Digital Commons Network^™

Psychometric Properties Of The Modified Parenting Attitudes Measure Among African American Adolescents In Public Housing, Melissa L. Villodas, Andrew Foell, Lisa C. Smith, Mansoo Yu, Henrika Mccoy, Yibin Yang, Ngozi V. Enelamah, Margaret Lombe, Von Nebbitt

Faculty Publications

Valid and reliable measurements reflecting how perceived maternal and paternal parenting practices are similar, different, complementary, or additive in studying youth outcomes are critical for building knowledge on supportive parenting practices for African American youth living in public housing. We examined the psychometric properties of the Parental Attitudes Measure (PAM) which focuses on youths’ attitudes on parenting practices. Data was collected from the perspective of 660 African American youth living in urban public housing across three cities in the northeast and mid-Atlantic region in the United States. Youth reported on their attitudes about maternal and paternal caregivers. Reliability was determined …

Research Summaries: Artificial Intelligence And Data For Nonprofits, Erica Jensen

Journal of Nonprofit Innovation

No abstract provided.

Veterans Justice Outreach Program, Risk Of Recidivism, And Justice-Involved Veterans, Melody C. Weathers

Walden Dissertations and Doctoral Studies

To date, no study has examined whether the Veterans Justice Outreach (VJO) program influences recidivism once a justice-involved veteran (JIV) completes the program. Nor has a study examined the diagnoses and comorbidities between a JIV’s propensity for recidivism following separation from the VJO. One of the VJO program’s goals has been to end JIVs' contact with the criminal justice system. This study utilized a generic qualitative design that aimed to explore JIVs who received treatment from the VJO and whether there was an effect on their risk of recidivism. Additional elements for exploration included posttraumatic stress disorder, traumatic brain disorder, …

Natural Hazards Triggering Technological Disasters: Source Identification, Vulnerability, And Evaluation Of Emergency Preparedness In A Southern California City, Lisa Peumsang

Walden Dissertations and Doctoral Studies

Natural hazards triggering technological disasters (natech) events exist around the world and affect people, infrastructure, the economy, and environment but are not often considered for local hazard mitigation and emergency preparedness plans. The purpose of this qualitative case study was to identify (a) the natech event vulnerability of the target city, which is in the western United States, and potential sources for these events and (b) the extent to which the city’s hazard mitigation and emergency operations plans addressed natech events. The vulnerability assessment was performed through the lens of network risk theory and involved secondary data analysis of publicly …

The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake

Walden Dissertations and Doctoral Studies

Caregiving has been shown to be a potential burden for the well-being of caregivers. The focus of this study was a caregiver support program whose managers lacked an understanding of the efficacy of the program in enhancing the well-being of the consumers of the program. The purpose of this quantitative study was to develop and administer a consumer satisfaction survey that evaluated the efficacy of caregiver support program services from the consumer perspective. This study was grounded by the positive emotion, engagement, relationships, meaning, and accomplishment model, which informed the development of the survey that was administered to the participants …

Strategies Used In United States E-Waste Recycling Businesses, Victor Odell Osborne

Walden Dissertations and Doctoral Studies

Increased consumer demand for the latest electrical and electronic technology and products has increased the amount of consumer and manufacturer-generated e-waste, leading to collection, handling, disposal, and environmental issues across the United States. Grounded in Bass’s curve theory, the purpose of this qualitative multiple case study was to explore strategies that southern United States company leaders used to recover funds from the disposal of e-waste. The participants included 13 leaders from 13 organizations in the solid waste recycling industry. Data were collected using semistructured interviews and peer-reviewed articles. Data analysis included occurrence frequency, with five themes emerging: (a) communication, (b) …

Assessing The Efficiency Of Teacher Education Program In Emirati University For Preparing Pre-Service Teachers For Inclusive Education, Muna Mohamed Alhammadi

All Works

This study investigates Emirati universities’ general education program effectiveness in preparing pre-service teachers for inclusive education. It assesses pre-service teachers’ readiness to teach students with special educational needs and disabilities (SEND) after studying two academic subjects in inclusive education and undertaking three practicums. Pre-service teachers’ beliefs, knowledge, and experiences in applying inclusion were explored. Mixed quantitative and qualitative research methods were used to conduct this study. Data for the study were gathered through an online survey, which was developed by the author after gaining feedback from four experts in the field. To validate the results of the survey, semi-structured interviews …

Soaked In Alcohol: Beyond The Female Archetype As Reflected In Djuna Barnes, Dorothy Parker, And Zelda Fitzgerald, Chondell C. Villines

USF Tampa Graduate Theses and Dissertations

This study surveys the use and abuse of alcohol within the literature of Modernist female authors of the Jazz Age, 1920 – 1930. An examination of the works of Djuna Barnes, Dorothy Parker, and Zelda Fitzgerald is conducted to understand their treatment of alcohol consumption by women and how this treatment is more complex than their male counterparts. This dissertation focuses on each author’s use of alcohol in developing their fictional female characters and how, when, and why they drink. These questions directly relate to the use and abuse of alcohol to assuage trauma, or as a reaction to trauma. …

Gerston, Larry N., San Jose State University

Emeritus and Retired Faculty Biographies

Ph.D., Political Science, University of California, Davis, 1975

M.A., Political Science, University of California, Davis, 1970

A.B., Political Science and Sociology, University of California, Berkeley, 1969

Mettl3-Mediated Chromatin Contacts Promote Stress Granule Phase Separation Through Metabolic Reprogramming During Senescence, Chen Wang, Hideki Tanizawa, Connor Hill, Aaron Havas, Qiang Zhang, Liping Liao, Xue Hao, Xue Lei, Lu Wang, Hao Nie, Yuan Qi, Bin Tian, Alessandro Gardini, Andrew V Kossenkov, Aaron Goldman, Shelley L Berger, Ken-Ichi Noma, Peter D Adams, Rugang Zhang

Faculty, Staff and Student Publications

METTL3 is the catalytic subunit of the methyltransferase complex, which mediates m6A modification to regulate gene expression. In addition, METTL3 regulates transcription in an enzymatic activity-independent manner by driving changes in high-order chromatin structure. However, how these functions of the methyltransferase complex are coordinated remains unknown. Here we show that the methyltransferase complex coordinates its enzymatic activity-dependent and independent functions to regulate cellular senescence, a state of stable cell growth arrest. Specifically, METTL3-mediated chromatin loops induce Hexokinase 2 expression through the three-dimensional chromatin organization during senescence. Elevated Hexokinase 2 expression subsequently promotes liquid-liquid phase separation, manifesting as stress granule phase …

Contribution Of Matrix Metalloproteinase-2 And Matrix Metalloproteinase-9 To Upper Tract Urothelial Cancer Risk In Taiwan, Bo-Ren Wang, Hung-Huan Ma, Chao-Hsiang Chang, Cheng-Hsi Liao, Wen-Shin Chang, Mei-Chin Mong, Ya-Chen Yang, Jian Gu, Da-Tian Bau, Chia-Wen Tsai

Faculty, Staff and Student Publications

Matrix metalloproteinase (MMP)-2 and -9, which degrade type IV collagen, are linked to cancer invasion and metastasis. Gene polymorphisms in MMP-2 and MMP-9 can influence their function, impacting cancer development and progression. This study analyzed the association between polymorphisms MMP-2 rs243865 (C-1306T), rs2285053 (C-735T), and MMP-9 rs3918242 (C-1562T) with serum concentrations of these enzymes in upper tract urothelial cancer (UTUC) patients. We conducted a case-control study with 218 UTUC patients and 580 healthy individuals in Taiwan. Genotyping was performed using PCR/RFLP on DNA from blood samples, and MMP-2 and MMP-9 serum levels and mRNA expressions in 30 UTUC patients were …

One Size Does Not Fit All: A Multifaceted Approach To Educate Families About Newborn Screening, Marianna H. Raia, Molly M. Lynch, Alyson C. Ward, Jill A. Brown, Natasha F. Bonhomme, Vicki L. Hunting

Psychology Faculty Publications

All families deserve access to readily available, accurate, and relevant information to help them navigate the newborn screening system. Current practices, limited resources, and a siloed newborn screening system create numerous challenges for both providers and families to implement educational opportunities to engage families in ways that meet their needs with relevant and meaningful approaches. Engaging families in newborn screening, especially those from historically underserved communities, is necessary to increase knowledge and confidence which leads to overall improved outcomes for families. This article describes three strategies that the Navigate Newborn Screening Program developed, tested, and implemented in the United States, …

Strategies Used In United States E-Waste Recycling Businesses, Victor Odell Osborne

Walden Dissertations and Doctoral Studies

Increased consumer demand for the latest electrical and electronic technology and products has increased the amount of consumer and manufacturer-generated e-waste, leading to collection, handling, disposal, and environmental issues across the United States. Grounded in Bass’s curve theory, the purpose of this qualitative multiple case study was to explore strategies that southern United States company leaders used to recover funds from the disposal of e-waste. The participants included 13 leaders from 13 organizations in the solid waste recycling industry. Data were collected using semistructured interviews and peer-reviewed articles. Data analysis included occurrence frequency, with five themes emerging: (a) communication, (b) …

Patientslikeme And Online Patient Support Communities In Dermatology, Mindy D. Szeto, Michelle Hook Sobotka, Emily Woolhiser, Pritika Parmar, Jieying Wu, Lina Alhanshali, Robert P. Dellavalle

Student Publications

Online patient-oriented platforms such as PatientsLikeMe (PLM) offer a venue for individuals with various diagnoses to share experiences and build community, though they may not be representative of the larger patient population. This potentially limits generalizability and raises concerns about the spread of misinformation, emphasizing the need for informed use and health care provider engagement.

Examining Associations Between Smartphone Use And Clinical Severity In Frontotemporal Dementia: Proof-Of-Concept Study, Emily W Paolillo, Nupur Ghoshal, Et Al.

2020-Current year OA Pubs

BACKGROUND: Frontotemporal lobar degeneration (FTLD) is a leading cause of dementia in individuals aged <65 years. Several challenges to conducting in-person evaluations in FTLD illustrate an urgent need to develop remote, accessible, and low-burden assessment techniques. Studies of unobtrusive monitoring of at-home computer use in older adults with mild cognitive impairment show that declining function is reflected in reduced computer use; however, associations with smartphone use are unknown.

OBJECTIVE: This study aims to characterize daily trajectories in smartphone battery use, a proxy for smartphone use, and examine relationships with clinical indicators of severity in FTLD.

METHODS: Participants were 231 adults (mean age 52.5, SD 14.9 years; n=94, 40.7% men; n=223, 96.5% non-Hispanic White) enrolled in the Advancing Research and Treatment of Frontotemporal Lobar Degeneration (ARTFL study) and Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects (LEFFTDS study) Longitudinal Frontotemporal Lobar Degeneration (ALLFTD) Mobile App study, including 49 (21.2%) with mild neurobehavioral changes and no functional …

Why Medicine Needs The Humanities: An Argument For Arguments, Suraj R. Nyalakonda, Md

The Medicine Forum

As medicine plunges deeper into the 21st century, there appear to be three forces coming together that hold both promise and peril as technology’s march of progress continues unabated through the healing profession.

Musings Of A House Staff Officer On The Wards, Suraj R. Nyalakonda, Md

The Medicine Forum

I am told I am part of the house staff. I am told I am a resident. I am told my predecessors, who are now my teachers, earned the title of resident by residing at their place of work, which was also their place of passion, which was the hospital, that institution that, with the advent of the industrial revolution, came to be a producer of health, a fixer of bodies. I am also now told that we residents are increasingly the sort of thing that can burn out. The other thing I know that can burn out - when …

Shadows And Echoes Of Understanding: A Physician's Reflection On Plato's Allegory Of The Cave And Medicine, Michael Dong, Md, Tamar Wolinsky Md, Benjamin Claxton, Md, Mph, Chantel Venkataraman, Md

The Medicine Forum

Plato's Allegory of the Cave offers a lens through which one can contemplate the complexities of medicine, where the shadows and echoes of illness obscure the true forms of disease. As physicians, we seek to illuminate the shadows that shroud our patients’ understanding of their illnesses and provide clarity to help patients navigate the labyrinth of diagnoses and treatments.

Unmasked, Rehana Persaud, Ms

The Medicine Forum

The world was quiet

A virtual reality

I existed

you lived

in it

We lived

In

a

world,

that was h u s h e d …

A quiet one

The silence was DeafeninG

But

I HEARD what consumed

me

Quantum Of Solace, Jeffrey White, Md

The Medicine Forum

Dr. R was back on 3 West and looking the worse for wear. Colon cancer, partial resection, bowel obstruction, ischemia, second surgery, bleeding, third surgery, infectious colitis, four days in the ICU—this 90-year-old man, who his wife assured us was bright and vibrant before his admission, was not long for this world. His baseline dementia had begotten daily delirium. He had had heart failure and COPD before his admission, and his fluid retention had swelled his already substantial body habitus to uncomfortable proportions.

Cadaver Dissection — A Reminder Of Humanity, Samuel De Matte, Ms

The Medicine Forum

I wash my hands, pick up a pair of purple forearm gloves, and gown up in an apron. The large overhead lights flood the room with sterile illumination, reflecting off the metal cabinets onto the white walls. I approach one of the thirty-four body bags with a group of classmates. The slow growl of the zipper fills the otherwise silent room. We pull back the formaldehyde-soaked sheet to reveal our cadaver. We all notice the rose tattoo on her chest.

A Curious Case Of Ards, Normonique Dyer, Do

The Medicine Forum

Acute respiratory distress syndrome (ARDS) is a well-known description of progressive respiratory decline. ARDS can be suspected in patients that meet the following criteria: (1) progressive dyspnea with onset within 1 week of a suspected clinical insult, (2) reduction in arterial oxygen saturation, and (3) bilateral alveolar infiltrates not due to a primary cardiogenic process.¹ The management of ARDS is largely unchanged regardless of the etiology and thus will not be within the scope of discussion for this report. However, the etiology of ARDS is of significance given that the cause of a patient’s respiratory failure has prognostic implications. …

A Case Of Reactivation Tuberculosis, Edwin Perez, Md, Avish Patel, Md, Taha Awan, Md, Amman Bhasin, Md, Gautam George, Md

The Medicine Forum

Approximately 22 percent of the world population is estimated to be infected with Mycobacterium tuberculosis. The largest number of cases are seen in Sub-Saharan Africa, India, and the islands of Southeast Asia, while North America and Western Europe are “low incidence” regions.¹ In the US, most cases are seen in foreign-born individuals who emigrate from high-incidence countries. Despite the low incidence in the US, prevention and control of Tuberculosis (TB) remain an important component of Public Health.² Here we present a case of a patient of Vietnamese origin with reactivation TB and rare manifestations of TB.

Nodular Al Amyloidosis — An Unusual Etiology Of A Solitary Pulmonary Nodule, Benjamin B. Claxton, Md, Mph, Shruti Nanivadekar, Md, Stacey Gargano, Md, Prarthna C. Kulandaisamy, Md

The Medicine Forum

Solitary pulmonary nodules (SPN) are defined as single intraparenchymal opacities less than 3 centimeters. The differential diagnosis of the SPN is broad. AL amyloidosis is a protein conformational disease which occurs when certain monoclonal light chains develop an unstable tertiary structure with resultant polymerization of insoluble amyloid fibrils that deposit in the extracellular space of sundry tissues. In the lung, diffuse interstitial amyloid deposition is the most common form of the disease.

When Obstruction Meets Infection: A Case Of Multi- Drug Resistant (Mdr) E. Coli Community Acquired Pneumonia In A Patient With Metastatic Melanoma, Victor Diaz, Ms, David Saeed, Ms

The Medicine Forum

Multidrug resistant Escherichia Coli (MDR E. Coli) is a less common cause of bacterial community-acquired pneumonia as compared to Streptococcus pneumoniae and Staphylococcus aureus. We present a case of MDR E. Coli community-acquired pneumonia diagnosed on culture of bronchoalveolar lavage specimens (BAL) after bronchoscopic debulking of a metastatic melanoma mass completely obstructing the left main stem bronchus (LMSB).

Renal Cell Carcinoma Manifesting As A Tumor Thrombus Identified On Transthoracic Echocardiography & Ct Scan, Kashka Mallari, Md

The Medicine Forum

This is a 60 year old male who presented with increased lower extremity edema for a month and right upper quadrant abdominal pain for a week. A CT of his abdomen showed a right renal mass consistent with renal cell carcinoma (Figure 1, red arrow), along with a tumor thrombus extending into the inferior vena cava (IVC) to the level of the junction with the right atrium (Figure 1, blue arrow, and Figure 2). An echocardiogram revealed an enlarged IVC with an increased echogenicity likely representative of an extensive tumor (Figure 3). Subsequently, he underwent a right radical nephrectomy, vena …

Case Study: Diagnosis Of Acute Myeloid Leukemia In A Middle-Aged Patient With A History Of Aplastic Anemia, Umma Fatemam Md, Marc Yorker, Md

The Medicine Forum

The clinical and diagnostic landscape of hematologic disorders such as Myelodysplastic Syndromes (MDS) and Acute Myeloid Leukemia (AML) is complex and multifaceted, with particular challenges arising in the identification and differentiation of related conditions like aplastic anemia and hypoplastic MDS.¹ MDS, a heterogeneous group of clonal marrow disorders, is typified by dysplasia and ineffective hematopoiesis, which often culminate in cytopenias. A subset of MDS patients may experience leukemic transformation, marked by the proliferation of undifferentiated blasts, ultimately progressing to AML, a malignancy characterized by rapid growth and accumulation of these cells.² Aplastic anemia shares the clinical hallmark of …

Primary Care Provider Awareness And Attitudes Regarding Updated Brca1/2 Screening Recommendations And Genetic Testing, Emily Foecke Munden, Ms, Maria Poluch, Ms, Jennifer S. Zeiger, Ms, Maya Rosenberg, Md, Swati Shroff, Md

The Medicine Forum

Detection of BRCA1/2 gene mutations opens the door for breast cancer prevention; however, many high-risk individuals are not screened until after their first cancer diagnosis. The United States Preventive Services Task Force (USPSTF) updated its BRCA1/2 screening recommendations in 2019. This study explores provider awareness of this update and attitudes towards BRCA1/2 genetic testing. A survey was sent to Obstetrics/ Gynecology (Ob/Gyn), Internal Medicine (IM), and Family Medicine (FM) providers at Thomas Jefferson University Hospitals (TJUH). 66% of responders felt familiar with BRCA1/2 screening guidelines, and 38% were aware of the 2019 USPSTF update. Ob/Gyn providers were more familiar with …

Looking For The Unseen: Application Of Wood’S Lamp In The Ambulatory Clinic, Alexandros Grivas, Md, John Caruso, Md

The Medicine Forum

A 56-year-old female patient with a personal medical history of class III obesity and uncontrolled DM presented to the ambulatory clinic with a pruritic rash behind her knees. The rash was of 4 weeks duration and did not improve with topical application of nystatin powder. Examination revealed an erythematous patch in the intertriginous area behind the knees bilaterally, associated with mild desquamation and clear demarcation from the normal skin. No satellite lesions were noticed. (figure 1A) The patient was evaluated for an intertriginous skin rash. The differential diagnosis included intertrigo, fungal infection, psoriasis, and lichen planus. Wood’s lamp examination was …

Minocycline-Induced Hyperpigmentation In A Patient With Multiple Causes Of Skin Discoloration, Jeffrey White, Md, Amman Bhasin, Md, Gregary Marhefka, Md

The Medicine Forum

Minocycline-induced hyperpigmentation is a well-documented but poorly understood adverse effect of the popular tetracycline antibiotic minocycline, mainly affecting patients who use it for a prolonged duration. When patients develop dark skin lesions, the etiology may be clouded if a patient on minocycline has other risk factors. We describe a patient on suppressive minocycline therapy as well as anticoagulation and a history of chronic venous stasis who developed ecchymosis after an invasive procedure.