Digital Commons Network^™

Determinants Of Hiv-Risk Sexual Behaviors Among Zambian Adolescents: The Role Of Gendered Power, Sherinah K. Saasa, Orion Mowbray

Faculty Publications

Sub-Saharan African adolescents account for a disproportionate share of the global HIV infection rates with adolescent females carrying the heavy burden. Vulnerability to negative sexual health outcomes have been attributed to varying life contexts and power differentials influencing adolescent sexual behaviors. Using social dominance theory and the four bases of gendered power, this study examines the relationship between gender based power and adolescent HIV-risk sexual behavior. Data was derived from the 2013‐14 Zambia Demographic Health Survey (ZDHS). We utilize gender stratified multivariate logistic regression to determine whether the four bases of gendered power are predictive of condom use and multiple …

Green Product Design With Competition And Fairness Concerns In The Circular Economy Era, Qingying Li, Xiaotong Guan, Tianqin Shi, Wen Jiao

Faculty Publications

In this paper, we consider green product design in a supply chain consisting of one manufacturer and two retailers, where retailer 1 aims at monetary profit maximisation, and retailer 2 has fairness concern. We consider two kinds of green products: a marginal-intensive green product (MIGP) and a development-intensive green product (DIGP). For the former, the green investment cost depends on the green level and the production quantity; while for the latter, the green investment cost depends on the green level solely. In each case, we investigate the impact of the retailer’s fairness concern by comparing the optimal solutions and supply …

Direct Measurement Of Performance: A New Era In Antimicrobial Stewardship, Majdi N. Al-Hasan, Hana Rac Winders, P. Brandon Bookstaver, Julie Ann Justo

Faculty Publications

Penicillin allergies are among of the most commonly reported allergies, yet only 10% of these patients are truly allergic. This leads to potential inadvertent negative consequences for patients and makes treatment decisions challenging for clinicians. Thus, allergy assessment and penicillin skin testing (PST) are important management strategies to reconcile and clarify labeled penicillin allergies. While PST is more common in the inpatient setting where the results will immediately impact antibiotic management, this process is becoming of increasing importance in the outpatient setting. PST in the outpatient setting allows clinicians to proactively de-label and educate patients accordingly so beta-lactam antibiotics may …

Associations Between Parental Media Monitoring, Media Use, And Internalizing Symptoms During Adolescence, Laura M. Padilla-Walker, Laura A. Stockdale, Ryan D. Mclean

Faculty Publications

Although time spent using media has been linked to internalizing problems, few studies have explored the role that parents might play in these associations. The current study explored how controlling and autonomy-supportive restrictive and active parental media monitoring were associated with adolescents’ internalizing problems via time spent using media (media multitasking, social media, TV, video games, music, reading, texting, and Internet). The current study used data from a national study of teens aged 10–20 (N 1,193, 52% female, 68% White, 13% Black, 11% Latino). Results suggested that only autonomy-supportive restrictive media monitoring was associated with lower media use for both …

Under The Radar: Simplifying The Representation Of Latent Class Characteristics, Jimi Adams, Adam M. Lippert

Faculty Publications

In this visualization, we demonstrate how to use radar plots to represent the class-specific posterior response probabilities from latent class analysis results. These plots allow for a simple representation of the class differences in the distributions across the modeled indicators. We demonstrate the utility of this approach with results from a published model of women’s employment and family life circumstances. In doing so, we demonstrate how to avoid some of the pitfalls common to radar plots and provide example code to allow other researchers to readily adapt this approach to present their own results.

Penicillin Allergy Skin Testing In The Inpatient Setting, Julie Ann Justo, Wesley D. Kufel, Lisa Avery, P. Brandon Bookstaver

Faculty Publications

The consequences of a documented penicillin allergy in the medical record are especially troublesome in acutely ill, hospitalized patients. A penicillin allergy label may lead to alternative or second line therapies resulting in adverse drug events, negative clinical outcomes and increased costs. Reconciling penicillin allergies is a necessity to facilitate early, optimal therapy and is a shared responsibility among the healthcare team. Penicillin skin testing (PST) has been utilized successfully in hospitalized patients to de-label erroneous penicillin allergies and optimize antibiotic therapy. This targeted review aims to discuss the practical development and implementation of PST in the inpatient setting. This …

Would You Test For 5000 Shillings? Hiv Risk And Willingness To Accept Hiv Testing In Tanzania, Jan Ostermann, Derek S. Brown, Axel Mühlbacher, Bernard Njau, Nathan Thielman

Faculty Publications

Objectives: Despite substantial public health efforts to increase HIV testing, testing rates have plateaued in many countries and rates of repeat testing for those with ongoing risk are low. To inform policies aimed at increasing uptake of HIV testing, we identified characteristics associated with individuals’ willingness-to-accept (WTA) an HIV test in a general population sample and among two high-risk populations in Moshi, Tanzania.

Methods: In total, 721 individuals, including randomly selected community members (N = 402), female barworkers (N = 135), and male Kilimanjaro mountain porters (N = 184), were asked in a double-bounded contingent valuation format if they would …

Functional And Anatomical Variations In Retinorecipient Brain Areas In Arvicanthis Niloticus And Rattus Norvegicus: Implications For The Circadian And Masking Systems, Dorela D. Shuboni-Mulligan, Breyanna L. Cavanaugh, Anne Tonson, Erik M. Shapiro, Andrew J. Gall

Faculty Publications

Daily rhythms in light exposure influence the expression of behavior by entraining circadian rhythms and through its acute effects on behavior (i.e., masking). Importantly, these effects of light are dependent on the temporal niche of the organism; for diurnal organisms, light increases activity, whereas for nocturnal organisms, the opposite is true. Here we examined the functional and morphological differences between diurnal and nocturnal rodents in retinorecipient brain regions using Nile grass rats (Arvicanthis niloticus) and Sprague-Dawley (SD) rats (Rattus norvegicus), respectively. We established the presence of circadian rhythmicity in cFOS activation in retinorecipient brain regions in …

Limited Data Rolling Bearing Fault Diagnosis With Few-Shot Learning, Ansi Zhang, Shaobo Li, Yuxin Cui, Wanli Yang, Rongzhi Dong, Jianjun Hu

Faculty Publications

This paper focuses on bearing fault diagnosis with limited training data. A major challenge in fault diagnosis is the infeasibility of obtaining sufficient training samples for every fault type under all working conditions. Recently deep learning based fault diagnosis methods have achieved promising results. However, most of these methods require large amount of training data. In this study, we propose a deep neural network based few-shot learning approach for rolling bearing fault diagnosis with limited data. Our model is based on the siamese neural network, which learns by exploiting sample pairs of the same or different categories. Experimental results over …

Use Of Logistic Regression To Identify Factors Influencing The Post-Incident State Of Occupational Injuries In Agribusiness Operations, Fatemeh Davoudi Kakhki, Steven Freeman, Gretchen Mosher

Faculty Publications

Agribusiness industries are among the most hazardous workplaces for non-fatal occupational injuries. The term “post-incident state” is used to describe the health status of an injured person when a non-fatal occupational injury has occurred, in the post-incident period when the worker returns to work, either immediately with zero days away from work (medical state) or after a disability period (disability state). An analysis of nearly 14,000 occupational incidents in agribusiness operations allowed for the classification of the post-incident state as medical or disability (77% and 23% of the cases, respectively). Due to substantial impacts of occupational incidents on labor-market outcomes, …

Seasonal Variability Of Forces Controlling Sedimentation In The Sundarbans National Forest, Bangladesh, Carol A. Wilson, E. J. Bomer

Faculty Publications

Southwest Bangladesh, located on the Ganges-Brahmaputra-Meghna delta, is experiencing the impacts of sea level rise (SLR) due to processes at both the local and global scale. In particular, regional alterations of the hydrodynamic network, due to embankment construction, have drastically altered effective SLR, placing millions of inhabitants at risk of prolonged inundation, and threatening the world's largest continuous mangrove stand, the Sundarbans National Forest (SNF). In order to effectively employ landscape recovery solutions, an understanding of local sediment transport and deposition is critical. This field-based study investigates the sediment dynamics between the mangrove platform and tidal channels of the SNF …

The Value Of Outdoor Behavioral Healthcare For Adolescent Substance Users With Comorbid Conditions, Michael A. Gass, Thomas Wilson, Brett Talbot, Anita Reithoffer Tucker, Melissa Ugianskis, Nicholas Brennan

Faculty Publications

The damage inflicted on our society by mental health and substance use issues is reaching epidemic proportions with few signs of abating. One new and innovative strategy for addressing these comorbid issues has been the development of outdoor behavioral healthcare (OBH). This study compared the effectiveness of three post-acute adolescent substance use situations: OBH, treatment as usual (TAU), and no structured treatment (NST). The simulated target population was 13-17 years old with comorbid substance use and mental health issues. When costs were adjusted for actual completion rates of 94% in OBH, 37% in TAU, and $0 for NST, the actual …

Odds Of Acute Kidney Injury In Patients Receiving Dipeptidyl Peptidase 4 Inhibitors: A National Cohort Study Within The Department Of Veterans Affairs, Shawn Scott Sutton, Joseph Maggnoli, Tammy H. Cummings, James W. Hardin

Faculty Publications

Preclinical and clinical data of dipeptidyl peptidase 4 (DPP‐4) inhibitors have demonstrated discordant data regarding acute kidney injury (AKI). Therefore, we aimed to evaluate the association between DPP‐4 use and AKI. This cohort study utilized data from the Department of Veterans Affairs evaluating patients diagnosed with type 2 (T2) diabetes with a DPP‐4 inhibitor and compared with nondiabetic and diabetic patients. The primary end point is the development of AKI, and statistical analyses were performed to examine the association. DPP‐4 use is associated with a lower odds of AKI compared with diabetics (adjusted odds ratio (OR) = 0.39; 95% confidence …

Firearm Availability And Storage Practices Among Military Personnel Who Have Thought About Suicide, Craig J. Bryan, Annabelle O. Bryan, Michael D. Anestis, Lauren Khazem, Julia Harris, Alexis May, Cynthia Thomsen

Faculty Publications

More than 60% of US military suicides occur at home and involve a firearm. Nearly all military firearm suicides (95%) involve a personally owned firearm. Nonmilitary data indicate that the risk of suicide is 6 times higher in households with a firearm, although this risk may be reduced if the firearms are kept unloaded and/or locked. Because attempts using firearms have very high fatality rates, safe firearm storage practices could be an important component of comprehensive suicide prevention in the military. This study examined associations of firearm ownership and storage practices with suicidal thoughts and behaviors among military personnel.

A Novel Eye Tracking Paradigm For Indexing Social Avoidance-Related Behavior In Fragile X Syndrome, Jessica Klusek, Carly Moser, Joseph Schmidt, Leonard Abbeduto, Jane E. Roberts

Faculty Publications

Fragile X syndrome (FXS) is characterized by hallmark features of gaze avoidance, reduced social approach, and social anxiety. The development of therapeutics to manage these symptoms has been hindered, in part, by the lack of sensitive outcome measures. This study investigated the utility of a novel eye tracking paradigm for indexing social avoidance-related phenotypes. Adolescent/young adult-aged males with FXS (n=24) and typical development (n=23) participated in the study. Participants viewed faces displaying direct or averted gaze and the first fixation duration on the eyes was recorded as an index of initial stimulus registration. Fixation durations did …

Correction To: Longitudinal Impacts Of Gastric Bypass Surgery On Pharmacodynamics And Pharmacokinetics Of Statins (Obesity Surgery, (2019), 29, 8, (2571-2583), 10.1007/S11695-019-03885-6), Asma El-Zailik, Lily K. Cheung, Yang Wang, Vadim Sherman, Diana S.L. Chow

Faculty Publications

In the original article the authors failed to include the following footnote: Asma El-Zailik and Lily K. Cheung contributed equally to this work.

Designing High-Quality Implementation Research: Development, Application, Feasibility And Preliminary Evaluation Of The Implementation Science Research Development (Impres) Tool And Guide, Louise Hull, Lucy Goulding, Zarnie Khadjesari, Rachel E. Davis, Andy Healey, Ioannis Bakolis, Nick Sevdalis

Faculty Publications

BACKGROUND: Designing implementation research can be a complex and daunting task, especially for applied health researchers who have not received specialist training in implementation science. We developed the Implementation Science Research Development (ImpRes) tool and supplementary guide to address this challenge and provide researchers with a systematic approach to designing implementation research. METHODS: A multi-method and multi-stage approach was employed. An international, multidisciplinary expert panel engaged in an iterative brainstorming and consensus-building process to generate core domains of the ImpRes tool, representing core implementation science principles and concepts that researchers should consider when designing implementation research. Simultaneously, an iterative process …

Using Lord Of The Flies To Teach Social Networks, Jimi Adams

Faculty Publications

Lord of the Flies is commonly assigned reading for high school and college students. The novel about shipwrecked boys is often analyzed thematically to examine how the boys’ perceived isolation on the island effects their attitudes and behavior. However, what is similarly apparent is that the society they develop while on the island establishes certain patterns, and is governed by collective rules (some more explicit than others). Here I demonstrate how those behavioral patterns and norms are useful for interpreting the concepts and analytic tools found in social network literature. I describe how I used the novel as a “capstone” …

Dietary Inflammatory Index And Non-Communicable Disease Risk: A Narrative Review, Catherine M. Phillips, Ling-Wei Chen, Barbara Heude, Jonathan Y. Bernard, Nicholas C. Harvey, Liesbeth Duijts, Sara M. Mensink-Bout, Kinga Polanska, Giulia Mancano, Matthew Suderman, Nitin Shivappa, James R. Hébert

Faculty Publications

There are over 1,000,000 publications on diet and health and over 480,000 references on inflammation in the National Library of Medicine database. In addition, there have now been over 30,000 peer-reviewed articles published on the relationship between diet, inflammation, and health outcomes. Based on this voluminous literature, it is now recognized that low-grade, chronic systemic inflammation is associated with most non-communicable diseases (NCDs), including diabetes, obesity, cardiovascular disease, cancers, respiratory and musculoskeletal disorders, as well as impaired neurodevelopment and adverse mental health outcomes. Dietary components modulate inflammatory status. In recent years, the Dietary Inflammatory Index (DII^®), a literature-derived …

Increased Dietary Inflammatory Index Is Associated With Schizophrenia: Results Of A Case-Control Study From Bahrain, Haitham Jahrami, Mo'ez Al-Islam Faris, Hadeel Ali Ghazzawi, Zahra Saif, Layla Habib, Nitin Shivappa, James R. Hebert

Faculty Publications

Background: Several studies have indicated that chronic low-grade inflammation is associated with the development of schizophrenia. Given the role of diet in modulating inflammatory markers, excessive caloric intake and increased consumption of pro-inflammatory components such as calorie-dense, nutrient-sparse foods may contribute toward increased rates of schizophrenia. This study aimed to examine the association between dietary inflammation, as measured by the dietary inflammatory index (DII (R)), and schizophrenia. Methods: A total of 120 cases attending the out-patient department in the Psychiatric Hospital/Bahrain were recruited, along with 120 healthy controls matched on age and sex. The energy-adjusted DII (E-DII) was computed based …

Increased Dietary Inflammatory Index Is Associated With Schizophrenia: Results Of A Case–Control Study From Bahrain, Haitham Jahrami, Moez Al-Islam Faris, Hadeel Ghazzawi, Zahra Saif, Layla Habib, Nitin Shivappa, James R. Hébert

Faculty Publications

Background: Several studies have indicated that chronic low-grade inflammation is associated with the development of schizophrenia. Given the role of diet in modulating inflammatory markers, excessive caloric intake and increased consumption of pro-inflammatory components such as calorie-dense, nutrient-sparse foods may contribute toward increased rates of schizophrenia. This study aimed to examine the association between dietary inflammation, as measured by the dietary inflammatory index (DII^®), and schizophrenia. Methods: A total of 120 cases attending the out-patient department in the Psychiatric Hospital/Bahrain were recruited, along with 120 healthy controls matched on age and sex. The energy-adjusted DII (E-DII) was computed …

Tumor Microbiome Diversity And Composition Influence Pancreatic Cancer Outcomes, E. Riquelme, Yu Zhang, Liangliang Zhang, M. Montiel, Michelle Zoltan, W. Dong, Pompeyo Quesada, I. Sahin, V. Chandra, Anthony San Lucas, Paul Scheet, Hanwen Xu, Samir M. Hanash, Lei Feng, Jared K. Burks, Kim Anh Do, Christine B. Peterson, Deborah Nejman, Ching Wei D. Tzeng, Michael P. Kim, Cynthia L. Sears

Faculty Publications

Most patients diagnosed with resected pancreatic adenocarcinoma (PDAC) survive less than 5 years, but a minor subset survives longer. Here, we dissect the role of the tumor microbiota and the immune system in influencing long-term survival. Using 16S rRNA gene sequencing, we analyzed the tumor microbiome composition in PDAC patients with short-term survival (STS) and long-term survival (LTS). We found higher alpha-diversity in the tumor microbiome of LTS patients and identified an intra-tumoral microbiome signature (Pseudoxanthomonas-Streptomyces-Saccharopolyspora-Bacillus clausii) highly predictive of long-term survivorship in both discovery and validation cohorts. Through human-into-mice fecal microbiota transplantation (FMT) experiments from STS, LTS, or control …

Information Diffusion And Social Norms Are Associated With Infant And Young Child Feeding Practices In Bangladesh, Phuong H. Nguyen, Edward A. Frongillo Jr., Sunny S. Kim, Amanda A. Zongrone, Amir Jilani, Lan Mai Tran, Tina Sanghvi, Purnima Menon

Faculty Publications

Background

Interaction within mothers’ social networks can theoretically diffuse messages from interventions and campaigns into norms and practices for infant and young child feeding (IYCF).

Objectives

We hypothesized that mothers’ social networks, diffusion of information, and social norms differed in intensive [intensive interpersonal counseling (IPC), community mobilization (CM), and mass media (MM)] compared with nonintensive (standard IPC and less-intensive CM and MM) intervention areas, were associated with IYCF practices, and partly explained practice improvement.

Methods

We conducted household surveys at endline in 2014 and follow-up in 2016 (n = ∼2000 each round). We used multiple regression to test differences …

Higher Pro-Inflammatory Dietary Score Is Associated With Higher Hyperuricemia Risk: Results From The Case-Controlled Korean Genome And Epidemiology Study_Cardiovascular Disease Association Study, Hye Sun Kim, Minji Kwon, Yi Hyun Lee, Nitin Shivappa, James R. Hebert, Cheongmin Sohn, Woori Na, Mi Kyung Kim

Faculty Publications

In previous studies, the elevated dietary inflammatory index (DII^®) scores have been consistently associated with several chronic diseases. However, the relationship with hyperuricemia remains unknown. The aim of this study was to determine if the DII is associated with hyperuricemia risk. The study included 13,701 participants (men 5102; women 8599) in a large-scale cross-sectional study in South Korea. A validated semi-quantitative food frequency questionnaire (SQFFQ) was used to measure dietary intake, and blood samples were obtained to determine hyperuricemia. As the DII score increased, the hyperuricemia risk increased among women (OR 1.35, 95% CI 1.03–1.77, p trend = …

Identifying Cancers For Cdk8/19 Inhibitor Therapy, Igor Roninson, Balázs Győrffy, Zachary T. Mack, Alexander A. Shtil, Michael S. Shtutman, Mengqian Chen, Eugenia Broude

Faculty Publications

CDK8 and CDK19 Mediator kinases are transcriptional co-regulators implicated in several types of cancer. Small-molecule CDK8/19 inhibitors have recently entered or are entering clinical trials, starting with breast cancer and acute myeloid leukemia (AML). To identify other cancers where these novel drugs may provide benefit, we queried genomic and transcriptomic databases for potential impact of CDK8, CDK19, or their binding partner CCNC. sgRNA analysis of a panel of tumor cell lines showed that most tumor types represented in the panel, except for some central nervous system tumors, were not dependent on these genes. In contrast, analysis of clinical samples for …

Dietary Inflammatory Index And Its Relationship With Cervical Carcinogenesis Risk In Korean Women: A Case-Control Study, Sundara Raj Sreeja, Hyun Yi Lee, Minji Kwon, Nitin Shivappa, James R. Hébert, Mi Kyung Kim

Faculty Publications

Several studies have reported that diet’s inflammatory potential is related to chronic diseases such as cancer, but its relationship with cervical cancer risk has not been studied yet. The aim of this study was to investigate the association between Dietary Inflammatory Index (DII^®) and cervical cancer risk among Korean women. This study consisted of 764 cases with cervical intraepithelial neoplasia (CIN)1, 2, 3, or cervical cancer, and 729 controls from six gynecologic oncology clinics in South Korea. The DII was computed using a validated semiquantitative Food Frequency Questionnaire (FFQ). Odds ratios and 95% CI were calculated using multinomial …

Cryolipolysis: A Guide For Primary Care Practitioners, Miryam Harper, Jane H. Lassetter

Faculty Publications

A desire for the ideal body image has influenced the development of a nonsurgical body-shaping procedure known as cryolipolysis. The purpose of this clinical feature is to inform nurse practitioners about the risks and benefits of cryolipolysis so they can educate their patients. Cryolipolysis is a safe, effective method of reducing small areas of unwanted fat. Adverse effects are minimal and include pain, redness, bruising, and swelling. Results are seen within 12 weeks, but long-term effects are unknown. There are contraindications, and it is relatively expensive; however, it may be a safer option than invasive surgery.

Spatial Variability Of Mangrove Primary Productivity In The Neotropics, Rafaela De Albuquerque Ribeiro, André Scarlate Rovai, Robert R. Twilley, Edward Castañeda-Moya

Faculty Publications

Mangroves are considered one of the most productive ecosystems in the world with significant contributions as carbon sinks in the biosphere. Yet few attempts have been made to assess global patterns in mangrove net primary productivity, except for a few assumptions relating litterfall rates to variation in latitude. We combined geophysical and climatic variables to predict mangrove litterfall rates at continental scale. On a per-area basis, carbon flux in litterfall in the neotropics is estimated at 5 MgC·ha⁻¹·yr⁻¹, between 20% and 50% higher than previous estimates. Annual carbon fixed in mangrove litterfall in the neotropics is …

Amphibious Entrepreneurs And The Origins Of Invention, Kurt Sandholtz, Walter W. Powell

Faculty Publications

In this chapter, we examine entrepreneurs who carry ideas, technologies, values, and assumptions between previously unrelated spheres of economic or cultural activity, and in the process, change the existing order of things. We label such individuals amphibious entrepreneurs and explore their characteristics via four case studies. Their stories suggest a distinct species within the genus of entrepreneur: more pragmatic than heroic, and as likely to invent by not knowing any better as by calculative creation. We discuss their role in creating interstitial spaces, contrast them to other boundary-spanning actors, and identify directions for future research at the intersection of social …

Assessing The Efficiency Of Alternative Best Management Practices To Reduce Nonpoint Source Pollution In A Rural Watershed Located In Louisiana, Usa, Bijay K. Pokhrel, Krishna P. Paudel

Faculty Publications

© 2019 by the authors. We conducted biophysical simulations using MapShed to determine the effects of adopting best management practices (BMPs) to reduce nutrients and sediment pollution in a watershed dominated by poultry production in the Saline Bayou Watershed, Louisiana, USA. The reduction of three water pollutants, nitrogen, phosphorus, and sediment from adopting different BMPs were assessed using a linear programming model with the cost minimization objective. We considered three weather scenarios (dry, normal, and wet) and BMP parameter efficiencies obtained from linear regression models. Optimization results showed that nutrient management and agricultural land retirement reduced most of the phosphorus …