Digital Commons Network^™

Hepatitis C Virus Care Cascade In Persons Experiencing Homelessness In The United States In The Era Of Direct-Acting Antiviral Agents: A Scoping Review, Aubrey Del Rosario

Biomedical Sciences ETDs

Background: The Hepatitis C Virus (HCV) care cascade has been well characterized in the general United States population and other subpopulations. However, information is limited on care cascade outcomes in persons experiencing homelessness now that highly effective medications offer the potential for cure.

Objectives: The main objective of this study is to map the available evidence on HCV care cascade outcomes in homeless and marginally housed cohorts in the United States in the era of direct-acting antiviral agents. Primary and secondary outcomes of interest include linkage to care and sustained virologic response. Exploratory outcomes include other care cascade …

The Role Of Anti-Inflammatory Cytokine Interleukin-10 (Il-10) In Tauopathies, Lea L. Weston

Biomedical Sciences ETDs

Tauopathies are neurodegenerative diseases, including Alzheimer’s disease, that are associated with pathological accumulation of the microtubule associated protein tau (MAPT, or tau) (Lee et al., 2001). Abnormal hyperphosphorylated tau (pTau) strongly correlate with cognitive impairment (Nelson et al., 2012). Neuroinflammation is also associated with tauopathies (Gerhard et al., 2006b; Edison et al., 2008) and is implicated in driving tau pathology (Yoshiyama et al., 2007, Maphis et al., 2015b). Therefore, it is compelling to understand the role of anti-inflammatory cytokines in limiting neuroinflammation and tau pathology. Interleukin-10 (IL-10) is a well-established anti-inflammatory cytokine with roles in limiting inflammation in the central …

When The Clinical Environment Is Closed To Students: The Harsh Reality Of Covid-19 And Implications For Colleges Of Osteopathic Medicine, Ken Heiles, Valerie Sheridan, Tami Hendriksz, Rebecca Giusti, Tyler C. Cemet

Faculty and Staff Publications

When the World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a global health emergency, Colleges of Osteopathic Medicine (COMs) debated the role of medical students during this developing pandemic. Initially, the discussion included whether medical students were essential personnel contributing to meaningful patient care. Many questions arose regarding how COVID-19 would affect medical education and if the changes would be temporary or continue for a significant period of time. Due to the lack of availability of personal protective equipment (PPE) and a decreased focus on clinical education within many healthcare settings, in March the American Association of Colleges of …

Parental Choice Of Charter Schools For Middle School Students With Disabilities, Oluwole Ilesanmi

Special Education ETDs

For many decades, traditional public schools were the dominant public schools available for educating students, including those with disabilities. However, in the current climate of school choice, parents can now choose from a variety of educational options for their children. This study sought to explore the reasons parents of students with disabilities enrolled their children in charter schools. Research questions addressed the reasons parents considered when enrolling their children with disabilities in charter schools, as well as their degree of satisfaction and experiences after enrollment in charter schools. A total of 108 parents of sixth-eighth grade middle school students with …

Whole Health Options And Pain Education (Whope): A Pragmatic Trial Comparing Whole Health Team Vs Primary Care Group Education To Promote Nonpharmacological Strategies To Improve Pain, Functioning, And Quality Of Life In Veterans-Rationale, Methods, And Implementation, Karen H Seal, Kavitha Reddy, Et Al.

2020-Current year OA Pubs

BACKGROUND: The Whole Health model of the U.S. Department of Veterans Affairs (VA) emphasizes holistic self-care and multimodal approaches to improve pain, functioning, and quality of life. wHOPE (Whole Health Options and Pain Education) seeks to be the first multisite pragmatic trial to establish evidence for the VA Whole Health model for chronic pain care.

DESIGN: wHOPE is a pragmatic randomized controlled trial comparing a Whole Health Team (WHT) approach to Primary Care Group Education (PC-GE); both will be compared to Usual VA Primary Care (UPC). The WHT consists of a medical provider, a complementary and integrative health (CIH) provider, …

Otter Tail Corporation, Heather Strese

Dissertations, Theses, and Projects

In my valuation model I gathered Otter Tail Corporation’s financial statements, historical and industry data, public information and ratio analysis from Mergent Online, Yahoo Finance and Otter Tail Corporation’s 2018 annual report. I discount the expected free cash flows at the WACC and estimate that Otter Tail Corporation’s stock is price is at USD 56.36 per share as of November 1^st, 2019, given the small difference between my estimated price per share and the current price per share in the market, and consistent with the EV/EBITDA multiple, I recommend a HOLD on the stock of the company.

Reducing Hospital Acquired Pressure Injuries Through A Standardized Prevention Bundle, Austin Lee Stoker

Master's Projects and Capstones

Abstract PROBLEM: Currently healthcare acquired pressure injuries (HAPIs) in the United States result in significant and unnecessary costs along with lost revenue for healthcare facilities. These costs are estimated to be between 9.1 and 11.6 billion dollars annually. Pressure Injuries (PIs) are directly associated with decreases in patient outcomes and are deemed preventable incidents. HAPI prevention can mitigate this clinical and financial problem for patients and organizations. CONTEXT: Unnecessary patient harm related to four HAPI occurrences in the last quarter on the 2B Medical Surgical Telemetry Unit in an integrated managed care delivery system continue to be of concern. Adherence …

Bibliometric Survey On Effects Of Climate Change On Incidences Of Infectious Diseases, Seema Harshad Patil, Yatharth Jain, Vedant Marathe

Library Philosophy and Practice (e-journal)

^{For understanding the influx of Infectious Diseases, research of climate change and its effects pertaining to the diseases is important. The motive of this bibliometric survey is to understand the research which has been carried out regarding the aforementioned topics. This paper summarizes the research in the 21st Century from 2001 to present. We conducted this analysis using tools such as Gephi, Researchgate, Scopus, ScienceScape, Google Scholar and Mapchart. This Bibliometric Survey on “Effects of Climate Change on Infectious Diseases” showed that maximum publications are articles. These publications are from conferences and journals related to Environmental Science. The United States …}

A Bibliometric Analysis Of Minimum Quantity Lubrication As A Sustainable Approach, Shrikant U. Gunjal Mr., Sudarshan B. Sanap Dr.

Library Philosophy and Practice (e-journal)

Environment-friendly machining methods are being focused widely across the research areas concerning the consequences and challenges of the traditional methods. Flood lubrication technique which is aggressively being implemented, targeting better machining attributes of the end product. However, the devastating effects of the flood lubrication technique are causing harmful consequences to the environment majorly and the machining operator therein. Minimum quantity lubrication (MQL) which is also called Near-dry machining (NDM) is the most attributed cooling and lubrication approach which justify the sustainable requirements of the development; as it implies only 50-150 ml/hr cutting fluid under consideration. The present article presents the …

Research Productivity On Knowledge Management From Pakistan: A Study From 2000-2020, Mohammad Hussain, Muhammad Shehr Yar

Library Philosophy and Practice (e-journal)

This study examined the research productivity on Knowledge Management from Pakistan during the years 2000-2020. The study tends to determine the year-wise publications, authorship pattern, total count of citations, citations per year, most cited publications and the most prolific authors. The data for the study was extracted from Google Scholar by using bibliometric tool “Public & Perish”. The data was further analyzed on different parameters with the help of Publish & Perish and MS Excel 2016. It was found that a total of 84 documents were published during the study period. The results show that the highest number of publications …

Interpreting The Data: Reflections On Asl-English Cross Language Research, Serena Johnson

The Qualitative Report

Cross language research typically ignores the role the translator and translation play in the research process. This paper adds to the literature by examining some of the challenges experienced during the translation and interpretation aspect of research. This autoethnography explores the positionality of a non-native user of American Sign Language who conducted research with native American Sign Language users. Findings indicate that translation and interpretation in research is not simply a matter of rote process and deserves more attention as an integral aspect of cross-language research.

Uji Efektivitas Formula E-Liquid Minyak Sereh Wangi (Cymbopogon Nardus L.) Sebagai Repelan Terhadap Aedes Aegypti, Aji Achmad Saputra, Dikdik Mulyadi, Lela Lailatul Khumaisah

Chimica et Natura Acta

Formulasi e-liquid berbahan minyak sereh wangi (Cymbopogon nardus L.), analisis minyak sereh wangi dan e-liquid dengan GC-MS dan uji aktivitas e-liquid sebagai repelan terhadap nyamuk Aedes aegypti telah dilakukan. Minyak sereh wangi digunakan sebagai bahan tambahan e-liquid karena mengandung senyawa minyak atsiri berupa sitronelol, sitronelal dan geraniol yang memiliki kemampuan sebagai repelan terhadap nyamuk, sehingga diharapkan asap yang keluar dari e-liquid dapat menolak nyamuk. Konsentrasi minyak sereh wangi yang dibuat untuk formulasi e-liquid terdiri dari 0,25; 2,5; 5 dan 10%. Hasil uji efektivitas repelan e-liquid selama satu jam pengamatan diperoleh nilai 100% pada konsentrasi 10%.  Hasil analisis GC-MS diketahui bahwa …

Transversus Abdominis Plane Block As A Sole Anesthetic Technique For Open Appendectomy In Patient With Treacher Collins Syndrome: A Case Report, Khalid Maudood Siddiqui, Muhammad Asghar Ali, Bushra Salim

Department of Anaesthesia

Patients with Treacher Collins syndrome (TCS) present serious challenges to anesthetist in securing of airway; upper airway obstruction and difficult tracheal intubation are considered complex entity in these patients. This case report describes the significance of transversus abdominis plane (TAP) block as a sole anesthetic choice in appendectomy where airway management can be avoided. A 17-year-old boy, known case of TCS, presented with acute appendicitis underwent emergency laparotomy. Surgery was successfully performed by TAP block with dexmedetomidine infusion. Open appendectomy can be performed successfully in certain circumstances under TAP block with adjunctive use of dexmedetomidine infusion where airway handling is …

Standardizing Patient Handoffs In The Icu – Implementing The “I Put Patients First” Tool., Wislande Joseph

Master's Projects and Capstones

Abstract

Background. Ineffective patient handoff can result in poor nurse communication, increasing the likelihood of adverse events including medication errors and documentation errors.

Context/Problem. In one 20-bed ICU unit in a northern California community hospital, 48 patient handoffs were observed over 2 weeks. Only 29% occurred at the patient’s bedside; 39.5% used a standardized handoff tool; and 54% included the patient and/or family. This indicated concerning quality gaps in the unit’s ICU patient handoff processes.

Intervention. The project intervention consisted of an introductory and two follow-up teaching sessions on handoff processes and implementing the I PUT PATIENTS FIRST …

Standardizing Patient Handoffs In The Icu – Implementing The “I Put Patients First” Tool., Wislande Joseph

Master's Projects and Capstones

Abstract

Background. Ineffective patient handoff can result in poor nurse communication, increasing the likelihood of adverse events including medication and documentation errors.

Context/Problem. In one 20-bed ICU unit in a northern California community hospital, 48 patient handoffs were observed over 2 weeks. Only 29% occurred at the patient’s bedside; 39.5% used a standardized handoff tool; and 54% included the patient and/or family. These findings indicate significant quality gaps in the unit’s ICU patient handoff processes.

Intervention. The educational intervention consisted of one introductory and two follow-up teaching sessions related to best practices for handoff processes followed by implementation …

Implementing Simulation In Icu New Graduate Nursing Orientation: Introducing Two Practice Innovations, Aiza Quinday Msn

Master's Projects and Capstones

A change project involving the use of innovative wearable simulation technology was integrated into the 12-week new graduate nurse ICU training program at one community hospital in Northern California. Project implementation was interrupted by the Covid-19 pandemic, so only the first pilot training session was conducted. Initial results from this training session suggest that the simulation training had a positive impact on the nurses’ ability to assess patient breath sounds and to recognize and treat a rapidly deteriorating patient. This training session also allowed the project team to identify additional areas of skill assessment and opportunities for improvement for the …

Creation Of A Covid-19 Community Testing Team For Home Health And Hospice, Lilah Raja

Master's Projects and Capstones

The novel SARS-CoV-2 strain (COVID-19) was identified in Wuhan, China in December 2019 (Eddy et. al, 2020). The resulting US outbreak has affected the Kaiser Permanente (KP) Oakland health care system. With the threat of COVID-19 highest among immunosuppressed and elderly clients, KP Oakland home health and hospice (HH/HO) department is rapidly mobilizing to provide community and in-home testing for eligible clients. A project was created to build a COVID-19 testing team workflow to provide diagnostic and preventative testing. This project focuses on team-based interventions that will change the pre-existing practice of requiring HH/HO clients to travel to remote testing …

Mesh Networking And Security Applications In Lora Ad-Hoc Networks, Derek Heeger

Electrical and Computer Engineering ETDs

The Internet of Things (IoT) has rapidly expanded into consumer and industrial applications driving the need for secure and energy efficient communications suitable for battery powered devices. Common IoT protocols developed for these applications include SigFox, Narrow-Band IoT, and Long Range (LoRa). LoRa is an energy efficient long-range communication method enabled by advanced modulation schemes. This research enables new capabilities in LoRa ad-hoc networks allowing for innovative IoT sensors that were previously infeasible due to energy constraints. This is achieved by investigating adaptive data rate (ADR) techniques, enabling reliable and secure remote firmware updates, improving LoRa authentication, and implementing a …

Current Available Computer-Aided Detection Catches Cancer But Requires A Human Operator, Florentino Saenz Rios, Giri Movva, Hari Movva, Quan D. Nguyen

School of Medicine Publications

Introduction: This study intends to show that the current widely used computer-aided detection (CAD) may be helpful, but it is not an adequate replacement for the human input required to interpret mammograms accurately. However, this is not to discredit CAD’s ability but to further encourage the adoption of artificial intelligence-based algorithms into the toolset of radiologists.

Methods: This study will use Hologic (Marlborough, MA, USA) and General Electric (Boston, MA, USA) CAD read images provided by patients found to be Breast Imaging Reporting and Data System (BI-RADS) 6 from 2019 to 2020. In addition, patient information will be pulled …

A Qualitative Study Of The Social Emotional Needs Of Newly Arrived Immigrant Secondary Students In One Texas High School, Janie Snyder

Electronic Theses and Dissertations

Immigration has been part of American history, through time increasing the diversity in population. The U.S. Department of Education reported that newly arrived immigrant students are welcomed to classrooms in public schools, and recent data revealed that more than 840,000 immigrant students occupy American classrooms. Immigrant students may demonstrate high aspirations and hope for a good public education however, some experiences bring about isolation, anxiety, and oppression, demonstrating a critical need for a caring and equitable environment. This qualitative case study utilized interviews with newcomer students to determine the social-emotional impact of the lived experiences of newly arrived immigrant students …

Better News About Math: A Research Agenda, Jay Barchas-Lichtenstein, John Voiklis, Laura Santhanam, Nsikan Akpan, Shivani Ishwar, Bennett Attaway, Patti Parson, John Fraser

Numeracy

Numeracy is not a luxury: numbers constantly factor into our daily lives. Yet adults in the United States have lower numeracy than adults in most other developed nations. While formal statistical training is effective, few adults receive it – and schools are a major contributor to the inequity we see among U.S. adults. That leaves news well-poised as a source of informal learning, given that news is a domain where adults regularly encounter quantitative content. Our transdisciplinary team of journalists and social scientists propose a research agenda for thinking about math and the news. We engage here in a dialogue …

Low-Dose Psoralen–Uv-A Maintenance Therapy Prolongs Disease-Free Remission Rates In Mycosis Fungoides Patients, Joshua M. Brady

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using Vieyra-Garcia P, Fink-Puches R, Porkert S, et al. Evaluation of Low-Dose, Low-Frequency Oral Psoralen–UV-A Treatment With or Without Maintenance on Early-Stage Mycosis Fungoides. JAMA Dermatology. 2019;155(5):538. https://doi.org/10.1001/jamadermatol.2018.5905 for a patient weighing whether to continue treatment in light of socioeconomic circumstances.

Improved Tolerability And Efficaciousness Of Miralax-Gatorade When Compared To Golytely In The Outpatient Setting, Bassem Farah

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using Gu P, Lew D, Jung OS, et al. Comparing the Real-World Effectiveness of Competing Colonoscopy Preparations: Results of a Prospective Trial. Am J Gastroenterol. 2019;114(2):305-314. https://doi.org/10.14309/ajg.0000000000000057 for a patient reluctant to undergo colonoscopy screening due to concerns about GoLYTLEY's tolerability.

Pastoral Systems Changing From Conventional To Social Agriculture In Mediterranean Italy, Andrea Pardini, V. Pratesi, F. Baronti

IGC Proceedings (1977-2023)

No abstract provided.

The Effect Of Organizational Climate On Faculty Burnout At State And Private Universities: A Comparative Analysis, Sait Revda Dinibutun, Cemil Kuzey, Muhammet Sait Dinc

Faculty & Staff Research and Creative Activity

Organizational climate, that is, the atmosphere surrounding an organization, unites features with individual, organizational, and environmental characteristics that affect the behaviors of individuals within the organization. Burnout is accepted as a syndrome that often occurs in people who work together with others. Faculty members in universities are potential burnout candidates due to their relationships with many students, employees, and administrators. To reduce burnout of the faculty members, it is crucial to maintain a healthy organizational climate. It is also projected that discrepancies in organizational climate can manifest differently between public and private universities. So, the purpose of this study is …

Exploring Relationships Between Arts Administrators In Appalachian Kentucky And Tennessee And Their State Arts Agencies: A Qualitative Narrative Inquiry, Elise L. Kieffer Phd

Faculty & Staff Research and Creative Activity

This dissertation explores the relationship of arts administrators in isolated Appalachian communities in Kentucky and Tennessee with their respective representative state arts agencies. Using the narrative inquiry methodology, I participated in interviews with both groups of arts administrators and interpreted those findings through a conceptual framework from the field of healthcare (Feldman-Stewart & Brundage, 2008). This framework recognizes the breakdown of communication that sometimes occurs when one party (the doctor, or in this case, the state arts agency) holds the expertise and position of power, and the other party (the patient, or in my case, the small arts organization) lacks …

Deep Learning-Based Cross-Classifications Reveal Conserved Spatial Behaviors Within Tumor Histological Images., Javad Noorbakhsh, Saman Farahmand, Ali Foroughi Pour, Sandeep Namburi, Dennis Caruana, David Rimm, Mohammad Soltanieh-Ha, Kourosh Zarringhalam, Jeffrey Chuang

Faculty Research 2020

Histopathological images are a rich but incompletely explored data type for studying cancer. Manual inspection is time consuming, making it challenging to use for image data mining. Here we show that convolutional neural networks (CNNs) can be systematically applied across cancer types, enabling comparisons to reveal shared spatial behaviors. We develop CNN architectures to analyze 27,815 hematoxylin and eosin scanned images from The Cancer Genome Atlas for tumor/normal, cancer subtype, and mutation classification. Our CNNs are able to classify TCGA pathologist-annotated tumor/normal status of whole slide images (WSIs) in 19 cancer types with consistently high AUCs (0.995 ± 0.008), as …

An Online Resource To Promote Well-Being Among College Students With Social Anxiety Disorder, Valerie Maxine Sanderson, Steven M. Gerardi, Jerilyn Callen

Fall 2020 Virtual OTD Capstone Symposium

Transitioning from high school to college can be a challenge for many students, especially those with social anxiety disorder (SAD). SAD can negatively impact a student’s ability to effectively participate in school. Occupational therapy intervention could be useful to students with SAD but many do not seek out treatment due to fear of stigmatization or discrimination. Not seeking services may place students with SAD at risk of developing unhealthy coping strategies (e.g., avoidant behaviors, alcohol use). The availability of an online resource to support participation in school, without the need to disclose their condition, could be helpful to students with …

Holidays And Healthy Choices, Jamie Baum

Diet, Food, Exercise, and Nutrition (D-FEND)

Objectives:

Healthy holiday eating

Incorporating physical activity into the holiday season

Budget friendly healthy holiday ideas

George Argus’S List Of Salix References, Yulia Kuzovkina-Eischen

Plant Science Articles

This bibliographical list, containing more than 3600 publications related to the genus Salix, was compiled by Dr. Argus during his long scientific career.