Digital Commons Network^™

Assessing The Accessibility And Integration Of Community Resources For Autism In Sri Lanka, Bryce Eng, Krys Foster, Md, Mph

Phase 1

Introduction: Similar to many other developing countries, Sri Lanka also has challenges meeting the needs of autistic individuals. While progress has been made in evaluating autism screening tools and home-based therapy, limited data exists on the utilization of community resources.

Objective: The objective of this study is to assess the accessibility and integration of community resources for autistic individuals in Sri Lanka. Questions to explore will center on how different sectors work with families and each other to address an autistic individual’s needs.

Methods: Informal interviews were conducted with professionals who have direct experience working with individuals with autism and …

More Social Needs Endorsed By Caregivers Of Young Children Experiencing Everyday Discrimination, Elizabeth Critchlow, Jennifer Robbins, Md, Mph, George Datto, Md, Tirzah Spencer, Phd, Diane Abatemarco, Phd, Msw, Thao-Ly Phan, Md, Mph

Phase 1

Background: Both discrimination and social needs are underlying risk factors for poor health outcomes; however, there are no studies looking at how feelings of discrimination impact reporting of social needs in the pediatric health care setting.

Objective: To compare caregiver report of social needs and desire for help addressing social needs in the pediatric primary care setting based on respondents’ experiences with discrimination.

Methods: We conducted a cross-sectional study of caregivers of children aged 2-5 in an urban primary care setting. Caregivers completed a tool to screen for 15 social needs and desire for help to address these needs, with …

Demographics, Support Opportunities, And Self-Reported Well-Being Of Patients Presenting For Hepatitis C Treatment At A Federally Qualified Health Center In Philadelphia, Dina Zaret, C. Coleman, M. Dorshimer, J. Kostman, L. Magaldi, T. Preston, R. Rivera, S. Trooskin

Phase 1

Introduction: As the opioid epidemic develops and evolves, the number of people who inject drugs is rising. A growing number of new Hepatitis C Virus (HCV) infections have been identified in people who inject drugs.

Objective: This study aims to better understand the demographics, well-being, and satisfaction with medical care of patients presenting for HCV treatment at a Federally Qualified Health Center (FQHC) in an urban setting. The study also looks to assess the impact of continued connection to holistic medical care.

Methods: Surveys were administered to 51 unique patients at their first visit for HCV treatment. Along with demographic …

Ka Ulu Koa Ma Kai: The Koa Grove Rises In The Sea, Ty P. Kāwika Tengan

Pacific Studies

Ty P. Kāwika Tengan's response to Hereniko and Schorchʻs "THE CANOE, THE WIND, AND THE MOUNTAIN: SHUNTING THE RASHOMON EFFECT OF MAUNA KEA".

Vol. 41 No. 3 (2018): Pacific Studies Full Issue, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Pacific Studies is published two times a year by The Jonathan Nāpela Center for Hawaiian and Pacific Studies, Brigham Young University Hawai‘i #1979, 55–220 Kulanui Street, Lāʻie, Hawai‘i 96762, but responsibility for opinions expressed in the articles rests with the authors alone. Subscription rate is US$40.00 yearly, payable to The Jonathan Nāpela Center for Hawaiian and Pacific Studies. The Jonathan Nāpela Center for Hawaiian and Pacific Studies (formerly The Pacific Institute) is an organization funded by Brigham Young University Hawai‘i. The Center assists the University in meeting its cultural and educational goals by undertaking a program of teaching, research, and …

Tennessee Home Visiting Annual Report, July 1, 2017 - June 30, 2018, Tennessee. Department Of Health.

Home Visiting Program Annual Report

No abstract provided.

Third Quarter 2018 Groundwater Assessment Monitoring Report September 2018 Monitoring Event, Tennessee. Department Of Environment And Conservation.

Groundwater Assessment

No abstract provided.

Front Matter

West Virginia Law Review

No abstract provided.

Better Late Than Never: Bringing The Data Security Regulatory Environment Into The Modern Era, Jacob Holden

West Virginia Law Review

No abstract provided.

Maximize Charitable Giving Under New Deduction Change, Bill Dabney

University of Mississippi News

Strategy enables taxpayers to continue to claim deductions for charitable gifts

Law Library Blog (December 2018) : Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

The Relationship Between Emotional Competence And The Supervisory Working Alliance: A Study Of Doctoral Counselor Education Supervisors And Master’S-Level Counselors-In-Training, Elizabeth Gilchrist Tolliver

Dissertations

Emotional competence (EC) is an individual’s ability to skillfully embark into emotionally-laden interactions (Mayer, Salovey, & Caruso, 2008). Counselors rely on EC to build a therapeutic alliance with clients, while supervisors rely on EC to build a supervisory working alliance (SWA) with counselors-in-training. A strong SWA impacts counselor development (Ellis, 2001). Previous research suggests that SWA may be impacted by multicultural competency, supervision style, gender, and age (Bhat & Davis, 2007; Crockett & Hays, 2015; Doughty & Leddick, 2007). EC and SWA have been studied independently, but not in the context of the master’s level counselors-in-training (CITs) and doctoral education …

Social Work Faculty And Graduate Student Perceptions Of A One-Year Residency Program: A Phenomenological Perspective, Patricia A. Gray

Education Doctoral

Research shows that there is an increase in working professionals returning to social work school but are ill-prepared to give up their jobs to attend school full-time to obtain their master’s in social work degrees. The purpose of this case study analysis was to explore the perceptions of social work graduate students and faculty members within a model known as the One-Year Residency (OYR) Program on the east coast using both focus groups and interviews, respectively. Using a qualitative phenomenological approach with a purposive sample, the study focused on discovering the graduate students’ and faculty perceptions about (a) the OYR …

How The Criminal Justice System Can Contribute To Eliminating Inequities In Healthcare At Two Pivotal Times: While Incarcerated, And During Reentry Into The Community, Karen A. Buck

Education Doctoral

The purpose of this qualitative study was to explore and understand, from the perspective of the jail administrator, the elements required for a comprehensive healthcare program for those incarcerated and during reentry into the community. Research confirms that a comprehensive, replicable healthcare model for services while incarcerated, and a reentry program that recognizes both the medical and social needs of the incarcerated are beneficial for the individual, and the community. In this qualitative descriptive study, the intention was to add to the body of knowledge; the elements required to provide comprehensive medical and social services while incarcerated and when transitioning …

Teacher Perceptions Of Latino Parental Involvement In An Urban Public School District: A Survey Of The Predictive Role Of Teacher’S Cultural Intelligence, Vanessa A. Vasquez

Education Doctoral

The Latino population in the United States is projected to increase significantly in the upcoming years, hence so will the numbers of Latino students enrolled in public schools. Although previous scholarly research indicated that parental involvement in U.S. school settings is correlated to student achievement, parental involvement is often reported as significantly lower for Latino parents relative to White parents. Although the classroom has become increasingly diverse, educators across the United States have remained mostly the same where more than 80% of educators are White and female, which does not mirror the demographics of the students in the classroom (U.S. …

The Impact Of Pulmonary Hypertension In Preterm Infants With Severe Bronchopulmonary Dysplasia Through 1 Year., Joanne M. Lagatta, Erik B. Hysinger, Isabella Zaniletti, Erica M. Wymore, Shilpa Vyas-Read, Sushmita Yallapragada, Leif D. Nelin, William E. Truog, Michael A. Padula, Nicolas F M Porta, Rashmin C. Savani, Karin P. Potoka, Steven M. Kawut, Robert Digeronimo, Girija Natarajan, Huayan Zhang, Theresa R. Grover, William A. Engle, Karna Murthy, Children's Hospital Neonatal Consortium Severe Bpd Focus Group

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVES: To assess the effect of pulmonary hypertension on neonatal intensive care unit mortality and hospital readmission through 1 year of corrected age in a large multicenter cohort of infants with severe bronchopulmonary dysplasia.

STUDY DESIGN: This was a multicenter, retrospective cohort study of 1677 infants bornChildren's Hospital Neonatal Consortium with records linked to the Pediatric Health Information System.

RESULTS: Pulmonary hypertension occurred in 370 out of 1677 (22%) infants. During the neonatal admission, pulmonary hypertension was associated with mortality (OR 3.15, 95% CI 2.10-4.73, P < .001), ventilator support at 36 weeks of postmenstrual age (60% vs 40%, P < .001), duration of ventilation (72 IQR 30-124 vs 41 IQR 17-74 days, P < .001), and higher respiratory severity score (3.6 IQR 0.4-7.0 vs 0.8 IQR 0.3-3.3, P < .001). At discharge, pulmonary hypertension was associated with tracheostomy (27% vs 9%, P < .001), supplemental oxygen use (84% vs 61%, P < .001), and tube feeds (80% vs 46%, P < .001). Through 1 year of corrected age, pulmonary hypertension was associated with increased frequency of readmission (incidence rate ratio [IRR] = 1.38, 95% CI 1.18-1.63, P < .001).

CONCLUSIONS: Infants with severe bronchopulmonary dysplasia-associated pulmonary hypertension have increased morbidity and mortality through …

Evaluation Of The Hiv Infant Tracking System (Hitsystem) To Optimise Quality And Efficiency Of Early Infant Diagnosis: A Cluster-Randomised Trial In Kenya., Sarah Finocchario-Kessler, Brad Gautney, Anlin Cheng, Catherine Wexler, May Maloba, Niaman Nazir, Samoel Khamadi, Raphael Lwembe, Melinda Brown, Thomas A. Odeny, Jacinda K. Dariotis, Matthew Sandbulte, Natabhona Mabachi, Kathy Goggin

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The HIV Infant Tracking System (HITSystem) is a web-based intervention linking providers of early infant diagnosis, laboratory technicians, and mothers and infants to improve outcomes for HIV-exposed infants. We aimed to evaluate the efficacy of the HITSystem on key outcomes of early infant diagnosis.

METHODS: We did a cluster-randomised trial at six hospitals in Kenya, which were matched on geographic region, resource level, and volume of patients (high, medium, and low). We randomly allocated hospitals within a matched pair to either the HITSystem (intervention; n=3) or standard of care (control; n=3). A random number generator was used to assign …

Child Abuse, Incarceration, And Decisions About Life-Sustaining Treatment., Paul C. Mann, Elliott Mark Weiss, Rebecca R. Seltzer, Rachel A B Dodge, Renee D. Boss, John Lantos

Manuscripts, Articles, Book Chapters and Other Papers

Most critical care interventions for children occur in the framework of a supportive environment with loving parents that are present at the bedside to help to guide medical interventions through shared decision-making. What happens, however, if the parents are precluded from being at the bedside because of legal entanglements? How should clinical decisions progress in those cases? In this Ethics Rounds, we present the case of an infant with severe hypoxic-ischemic encephalopathy at birth whose mother was incarcerated shortly after delivery. We explore clinical and legal challenges that the medical team faces in determining best interests for the infant in …

When Parents Have Misunderstandings About The Risks And Benefits Of Palliative Surgery., Berklee Robins, Adam Booser, John Lantos

Manuscripts, Articles, Book Chapters and Other Papers

When a child needs surgery, both the surgeon and the anesthesiologist must obtain informed consent from the parents. In theory, each specialist obtains permission for their respective portion of the procedure, with the anesthesiologist only obtaining informed consent for the administration of anesthesia and management in the operating room and recovery room. However, he or she may occasionally realize that the parents have misunderstandings about what the surgery and perioperative course entail. In such cases, he or she must decide whether their role is only to discuss the issues related to anesthesia care or whether he or she should also …

Genetic Predisposition To Necrotizing Enterocolitis In Premature Infants: Current Knowledge, Challenges, And Future Directions., Alain Cuna, Lovya George, Venkatesh Sampath

Manuscripts, Articles, Book Chapters and Other Papers

The role of genetics in the pathogenesis of necrotizing enterocolitis (NEC) was initially informed by epidemiological data indicating differences in prevalence among different ethnic groups as well as concordance in twins. These early observations, together with major advances in genomic research, paved the way for studies that begin to reveal the contribution of genetics to NEC. Using the candidate gene or pathway approach, several potential pathogenic variants for NEC in premature infants have already been identified. More recently, genome-wide association studies and exome-sequencing based studies for NEC have been reported. These advances, however, are tempered by the lack of adequately …

Recent Updates In Cancer Immunotherapy: A Comprehensive Review And Perspective Of The 2018 China Cancer Immunotherapy Workshop In Beijing, Zihai Li, Wenru Song, Mark Rubinstein, Delong Liu

NYMC Faculty Publications

The immune system is the hard-wired host defense mechanism against pathogens as well as cancer. Five years ago, we pondered the question if the era of cancer immunotherapy was upon us (Li et al., Exp Hem Oncol 2013). Exciting progresses have been made at all fronts since then, including (1) sweeping approval of six agents by the US Food and Drug Administration (FDA) to block the PD-1/PD-L1 pathway for treatment of 13 cancer types; (2) a paradigm shifting indication of PD-1 and CTLA4 blockers for the management of a broad class of cancers with DNA mismatch repair defect, the first-ever …

Controversies About Lyme Disease-Reply, Eugene D. Shapiro, Gary P. Wormser

NYMC Faculty Publications

No abstract provided.

Physician-Assisted Suicide (Pas)/Physician-Assisted Death (Pad): The Rise Of Lifeboat Ethics, Jeffrey H. Dobken

NYMC Faculty Publications

No abstract provided.

New Orleans: A Living Laboratory Dueling Narratives-Tourism Vs. Freight, Peter Alexander Webb

LSU New Orleans Theses and Dissertations

This research concerns the history of how the stories—narratives—which people tell about the Port of New Orleans and its related freight transportation have impacted Port-related traffic congestion on the last mile. “Last mile” refers to the last segment of a freight journey. In the context of the Port, it is the distance between the Tchoupitoulas Street exit ramp on US 90 and the entrance/exit of the Clarence Henry Truckway. The Clarence Henry Truckway is a 3.5-mile one way in/one way out dedicated truck route behind the floodwall of the Port on Tchoupitoulas street. Its access is threatened by proposed tourism-related …

Employment Interview Screening: Time To Face The Ink, Paul Antonellis Jr, Rachel Silsbee

Management Faculty Publications

This article focuses on the impact that face and/or neck tattoos may have on the employment screening process. With some estimates placing the number of possible candidates with tattoos as high as 28%, and the increase in social acceptance of tattoos, reveals that this research may play a significant role for the employer and the candidate during the employment screening process. Tattoos today can be found on men and women, with no limits on professional status and the tattoo designs can hold profound meaning to the wearer. This qualitative study analyzed data from 243 participants. The data was broken down …

Parameter Estimation And Optimal Control Of The Dynamics Of Transmission Of Tuberculosis With Application To Cameroon, A. Temgoua, Y. Malong, J. Mbang, S. Bowong

Applications and Applied Mathematics: An International Journal (AAM)

This paper deals with the problem of parameter estimation and optimal control of a tuberculosis (TB) model with seasonal fluctuations. We first present a uncontrolled TB model with seasonal fluctuations. We present the theoretical analysis of the uncontrolled TB model without seasonal fluctuations. After, we propose a numerical study to estimate the unknown parameters of the TB model with seasonal fluctuations according to demographic and epidemiological data from Cameroon. Simulation results are in good accordance with the seasonal variation of the new active reported cases of TB in Cameroon. Using this TB model with seasonality, the tuberculosis control is formulated …

Judge Consistency In Criminal Sentencing, Emma Lindemeier, Paul Landow

Theses/Capstones/Creative Projects

The United States’ Constitution provides certain protections for those accused of a crime, including proportionate punishment and the right to an attorney. There are sentencing guidelines in place, as well as appointed-counsel systems to ensure that everyone receives these protections when accused of a crime. Some research has shown that the type of counsel present at sentencing may affect the outcome of sentencing, although, the research on the topic is conflicting. Race is another variable that has been found to play into the role of sentencing, as well as gender and age. Other studies have suggested that the differences in …

Evaluation Of Presage® As A 3d Dose Verification To Ol In Proton Beams, Mitchell Carroll

Dissertations and Theses (Open Access)

Radiotherapy techniques have advanced and radiation dose plans have become much more complex over the last decade. This is especially true in proton therapy, which involves extremely steep dose gradients as a result of positioning the Bragg peak to cover the volumes to be treated. The Bragg peak can be shifted significantly in the patient as a result of nonuniformities in the tissue composition in its path, which can result in treatment complications. Some traditional dose verification tools used in proton beam commissioning and treatment plan verification are film, TLD, and ionization chambers. Such 0D and 2D dosimeters are incapable …

Art As Invitation: The Effects Of Including Art Education In The Curriculum Of A Preschool Classroom Of Refugee Students, Nancy Heckmann Erekson

Master's Theses

This study is about how art constitutes an invitation for marginalized people. Refugees are the uninvited, and often remain on the periphery of host communities. This research examines how artmaking acts as an invitation for refugee preschool students and their families to connect with the broader community. I approached data collection through the method of educational connoisseurship and educational criticism and the theory of relational aesthetics. I analyzed data from observations conducted in a refugee preschool classroom and from interviews with six families. Further, I analyzed observations and surveys from a public exhibit of children’s art. These sources provided data …

Vitality Of Water/Vitalidad Del Agua: Our Sacred Connection To Water And How We Can Interpret The Importance Of Water Through Artistic Inquiry, Jenifer Fogarty

Master's Theses

Water has appeared in the work and study of artists for centuries. There are countless aspects of water to be explored, from the sheer physical qualities of water to the spiritual, political, and practical associations with water. Water is what gives us life, and yet the vitality of this precious resource has been threatened over time. This exploration highlights important aspects of the study of water through art-making. My exploration began in the studio while making my own work. I sought to create a multi-sensory environment where viewers could participate and be immersed in the work itself. The site-specific installation …