Digital Commons Network^™

Neighborhood-Level Factors Contribute To Disparities In Hepatocellular Carcinoma Incidence In Texas, Abiodun O Oluyomi, Hashem B El-Serag, Adegboyega Olayode, Aaron P Thrift

Faculty, Staff and Students Publications

BACKGROUND AND AIMS: Texas has the highest hepatocellular carcinoma (HCC) incidence rates in the continental United States, but these rates vary by race-ethnicity. We examined racial-ethnic disparities through a geospatial analysis of the social determinants of health.

METHODS: Using data from the Texas Cancer Registry, we assembled 11,547 HCC cases diagnosed between 2011 and 2015 into Texas's census tracts geographic units. Twenty-nine neighborhood measures representing demographics and socioeconomic, and employment domains were retrieved from the U.S. Census Bureau. We performed a series of aspatial and spatially weighted regression models to identify neighborhood-level characteristics associated with HCC risk.

RESULTS: We found …

From “Cowardice” To “Shellshock”: The Definition And Treatment Of Mental Health In The United States Marine Corps During The Age Of The Great War, Itzel Marquez

Theses and Dissertations

The aim of my master’s thesis is to study how the United States’ Marine Corps recognized, defined, and treated mental health issues during the Great War and how this translated into the treatment of Marines by their peers and commanding officers. Similar to other countries that fought in the Great War, also referred to as World War I, the United States witnessed intense discussions about the psychological effects of war. The question of whether and how modern warfare affected troops’ mental health was addressed by all branches of the United States’ military. Yet, the issue of mental health in the …

An Exploration Of Online Doctoral Students And The Ways They Cultivate Connections, Shannon Reynolds

Theses and Dissertations

According to the United States Department of Education, 42.4% of postbaccalaureate students participated in online distance education during Fall of 2019. These numbers increased because of the Covid-19 pandemic of March 2020. The pandemic not only created a severe social and economic disruption, but it also disrupted all levels of education. This study examines exclusively online students enrolled with traditional face-to-face students and faculty. Understanding the impact of the pandemic, faculty and administrators can gain insights into how online learning can be adapted to meet the unique needs of advanced learners. The pandemic has forced many universities to move their …

The Ambiguity Of Probable Cause And Its Contentious Application By Police, Dave Sainte-Luce

College Honors Program

It is well documented how our country’s Criminal Justice System has a history of targeting people of color. A lot of this contention is derived from police officers’ behavior when interacting with individuals, yet officers only act upon the laws and legal policies that grant them authority, including probable cause. My thesis addresses the question, how does the fluid and ambiguous nature of probable cause leave the door open for officers to disproportionately target people of color in the United States? While focusing on vehicle, person, and property searches, I first define probable cause, building an understanding of exactly what …

“From An Elephant Into A Ballerina:” The Future Of Higher Education From Senior Leaders At Public Very High Research Institutions, Sarah Cathleen Rice Denison

Graduate Theses and Dissertations

The purpose for conducting the study was to identify how Very High Research university senior leaders at public institutions in the United States described their vision of the future of higher education over the next 25 years. Specifically, the study provided an opportunity for university chancellors and presidents to describe their versions of what the future holds for higher education and how they are preparing for that future. A vision for the future included senior leader’s perspectives on three elements of the university: the university’s mission and purpose, academics, and student services. Their experience in higher education combined with their …

Transition To Surgery After Pessary Among Female Medicare Beneficiaries With Pelvic Organ Prolapse, Melanie R L Meister, Oyomoare L Osazuwa-Peters, Jerry L Lowder, Victoria L Handa

2020-Current year OA Pubs

BACKGROUND: The American College of Obstetricians and Gynecologists recommends offering a vaginal pessary to women seeking treatment of pelvic organ prolapse. However, single-institution series have suggested that a sizable proportion of women fitted with a pessary will transition to surgery within the first year.

OBJECTIVE: This study aimed to estimate the proportion of female US Medicare beneficiaries with pelvic organ prolapse who undergo surgery after pessary fitting, to describe the median time to surgery from pessary fitting, and to identify factors associated with the transition from pessary to surgery.

STUDY DESIGN: The Medicare 5% Limited Data Set was queried from …

U.S. And China: Microchip Policy Implications, Gro Kelrick

Undergraduate Research Symposium

Microchips have become a crucial influence on a country’s military and commercial sectors; a nation’s capacity to produce large volumes of quality microchips indicates its importance on the world stage. Recently, both the United States and China have promoted many domestic and foreign industrial policies that address each country’s interests in the production and sophistication of its microchips, establishing for themselves a dominant position in the global microchip market. Both countries’ policies aim to simultaneously control/influence microchip production abroad and also stimulate development and production domestically. I have collected commercial, economic, and government budget data provided by various United States …

Review Of The Federal Reserve’S Supervision And Regulation Of Silicon Valley Bank, Michael Barr

Documents

No abstract provided.

Internal Review Of The Supervision And Closure Of Signature Bank, New York State Department Of Financial Services (Nys Dfs)

Documents

No abstract provided.

Fdic's Supervision Of Signature Bank, Federal Deposit Insurance Corporation

Documents

No abstract provided.

Bank Regulation: Preliminary Review Of Agency Actions Related To March 2023 Bank Failures, United States: Government Accountability Office (Gao)

Documents

No abstract provided.

New York State Department Of Financial Services Announces The Results From The Review Of The Supervision And Closure Of Signature Bank, United States: New York State: Department Of Financial Services

Documents

No abstract provided.

The Current State Of Prenatal Detection Of Genetic Conditions In Congenital Heart Defects, Areebah S Ahmad, Kathleen M Mulligan, David X Zheng, Katie A O'Connell, Benjamin Gallo Marin, Misha V Koshelev

Faculty, Staff and Student Publications

Interest in subspecialty training remains high for dermatology residency graduates. Fellowship program directors (FPDs) are largely responsible for fellowship organization and development. Here, we study the dermatology fellowship leadership landscape and identify notable differences in the characteristics of current dermatopathology, paediatric dermatology, and Mohs micrographic surgery and dermatologic oncology FPDs.

China’S Future Military Capabilities, Roger Cliff

Books, Monographs & Collaborative Studies

The 2022 National Defense Strategy of the United States of America identifies China as the “pacing challenge” for the US military. This monograph examines the process by which China’s military capabilities are developed, the capabilities China’s military is seeking to acquire in the future, and the resulting implications for the US military. To date, all the extant studies have merely described the capabilities the People’s Liberation Army is currently acquiring. This monograph goes further by drawing on the Chinese military’s publications to identify and discuss the capabilities the People’s Liberation Army seeks to acquire in the future. The monograph finds …

A Pattern Of Health Insurance Policy Among Smokers In The United States, Abdulrasak Ejiwumi, Nathan Hale, Melissa White

Appalachian Student Research Forum

A pattern of health insurance policy among smokers in the United States

Abdulrasak Ejiwumi, Nathan Hale and Melissa White, Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN

Previous research has noted that Medicaid expansion has had a positive impact health care access and the quality of healthcare services among individuals with lower incomes. However, only a few studies have been conducted to describe the association between smoking and having any type of healthcare insurance in the United States. Health insurance provides access to important smoking cessation programs that are critical …

Molnupiravir And Risk Of Post-Acute Sequelae Of Covid-19: Cohort Study, Yan Xie, Taeyoung Choi, Ziyad Al-Aly

2020-Current year OA Pubs

OBJECTIVE: To examine whether treatment with the antiviral agent molnupiravir during the first five days of SARS-CoV-2 infection is associated with reduced risk of post-acute adverse health outcomes.

DESIGN: Cohort study.

SETTING: US Department of Veterans Affairs.

PARTICIPANTS: 229 286 participants who tested positive for SARS-CoV-2 between 5 January 2022 and 15 January 2023, had at least one risk factor for progression to severe covid-19, and survived the first 30 days after testing positive were enrolled. 11 472 participants received a prescription for molnupiravir within five days of the positive test result and 217 814 received no covid-19 antiviral or …

North American Free Trade Agreement, Peter Bondarenko

Documents

No abstract provided.

First Republic Form 8-K (Apr 24), First Republic Bank

Documents

No abstract provided.

First Republic Reports First Quarter 2023 Results, First Republic Bank

Documents

No abstract provided.

A Fake Future: The Threat Of Foreign Disinformation On The U.S. And Its Allies, Brandon M. Rubsamen

Global Tides

This paper attempts to explain the threat that foreign disinformation poses for the United States Intelligence Community and its allies. The paper examines Russian disinformation from both a historical and contemporary context and how its effect on Western democracies may only be exacerbated in light of Chinese involvement and evolving technologies. Fortunately, the paper also studies practices and strategies that the United States Intelligence Community and its allied foreign counterparts may use to respond. It is hoped that this study will help shed further light on Russian and Chinese disinformation campaigns and explain how the Intelligence Community can efficiently react.

Exploring Inmate Health In Prisons: Health Issues, Interventions, And Suggestions To Improve Care, Jenna Healy

Honors Program Theses and Projects

The United States has the highest number of prisoners per capita at 639 people per 100,0008. There has been a fivefold increase in the number of inmates in the United States prison systems since 197044, and this may be a major contributor to the corrections healthcare system having trouble keeping up with this growth compared to the general population of the United States. According to the World Health Organization, the United States has documented higher mortality rates than many other developed countries. Rates of conditions such as cardiovascular disease have decreased everywhere, but much less in the United States. In …

Understanding The Effectiveness Of Russian Influence Operations On The United States As Compared To Other Regimes, Giselle Weiss

National Security Affairs and International Relations Theses

For years, the Russian Federation has effectively used influence operations to advance their global position and interfere with democratic processes like elections throughout the world. This project addresses the question: is the United States more susceptible to Russian influence operations compared to other nations with varied protections for freedom of speech? The Western world may be more vulnerable to disinformation and propaganda because people are unaccustomed to state narratives and vulnerable to targeted operations. The more research is done on this topic, the more people can become aware of the problem and protect themselves from vulnerability. By comparing data about …

The Views Aired At Pitt Debate Were Ugly. It Was Still Right To Let It Happen, Bruce Ledewitz

Newspaper Columns

Collected biweekly contributions to the Pennsylvania Capital-Star, a nonpartisan, nonprofit news site.

Seeing Beneath The Surface: Using Critical Race Theory To Uncover Racial Inequities In The U.S. Public School System, Lauren Harkins

Montserrat Annual Writing Prize

Many policies and practices perpetuate racial inequities and stereotypes, harming and neglecting the young people in American schools. This paper uses Critical Race Theory as a lens or framework to understand the circumstances in which educational inequities are exacerbated and what systemic barriers and beliefs maintain them.

Racial And Ethnic Disparities In Alcohol-Attributed Deaths In The United States, 1999–2020, Ibraheem M. Karaye, Nasim Maleki, Ismaeel Yunusa Ph.D.

Faculty Publications

The disparities in alcohol-attributed death rates among different racial and ethnic groups in the United States (US) have received limited research attention. Our study aimed to examine the burden and trends in alcohol-attributed mortality rates in the US by race and ethnicity from 1999 to 2020. We used national mortality data from the Centers for Disease Control and Prevention’s Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database and employed the ICD-10 coding system to identify alcohol-related deaths. Disparity rate ratios were calculated using the Taylor series, and Joinpoint regression was used to analyze temporal trends and calculate annual and …

Physician Stress In The Era Of Covid-19 Vaccine Disparity: A Multi-Institutional Survey, Sarah Zahl, Debasis Mondal, David Tolentino, Jennifer A Fischer, Sherry Jimenez

Rowan-Virtua School of Osteopathic Medicine Departmental Research

CONTEXT: Healthcare workers are at a high risk of infection during infectious disease outbreaks, such as the COVID-19 pandemic. Despite the availability of several vaccines against COVID-19, the absence of vaccination in patients and colleagues remains a continuous source of stress in healthcare workers. We conducted a survey of physician preceptors, both MDs and DOs, to explore the impact of differences in the patients' and colleagues' vaccination status on their well-being, stress, and burnout.

OBJECTIVES: The objective of this study is to determine whether exposure to unvaccinated patients and/or colleagues increases stress and burnout in physician preceptors by utilizing a …

Framework Of The Centralized Interactive Phenomics Resource (Cipher) Standard For Electronic Health Data-Based Phenomics Knowledgebase, Jacqueline Honerlaw, Yuk-Lam Ho, Francesca Fontin, Jeffrey Gosian, Monika Maripuri, Michael Murray, Rahul Sangar, Ashley Galloway, Andrew J Zimolzak, Stacey B Whitbourne, Juan P Casas, Rachel B Ramoni, David R Gagnon, Tianxi Cai, Katherine P Liao, J Michael Gaziano, Sumitra Muralidhar, Kelly Cho

Faculty, Staff and Students Publications

The development of phenotypes using electronic health records is a resource-intensive process. Therefore, the cataloging of phenotype algorithm metadata for reuse is critical to accelerate clinical research. The Department of Veterans Affairs (VA) has developed a standard for phenotype metadata collection which is currently used in the VA phenomics knowledgebase library, CIPHER (Centralized Interactive Phenomics Resource), to capture over 5000 phenotypes. The CIPHER standard improves upon existing phenotype library metadata collection by capturing the context of algorithm development, phenotyping method used, and approach to validation. While the standard was iteratively developed with VA phenomics experts, it is applicable to the …

Patrick Mitchell To Fdic Board Re: Restoration Plan Semiannual Update, Patrick Mitchell

Documents

No abstract provided.

The Prescription Drug Monitoring Program In A Multifactorial Approach To The Opioid Crisis: Pdmp Data, Pennsylvania, 2016–2020, Jenna R. Adalbert, Amit Syal, Karan Varshney, Brandon George, Jeffrey Hom, Asif M. Ilyas

College of Population Health Faculty Papers

Background: Prescription opioids remain an important contributor to the United States opioid crisis and to the development of opioid use disorder for opioid-naïve individuals. Recent legislative actions, such as the implementation of state prescription drug monitoring programs (PDMPs), aim to reduce opioid morbidity and mortality through enhanced tracking and reporting of prescription data. The primary objective of our study was to describe the opioid prescribing trends in the state of Pennsylvania (PA) as recorded by the PA PDMP following legislative changes in reporting guidelines, and discuss the PDMP's role in a multifactorial approach to opioid harm reduction.

Methods: State-level opioid …

Use Of Integrative, Complementary, And Alternative Medicine In Children With Epilepsy: A Global Scoping Review, Zahra Zhu, Daniela Dluzynski, Nouran Hammad, Deepika Pugalenthi, Sarah A. Walser, Rea Mittal, Debopam Samanta, Melanie L. Brown, Ali A. Asadi-Pooya, Angelina Kakooza-Mwesige, Alberto Spalice, Martina Capponi, Alain Lekoubou, Ashutosh Kumar, Sita Paudel, Paul R. Carney, Gayatra Mainali, Sunil Naik

Department of Neurology Faculty Papers

(1) Background: Epilepsy is one of the most common chronic neurological disorders in childhood. Complementary and alternative medicine (CAM) use is highly prevalent in patients with epilepsy. Despite CAM’s widespread and increasing popularity, its prevalence, forms, perceived benefits, and potential risks in pediatric epilepsy are rarely explored. (2) Methods: We performed a scoping review of the available literature on the use of CAM in pediatric epilepsy. (3) Results: Overall, global cross-sectional studies showed a variable degree of CAM usage among children with epilepsy, ranging from 13 to 44% in prevalence. Popular types of CAMs reported were supplements, cannabis products, aromatherapy, …