Digital Commons Network^™

Exploring Negotiated Autonomy In The Physician–Physician Assistant Collaborative Dyad, Stephen Robie

Doctor of Philosophy in Translational Health Sciences Dissertations

Physician Assistants (PAs) are integral members of multidisciplinary medical care teams who practice medicine legally under the supervision of physicians. During medical care, supervision is a dynamic process of collaboration wherein a PA who displays competence is granted increasing independence by the supervising physician. This process has been referred to as negotiated autonomy. Despite being noted in work-force literature, the mechanics of how negotiated autonomy operates in real-time have not been described. As organizations increasingly work to integrate PAs into practice, new-hire training programs called ‘on-boarding’ have been implemented to accelerate PA professional development with a goal of increased efficiency …

Financial Incentives For Smoking Cessation Among Socioeconomically Disadvantaged Adults: A Randomized Clinical Trial, Darla Kendzor, Michael Businelle, Summer Frank-Pearce, Joseph Waring, Sixia Chen, Emily Hébert, Michael Swartz, Adam Alexander, Munjireen Sifat, Laili Kharazi Boozary, David Wetter

Kimmel Cancer Center Faculty Papers

IMPORTANCE: Socioeconomically disadvantaged individuals (ie, those with low socioeconomic status [SES]) have difficulty quitting smoking and may benefit from incentive-based cessation interventions.

OBJECTIVES: To evaluate the impact of incentivizing smoking abstinence on smoking cessation among adults with low SES.

DESIGN, SETTING, AND PARTICIPANTS: This study used a 2-group randomized clinical trial design. Data collection occurred between January 30, 2017, and February 7, 2022. Participants included adults with low SES who were willing to undergo smoking cessation treatment. Data were analyzed from April 18, 2023, to April 19, 2024.

INTERVENTIONS: Participants were randomized to usual care (UC) for smoking cessation (counseling …

The Need For Localized, Socio-Economic Policy Measures For Controlling A Pandemic: An Empirical Study Of Covid-19 In India, Ashish Gupta, Prashant Das, Dongshin Kim

All Faculty Open Access Publications

The COVID-19 pandemic, a black swan event, created an unprecedented global health hazard and disrupted global economic activities. During the first wave of the COVID-19 pandemic, various governments announced lockdowns. India went under lockdown from 25 March 2020 for 21 days. These lockdowns disrupted the social fabric and economic activities. We examined the demographic and socio-economic determinants of COVID-19 infections and deaths across over 400 districts in India. Using statistical methods, we observed that the infection patterns demonstrate localized characteristics across districts. Areas with a larger male population and higher economic activity witnessed higher infection rates. Districts with more agricultural …

Changing California’S Proposition 13 'Change In Ownership' Language To Solve Current State Tax Revenue Deficits And Reassessing Its Accompanying Statutes, Caleb Moser

UC Law Business Journal

No abstract provided.

From Data Co-Opting To Data Co-Oping: Using New Corporate Structures, Data Corporate-Hood, And Data Personhood To Prioritize Data Privacy, Jonathan Askin

UC Law Business Journal

The stakes of information ownership and control have risen dramatically since the Supreme Court’s decision in Dobbs v. Jackson Women's Health Organization, after which tens of millions of people in the United States recognized that companies harvest massive swathes of data incidental to our activities and that seemingly innocuous information, such as rideshare or location data, credit card payments, or even monthly cyclical health trackers (i.e., menstruation or birth control) could potentially expose them to civil or criminal liability when linked to a chain of causation in jurisdictions penalizing voluntary abortion.2 Data scientists recognize the scale, scope, and massive power …

Volume 108, Number 1 (2024)

Judicature

No abstract provided.

Young Black American Women’S Social Media Use And Online Victimization, Alexandria C. Onuoha, Sara Matsuzaka, Alexis G. Stanton, Vanessa V. Volpe, Lanice R. Avery

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Despite young Black women’s high rates of social media use and risks for victimization at the nexus of sexism and racism, the relationship between these variables remains under researched in this segment. We surveyed 354 Black American women aged 18–30 to explore the associations between two aspects of social media use—time spent daily on social media platforms (i.e., Facebook, Instagram, Snapchat, TikTok, Tumblr, Twitter, and YouTube) and type of social media engagement (i.e., active social use, active non-social use, and passive use)—with four different types of online victimization (i.e., general online victimization [GOV], online sexual victimization [OSV], online individual racial …

Posture And Injury Prevention Program For High School Musicians, Clifford C. Scott, Cassandra Nelson

Summer 2024 OTD Capstone Symposium

Musicians face many musculoskeletal-related injuries due to overuse and repetitive motions (Gembris et al., 2020). These injuries can be mitigated by addressing posture as well as methods to prevent injuries and promote healthier playing. The proposed capstone program is occupationally based and developed to address posture and prevent musculoskeletal injuries among musicians. Occupational therapy can help musicians prevent and treat the development of postural asymmetries and musculoskeletal injuries that inhibit occupational participation and performance in playing their instruments (Ting et al., 2019).

The Role Of Occupational Therapy On Sexuality And Intimacy In Women With Disabilities, Diamond Escobedo, Cassandra Nelson

Summer 2024 OTD Capstone Symposium

This project was developed to provide an educational program to spread advocacy and education about the stigmatization of women with disabilities, who are unable to interact in sexual relationships and intimacy. The occupational therapy perspective would be identified as solving the problem by providing education, resources, and adaptive devices to individuals who have a disability and experience deficits in sexual intimacy through the implementation of a program.

An Occupational Therapy Guide To Promoting Social And Emotional Health Among Youth In A Post Covid-19 Era, Alejandra Olvera, Jazminne Orozco Arteaga

Summer 2024 OTD Capstone Symposium

The COVID-19 pandemic has contributed to a significant rise in mental health challenges among children and adolescents, impacting their daily performance and overall well-being. These psychosocial effects underscore an urgent need for comprehensive support from educators, parents, and communities to effectively address the increasing mental and behavioral health issues among young individuals.

The purpose of this project was to implement a program that would improve the social and emotional health of youth and adolescents, as well as to educate educators and parents. By fostering resilience and promoting mental well-being among youth and adolescents, the program's initiatives seek to mitigate the …

Food Insecurity & Gendered Vulnerability – Sarai/Sarah And Rebekah In Genesis, Maricel S. Ibita

Theology Department Faculty Publications

No abstract provided.

Integrating Machine Learning Algorithms And Advanced Computing Technology Using An Ensemble Hybrid Classifier, Roopashri Shetty, M. Geetha, G. Shyamala, Dinesh U. Acharya

Open Access archive

Ovarian Cancer (OC) is one of the major types of cancers in women worldwide. Despite the standardization of characteristics that can help distinguish benign from malignant ovarian masses, accurate predictive modelling following ultrasound (US) examination and biomarkers for’progression-free survival’ is lacking in the field of ovarian cancer. Important leading factors in ovarian cancer lethality are the lack of diagnostic procedures and proper screening to detect early-stage ovarian cancer, and the rapid spread of the disease over the surface of the peritoneum. Therefore, developing tools for accurate screening and prognosis, as well as the diagnosis of early stage ovarian cancer, is …

Global, Regional, And National Age-Specific Progress Towards The 2020 Milestones Of The Who End Tb Strategy: A Systematic Analysis For The Global Burden Of Disease Study 2021, Jorge R. Ledesma, Jianing Ma, Meixin Zhang, Ann V.L. Basting

Open Access archive

Background: Global evaluations of the progress towards the WHO End TB Strategy 2020 interim milestones on mortality (35% reduction) and incidence (20% reduction) have not been age specific. We aimed to assess global, regional, and national-level burdens of and trends in tuberculosis and its risk factors across five separate age groups, from 1990 to 2021, and to report on age-specific progress between 2015 and 2020. Methods: We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 (GBD 2021) analytical framework to compute age-specific tuberculosis mortality and incidence estimates for 204 countries and territories (1990–2021 inclusive). We quantified …

Lost In Translation: A Qualitative Narrative Study On The Lived Experiences Of Bipoc Individuals With High-Functioning Autism Transitioning To College, Aiyeesha L. Hill

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Transitioning to college can prove overwhelming for BIPOC individuals with high-functioning autism (HF ASD) from low-income families (Accardo et al., 2019; Elias & White, 2018; Lambe et al., 2019). This qualitative study addressed the challenges these families faced or will face, fears and concerns about going to college, and the level of support received from high schools and postsecondary institutions, while determining if race and economic status have a bearing on access to information about transition planning. The methodology used for this study was a narrative design to gain insight into the lived experiences of this marginalized group and give …

The Guardian The Month Of July 2024, Wright State Student Body

The Guardian Student Newspaper

News articles from The Guardian for the Month of July 2024. The Guardian is the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.

Lactobacillus Rhamnosus Interactions With Foodborne Pathogens And Impact On Plant Productivity In A Model Hydroponic System, Esther Titilope Oginni

Theses and Dissertations

Food production is a global problem, and this has been further compounded with changes in weather patterns necessitating the need for a sustainable approach to production. Chapter 1 introduces the broad concept of the Control environment agriculture (CEA) and then narrows it doe to the hydroponic system its food safety risks. The CEA has been employed alongside conventional practices methods to improve meet the demand for food without placing pressure on the land available. Foodborne outbreaks have been recorded in the production medium and are therefore susceptible to contamination. In Chapter 2, the study focused on using Lactobacillus rhamnosus and …

Campus Principals’ Actions And Perceptions That Contribute To The Direct Impact Of Teacher Retention, Efrain D. Reyna

Theses and Dissertations

This study focused on factors that suburban principals could perform to increase teacher retention. A suburban school district in the southwest area of Texas was selected to participate in this research. Principals were chosen and interviewed. Teachers from the selected school district were chosen to participate in a focus group. This qualitative single case study research was focused on the individual perspectives from six different principals, and eighteen teachers. Both participant groups, principals and teachers, were then interviewed to discover if the principal’s actions directly impacted their decision to remain teaching.

Analyzing Teachers' Perceptions Of A Principal's Instructional Leadership Practices On A Dual Language Campus Using The Blase And Blase Reflective Growth Model, Selene Canales-Garcia

Theses and Dissertations

As the research base in support of dual language instruction become stronger and more widely recognized, dual language instruction program popularity has risen and the number of programs implemented across the United States has grown (Christian, 2018). Demand for qualified teachers and school administrators is high, but teacher supply has not risen commensurately (Kennedy, 2018b). Therefore, the problem lies in principals having to prepare and provide the necessary supports and professional development for bilingual teachers. The purpose of this research is to explore teachers' perceptions of the principal's instructional leadership practices using the theoretical framework of the Blase Reflective Growth …

Habitat Restoration Along The U.S.-Mexican Border Examining Collaborative Governance For The Bahia Grande, Mya Jude Brown

Theses and Dissertations

The Bahia Grande, a 6,500-acre tidal basin in southeastern Cameron County, Texas, once provided habitat for numerous species. Construction projects, such as the Brownsville Ship Channel, altered ecosystem functions and separated it from its water source, reducing it to a dried wetland. In 2005, restoration initiatives reconnected the Bahia Grande to a water source through the Carl Joe Gayman channel, and additional restoration efforts continued. Despite this progress, this area had notable deficiencies in management efforts due to resource scarcity, limited research, and a lack of public awareness. This research investigates the presence and effects of management strategies on the …

Viewing Ir Through A Unicolonial Lens: A Case Study On The Effects Of Cultural Recognition On State Behavior, Andrew Viera

Theses and Dissertations

The following thesis utilizes the concept of unicoloniality, a process found within several ant species, to analyze the aggressive behavior and alliance-forming behavior of states. Through the unique lens of ant colony behavior, this study creates a new variable for quantifying culture that measures whether two states can recognize each other based on their cultural identity. Utilizing this noble variable, a logistic regression model was run to test the impact of cultural recognition on state behavior. The results indicated that cultural recognition had no effect on the decision of a state to join an alliance or engage in a militarized …

Inpatient Staff Perspective On Verbal De-Escalation Within A High Acuity Population, Giovanna Dezutti

Dissertations

This study explored inpatient staff’s perspective of verbal de-escalation within a high acuity population as well as the factors that make either a positive or negative impact on the effectiveness of verbal de-escalation as used in high acuity impatient settings. This phenomenological study used semi-structured interviews of 5 participants working in this setting. Participants were recruited through snowball sampling, and interviews were conducted via zoom. This study found that participants unanimously agreed that the training they received regarding verbal de-escalation was not sufficient and that employment of certain personality traits and behaviors were more effective than using only the methods …

A Qualitative Study Exploring The Management & Implications Of Power Differentials Experienced By Pre-Licensed Supervisees In Clinical Supervision Settings, Joyti Jariwala

Dissertations

The focus in this qualitative study was to explore how power differentials in supervision create positive and negative experiences between licensed psychologists and pre-licensed doctoral students. The study results provide insight into how supervisees navigate these dynamics during supervision, which typically involves experiential learning environments in which trainees discuss progress, receive feedback, and enhance their skills. The theoretical framework grounding the study was social learning theory, which is based on the idea that individuals learn from modeling, observation, and imitation in a social context (Bandura, 1986). Reflexive thematic analysis was used to recognize similarities in findings gathered via two sets …

Identifying And Training Deep Learning Neural Networks On Biomedical-Related Datasets, Alan E. Woessner, Usman Anjum, Hadi Salman, Jacob Lear, Jeffrey T. Turner, Ross Campbell, Laura Beaudry, Justin Zhan, Lawrence E. Cornett, Susan Gauch, Kyle P. Quinn

Computer Science and Computer Engineering Faculty Publications and Presentations

This manuscript describes the development of a resources module that is part of a learning platform named 'NIGMS Sandbox for Cloud-based Learning' https://github.com/NIGMS/NIGMS-Sandbox. The overall genesis of the Sandbox is described in the editorial NIGMS Sandbox at the beginning of this Supplement. This module delivers learning materials on implementing deep learning algorithms for biomedical image data in an interactive format that uses appropriate cloud resources for data access and analyses. Biomedical-related datasets are widely used in both research and clinical settings, but the ability for professionally trained clinicians and researchers to interpret datasets becomes difficult as the size and …

Mental Health In Price: A Report On Community Perspectives, Kristen Koci, Jessica Ulrich-Schad

Publications

This report is from a research project conducted at the end 2022 that focuses on mental health in Price. Dr. Kristen Koci conducted interviews in Price to understand community members’ perspectives on and factors affecting mental health in the area. Community leaders from government and local organizations were interviewed along with general community residents, for a total of 27 interviews. The report that follows summarizes themes and perspectives gathered during these interviews.

Injuries Related To Waterskiing Between 2012 And 2022: A National Database Study., Sean M Muir, Tyler Rizzieri, Andrew Brown, Cole Graham, Laken Fulmer, Ryan Scagliarini, Kristine Lombardozzi

Trauma and Acute Care Articles

We conducted an epidemiological study by using the National Electronic Injury Surveillance System (NEISS) database to assess and quantify waterskiing injuries between 2012 and 2022. A total of 898 injuries were reported, primarily among Caucasian males during competition. Head (177, 20%), face (93, 10%), and knee (70, 8%) were the most prevalent types of injuries. Common physical examination findings included muscle strains, ligament sprains, lacerations, and fractures. Although rare, there were reported cases of dental injury, hemorrhage, crushing, foreign body, and amputation as well. These findings suggest that protective equipment, particularly headgear, is necessary to reduce the incidence of waterskiing …

Surgical Opportunism For Hand Reconstruction Following A Mutilating Injury: A Case Report., Krishna A Patel, Tuna Özyurekoglu

Trauma and Acute Care Articles

We report our management of a 53-year-old female who suffered a wood planer hand-mutilating injury with significant dorsal soft tissue loss and partial metacarpophalangeal joint (MCPJ) amputations of the thumb, index, and middle fingers. The middle finger was deconstructed for "spare parts" and a vascularized osteochondral graft was utilized to reconstruct the metacarpal articular surface of the index finger proximal phalanx, allowing the pedicled transposition of the index finger to the third metacarpal. The middle finger's distal interphalangeal joint was transplanted non-vascularly to recreate the thumb MCPJ and the elevation of a middle finger fillet flap allowed dorsal wound coverage. …

Abroad In The Archives: Engaging Students Across Cultures And Through Time, Christiane Métral

French Studies: Faculty Publications

No abstract provided.

A Global Perspective On The Treatment And Maintenance Of Mature Skin Using Gentle Cleansers And Moisturizers, Joachim Fluhr, Andrew Alexis, Anneke Andriessen, Olga Barrios, Peter Bjerring, Peter Foley, Michael Gold, Hashim Kaderbhai, Chengfeng Zhang

Internal Medicine, East Africa

Xerosis is highly prevalent in the population aged over 50 years and substantially impacts quality of life due to the associated stigma, related pruritus, and potential sequelae. We propose that the term mature xerosis be used for subjects over 50 who suffer from age-related xerosis and replace senile xerosis to describe the phenomenon. The etiology of xerosis depends on genetic and environmental factors that affect stratum corneum hydration and skin barrier function. Skincare to restore barrier function is essential in xerosis treatment and is relevant for maintaining and preventing its progression. Many moisturizers and cleansers are available for xerosis; however, …

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome After Sars-Cov-2 Infection, Elizabeth R. Unger, Jin-Mann S. Lin, Lauren E. Wisk, Huihui Yu, Michelle L'Hommedieu, Helen Lavretsky, Juan Carlos C. Montoy, Michael A. Gottlieb, Kristin L. Rising, Nicole L. Gentile, Michelle Santangelo, Arjun K. Venkatesh, Robert M. Rodriguez, Mandy J. Hill, Rachel E. Geyer, Efrat R. Kean, Sharon Saydah, Samuel A. Mcdonald, Ryan Huebinger, Ahamed H. Idris, Jocelyn Dorney, Bala Hota, Erica S. Spatz, Kari A. Stephens, Robert A. Weinstein, Joann G. Elmore

Department of Emergency Medicine Faculty Papers

IMPORTANCE: Chronic symptoms reported following an infection with SARS-CoV-2, such as cognitive problems, overlap with symptoms included in the definition of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

OBJECTIVE: To evaluate the prevalence of ME/CFS-like illness subsequent to acute SARS-CoV-2 infection, changes in ME/CFS symptoms through 12 months of follow-up, and the association of ME/CFS symptoms with SARS-CoV-2 test results at the acute infection-like index illness.

DESIGN, SETTING, AND PARTICIPANTS: This prospective, multisite, longitudinal cohort study (Innovative Support for Patients with SARS-CoV-2 Infections Registry [INSPIRE]) enrolled participants from December 11, 2020, to August 29, 2022. Participants were adults aged 18 to 64 …

Neutrosophic Sentiment Analysis Method Based On Neutroalgebra For The Evaluation Of M-Learning As A Quechua Learning Instrument, Javier Gamboa-Cruzado, María Lima Bendezú, Mauro Cruzado Viera, Angel Núñez Meza, Edgar Damián Núñez

Neutrosophic Sets and Systems

This study focuses on assessing the efficacy of m-learning as a tool for learning Quechua. It uses a unique method of sentiment neutrosophic sentiment analysis, which is based on neutroAlgebra. In the current scenario, where the use of mobile platforms for learning indigenous languages is gaining significance, there is a noticeable absence of methods that can effectively handle the intricate and uncertain nature of users' perceptions towards these systems. Existing literature provides limited solutions that effectively integrate mathematical precision with the ability to recognize and respond to emotions and ambiguous opinions. This article addresses the lack of methodology by utilizing …