Digital Commons Network^™

Loss Of Function Of Wfs1 Causes Er Stress-Mediated Inflammation In Pancreatic Β-Cells, Shuntaro Morikawa, Lindsey Blacher, Chinyere Onwumere, Fumihiko Urano

2020-Current year OA Pubs

Wolfram syndrome is a rare genetic disorder characterized by juvenile-onset diabetes mellitus, optic nerve atrophy, hearing loss, diabetes insipidus, and progressive neurodegeneration. Pathogenic variants in the

Functional Tic-Like Presentations Differ Strikingly From Provisional Tic Disorder, Amanda L Arbuckle, Emily C Bihun, Bradley L Schlaggar, Kevin J. Black

2020-Current year OA Pubs

No abstract provided.

Protocol For The Perioperative Outcome Risk Assessment With Computer Learning Enhancement (Periop Oracle) Randomized Study, Bradley Fritz, Christopher King, Yixin Chen, Alex Kronzer, Joanna Abraham, Arbi Ben Abdallah, Thomas Kannampallil, Thaddeus Budelier, Arianna Montes De Oca, Sherry Mckinnon, Bethany Tellor Pennington, Troy Wildes, Michael Avidan

2020-Current year OA Pubs

No abstract provided.

Protocol For The Ketamine For Postoperative Avoidance Of Depressive Symptoms (K-Pass) Feasibility Study: A Randomized Clinical Trial, Bradley A Fritz, Bethany R Tellor Pennington, Ben J A Palanca, Julie A Schweiger, Jon T Willie, Nuri B Farber

2020-Current year OA Pubs

No abstract provided.

Evaluating The Implementation Of A Multi-Level Mhealth Study To Improve Hydroxyurea Utilization In Sickle Cell Disease, J S Hankins, A A King, A A Baumann, L M. Klesges, Et Al.

2020-Current year OA Pubs

BACKGROUND: Sickle Cell Disease (SCD) is a progressive genetic disease that causes organ damage and reduces longevity. Hydroxyurea is an underutilized evidence-based medication that reduces complications and improves survival in SCD. In a multi-site clinical trial, part of the NIH-funded Sickle Cell Disease Implementation Consortium (SCDIC), we evaluate the implementation of a multi-level and multi-component mobile health (mHealth) patient and provider intervention to target the determinants and context of low hydroxyurea use. Given the complexity of the intervention and contextual variability in its implementation, we combined different behavioral and implementation theories, models, and frameworks to facilitate the evaluation of the …

Automated Detection Of Vaping-Related Tweets On Twitter During The 2019 Evali Outbreak Using Machine Learning Classification, Yang Ren, Dezhi Wu, Avineet Singh, Erin Kasson, Ming Huang, Patricia Cavazos-Rehg

2020-Current year OA Pubs

There are increasingly strict regulations surrounding the purchase and use of combustible tobacco products (i.e., cigarettes); simultaneously, the use of other tobacco products, including e-cigarettes (i.e., vaping products), has dramatically increased. However, public attitudes toward vaping vary widely, and the health effects of vaping are still largely unknown. As a popular social media, Twitter contains rich information shared by users about their behaviors and experiences, including opinions on vaping. It is very challenging to identify vaping-related tweets to source useful information manually. In the current study, we proposed to develop a detection model to accurately identify vaping-related tweets using machine …

Primary Care Experiences Of Providing Mental Healthcare For Children In The Usa During The Covid-19 Pandemic: A Qualitative Study, Jane Garbutt, Sherry Dodd, Lauren Ericson, Randall Sterkel, Katie Plax

2020-Current year OA Pubs

No abstract provided.

Virtual Adaptation Of An International Exchange Program In Medical Education, Celia Fung, Nicholas Maxwell, Stephen Powell, Michelle Benassai, Natalia Chunga, Jennifer Corcoran, William Barbosa, Marisabel Lopez, Betsy Hanampa, Melissa Llaiqui-Condori, Victor Delgado-Lazo, Karina Mendoza, Yanet Astete, Martin Flor, Sheyla Palacios, Blanca Valdovinos, Jorge Risco, Isabel Camargo, Ralph Jozefowicz, Karlo J Lizárraga

2020-Current year OA Pubs

Medical education has drastically transformed during the COVID-19 pandemic. Measures such as adopting telemedicine visits, minimizing the number of trainees on service, discontinuing external rotations, and converting in-person to online didactics have been broadly and swiftly implemented. While these innovations have promoted greater interconnectivity amongst institutions and made continuing medical education possible, international exchange programs in medical education are still largely disrupted. In response to the changing guidelines and restrictions necessitated by the COVID-19 pandemic, the authors used Kern's six-step approach to design and implement a virtual curriculum to replace the in-person activities of the 2020-2021 Neurology Peru-Rochester exchange program …

Stigma Towards Mental Illness And Help-Seeking Behaviors Among Adult And Child Psychiatrists In Hungary: A Cross-Sectional Study, Dorottya Őri, Péter Szocsics, Tamás Molnár, Fanni Virág Ralovich, Zsolt Huszár, Ágnes Bene, Sándor Rózsa, Zsuzsa Győrffy, György Purebl

2020-Current year OA Pubs

OBJECTIVE: Stigma towards people with mental health problems is a growing issue across the world, to which healthcare providers might contribute. The aim of the present study was to explore psychiatrists' attitudes towards their patients and link them to psychosocial and professional factors.

METHODS: An online questionnaire was used to approach the in- and outpatient psychiatric services across Hungary. A total of 211 trainees and specialists in adult and child psychiatry participated in our study. Their overall stigmatizing attitudes were measured, with focus on attitude, disclosure and help-seeking, and social distance dimensions by using the self-report Opening Minds Stigma Scale …

Maternal Perceptions About Sensory Interventions In The Neonatal Intensive Care Unit: An Exploratory Qualitative Study, Julia Lisle, Kylie Buma, Joan Smith, Marinthea Richter, Prutha Satpute, Roberta Pineda

2020-Current year OA Pubs

Background: Mothers play an important role in providing positive sensory experiences to their infants during NICU hospitalization. However, little is known regarding maternal perceptions about sensory-based interventions in the NICU. Further, understanding maternal perceptions was an important part of the process during development of the Supporting and Enhancing NICU Sensory Experiences (SENSE) program.

Methods: Twenty mothers of very preterm infants were interviewed after NICU discharge and asked open-ended questions about sensory-based interventions they performed in the NICU and probed about their perceptions related to the development of a sensory-based guideline and the use of volunteers to provide sensory-based interventions when …

Cilia Action In Islets: Lessons From Mouse Models, Jung Hoon Cho, Jing W Hughes

2020-Current year OA Pubs

Primary cilia as a signaling organelle have garnered recent attention as a regulator of pancreatic islet function. These rod-like sensors exist on all major islet endocrine cell types and transduce a variety of external cues, while dysregulation of cilia function contributes to the development of diabetes. The complex role of islet primary cilia has been examined using genetic deletion targeting various components of cilia. In this review, we summarize experimental models for the study of islet cilia and current understanding of mechanisms of cilia regulation of islet hormone secretion. Consensus from these studies shows that pancreatic cilia perturbation can cause …

Monosynaptic Targets Of Utricular Afferents In The Larval Zebrafish, Yizhen Jia, Martha W Bagnall

2020-Current year OA Pubs

The larval zebrafish acquires a repertoire of vestibular-driven behaviors that aid survival early in development. These behaviors rely mostly on the utricular otolith, which senses inertial (tilt and translational) head movements. We previously characterized the known central brainstem targets of utricular afferents using serial-section electron microscopy of a larval zebrafish brain. Here we describe the rest of the central targets of utricular afferents, focusing on the neurons whose identities are less certain in our dataset. We find that central neurons with commissural projections have a wide range of predicted directional tuning, just as in other vertebrates. In addition, somata of …

Academic Medical Center Clinical Research Professional Workforce: Part 2 - Issues In Staff Onboarding And Professional Development, Jacqueline M Knapke, Michelle Jenkerson, Peg Tsao, Stephanie Freel, Jessica Fritter, Shirley L Helm, Penelope Jester, H Robert Kolb, Angela Mendell, Megan Petty, Carolynn T Jones

2020-Current year OA Pubs

Background: Defining key barriers to the development of a well-trained clinical research professional (CRP) workforce is an essential first step in identifying solutions for successful CRP onboarding, training, and competency development, which will enhance quality across the clinical and translational research enterprise. This study aimed to summarize barriers and best practices at academic medical centers related to effective CRP onboarding, training, professional development, identify challenges with the assessment of and mentoring for CRP competency growth, and describe opportunities to improve training and professionalization for the CRP career pathway.

Materials/Methods: Qualitative data from a series of Un-Meeting breakout sessions and open-text …

Cybersecurity Challenges In Smart Cities: An Overview And Future Prospects, Maad Mijwil, Ruchi Doshi, Kamal Kant Hiran, Abdel-Hameed Al-Mistarehi, Abdel-Hameed Al-Mistarehi

Mesopotamian Journal of CyberSecurity

Today, most governments in the world are considering establishing smart cities that work through the use of the latest technological means. Where smart cities are considered economically, socially and environmentally sustainable cities as they have the ability to develop sustainable development, increase the quality of life of citizens, increase the efficiency of available resources and active citizen participation with confidence and quickly. Nations are looking forward to creating a more profitable future for them by employing a set of main things, which are the economy, citizens, government, mobility, environment, and health. Smart cities are one of the main pillars that …

Sql Injection Attack Detection Using Machine Learning Algorithm, Taseer Muhammad, Hamayoon Ghafory

Mesopotamian Journal of CyberSecurity

The structured query language injection attack (SQLIA) is a well-known cyberattack targeting vulnerabilities in web-based applications; it is used to carry out illegal information control language, bypass confirmation measures, and get access to restricted data. There was some consideration given to existing systematic reviews in the literature. Contemporary systematic reviews frequently incorporate both older and more contemporary works in the topic. Therefore, we restricted ourselves to recently published works. For the current study, I used information from 2012 through 2020. Encryption, XML, design coordination, parsing, and machine learning are just some of the methods and systems that can be used …

Introduction To The Data Mining Techniques In Cybersecurity, Israa Ezzat Salem, Maad Mijwil, Alaa Wagih Abdulqader, Marwa M. Ismaeel, Marwa M. Ismaeel, Anas M. Zein Alaabdin

Mesopotamian Journal of CyberSecurity

As a result of the evolution of the Internet and the massive amount of data that is transmitted every second, as well as the methods for protecting and preserving it and distinguishing those who are authorized to view it, the role of cyber security has evolved to provide the best protection for information over the network. In this paper, the researcher discusses the role of data mining methods in cyber security. Data mining has several uses in security, including national security (for example, surveillance) and cyber security (e.g., virus detection). Attacks against buildings and the destruction of key infrastructure, such …

Zero-Day Vulnerabilities: Unveiling The Threat Landscape In Network Security, Raheela Zaib, Kai-Qing Zhou

Mesopotamian Journal of CyberSecurity

Today's digital ecosystem is particularly vulnerable to attacks due to zero-day vulnerabilities. Attackers take advantage of these flaws, which software developers and security experts are unaware of, leading to catastrophic outcomes. Through an analysis of their lifetime, discovery approaches, exploitation methods, disclosure protocols, and patching strategies, this study tries to reveal the danger landscape of zero-day vulnerabilities. We examine the effects of zero-day vulnerabilities on network security and the difficulties that businesses confront by reviewing the relevant literature and discussing actual cases. We also investigate preventative measures and methods of defense, such as intrusion and anomaly detection systems and cutting-edge …

Efficient Coherent Trust Based Location Aware Clustering For Communication In Mobile Ad Hoc Networks, Ali Alsalamy, Nejood F. Abdulsattar, Dheyaa Abdulameer Mohammed

Mesopotamian Journal of CyberSecurity

Mobile Ad Hoc Networks (MANETs) are the emerging technology for communication and it is used in maximum of the application hence it is noticed by the academic and industrial sectors. Due to the mobile nature of the nodes in MANETs it is complicated to transfer the ecological information. During communication in maximum of the cases link failures and high energy consumption occurred. In order to overcome this issues clustering techniques are introduced in earlier days which is the group of nodes into cluster and each cluster consists of a cluster head (CH) and the other nodes which are present in …

Use Of Implementation Mapping With Community-Based Participatory Research: Development Of Implementation Strategies Of A New Goal Setting And Goal Management Intervention System, Eunyoung Kang, Erin R Foster

2020-Current year OA Pubs

AIMS: This study aims to identify implementation determinants, mechanisms of action, implementation strategies, and implementation outcome evaluation plans for a new theory-based rehabilitation goal setting and goal management intervention system, called MyGoals, using Implementation Mapping with community-based participatory research principles.

METHODS: We completed Implementation Mapping tasks 1 to 4 as a planning team consisting of MyGoals target implementers (occupational therapists (OTs), MyGoals intervention target clients (adults with chronic conditions), and the research team. We are currently conducting mapping task 5. These processes were guided by the Consolidated Framework for Implementation Research, social cognitive theory, the taxonomy of behavior change methods, …

Plasma Neurofilament Light Chain Levels Are Elevated In Children And Young Adults With Wolfram Syndrome, Sarah A Eisenstein, Raveena S Boodram, Courtney L Sutphen, Heather M Lugar, Brian A Gordon, Bess A Marshall, Fumihiko Urano, Anne M Fagan, Tamara Hershey

2020-Current year OA Pubs

Wolfram syndrome is a rare disease caused by pathogenic variants in the

Differential Sphingosine-1-Phosphate Receptor-1 Protein Expression In The Dorsolateral Prefrontal Cortex Between Schizophrenia Type 1 And Type 2, Ganesh B Chand, Hao Jiang, J Philip Miller, C Harker Rhodes, Zhude Tu, Dean Foster Wong

2020-Current year OA Pubs

Understanding the etiology and treatment approaches in schizophrenia is challenged in part by the heterogeneity of this disorder. One encouraging progress is the growing evidence that there are subtypes of schizophrenia. Recent

Leptomeningeal Disease And Tumor Dissemination In A Murine Diffuse Intrinsic Pontine Glioma Model: Implications For The Study Of The Tumor-Cerebrospinal Fluid-Ependymal Microenvironment, Shelei Pan, Dezhuang Ye, Yimei Yue, Lihua Yang, Christopher P Pacia, Dakota Defreitas, Prabagaran Esakky, Sonika Dahiya, David D Limbrick, Joshua B Rubin, Hong Chen, Jennifer M Strahle

2020-Current year OA Pubs

BACKGROUND: Leptomeningeal disease and hydrocephalus are present in up to 30% of patients with diffuse intrinsic pontine glioma (DIPG), however there are no animal models of cerebrospinal fluid (CSF) dissemination. As the tumor-CSF-ependymal microenvironment may play an important role in tumor pathogenesis, we identified characteristics of the Nestin-tumor virus A (Nestin-Tva) genetically engineered mouse model that make it ideal to study the interaction of tumor cells with the CSF and its associated pathways with implications for the development of treatment approaches to address CSF dissemination in DIPG.

METHODS: A Nestin-Tva model of DIPG utilizing the 3 most common DIPG genetic …

Children With Supratentorial Midline Pilocytic Astrocytomas Exhibit Multiple Progressions And Acquisition Of Neurologic Deficits Over Time, Nicole M Brossier, Jennifer M Strahle, Samuel J Cler, Michael Wallendorf, David H Gutmann

2020-Current year OA Pubs

No abstract provided.

The Impact Of A Virtual Orthopaedic Surgery Symposium On Medical Students: Increasing Awareness And Knowledge Of The Field, Theodore Quan, Alex Gu, Amil R. Agarwal, Simone A. Bernstein, Alisa Malyavko, William N. Levine, Lisa K. Cannada, Medical Student Orthopedic Society

2020-Current year OA Pubs

UNLABELLED: Orthopaedic surgery has become an increasingly popular field of residency training for medical students. Many institutions offer elective time to explore areas of interest through clinical rotations and research; however, most of these opportunities are reserved for senior medical students. The purpose of this study was to evaluate the impact of a dedicated medical student orthopaedic surgery symposium to increase awareness about the field and to assess students' interest and knowledge of orthopaedic surgery before and after the symposium.

METHODS: Medical students were invited to submit orthopaedic surgery-related research to a free, 1-day virtual symposium held in April 2022. …

Developing Standards For Gender-Responsive Human Rights Due Diligence, Constance Z. Wagner, Nancy Kaymar Stafford

All Faculty Scholarship

This article addresses the current state of gender-responsive human rights due diligence (GR-HRDD) standards and advocates for greater attention to be paid to women’s human rights in the due diligence process. The 2011 United Nations Guiding Principles on Business and Human Rights (UNGPs) created a global framework for recognizing, preventing, and addressing the risk of adverse impacts of human rights violations linked to business activities. The responsibility of businesses to respect human rights under the UNGPs includes implementing a human rights due diligence process. Although the UNGPs do not provide guidance on the process for integrating women’s rights into human …

Acknowledging The Racist Roots Of Disinvestment And Abandonment: How Local Government Can Set The Stage For Change, Dana M. Malkus

All Faculty Scholarship

Disinvestment and associated property abandonment are defining features of many post-industrial legacy cities. While the reasons are varied and complex, racist law and policy are at the root. Though abandoned properties negatively affect an entire city, their effects usually disproportionately fall on neighborhoods of color. Law and policy have been major drivers of how such neighborhoods look and feel today. Because law and policy have been part of the problem, they are also a necessary part of the solution.

This kind of large-scale, multi-disciplinary problem is beyond the ability of a single institution or sector to address. Stakeholders such as …

Overlooked And Under-Referred, Gretchen Spencer

Murray State Theses and Dissertations

Abstract

According to the National Association for Gifted Children (2019) up to 10% of the population can benefit from receiving gifted services. Due to wide variability in definition, identification and services offered, the NAGC recognized that gifted students have been and continue to be overlooked (NAGC, 2019). Not only are gifted students under identified overall, the ratio of identified students who are Black, Latine, special education, and female was lower than the ratio in the population and occurred at a significantly lower rate than their white counterparts (Ecker-Lyster & Niileksela, 2017). The issue of underrepresentation within the gifted population has …

The State Of Speech-Language Pathology In Guatemala: A Case For Creating A New Post-Graduate University Program, Amanda Blackwell

Murray State Theses and Dissertations

Speech-language pathology is part of a broader discipline of allied-health professions including occupational therapy and physical therapy. The professionals in these disciplines work alongside doctors and nurses to provide rehabilitative care for people with congenital or acquired disabilities across the lifespan. The organization and application of the field of speech language pathology is in various stages of development in countries around the world. The current dissertation seeks to understand the state of speech-language pathology in the Low- and Middle-Income Country (LMIC) of Guatemala and suggest a specific plan for the creation of a new graduate program for this discipline.

Formal Ethics Education In Speech-Language Pathology Graduate Students, Jennifer N. Gaylord

Murray State Theses and Dissertations

Ethical service provision is an essential foundational skill for speech-language pathologists (SLPs) and is fundamental for maintaining the integrity of the profession of speech-language pathology. While practicing speech-language pathologists are required to complete formal ethics training during each certification maintenance interval, there are no guidelines set forth as to the amount and type of training for graduate students in speech-language pathology. This quasi-experimental investigation compared the effect of ethics training embedded within a curriculum to formal ethics training on the ethics knowledge and self-reported comfort levels of first-year graduate students in speech-language pathology. Two equal, non-randomized groups of participants completed …

Kentucky Agricultural Education Teachers’ Perceived Barriers Of Delivering Instruction Through Internet-Based Distance Learning Amid The Covid-19 Pandemic, Jeci Crane-Bohannon

Murray State Theses and Dissertations

In the spring of 2020, the COVID-19 pandemic brought about a multitude of challenges around the world. Mass closures of public places seemed to happen overnight and instantaneously. Essential workers kept the world afloat to the best of their abilities, but the harsh reality quickly settled in that education was not considered essential in the view of a worldwide pandemic. Educators worked continue the education of their pupils while trying to minimize movement and limit social gatherings leaving schools around the world reeling to find their ground in an abrupt switch from in-person learning to internet-based, distance education. Globally, the …