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Stories Of A Water-Table: Anomalous Depressions, Aquitard Breaches And Seasonal Implications, Shelby County, Tennessee, Usa, Daniela Lozano-Medina

Electronic Theses and Dissertations Archive

An extensive study of the water-table aquifer (i.e., shallow aquifer) within Shelby County, Tennessee, was conducted where groundwater elevation data was collected during two water level surveys in the dry (Fall 2020) and wet (Spring 2021) seasons. Water-table surfaces were generated for both seasons using cokriging to observe seasonal differences and identify anomalous water-table depressions, indicative of an underlying aquitard breach. Seasonal differences were attributed to non-coincident control, timing between the survey and when optimum dry (fall) and wet (spring) conditions existed, as observed through comparisons with continuous historical water levels from 12 shallow monitoring wells. Additionally, data from Fall …

The Association Between Physical Fitness, Chronic Disease And Mortality In Childhood Cancer Survivors: A Report From The St. Jude Lifetime Cohort, Matthew Wogksch

Electronic Theses and Dissertations Archive

Childhood cancer survivors (CCS) are at an increased risk of chronic cardiovascular disease, pulmonary disease and all-cause mortality compared to their cancer free cohorts. Increasing physical fitness in the cancer free population can decrease the risk of chronic disease. However, increasing physical fitness among CCS is difficult, possibly due to prior treatment. This may be due to survivor’s difficulty performing submaximal tasks. Also, survivors develop pulmonary disease quickly, increasing their risk for mortality. Therefore, this dissertation seeks to examine the associations of physical fitness, cardiovascular disease, and all-cause mortality in CCS, as well as determine the associations between physiological cost …

Lactate Suppresses Immunometabolic And Inflammatory Responses In Monocytes, Kierstin Lynn Davis

Electronic Theses and Dissertations Archive

Many diseases are preventable through regular exercise. However, high-intensity exercise can transiently suppress immune function. Lactate can decrease inflammatory responses through epigenetic modifications such as histone lactylation, inhibiting inflammatory genes while promoting anti-inflammatory genes. Human blood monocytes were isolated from 10 healthy males and females ranging from 23to 37 years old and pre-treated with either media or sodium lactate (10mM) for 6 hrs. An additional experiment tested if the flavonoid quercetin was able to decrease lactates’ immunosuppressive effects. Extracellular acidification rate (ECAR), oxygen consumption rate (OCR), lactyllysine levels were measured as well as expression of IL10 and TNF. ECAR and …

The Effects Of Probiotic Supplementation On Endurance Athletes: Influences On Gut Dysfunction, Microbiome, And Gut Discomfort, Sarah Lennon

Electronic Theses and Dissertations Archive

This study was a randomized placebo-controlled, double-blinded crossover study elucidating the effects of the probiotic on endurance athletes who experienced GI discomfort and dysfunction. Athletes were recruited to participate if they met multiple criteria involving their running habits. Multiple metrics were utilized to analyze the degree to which the probiotic altered the microbiome and reduced GI Discomfort and Dysfunction within endurance athletes. Markers of intestinal permeability collected were Zonulin, IFABP, and LBP. GI Discomfort was measured via participant self-reporting of symptoms as well as through the Borg Scale. Microbiome changes were measured looking at alpha and beta diversity changes and …

Optimizing Pattern-Based Calibration Of Cellular Automata By Imperialistic Competitive Algorithm, Ehsan Momeni

Electronic Theses and Dissertations Archive

Land use and land cover (LULC) data analyses disclosed large land conversion in Shelby County, TN, between 1990 and 2010. LULC mixtures have significant associations with socio-demographics and travel behavior. Mathematical modeling is used to forecast urban expansion in order to promote sustainable development. Cellular automata (CA) is a popular approach for the simulation of urban growth. Nevertheless, precise calibration of CA is challenging due to uncertainties and its knowledge-intensive process. Shannon relative indices (SRIs) have been used in this study as an indicator of land patterns to calibrate a CA model of urban growth in Shelby County. The results …

Race And Media In The Deep South: Factors Related To Covid-19 Vaccination, Melissa Arismendy

Electronic Theses and Dissertations Archive

There is an overwhelming amount of mistrust and hesitancy toward the COVID-19 vaccine. Research has established that the main reasons for COVID-19 vaccine hesitancy are low confidence in vaccines, medical mistrust, and various other demographic factors. A less understood yet critically important factor that uniquely affects vaccination efforts is conflicting messages from mainstream social media and misinformation. This research aimed to investigate this emerging phenomenon of media influence in Mississippi, which ranks second in the nation with the lowest vaccination rates and number one in COVID-19 related deaths. This study draws on secondary data consisting of mail-in surveys of randomly …

A Qualitative Study Of Critical Consciousness: How Black Leaders Perceive Their Roles In The Sociopolitical Development Of Their Students, Ray Williams

Electronic Theses and Dissertations Archive

Paulo Freire (1970) Pedagogy of the Oppressed explained how his theory of critical consciousness could liberate the low-income Brazilian workers. Freire's theory was that his people should be able to see their culture in their education and be equipped with the tools to analyze the world around them and find their sources of oppression. This research study uses Roderick J. Watts’ theory of Sociopolitical Development (SPD) is a branch of Freire's critical consciousness theory. This research study examines the critical consciousness of ten (10) Black urban school leaders by utilizing a semi-structured interview process to explore their educational and life …

Physical Activity For Adl Performance In Older Adults With Dementia: A Systematic Review, Clancy Hesseltine, Josiah Heun, Murphy Porter, Sam Wyrick, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

PURPOSE: An estimated 5.8 million people in the United States live with dementia. By the year 2060, this number is expected to climb as high as 14 million people (CDC, 2019). Performance and participation in activities of daily living (ADLs) is a primary goal of occupational therapy. Exercise intervention is an occupational therapy approach for individuals with dementia that will increase ADL performance (Giebel et al., 2015). The present study examined the effects of physical exercise to maintain or improve activities of daily living performance for adults with dementia.

DESIGN: This systematic review of systematic reviews examined whether physical activity …

Occupational Therapy Interventions To Optimize Functional Use Of The Upper Extremity After Peripheral Nerve Injury: A Systematic Review, Shayleigh Clarkson, Allison Fisher, Sean Mcfadden, Payton Swanson, Molly Whitlow, Stacy Smallfield

Student Systematized Reviews: Occupational Therapy

PURPOSE: Peripheral nerve injuries are a distinct group of injuries that are commonly caused by motor vehicle accidents, falls, industrial accidents, household accidents, and penetrating trauma (Kamble et al., 2019). A peripheral nerve injury can affect an individual’s daily occupations and routines due to unrelenting pain, loss of sensation, and/or burning sensations. Peripheral nerve injuries can result in motor loss and subsequent muscle imbalance which can create functional loss (Chae et al., 2020). The purpose of this systematic review was to provide occupational therapists with evidence supporting the use of interventions to increase the functional use of the upper extremity …

Occupational Therapy Interventions For Adls In Adults Post-Tbi With Visual Symptoms: A Systematic Review, Connor Jarman Bs, Olivia Vander Haar Bms, Lauren Wobken Bs, Stacy Smallfield Drot, Msot, Otr/L, Bcg, Faota, Molly Whitlow Phd, Mph

Student Systematized Reviews: Occupational Therapy

PURPOSE: Traumatic brain injury (TBI) is a leading cause of death and injury in the United States. In fact, it is estimated that 1.5 million Americans experience them every year (CDC, 2022). Visual impairments may be a symptom following TBI (Richman, 2014). This affects an individual’s ability to perform activities of daily living (ADLs) such as dressing, hygiene, and functional mobility, including the reading required for these activities. The purpose of this systematic review was to synthesize the evidence and intervention options within the scope of occupational therapy for adults post-TBI experiencing visual symptoms.

DESIGN: We conducted a systematic review …

Effectiveness Of Functional Cognition Intervention For Adults With Traumatic Brain Injuries: A 
Systematic Review, Lauren Mccormick, Madison Otte, Delaney Hill, Emily Leahy, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Purpose: An estimated 5.3 million Americans are living with a permanent disability due to having a traumatic brain injury (TBI) (CDC, 1999). A common deficit seen in this population includes impaired functional cognition, which is the ability to use and integrate thinking and processing skills to complete complex instrumental activities of daily living (IADLs) (Giles et al., 2017). Occupational therapy practitioners support individuals post-TBI by creating and implementing occupation-based interventions during rehabilitation to optimize functional cognition and improve individuals' ability to complete IADLs. This study aims to identify the effectiveness of interventions within the scope of occupational therapy practice …

Black Hearts Matter: A Comparative Study Of Sociodemographic, Clinical, And Psychosocial Characteristics In Black And White Persons With Heart Failure, Hannah M Anderson Hughes

Theses and Dissertations

Heart failure (HF) is a chronic, progressive, debilitating illness that disproportionately affects Black individuals, often leading to poor quality of life (QOL). Various sociodemographic, clinical, and psychological characteristics are related to QOL in patients with HF. Because most studies do not include representative Black samples or report findings from racial subgroup analyses, these relationships and any existing racial differences are not well understood. The purpose of this descriptive, comparative study was to explore the relationships among sociodemographic, clinical, and psychological characteristics and QOL in patients with HF and to determine if there were racial differences between Black and White individuals. …

What Motivates Saudi Females' Intentions To Get Mammography? A Randomized Control Trial To Evaluate Effective Preventative Messages, Saleh Bin Khulayf

Theses and Dissertations

Background. In Saudi Arabia, breast cancer mortality is a public health concern where females often discover breast cancer at an advanced stage due to ignoring preventative testing such as mammography. While increasing mammography awareness is essential in Saudi Arabia, almost nothing is known about the effectiveness of health communication messages in mammography's context. This research tested whether exposure to Entertainment-Education (E-E) message or educational infographic messages would influence Saudi females' intentions to get mammography.

Method. This research relied on a randomized control trial among n=240 Saudi females older than 40. Respondents were randomly assigned to watch YouTube E-E message or …

Pharmacists' Role In Opioid Use Disorder And Overdose Prevention And Treatment And Their Attitudes And Perceptions Towards Distributing Naloxone Under A Standing Order, Stephen C. Ijioma

Theses and Dissertations

Background: Opioids are a class of drugs that bind to opioid receptors (mu, delta, and kappa), located in the central and peripheral nervous systems, to exert responses such as analgesia, respiratory depression, euphoria, and miosis. The opioid epidemic is characterized in large part by an increase in opioid overdose deaths. Community pharmacists are one of the most accessible healthcare professionals who frequently interact with patients and can implement OUD and opioid overdose prevention strategies. Treatment for opioid overdose and OUD include naloxone for overdose deaths as well as medication-assisted treatment for OUD.

Objective: The specific aims of this thesis include …

Representativeness Of Data From An Online Sample Of Individuals With Severe Alcohol Use Disorder, Michelle Eglovitch

Theses and Dissertations

Understanding the characteristics of research participants who provide DNA is crucial to ensuring sample representativeness and generalizability of findings of genetics studies of substance use disorders. Using anonymous survey data, the present study had a unique opportunity to compare participants who provided DNA (n=2,414) with those that did not provide DNA (n=1,515). The present study found numerous differences between groups across demographic, substance use, and personality domains. Using multivariate regression, the most parsimonious model found that being male, a non-smoker, and endorsing perseverance was associated with providing DNA. The present study provides benchmark data on sample representativeness in a genome …

Examining The Impact Of Parental Racial Socialization And Critical Consciousness On Black Adolescents’ Coping With Racism-Related Stress, Chandler Alexandra Golden

Theses and Dissertations

In addition to universal stressors, Black adolescents also experience racism-related stressors. The physical and emotional consequences of racism-related stressors can be harmful to Black youth. To mitigate racism-related stress, Black youth may engage in various forms of coping. Critical consciousness and racial socialization are culturally relevant factors that have been protective against the negative impact of racism-related stress, with coping as one mechanism that undergirds this protection. Moreover, research has also begun to theorize critical action as a type of racialized coping. Past research has largely examined the impact of critical consciousness and racial socialization on coping separately and yielded …

Social Justice As Desistance: Rethinking Approaches To Gender Violence, Deborah M. Weissman

Faculty Publications

Part I of this Article describes most domestic violence intervention programs (DVIPs) as they currently function with regard to gender violence. It critiques the structure of these programs, their close partnership with criminal legal system actors, perceived deficiencies, and it identifies missed opportunities to provide meaningful intervention strategies with those who have harmed. It demonstrates the ways that laws, regulations, and policies governing DVIPs constrain most programs from moving beyond established practices informed by punitive approaches to address the structural conditions that situate gender violence within a political economic framework.

Part II begins with a brief overview of the research …

Life In The (Really) Fast Lane: Why Rural States Should Implement A High-Speed Minimum Speed Limit On Additional Freeway Lanes, Grantlee W. Hohlbein

Transportation Law Journal

No abstract provided.

Covid-19 Mortality May Be Reduced Among Fully Vaccinated Solid Organ Transplant Recipients, Micaela Sandoval, Duc T Nguyen, Howard J Huang, Stephanie G Yi, R Mark Ghobrial, A Osama Gaber, Edward A Graviss

Faculty, Staff and Student Publications

BACKGROUND: Solid organ transplant (SOT) recipients are at increased risk for morbidity and mortality from COVID-19 due to their immunosuppressed state and reduced immunogenicity from COVID-19 mRNA vaccines. This investigation examined the association between COVID-19 mRNA vaccination status and mortality among SOT recipients diagnosed with COVID-19.

METHODS & FINDINGS: A retrospective, registry-based chart review was conducted investigating COVID-19 mortality among immunosuppressed solid organ transplant (SOT) recipients in a large metropolitan healthcare system in Houston, Texas, USA. Electronic health record data was collected from consecutive SOT recipients who received a diagnostic SARS-CoV-2 test between March 1, 2020, and October 1, 2021. …

Desired Resources For Changing Diet Among Persons With Multiple Sclerosis: Qualitative Inquiry Informing Future Dietary Interventions, Stephanie L Silveira, Emma V Richardson, Robert W Motl

Faculty, Staff and Student Publications

BACKGROUND: There are approximately 1 million adults in the United States with multiple sclerosis (MS). Persons with MS are interested in diet as a second-line therapy for improving MS symptoms and disease progression. Examination of desired resources regarding diet among persons with MS is necessary for supporting behavior change.

METHODS: Twenty-five adults with MS completed 1-on-1, online semistructured interviews. An inductive, 6-phase, semantic thematic analysis was applied to identify themes associated with participant preferences for dietary behavior change.

RESULTS: The research team crafted 4 key themes from the data that encompassed participants' desired resources for dietary behavior change. Theme 1, …

2022 Annual Report For Ebp Workforce Development, Evidence To Practice, Cep Annual Reports, Lisa Staples, Ronnie Rubin, Brooke Dupre, Gabrielle Gonzalez, Willandra Whiting, J. Henning, Sonita Singh, Stephen Phillippi

Policy & Position Papers

No abstract provided.

The Healthy Native Youth Implementation Toolbox: Using Implementation Mapping To Adapt An Online Decision Support System To Promote Culturally-Relevant Sexual Health Education For American Indian And Alaska Native Youth, Christine M Markham, Stephanie Craig Rushing, Jane Manthei, Michelle Singer, Cornelia Jessen, Gwenda Gorman, Melissa F Peskin, Belinda F Hernandez, Lea Sacca, Gabrielle S Evans, Claudia Luna-Meza, Zoe Merritt, Ross Shegog

Faculty, Staff and Student Publications

BACKGROUND: American Indian and Alaska Native (AI/AN) youth experience serious disparities in sexual and reproductive health, including the highest teen birth rate among racial/ethnic groups, and disproportionate rates of sexually transmitted infections (STI), including HIV. A growing number of evidence-based programs (EBPs) that integrate the strengths and cultural teachings of Native communities exist. Yet, multiple factors, including lack of trained personnel, limited resources, and geographic isolation, may hinder their adoption and implementation. Innovative implementation strategies that facilitate the adoption and implementation of sexual health EBPs in Native communities may help reduce these disparities.

METHODS: We applied Implementation Mapping, a systematic …

Perceptions Of Physical Activity Guidelines Among Wheelchair Users With Multiple Sclerosis, Stephanie L Silveira, Brenda Jeng, Gary Cutter, Robert W Motl

Faculty, Staff and Student Publications

BACKGROUND: Physical activity guidelines provide prescriptive resources for population-level promotion of behavior change to improve health outcomes. The National Multiple Sclerosis Society (NMSS) recently created and disseminated physical activity guidelines for persons with multiple sclerosis (MS) across the disease spectrum.

OBJECTIVE: This study aimed to assess perceptions of the updated NMSS Physical Activity Guidelines among wheelchair users with MS.

METHODS: One hundred thirty-four wheelchair users with MS participated in a cross-sectional study examining health behaviors. Outcomes were measured using an online questionnaire that included items related to demographic and clinical characteristics and a battery of questions regarding perceptions of the …

Application Of Artificial Intelligence And Machine Learning For Hiv Prevention Interventions, Yang Xiang, Jingcheng Du, Kayo Fujimoto, Fang Li, John Schneider, Cui Tao

Faculty, Staff and Student Publications

In 2019, the US Government announced its goal to end the HIV epidemic within 10 years, mirroring the initiatives set forth by UNAIDS. Public health prevention interventions are a crucial part of this ambitious goal. However, numerous challenges to this goal exist, including improving HIV awareness, increasing early HIV infection detection, ensuring rapid treatment, optimising resource distribution, and providing efficient prevention services for vulnerable populations. Artificial intelligence has had a pivotal role in revolutionising health care and has shown great potential in developing effective HIV prevention intervention strategies. Although artificial intelligence has been used in a few HIV prevention intervention …

A Qualitative Investigation Of Organizational Challenges And Facilitators To Screening Individuals Experiencing Homelessness For Hepatitis C Virus (Hcv) In Houston, Texas, Alane Celeste-Villalvir, J Michael Wilkerson, Christine Markham, Lourdes Rodriguez, Vanessa Schick

Faculty, Staff and Student Publications

BACKGROUND: Individuals experiencing homelessness may be at a disproportionately high risk for hepatitis C (HCV) because they may be more likely to engage in HCV risk behaviors. Community organizations that provide services to these vulnerable individuals can effectively screen, diagnose, and navigate them into HCV care. However, screening people experiencing homelessness for HCV at such organizations is limited by various challenges that remain understudied, including budgetary considerations and strategies to improve teamwork and communication. Accordingly, this study investigated the organizational challenges and facilitators to HCV screening of individuals experiencing homelessness as reported by homeless services providers.

METHODS: Staff (N = …

The Neighborhood Environment And Hispanic/Latino Health, Natalia I Heredia, Tianlin Xu, Minjae Lee, Lorna H Mcneill, Belinda M Reininger

Faculty, Staff and Student Publications

PURPOSE: Hispanic/Latino adults on the Texas-Mexico border have high rates of chronic disease. Neighborhoods can influence health, though there is a limited research on neighborhood environment and health in Hispanics/Latinos. The purpose of this study was to assess the relation of neighborhood environment with health variables in Hispanic/Latino adults, including physical activity [PA], depression, anxiety, and lab-assessed conditions (type 2 diabetes, metabolic syndrome, and chronic inflammation).

METHODS: Participants were randomly-selected from a Hispanic/Latino cohort on the Texas-Mexico border. Neighborhood environment, self-reported PA, anxiety, and depression were assessed through questionnaires. Laboratory values determined Type 2 diabetes, metabolic syndrome, and C-reactive protein …

Maternal Occupational Exposures And Fetal Growth In A Spanish Birth Cohort, Jennifer Ish, David Gimeno Ruiz De Porras, Elaine Symanski, Ferran Ballester, Maribel Casas, George L Delclos, Mònica Guxens, Jesús Ibarluzea, Carmen Iñiguez, Loreto Santa-Marina, Michael D Swartz, Kristina W Whitworth

Faculty, Staff and Student Publications

While the epidemiologic literature suggests certain maternal occupational exposures may be associated with reduced measures of size at birth, the occupational literature employing fetal biometry data to assess fetal growth is sparse. The present study examines associations between maternal occupational exposures and ultrasound-measured fetal growth. We included 1,739 singleton pregnancies from the INfancia y Medio Ambiente (INMA) project (2003-2008). At 32 weeks of pregnancy, interviewers ascertained mothers' employment status and assessed job-related physical loads, work schedules, and job strain during pregnancy. Job titles were linked to a job-exposure matrix to estimate exposure to 10 endocrine disrupting chemical (EDC) groups. We …

Covid-19 Outcomes In Myasthenia Gravis Patients: Analysis From Electronic Health Records In The United States, Youngran Kim, Xiaojin Li, Yan Huang, Minseon Kim, Aziz Shaibani, Kazim Sheikh, Guo-Qiang Zhang, Thy Phuong Nguyen

Faculty, Staff and Student Publications

BACKGROUND: Myasthenia gravis (MG) is an autoimmune, neuromuscular condition and patients with MG are vulnerable due to immunosuppressant use and disease manifestations of dyspnea and dysphagia during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS: We conducted a retrospective cohort study using the Optum® de-identified COVID-19 Electronic Health Record (EHR) dataset. Primary outcomes, such as hospitalization, ventilator use, intensive care unit (ICU) admission, and death in COVID-19 patients with MG, were compared with those of COVID-19 patients without MG: the subgroups of non-MG included those with rheumatoid arthritis (RA), systemic lupus (SLE), and multiple sclerosis (MS). We further analyzed factors affecting …

Associations Between Vascular Diseases And Alzheimer's Disease Or Related Dementias In A Large Cohort Of Men And Women With Colorectal Cancer, Xianglin L Du, Lulu Song, Paul E Schulz, Hua Xu, Wenyaw Chan

Faculty, Staff and Student Publications

BACKGROUND: Long term risk of Alzheimer's disease (AD) and related dementias (ADRD) associated with vascular diseases in people with colorectal cancer is unknown.

OBJECTIVE: to determine the risk of ADRD in association with cardiovascular diseases (CVD), stroke, hypertension, and diabetes in a cohort of patients with colorectal cancer.

METHODS: This retrospective cohort study consisted of 210,809 patients diagnosed with colorectal cancer at age≥65 years in 1991-2015 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database with follow-up from 1991-2016, who were free of any ADRD at the baseline (< 30 days after the date of cancer diagnosis).

RESULTS: The crude 26-year cumulative incidence of total ADRD in …

Effect Of Tracheostomy Timing On Outcomes In Patients With Traumatic Brain Injury, Talha Mubashir, Hongyin Lai, Emmanuella Oduguwa, Rabail Chaudhry, Julius Balogh, George W Williams, Vahed Maroufy

Faculty, Staff and Student Publications

Tracheostomy following severe traumatic brain injury (TBI) is common, yet the outcomes associated with tracheostomy timing are unclear. The objective of this study was to assess hospital outcomes of tracheostomy timing in TBI patients. We retrospectively analyzed data from the National Inpatient Sample database of adult patients aged ≥18 years with a primary diagnosis of TBI. Indexed hospitalizations of TBI patients who underwent either percutaneous or surgical tracheostomy between 1995 and 2015 in the United States were included. The interventional groups were 1) early tracheostomy (≤7 days) vs standard tracheostomy (8-14 days), vs late tracheostomy (≥15 days), and 2) tracheostomy …