Digital Commons Network^™

Examining Social Determinants Of Health During A Pandemic: Clinical Application Of Z Codes Before And During Covid-19, Xueying Yang Ph.D., Brooks Yelton, Shujie Chen, Jiajia Zhang Ph.D., Bankole Olatosi Ph.D., Shan Qiao Ph.D., Xiaoming Li Ph.D., Daniela B. Friedman Ph.D.

Faculty Publications

Recognition of the impact of social determinants of health (SDoH) on healthcare outcomes, healthcare service utilization, and population health has prompted a global shift in focus to patient social needs and lived experiences in assessment and treatment. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) provides a list of non-billable “Z codes” specific to SDoH for use in electronic health records. Using population-level analysis, this study aims to examine clinical application of Z codes in South Carolina before and during the COVID-19 pandemic. The study population consists of South Carolina residents who had a healthcare visit and had …

A Therapeutic Sheep In Metastatic Wolf's Clothing: Trojan Horse Approach For Cancer Brain Metastases Treatment, Hai-Jun Liu, Mingming Wang, Shanshan Shi, Xiangxiang Hu, Peisheng Xu

Faculty Publications

Early-stage brain metastasis of breast cancer (BMBC), due to the existence of an intact blood–brain barrier (BBB), is one of the deadliest neurologic complications. To improve the efficacy of chemotherapy for BMBC, a Trojan horse strategy-based nanocarrier has been developed by integrating the cell membrane of a brain-homing cancer cell and a polymeric drug depot. With the camouflage of a MDA-MB-231/Br cell membrane, doxorubicin-loaded poly (D, L-lactic-co-glycolic acid) nanoparticle (DOX-PLGA@CM) shows enhanced cellular uptake and boosted killing potency for MDA-MB-231/Br cells. Furthermore, DOX-PLGA@CM is equipped with naturally selected molecules for BBB penetration, as evidenced by its boosted capacity in entering …

Learning To Cycle: A Cross-Cultural And Cross-Generational Comparison, Rita Cordovil, Cristiana Mercê, Marco Branco, Frederico Lopes, David Catela, Elina Hasanen, Arto Laukkanen, Patrizia Tortella, Guido Fumagalli, Cristina Sá, Boris Jidovtseff, Linus Zeuwts, An V. De Meester, Farid Bardid, Ricardo Fujikawa, Sanne Veldman, Silvija Zlatar, Isaac Estevan

Faculty Publications

Background: Learning to cycle is an important milestone for children, but the popularity of cycling and the environmental factors that promote the development and practice of this foundational movement skill vary among cultures and across time. This present study aimed to investigate if country of residence and the generation in which a person was born influence the age at which people learn to cycle.

Methods: Data were collected through an online survey between November 2019 and December 2020. For this study, a total of 9,589 responses were obtained for adults (self-report) and children (parental report) living in 10 countries (Portugal, …

Acoustofluidics For Simultaneous Nanoparticle-Based Drug Loading And Exosome Encapsulation, Zeyu Wang, Joseph Rich, Nanjing Hao, Yuyang Gu, Chuyi Chen, Shujie Yang, Peiran Zhang, Tony Jun Huang

Faculty Publications

Nanocarrier and exosome encapsulation has been found to significantly increase the efficacy of targeted drug delivery while also minimizing unwanted side effects. However, the development of exosome-encapsulated drug nanocarriers is limited by low drug loading efficiencies and/or complex, time-consuming drug loading processes. Herein, we have developed an acoustofluidic device that simultaneously performs both drug loading and exosome encapsulation. By synergistically leveraging the acoustic radiation force, acoustic microstreaming, and shear stresses in a rotating droplet, the concentration, and fusion of exosomes, drugs, and porous silica nanoparticles is achieved. The final product consists of drug-loaded silica nanocarriers that are encased within an …

Audio-Based Wildfire Detection On Embedded Systems, Hung-Tien Huang, Austin Downey, Jason D. Bakos

Faculty Publications

The occurrence of wildfires often results in significant fatalities. As wildfires are notorious for their high speed of spread, the ability to identify wildfire at its early stage is essential in quickly obtaining control of the fire and in reducing property loss and preventing loss of life. This work presents a machine learning wildfire detecting data pipeline that can be deployed on embedded systems in remote locations. The proposed data pipeline consists of three main steps: audio preprocessing, feature engineering, and classification. Experiments show that the proposed data pipeline is capable of detecting wildfire effectively with high precision and is …

To Stick Or Not To Stick: The Multiple Roles Of Cell Adhesion Molecules In Neural Circuit Assembly, Trevor Moreland, Fabienne E. Poulain

Faculty Publications

Precise wiring of neural circuits is essential for brain connectivity and function. During development, axons respond to diverse cues present in the extracellular matrix or at the surface of other cells to navigate to specific targets, where they establish precise connections with post-synaptic partners. Cell adhesion molecules (CAMs) represent a large group of structurally diverse proteins well known to mediate adhesion for neural circuit assembly. Through their adhesive properties, CAMs act as major regulators of axon navigation, fasciculation, and synapse formation. While the adhesive functions of CAMs have been known for decades, more recent studies have unraveled essential, non-adhesive functions …

Koh Vs Deionized Water Operation In Anion Exchange Membrane Electrolyzers, Noor Ul Hassan, Yiwei Zheng, Paul A. Kohl, Mustain E. William

Faculty Publications

Anion exchange membrane water electrolyzers (AEMELs) have recently received significant attention due to their potential advantages over proton exchange membrane electrolyzers (PEMELs). However, some AEMELs feed an aqueous salt solution to the cell where PEMELs typically feed deionized (DI) water. DI water is preferred to keep the system and maintenance costs low. Because of this, many AEMEL researchers report performance both in the salt solution (typically KOH) and DI water. However, the methodology for switching between KOH and DI water is often poorly defined, and it is unclear what impact the residual salt has on cell performance after switching from …

Zintl Phase Compounds Mg3Sb2-XBiX (X=0, 1, And 2) Monolayers: Electronic, Phonon And Thermoelectric Properties From Ab Initio Calculations, Zheng Chang, Jing Ma, Kunpeng Yuan, Jiongzhi Zheng, Bin Wei, Mohammed Al-Fahdi, Yufei Gao, Xiaoliang Zhang, Hezhu Shao, Ming Hu, Dawei Tang

Faculty Publications

The Mg₃Sb_2−xBi_x family has emerged as the potential candidates for thermoelectric applications due to their ultra-low lattice thermal conductivity (K_L) at room temperature (RT) and structural complexity. Here, using ab initio calculations of the electron-phonon averaged (EPA) approximation coupled with Boltzmann transport equation (BTE), we have studied electronic, phonon and thermoelectric properties of Mg₃Sb_2−xBi_x (x = 0, 1, and 2) monolayers. In violation of common mass-trend expectations, increasing Bi element content with heavier Zintl phase compounds yields an abnormal change in K_L in two-dimensional Mg₃Sb …

Inequality And Cooperation In Social Networks, David Melamed, Brent Simpson, Bradley Montgomery, Vedang Patel

Faculty Publications

Social networks are fundamental to the broad scale cooperation observed in human populations. But by structuring the flow of benefits from cooperation, networks also create and sustain macro-level inequalities. Here we ask how two aspects of inequality shape the evolution of cooperation in dynamic social networks. Results from a crowdsourced experiment (N = 1080) show that inequality alters the distribution of cooperation within networks such that participants engage in more costly cooperation with their wealthier partners in order to maintain more valuable connections to them. Inequality also influences network dynamics, increasing the tendency for participants to seek wealthier partners, resulting …

Plant Growth And Phytoactive Alkaloid Synthesis In Kratom [Mitragyna Speciosa (Korth.)] In Response To Varying Radiance, Mengzi Zhang, Abhisheak Sharma, Francisco León Ph.D., Bonnie Avery, Roger Kjelgren, Christopher R. Mccurdy, Brian J. Pearson

Faculty Publications

Leaves harvested from kratom [Mitragyna speciosa (Korth.)] have a history of use as a traditional ethnobotanical medicine to combat fatigue and improve work productivity in Southeast Asia. In recent years, increased interest in the application and use of kratom has emerged globally, including North America, for its potential application as an alternative source of medicine for pain management and opioid withdrawal syndrome mitigation. Although the chemistry and pharmacology of major kratom alkaloids, mitragynine and 7-hydroxymitragynine, are well documented, foundational information on the impact of plant production environment on growth and kratom alkaloids synthesis is unavailable. To directly address this need, …

Visualizing Young Men’S Fertility Desires: A View From Balaka, Malawi, Jenny Trinitapoli, Abdallah Chilungo, Huimeng Zhao, Jimi Adams, Sara Yeatman

Faculty Publications

Fertility desires may not indicate precise plans; nonetheless, they contain important clues for understanding future fertility. On the basis of the dual assertion that fertility desires are (1) meaningful and (2) subject to revision with changing circumstances, this visualization provides a snapshot of young men’s fertility desires using data from the Tsogolo La Thanzi study set in Balaka, Malawi. Scholars typically measure desires by summarizing how many children respondents would like to have (numeric) and when (timing). This visualization adds a third dimension, flexibility, asking how changing circumstances would alter fertility desires, as typically measured. HIV-related concerns reduce most young …

Sub- And Near-Critical Hydrothermal Carbonization Of Animal Manures, Kyoung S. Ro, Michael A. Jackson, Ariel A. Szogi, David L. Compton, Bryan R. Moser, Nicole D. Berge

Faculty Publications

To produce hydrochar with less volatile matter (VM) and more fixed carbon (FC) to increase its stability, this study compared the hydrothermal carbonization (HTC) of hen (HM) and swine (SM) manures at typical HTC sub-critical temperature of 210 °C and slightly super-critical temperature of 400 °C. Physico-chemical properties such as proximate analysis; ultimate analysis; Brunauer–Emmett–Teller (BET) surface area; higher heating value (HHV); chemical oxygen demand (COD); and inorganic nutrients of hydrochar, gaseous, and liquid products were determined. As expected, both VM and yield decreased with temperature. The heats of HTC reactions were estimated to be exothermic, ranging from −5.7 to …

Predictors Of Therapy Response In Chronic Aphasia: Building A Foundation For Personalized Aphasia Therapy, Sigfus Kristinsson, Dirk B. Den Ouden, Chris Rorden, Roger Newman-Norlund

Faculty Publications

Chronic aphasia, a devastating impairment of language, affects up to a third of stroke survivors. Speech and language therapy has consistently been shown to improve language function in prior clinical trials, but few clinicially applicable predictors of individual therapy response have been identified to date. Consequently, clinicians struggle substantially with prognostication in the clinical management of aphasia. A rising prevalence of aphasia, in particular in younger populations, has emphasized the increasing demand for a personalized approach to aphasia therapy, that is, therapy aimed at maximizing language recovery of each individual with reference to evidence-based clinical recommendations. In this narrative review, …

Attention/Deficit Hyperactivity Disorder In Adolescent And Young Adult Males With Fragile X Syndrome, Jessica Klusek, Shannon L. O'Connor, Alexandra Hickey, Kimberly J. Hills, Leonard Abbeduto, Jane E. Roberts

Faculty Publications

This study characterized the rates of rates of attention-deficit/hyperactivity disorder (ADHD) in adolescent and young adult males with fragile X syndrome (FXS) using a multi-method approach integrating a DSM-based parent interview (Children’s Interview for Psychiatric Syndromes; P-ChIPS, Fristad et al., 1998) and a parent rating scale (Child Behavior Checklist; CBCL, Achenbach, 2001). Thirty-one males with FXS, aged 16-24 years, participated. Forty-two percent met DSM-5 criteria for ADHD and 35% exceeded the CBCL cut-offs. Agreement between the two classification methods was fair (κ=0.38). Autism symptom severity and nonverbal cognitive ability did not predict ADHD diagnoses/symptoms. Results show …

Key Stakeholder Perspectives On Challenges And Opportunities For Rural Hpv Vaccination In North And South Carolina, Laura J. Fish, Sayward Harrison, Jodi-Ann Mcdonald, Valerie Yelverton, Charnetta Williams, Emmanuel B. Walter, Lavanya Vasudevan

Faculty Publications

The objective of this study was to identify factors at the individual, provider, and systems levels that serve as challenges or opportunities for increasing adolescent vaccination—including Human Papillomavirus (HPV) vaccination—in rural communities in the southern United States (US). As part of a broader study to increase HPV vaccine uptake in the southern US, we conducted in-depth interviews with vaccination stakeholders representing public health and education agencies in North Carolina (NC) and South Carolina (SC). Fourteen key stakeholders were recruited using purposive sampling to obtain insights into challenges and solutions to rural-urban disparities in HPV vaccination coverage. Stakeholders were also queried …

Key Stakeholder Perspectives On Challenges And Opportunities For Rural Hpv Vaccination In North And South Carolina, Laura J. Fish, Sayward Harrison, Jodi-Ann Mcdonald, Valerie Yelverton, Charnetta Williams, Emmanuel B. Walter, Lavanya Vasudevan

Faculty Publications

The objective of this study was to identify factors at the individual, provider, and systems levels that serve as challenges or opportunities for increasing adolescent vaccination—including Human Papillomavirus (HPV) vaccination—in rural communities in the southern United States (US). As part of a broader study to increase HPV vaccine uptake in the southern US, we conducted in-depth interviews with vaccination stakeholders representing public health and education agencies in North Carolina (NC) and South Carolina (SC). Fourteen key stakeholders were recruited using purposive sampling to obtain insights into challenges and solutions to rural-urban disparities in HPV vaccination coverage. Stakeholders were also queried …

Antiviral Polymers: A Review, Ali Akbari, Ashkan Bigham, Vahid Rahimkhoei, Sina Sharifi, Esmaiel Jabbari

Faculty Publications

Polymers, due to their high molecular weight, tunable architecture, functionality, and buffering effect for endosomal escape, possess unique properties as a carrier or prophylactic agent in preventing pandemic outbreak of new viruses. Polymers are used as a carrier to reduce the minimum required dose, bioavailability, and therapeutic effectiveness of antiviral agents. Polymers are also used as multifunctional nanomaterials to, directly or indirectly, inhibit viral infections. Multifunctional polymers can interact directly with envelope glycoproteins on the viral surface to block fusion and entry of the virus in the host cell. Polymers can indirectly mobilize the immune system by activating macrophages and …

Editorial For Gels 6th Anniversary Special Issue, Esmaiel Jabbari, Gulden Camci-Unal

Faculty Publications

Note: In lieu of an abstract, this is an excerpt from the first page.

This Special Issue celebrates many outstanding quality papers published in Gels over the past six years since its first issue was published in 2015 [...]

Designing Moocs With Little, Hengtao Tang, Yingxiao Qian Ph.D.

Faculty Publications

Massive Open Online Courses (MOOCs) have been touted as a disruptive innovation with a low-cost and flexible option for opening up higher education. However, existing barriers of MOOCs such as a low retention rate and a low forum participation rate have limited their capacity of serving learners. To strengthen the potential of MOOCs, a compelling design that enables an effective learning experience is needed. This article is aimed to propose a series of design guidelines for MOOCs, namely the LITTLE, as a preliminary design framework for an effective MOOC. The LITTLE includes guidelines such as learner-centered, inquiry-based, technology-enriched, trophy-driven, literature-guided, …

Neural Correlates Of Impaired Vocal Feedback Control In Post-Stroke Aphasia, Roozbeh Behroozmand, Leonardo Bonilha, Chris Rorden, Gregory Hickok, Julius Fridriksson

Faculty Publications

We used left-hemisphere stroke as a model to examine how damage to sensorimotor brain networks impairs vocal auditory feedback processing and control. Individuals with post-stroke aphasia and matched neurotypical control subjects vocalized speech vowel sounds and listened to the playback of their self-produced vocalizations under normal (NAF) and pitch-shifted altered auditory feedback (AAF) while their brain activity was recorded using electroencephalography (EEG) signals. Event-related potentials (ERPs) were utilized as a neural index to probe the effect of vocal production on auditory feedback processing with high temporal resolution, while lesion data in the stroke group was used to determine how brain …

Social Capital, Urbanization Level, And Covid-19 Vaccination Uptake In The United States: A National Level Analysis, Shan Qiao, Zhenlong Li, Jiajia Zhang, Xiaowen Sun, Camryn Garrett, Xiaoming Li

Faculty Publications

Vaccination remains the most promising mitigation strategy for the COVID-19 pandemic. However, existing literature shows significant disparities in vaccination uptake in the United States. Using publicly available national-level data, we aimed to explore if county-level social capital can further explain disparities in vaccination uptake rates when adjusting for demographic and social determinants of health (SDOH) variables, and if association between social capital and vaccination uptake may vary by urbanization level. Bivariate analyses and a hierarchical multivariable quasi-binomial regression analysis were conducted, where the regression analysis was stratified by urban–rural status. The current study suggests that social capital contributes significantly to …

Do We Trust The Government? Attributes Of Covid-19 Vaccine Hesitancy And Acceptance In Nigeria, Osmond C. Ekwebelem, Helen Onyeaka, Ismaeel Yunusa Ph. D., Taghi Miri, Yahwedalu M. Onwuneme, Ayeni T. Eunice, Amara Anyogu, Bright Obi, Ngwogu Ada Carol

Faculty Publications

Objectives:

A significant percentage of the population must be vaccinated to achieve herd immunity. Therefore the success of a vaccination program relies on the level of acceptance. This present study seeks to understand COVID-19 vaccine acceptance and hesitancy in Nigeria by assessing the public's willingness to get vaccinated.

Study design:

This is a population-based cross-sectional study. Data were derived through a structured online survey.

Methods:

A cross-sectional study was conducted among adult residents in Nigeria in March 2021 using a structured online questionnaire. The questionnaire surveyed participants' demographic characteristics and perception of COVID-19 and the COVID-19 vaccine. Descriptive statistics and …

Chimney Identification Tool For Automated Detection Of Hydrothermal Chimneys From High-Resolution Bathymetry Using Machine Learning, Isaac Keohane, Scott White

Faculty Publications

Identifying the locations of hydrothermal chimneys across mapped areas of seafloor spreading ridges unlocks the ability to research questions about their correlations to geology, the cooling of the lithosphere, and deep-sea biogeography. We developed a Chimney Identification Tool (CIT) that utilizes a Convolutional Neural Network (CNN) to classify 1 m gridded AUV bathymetry and identify the locations of hydrothermal vent chimneys. A CNN is a type of Machine-Learning model that is able to classify raster data based on the shapes and textures in the input, making it ideal for this task. The criteria that have been used in previous manual …

Canonical Sentence Processing And The Inferior Frontal Cortex: Is There A Connection?, Nicholas Riccardi, Chris Rorden, Julius Fridriksson, Rutvik H. Desai

Faculty Publications

The role of left inferior frontal cortex (LIFC) in canonical sentence comprehension is controversial. Many studies have found involvement of LIFC in sentence production or complex sentence comprehension, but negative or mixed results are often found in comprehension of simple or canonical sentences. We used voxel-, region-, and connectivity-based lesion symptom mapping (VLSM, RLSM, CLSM) in left-hemisphere chronic stroke survivors to investigate canonical sentence comprehension while controlling for lexical-semantic, executive, and phonological processes. We investigated how damage and disrupted white matter connectivity of LIFC and two other language-related regions, the left anterior temporal lobe (LATL) and posterior temporal-inferior parietal area …

Cross-Cultural Validation And Psychometric Testing Of The Debriefing Experience Scale (Des): A Cross-Sectional Study, Ya Dian Xie, Xin Yi Li, Qian Liu, Run Huang, Ting Li, Ya Xuan Fang, Dan Luo, Yonghui Wan, Bing Xiang Yang, Shelly J. Reed

Faculty Publications

Background

The Debriefing Experience Scale (DES) is a tool that is used to explore nursing students’ subjective experiences during a debriefing and to help determine best debriefing practices. A Chinese version of the scale has not been found; its development can enhance learning in simulation activites in Chinese healthcare education programs.

Methods

A simplified Chinese version of the DES was developed and tested using 34 Chinese undergraduate (second year) nursing students. They participated in six simulation scenarios and debriefings. Eight experts were consulted to determine the content validity of the scale. Critical ratio method, Cronbach’s alpha, intraclass correlation coefficient, correlation …

The Interplay Between Hydrogen Sulfide And Phytohormone Signaling Pathways Under Challenging Environments, Muhammad Saad Shoaib Khan, Faisal Islam, Yajin Ye, Matthew Ashline, Daowen Wang, Biying Zhao, Zheng Qing Fu, Jian Chen

Faculty Publications

Hydrogen sulfide (H₂S) serves as an important gaseous signaling molecule that is involved in intra- and intercellular signal transduction in plant–environment interactions. In plants, H₂S is formed in sulfate/cysteine reduction pathways. The activation of endogenous H₂S and its exogenous application has been found to be highly effective in ameliorating a wide variety of stress conditions in plants. The H₂S interferes with the cellular redox regulatory network and prevents the degradation of proteins from oxidative stress via post-translational modifications (PTMs). H₂S-mediated persulfidation allows the rapid response of proteins in signaling networks …

Simplified Thermal Runaway Model For Assisting The Design Of A Novel Safe Li-Ion Battery Pack, Paul T. Coman, Eric C. Darcy, Ralph E. White

Faculty Publications

This paper presents a simplified thermal runaway model (FEM) used to guide the design of a novel battery pack designed to resist thermal runaway propagation passively. The model is based on the heat equation for a 2D geometry with a heat generation term based on the maximum amount of energy measured using a custom-made calorimeter. The model was validated against experimental data using a 48-cell subscale of a full-scale battery pack for three different runs with three trigger cells with Internal Short Circuit Devices (ISCD) implanted in the separators. One trigger cell was placed at the edge, one placed in …

Tell Or Retell? The Role Of Task And Language In Spanish-English Narrative Microstructure Performance, Mary Claire Wofford, Jessica Cano, Lisa A. Fitton Ph.D.

Faculty Publications

Purpose:

This study examined performance of dual language learners (DLLs) on Spanish- and English-language narrative story retells and unique tells. Transcription and analysis focused on comparisons of common microstructural language sample measures in Spanish and English across tasks. Each language sample measure was evaluated for its possible convergence with norm-referenced standardized assessments for DLL children.

Method:

Spanish–English DLLs (N = 133) enrolled in English-only kindergarten or first-grade classrooms completed two-language sample tasks (one in each language), which were transcribed and analyzed using Systematic Analysis of Language Transcripts (Miller & Iglesias, 2017) for measures of syntactic complexity (mean length of …

Thalamic Shape Abnormalities Differentially Relate To Cognitive Performance In Early-Onset And Adult-Onset Schizophrenia, Derin J. Cobia, Chaz Rich, Matthew J. Smith, Pedro Engel Gonzalez, Will Cronenwett, John G. Csernansky, Lei Wang

Faculty Publications

Early-onset schizophrenia (EOS) shares many biological and clinical features with adult-onset schizophrenia (AOS), but may represent a unique subgroup with greater susceptibility for disease onset and worsened symptomatology and progression, which could potentially derive from exaggerated neurodevelopmental abnormalities. Neurobiological explanations of schizophrenia have emphasized the involvement of deep-brain structures, particularly alterations of the thalamus, which have been linked to core features of the disorder. The aim of this study was to compare thalamic shape abnormalities between EOS and AOS subjects and determine whether unique behavioral profiles related to these differences. It was hypothesized abnormal thalamic shape would be observed in …

Beyond Profitable Shifts To Green Energies, Towards Energy Sustainability, Farboud Khatami, Erfan Goharian

Faculty Publications

The traditional carbon-based approach towards sustainability has long caused the concepts of green and sustainable energies to be used interchangeably. Recent studies have tried to advance this archaic view by considering more aspects of sustainability. However, almost all major studies have been concerned with only the economic and environmental aspects of electricity generation, whereas the concept of sustainability is beyond these two criteria. In this paper, we seek to provide a methodology for a more comprehensive definition of electricity generation sustainability based on the lessons learned from previous studies and additional metrics suggested by them. The main characteristics of select …