Hiv/Aids-Associated Knowledge And Attitudes Towards Treating Disadvantaged Communities Among Pre-Community-Based Dental Education Dental Students In The Us, Aditi Tomar, Hannah Balcezak, Shirley Lewis Miranda, Marie C Latortue, Richa Chinchkhandi, Lisa Wigfall

Faculty, Staff and Student Publications

This study examines HIV/AIDS-associated knowledge and attitudes towards treating disadvantaged communities among predoctoral dental students in U.S. dental schools who have not yet commenced their Community-Based Dental Education (CBDE) training. It also compares the difference in the knowledge and attitudes between students with reported community engagement with PLWHA and those without. Our study comprised 89 predoctoral dental students within their D1-D3 years of dental school who had not yet initiated their Community-Based Dental Education (referred to as pre-CBDE dental students). Their responses were collected via an online survey. The participants were 68% females, 94% heterosexual, and with a mean age …

Early Bolus Epinephrine Administration During Pediatric Cardiopulmonary Resuscitation For Bradycardia With Poor Perfusion: An Icu-Resuscitation Study, Amanda O'Halloran, Ron Reeder, Robert Berg, Tageldin Ahmed, Michael Bell, Robert Bishop, Matthew Bochkoris, Candice Burns, Joseph Carcillo, Todd Carpenter, J. Michael Dean, J. Wesley Diddle, Myke Federman, Richard Fernandez, Ericka Fink, Deborah Franzon, Aisha Frazier, Stuart Friess, Kathryn Graham, Mark Hall, David Hehir, Christopher M Horvat, Leanna Huard, Martha Kienzle, Todd Kilbaugh, Tensing Maa, Arushi Manga, Patrick Mcquillen, Kathleen Meert, Peter Mourani, Vinay Nadkarni, Maryam Naim, Daniel Notterman, Murray Pollack, Anil Sapru, Carleen Schneiter, Matthew Sharron, Neeraj Srivastava, Bradley Tilford, Alexis Topjian, Shirley Viteri, David Wessel, Heather Wolfe, Andrew Yates, Athena Zuppa, Robert Sutton, Ryan Morgan

Department of Pediatrics Faculty Papers

BACKGROUND: Half of pediatric in-hospital cardiopulmonary resuscitation (CPR) events have an initial rhythm of non-pulseless bradycardia with poor perfusion. Our study objectives were to leverage granular data from the ICU-RESUScitation (ICU-RESUS) trial to: (1) determine the association of early epinephrine administration with survival outcomes in children receiving CPR for bradycardia with poor perfusion; and (2) describe the incidence and time course of the development of pulselessness.

METHODS: Prespecified secondary analysis of ICU-RESUS, a multicenter cluster randomized trial of children (< 19 years) receiving CPR in 18 intensive care units in the United States. Index events (October 2016-March 2021) lasting ≥ 2 min with a documented initial rhythm of bradycardia with poor perfusion were included. Associations between early epinephrine (first 2 min of CPR) and outcomes were evaluated with Poisson multivariable regression controlling for a priori pre-arrest characteristics. Among patients with arterial lines, intra-arrest blood pressure waveforms were reviewed to determine presence of a pulse during CPR interruptions. The temporal nature of progression to pulselessness was described and outcomes were compared between patients according to subsequent pulselessness status.

RESULTS: Of 452 eligible subjects, 322 (71%) received early epinephrine. The early epinephrine group had higher pre-arrest severity of illness …

The Influence Of Eyewitnesses And Police Tip Line Reports: An Exploratory Case Study Of A 2005 Homicide, Abigail Rose Torres

Dissertations and Theses

Public tip lines provide the public to provide information [sic] to the police when there is an ongoing investigation. These public tip lines could increase investigations where the public is being made aware of the investigation, increasing the amount of information being brought forward. Research focuses on how tips reporting is similar to eyewitnesses in that individuals recall information. The literature illustrates how the media can influence the tips. The study is an exploratory content analysis looking at potential themes or patterns that emerged from analyzing the tips and patterns of the tip line and media files related to an …

Non-Cognitive Factors Influencing The Development Of Clinical Judgment In Undergraduate Nursing Students, Kathryn Robinson

Graduate Theses, Dissertations, and Capstones

A nurse’s ability to form sound clinical judgments is directly related to safe patient outcomes. Pre-licensure nursing programs are focused on developing students’ clinical judgment ability; however, an academic-practice gap continues to exist. The Implicit Theory of Intelligence and Achievement Goal Theory provide insight into how mindset beliefs and goal orientation impact the teaching and learning environment. The performance goal orientation, ineffective learning strategies, and avoidance of challenging tasks associated with a fixed mindset may negatively impact the development of clinical judgment. This exploratory study sought to determine if there is a relationship between the non-cognitive factors, mindset beliefs and …

The Duality Of Public Procurement: How Can Cities Engage In Ethical And Legal Procurement Procedures?, Michael Andrew Flores

Certified Public Manager® Applied Research

Despite its crucial role, public procurement often suffers from neglect and disregard until a city or public officer commits the misuse or misappropriation of public funds. As stewards of taxpayers’ dollars, public officers are tasked with traversing the often forked paths of ethicality and legality. These paths manifest in every instance and aspect of life, from acts of impulsiveness to the careful consideration of outcomes. Ultimately, a path must be taken, which will carry a consequence subject to criticism and proportionate to its outcome. Yet, despite this notion, unethical and illegal practices are invariably committed. There are few greater opportunities …

Implementation Of A Patient Decision Aid For Atrial Fibrillation Ablation Improves Patient Procedural Knowledge But Does Not Impact Perceived Involvement With The Shared Decision-Making Process, Nicholas Sommers, Jason C. Rubenstein, Abdur Rahman Ahmad, James Oujiri, Ridhima Kapoor, Graham Adsit, Marcie Berger

Journal of Patient-Centered Research and Reviews

Purpose: Shared decision-making (SDM) is a method for a patient and physician to cooperatively consider a diagnostic or therapeutic option, ultimately empowering the patient to make an informed decision. Atrial fibrillation (AF) ablation is a procedure that would benefit from SDM given the risk of serious adverse events, the high rate of arrhythmia recurrence, and alternative treatment options. Implementing a patient decision aid (PDA) may help facilitate AF ablation SDM by succinctly conveying important information to patients.

Methods: Patients scheduled for initial AF catheter ablation were randomized to a virtual SDM visit utilizing a PDA, which covered procedural risks and …

Abstracts From The 2024 Health Care Systems Research Network (Hcsrn) Annual Conference, Milwaukee, Wisconsin, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 20 learning health systems with integrated care delivery and embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about population-based research practices that can measurably improve health and health care for all. The theme of this year’s conference was “Advancing high-quality, equitable research in the age of new health care technologies.” Abstracts presented at HCSRN 2024 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record …

Cruising Speed: Our Journal's 10-Year Voyage, Dennis J. Baumgardner, Joe Grundle

Journal of Patient-Centered Research and Reviews

In this invited editorial, two long-tenured editors for the Journal of Patient-Centered Research and Reviews recount the publication’s many impactful contributions to the medical literature over its first 10 years.

How The Cahps Clinician And Group Patient Experience Survey Data Have Been Used In Research: A Systematic Review, Denise D. Quigley, Marc N. Elliott, Nabeel Qureshi, Zachary Predmore, Ron D. Hays

Journal of Patient-Centered Research and Reviews

Purpose: Patient experience is a key aspect of care quality. The Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG-CAHPS®) survey measures experiences with ambulatory care providers to inform public reporting, pay-for-performance initiatives, interventions, patient choice of physicians/practices, and quality improvement. Since the survey’s 2007 release, no systematic review of its use in research has been published.

Methods: We reviewed English-language, peer-reviewed articles published since 2008 using CG-CAHPS survey data in the U.S. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and used the Checklist for Analytical Cross-Sectional Studies.

Results: We examined 126 articles …

Enhancing The Carbon Monoxide Oxidation Performance Through Surface Defect Enrichment Of Ceria-Based Supports For Platinum Catalyst, Shaohua Xie, Yue Lu, Kailong Ye, Wei Tan, Sufeng Cao, Chunying Wang, Daekun Kim, Xing Zhang, Jeremia Loukusa, Yaobin Li, Yan Zhang, Lu Ma, Steven N Ehrlich, Nebojsa S Marinkovic, Jiguang Deng, Maria Flytzani-Stephanopoulos, Fudong Liu

Faculty, Staff and Student Publications

Effective synthesis and application of single-atom catalysts on supports lacking enough defects remain a significant challenge in environmental catalysis. Herein, we present a universal defect-enrichment strategy to increase the surface defects of CeO2-based supports through H2 reduction pretreatment. The Pt catalysts supported by defective CeO2-based supports, including CeO2, CeZrOx, and CeO2/Al2O3 (CA), exhibit much higher Pt dispersion and CO oxidation activity upon reduction activation compared to their counterpart catalysts without defect enrichment. Specifically, Pt is present as embedded single atoms on the CA support with enriched surface defects (CA-HD) based on which the highly active catalyst showing embedded …

Clear Thrombectomy Score: An Index To Estimate The Probability Of Good Functional Outcome With Or Without Endovascular Treatment In The Late Window For Anterior Circulation Occlusion, James E Siegler, Manisha Koneru, Muhammad M Qureshi, Mohamed Doheim, Raul G Nogueira, Nicolas Martinez-Majander, Simon Nagel, Mary Penckofer, Jelle Demeestere, Volker Puetz, Marc Ribo, Mohamad Abdalkader, João Pedro Marto, Alhamza R Al-Bayati, Hiroshi Yamagami, Diogo C Haussen, Marta Olive-Gadea, Simon Winzer, Mahmoud H Mohammaden, Robin Lemmens, Kanta Tanaka, Pekka Virtanen, Anne Dusart, Flavio Bellante, Daniel P O Kaiser, Francois Caparros, Hilde Henon, João Nuno Ramos, Santiago Ortega-Gutierrez, Sunil A Sheth, Stefania Nannoni, Lieselotte Vandewalle, Johannes Kaesmacher, Sergio Salazar-Marioni, Liisa Tomppo, Rita Ventura, Syed F Zaidi, Mouhammad Jumaa, Alicia C Castonguay, Milagros Galecio-Castillo, Ajit S Puri, Adnan Mujanovic, Piers Klein, Liqi Shu, Behzad Farzin, Hannah Moomey, Hesham E Masoud, Jessica Jesser, Markus A Möhlenbruch, Peter A Ringleb, Daniel Strbian, Osama O Zaidat, Shadi Yaghi, Davide Strambo, Patrik Michel, Daniel Roy, Shinichi Yoshimura, Kazutaka Uchida, Jean Raymond, Thanh N Nguyen

Faculty, Staff and Student Publications

Background: With the expanding eligibility for endovascular therapy (EVT) of patients presenting in the late window (6-24 hours after last known well), we aimed to derive a score to predict favorable outcomes associated with EVT versus best medical management.

Methods and results: A multinational observational cohort of patients from the CLEAR (Computed Tomography for Late Endovascular Reperfusion) study with proximal intracranial occlusion (2014-2022) was queried (n=58 sites). Logistic regression analyses were used to derive a 9-point score for predicting good functional outcome (modified Rankin Scale score 0-2 or return to premorbid modified Rankin Scale score) at 90 days, with sensitivity …

Qualitative Study Of Stakeholder Influence On Environmental Practices: Evidence From The Malaysian Aviation Industry, Zarina Zakaria, Zamzulaila Zakaria

The Qualitative Report

In this study, we seek to explore the influence of stakeholders on environmental management practices in Malaysia's aviation industry. The data from this study was derived from interviewing 25 respondents in nine organisations within the aviation sector and was analysed using thematic analysis. We show that internal and external stakeholders significantly influence changes towards better environmental management practices. While internal stakeholders have contributed to better environmental management practices by changing their day-to-day practices within their functional role in the organisation, the external stakeholders have been the key actors that have significantly pushed the organisation to implement a proper environmental management …

Resting State Electrophysiological Profiles And Their Relationship With Cognitive Performance In Cognitively Unimpaired Older Adults: A Systematic Review, Brenda Chino, David López-Sanz, Sandra Doval, Lucía Torres-Simón, Jaisalmer De Frutos Lucas, Lydia Giménez-Llort, Jonathan Zegarra-Valdivia, Fernando Maestú

Research outputs 2022 to 2026

Background: Aging is a complex and natural process. The physiological decline related to aging is accompanied by a slowdown in cognitive processes, which begins shortly after individuals reach maturity. These changes have been sometimes interpreted as a compensatory sign and others as a fingerprint of deterioration. Objective: In this context, our aim is to uncover the mechanisms that underlie and support normal cognitive functioning in the brain during the later stages of life. Methods: With this purpose, a systematic literature search was conducted using PubMed, Scopus, and Web of Science databases, which identified 781 potential articles. After applying inclusion and …

Asymptotic Formula For Scattering Problems Related To Thin Metasurfaces, Zachary Jermain

LSU Doctoral Dissertations

The goal of this work is to develop an asymptotic formula for the behavior of a scattered electromagnetic field in the presence of a thin metamaterial known as a metasurface. By using a carefully chosen Green’s function and the single and double layer potentials we analyze the perturbed scattering problem in the presence of the metamaterial and a background scattering problem. By using Lippman-Schwinger type representation formulas for the two fields we develop the asymptotic formula for the perturbed field. From here we prove the asymptotic formula holds up to a specific error term based on the size of the …

Topics In Photonic Quantum Technology: Polarization Entanglement Dynamics In Optical Fibers And Low-Light Imaging., Pratik J. Barge

LSU Doctoral Dissertations

Recent advances in quantum photonics promise transformative impacts on computing, communication, sensing, and imaging. This thesis explores two areas in photonic quantum technology: polarization entanglement dynamics in optical fibers and low-light imaging. Optical fibers are the most suitable medium for photonic qubits and long-distance entanglement distribution is a critical requirement to realize quantum technologies. We study the decay of polarization-entanglement of the Bell state photons propagating through imperfect optical fibers with spatially fluctuating refractive index. Furthermore, to extend the distribution distance, we propose the use of dynamical decoupling in the optical fiber using half waveplates and show that significant improvement …

Mental Practice: Practical Application In Violin And Viola Private Lessons, Natasha Sieczkowska

LSU Doctoral Dissertations

This dissertation aimed to better understand how violin and viola private instructors teach Mental Practice in their studios, investigating different approaches on how to apply and teach auditory, motor, and visual imagery, score study, and auditory modeling, as well as its benefits. This research was divided into two different stages. In the first stage, the researcher conducted interviews (n = 19) and collected questionnaire responses (n = 14) from 33 upper-string instructors teaching at the pre-college and collegiate levels in the US. This research stage was based on the grounded theory approach since there was not much research …

Chimeric Viruses Enable Study Of Antibody Responses To Human Rotaviruses In Mice, Sarah Woodyear, Tawny L Chandler, Takahiro Kawagishi, Tom M Lonergan, Vanshika A Patel, Caitlin A Williams, Sallie R Permar, Siyuan Ding, Sarah L Caddy

2020-Current year OA Pubs

The leading cause of gastroenteritis in children under the age of five is rotavirus infection, accounting for 37% of diarrhoeal deaths in infants and young children globally. Oral rotavirus vaccines have been widely incorporated into national immunisation programs, but whilst these vaccines have excellent efficacy in high-income countries, they protect less than 50% of vaccinated individuals in low- and middle-income countries. In order to facilitate the development of improved vaccine strategies, a greater understanding of the immune response to existing vaccines is urgently needed. However, the use of mouse models to study immune responses to human rotavirus strains is currently …

Sustaining America's Non-Jurisdictional Wetlands Post-Sackett Through Conservation, Shawna Bligh

UMKC Law Review

Part I of this Article discusses the functional role of wetlands in meeting the intended purpose of the Clean Water Act (“CWA”). The intended purpose of the CWA is to "restore and maintain the chemical, physical and biological integrity of the Nation's waters." The Court's decision in Sackett undermines the intended purpose of the CWA. Wetlands play an essential role in meeting this objective. Wetlands are hydrologically connected to and an embedded part of the overall aquatic ecosystem. The Sackett decision leaves wetlands subject to further degradation.

Part II of this Article provides an overview of the CWA, how we …

Exploring Educators' Experiences With School Ecosystems: A Qualitative Inquiry, Jane Mcintosh Cooper, Sheila Baker, John Decman, Leslie Gauna

School Leadership Review

This exploratory inquiry offers a glimpse into educators’ perceptions that connect their professional values and goals to their lived experiences in classrooms. Through the use of an open-ended survey, participants gave positive and negative experiences and ideal scenarios. Findings suggest that visibility and validity, professional advancement, and voice and agency were key gauges of alignment or dissimilitude for participants. Implications for administrators and leadership are discussed.

Recent Developments, Bethany A. Michau

Arkansas Law Review

Recent Developments in Arkansas Law

Seeing Race & Sexuality: Child Welfare & Forced Labor, Annie Isabel Fukushima, Jens Nilson, Kaden Richards

Arkansas Law Review

This Article examines how child welfare responds to children who are forced to labor through a case study of California. We use an intersectional framework to argue that a conceptualization of current sociolegal responses to human trafficking cannot be delinked from racialized and sexualized forms of governmentality. In using an intersectional framework, we hope to draw upon intersectionality as a way to “point[] to the ways that structural inequality, persistent disadvantages, and structural abandonment are some of the root causes of microlevel violent interactions and at the same time influence how effective macrolevel justice policies are at responding to or …

Experiences Of Eight Ohio Beef And Sheep Producers With Year Round Grazing, H M. Bartholomew, S L. Boyles, B Carter, E Vollborn, D Miller, R M. Sulc

IGC Proceedings (1977-2023)

Livestock producers participated in a demonstration project to extend the grazing season and evaluate dormant forage quality and yield. Differences were not detected in yields among forage species but yield differences existed among sites. Yield estimates did not change over time across all forage species but some sites were only able to participate for two months. Producers utilizing fescue beyond November had reductions in herbage mass. Crude protein, available crude protein, acid detergent fiber, and neutral detergent fiber content differed among forage species and sites. Energy and lignin content were similar for all forage species and sites. Sodium and copper …

Letter To The Editor: The Copm: Culturally Sensitive By Design, Maryann Mccoll, Susan E. Baptiste, Anne Carswell, Mary Law, Helene Polatajko

The Open Journal of Occupational Therapy

No abstract provided.

Primary Care Occupational Therapy: Diagnoses, Outcomes, Reimbursement, And Team Satisfaction, Sue Dahl-Popolizio, Tina M. Sauber, Mandi Ogaard, Martina Mookadam, Shanthi V. Cambala, Felicia E. Trembath

The Open Journal of Occupational Therapy

Background: Literature supports including occupational therapists on primary care teams. Few occupational therapists practice in this setting. The health care community needs more information regarding the benefits of occupational therapists on the team.

Method: We completed an 18-month pilot integrating an occupational therapist in a primary care team, tracking conditions treated by the occupational therapist, visit duration, reimbursement, and level of primary care providers’ (PCP) satisfaction. We then evaluated outcomes via a retrospective chart review.

Results: Visits were brief, averaging 35 min. Longer visits did not improve outcomes. Occupational therapists were reimbursed by Medicare (47%), commercial (47%), …

Understanding The Needs Of Gender-Diverse Youth And Young Adults And Their Staff Members In Homeless Shelters And Supported Housing, Sharon Gutman, Ashley Choi, Alexis Kearney, Margaret Swarbrick Dr

The Open Journal of Occupational Therapy

Background: Gender-diverse youth experience twice the risk for homelessness as their same-age cisgender peers and report experiencing discrimination in homeless shelters and supported housing.

Method: Eighteen participants (9 gender-diverse residents and 9 staff members) were interviewed individually to understand their experience of and needs in these settings.

Results: The major findings included: (a) Gender-diverse service recipients felt unsafe and vulnerable in these facilities. Sharing space in which to carry out occupations of vulnerability often triggered anxiety and PTSD. (b) Gender-diverse service recipients felt that staff members did not understand how cumulative trauma adversely affected participation in programmatic …

Accurate Path Tracing And Discrepancy Detection In Control And Data Plane Operations Using A Controller, Jaganbabu Rajamanickam, Darren R Dukes, Madhan Sankaranarayanan

Defensive Publications Series

When an SRv6 (Segment Routing (SR) over Internet Protocol version 6 (IPv6)) node processes a packet, the destination address of the IP packet may be changed. This poses a challenge for end-to-end observability. Techniques described herein provide for validating segment identifier behavior at each node in a path and validating the path without requiring that intermediate nodes be aware of an operation performed. According to the techniques, SRv6 data plane and control plane validation is performed by the central controller.

Task Analysis Methods Based On Deep Reinforcement Learning, Xue Gong, Pengfei Peng, Li Rong, Yalian Zheng, Jun Jiang

Journal of System Simulation

Abstract: In response to the high coupling of task interaction and many influencing factors in task analysis, a task analysis method based on sequence decoupling and deep reinforcement learning (DRL) is proposed, which can achieve task decomposition and task sequence reconstruction under complex constraints. The method designs an environment for deep reinforcement learning based on task information interaction, while improving the SumTree algorithm based on the difference between the loss functions of the target network and the evaluation network, achieving the priority evaluation among tasks. The activation function operation mechanism is introduced into the deep reinforcement learning network, followed by …

Lizzie: A Work Of Historical Fiction, Sandra Rouse

Masters Theses

This thesis was completed as a part of the MFA program in Creative Writing at Liberty University. The critical paper covers the genre of historical fiction. The creative piece contains the opening chapters of Lizzie, a novel of historical fiction covering the life of Elizabeth Evelyn Wright.

The Role Of Pharmacy In Supporting Safe And Effective Transitions Of Care, Laressa Bethishou

Pharmacy Faculty Articles and Research

Goal To inform pharmacists and pharmacy technicians of the importance of and processes for conducting transitions of care when patients are moving among healthcare settings.
Summary A narrative review of recent events and research into transitions of care (TOCs) — the movement of patients from one healthcare setting to another. To be conducted safely and effectively, the entire patient care team must optimize patient care and communicate up-to-date information among its members. As the medication experts on the healthcare team, pharmacists are well poised to receive and share information that impacts medication use and patient safety. Pharmacy technicians can play …

Parallel Multigrid In Time For Chaotic Dynamical Systems, David Alan Vargas

Mathematics & Statistics ETDs

Despite the fact that Parallel-in-Time (PinT) methods are predicted to become necessary to fully utilize next-generation exa- and zettascale machines, there are currently no known practical methods which scale well with the length of the time-domain for chaotic problems, due to exponential dependence of the condition number on the fastest chaotic timescale. I present modifications to the coarse-grid equations along with a novel rediscretization approach which together greatly improve convergence of the multigrid reduction in time (MGRIT) algorithm and allow the first known PinT speedup for a chaotic PDE. The novel Local Shadowing Relaxation (LSR) is presented as an alternative …