Digital Commons Network^™

Clinical Presentation Of Coronavirus Disease 2019 (Covid-19) In Pregnant And Recently Pregnant People., Yalda Afshar, Stephanie L Gaw, Valerie J Flaherman, Brittany D Chambers, Deborah Krakow, Vincenzo Berghella, Alireza A Shamshirsaz, Adeline A Boatin, Grace Aldrovandi, Andrea Greiner, Laura Riley, W John Boscardin, Denise J Jamieson, Vanessa L Jacoby

Department of Obstetrics and Gynecology Faculty Papers

OBJECTIVE: To describe the clinical presentation, symptomology, and disease course of coronavirus disease 2019 (COVID-19) in pregnancy.

METHODS: The PRIORITY (Pregnancy CoRonavIrus Outcomes RegIsTrY) study is an ongoing nationwide prospective cohort study of people in the United States who are pregnant or up to 6 weeks postpregnancy with known or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We analyzed the clinical presentation and disease course of COVID-19 in participants who tested positive for SARS-CoV-2 infection and reported symptoms at the time of testing.

RESULTS: Of 991 participants enrolled from March 22, 2020, until July 10, 2020, 736 had …

Consensus Parameter: Research Methodologies To Evaluate Neurodevelopmental Effects Of Pubertal Suppression In Transgender Youth., Diane Chen, John F Strang, Victoria D Kolbuck, Stephen M Rosenthal, Kim Wallen, Deborah P Waber, Laurence Steinberg, Cheryl L Sisk, Judith Ross, Tomas Paus, Sven C Mueller, Margaret M Mccarthy, Paul E Micevych, Carol L Martin, Baudewijntje P C Kreukels, Lauren Kenworthy, Megan M Herting, Agneta Herlitz, Ira R J Hebold Haraldsen, Ronald Dahl, Eveline A Crone, Gordon J Chelune, Sarah M Burke, Sheri A Berenbaum, Adriene M Beltz, Julie Bakker, Lise Eliot, Eric Vilain, Gregory L Wallace, Eric E Nelson, Robert Garofalo

Department of Pediatrics Faculty Papers

Purpose: Pubertal suppression is standard of care for early pubertal transgender youth to prevent the development of undesired and distressing secondary sex characteristics incongruent with gender identity. Preliminary evidence suggests pubertal suppression improves mental health functioning. Given the widespread changes in brain and cognition that occur during puberty, a critical question is whether this treatment impacts neurodevelopment.

Methods: A Delphi consensus procedure engaged 24 international experts in neurodevelopment, gender development, puberty/adolescence, neuroendocrinology, and statistics/psychometrics to identify priority research methodologies to address the empirical question: is pubertal suppression treatment associated with real-world neurocognitive sequelae? Recommended study approaches reaching 80% consensus were …

Addressing Health Disparities In The Rural United States: Advocacy As Caregiving Among Community Health Workers And Promotores De Salud, Ryan I Logan, Heide Castañeda

All publications

Rural populations in the United States are faced with a variety of health disparities that complicate access to care. Community health workers (CHWs) and their Spanish-speaking counterparts, promotores de salud, are well-equipped to address rural health access issues, provide education, and ultimately assuage these disparities. In this article, we compare community health workers in the states of Indiana and Texas, based on the results of two separate research studies, in order to (1) investigate the unique role of CHWs in rural communities and (2) understand how their advocacy efforts represent a central form of caregiving. Drawing on ethnographic, qualitative data—including …

Covid-19 Is Number One, Richard C. Crepeau

On Sport and Society

Heading into December, the college football season has reached that point when teams are trying to position themselves for conference playoffs and championships, and for the elite the CFP National Championship Game. Lesser teams are trolling for bowl games, great and small. In addition, men’s and women’s college basketball and hockey are underway. College basketball opened on Wednesday with a bundle of cancellations.

Effects Of Climate Change On The Epidemiology Of Flood-Related Waterborne Disease: A Systematic Literature Review, Sarah M. Cadarette

Capstone Experience: Master of Public Health

Natural disasters, such as flooding related to extreme precipitation, can lead to many adverse health effects (i.e. waterborne disease). Several outbreaks of waterborne disease have been linked to extreme precipitation, and gastrointestinal infection has been shown to increase after floods. Climate change is likely to lead to a higher frequency of waterborne disease through increases in extreme precipitation and associated flooding affecting water and sanitation infrastructure. This review sought to answer 2 research questions: 1. Has the epidemiology of waterborne disease related to floods changed over time? 2. Can this difference be related to climate change? A literature search was …

A Qualitative Analysis Of Omaha Healthy Kids Alliance’S Client Educational Attainment, Shelby Larson

Capstone Experience: Master of Public Health

Housing and physical health are inextricably linked. Environmental hazards such as lead poisoning, radon, and mold negatively impact the health of a home’s occupants, particularly children. Omaha Healthy Kids Alliance (OHKA) was founded in 2006 to address these environmental hazards through education and construction interventions with the mission “to improve children’s health through healthy homes.” OHKA clients are primarily served through two direct service programs and are evaluated pre- and post-intervention for changes in educational attainment, behavioral outcomes, environmental characteristics, quality of life, and health. A program evaluation was conducted to 1) determine how OHKA clients utilize environmental education post-intervention, …

A Quality Improvement Project To Facilitate A Human Trafficking Screening Protocol At A Maternal Resource Center, Jessica Mcdow

Doctor of Nursing Practice

Human trafficking is a global, criminal industry that negatively impacts the health of victims. Most U.S. victims of human trafficking are young females. Many female sex trafficking victims will seek health care services for unplanned pregnancies and sexually transmitted infections. Healthcare professionals fail to identify human trafficking victims due to lack of standardized screening. The aim of the project was to initiate a sustainable, standardized human trafficking screening protocol at a Maternal Resource Center in order to improve human trafficking identification.

This 10-week quality improvement project provided the staff and volunteers at a Maternal Resource Center with the necessary tools …

Pregnancy Bridge Program For Psychiatric Patients, Adam Barnett

Doctor of Nursing Practice

The National Institute of Mental Health (2017) estimates that 9.2 million people age 18 years and older are diagnosed with bipolar disorder in the United States. Research has shown pregnancies in women with mental health problems have higher rates of poor outcomes and complications (Epstein et al., 2014; Freeman, 2007; Rusner et al., 2016; Scrandis, 2017). Aim. The purpose of this scholarly project is to provide standardized patient education, increase urine human chorionic gonadotropin screening rates, and to set up a gynecologic care bridge for patients considering pregnancy and are diagnosed with bipolar disorder. Evidence. The Centers for …

Implementation Of Comprehensive Foot Exams In Primary Care: A Quality Improvement Project, Dora Elia Trevino

Doctor of Nursing Practice

The purpose of this quality improvement project was to increase performance and documentation of provider comprehensive foot exams (CFEs) by 50% among patients with Type 2 diabetes (T2DM) in a small clinic in the southwestern United States.

The project leader assessed clinic systems including the electronic health record (EHR) to identify means to increase CFE completion and documentation rate for patients with T2DM being seen for a chronic disease management (CDM) appointment. A process was created to incorporate a hardcopy CFE documentation form into the EHR and create a pop-up care reminder notification system. Staff and the provider were educated …

Examining Sense Of Belonging And Academic Success For Undergraduate Chinese Students, Kurt Bolstad

Leadership Education Capstones

This qualitative study explored the experiences of undergraduate Chinese international students and how those experiences related to their sense of belonging and perceived classroom performance. Individual interviews were conducted to obtain data for this study. Participants indicated experiences with sense of belonging in several ways, including (1) social support, (2) homesickness, (3) social isolation. These experiences contributed to belong through (1) student organizations and (2) cultural familiarity and integration. Participants also indicated connections with belonging and perceived classroom performance, including (1) educational background, (2) learning habits, (3) self-motivation, and (4) external factors. Recommendations for future research include monitoring the development …

High School Athletic Administration’S Policies And Rights To Sanction Student-Athlete’S Social Media Use, Eric S. Peterson

Leadership Education Capstones

This qualitative survey investigated how much authority high school athletic directors have when monitoring student-athletes’ social media accounts while also determining whether athletic directors believe it is necessary to implement social media policies for student-athletes. An in-depth literature review supports evidence of the legality of athletic code of conducts based on previous court cases and a theoretical framework. Twenty-five athletic directors from the state of North Dakota participated in the study via an online survey. The study obtained basic demographics and determined how the administrators have implemented current social media policies, along with understand their views on policies for student-athletes’ …

Estimating Muzzle To Target Distance From The Physical Characteristics Of A Bullet Hole In Different Wood Substrates, Alan Lee

Student Theses

Determining the muzzle to target distance of a firearm discharge is an integral part in crime scene reconstruction. Shooter distance is most often estimated using the Modified Griess test, which can be used to visualize gunshot residue (GSR) patterns around bullet holes. However, this test has a 3- to 5-feet range limit as the plume of GSR particles can only travel a certain distance past the muzzle. The purpose in this study was to develop a new method that overcomes this range limitation by analyzing the physical damage characteristics of a bullet hole. Test fires were conducted with a .22 …

Meridians Twentieth Anniversary Reader, Ginetta Candelario

Sociology: Faculty Books

This critical anthology consists of thirty of Meridians's most frequently cited, downloaded, and anthologized scholarly essays, activists reports, memoirs, and poems since its first issue was published in fall 2000. The forty authors featured are a virtual who's who of internationally renowned feminist women-of-color scholar-activists (such as Sara Ahmed, Angela Davis, Sonia Alvarez, Paula Giddings, and Sunera Thobani) and award-winning poets (such as Nikky Finney, Laurie Ann Guerrero, and Suheir Hammad). Ranging broadly across geographies (North America, Latin America and the Caribbean, the Middle East), diasporas (Black, Asian, Indigenous), and disciplines, the collection beautifully exemplifies the best practices of …

Slaves In The Christian Household : The Colossian And Ephesian Haustafeln In Context, Donald Murray Vasser

ATS Dissertations

No abstract provided.

Attendance Rates, Jamila Teal

Capstone Projects and Master's Theses

Absence is a normal part of childhood for kids going to school because sometimes life happens. Kids get sick, have family emergencies, the family might have to move, or lack consistent transportation to get to school. The Early Learning Program (ELP) is a non-profit organization that provides education for preschool aged children and focuses on making preschool easily accessible, primarily for low-income families. It is not uncommon for some families to take advantage of the ELP by not prioritizing taking their kids to school and getting them there on time. Now that the COVID-19 pandemic has altered the lives of …

Emotional Resilience For Educators, Rosario Martinez

Capstone Projects and Master's Theses

The purpose of this project is to implement a program that will provide emotional resilience support for educators in the Salinas Union High School District. This is a voluntary program designed to support staff through the work of Elena Aguilar. The purpose of this capstone project is for school staff to have that extra support and resources. The problem is classroom teachers do not have the necessary training to deal with students' problems. One contributing factor that relates to the problem is about students experiencing trauma and ACE (adverse childhood experiences) in their lives/community. As a result, they carry more …

Popular Music Genres: The Past 70 Years To Now, Natasha Lugo

Capstone Projects and Master's Theses

Each decade is connected to specific music genres that are remembered years later. Artists who imprint in listeners’ minds, album collections or playlists stand out within certain decades from when they were the most successful. Awards, charts, album sales and performances are some of the accomplishments that help the growth of their careers through the public. With pop and rap being the favored genres, proven in the charts from the last twenty years, what is today’s music genre? Using a few artists as reference along with collecting data, starting from the 1950s and ending with the 2010s, this paper will …

Raising Consciousness: Challenging Diversity In Christian Publishing, Michael Omari Johnson

Masters Theses

The Christian publishing industry has overlooked the importance of diversity, particularly its impact on black American audiences. While studies show that diversity and inclusion can lead to more innovation through problem-solving, there persists a paradox where a lack of opportunities, disparities in wealth and employment and systemic prejudices can play a role in the ethnic and racial homogeneity of the Christian publishing industry. Thus, there are many barriers preventing people of color from emerging to the market, reflecting in the storytelling, content creation and audience of African-descent followers.

Combining Implicit Geological Modeling, Field Surveys, And Hydrogeological Modeling To Describe Groundwater Flow In A Karst Aquifer, Fernando M. D’Affonseca, Michael Finkel, Olaf A. Cirpka

KIP Articles

In three-dimensional (3-D) implicit geological modeling, the bounding surfaces between geological units are automatically constructed from lithological contact data (position and orientation) and the location and orientation of potential faults. This approach was applied to conceptualize a karst aquifer in the Middle Triassic Muschelkalk Formation in southwest Germany, using digital elevation data, geological maps, borehole logs, and geological interpretation. Dip and strike measurements as well as soil-gas surveys of mantel-borne CO 2 were conducted to verify the existence of an unmapped fault. Implicit geological modeling allowed the straightforward assessment of the geological framework and rapid updates with incoming data. Simultaneous …

External Stoma Diversion: A Palliative Measure For Peristomal Wound Healing In Resource-Limited Settings, Rachel W. Davis, Youmna A. Sherif, Catherine Anne Morrison

Faculty Publications

The provision of intestinal stoma care is challenging in austere settings due to limitations in surgical and wound care access as well as the high cost and sparsity of ostomy supplies. As a result, many surgical patients suffer from ostomy-related complications such as peristomal wounds and are unable to find relief for these complications from standard treatments and measures. This article describes the external stoma diversion, a cost-effective palliative surgical procedure that assists in the healing of peristomal wounds in resource-limited settings.

The Relationship Between The 9th Grade State Assessment And Extra Curricular School Activities And Gender For Disadvantaged Hispanic Students In South Texas, Paz Elizondo Jr.

Theses and Dissertations

The purpose of this study is to analyze the relationship between the 9th grade state assessment test scores for Disadvantaged Hispanic students who are taking the English I State of Texas Assessment of Academic Readiness End-of-Course exam. The group analyzed was comprised of the 2016-2017 cohort students from a South Texas High School.

Mexartivist As Resistance Against Media Representation Of Latinxs In The U.S., Jose Garcia Gilling

Theses and Dissertations

MexArtivist comes as a response of wanting to reflect our experiences as Mexicanxs, Latinxs, Chicanxs and Mexican Americans. I've merged my recent academic years, research and knowledge along with my over then years of experience in the film and audiovisual production industry to create the audiovisual group called MexArtivist. Based on research regarding the image, representation, misrepresentation and lack of representation of Latinxs in U.S. films, I present a tangible proposal to try and better this issue.

The Influence Of College Preparation In The Relationship Between High School Socioeconomic Context And College Enrollment, Jeffery J. Huerta

Theses and Dissertations

Recent research has documented that the socioeconomic context of high schools plays a significant role in students’ postsecondary enrollment outcomes (Engberg & Wolniak, 2014; Roderick et al., 2011; Engberg & Wolniak, 2010; Nuñez & Kim, 2012; Hill, 2008; Perna & Titus, 2005; Perna, 2000), with lower college outcomes occurring due to students at lower SES high schools having lower amounts of capital, less access to rigorous curriculum, and more negative peer influences than students at higher SES high schools. However, absent in these studies is whether efforts of comprehensive college preparation were taking place and if such efforts are also …

Exploring The Implementation Of A Proficiency-Focused, Performance-Based Approach In Foreign Language Teaching, Yuka Kato

Theses and Dissertations

Foreign language teachers in one district faced a paradigm shift in the ways language should be taught and in their pedagogical beliefs. They were asked to shift from a traditional approach to the Proficiency-Focused, Performance-Based (PFPB) approach in order to meet the national Standards for Foreign Language Learning in the 21st Century, created by ACTFL (1999 & 2006). The expectation was that every foreign language teacher in the district would use the PFPB approach. However, the problem was that some of the teachers would not understand the approach or how to implement it, with the result that the approach …

Assessing The Performance Of Reconditioned Railroad Tapered-Roller Bearings Used In Freight Rail Service, Veronica Valeria Hernandez

Theses and Dissertations

The rail industry currently utilizes two wayside detection systems to monitor the health of freight railcar bearings in service: The Trackside Acoustic Detection System (TADS™) and the wayside Hot-Box Detector (HBD). Bearings that are removed from service are sent to specialized facilities where they undergo a reconditioning process before the bearings can be returned to rail service. The reconditioning process has been used for decades although there has been no previous study on the effectiveness of the reconditioning process on defective bearings that were removed from service. This persuaded the researchers from the University Transportation Center for Railway Safety (UTRCS) …

A View From The Frontera: A Hispanic-American Raised In Mexico Examines Cultural Perspectives Of Language In America, Perla M. Lauderdale

Theses and Dissertations

This thesis seeks to analyze and understand common social and political perspectives with regard to language in the United States at the beginning of the third decade of the new millenium. Providing supporting data points from my research along the way, I share different anecdotes and my interpretation of their significance. I explain how each of them added to my understanding of common American perceptions about language and its proper use in social and political settings. One of the more pertinent anecdotes described is an encounter with a Hispanic woman that openly discriminated against my use of Spanish at a …

Association Study: Apoe Alleles Association With Neurodegenerative Disorders In The Hispanic Population, Kimberly Moreno

Theses and Dissertations

The purpose of this study was to assess the impact of phenotypic variables and Apolipoprotein E (APOE) alleles and its effect on cognitive statues. APOE is a gene found vastly in the Hispanic community, speculated to be linked to neurodegenerative disorders such as Alzheimer's Disease (AD) and Mild Cognitive Impairment (MCI). Compared demographic, clinical, and genetic features among Hispanics who were diagnosed with Alzheimer's Disease, Mild Cognitive Impairment, and psychiatric disorders (e.g., anxiety and depression) in the efforts to assess the role of APOE. In past research, APOE has been considered a pathological hallmark for neurological diseases.

Past research has …

Effects Of Elevated Temperature On 8-Hydroxy-2'-Deoxyguanosine Expression, Dna Damage And Cellular Apoptosis In The American Oyster (Crassostrea Virginica), Md Faizur Rahman

Theses and Dissertations

Global temperature increases due to anthropogenic activities. The effects of rising temperature are well documented in aquatic organisms. The American oyster is an ideal shellfish species to study on global warming and oxidative DNA damage. In this study, We observed the effects of high temperature on heat shock protein-70 (HSP70), 8-hydroxy-2’-deoxyguanosine (8-OHdG), ssDNA, dsDNA, caspase-3 (CASP3), BAX and γH2AX, a molecular marker of DNA damage, protein expressions in gills of oysters. Immunohistochemical results showed that elevated temperatures (28 and 32°C) significantly increased HSP70, 8-OHdG, dsDNA, γH2AX, BAX and CASP3 protein expressions in gills of oysters compare to control (24°C). In …

Principal Instructional Leadership Behavior As Perceived By Middle School Principals In The Rio Grande Valley Of Texas, Joseph R. Villarreal

Theses and Dissertations

The purpose of this study is to determine which of the 10 leadership functions contained in the PIMRS, as identified by Hallinger (1983), are demonstrated by principals in Rio Grande Valley middle schools that received Texas Education Agency distinctions for closing performing gaps, compared to those middle schools in the Rio Grande Valley that did not. The study aimed to determine if there was a significant difference been the principal instructional leadership behaviors at middle schools recognized for closing performance gaps compared to those that were not recognized. The results showed that there did not exist a significant difference between …

The Language Of Parental Involvement: A Document Analysis Of Parent Involvement Plans (Pip’S) Of Title I Elementary Schools, Jacqueleen M. Bido

Seton Hall University Dissertations and Theses (ETDs)

Research indicates that parent involvement increases student achievement. This qualitative research examined 30 elementary Title I schools’ Parent Involvement Plans (PIPs), seeking roles parents played in urban settings. This document analysis reviewed the descriptive language presented in each school’s plan and examined for fidelity. Using Epstein’s Six Types of Parent Involvement and the Sample Practice, the researcher coded the Plans. Data displayed compliance with the mandated requirements of the Plans. Still, they indicated incongruencies with fidelity and alignment to proven best-practices research.