Digital Commons Network^™

Successful Management Of Severe Liver Failure On Venoarterial Extracorporeal Membrane Oxygenation Using Molecular Adsorbent Recirculating Systeme., Shigeki Tabata, Nicholas Cavarocchi, Hitoshi Hirose

Department of Surgery Faculty Papers

A 49-year-old female with Adriamycin induced cardiomyopathy presented with decompensated biventricular congestive heart failure. Despite multiple Inotropes, the patient’s hemodynamics deteriorated and she underwent veno-arterial extracorporeal membrane oxygenation (VA-ECMO) placement as a bridge to decision. Pre-ECMO workup showed liver dysfunction with elevated total bilirubin of 5.9 mg/dl, normal liver enzymes and liver ultrasound image. Tentative diagnosis of “end-stage liver failure” was made without a biopsy.

Shortly after initiation of ECMO, the patient developed massive hemoptysis which was successfully managed with continuation of ECMO and ventilator management. [i] The patient’s total bilirubin continued to increase to peak of 56 mg/dl on …

A Comprehensive Location-Allocation Method For Specialized Healthcare Services, Siddhartha S. Syam, Murray J. Côté

Management Faculty Research and Publications

This paper focuses on the development, solution, and application of a location-allocation model for specialized health care services such as the treatment and rehabilitation necessary for strokes or traumatic brain injuries. The model is based on our experience with the Department of Veterans Affairs’ integrated service networks. The model minimizes the total cost borne by the health system and its patients and incorporates admission acuity levels, service proportion requirements, and admission retention rates. A common resource constraint is introduced at the facility level since treatment of multiple acuity levels involves the pooling of common resources. Realistic instances of the model …

Socioeconomic Forecasting, Yingge Xiong, Jon D. Fricker, Kevin T. Mcnamara, Joseph W. Longley

JTRP Technical Reports

The role of the REMI Policy Insight+ model in socioeconomic forecasting and economic impact analysis of transportation projects was assessed. The REMI PI+ model is consistent with the state of the practice in forecasting and impact analysis. REMI PI+, like its competitors, is vulnerable to the trends contained in the historical data it uses, especially recent trends. After the most recent periodic update in data, the performance of the REMI PI+ model improved, i.e., it produced long-term forecasts that were more credible. Zonal-level population and employment forecasts for direct input to the Indiana Statewide Travel Demand Model (ISTDM) can be …

Correlation Of Respiratory Symptoms And Spirometric Lung Patterns In A Rural Community Setting, Sindh, Pakistan: A Cross Sectional Survey, Imran Naeem Abbasi, Adeel Ahsan, Asaad Ahmed Nafees

Community Health Sciences

Background: Symptom-based questionnaires can be a cost effective tool enabling identification and diagnosis of patients with respiratory illnesses in resource limited setting. This study aimed to determine the correlation of respiratory symptoms and spirometric lung patterns and validity of ATS respiratory questionnaire in a rural community setting.
Methods: This cross sectional survey was conducted between January - March 2009 on a sample of 200 adults selected from two villages of district Khairpur, Sindh, Pakistan. A modified version of the American thoracic society division of lung disease questionnaire was used to record the presence of respiratory symptoms. Predicted lung volumes i.e. …

Stream Restoration: Project Evaluation And Site Selection In The Cacapon River Watershed, West Virginia, Jonathan L. Pitchford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Stream restoration is being conducted throughout the world at unprecedented rates to address stream channel degradation and water quality concerns. Natural Channel Design (NCD) is a common method used for restoration and has received governmental endorsement; however, the effects of NCD on channel stability and ecosystem functioning are poorly studied. We examined the effects of a reach-scale NCD project on channel stability, riparian vegetation, and water quality along the Cacapon River, West Virginia using a before-after-control-impact design and determined that restoration increased the abundance and diversity of woody vegetation, but had minimal effects on streambank stability and water quality. Increased …

Living With Attention Deficit Hyperactivity Disorder, Chalonda Henry

Dissertations

Attention Deficit Hyperactivity Disorder is a commonly diagnosed disorder for both children (and today adults). The literature discusses how ADHD is defined as research continues, the symptoms demonstrated by those diagnosed, how it has been known to affect their main life areas e.g. home, school, social relationships, and how it is assessed, diagnosed and treated. However, reading the literature does not give the reader a sense of the real life perception of ADHD. Children with ADHD and parents of children with ADHD participated in an interview consisting of nine open ended questions. The results were found to be consistent with …

First Love, Bill Elgersma

Pro Rege

No abstract provided.

Mi2Β Is Required For Γ-Globin Gene Silencing: Temporal Assembly Of A Gata-1-Fog-1-Mi2 Repressor Complex In Β-Yac Transgenic Mice, Flávia C. Costa, Halyna Fedosyuk, Allen M. Chazelle, Renee Y. Neades, Kenneth R. Peterson

Faculty and Staff Publications

Activation of γ-globin gene expression in adults is known to be therapeutic for sickle cell disease. Thus, it follows that the converse, alleviation of repression, would be equally effective, since the net result would be the same: an increase in fetal hemoglobin. A GATA-1-FOG-1-Mi2 repressor complex was recently demonstrated to be recruited to the -566 GATA motif of the Aγ-globin gene. We show that Mi2β is essential for γ-globin gene silencing using Mi2β conditional knockout β-YAC transgenic mice. In addition, increased expression of Aγ-globin was detected in adult blood from β-YAC transgenic mice containing a T>G HPFH point mutation …

Non-Attorney Social Security Disability Representatives And The Unauthorized Practice Of Law, Drew A. Swank

Southern Illinois University Law Journal

The label “non-attorney representative” is an oxymoron.  Attorneys—members of state bars who have specialized training in the law—represent people; laypersons who attempt to do so can be charged in most states with a misdemeanor or felony offense.  And yet before federal administrative agencies, it is a common, everyday occurrence.  This article not only explores why that is, but more importantly examines the consequences for both individuals and our federal administrative justice system.  Focusing on the Social Security Administration, this article examines how the agency has failed to implement the safeguards other agencies have to ensure the competency and ethics of …

Race And The Criminal Justice System: A Study Of Racial Bias And Racial Injustice, Nicole C. Haug

Social Sciences

No abstract provided.

A Comprehensive Study Of Ayurveda, Traditional Chinese Medicine, And Comparison, Per Maximilian Gasseholm

Social Sciences

Today complimentary medicine is being increasingly sought out. Ayurveda and TCM, are among the oldest systems of medicine and have been developed for over thousands of years in India and China respectively. This paper details the philosophies, medical theories, anatomy, diagnosis, and treatments of both of these systems, including a comparison. Both of these modalities of healing operate with a microcosm – macrocosm paradigm. This makes them fundamentally similar, and compatible with each other. Ayurveda uses Tridoshic theory to apply treatments ranging from diet, massage, meditation, yoga among other therapies to bring Vata, Pitta, and Kapha into balance. TCM is …

Climate Change And The Spread Of Vector-Borne Infectious Diseases, Courtney B. Reed

Social Sciences

No abstract provided.

Cross-Cultural Cannibalism Throughout Human History, Melissa Cochran

Social Sciences

No abstract provided.

The Creation Of Student-Run Public Relations Firms: A Historical Look At Student-Run Firms, Hannah Hazdovac

Journalism

This study explores the history and background of student-run public relations firms on

college campuses and the benefits, if any, that students receive as a result of working

in such a firm. The public relations industry estimated at growing 18 percent between

2006 and 2016 (Todd, 2009). Even with the sudden expansion of the public relations

industry, and subsequently, public relations education, evidence suggests that recent

public relations graduates often times do meet entry-level outcome expectancies of

employers, leaving a need for a change in curriculum (Creedon, Dostal, Gael, Smith &

Walker, 1999). It is becoming increasingly more important to …

Pervious Pavement Infiltrometer, Madeline Musgrove

BioResource and Agricultural Engineering

This project tests infiltration rates on three different slabs of pervious pavement. A methodology was put in place to ensure that all three slabs were tested the same way. The test that is used for the infiltration rates is a constant head test. A steel ring is placed on the surface of the pervious pavement and sealed with Plumbers Putty around the bottom of the ring. A mark is then sketched on the inside of the ring at 2 inches above the surface of the pavement for a constant backpressure that is equal in all scenarios. Five gallons of water …

A Clinical Approach To Myopathy, Sara Khan

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

The Effect Of Weight Loss On Changes In Health-Related Quality Of Life Among Overweight And Obese Women With Urinary Incontinence, Angela Marinilli Pinto, Leslee L. Subak, Sanae Nakagawa, Eric Vittinghoff, Rena R. Wing, John W. Kusek, William H. Herman, Delia Smith West, Miriam Kuppermann

Publications and Research

OBJECTIVE: To estimate the effect of change in weight and change in urinary incontinence (UI) frequency on changes in preference-based measures of health-related quality of life (HRQL) among overweight and obese women with UI participating in a weight loss trial.

METHODS: We conducted a longitudinal cohort analysis of 338 overweight and obese women with UI enrolled in a randomized clinical trial comparing a behavioral weight loss intervention to an educational control condition. At baseline, 6, and 18 months, health utilities were estimated using the Health Utilities Index Mark 3 (HUI3), a transformation of the SF-36 to the preference-based SF-6D, and …

Town Of Cohasset Senior Center Study, Jan Mutchler, Hayley Gravette, Caitlin Coyle

Gerontology Institute Publications

The Town of Cohasset is considering the construction of a new Senior Center that will provide the opportunity for expanded programming within a dedicated building. In support of planning efforts by the Town of Cohasset, a study was conducted by the Gerontology Institute of the McCormack Graduate School at UMass Boston. The study addresses the need for, and probable utilization of, a new Senior Center, and includes consideration of the recreational, educational and health-related programs that are likely to be offered through the new Center. Results of the study presented in this report respond to three questions: First, what are …

Otras Perspectivas (Other Perspectives), Volume 14, Issue 01, December 2012, Occupational Therapy Graduate Program

OTras Perspectivas: UNM Occupational Therapy Program Newsletter

Acknowledging that the success of the Occupational Therapy Program hinges on the mutual investment of community and friends beyond the local community, the UNM Occupational Therapy Program faculty and staff have initiated this newsletter. The goal is to provide an additional forum for communication, and provide updates about the program's development, faculty, students, alumni, and friends.

The Effects Of Social And Environmental Enrichments On Leg Strength And Welfare Of Tom Turkeys, Patricia A. Weber

Department of Animal Science: Dissertations, Theses, and Student Research

Two trials (T1, T2) were conducted to determine the effects of enrichment: A) broiler chick addition on early mortality and B) providing environmental enrichments on leg strength and welfare of tom turkeys. Trial 1A utilized 248 1d poults and 8 3d broiler chicks. Four pens of 32 poults were placed for the control. Four pens of 30 poults and two 3d broiler chicks were placed for the trt group. Trial 2A utilized 296 1d poults and 24 3d broiler chicks. Four trts were randomly divided among 16 pens (20 birds/pen). Trt 1 brooders were placed with assistance finding resources. Trt …

Evaluation Of Soybean Hulls And Feed Additives In Finishing Beef Diets, Curtis J. Bittner

Department of Animal Science: Dissertations, Theses, and Student Research

Replacing the amount of corn in finishing diets with ethanol byproducts, such as distillers grains, has been well researched and improves performance. However, research when including soybean hulls (SBH) in feedlot finishing diets with distillers grains is limited. Two feedlot experiments were conducted to evaluate the effects of SBH on animal performance and carcass characteristics in finishing diets. Dietary concentrations of SBH used were 0, 12.5, 25, and 37.5% of diet DM, in both experiments. Modified distillers grains plus solubles was included in the diet at 25% for Exp.1 while Exp. 2 contained an inclusion level of 40% wet distillers …

Growing Home: Sacred Space And Contemporary Ecotopia, Andrew Goering Gingerich

Architecture and Planning ETDs

This thesis investigates the concept of ecocentrism and how an emerging ecocentric worldview might uniquely shape the built environment. This thesis is particularly interested in the role of sacred space in urban development, and how the notion of sacredness, unique to an ecocentric worldview, might affect various aspects of the built environment. These issues are explored in two basic parts. First, three basic worldviews are discussed\u2014the pre-modern worldview, the modern worldview, and the emerging ecocentric worldview--specifically on the topics of nature, space, and the city. Second, a qualitative research study of three ecotopian' communities is presented--Village Homes in Davis, CA; …

Virtually Present: An Ethnography Of Communication Look At The Shaping Of Social Rules In Small Group Interactions Mediated By Mobile Devices, Pamela Gerber

Communication ETDs

In this study I describe the communication rules that inform how particular bar patrons use mobile device technologies to shape particular types of small groups. Mobile devices have increasing been naturalized into the communicative landscape and the effects of this need to be explored. I focus on a college bar, MVF, to answer the following research questions: (1) What are the sets of rules surrounding mobile device use in small groups at MVF during late afternoons and evenings? (2) What are meaning(s) users and other group members attribute to the use of mobile devices at MVF during late afternoons and …

Fault-Tolerant Wireless Sensor Networks Using Evolutionary Games, Ricardo Villalon

Computer Science ETDs

This dissertation proposes an approach to creating robust communication systems in wireless sensor networks, inspired by biological and ecological systems, particularly by evolutionary game theory. In this approach, a virtual community of agents live inside the network nodes and carry out network functions. The agents use different strategies to execute their functions, and these strategies are tested and selected by playing evolutionary games. Over time, agents with the best strategies survive, while others die. The strategies and the game rules provide the network with an adaptive behavior that allows it to react to changes in environmental conditions by adapting and …

The Incredible Shrinking Confrontation Clause, Jeffrey Bellin

Faculty Publications

Sharp turns in the Supreme Court’s recent Confrontation Clause jurisprudence have left scholars reeling from conflicting emotions: exhilaration, despair, denial, and soon, perhaps, cynical acceptance. While most commentators celebrated the demise of the incoherent Ohio v. Roberts framework, their excitement largely faded as the Court’s decisions in Davis v. Washington and Bryant v. Michigan revealed nascent flaws in the evolving doctrine and sharply curtailed the newly revitalized confrontation right.

Recent scholarship strives to reanimate the jurisprudence by expanding the doctrinal definition of “testimonial” statements – the sole form of evidence that the Court now recognizes as implicating the Confrontation Clause. …

Structure-Function Analysis Of A Protein Encoded By The Bhv-1 Latency Related Gene, Devis Sinani

School of Veterinary and Biomedical Sciences: Dissertations, Theses, and Student Research

Bovine herpes virus 1 (BHV-1) is a significant viral pathogen in cattle that induces a myriad of clinical symptoms. These symptoms include: conjunctivitis, upper respiratory tract infections, genital disorders, and abortions. BHV-1 infection can also lead to transient immune-suppression, which predisposes cattle to secondary bacterial infection leading to life-threatening pneumonia referred to as bovine respiratory disease (BRD). Following acute infection, BHV-1 establishes latency in sensory neurons within trigeminal ganglia. Reactivation of the virus can occur periodically, resulting in virus transmission. The latency-related (LR) RNA is the only abundantly expressed transcript in latently infected sensory neurons and it encodes several proteins, …

Morse V. Frederick: Tinkering With School Speech: Can Five Years Of Inconsistent Interpretation Yield A Hybrid Content—Effects-Based Approach To School Speech As A Tool For The Prevention Of School Violence?, Ronald C. Schoedel Iii

BYU Law Review

No abstract provided.

The Relationship Between Perceptions Of School Climate And Student Achievement In Schools That Use Jostens' Renaissance Programs, Amy Yarborough Coyne

Dissertations

Each school has unique attributes and a personality that gives the school a distinct climate. Psychological qualities that schools possess might include trust, collaboration, cooperation, teaching attributes, expectations, community involvement, and engagement (Rhodes, Camic, Milburn, & Lowe, 2009). Given information regarding school climate, relationship needs, and motivation, the purpose of this study was to examine the perceptions of teachers involved in change and improvement processes and to determine whether academic change was related to the use of programs such as Jostens’ Renaissance.

The participants of this study consisted of 242 faculty and staff from five public schools from three separate …

The Relationship Between Teacher Classroom Practices And 21st Century Students' Academic Dishonesty At The Secondary Level, Marguerite Beth Bellipanni

Dissertations

With the rise in the number of high schools students admitting to academic dishonesty on national surveys, educators must examine what is happening in the classroom to determine a cause for this increase. Past research has shown that students cheat for a variety of reasons. Much of it has shown that students are able to neutralize their cheating to external reasons such blaming the teacher, competition for good grades, or not understanding the task at hand. The literature has also revealed that students cheat because they feel that there is no enforcement of consequences for academic dishonesty.

The purpose of …

An Examination Of Mature Interpersonal Relationships Among International And American College Students, Bona Aidoo

Dissertations

Educating students to relate harmoniously with people from different backgrounds has become an important agenda for student affairs professional because of the increasingly diverse nature of the American society. The purpose of this study was to assess how American and international college students develop mature interpersonal relationship skills. All the participants were from a mid-sized comprehensive institution in the Southern United States. The two main constructs measured were tolerance and quality of relationships. Attempts were also made to identify other predictors that may influence mature interpersonal relationships: gender, age, educational level, and academic achievement as measured by GPA. Both quantitative …