpes viral genomes and induces the inflammasome and interferon-β responses. IFI16 also regulates cellular transcription and act as a DNA virus restriction factor. IFI16 knockdown disrupted the latency of Kaposi’s sarcoma associated herpesvirus (KSHV) and induced lytic transcripts. However, the mechanism of IFI16’s transcription regulation is unknown. Here, we show that IFI16 is in complex with the H3K9 methyltransferase SUV39H1 and GLP and recruits them to the KSHV genome during de novo infection and latency. The resulting depositions of H3K9me2/me3 serve as a docking site for the heterochromatin-inducing HP1α protein …

New Host Records And Range Extensions For Helminth Parasites From Wading Birds In Southeastern Florida, Sarah E. Gumbleton, David W. Kerstetter, Amy C. Hirons, Christopher A. Blanar

Florida Field Naturalist

No abstract provided.

Iron And Fecundity Among Tsimane’ Women Of Bolivia, Elizabeth M. Miller, Maie Khalil

Anthropology Faculty Publications

Background and objectives: Iron is critical for women’s reproduction, and iron-deficiency anemia is a global health problem for mothers. While public health programs have aimed to correct iron deficiency in reproductive-aged women with supplementation, a small group of studies have shown that too much iron also has negative effects on birth outcomes. We hypothesize that women’s iron levels evolved within a narrow optimum, and predict that hemoglobin (Hb) levels would be associated with women’s fecundity.

Methodology: We used the publicly available, longitudinal Tsimane’ Amazonian Panel Study to test the association between -Hb levels and hazard of having a next birth …

Commencement Convocation Program, Usf, Baccalaureates, December 7, 2018, University Of South Florida

USF Graduation and Convocation Programs

Honorary Doctor of Science - Melanie Sanford; President's Fellow Medallion - Mayor Bob Buckhorn; President's Global Leadership Award - Dyann Wirth; King O'Neal Scholars - Andrea Arciniegas, Jessica Bullock, Anna Eliason, Tiffany Garner, Bailey Gavulic, Victoria Hoang, Stephanie Hogue, Briana Luthman, Asgard Marroquin, Justin Mohr, Jenn Moser, Rida Mughal, Kristiana Nasto, Marilluly Peraza, Kirby Powers, Keska Register, Jordan Stofan, Michael Talavera, Veronica Vazquez, Thomas Vieiera, Rylee Wagner, Savannah Warner, Aubrey Wolfe, David Wylie, and Shahrzad Zamani; Outstanding Graduate - Shahriar "Shawn" Zamani