Digital Commons Network^™

Design Of The Type 1 Diabetes And Life (T1dal) Pilot And Feasibility Study: A Brief Telehealth Intervention Targeting Health-Related Quality Of Life Across Clinical Settings, Korey K Hood, Paula M Trief, Daniel J Desalvo, Yuliana Rojas, Kyrah Holland, Aika K Schneider-Utaka, Selma A Alamarie, Lynn Agostini, Se-Kang Kim, Maartje De Wit, Meghan E Mcgrady, Laurel H Messer, Barbara J Anderson

Faculty, Staff and Students Publications

Background: Type 1 diabetes (T1D) management is demanding and can impact quality of life among persons with diabetes (PWDs) and their family members. Behavioral intervention research has largely focused on adolescents, and previous interventions that have benefitted quality of life have limited potential for implementation in routine care. This trial is piloting a brief behavioral intervention that targets health-related quality of life (HRQOL), which can be implemented with PWDs of all ages in a range of clinical care settings. The aims are to (1) evaluate intervention feasibility and acceptability, (2) explore pre-post change in psychosocial and clinical outcomes, and (3) …

Is Less More? Maximizing Outcomes By Tailoring Treatments To Patients: Oncofertility And Oncomenopause, Annabelle Huguenin, Sarah Hmaidan, Terri Lynn Woodard

Faculty, Staff and Students Publications

Notable advances have been made in improving survival outcomes in various cancers, but some have incurred undesirable costs and effects to patients with respect to fertility and menopause. Patients are living longer with cancer, and patient reported outcomes are influencing decision-making by individuals and their health care providers. It is essential to evaluate existing standards of care on an ongoing basis and prioritize quality of life and long-term survivorship, particularly for interventions in early-stage cancers and risk-reducing strategies that often yield long-term life expectancy.

Performance Of Stool-Based Molecular Tests And Processing Methods For Paediatric Tuberculosis Diagnosis: A Systematic Review And Meta-Analysis, Petra De Haas, Alexander Kay, Olivier Marcy, Pamela Nabeta, Willy Ssengooba, Elisabetta Ghimenton-Walters, Sozinho Acácio, Maryline Bonnet, Joanna Ehrlich, Andrew R Dinardo, Anca Vasiliu, Christoph Lange, Sabine Hermans, Anna M Mandalakas, Elisa López-Varela, Alberto L García-Basteiro

Faculty, Staff and Students Publications

Background: There has been a global pursuit to improve the diagnosis of tuberculosis in young children by applying diagnostic methods on accessible biospecimens such as stool. We aimed to conduct a systematic review on the accuracy of stool-based molecular tests for tuberculosis diagnosis in children and to assess the impact of the available pre-processing methods and other design characteristics.

Methods: In this systematic review and meta-analysis, we evaluated studies in children younger than 16 years with presumptive tuberculosis that were published in English, Spanish, French, and Portuguese from Jan 1, 2000, to May 3, 2024, in MEDLINE, Embase, and Embase …

An Innovative Interprofessional Mock Trial Experience: Collaboration Between Emergency Medicine Residency Program And Law School As A Tool To Demonstrate Medical Malpractice Litigation

Faculty, Staff and Students Publications

Background: Due to the nature of the job and healthcare climate, emergency medicine physicians are constantly at risk for malpractice claims. Despite this, there is a gap in education around malpractice litigation. Given the considerable number of curricular topics residency programs must cover in conjunction with the volume of clinical hours residents work, we found that there is a need for an educational experience that is thorough yet compact enough to cause minimal disruption for educators and trainees. We created an easily reproducible educational session featuring collaboration between an emergency medicine residency program and a law school that covers medical …

Stress, Employment Changes, And Psychological Distress Among Caregivers Of Patients With Head And Neck Cancer, Erich M Sturgis, Pavan Jhaveri, Hoda Badr

Faculty, Staff and Students Publications

Importance: Patients undergoing external beam radiation therapy (EBRT) for head and neck cancer (HNC) often experience adverse effects that require substantial caregiving. The burdens of caregiving can impact caregiver employment and mental health over time, yet this topic remains underexplored.

Objective: To examine the associations between caregiving for patients with HNC who undergo EBRT and caregiver stress, employment status, and psychological distress.

Design, setting, and participants: This was a secondary analysis of data from a longitudinal survey study that surveyed caregivers at baseline (ie, at initiation of EBRT) and at 4-month and 12-month follow-ups. The study was conducted at 2 …

The Association Of Vision And Hearing Impairment On Cognitive Function And Loneliness: Evidence From The Mexican Health And Aging Study, Jessica S West

Faculty, Staff and Student Publications

Objectives: We investigated whether self-reported vision and hearing were associated with cognitive function and loneliness among Mexican adults aged 50 and older.

Methods: Mexican Health and Aging Study data. Vision/hearing status was self-reported (excellent-very good, good, fair-poor). Cognition was measured using nine tasks. Loneliness was measured using the UCLA Loneliness Scale. Analyses controlled for demographic and health characteristics.

Results: Among 12,353 participants (mean age = 67, 58% female), poor vision, but not hearing, was associated with lower global cognition (β = -0.03, p < .05). Poor vision (OR = 1.57, 95% CI = 1.30-1.91) and hearing (OR = 1.35, 95% CI = 1.14-1.61) were associated with higher odds of being lonely after adjusting for demographics and comorbidities, but not when adjusting for limitations in daily activities and depressive symptoms.

Discussion: Poor vision is a potentially modifiable risk factor for lower cognition and loneliness among Mexican adults. …

Neuroanatomical Features Of Naa10 And Naa15-Related Neurodevelopmental Syndromes, Elaine Marchi, Christina Y Miyake, Fabricio Guimaraes Goncalves, Gholson J Lyon, Matthew T Whitehead

Faculty, Staff and Students Publications

Background: NAA10-related and NAA15-related neurodevelopmental (ND) syndromes present with intellectual disability, hypotonia, cardiac abnormalities, and delayed development. While data exists on the clinical manifestations of these conditions, there are few reports describing the neuroanatomical abnormalities present on imaging.

Objective: We aim to provide neuroimaging analyses for a subset of probands with NAA10- and NAA15-related neurodevelopmental symptoms and assess the severity and number of neuroanatomical anomalies and their associated functional impairments to better understand the pathophysiology of these disease processes.

Materials and methods: Neuroimaging studies were obtained from 26 probands (18 with pathogenic variants in NAA10, 8 with pathogenic variants in …

Cumulative Effect Of Targeted Interventions On Radiologist Recommendations For Additional Imaging, Jeffrey P Guenette, Sonali Desai, David Lucier, Sanjay Saini, Rachel Sisodia, Ali S Raja, David W Bates, Ramin Khorasani

Faculty, Staff and Students Publications

Background Ambiguous or unnecessary radiologist recommendations for additional imaging (RAIs) can lead to excessive imaging use and diagnostic errors. Purpose To determine the cumulative impacts of multifaceted technology-enabled interventions aimed at optimizing RAI on RAI rate, actionability, and resolution over an 8-year period. Materials and Methods In this retrospective cohort study, conducted from January 2015 to December 2022, radiology reports from two tertiary hospitals (study site and control site) were analyzed. A series of quality improvement interventions, including radiologist education, electronic communication tools for tracking RAIs, and performance reports, were implemented at the study site but not at the control …

Comparing The Performance Of 3 Sarcopenia Definitions For Predicting Adverse Events Prior To Liver Transplant, Tahnie G Takefala, Yanyan Chen, Aaron P Thrift, Graeme A Macdonald, Ingrid J Hickman

Faculty, Staff and Students Publications

Background: Sarcopenia is a syndrome of severe muscle wasting, associated with adverse outcomes related to liver transplantation (LT). There are several approaches used to identify sarcopenia. We aimed to investigate the prevalence of sarcopenia using 3 different criteria and determine how these performed in relation to clinical outcomes.

Methods: The cohort study included 237 adults with cirrhosis referred for LT. Sarcopenia was identified using (1) CT-defined; and the (2) original and (3) updated European Working Group on Sarcopenia in Older People criteria (EWGSOP1 and 2). Logistic regression was used to estimate OR and 95% CI for the relationships between sarcopenia …

Re/Inventing Desire: Asexuality As A Tool For Utopian Intimacies, Amaranta Martinez Martinez

Dissertations, Theses, and Capstone Projects

Asexuality became widely known in 2001 when David Jay, launched the Asexuality, Visibility and Education Network (AVEN), however, it’s been just throughout the last decade that it has gained popularity among LGBTQ studies. This thesis explores asexuality beyond its conventional framing as a sexual orientation, positioning it instead as a theoretical framework with the potential to challenge hegemonic understandings of sexuality. It does so by tracing the historical construction of sexual desire through the discipline of sexology, demonstrating how its discourses helped reinforce compulsory sexuality—the expectation that individuals must experience and act upon sexual desire (Emens 2014). Building upon this …

The Sub-Syllabic Symphonies Of Self-Learning: How Do Zebra Finches Sing Them?, Abiesha Abiola Budiman

Dissertations, Theses, and Capstone Projects

Learning is a lifelong journey, where the mind and muscle dance to a tune of memory and motion. It begins at infancy and continues throughout life, encompassing everything from singing to achieving peak performance in sports. Complex motor skills involve multiple components and require coordination of several muscles. Humans and animals are extremely adept at learning complex motor skills on their own. However, we do not completely understand how self-directed learning works. One group of animals used to observe self-directed learning are songbirds. Zebra finches, Taeniopygia guttata, are one of the most studied songbird species due to their well-defined …

American Utopia: The Evolution Of David Byrne’S Viewpoint Of America From 1977 To Present, Morgan A. Prince

Dissertations, Theses, and Capstone Projects

David Byrne is a multimedia artist known primarily as the lead singer and main songwriter for the new wave band Talking Heads. Throughout Byrne’s career he has continually written about America and Americans. This thesis traces his writings about America from the beginning of Talking Heads to his most recent projects. In doing so, the thesis puts forward that Byrne’s opinion on America has changed from one that is centered on the American people to one that is instead focused on American institutions. Additionally, the thesis traces how Byrne’s work has evolved from idealization to realism, as his early work …

Alle Or Elle: Automatic Speech Recognition On Louisiana French, Emily Chiu

Dissertations, Theses, and Capstone Projects

Applications of automatic speech recognition largely serve the most commonly spoken languages, but can cause harm through bias when used for speakers of underrepresented language varieties who are not adequately supported. This experiment’s goal is to reveal how state-of-the-art end-to-end ASR systems perform with Louisiana French, a nonstandard variety of French that has suffered a history of state-sanctioned language oppression in Louisiana.

Understanding Intergenerational Trauma Among Arab, Middle Eastern, And North African (Arab/Mena) Americans, Rawan H. Atari-Khan, Nuha Alshabani, S. Dolma Rabgay, Farida Refaat Elhedk, Ava Clifford, Sofia Gomariz, Warda Sahib

Psychology Faculty Research and Publications

Arab, Middle Eastern, and North African Americans experience various forms of racial–ethnic trauma in the United States, including historical and intergenerational trauma (IGT). The population has been migrating to the United States since the 1800s, and the number of migrants has risen in recent decades due to war, persecution, and family reunification. As a result, the children of these migrants may be exposed to IGT, with research suggesting that descendants of individuals who have experienced trauma are more susceptible to poor mental health outcomes. Using semistructured interviews, alongside the art of storytelling and empowerment through critical consciousness, this study investigated …

Understanding Parents’ Beliefs About The Etiology Of Youth Mental Health Problems: Differences Across Race/Ethnicity, Madeline Buchanan, Lindsay E. Holly

Psychology Faculty Research and Publications

Parents’ etiological explanations for youth mental health problems are relatively understudied; most studies focus on adult beliefs about the causes of mental disorders experienced by adults. This is concerning given research demonstrating that parents’ causal beliefs may influence several aspects of youth mental health service utilization including whether parents seek help for their youth and how they engage in treatment. The current study used a novel methodology to examine causal beliefs about youth mental health problems among a diverse group of parents (N = 417; 36.9% non-Hispanic White; 33.3% Black/African American; 29.8% Hispanic/Latino) who completed a series of questionnaires …

“Much Like Skydiving, I Would Really Rather Avoid It If I Can”: Asexual And Allosexual Adults’ Motives For Not Having Sexual Experiences, Alyssa N. Clark, Tracy L. Walters, Veronica Hanna-Walker

Psychology Faculty Research and Publications

Engaging in sex is a common practice, however, some adults may choose to not have sexual experiences for normative reasons. Asexual adults, in particular, may hold negative attitudes about sex and are less likely than allosexual adults to engage in sex. Less is known about whether adults’ motives to not have any sexual experiences differ based on sexual orientation. We use qualitative to explore asexual and allosexual adults’ intrinsic and extrinsic motives for not having sexual experiences. From a larger study, 129 adults with no sexual experiences (52.7% allosexual, Mage  = 22.0, 47.3% asexual, Mage  = 25.4; 61.2% …

Looking For The Public In Public Law, Nikhil Menezes, David E. Pozen

Faculty Scholarship

The “public” is everywhere and nowhere in contemporary public law. Everywhere, in that the term is constantly invoked to justify and explain existing arrangements. Nowhere, in that serious attempts to identify a relevant public and elicit its input are few and far between. Scholars and officials depict the U.S. public as playing myriad roles in governance — checking, guiding, approving, repudiating—without offering an account of how public preferences are formed or how they exercise influence on questions of interest.

This Article seeks to identify and call attention to the foundational dilemmas underlying this disconnect, to clarify their normative contours and …

The Administrative State's Second Face, Emily R. Chertoff, Jessica Bulman-Pozen

Faculty Scholarship

We often assume that there is one administrative state, with one body of administrative law that governs it. In fact, the administrative state has two distinct faces: one turned toward regulation and benefits distribution, and one turned toward physical force and surveillance. The two faces are growing further apart under the Roberts Court, which has hemmed in the first face with decisions like Loper Bright while showing solicitude for national security and law enforcement agencies.

This Article delineates the two faces of the administrative state. It provides a descriptive account of the second face and the distinctive administrative law that …

The Past, Present, And Future Of Proxy Voting Choice, Dorothy S. Lund

Faculty Scholarship

This article provides an early attempt at understanding what voluntary pass-through voting could mean for the marketplace. I first provide an overview of my argument in my 2018 Journal of Corporation Law article and the events that followed. I then survey passthrough voting initiatives that have taken hold at three asset managers — BlackRock, Vanguard, and State Street. I then conclude with some preliminary observations about how voting choice is likely to affect the proxy voting landscape and outline open questions.

A Multi-Site Study Of Clinician Perspectives In The Lifecycle Of An Algorithmic Risk Prediction Tool, Rita Dexter, Kristin Kostick-Quenet, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Recent advancements in the performative capacities of artificial intelligence (AI), machine learning (ML), and algorithmic-based tools open up numerous applications in modern medicine. There are, however, few studies that track the whole lifecycle of a digital healthcare tool as it evolves from conception, to design, and deployment in real world settings-especially with a focus on the social dynamics amongst the end-users of the tool: clinicians. In this paper, we present data from a multi-site, 5-year study focused on the development and deployment of an algorithmic risk calculator (HeartMate 3 Risk Score) into a validated and efficacy tested clinical decision support …

International Society For Cell & Gene Therapy Expanded Access Working Group Position Paper: Key Considerations To Support Equitable And Ethical Expanded Access To Investigational Cell- And Gene-Based Interventions, Elena Maryamchik, Laertis Ikonomou, Beth E Roxland, Felix Grignon, Bruce L Levine, Bambi J Grilley

Center for Medical Ethics and Health Policy Staff Publications

This position paper reviews the Expanded Access pathway for cell and gene therapies, examining its critical role at the nexus of patient need, regulatory frameworks, and scientific advancement. Spearheaded by the International Society for Cell & Gene Therapy's Expanded Access Working Group, it explores how investigational therapies are accessed outside of clinical trials for patients with serious or life-threatening conditions when no approved alternatives exist. Access to cell and gene therapy products are of specific interest to patients because many times the products are bespoke, being used to treat serious and/or incurable conditions, and are potentially curative. As the field …

Are Education, Socioeconomic Status, And Household Size Dependent Variables Influencing The Developmental Origins Of Inflammatory Bowel Disease?

Faculty, Staff and Students Publications

No abstract provided.

The Role Of Socioeconomic Status In Shaping Associations Between Sensory Association Cortex And Prefrontal Structure And Implications For Executive Function, Maya L. Rosen, Divyangana Rakesh, Rachel R. Romeo

Neuroscience: Faculty Publications

Socioeconomic status (SES) is associated with widespread differences in structure of temporal, parietal, occipital, and frontal cortices. Development of sensory processing regions—in particular visual association cortex (VAC) and auditory association cortex (AAC)—may scaffold development of the prefrontal cortex (PFC). Experiences that correlate with SES like cognitive stimulation and language may influence VAC and AAC development, in turn allowing the PFC to resolve conflicts between similar stimuli. SES-related differences in these regions may partly explain differences in executive function (EF) skills. Here, we use structural equation modeling of longitudinal data from the Adolescent Brain and Cognitive Development study to test the …

"Touch&Play" Wood Typification By The Masspec Pen, Felipe R P Mansoldo, Alane Beatriz Vermelho, Rosineide Costa Simas, Livia S Eberlin, Marcos N Eberlin

Faculty, Staff and Students Publications

We have investigated the ability of a MasSpec Pen (MSPen) "three-in-one" (extraction, transfer, and ionization) device coupled to a mass spectrometer to provide instantaneous chemical profiles that could promptly characterize wood samples from the mahogany (Meliaceae) family. For that, we selected a set of five representative wood species, that is, Brazilian mahogany (Swietenia macrophylla, also known as Honduran mahogany), two African mahoganies (Khaya ivorensis and Khaya senegalensis), and two "nongenuine" ("fake") mahogany woods: cedar (Cedrela odorata) and andiroba (Carapa guianensis). By simply touching the superficially polished wood surface and after 3 s of automatic extraction, profiles of highly characteristic markers …

Speech Delay And Hearing Rehabilitation Disparities In Children With Hearing Loss, Yi-Chun Liu, Samantha Anne

Faculty, Staff and Students Publications

Objectives: To investigate the influence of race and insurance type on speech delay rates and hearing rehabilitation access in children with bilateral hearing loss (HL).

Study design: Retrospective cross-sectional study of pediatric patients with bilateral HL who received cochlear implants (CIs) or hearing aids (HAs).

Setting: This study used the national Pediatric Health Information System (PHIS) database to identify patients with HL across 52 tertiary care pediatric hospitals in the United States.

Methods: Data collected included demographics, CI/HA use, speech delay/disorders, and type of insurance coverage.

Results: This study identified 18,422 patients with bilateral HL (40.1% female, 66.3% white, 66.3% …

Contemplative Practices Facilitating Awareness, Compassion, And Healing In Study Abroad: A Reflective And Explorative Study, Ciara C. Hoyne, Jing Lin

Journal of Contemplative and Holistic Education

This reflective essay focuses on the relationship between contemplative practices and participation in a short-term study abroad trip. The study explores how contemplative practices help facilitate self-understanding, alleviate stress, enhance connection to the host community and culture, and enable healing. We use our experiences participating in a short-term study abroad program as an example for examining the role of contemplative practices in the context of study abroad. We discuss and integrate relevant literature on the topic of meditation, mindfulness, and contemplative inquiry to offer insight into how contemplative practices can be integrated into study abroad in a way that enhances …

Time Synchronization For 5g And Tsn Integrated Networking, Zixiao Wang, Zonghui Li, Cheng Long, Yiming Zheng, Bo Ai, Xiaoyu Song

Electrical and Computer Engineering Faculty Publications and Presentations

Emerging industrial applications involving robotic collaborative operations and mobile robots require a more reliable and precise wireless network for deterministic data transmission. To meet this demand, the 3rd Generation Partnership Project (3GPP) is promoting the integration of 5th Generation Mobile Communication Technology (5G) and Time-Sensitive Networking (TSN). Time synchronization is essential for deterministic data transmission. Based on the 3GPP’s vision of the 5G and TSN integrated networking with interoperability, we improve the time synchronization of TSN to conquer the multi-gNB competition, re-transmission, and mobility problems for the integrated 5G time synchronization. We implemented the improvement mechanisms and systematically validated the …

Distributed Energy Resources: A Systematic Literature Review, Midrar Adham, Sean Keene, Robert B. Bass

Electrical and Computer Engineering Faculty Publications and Presentations

The traditional power grid, characterized by its centralized nature and one-way power flow, has long been the backbone of electricity supply and distribution. Grid operators have historically found various ways to accurately predict demand, anticipate faults, and prepare appropri- ate responses. However, with the rapid integration of Distributed Energy Resources such as Photovoltaic, storage systems, grid-interactive generation, and flexible-load assets, energy consumption and production patterns have become less predictable, transforming the grid into a two-way power flow system. Managing the potential of these Distributed Energy Resources requires advanced management systems that provide monitoring, coordination, and aggregation capabilities to …

Factors Associated With Perceived Medication Safety During Transitions Of Care In Patients With Cancer: A Secondary Data Analysis Of A Cross-Sectional Survey

Faculty, Staff and Student Publications

Purpose: This study aimed to investigate perceived medication safety in patients with cancer during transitions of care and identify factors associated with their safety perceptions.

Methods: A secondary data analysis was performed on a cross-sectional survey data of from patients with four types of cancer (i.e., colorectal, lung, prostate, and breast). Perceived medication safety was measured by the sum score of four survey items that assessed patients' feelings about medication safety during transitions of care. Potential associated factors included sociodemographic and clinical factors (i.e., cancer types, taking oral anticancer agents), self-rated health, perceived safety in communicating with clinicians, beliefs about …

2025 June, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for June of 2025.