Digital Commons Network^™

Association Of Hearing Loss And Tinnitus Symptoms With Health-Related Quality Of Life Among Long-Term Oropharyngeal Cancer Survivors, Puja Aggarwal, Marc-Elie Nader, Paul W Gidley, Raj Pratihar, Shirin Jivani, Adam S Garden, Frank E Mott, Ryan P Goepfert, Christopher Wallace Ogboe, Camille Charles, Clifton D Fuller, Stephen Y Lai, G Brandon Gunn, Erich M Sturgis, Ehab Y Hanna, Katherine A Hutcheson, Sanjay Shete

Faculty, Staff and Student Publications

BACKGROUND: This study investigated the association of hearing loss and tinnitus with overall health-related quality of life (HRQoL) among long-term oropharyngeal cancer (OPC) survivors.

METHODS: This study included OPC survivors treated between 2000 and 2013 and surveyed from September 2015 to July 2016. Hearing loss and tinnitus were measured by asking survivors to rate their "difficulty with hearing loss and/or ringing in the ears" from 0 (not present) to 10 (as bad as you can imagine). Hearing loss and tinnitus scores were categorized as follows: 0 for none, 1-4 for mild, and 5-10 for moderate to severe. The primary outcome …

Development Of Competency-Based Online Genomic Medicine Training (Cogent), Susanne B Haga, Wendy K Chung, Luis A Cubano, Timothy B Curry, Philip E Empey, Geoffrey S Ginsburg, Kara Mangold, Christina Y Miyake, Siddharth K Prakash, Laura B Ramsey, Robb Rowley, Carolyn R Rohrer Vitek, Todd C Skaar, Julia Wynn, Teri A Manolio

Faculty, Staff and Student Publications

The fields of genetics and genomics have greatly expanded across medicine through the development of new technologies that have revealed genetic contributions to a wide array of traits and diseases. Thus, the development of widely available educational resources for all healthcare providers is essential to ensure the timely and appropriate utilization of genetics and genomics patient care. In 2020, the National Human Genome Research Institute released a call for new proposals to develop accessible, sustainable online education for health providers. This paper describes the efforts of the six teams awarded to reach the goal of providing genetic and genomic training …

Addressing Training Gaps: A Competency-Based, Telehealth Training Initiative For Community Health Workers, Laura Porterfield, Victoria Warren, Vanessa Schick, Shannon Gulliot-Wright, Jeff R Temple, Elizabeth M Vaughan

Faculty, Staff and Student Publications

BACKGROUND: To overcome vast variations in Community Health Worker (CHW) training, investigators for the CHW Core Consensus Project (CCCP) derived three types of CHW (Category 1, 2, 3) and established competencies for each category. However, studies are needed that implement these competencies in real-world settings.

OBJECTIVE: Using the six competency domains of the CCCP as a theoretical backbone, we developed and evaluated a training for

METHODS: We developed five telehealth-based, bilingual (Spanish/English) training sessions and implemented them among

RESULTS: All (18/18) CHWs achieved at least 70% on the posttest (mean: 93.7%; range 73.3-100%). Training attendance was 98.9%. Using a six-point …

S-400s, Disinformation, And Anti-American Sentiment In Turkey, Russell "Alex" Korb, Saltuk Karahan, Gowri Prathap, Ekrem Kaya, Luke Palmieri, Hamdi Kavak, Richard L. Wilson (Ed.), Major Brendan Curran (Ed.)

Political Science & Geography Faculty Publications

As social and political discourse in most countries becomes more polarized, anti-Americanism has risen not only in the Middle East and Latin America but also among the U.S. allies in Europe. Social media is one platform used to disseminate anti-American views in NATO countries, and its effectiveness can be magnified when mass media, public officials, and popular figures adopt these views. Disinformation, in particular, has gained recognition as a cybersecurity issue from 2016 onward, but disinformation can be manufactured domestically in addition to being part of a foreign influence campaign. In this paper, we analyze Turkish tweets using sentiment analysis …

Advancing Estuarine Shoreline Change Analysis Using Small Uncrewed Autonomous Systems, Thomas R. Allen, Devon Eulie, Mariko Polk, George Mcleod, Robert Stuart, Alexandra Garnand, A. J. Manning (Editor)

Political Science & Geography Faculty Publications

Estuarine shorelines face the threats of accelerating sea-level rise, recurrent storms, and disruptions of natural sediment and ecological adjustments owing to historic human interventions. The growing availability and technical capability of uncrewed systems (UxS), including remote or autonomous aerial and surface vessels, provide new opportunities to study and understand estuarine shoreline changes. This chapter assesses the state of the technology, interdisciplinary science and engineering literature, and presents case studies from the Chesapeake Bay, Virginia, and coastal North Carolina, USA, that demonstrate new insights into coastal geomorphic processes and applications to managing complex and dynamic estuarine shorelines. These technologies enhance the …

Improvement In The Capacity For Activity Versus Improvement In Performance Of Activity In Daily Life During Outpatient Rehabilitation, Catherine E. Lang, Carey L. Holleran, Michael J. Strube, Terry D. Ellis, Caitlin A. Newman, Meghan Fahey, Tamara R. Deangelis, Timothy J. Nordahl, Darcy S. Reisman, Gammon M. Earhart, Keith R. Lohse, Marghuretta D. Bland

2020-Current year OA Pubs

UNLABELLED: We addressed questions about the potential discrepancy between improvements in activity capacity and improvements in activity performance in daily life. We asked whether this discrepancy is: 1. Common in routine, outpatient care, or an artifact of intervention studies? 2. Unique to upper limb (UL) rehabilitation, or is it seen in walking rehabilitation too? 3. Only seen in persons with stroke, or a broader neurorehabilitation problem?

METHODS:: A longitudinal, observational cohort of 156 participants with stroke or Parkinson disease (PD) receiving outpatient rehabilitation at 5 clinics was assessed around admission and monthly during their episode of care. Individual, longitudinal capacity …

Ncite Annual Report 2022-2023, National Counterterrorism Innovation, Technology, And Education Center

Reports, Projects, and Research

This report outlines the achievements of the National Counterterrorism Innovation, Technology, and Education Center in accordance with the Grant Award #20STTPC00001-03 for Budget Year 3, which ran July 1, 2022 through June 30, 2023.

A Bone To Pick-Cellular And Molecular Mechanisms Of Bone Pain In Sickle Cell Disease, Jahnavi Gollamudi, Kristine A Karkoska, Oluwabukola T Gbotosho, Wei Zou, Hyacinth I Hyacinth, Steven L Teitelbaum

2020-Current year OA Pubs

The bone is one of the most commonly affected organs in sickle cell disease (SCD). Repeated ischemia, oxidative stress and inflammation within the bone is largely responsible for promoting bone pain. As more individuals with SCD survive into adulthood, they are likely to experience a synergistic impact of both aging and SCD on their bone health. As bone health deteriorates, bone pain will likely exacerbate. Recent mechanistic and observational studies emphasize an intricate relationship between bone remodeling and the peripheral nervous system. Under pathological conditions, abnormal bone remodeling plays a key role in the propagation of bone pain. In this …

Glaucoma And Microglia-Induced Neuroinflammation, Makoto Ishikawa, Yukitoshi Izumi, Kota Sato, Taimu Sato, Charles F Zorumski, Hiroshi Kunikata, Toru Nakazawa

2020-Current year OA Pubs

Glaucoma is a multifactorial neurodegenerative disease characterized by a progressive optic neuropathy resulting in visual field defects. Elevated intraocular pressure (IOP) is the greatest risk factor for the development of glaucoma, and IOP reduction therapy is the only treatment currently available. However, there are many cases in which retinal degeneration progresses despite sufficient control of IOP. Therefore, it is important to elucidate the pathophysiology of glaucoma that is resistant to current IOP lowering therapies. Experiments using animal glaucoma models show the relationships between microglial neuroinflammatory responses and damage of retinal ganglion cells (RGCs). Inhibition of neuroinflammatory pathways associated with microglial …

Eating Disorders In Weight-Related Therapy (Edit): Protocol For A Systematic Review With Individual Participant Data Meta-Analysis Of Eating Disorder Risk In Behavioural Weight Management, Hiba Jebeile, Denise E. Wilfley, Et Al.

2020-Current year OA Pubs

The Eating Disorders In weight-related Therapy (EDIT) Collaboration brings together data from randomised controlled trials of behavioural weight management interventions to identify individual participant risk factors and intervention strategies that contribute to eating disorder risk. We present a protocol for a systematic review and individual participant data (IPD) meta-analysis which aims to identify participants at risk of developing eating disorders, or related symptoms, during or after weight management interventions conducted in adolescents or adults with overweight or obesity. We systematically searched four databases up to March 2022 and clinical trials registries to May 2022 to identify randomised controlled trials of …

Representation Of South Asia In American Television, Zahin Zaima

Masters Theses

No abstract provided.

The Behavior Of Partially Coherent Twisted Space-Time Beams In Atmospheric Turbulence, Milo W. Hyde Iv

Faculty Publications

We study how atmospheric turbulence affects twisted space-time beams, which are non-stationary random optical fields whose space and time dimensions are coupled with a stochastic twist. Applying the extended Huygens–Fresnel principle, we derive the mutual coherence function of a twisted space-time beam after propagating a distance z through atmospheric turbulence of arbitrary strength. We specialize the result to derive the ensemble-averaged irradiance and discuss how turbulence affects the beam’s spatial size, pulse width, and space-time twist. Lastly, we generate, in simulation, twisted space-time beam field realizations and propagate them through atmospheric phase screens to validate our analysis.

Live-Sky Gnss Signal Processing Using A Dual-Polarized Antenna Array For Multipath Mitigation, Eric Hahn, Sanjeev Gunawardena, Chris Bartone

Faculty Publications

Excerpt: Multipath results from reflections of Global navigation satellite signals (GNSS) signals arriving at a receiver that are delayed with respect to the desired line-of-sight (LOS) signals. The delayed signals distort the received LOS signals, thereby causing pseudorange and carrier phase measurement errors. Traditional multipath mitigation techniques include antenna gain pattern shaping (primarily to reduce ground multipath) and correlator gating techniques (such as narrow correlator and double-delta correlator [1]).

The Amulet Of Nethelar, Sarah J. Brown

Masters Theses

No abstract provided.

Opening The Virtual Window: How On-Line Processes Could Increase Access To Justice In The Criminal Legal System, Cynthia Alkon, Amy Schmitz

Faculty Scholarship

This article explores the potential of technology to improve access to justice (A2J) in criminal courts, specifically for nonviolent misdemeanor cases. Despite a push for innovation in courts, criminal courts have been slow to embrace change and technological innovation due to factors like constitutional constraints and funding limitations. This article argues that criminal courts need "virtual windows" alongside traditional "brick and mortar doors" to enhance A2J. It proposes a problem-solving approach focusing on misdemeanor cases, a high-volume category where technology can have a significant impact. The paper highlights the importance of ensuring defendants make "knowing and intelligent" pleas despite the …

Matlab-Based Simulation Of A Hybridized Tri-Generation Geothermal-Wind-Solar System In Bowman County, North Dakota, Moones Alamooti

Theses and Dissertations

Bowman County, North Dakota, currently relies on coal for over half of its electricity, contributing to significant greenhouse gas emissions. This study employs advanced MATLAB-based modeling to assess the feasibility of transitioning to a hybrid renewable energy system. The designed system includes capacities of 85.7 MW for wind, 24.4 MW for solar PV, 2.03 MW for geothermal, and 195 MWh for storage, tailored to meet the county's growing daily energy demands. Simulations confirm the system's ability to fulfill over 90% of projected daily loads by 2040, with a competitive levelized cost of $105.226/MWh over 15 years. This customized solution reduces …

Rf Coverage Planning And Analysis With Adaptive Cell Sectorization In Millimeter Wave 5g Networks, Md Maruf Ahamed

Theses and Dissertations

The advancement of Fifth Generation Network (5G) technology is well underway, with Mobile Network Operators (MNOs) globally commencing the deployment of 5G networks within the mid-frequency spectrum range (3GHz–6GHz). Nevertheless, the escalating demands for data traffic are compelling MNOs to explore the high-frequency spectrum (24GHz–100GHz), which offers significantly larger bandwidth (400MHz-800 MHz) compared to the mid-frequency spectrum (3GHz–6GHz), which typically provides 50MHz-100MHz of bandwidth. However, it is crucial to note that the higher-frequency spectrum imposes substantial challenges due to exceptionally high free space propagation loss, resulting in 5G cell site coverage being limited to several hundred meters, in contrast to …

The Effect Of Metacognition On Medical Laboratory Science Students' Perceived Feelings Of Self-Efficacy, Rebecca Simone Bakke

Theses and Dissertations

Medical laboratories across the United States have been experiencing a workforce shortage for the past several decades. While the causes of this shortage are numerous, one of the contributing factors is high turnover and attrition rates due to low workplace satisfaction. Research has shown that higher levels of self-efficacy lead to increased job satisfaction and performance outcomes. Therefore, increasing the self-efficacy of medical laboratory science (MLS) students as they prepare to transition into the workforce may help address the labor shortage.To explore a potential exercise to increase self-efficacy among MLS students, a metacognitive learning strategy—reflective journaling—was implemented during the final …

Synthesis Of A Low-Cost And High-Performance Micro-Spherical Adsorbent For Co2 Capture: Performance Evaluation, Up-Scaling Assessment, Adsorption Kinetic, And Numerical Simulation, Abdelmalek Bellal

Theses and Dissertations

This dissertation explores the potential use of potassium carbonate (K2CO3) supported adsorbents for large-scale carbon dioxide (CO2) capture processes. The post-combustion carbon capture process, which operates independently of the upstream fuel combustion process and the CO2 partial pressure in the flue gas, is emphasized for its integration into conventional coal-fired power plants without extensive modifications. While mature aqueous amine facilities are the industry standard, drawbacks in the predominant monoethanolamine (MEA) technology, such as high energy dissipation and oxidative degradation, motivate the exploration of adsorbent-based processes.Various adsorbents, including K2CO3-supported ones, are considered promising due to their high theoretical CO2 capture capacity …

Which U.S. Executive Agency Is The Most Practical To Promulgate Space Debris Mitigation Regulations, And How Will The Space Debris Legal Framework Further Develop?, Tate Garvin Few

Theses and Dissertations

There is much dispute over which agency should take charge of creating and enforcingspace debris regulations. The controversy stems from the highly underdeveloped legal framework that is limited to the IADC guidelines, the Orbital Debris Mitigation Standard Practices (ODMSP), and Space Policy Directive-3. Currently, the Federal Communications Commission is attempting to take the lead role in this effort by establishing the new 5-year space debris disposal rule. However, it is argued that Congress did not declare it to be within their jurisdictional purview. Congress has not yet explicitly stated their intent to have a centralized authority in establishing relevant regulations …

Occupational Therapy Student Perceptions Of Team-Based Learning And Flipped Classroom Learning Activities, Madeline Carriere Graff

Theses and Dissertations

Current literature has highlighted various teaching methodologies that have been utilized within higher education that may assist with promoting learning. This literature identifies team-based learning and the flipped classroom as common teaching strategies utilized within allied medical fields such as occupational therapy, physical therapy, speech therapy, and medical school (Carson & Mennenga, 2019; Frame et al., 2015; Jdaitwaki, 2019; Merlin-Knoblich, Harris & Mason, 2019; Wallace, 2015). However, the current literature lacks research on the different teaching strategies utilized specific to occupational therapy. There is also an abundance of research surrounding the factors associated with student academic success in various medical …

Synthesis And Characterization Of Soybean Feedstock-Based Composite Systems For Sustainable Material Application., Temofeh Nathaniel Esenamunjor

Theses and Dissertations

This study explores the synthesis and characterization of soybean-based composites with a focus on their potential for sustainable material applications. Soybean meal (SBM), known for its high protein content, is blended with the biopolymer polylactic acid (PLA) using eco-friendly manufacturing processes. The solvent casting and hot-pressing methods are employed to fabricate composites, and their mechanical and thermal properties are investigated. Tensile strength of the composites decreases with higher concentrations of soybean meal, while thermal properties remain comparable to PLA. The hot press method, optimized at 250°C and 235 MPa, shows promising results in enhancing compressive strength with increased SBM concentration …

Jackpot In The Skies: Overcoming Challenges Of How Faa Part 139 Airports And American Indian Tribes Can Cooperate In The Implementation Of Gaming, Noah Reese Gunter

Theses and Dissertations

This project sought to explore and inform the current gaming use at FAA Part 139 airports and how gaming could be used for other airports across the US. This research also explored the effects of a partnership between American Indian tribes and the airports that would operate gaming within their facilities. To do so, a qualitative method was completed with case studies and narrative research through a variety of data review and physical observations. By looking at current and proposed gaming locations at FAA Part 139 airports and how American Indian tribes near airports could use gaming within airports to …

Unlocking The Potential Of Sustainable Low-Cobalt Cathodes For Lithium-Ion Battery Applications, Temitayo Ojuetimi Ikuerowo

Theses and Dissertations

The pursuit of effective energy storage solutions, essential for the progress of renewable integration, electric cars, and grid-scale applications, has resulted in the popularity of lithium-ionbatteries. However, the high cost and environmental concerns associated with cobalt, a key component in the cathode, limits widespread adoption. Therefore, to address these issues whilst also increasing the capacity of current technologies, research has gone into the development of Nickel (Ni)-rich and Co-poor or Co-free materials for lithium-ion battery applications; however, the impacts of lower cobalt levels in these materials are not fully understood. This study investigates the impact of low cobalt doping levels …

Application Of Blockchain Technology And Integration Of Differential Privacy: Issues In E-Health Domains, David Isie

Theses and Dissertations

A systematic and comprehensive review of critical applications of Blockchain Technology with Differential Privacy integration lies within privacy and security enhancement. This paper aims to highlight the research issues in the e-Health domain (e.g., EMR) and to review the current research directions in Differential Privacy integration with Blockchain Technology.Firstly, the current state of concerns in the e-Health domain are identified as follows: (a) healthcare information poses a high level of security and privacy concerns due to its sensitivity; (b) due to vulnerabilities surrounding the healthcare system, a data breach is common and poses a risk for attack by an adversary; …

Meteorological Drivers Of Blowing Snow Events At Arm North Slope Alaska Site, Talia Dawn Kurtz

Theses and Dissertations

Blowing snow is common in polar regions. Blowing snow and associated sublimation influence the surface energy budget and surface mass balance. For example, it is believed to play a critical role in the evolution of Arctic sea-thickness by reducing the amount of snow accumulated on the sea-ice surface, which is a pressing issue with the Arctic Amplification. Currently, most models do not include blowing snow as there has not been widespread validation of blowing snow parameterizations. Fortunately, the Atmospheric Radiation Measurements (ARM) North Slope Alaska (NSA) site located in Utqiaġvik, Alaska contains instrumentation that allows for the detection of this …

Inhibition Of Mirna Associated With A Disease-Specific Signature And Secreted Via Extracellular Vesicles Of Systemic Lupus Erythematosus Patients Suppresses Target Organ Inflammation In A Humanized Mouse Model, Nicholas A Young, Emily Schwarz, Braden M Zeno, Shane Bruckner, Rosana A Mesa, Kyle Jablonski, Lai-Chu Wu, Elisha D O Roberson, Wael N Jarjour

2020-Current year OA Pubs

INTRODUCTION: Distinct, disease-associated intracellular miRNA (miR) expression profiles have been observed in peripheral blood mononuclear cells (PBMCs) of systemic lupus erythematous (SLE) patients. Additionally, we have identified novel estrogenic responses in PBMCs from SLE patients and demonstrated that estrogen upregulates toll-like receptor (TLR)7 and TLR8 expression. TLR7 and TLR8 bind viral-derived single-stranded RNA to stimulate innate inflammatory responses, but recent studies have shown that miR-21, mir-29a, and miR-29b can also bind and activate these receptors when packaged and secreted in extracellular vesicles (EVs). The objective of this study was to evaluate the association of EV-encapsulated small RNA species in SLE …

Tele-Mental Health For Rural Children With Cancer And Their Families, Heather Adame

Theses and Dissertations

Youth and Families from rural areas face different circumstances and challenges when managing a pediatric cancer diagnosis. Challenges such as this include lower access to both physical and mental health care (Janicke & Davies, 2011; Wallings et al., 2019). There is a significant need to investigate how to implement best Telemental health for rural families with pediatric cancer (Ros-DeMarize et al., 2021; Timones, 2019). Due to the limited research on this topic, the purpose of this study was to explore expert opinions on best practices for Telemental health services in pediatric oncology settings and rural families living with pediatric cancer. …

Evaluating The Size Distribution Of Submicron Particles In Seawater, Yuanheng Xiong

Theses and Dissertations

Particles of sizes < 1 µm or submicron particles in seawater can contribute up to 60% of optical backscattering that reflect sunlight measured by remote sensors. Better understanding of their optical effect in ocean color requires the knowledge of their particle size distributions (PSDs). However, data on PSDs of submicron particles is limited. We examined an instrument, ViewSizer 3000, for its capability of measuring PSDs of submicron particles. The working theory of the instrument is to track the Brownian motion of particles and relate the diffusivity of each particle to its size. A Monte Carlo simulation was conducted to prove that the instrument can be used to quantify PSDs of naturally occurring particles. Calibrations in the lab using NIST-traceable microbeads indicates two corrections are needed: (1) the sample volume varies with the size of particles and (2) particles of sizes <250 nm cannot be estimated reliably due to their low signal-to-noise ratio. With the corrections, the instrument can resolve submicron particles of sizes >250 nm with a mean absolute error of 3.9% in size and 38% in concentration. The ViewSizer 3000 was deployed in two NASA EXPORTS field campaigns in the North Pacific Ocean in August 2018 and the North Atlantic Ocean in May 2021. A total of 373 water samples were collected from 5 m to 500 m and measured in the ship’s lab for their PSDs. The PSDs of submicron particles at different depths and waters exhibit up to 3 orders of magnitude variations at each size bin, with the mean concentration in NA 30% greater than that …

The Design And Preparation Of High-Performance Silicon/Carbon Composite Anode For Lithium-Ion Batteries, Xin Zhang

Theses and Dissertations

The increasing demand for high-performance energy storage devices has driven extensive research into developing advanced lithium-ion batteries (LIBs) for various applications, including electric vehicles, portable electronics, and grid energy storage. Anode materials play a critical role in determining the overall performance of LIBs. In this dissertation, the investigation of silicon-based anode materials synthesis, characterization, and electrochemical performance was conducted for high-performance lithium-ion battery (LIB) applications. Four projects (Chapter 3 through 6) will be included in this dissertation. Chapter one includes the background and motivation of developing high-performance anode material for LIBs, followed by the hypothesis, scope of work, and significance …