Digital Commons Network^™

30-Day Emergency Department Revisit Rates Among Older Adults With Documented Dementia, Tyler Kent, Adriane Lesser, Juhi Israni, Ula Hwang, Christopher Carpenter, Kelly J Ko

Open Access Publications

OBJECTIVES: Published literature on national emergency department (ED) revisit rates among older adults with dementia is sparse, despite anecdotal evidence of higher ED utilization. Thus we evaluated the odds ratio (OR) of 30-day ED revisits among older adults with dementia using a nationally representative sample.

DESIGN: We assessed the frequency of claims associated with a 30-day ED revisit among Medicare beneficiaries with and without a dementia diagnosis before or at index ED visit. We used a logistic regression model controlling for dementia, age, sex, race, region, Medicaid status, transfer to a skilled nursing facility after ED, primary care physician use …

What Is Clinician Presence? A Qualitative Interview Study Comparing Physician And Non-Physician Insights About Practices Of Human Connection, Cati Brown-Johnson, Rachel Schwartz, Amrapali Maitra, Marie Haverfield, Aaron Tierney, Jonathan Shaw, Dani Zionts, Nadia Safaeinili, Sonoo Thadaney Israni, Abraham Verghese, Donna Zulman

Faculty Publications

Objective We sought to investigate the concept and practices of ‘clinician presence’, exploring how physicians and professionals create connection, engage in interpersonal interaction, and build trust with individuals across different circumstances and contexts.Design In 2017–2018, we conducted qualitative semistructured interviews with 10 physicians and 30 non-medical professionals from the fields of protective services, business, management, education, art/design/entertainment, social services, and legal/personal services.Setting Physicians were recruited from primary care clinics in an academic medical centre, a Veterans Affairs clinic, and a federally qualified health centre.Participants Participants were 55% men and 45% women; 40% were non-white.Results Qualitative analyses yielded a definition of …

Impact Of Feeding Distillers Grains Or Isolated Components In Distillers' Grains To Growing And Finishing Cattle, And The Comparison Of Protein Content And In-Situ Digestibility Of Feeds Commonly Used In Feedlot Diets, Brianna B. Conroy

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

The use of distillers' grains originating from biofuel production has become widely used in feedlot diets. Distillers' grains has been identified as having an increased feeding value relative to dry-rolled corn, in recent years the composition of distillers' grains has begun to change due to greater refinement in the ethanol production process. Two feedlot trials were conducted to evaluate the contribution of fat, fiber, and protein from distillers' grains in the diets of growing and finishing cattle. Growing steers were fed a grass hay-based ration, including a corn control diet compared to a diet containing modified distillers' grains plus solubles, …

Prevalence And Associated Factors Of Caesarean Section And Its Impact On Early Initiation Of Breastfeeding In Abu Dhabi, United Arab Emirates, Zainab Taha, Ahmed Ali Hassan, Ludmilla Wikkeling-Scott, Dimitrios Papandreou

All Works

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. The World Health Organization (WHO) recommends the early initiation of breastfeeding. Research shows that factors such as mode of delivery may interfere with the early initiation of breastfeeding. However, data in the United Arab Emirates (UAE) on these findings is limited. Thus, the aim of this study was to describe the prevalence of caesarean sections (CSs) and evaluate their effect on breastfeeding initiation among mothers of children under the age of two years in Abu Dhabi. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi …

Procreative Autonomy In Gestational Surrogacy Contracts, Vanessa Nahigian

Loyola of Los Angeles Law Review

With the growing practice of gestational surrogacy, many women bear children with whom they have no genetic relationship, allowing intended parents to have children of their own when they are otherwise unable to do so. This practice, however, creates a ripple in the abortion debate. This Note addresses procreative autonomy in the context of gestational surrogacy agreements, examines the underlying constitutional interests at stake for each party involved, and suggests a solution to fill California’s current statutory void.

Animal Science E-Newsletter, November 2019, University Of Arkansas, Fayetteville. Department Of Animal Sciences

Animal Science e-Newsletter

No abstract provided.

Isabel M. Córdova, Pushing In Silence: Modernizing Puerto Rico And The Medicalization Of Childbirth (Austin, Tx: University Of Texas Press, 2017), Pp. 234, $29.95, Pb., Rosalynn A. Vega

Anthropology Faculty Publications

Córdova documents a twenty-year transformation in how babies were born in Puerto Rico. In the middle of the twentieth century, Puerto Rico had twice as many midwives as registered doctors. At this time, birth was a home-based, family-oriented process that mothers accomplished with the assistance of midwives. By 1970, midwives had disappeared and the number of physicians tripled—a context that led to nearly every Puerto Rican baby (98%) being delivered in a hospital under the authority of an obstetrician. In contrast to births a couple decades before, hospital-based births in the 1970s were highly medicalized and directed by predominantly male …

Hyperthermia And Immunotherapy: Clinical Opportunities., Mark D Hurwitz

Department of Radiation Oncology Faculty Papers

Hyperthermia holds great promise to advance immunotherapy in the treatment of cancer. Multiple trials have demonstrated benefit with the addition of hyperthermia to radiation or chemotherapy in the treatment of wide-ranging malignancies. Similarly, pre-clinical studies have demonstrated the ability of hyperthermia to enhance each of the 8 steps in the cancer-immunotherapy cycle including stimulation of tumor-specific immunity. While there has been an extensive recent focus on augmenting immunotherapy with radiation, surprisingly to date, there have been no clinical trials assessing the combination of hyperthermia with immunotherapy. The study of hyperthermia with immunotherapy is particularly compelling when considered in the context …

Standards Of Review In Texas, W. Wendell Hall, Ryan G. Anderson

St. Mary's Law Journal

Abstract forthcoming

An Examination Of The Use Of Social Media To Improve The Psychological Well-Being Of Saudi Arabia Women, Shoaa Ahmed Dardoum

Dissertations

Social media is used increasingly for different purposes, playing an important role in peoples’ lives. It has been reported that social media is involved with the mental health profession as it offers a way to communicate with mental health providers and peers who share similar concerns. People with mental illnesses who have utilized social media to share and find mental health information have reported positive outcomes related to their mental health status. However, additional research is needed in regard to the mental health status of general populations. As such, this quantitative study was intended to examine the use of shared …

Thyrotoxicosis Factitia: A Rare Cause Of Junctional Rhythm And Cardiac Arrest, Iqra Iqbal, Muhammad Atique Alam Khan, Waqas Ullah, Dina Nabwani

Abington Jefferson Health Posters

Introduction

Little is known about the types of arrhythmias due to exogenous thyroxine. We present an unusual set of cardiac arrhythmias in a fairly healthy athlete who succumbed to the severe complications of exogenous thyroxine.

Bone Benefits Of Fish Oil Supplementation Depend On Its Epa And Dha Content, Haissam Abou-Saleh, Allal Ouhtit, Ganesh V. Halade, Md Mizanur Rahman

Internal Medicine Faculty Publications

Licensee MDPI, Basel, Switzerland. The preventive effect of high-dose (9%) regular-fish oil (FO) against bone loss during aging has been demonstrated, but the effects of a low-dose (1%–4%) of a highly purified concentrated FO (CFO) has not been elucidated. The aim of this study was to determine the dose-dependent effect of a CFO against bone loss in C57BL/6 female mice during aging. Twelve-month old mice were fed with 1% and 4% CFO and 4% safflower oil (SFO) diets, including a group with a 4% regular-FO diet and a group with a lab chow diet for 12 months. Bone mineral density …

November 2019, Lisa Friesen

The CETL Correspondent

As with instructors and departments fall 2019 has been a busy time in CETL. We hosted two 5 C’s and R luncheons (more about that later in this newsletter) as well as assisted many instructors on both the Weatherford and Sayre campuses. We are also working on the implementation of “Zoom rooms” for spring 2020.

The Trans Complaint: Contributions To The Disagreement About Desire, Brandon L. Aultman

Wagadu: A Journal of Transnational Women's & Gender Studies

Trans studies has been argued to be at a defining crossroads. The discipline needs to reorient itself toward new theories of transness and subjectivity or face its own dissolution. This means contesting received dogmas of gender-determination, identity, history, and narrative convention. This essay examines how recently proposed uses of narratives, poetry, and satire can enable such contests in generative ways. It theorizes the trans complaint as an index for how popularly and academically mediated trans cultures, or intimate publics, might turn toward ordinary life theories in order to understand desire, fantasy, and their interlocking complexities of making a life.

Improving The Integration Of Restoration And Conservation In Marine And Coastal Ecosystems: Lessons From The Deepwater Horizon Disaster, Richard L. Wallace, Gilbert Gilbert, John E. Reynolds Iii

C-IMAGE Publications

In the wake of the Deepwater Horizon disaster, much has been learned about the biological, ecological, physical, and chemical conditions of the Gulf of Mexico. In parallel, the research community has also gained insight about the social and organizational structures and processes necessary for oil spill response and subsequent marine and coastal restoration. However, even with these lessons from both the Deepwater Horizon and previous spills, including 1989’s Exxon Valdez and the Ixtoc 1 in 1979, our understanding of how to avoid future crises has not advanced at the same pace as offshore oil and gas development. We argue that …

Renewable Hydrogen Vehicle Refuelling Stations, Department Of Primary Industries And Regional Development, Western Australia

Reports

No abstract provided.

Public Private Partnership In India: A Sectoral Analysis, Sairam Bhat

Books

No abstract provided.

Hospital Closures And Short-Run Change In Ambulance Call Times, Sookti Chaudhary, Alison F. Davis, Kenneth R. Troske, Suzanne Troske

Rural & Underserved Health Research Center Publications

We measure one aspect of how access to emergency care through ambulance services changes for patients when a hospital closes. We empirically estimate the time needed to transport a patient to an emergency department in an ambulance in the period immediately after the hospital closes. We find urban patients in zip codes where a hospital closes have a small change in transportation time, where rural patients average an estimated 15.7 additional minutes – a 46% increase compared to the year before the closure. This increase is primarily the result of an almost 100 percent increase in the time it takes …

Faculty Senate Meeting Minutes Nov 1, 2019, A-State Faculty Senate

Faculty Senate Minutes

Meeting minutes for the Faculty Senate held on November 1, 2019.

A Transdisciplinary Collaboration And Innovation Education Model And Experience, Brian Laduca, Michelle Hayford, Adrienne Ausdenmoore, Jerome Yorke, Kevin Hallinan, Rebecca Blust, Anne R. Crecelius, Philip Appiah-Kubi, Jennifer Katz-Buonconintro, Jana Bennett, Jackie Marshall Arnold, Connie L. Bowman, Castel Sweet

Engineering Management and Systems Faculty Publications

As the interconnectedness of the world grows, the need to prepare college students capable of addressing complexity likewise grows. In this context, the University of Dayton has developed and tested a transdisciplinary model for education. This model links multiple classes from different disciplines via a common theme and within a common space. It also employs an educational model premised on the following trajectory: disciplinary content development / transdisciplinary observation (empathy); transdisciplinary disruption leading to “A-Ha” observations which transform the disciplinary directions; and lastly transdisciplinary informed design and research. Central to this model is a 3,500 square foot common space used …

Legal Frameworks & Foreign Investment: A Primer On Governments’ Obligations, Kaitlin Y. Cordes, Lise Johnson, Sam Szoke-Burke, Rumbidzaii Mawen

Columbia Center on Sustainable Investment Staff Publications

Legal frameworks, and how they interact, are often invisible in the day to day. Yet they are powerful forces that influence government actions and that help to shape who benefits and who loses from foreign investment. Understanding these legal frameworks, and how they interact, is critical for anyone concerned with how foreign investment can be better harnessed to support, rather than weaken, sustainable development and human rights.

This primer provides a brief overview of host government obligations under international investment law, international human rights law, domestic law, and relevant investor-state contracts. It also highlights some of the ways in which …

Leadership Influence In The Adoption Of Innovation By Critical Care Nurses, Michael Mceachern

CUP Ed.D. Dissertations

Innovation is critical to the survival and continued success of hospitals. Public and political criticism coalesces around costs, quality, and access. This qualitative research study was conducted to discover strategies that may be useful to nurse managers in supporting innovation adoption. The research design of this case study is useful in understanding how managers and nurses experience innovation in critical care settings. Data collection was carried out on the campus of a university-affiliated research hospital located in the southeastern U.S. A semistructured, protocol-driven, interview process, was used to collect data from 12 participants including nurse leaders and staff nurses. Emphasis …

Team-Based Academic Interventions At An Urban High School And Their Impact On Student Achievement, Erica E. Wolfskill

CUP Ed.D. Dissertations

Academic improvement is a concern for urban schools (Jacob & Ryan, 2018) therefore it is significant to focus on requisite skills, which contribute to student success. The purpose of this qualitative research study was to explore how team-based academic interventions impact student achievement. This study examined how public, high school student­­–athletes, ages 14–17, understand and describe their experience with academic study table program as part of their athletic practices. Additionally, the study examined student–athletes’ perception of participation in team-based activities and the influence of academic achievement and how the implementation of study tables during athletic practices impact student–athletes’ academic success. …

How Career And Technical Education Teachers’ Attitudes And Perceptions Of Students With Disabilities Influence Inclusion In Career And Technical Education Courses, Theresa M. Cortney

CUP Ed.D. Dissertations

This qualitative case study investigated how the attitudes and perceptions of Career and Technical Education (CTE) teachers toward students with disabilities influenced inclusion in CTE courses. The purpose of this study was to explore how positive or negative experiences of CTE teachers toward students with disabilities impacted the number of students accessing CTE courses. Fifteen high school CTE teachers, along with a focus group of six high school CTE teachers were interviewed. Results of this study revealed that despite positive attitudes toward inclusion in CTE courses, CTE teachers felt unsupported by special education and reported they felt CTE was being …

A Case Study Of Military Transition To Civilian Life, Debbie J. Castaneda

CUP Ed.D. Dissertations

Service members experience significant challenges reintegrating into the civilian sector following military service. To research causes of the challenges new veterans face, a qualitative case study was conducted in which military veterans were interviewed and participated in a focus group to obtain information about their perceptions of military leadership and the transferability of their skills to the civilian setting. A review of artifacts, such as military basic training and leadership manuals, was conducted to check the consistency with which military veterans perceived their leadership and transition experience to match the military’s stated expectations and training. The conceptual framework for this …

Data-Informed Duties In Ai Development, Frank Pasquale

Faculty Scholarship

No abstract provided.

Graft Versus Host Disease-Associated Dry Eye: Role Of Ocular Surface Mucins And The Effect Of Rebamipide, A Mucin Secretagogue, Kiumars Shamloo, Ashley Barbarino, Saleh Alfuraih, Ajay Sharma

Pharmacy Faculty Articles and Research

PURPOSE. The present study was designed to investigate the role of ocular surface glycocalyx and mucins in graft versus host disease (GVHD)-associated dry eye. The ameliorative effect of topical rebamipide, a mucin secretagogue, on GVHD-associated dry eye was also tested.

METHODS. A mouse model of allogeneic transplantation was used to induce ocular GVHD with C57BL/6 as donors and B6D2F1 as recipient mice. Phenol red thread method and fluorescein staining was used to quantify tear secretion and corneal keratopathy. At 8 weeks after the allogeneic transplantation, corneas were harvested to perform glycocalyx staining and confocal microscopy. Goblet cell staining was performed …

Implication Of Spiritual Network Support System In Epigenomic Modulation And Health Trajectory, Laurens Holmes Jr., Chinacherem Chinaka, Hikma Elmi, Kerti Deepika, Lavisha Palaez, Michael Enwere, Olumuyiwa T. Akinola, Kirk W. Dabnet

Community & Environmental Health Faculty Publications

With challenges in understanding the multifactorial etiologies of disease and individual treatment effect heterogeneities over the past four decades, much has been acquired on how physical, chemical and social environments a ffect human health, predisposing certain subpopulations to adverse health outcomes, especially the socio-environmentally disadvantaged (SED). Current translational data on gene and adverse environment interaction have revealed how adverse gene-environment interaction, termed aberrant epigenomic modulation, translates into impaired gene expression via messenger ribonucleic acid (mRNA) dysregulation, reflecting abnormal protein synthesis and hence dysfunctional cellular differentiation and maturation. The environmental influence on gene expression observed in most literature includes physical, chemical, …

Effect Of Increasing Age On Percutaneous Coronary Intervention Vs Coronary Artery Bypass Grafting In Older Adults With Unprotected Left Main Coronary Artery Disease: A Meta-Analysis And Meta-Regression, Mahin R. Khan, Waleed T. Kayani, Waqas Ahmad, Malalai Manan, Ravi S. Hira, Ihab Hamzeh, Hani Jneid, Salim S. Virani, Neal Kleiman, Nasser Lakkis

Office of the Provost

Background: Older adults (≥70-year-old) are under-represented in the published data pertaining to unprotected left main coronary artery disease (ULMCAD).
Hypothesis: Percutaneous coronary intervention (PCI) might be comparable to coronary artery bypass grafting (CABG) for revascularization of ULMCAD.
Methods: We compared PCI versus CABG in older adults with ULMCAD with an aggregate data meta-analyses (4880 patients) of clinical outcomes [all-cause mortality, myocardial infarction (MI), repeat revascularization, stroke and major adverse cardiac and cerebrovascular events(MACCE)] at 30 days, 12-24 months & ≥36 months in patients with mean age ≥70 years and ULMCAD. A meta-regression analysis evaluated the effect of age on mortality …

The Governance Of Human (Germline) Genome Modification At The International And Transnational Levels, Cesare P. R. Romano, Andrea Boggio, Jessica Almqvist

History and Social Sciences Faculty Book Publications

In this chapter, we review the key elements of the larger international and transnational framework within which the national legal regimes regulating human germline genome modification exist. Part I is a quick primer to international law and international human rights for the benefit of those who are not familiar with them. Part II presents the relevant norms of international bioethics law, including three main declarations adopted by UNESCO touching on human genome modification. It discusses also the relevant governance activities of the World Health Organization, Organisation for Economic Co-operation and Development and civil society, nationally and transnationally. Part III discusses …