Digital Commons Network^™

Stent Thrombosis: Regional Prevalence, Risk Factors, And Outcomes, Andrew M. Ayers, Chi C. Cho, Robyn Shearer, M. Fuad Jan, Anjan Gupta

Journal of Patient-Centered Research and Reviews

Background: Stent thrombosis is an infrequent but catastrophic complication of percutaneous coronary intervention (PCI). Many studies usually involve few stent thrombosis patients, generally less than 60, given its prevalence. While dual antiplatelet therapy has decreased stent thrombosis significantly in the general population, there are still patients who present with occurrence and recurrence of stent thrombosis.

Purpose: We sought to define the prevalence of site-specific stent thrombosis in a larger cohort of patients by specific coronary territories and determine if this had an effect on cardiovascular outcomes. In addition we sought to elucidate the role of previous coronary artery bypass grafting …

In Vitro Growth Suppression Of Renal Carcinoma Cells By Curcumin, Santhi Konduri, Madhavi Latha Yadav Bangaru, Phu Thanh Do, Shenglin Chen, Jeffrey Woodliff, Sanjay Kansra

Journal of Patient-Centered Research and Reviews

Background: Malignant clear cell renal carcinoma (ccRCC) is an aggressive tumor that is highly resistant to chemotherapy and radiation. Current therapeutic approaches to management of ccRCC have not significantly improved patient survival, therefore novel therapies are needed. The von Hippel-Lindau tumor suppressor gene is frequently mutated in ccRCC resulting in unregulated transcriptional activity of hypoxia-inducible factors (HIF) 1α and 2α. HIF-mediated transcription leads to increased growth factor expression and growth factor receptor (GFR)-mediated signaling. NFκB and STAT3 are phosphorylated in response to GFR activation and modulate gene expression, which promotes cell growth and invasion. Activated NFκB and STAT3 expression is …

Triple Aim For Clinical Teachers (Tact): Faculty Physician Perceptions On Their Ability To Balance Clinical Quality, Trainee Learning, And Teaching Efficiency, Minuja Muralidharan, Anne Getzin, Kjersti E. Knox, Bonnie L. Bobot, Marie M. Forgie, Nicole P. Salvo, Deborah Simpson

Journal of Patient-Centered Research and Reviews

Background: A common challenge facing teaching physicians is balancing high-quality student and resident teaching with efficient, high-quality care and patient service. Publicly accessible clinic performance reports increasingly affect where patients seek care and demand that teaching clinics rise to consumer expectations while training future physicians to function in the modern health care workplace. Limited information is available to guide physicians to achieve the triple aim for clinical teachers (TACT): clinical quality/patient experience, trainee learning, and teaching efficiency.

Purpose: To understand clinical teachers’ TACT-related experiences, perceptions and preferences for how to learn TACT-associated skill sets to improve their competence as teachers. …

Tertiary Center Experience Of Catheter-Directed Thrombolysis For Immediately Threatened Acute Lower Limb Ischemia Of Native Vessels And Bypass Graft Thrombosis, Hani Hashim, M. Fuad Jan, Maharaj Singh, Suhail Allaqaband, Tanvir Bajwa, Anjan Gupta

Journal of Patient-Centered Research and Reviews

Background: Catheter-directed thrombolysis (CDT) is an effective therapy and a class I indication for patients with acute limb ischemia (ALI, Rutherford categories I and IIa) of less than 14 days duration, and class IIb indication for ALI (Rutherford category IIb) with symptoms more than 14 days duration. However, there is no consensus on the initial management option for ALI (Rutherford category IIb) with symptoms less than 14 days duration.

Purpose: To evaluate the safety, efficacy and outcome of CDT, with or without bailout Angiojet mechanical thrombectomy, in patients with immediately threatened acute lower extremity ischemia (Rutherford category IIb) as a …

Practc: Practice Readiness Academic Clinical Training Collaborative –– Gap Analysis To Advance Clinical Training For Nurse Practitioner Students, Jennifer Hartlaub, Mary Ann Muzi, M. Jamie Cairo, John R. Brill, James Weese, Kristin Rivera, Susan Hafemann, Ann M. Rohrer, Julia Schumacher, Terri L. Vandenhouten

Journal of Patient-Centered Research and Reviews

Background: Multiple factors have created a perfect storm of health care provider shortages in the United States. Advanced practice registered nurses (APRNs), long established as high-quality, cost-effective health care providers, are meeting health care needs across the nation in a variety of settings, and in Wisconsin will be needed to augment the primary care workforce. With 5.7% of its registered nurses credentialed as APRNs, Wisconsin lags behind the national average of 8.7%. However, current capacity to educate this workforce is strained, requiring innovative data-driven clinical education models.

Purpose: To identify gaps in the current clinical educational framework for nurse practitioner …

Mailed At-Home Fit Intervention To Increase Colorectal Screenings At Sixteenth Street Community Health Centers, Alexander V. Herrera, Brian Hilgeman, Michelle Buelow, Melissa A. Lemke

Journal of Patient-Centered Research and Reviews

Background: Mailed at-home FIT intervention kits to increase colorectal cancer screenings at Sixteenth Street Community Health Centers (SSCHC).

Purpose: It is our goal to increase the current SSCHC colorectal cancer baseline screening rate of 23% to 50% within three years of full at-home FIT kit implementation.

Methods: Colon cancer is the second and third most common cause of cancer death in the United States in Hispanic men and women, respectively. Colonoscopy is the most common method of colon cancer screening, even among low-income patients. However, it has been shown in community health centers that mailed FIT kits are a more …

Maternal Intuition Of Fetal Gender, Michael P. Mcfadzen, David P. Dielentheis, Ronda Kasten

Journal of Patient-Centered Research and Reviews

Background: Many pregnant mothers feel they have a perception or intuition as to the gender of their unborn baby. There is very little published scientific literature regarding this topic. The study’s goal is to determine accuracy of mothers’ perceptions as to gender of their unborn babies. Many scientists believe a pregnant woman could not determine her baby’s gender by intuition, with a 50% probability of correctly determining the gender. This study should be considered fun science.

Purpose: To objectively measure a pregnant mother’s perception as to the gender of her unborn baby and compare to sonographically proved gender. The study …

Disease-Management In Family Medicine Clinics Through The Addition Of A Health Coach: A Pilot Study, Crystal Y. Cichon, Jessica J.F. Kram, Tiffany A. Mullen, Pamela Voelkers, Kristin J. Magliocco, Kiley A. Bernhard, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: In the United States, more than 80% of health care spending is focused on the management of chronic illnesses such as hypertension, diabetes and hyperlipidemia. Controlling these chronic diseases can lead to better health outcomes and decrease the number of preventable deaths. Patient self-management has shown to improve clinical outcomes. In a primary care setting, a multidisciplinary approach can more effectively educate patients on improving their health.

Purpose: To assess the impact of a health coach in a primary care setting as it relates to clinical outcomes.

Methods: Patients from two Aurora family medicine clinics were referred to a …

Aligning Asthma Education Across The Continuum Of Physician Education: Impact On Clinical Metrics, Lisa Sullivan Vedder, Deborah Simpson, Jacob L. Bidwell, John R. Brill, Theresa Frederick

Journal of Patient-Centered Research and Reviews

Background: All trainees entering family medicine residency training programs after June 1, 2012, must complete the same American Board of Family Medicine (ABFM) Maintenance of Certification (MOC) requirements as practicing physicians. These shared requirements provide an opportunity to align physician education initiatives across the continuum focused around a clinical care topic to improve health care system metrics.

Purpose: To assess the initial effectiveness of an ABFM Asthma Part IV approved MOC module, aligned to meet residency and medical student program accreditation requirements, on health care system metrics.

Methods: An ABFM Asthma Part IV MOC module was implemented for family medicine …

Incidence Of Breast, Colorectal And Lung Cancers And Mortality Among Women Within Midwestern States, Ruth M. Perez, Matthew Rappelt, Kathryn Kossow, Maharaj Singh

Journal of Patient-Centered Research and Reviews

Background: Breast, colorectal and lung cancers have been shown to be the most common cancers as well as the leading causes of cancer death among women. Previous studies suggest that the Northeast had significantly higher rates in incidence and mortality than the Midwest, South and Western regions. However, new data indicates that the Midwest now harbors the highest mortality rates. In Wisconsin, the sixth largest state in the Midwest, cancer is the leading cause of death. Differences in incidence and mortality of breast, colorectal and lung cancers have been observed between Wisconsin, other Midwestern states and national data, warranting further …

Feasibility Of Atrial Delivery And Tracking Of Stem Cells In A Porcine Model, Nina Garlie, Timothy Hacker, Eric G. Schmuck, Jill Koch, Jayant Khitha, Amish Raval, Indrajit Choudhuri

Journal of Patient-Centered Research and Reviews

Background: Many patients undergoing open heart surgery have sinus node dysfunction and atrial fibrillation, leading to adverse outcomes. Mesenchymal stem cells (MSC) delivered at the time of surgery may have a reparative effect on atrial tissue, thereby improving sinus node function and reducing or preventing atrial fibrillation. Stem cell delivery to the atrium is entirely unstudied. This is a significant gap in medical research, as atrial disease contributes significantly to health care costs.

Purpose: The purpose of this pilot study is to establish a technique to deliver MSC to the atria through an open-chest model, to assess the safety of …

The Effect Of Percutaneous Closure Of Large Atrial Septal Defects On Right Ventricular Function In Adults, Armaan Shaikh, Alejandro Lopez-Mas, Suhail Allaqaband, Bijoy K. Khandheria, Abraham Getenet, Matt M. Umland, Maharaj Singh, Tanvir Bajwa

Journal of Patient-Centered Research and Reviews

Background: Percutaneous closure of atrial septal defects has been shown to be a safe alternative to surgery. Despite this, past studies have largely been focused on either small- to medium-sized atrial septal defects or percutaneous closure in children and young adults.

Purpose: Our study sought to examine if right ventricular function and size improved after percutaneous closure of large atrial septal defects in the adult population.

Methods: Over a 5-year span, 25 patients underwent percutaneous closure of a secundum atrial septal defect with an occluder device. A retrospective examination was conducted for each patient, including both echocardiography and chart review …

Contemporary Usage Of Intra-Arterial Catheter-Directed Thrombolytic (Cdt) Power Pulse Spray With Rheolytic Thrombectomy In Failed Cdt Alone For Acute Limb Ischemia, Hani Hashim, M. Fuad Jan, Maharaj Singh, Suhail Allaqaband, Tanvir Bajwa, Anjan Gupta

Journal of Patient-Centered Research and Reviews

Background: Acute lower limb ischemia (ALI) caused by arterial embolism, thrombosis of native vessels, and/or grafts is a serious condition associated with substantial morbidity and mortality. Peripheral arterial thrombolysis utilizing catheter-directed thrombolytic (CDT) has become established as a useful option in the management of ALI. However, use and outcome of adjunctive power pulse spray with rheolytic thrombectomy (PPSRT) following unsuccessful CDT is underreported in the literature.

Purpose: To evaluate outcome of contemporary use of intra-arterial CDT PPSRT as an adjunct to unsuccessful standard CDT for ALI.

Methods: We reviewed 78 consecutive patients (mean age 69 ± 14.2 years, 48.8% female) …

Synthesis Of Graphitic Nanostructures On Noble Metals, Amelie Adele Parmentier

Theses and Dissertations

In this research, two subjects are studied: the growth of graphene from various catalysts with RF-CVD and the growth of graphitic nanostructures from gold-decorated graphene with RF-CVD. In the first topic, various catalysts are made with magnesium oxide and metal nanoparticles: iron, silver and gold. Using a radio-frequency generator, these catalysts are heated and placed in contact with three gases (argon, hydrogen and methane). By controlling various parameters, graphene synthesis can happen. The results are analyzed with Scanning electron microscopy (SEM), Transmission electron microscopy (TEM), Thermo-gravimetrical analysis (TGA), and X-ray diffraction (XRD). In the second topic, commercial graphene is functionalized …

Motionauth: Motion-Based Authentication For Wrist Worn Smart Devices, Junshuang Yang

Theses and Dissertations

Wrist worn smart devices are increasingly popular. As those devices collect sensitive personal information and often work as a companion component of smart phones, thus being treated trustworthy, appropriate user authentication mechanisms are necessary to prevent illegitimate access to those devices. However, the small form and function-based usage of wearable devices also pose a big challenge to authentication, which should be user friendly and unobtrusive. We propose MotionAuth, a behavioral biometric based authentication method, which collects user’s behavioral biometrics through a wrist worn smart device for building a user’s profile, and applies the profile in user validation. We implement MotionAuth …

Kenneth Burke Meets The Apostle Paul On The Road To Damascus: Mysticism Through Rhetorical Identification, William S. Elkins

Theses and Dissertations

The term “in Christ” is widely recognized within the Christian Church as a signature term of the Apostle Paul. But while the term is recognized as fundamental to his theology, occurring 180 times specifically and 300 times generally, functional usage is minimal. However, when the origin of the term is seen in its original context of the Damascus Road Event Encounter, the unique mystical nature of the term begins to come into focus. At that event the Messiah introduces Paul to a concept that much later (twentieth century) Kenneth Burke labels “identification,” who explains at length identification’s operational dynamics. My …

Score Big For Decreasing Mortality: Icd Risk Score Model, Linda Francaviglia, Rachel Petersen, Maria Stone, M. Eyman Mortada

Journal of Patient-Centered Research and Reviews

Background: Aurora Health Care, a system of 14 acute care hospitals in eastern Wisconsin, has been a long-time participant in the American College of Cardiology’s National Cardiovascular Data Registries, submitting data to its ICD Registry™ since 2005. Our system’s implantable cardioverter-defibrillator (ICD) procedure volume averages 930 cases annually. During 2012 we experienced an increase in in-hospital mortality/morbidity for ICD cases.

Purpose: A single-center study examining in-hospital mortality/morbidity post-ICD implant before and after changes in practice and patient selection.

Methods: ICD implants and generator changes discharged from January 1, 2009, to December 31, 2012, were included in developing a risk model …

A Meta-Analysis Of Incidence And Risk Factors Of Trastuzumab-Induced Cardiotoxicity In Breast Cancer, Zeeshan Ali Jawa, Ruth M. Perez, Lydia Garlie, Maharaj Singh, Rubina Qamar, Bijoy K. Khandheria, Arshad Jahangir, Yang Shi

Journal of Patient-Centered Research and Reviews

Background: A monoclonal antibody, trastuzumab targets the human epidermal growth factor receptor 2 (HER2) oncogene that is overexpressed in 25–30% of breast cancers. In combination with first-line therapy, trastuzumab resulted in significant improvement in survival outcomes for those with HER2-positive metastatic breast cancer. Due to its improvement in outcome and prolonged survival, trastuzumab has been established as standard of care in both adjuvant and metastatic settings. However, along with common adverse events, trastuzumab has been found to be associated with cardiotoxicity. An estimated 1–4% of patients treated with trastuzumab will develop heart failure and ~10% of patients will experience a …

A New Species Of Alhajarmyia Stuckenberg (Diptera: Vermileonidae), The First Wormlion Fly Described From East Africa And Its Biogeographical Implications, Vaughn R. Swart, Ashley H. Kirk-Spriggs, Robert S. Copeland

All Peer-Reviewed Publications

A second species of the genus Alhajarmyia Stuckenberg (A. stuckenbergi Swart, Kirk-Spriggs & Copeland, sp. n.), is described and figured, from the Eastern Arc Mountains of Kenya (Kasigau Mountain and Taita Hills), being the first vermileonid recorded from East Africa. The species is shown to differ from its congener, A. umbraticola (Stuckenberg & Fisher), described from Oman in the Arabian Peninsula, based on external characters including male and female terminalia. An identification key is provided together with distribution maps for the two species, and biogeographical aspects are discussed.

Multidimensional Waveform Shaping In Multicarrier Systems, Ertugrul Guvenkaya

USF Tampa Graduate Theses and Dissertations

Constantly increasing demand for wireless communications in various applications has always led to new ways of modulating the radio frequency (RF) carrier signal by advancing waveform structure throughout generations. Although communication data rates are limited by the theoretical capacity, specific signaling designs for the signal that experiences natural and artificial effects in the transmission medium such as multipath fading channel, hardware impairments and multiuser environment promised better solutions in providing improved wireless access to various type of users and networks. Besides communication capacity, broadcasting nature of radio signals poses the information security as another main concern in wireless communications. In …

Neurophysiological Activity Related To Speech Production: An Erp Investigation, Adithya Chandregowda

USF Tampa Graduate Theses and Dissertations

The event related potential (ERP) technique is enjoying widespread application in neurophysiological research due to its fine temporal resolution. Of relevance to this study are ERPs related to voluntary movements. The precision with which movement related processes could be recorded using the ERP technique was demonstrated by Gilden, Vaughan and Costa (1966) and Kutas and Donchin (1974, 1977, and 1980) who found that the readiness potential (RP) immediately preceding hand movement was larger over the hemisphere contralateral to the responding hand. Given that left hemisphere controls right hand movements and vice versa, their findings confirmed that the lateralized readiness potential …

The Relationship Of Childhood Stress To Adult Health And Mortality Among Individuals From Two U.S. Documented Skeletal Collections, Late 19Th To Early 20Th Centuries, Rhonda Coolidge

USF Tampa Graduate Theses and Dissertations

Although the association between social inequality and poor adult health is well established, the mechanisms by which inequality is translated into poor adult health are less clear. Increasingly, evidence suggests that many adult health problems and health disparities have their origins in early life; the developmental origins of health and disease (DOHaD) hypothesis provides an explanatory mechanism linking adverse early life conditions with permanent structural or functional changes that increase the risk for disease. This hypothesis is consistent with bioarchaeological research noting reduced lifespan among individuals exhibiting signs of childhood stress.

The principal aim of this dissertation is to contribute …

November 20, 2015, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

Research Brief: "Military Service Absences And Family Members’ Mental Health: A Timeline Followback Assessment", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief examines mental health correlating with a parent's absence during a military deployment. The findings show that adolescents were affected by a military parent being absent from significant events, and that they would benefit from programs that offer pre and post-deployment briefings. In the future, research should investigate how contact during military deployment affects the service member and their family.

Visualizing The News: An Analysis Of A Year In Interactive News From The New York Times And The Washington Post, Maria T. Olivo

Theses

In the past decade, newsrooms have been struggling to remain relevant while trying to keep and attract new audiences. Access to diverse online tools and big data has expanded the use of infographics and data visualization in news stories, increasing reader engagement with complex content. The increase of interactive visual content in journalism requires rethinking how journalistic and design elements are incorporated in a story. This study explores how The New York Times and The Washington Post incorporate principles of design and data visualization to present complex information for their readers. Using a mixed method approach, a sample of 275 …

Chimes: November 20, 2015, Calvin College

Chimes

Students react to Paris attacks by Marisa Heule

"Macabre" impresses with haunting displays of art by Anna Delph

Calvin tied with Hope in flu vaccine challenge by Amelia Sterenberg

Symposium hosts Calvin professor by Alicia De Jong

Financial seminar trains students by Juliana Ludema

Student bands draw crowd by Deanna Geelhood

3D printing produces Disney-inspired prosthetics by Kelsey Powers

Women's basketball opens season with pair of wins by Anna Gernant

Optofluidic Spectroscopy Platform For Detection Of Hemolysis, Edikan Archibong

USF Tampa Graduate Theses and Dissertations

In the United States alone, hundreds of millions of blood tests are performed annually, and a significant number of those tests are compromised due to hemolysis: e.g., 31% compromised in emergency rooms (inpatient) and 10% at blood banks, clinics, and other outpatient venues. Currently there is no way to reliably detect hemolysis without plasma separation. As a result, significant delays ensue, potentially negatively affecting patient diagnosis and treatment. In addition to in vitro hemolysis, which compromises the quality of blood tests, hemolysis can also occur in vivo. The in vivo occurrence of hemolysis is an indication of life-threatening complications. …

The Relationship Between Social Networks, Exchange And Kids’ Food In Children’S Peer Culture, Stephanie Tillman Melton

USF Tampa Graduate Theses and Dissertations

This study investigates children’s peer culture, social networks and the role that kids’ food plays in peer exchanges during middle childhood. During this stage children develop social competencies as they join peer groups with other children and become socialized into children’s peer culture. In order to immerse myself within children’s culture, I conducted ethnographic fieldwork at two afterschool programs providing care for elementary school children. I investigated friendships, social networks and exchanges among third through fifth grade children at the programs. The study included participant observation and participatory group interviews with a sample of the children at both sites. The …

Risk And Resiliency Factors At School Entry: Relations To Academic And Behavioral Outcomes In Early Adolescence, Krystle Kuzia Preece

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to examine how early academic and behavioral variables in kindergarten (i.e., academic performance, first time kindergarten status, early school-related emotional adaptation, prosocial behavior, externalizing behaviors, and internalizing behaviors) were related to academic and behavioral outcomes in eighth grade (i.e., academic performance, retention, suspension, externalizing behaviors, internalizing behaviors, and having an educational/mental health diagnosis). Archival data from the Early Childhood Longitudinal Study—Kindergarten Cohort (ECLS-K) database that included approximately 5,700 participants from across the U.S., were examined to answer three research questions: (1) How are early academic and behavioral variables related to each other among youth …

Funeral Service Employers' Perceptions Of Body Art And Hireability, Tanya E. Scotece

USF Tampa Graduate Theses and Dissertations

The purpose of this research was to determine whether there were biases among funeral home and cemetery professionals with regards to hiring mortuary science graduates with tattoos.

An anonymous survey including a photograph of either a male or female with various degrees of visible body art, ranging from none to extreme, was sent to 1484 members of the International Cemetery, Cremation and Funeral Association. The primary methodology used to determine whether biases existed regarding visible body art were a semantic differential and a hireability scale. The survey was designed to gather information related to the following three research questions:

1. …