Digital Commons Network^™

Comparison Of Performance Of Psychiatrists Vs Other Outpatient Physicians In The 2020 Us Medicare Merit-Based Incentive Payment System, Andrew C Qi, Karen E Joynt Maddox, Laura J Bierut, Kenton J Johnston

2020-Current year OA Pubs

Importance: Medicare's Merit-Based Incentive Payment System (MIPS) is a new, mandatory, outpatient value-based payment program that ties reimbursement to performance on cost and quality measures for many US clinicians. However, it is currently unknown how the program measures the performance of psychiatrists, who often treat a different patient case mix with different clinical considerations than do other outpatient clinicians.

Objective: To compare performance scores and value-based reimbursement for psychiatrists vs other outpatient physicians in the 2020 MIPS.

Design Setting and Participants: In this cross-sectional study, the Centers for Medicare & Medicaid Services Provider Data Catalog was used to identify outpatient …

Acculturation Implications On Obesity Among Ethnically Diverse Teens, Tien Vo, Lori A. Spruance

Faculty Publications

Obesity is a prevalent public health concern among children, especially those from minoritized backgrounds. In order to understand how acculturation and race/ethnicity influence obesogenic behavior in adolescents, a national convenience sample of 11- to 14-year-olds was recruited to participate in a survey about acculturation, physical activity, nutrition, and the school and home environment. Preliminary results showed significant differences in obesogenic behaviors when comparing White to non-White groups. Time spent watching TV, time spent playing video/computer games, and physical inactivity was higher for non-White Westernized adolescents compared to White adolescents. self-reported obesity, participation in school meals were both positively correlated with …

Iot-Enabled Integrated Smart Wound Sensor For Multiplexed Monitoring Of Inflammatory Biomarkers At The Wound Site, Tanzila Noushin, Nafize Ishtiaque Hossain, Shawana Tabassum

Electrical Engineering Faculty Publications and Presentations

Chronic wounds that stall at the inflammatory phase of healing may create several life threatening complications such as tissue damage, septicemia, and organ failures. In order to prevent these adverse clinical outcomes and accelerate the wound healing process, it is crucial to monitor the wound status in real-time so that immediate therapeutic interventions can be implemented. In addition, continuous monitoring of the wound status can prevent drug overdose at the wound site, leading to on-demand and personalized drug delivery. Inflammatory mediators, such as Interleukin-6 (IL-6) and Interleukin-10 (IL-10) are promising indicators for the progression of wound healing and predictors of …

Phylogenetic And Expression Studies Of Small Gtp-Binding Proteins In Solanum Lycopersicum Super Strain B, Hassan S. Al-Zahrani, Tarek A.A. Moussa, Hameed Alsamadany, Rehab M. Hafez, Michael P. Fuller

School of Biological and Marine Sciences

This investigation involved a comparative analysis of the small GTPase superfamily in S. lycopersicum super strain B compared to their analogues in leguminous and other non-leguminous species. The small GTPases superfamily members were recognized by tBLASTn searches. The sequences of amino acid were aligned using Clustal Omega and the analysis of phylogeny was performed with the MEGA7 package. Protein alignments were applied for all studied species. Three-dimensional models of RABA2, ROP9, and ROP10 from Solanum lycopersicum “Super strain B” were performed. The levels of mRNA of the Rab, Arf, Rop, and Ran subfamilies were detected in aerial tissues vs. roots. …

Developing A Food And Beverage Corporate Sustainability Performance Structure In Indonesia: Enhancing The Leadership Role And Tenet Value From An Ethical Perspective, Tat Dat Bui, Hania Aminah, Ching Hsin Wang, Ming Lang Tseng, Mohammad Iranmanesh, Ming K. Lim

Research outputs 2022 to 2026

The food and beverage industry is the second largest contributor to Indonesia’s economy; however, most industry firms significantly, and negatively, impact ecological and economic performance, and corporate sustainability performance is considered an area that can be significantly improved. This study aims to measure the causal interrelationships among the hierarchical attributes, as well as the decisive attributes that force successful corporate sustainability. Further, there are also other factors that have a negative impact, such as poor social justice and firms’ responsibilities and identities. Hence, emphasizing the ethics role to ensure a better sustainable performance in addition to focusing on the traditional …

In Vivo Ps-Oct Needle Probe Scan Of Human Skeletal Muscle, Jeffrey M. Mcbride, Michael J. Hackmann, Sophia Nimphius, Barry Cense

Research outputs 2022 to 2026

Polarization-sensitive optical coherence tomography (PS-OCT) derived birefringence values effectively identify skeletal muscle structural disruption due to muscular dystrophy and exercise-related muscle damage in animal models in ex vivo tissue. The purpose of this investigation was to determine if a PS-OCT needle probe inserted into the leg of a human subject could accurately identify various anatomical structures with implications for use as a diagnostic tool for the determination of skeletal muscle pathology. A healthy middle-aged subject participated in this study. A custom-built PS-OCT system was interfaced with a side-viewing fiber-optic needle probe inserted into the subject's vastus lateralis muscle via a …

Spirulina Platensis Meal Inclusion Effects On Broilers Fed A Reduced Protein Diet, G. J. Mullenix, C. J. Maynard, C. M. Owens, S. J. Rochell, W. G. Bottje, R. D. Brister, M. T. Kidd

Poultry Science Faculty Publications and Presentations

Apart from soybean meal, alternative sources of protein are a long-term concern facing commercial broiler producers. These alternative protein sources must be rich in protein, have a balanced amino acid profile, be highly digestible, be nutritionally safe for the bird, and ideally contain some other intrinsic value. Spirulina platensis is a microalgae that is growing in popularity due to its high protein level, health benefits, and environmental impact. Two experiments (in female and male Ross 708 broilers) were conducted to determine the effect of Spirulina inclusion in reduced crude protein diets on broiler growth, carcass yields, breast fillet color, breast …

Avian Orexin: Feed Intake Regulator Or Something Else?, Alison Ramser, Sami Dridi

Poultry Science Faculty Publications and Presentations

Originally named for its expression in the posterior hypothalamus in rats and after the Greek word for "appetite", hypocretin, or orexin, as it is known today, gained notoriety as a neuropeptide regulating feeding behavior, energy homeostasis, and sleep. Orexin has been proven to be involved in both central and peripheral control of neuroendocrine functions, energy balance, and metabolism. Since its discovery, its ability to increase appetite as well as regulate feeding behavior has been widely explored in mammalian food production animals such as cattle, pigs, and sheep. It is also linked to neurological disorders, leading to its intensive investigation in …

Revisiting Proactive And Reactive Pathways To Resilience Among Cism-Trained Responders And General Population Participants: Mechanisms That Contribute To Building Overall Psychological Body Armortm, Harvey J. Burnett Jr., Justine Jaeger, Kristen R. Witzel, Karl G. D. Bailey

Faculty Publications

Two previous studies by Burnett and colleagues found preliminary support for several innate well-being and behavioral variables that contribute to one’s Psychological Body Armor’sTM (PBA), which is comprised of two unique interacting pathways (proactive and reactive resilience) among trained disaster mental health responders and the general population. This study sought to improve, expand, and replicate the findings of these two studies. Data was collected from 509 Amazon Mechanical Turk workers and 343 trained novice and experienced disaster mental health crisis intervention responders, who were general members of the International Critical Incident Stress Foundation or the Michigan Crisis Response Association, eight …

A Tail Of Plumage Colouration: Disentangling Geographic, Seasonal And Dietary Effects On Plumage Colour In A Migratory Songbird, Sean M. Mahoney, Matthew W. Reudink, Andrea Contina, Kelly A. Roberts, Veronica T. Schabert, Emily G. Gunther, Kristen M. Covino

School of Integrative Biological & Chemical Sciences Faculty Publications

Plumage ornamentation in birds serves critical inter- and intra-sexual signaling functions. While carotenoid-based plumage colouration is often viewed as a classic condition-dependent sexually selected trait, plumage colouration can be influenced by a wide array of both intrinsic and extrinsic factors. Understanding the mechanisms underlying variation in colouration is especially important for species where the signaling function of ornamental traits is complex or when the literature is conflicting. Here, we examined variation in the yellow/orange tail feathers of American redstarts Setophaga ruticilla passing through two migratory stopover sites in eastern North America during both spring and fall migration to assess the …

Sizing An Open-Channel Woodchip Bioreactor To Treat Nitrate From Agricultural Tile Drainage And Achieve Water Quality Targets, Pam Krone, Ross Clark, Jason Adelaars, Mason Leandro, Alex Henson, Jessica Williamson, Heather Bischel, Olivia Wrightwood, Fred Watson

Faculty Research, Scholarly, and Creative Activity

Woodchip bioreactors are capable of removing nitrate from agricultural runoff and subsurface tile drain water, alleviating human health hazards and harmful discharge to the environment. Water pumped from agricultural tile drain sumps to nearby ditches or channels could be cost-effectively diverted through a woodchip bioreactor to remove nitrate prior to discharge into local waterways. Sizing the bioreactor to achieve targeted outlet concentrations within a minimum footprint is important to minimizing cost. Determining the necessary bioreactor size should involve a hydrological component as well as reaction type and rates. We measured inflow and outflow nitrate concentrations in a pumped open-channel woodchip …

Structural Shifts In Food Basket Composition Of Rural And Urban Philippines: Implications For The Food Supply System, Subir Bairagi, Yacob Zereyesus, Sampriti Baruah, Samarendu Mohanty

Agricultural Economics and Agribusiness Faculty Publications and Presentations

Empirical evidence on the responsiveness and sensitivities of food consumption to its drivers is vital for conducting economic studies. Despite recent attempts to provide such estimates, much empirical work remains to be done considering the prevailing shifts in consumption trends in the Philippines. Price and expenditure elasticities are estimated for seven food categories for rural and urban Filipino households, using Stone–Lewbel (SL) price indices and the quadratic almost-ideal demand system (QUAIDS) model. We used multiple years (2006, 2009, 2012, 2015, and 2018) of the Philippines Family Income and Expenditure Survey (FIES) to estimate the food demand system. The results show …

The Correlation Between Self-Efficacy, Differentiated Instruction, And Gifted Training In Schools Serving Students Originating From Under-Resourced Homes, Amy Dean O'Dell

Doctoral Dissertations and Projects

Teachers face the challenge of meeting diverse learners’ academic needs. Many learners from historically underrepresented student populations enter school with varying exposure to quality learning opportunities creating an academic gap and affecting gifted identification. Differentiation moved to the forefront of education as part of the response to intervention process and to meet gifted learners’ academic needs. However, many teachers may feel ill-equipped to address a wide range of ability levels. The classroom’s diverse and dynamic nature required efficacious teachers prepared to differentiate instruction effectively. The purpose of this bivariate correlational study was to examine the relationship between teachers’ self-efficacy, teachers’ …

The Impact Of Response To Iron Therapy On Maternal And Neonatal Outcomes Among Pregnant Women With Anemia, Sarah E Detlefs, Michael D Jochum, Bahram Salmanian, Jennifer R Mckinney, Kjersti M Aagaard

Faculty, Staff and Students Publications

BACKGROUND: Anemia during pregnancy is associated with increased risks of preterm birth, preeclampsia, cesarean delivery, and maternal morbidity. The most prevalent modifiable cause of pregnancy-associated anemia is iron deficiency. However, it is still unclear whether iron therapy can reduce the risks of adverse outcomes in women with anemia.

OBJECTIVE: This study aimed to determine whether response to iron therapy among women with anemia is associated with a change in odds of adverse maternal and neonatal outcomes.

STUDY DESIGN: This was a population-based cohort study (2011-2019) using an institutional database composed of obstetrical patients from 2 delivery hospitals. Patients with adequate …

Constipation In Patients With Symptoms Of Gastroparesis: Analysis Of Symptoms And Gastrointestinal Transit, Henry P Parkman, Emily Sharkey, Richard W Mccallum, William L Hasler, Kenneth L Koch, Irene Sarosiek, Thomas L Abell, Braden Kuo, Robert J Shulman, Madhusudan Grover, Gianrico Farrugia, Ron Schey, James Tonascia, Frank Hamilton, Pankaj J Pasricha, Nih/Niddk Gastroparesis Consortium

Faculty, Staff and Students Publications

BACKGROUND & AIMS: Constipation can be an important symptom in some patients with gastroparesis. The aims were to: 1) Determine prevalence of constipation and delayed colonic transit in patients with symptoms of gastroparesis; 2) Correlate severity of constipation to severity of symptoms of gastroparesis; and 3) Relate severity of constipation to GI transit delays assessed by gastric emptying scintigraphy (GES) and wireless motility capsule (WMC).

METHODS: Patients with symptoms of gastroparesis underwent gastric emptying scintigraphy (GES), wireless motility capsule (WMC) assessing gastric emptying, small bowel transit, and colonic transit, and questionnaires assessing symptoms using a modified Patient Assessment of Upper …

Prognostic And Predictive Biomarkers In Patients With Coronavirus Disease 2019 Treated With Tocilizumab In A Randomized Controlled Trial, Jennifer Tom, Min Bao, Larry Tsai, Aditi Qamra, David Summers, Montserrat Carrasco-Triguero, Jacqueline Mcbride, Carrie M Rosenberger, Celia J F Lin, William Stubbings, Kevin G Blyth, Jordi Carratalà, Bruno François, Thomas Benfield, Derrick Haslem, Paolo Bonfanti, Cor H Van Der Leest, Nidhi Rohatgi, Lothar Wiese, Charles Edouard Luyt, Farrah Kheradmand, Ivan O Rosas, Fang Cai

Faculty, Staff and Students Publications

OBJECTIVES: To explore candidate prognostic and predictive biomarkers identified in retrospective observational studies (interleukin-6, C-reactive protein, lactate dehydrogenase, ferritin, lymphocytes, monocytes, neutrophils, d-dimer, and platelets) in patients with coronavirus disease 2019 pneumonia after treatment with tocilizumab, an anti-interleukin-6 receptor antibody, using data from the COVACTA trial in patients hospitalized with severe coronavirus disease 2019 pneumonia.

DESIGN: Exploratory analysis from a multicenter, randomized, double-blind, placebo-controlled, phase 3 trial.

SETTING: Hospitals in North America and Europe.

PATIENTS: Adults hospitalized with severe coronavirus disease 2019 pneumonia receiving standard care.

INTERVENTION: Randomly assigned 2:1 to IV tocilizumab 8 mg/kg or placebo.

MEASUREMENTS AND MAIN …

Randomised Trial: Peppermint Oil (Menthol) Pharmacokinetics In Children And Effects On Gut Motility In Children With Functional Abdominal Pain, Robert J Shulman, Bruno P Chumpitazi, Susan M Abdel-Rahman, Uttam Garg, Salma Musaad, Gregory L Kearns

Faculty, Staff and Students Publications

AIMS: Little is known regarding the pharmacokinetics and pharmacodynamics of menthol, the active ingredient in peppermint oil (PMO). Our aim was to investigate the pharmacokinetics of menthol at 3 dose levels in children and determine their effects on gut motility and transit.

METHODS: Thirty children ages 7-12 years with functional abdominal pain underwent wireless motility capsule (WMC) testing. Approximately 1 week later they were randomized to 180, 360 or 540 mg of enteric coated PMO (10 participants per dose). Menthol pharmacokinetics were determined via blood sampling over 24 hours. They then took their respective dose of PMO (180 mg once, …

Effect Of Domperidone Therapy On Gastroparesis Symptoms: Results Of A Dynamic Cohort Study By Niddk Gastroparesis Consortium, Irene Sarosiek, Mark Van Natta, Henry P Parkman, Thomas Abell, Kenneth L Koch, Braden Kuo, Robert J Shulman, Gianrico Farrugia, Madhusudan Grover, Frank A Hamilton, Pankaj J Pasricha, Katherine P Yates, Laura Miriel, Laura Wilson, Goro Yamada, James Tonascia, Richard W Mccallum

Faculty, Staff and Students Publications

BACKGROUND & AIMS: The use of domperidone (DOM) for gastroparesis (GP) remains controversial and limited. We aimed to present outcomes of DOM therapy for treatment of patients participating in the multicenter National Institute of Diabetes and Digestive and Kidney Diseases Gastroparesis Clinical Research Consortium (GpCRC) Registries (GpR).

METHODS: The GpCRC cohort consisted of patients with GP (75%) and with GP-like symptoms but with normal gastric emptying (25%). The DOM group initiated therapy during the 96 weeks of enrollment in GpR1 and GpR2. Patients who had previously taken or who were on DOM therapy at enrollment were excluded from this analysis. …

Symptom Clusters, Physical Activity, And Quality Of Life: A Latent Class Analysis Of Children During Maintenance Therapy For Leukemia, Mary C Hooke, Michelle A Mathiason, Audrey Blommer, Jessica Hutter, Pauline Mitby, Olga Taylor, Michael E Scheurer, Alicia S Kunin-Batson, Wei Pan, Marilyn J Hockenberry

Faculty, Staff and Students Publications

BACKGROUND: Children undergoing treatment for acute lymphocytic leukemia (ALL) report co-occurring symptoms of fatigue, sleep disturbances, and depression as a symptom cluster. Physical activity (PA) may influence symptom severity and quality of life (QOL).

OBJECTIVES: This study examined changes in symptoms and QOL during ALL maintenance in children categorized by symptom cluster and explored the influence of PA and symptoms on QOL.

METHODS: Self-report of fatigue, sleep disturbance, and depression; QOL; and PA were measured at the beginning and end of maintenance in 42 children aged 3 to 18 years with ALL. Children were categorized into symptom cluster groups based …

Isoform-Specific Functions Of Pparγ In Gene Regulation And Metabolism, Wenxiang Hu, Chunjie Jiang, Mindy Kim, Yang Xiao, Hannah J Richter, Dongyin Guan, Kun Zhu, Brianna M Krusen, Arielle N Roberts, Jessica Miller, David J Steger, Mitchell A Lazar

Faculty, Staff and Students Publications

Peroxisome proliferator-activated receptor γ (PPARγ) is a nuclear receptor that is a vital regulator of adipogenesis, insulin sensitivity, and lipid metabolism. Activation of PPARγ by antidiabetic thiazolidinediones (TZD) reverses insulin resistance but also leads to weight gain that limits the use of these drugs. There are two main PPARγ isoforms, but the specific functions of each are not established. Here we generated mouse lines in which endogenous PPARγ1 and PPARγ2 were epitope-tagged to interrogate isoform-specific genomic binding, and mice deficient in either PPARγ1 or PPARγ2 to assess isoform-specific gene regulation. Strikingly, although PPARγ1 and PPARγ2 contain identical DNA binding domains, …

Exploring Stress Relief Methods And The Efficacy For The Houseless At Urban Settings, Lexis Bates

University Honors Theses

When the word "stress" is mentioned to lay people, they might think that their definitions of "stress" would be the same or similar. However, stress may vary by, not only degrees of the adverse circumstances, but also kinds of stressors which make an individual's experience of stress and their coping mechanisms complicated. Stress refers to a state of mental strain or tension resulting from adverse circumstances. Each individual living in society undergoes stress as a part of life. To some degree, stress keeps us motivated to stay alive in this way through survival instincts. However, excess stress may cause chaos …

Investigating The Presence Of Cladocera Species Within The Wetlands Of Uae, Shamma Eisa Salem Shahdad Alneyadi

Theses

The wetlands ecosystems found in the Arabian Peninsula have been poorly investigated. Moreover, the available information about the presence of freshwater communities have been rarely documented. Although there are scattered records about the presence of freshwater Cladocera organisms within the Arabian Gulf countries; few of them have received proper taxonomic identification. Cladocera populations in freshwater bodies are always characterizing its water quality and other living invertebrates’ community. United Arab Emirates wetlands are among the ecosystems belonging to Ramsar convention for its conservation. The presence of both temporary and permanent freshwater area has been developed after the great interest to collect …

Screening And Breeding For Bermudagrass Stem Maggot (Bsm) Resistance Using U.S. Bermudagrass Germplasm, W. F. Anderson, D. Hancock, L. Baxter, W. Hudson, Esteban F. Rios

IGC Proceedings (1977-2023)

Bermudagrass (Cynodon sp.) is an important perennial forage grass grown in many parts of the world. Bermudagrass Stem Maggot (BSM) (Atherigona reversura Villeneuve) is an insect pest that reduces forage yield and nutritive value if it is not controlled. The pest, native to SE Asia, was first documented in North America in 2009 and is now considered invasive. A collection of over 300 forage bermudagrass accessions was evaluated in the field for susceptibility to BSM in 2014 and 2015. Tolerant lines and susceptible checks were then evaluated for yield loss due to BSM in a replicated field study …

“Baby Donato” In Abruzzo (Italy): From A Mother’S Veneration To Popular Devotion, Lia Giancristofaro

Journal of Gender, Ethnic, and Cross-Cultural Studies

The article considers a cult that developed and still thrives in a small Abruzzo town in the years between the two world wars. During these decades, the mummified body of a baby became the object of worship and devotional practices. The epileptic Baby Donato died and after few months his body was given to the Sanctuary of St Donatus in Celenza sul Trigno. St Donatus is the saint who protects epileptics and in Italian Catholicism is therefore the master of disease. The name Donato means ‘given’ and the ailment (epilepsy) is given by the saint to his subjects in exchange …

Implicit Bias Against Bipoc Patients In Clinical Settings: A Qualitative Review, Raisa Kabir, Sayeda Tazim Zaidi

Spectra Undergraduate Research Journal

Black, Indigenous, and People of Color (BIPOC) from stigmatized and marginalized communities face implicit bias in medicine. Implicit biases are unconscious attitudes and internalized discrimination developed through repeated practices based on stereotypes from a foundation of systematic racism. In clinical settings, it impacts individuals’ healthcare experience and treatment outcomes. This study aimed to characterize and address implicit bias among healthcare providers toward BIPOC patients in clinical settings. A literature search in MEDLINE/PubMed, CINAHL, PsyArticles, PsycINFO from EBSCO databases was conducted to include all peer-reviewed studies (2012-2021) about implicit bias toward BIPOC. Most healthcare providers have some form of implicit bias-positive …

Opportunities In Green Supply Chain Management, Johnny C. Ho, Maurice K. Shalishali, Tzu-Liang (Bill) Tseng, David S. Ang

The Coastal Business Journal

The supply chain consists of those activities associated with manufacturing from raw material acquisition to final product delivery. Because of the recently changed environmental requirements that affect manufacturing operations and transportation systems, growing attention is given to the development of environment management strategies for supply chains. A green supply chain aims at confining the wastes within the industrial system so as to conserve energy and prevent the dissipation of harmful materials into the environment. In this paper, we compare and contrast the traditional and green supply chains. Moreover, we discuss several important opportunities in green supply chain management in depth, …

The Need For An Integrated Preschool Efl Curriculum In Lebanon, Amal J. Yazigy Dr.

BAU Journal - Society, Culture and Human Behavior

An Integrated Curriculum for Preschool enriches the children’s linguistic environment that leads to better, more natural learning of the target language and concepts of different fields. This paper starts by reviewing available literature about child development, foreign language learning, EFL in this context, and the integrated curriculum. The development of a holistic curriculum for preschoolers in Lebanon is given taking into consideration the healthy cognitive, emotional, and psychomotor development of preschoolers.

The Echo: February 28, 2022, Taylor University

2021-2022 (Volume 109)

Student campaign runs unopposed in election — Title IX proceedings moves to Human Resources — MAHE redistributes head leadership — Boosters required for up-to-date vaccination — DC, Stu update services for the spring semester — Campus experiences maintenance employee shortage — J-term trips provide deep experiences — Therapy dogs alleviate stress among students — Pursuing learning beyond February — How to avoid ‘us vs. them’ — Meet Opinions Editor Sophia King — ABC series tells story of Emmett Till’s murder — LA gives five senior students a semester to remember — Fire Arts Feature — ‘I love being Black’ — …

Role Of Women For Economic Resilience, Dian Nafiatul Awaliyah

Jurnal Pembangunan Manusia

Fatayat NU (Nahdlatul Ulama) and Muslimat NU are grassroots community organizations with millions of members throughout Indonesia. They are women and mothers who support their families in education and even the economy. From observations and searches and excavations, it is found that the phenomenon is that they are the ones who continue to drive the family economy during the pandemic when husbands and fathers lose their jobs due to PPKM regulations and also mass dismissals in many companies and other institutions. In addition, many husbands and fathers have died due to Covid-19 and comorbidities. Their economic resilience needs to be …

Senior Hunger In The Mountain West, 2019, Ally M. Beckwith, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet highlights data on senior hunger in the Mountain West region in 2019 as originally reported in Feeding America’s The State of Senior Hunger annual series. This report focuses on the extent of food insecurity among seniors in the United States. Seniors are defined as those who are 60 years of age or older.