Digital Commons Network^™

Multiparametric Cardiovascular Magnetic Resonance Is Associated With Outcomes In Pediatric Heart Transplant Recipients, Andrew A Lawson, Kae Watanabe, Lindsay Griffin, Christina Laternser, Michael Markl, Cynthia K Rigsby, Joshua D Robinson, Nazia Husain

Faculty, Staff and Students Publications

BACKGROUND: Multiparametric cardiovascular magnetic resonance (CMR) has an emerging role in non-invasive surveillance of pediatric heart transplant recipients (PHTR). Higher myocardial T2, higher extracellular volume fraction (ECV), and late gadolinium enhancement (LGE) have been associated with adverse clinical outcomes in adult heart transplant recipients. The purpose of this study was to investigate the prognostic value of CMR-derived T1 and T2 mapping, ECV, and LGE for clinical outcomes in PHTR.

METHODS: We performed a single-center, retrospective chart review of consecutive, gadolinium-enhanced CMR studies in PHTR over a 7.5-year period, excluding follow-up studies. Standard CMR ventricular volume and function analysis, T1 mapping …

Conceptualizing Self-Reported Adverse Childhood Experiences: From Epidemiologic Exposure To Psychometric Latent Variable, Marianna D. Lanoue, Richard W. Hass

College of Population Health Faculty Papers

In this paper, we apply a measurement science perspective to explore both the epidemiologic and psychometric frameworks for the conceptualization, operationalization and assessment of self-reported adverse childhood experiences (srACEs). The epidemiologic paradigm suggests that srACEs are 'exposures', while the psychometric paradigm views responses on srACEs instrumentation as 'indicators'. It is the central premise of this paper that srACEs cannot be both exposures and indicators of scales. We review issues of reliability and validity from both perspectives, examine the degree of agreement between objective and subjective reports of childhood maltreatment and the implications of poor agreement, and conclude that the for …

Front Matter Fall 2024

Tennessee Journal of Law and Policy

No abstract provided.

Health Literacy On Physical Therapy Among Senior Citizens With Physical Disability And Community Health Workers, Kriza G. Ganotisi, Faye Angelene J. Barangay, Andrew A. Galang, Wina Frances Q. Lazaro, Christopher U. Rivera, Ryan Dean T. Sucgang

Philippine Journal of Physical Therapy

Introduction. This study was conducted to determine the health literacy on physical therapy (PT) among senior citizens with physical disability and community health workers (CHWs). Specifically, it identified the sociodemographic profile of the CHWs and senior citizens with physical disability, their extent of health literacy on PT as to prose, document and numeracy and how health policies, availability of PT programs, and available equipment and facilities for the rendition of PT services affect their health literacy.

Methods. This study employed a descriptive research design. The respondents of the study involved 18 CHWs and 29 senior citizens. It was conducted in …

Another One: On The Syntax Of ‘Alternative One’, Ester Luna

Yale Working Papers in Grammatical Diversity

This paper discusses the use of one as a disjunction marker occurring immediately after a DisjP, such as He was in Tennessee or Kentucky, one. Little research has been published on this construction, which is used predominantly by Southern American English speakers. My project aims to fill this gap in the literature by describing the distribution of one and examining various hypotheses for its syntactic derivation using data from Montgomery (2004) and the Yale Grammatical Diversity Project. Based on my descriptive analysis, I propose to treat this "alternative one" as a proform and matrix clause adjunct.

I compare …

Client Satisfaction With Tele-Community Based Rehabilitation Services For Low Resource Setting, Ferdiliza Dandah S. Garcia, Alma Labro, Penafrancia E. Ching, Rolando Lazaro

Philippine Journal of Physical Therapy

Introduction. The COVID-19 pandemic forced a sudden shift in the delivery of community-based rehabilitation (CBR) services to online platforms such as tele-CBR. Feedback from community partners is important to determine if these services meet their expectations and to inform if adjustments may be needed for future implementation of CBR services using this mode of service delivery. The purpose of the study is to describe the level of client satisfaction of those who received tele-CBR from a university-led CBR program.

Methods. This is a descriptive study using quantitative and qualitative approaches for collecting, analyzing, and integrating information on client satisfaction. Quantitative …

Mapping The ‘Alternative One’ Construction In American English, Guilherme M. C. Pereira

Yale Working Papers in Grammatical Diversity

Alternative one is an understudied construction accepted by speakers of some American English dialects in sentences like (i), where the word one appears immediately after a disjunction.

(i) I need to talk to John or Malcolm, one.
'I need to talk to John or Malcolm, one or the other.'

(Montgomery 2006:152)

In this paper, I present maps of acceptability judgments of this construction in the U.S., using data from a survey administered by the Yale Grammatical Diversity Project in 2020 and 2021. The maps confirm the geographical distribution claimed for alternative one in the Dictionary of American Regional English (Cassidy …

Hiring, Training, And Retaining Mental Health Professionals At Rural Wisconsin Correctional Facilities, Jessica Kallenbach

Walden Dissertations and Doctoral Studies

Correctional facilities in rural Wisconsin have noted a shortage of trained mental health professionals to provide care. Common barriers to providing mental health services in rural areas are the availability and accessibility of mental health professionals. Due to limited access to financial and career benefits, mental health professionals tend to avoid working in these areas. The purpose of this qualitative phenomenological study was to explore the lived experience of mental health professionals, administrators, and supervisors in hiring, training, and retaining staff in rural Wisconsin correctional facilities. Bandura’s social learning theory was used to guide the study. Data was collected from …

Assessment Of Parking Facilities In Public Areas: The Case Of Keffi Town, Ayodeji Solomon Olatunji, Enogela Ahmed John, Adeyemi Adewumi Adedeji, Muhammed Loko Mikaila

CSID Journal of Infrastructure Development

The absence of adequate parking facilities in residential and public areas remains a significant issue in developing countries, often disrupting economic activities and environmental quality. In Keffi town, the increasing demand for parking exceeds the available supply, leading to congestion and inefficiency. This study evaluates the current public parking facilities, focusing on provision levels, infrastructure conditions, and management frameworks. Primary data were gathered using structured questionnaires and direct observations, with 328 valid responses analyzed through descriptive statistics. Results indicate that prolonged vehicle stays exacerbate congestion, such as at Nasarawa State University (32.8%) and Federal Medical Centre (29.1%). Parallel parking dominates …

Griffin, Benjamin, Ed. 2024. Pudd’Nhead Wilson: Manuscript And Revised Versions, With Those Extraordinary Twins, By Mark Twain., Joanna Levin

English Faculty Articles and Research

A review of Pudd’nhead Wilson: Manuscript and Revised Versions, with Those Extraordinary Twins, by Mark Twain, edited by Benjamin Griffin.

Digital Twin And Cybersecurity In Additive Manufacturing, Lidong Wang

Journal of Cybersecurity Education, Research and Practice

Additive manufacturing (AM) has been applied to automotive, aerospace, medical sectors, etc., but there are still challenges such as parts’ porosity, cracks, surface roughness, intrinsic anisotropy, and residual stress because of the high level of thermal gradient. It is significant to conduct the modeling and simulation of the AM process and achieve quality products. Digital Twin (DT) can help AM with forecasting defects/errors through simulation and real-time process monitoring. DT is a concept of Industry 4.0, and its digital structure reflects the real-time behaviors of a cyber-physical or physical system. This paper introduces the progress of DT applications in AM, …

Glucose-Lowering Agents Developed In The Last Two Decades And Their Perioperative Implications, Basavana Goudra, Geno Merli, Michael Green

Department of Anesthesiology Faculty Papers

The last two decades have provided far more options f both patients and their physicians in the treatment of diabetes mellitus. While dipeptidyl peptidase-4 inhibitors (DPP-4is) and glucagon-like peptide 1 receptor agonists (GLP-1RAs) have been approved for nearly two decades, sodium-glucose cotransporter 2 inhibitors (SGLT-2is) are relatively new. Of interest to perioperative physicians, these drugs present specific perioperative concerns, prompting many societies to issue guidelines. Retained gastric contents due to slow gastric emptying is a significant drawback of GLP-1RAs, increasing the risk of aspiration. Recommendations include withholding GLP-1RAs for a predefined period of time, performing gastric ultrasound to evaluate gastric …

Gender Equity And Coffee Agroforestry: The Environmental And Social Impacts Of Commodity Production In Latin America, Suzanna Lloyd

Student Theses 2015-Present

This paper addresses the environmental and social implications of coffee growth and production in Latin America. Women contribute significantly to the ownership of coffee farms and labor of coffee production; however, there is a lack of resources and financial compensation for their work. Chapter One provides both quantitative and qualitative data on the environmental impacts of coffee plantations compared to agroforestry methods of coffee production in Latin America. This chapter defines basic terms, differentiates coffee species and mode of production, and explains the ecosystem services of biodiverse, tropical farms. Chapter Two highlights the patriarchal nature of Latin American agriculture systems …

Improved Adherence To Lipid Screening In The Pediatric Cardiology Clinic: A Quality Improvement Project, Rachel Magnan, Thomas Murphy, Lauren Rosenthal, Aparna Prasad, Anjali Chelliah, Stuart Kaufman, Donna Timchak, Lindsey Mcphillips, Saira Siddiqui

Department of Pediatrics Faculty Papers

INTRODUCTION: Lipid screening identifies at-risk patients to facilitate cardiovascular risk reduction. National pediatric guidelines recommend universal lipid screening between 9-11 and 17-21 years of age. We aimed to improve adherence to lipid screening for all age-appropriate outpatient pediatric cardiology visits from a baseline of 35% to 90% between November 2021 and July 2023.

METHODS: All outpatient visits for patients 9-11 and 17-21 years were included. Chart review and an Epic electronic health record report identified patients screened, lipid test results, and need for further testing. A P-chart was generated. After establishing a baseline for 8 weeks, interventions, including an Epic …

Exploring Anxiety, Uncertainty Perception, Treatment Experiences, And Coping Strategies: An Interpretative Phenomenological Analysis, Aysun Parlar Yazici, Alyson Norman, Alison Bacon

School of Psychology

No abstract provided.

An Ontology-Based Approach For Understanding Appendicectomy Processes And Associated Resources, Nadeesha Pathiraja Rathnayaka Hitige, Ting Song, Steven J Craig, Kimberley J Davis, Xubing Hao, Licong Cui, Ping Yu

Faculty, Staff and Student Publications

Background: Traditional methods for analysing surgical processes often fall short in capturing the intricate interconnectedness between clinical procedures, their execution sequences, and associated resources such as hospital infrastructure, staff, and protocols.

Aim: This study addresses this gap by developing an ontology for appendicectomy, a computational model that comprehensively represents appendicectomy processes and their resource dependencies to support informed decision making and optimise appendicectomy healthcare delivery.

Methods: The ontology was developed using the NeON methodology, drawing knowledge from existing ontologies, scholarly literature, and de-identified patient data from local hospitals.

Results: The resulting ontology comprises 108 classes, including 11 top-level classes and …

Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby

Walden Dissertations and Doctoral Studies

Researchers have found high-quality early childhood teachers are crucial to high-quality programs for young children. Despite this, there is a significant need for more highly qualified teachers in a southwestern state. The purpose of the qualitative study was to explore the perceptions of early childhood education (ECE) systems partners in one southwestern state regarding the current systems, structures, and policies related to career pathways through the high school, community college, and university levels. The conceptual framework for this study was based on von Bertalanffy’s general systems theory and systems thinkers such as Senge, who detail the complex interactions between systems …

New Graduate Nurses' Experiences Of Burnout As They Transition To Practice, Stacy Beth Elliott

Walden Dissertations and Doctoral Studies

Transitioning from nursing school to professional practice is a critical and challenging period for newly graduated nurses. Transition to professional nursing practice is particularly stressful in the first 3 years as new graduates adapt to the high acuity of patient care, which can result in burnout. The purpose of this qualitative study, guided by the conservation of resource theory, was to understand how new graduate nurses describe their experiences of burnout as novice nurses transition in the first 3 years of nursing practice. Fourteen nurses were interviewed using a semi-structured interviews, and Saldana’s two-cycle analysis was used for data interpretation, …

Loss Of Chop Prevents Joint Degeneration And Pain In A Mouse Model Of Pseudoachondroplasia, Jacqueline T Hecht, Alka C Veerisetty, Mohammad G Hossain, Debabrata Patra, Michele Carrer, Frankie Chiu, Dorde Relic, Paymaan Jafar-Nejad, Karen L Posey

Faculty, Staff and Student Publications

Pseudoachondroplasia (PSACH), a severe dwarfing condition characterized by impaired skeletal growth and early joint degeneration, results from mutations in cartilage oligomeric matrix protein (COMP). These mutations disrupt normal protein folding, leading to the accumulation of misfolded COMP in chondrocytes. The MT-COMP mouse is a murine model of PSACH that expresses D469del human COMP in response to doxycycline and replicates the PSACH chondrocyte and clinical pathology. The basis for the mutant-COMP pathology involves endoplasmic reticulum (ER) stress signaling through the PERK/eIF2α/CHOP pathway. C/EBP homologous protein (CHOP), in conjunction with a TNFα inflammatory process, upregulates mTORC1, hindering autophagy clearance of mutant COMP …

State Of Utah V. Alberto Frank Hernandez : Reply Brief, Utah Court Of Appeals

Utah Court of Appeals Briefs (2020 –)

An appeal from a judgment of conviction of aggravated assault, a third-degree felony; and obstructing justice, a class A misdemeanor; in the Third Judicial District Court, Salt Lake County, State of Utah, the Honorable Heather Brereton, presiding. Appellant is incarcerated.

CONNER NELSON (18064) Assistant Solicitor General SEAN D. REYES (7969) Utah Attorney General Attorney for Appellee

ERICK GRANGE (18000) Salt Lake Legal Defender Assoc. Attorney for Appellant

Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby

Walden Dissertations and Doctoral Studies

Researchers have found high-quality early childhood teachers are crucial to high-quality programs for young children. Despite this, there is a significant need for more highly qualified teachers in a southwestern state. The purpose of the qualitative study was to explore the perceptions of early childhood education (ECE) systems partners in one southwestern state regarding the current systems, structures, and policies related to career pathways through the high school, community college, and university levels. The conceptual framework for this study was based on von Bertalanffy’s general systems theory and systems thinkers such as Senge, who detail the complex interactions between systems …

Hiring, Training, And Retaining Mental Health Professionals At Rural Wisconsin Correctional Facilities, Jessica Kallenbach

Walden Dissertations and Doctoral Studies

Correctional facilities in rural Wisconsin have noted a shortage of trained mental health professionals to provide care. Common barriers to providing mental health services in rural areas are the availability and accessibility of mental health professionals. Due to limited access to financial and career benefits, mental health professionals tend to avoid working in these areas. The purpose of this qualitative phenomenological study was to explore the lived experience of mental health professionals, administrators, and supervisors in hiring, training, and retaining staff in rural Wisconsin correctional facilities. Bandura’s social learning theory was used to guide the study. Data was collected from …

We The People, But Not You: The Eighth Circuit Says Undocumented Immigrants Are Not Part Of “The People” Who May Bear Arms, Caleb Kearney

Villanova Law Review (1956 - )

No abstract provided.

New Graduate Nurses' Experiences Of Burnout As They Transition To Practice, Stacy Beth Elliott

Walden Dissertations and Doctoral Studies

Transitioning from nursing school to professional practice is a critical and challenging period for newly graduated nurses. Transition to professional nursing practice is particularly stressful in the first 3 years as new graduates adapt to the high acuity of patient care, which can result in burnout. The purpose of this qualitative study, guided by the conservation of resource theory, was to understand how new graduate nurses describe their experiences of burnout as novice nurses transition in the first 3 years of nursing practice. Fourteen nurses were interviewed using a semi-structured interviews, and Saldana’s two-cycle analysis was used for data interpretation, …

Digital Cognitive Behavioral Therapy Vs Education For Pain In Adults With Sickle Cell Disease, Charles R. Jonassaint, Christina M. Lalama, C. Patrick Carroll, Sherif M. Badawy, Megan E. Hamm, Jennifer N. Stinson, Chitra Lalloo, Santosh L. Saraf, Victor R. Gordeuk, Robert M. Cronin, Nirmish Shah, Sophie M. Lanzkron, Darla Liles, Julia A. O'Brien, Cassandra Trimnell, Lakiea Bailey, Raymona H. Lawrence, Leshana Saint Jean, Michael Debaun, Laura M. De Castro, Tonya M. Palermo, Kaleab Z. Abebe

Department of Medicine Faculty Papers

Despite the burden of chronic pain in sickle cell disease (SCD), nonpharmacological approaches remain limited. This multisite, randomized trial compared digital cognitive behavioral therapy (CBT) with a digital pain/SCD education program ("Education") for managing pain and related symptoms. Participants were recruited virtually from seven SCD centers and community organizations in the United States. Adults (aged ≥18 years) with SCD-related chronic pain and/or daily opioid use were assigned to receive either CBT or Education for 12 weeks. Both groups used an app with interactive chatbot lessons and received personalized health coach support. The primary outcome was the change in pain interference …

Research Summaries: Access To Education, Erica Jensen

Journal of Nonprofit Innovation

No abstract provided.

Full Issue: Access To Education, Angie Holzer

Journal of Nonprofit Innovation

No abstract provided.

Brexit And The Spillover Phenomenon: Scotland, Northern Ireland, And Gibraltar, Timea Varga

Journal of Global Awareness

In my research, I examined the consequences of Brexit and the spillover phenomenon. Even though the United Kingdom left the European Union on 31 December 2020 with a deal, the resulting challenges are not solved at all in 2024 either – Brexit has brought to the surface such conflicts that London considered dealt with a long time ago. However, questions of autonomy and independence are not so easy to resolve; they have their roots in history, and in this uncertain situation, they came to the fore again.

Northern Ireland, Gibraltar, and Scotland have always meant sources of conflict for the …

The Kids Know What’S Up: Analyzing Student Poetry For Evidence Of Institutionalized Oppression, Sarah Straub

Journal of Multicultural Affairs

This article explores institutionalized oppression faced by students today. It incorporates student-created poetry as evidence of marginalization, sexism, racism, and discrimination based on legal status. The kids know what’s up. They are acutely aware of the effects of these systems on their own lives. It is the responsibility of the educator to acknowledge this truth and act on it.

Increasing Youth Engagement In Community Heritage And Social Justice Through Implementation Of A Youth Participatory Empowerment Model, Jancarlos Wagner-Romero, Mary Gillis, Lindsay Clemens, Amanda J. Dworak Rowland, Curlinda Mitchell-Blacksheep, Melanie Canaday-Talley

Journal of Multicultural Affairs

Youth in traditionally marginalized communities are often the target of policies and practices without the opportunity to provide input. This article highlights effective strategies to empower youth to become active participants in their communities. Using a Youth Participatory Empowerment Model (YPEM), youth participants from six demographically distinct communities engaged in YPEM-supported activities and strategies to identify and address a need within their community. To gain insight into successful strategies, qualitative data from pre and post implementation focus group interviews and observational field notes informed the conclusions. The participant youth represent tribal, undocumented, rural, suburban, and urban youth from underserved populations. …