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Dean, Chairs And Program Directors List 2023-2024 (Spring), Saint Mary's College Of California

Chairs and Program Directors lists

No abstract provided.

Reducing Hemoglobin A1c Using Diabetes Self-Management Education And Support (Dsmes) For Hispanic Adults In A Primary Care Setting, Gita Gyawali Sedai

Doctor of Nursing Practice Final Project Abstract

Background: Members of the Hispanic population have a 50% or higher chance of developing diabetes and often do so at a younger age than other adults in the United States (CDC, 2022a). Diabetes complications also impact the Hispanic population harder, with higher rates of kidney failure caused by diabetes, along with diabetes-related vision loss and blindness (CDC, 2022a). DSMES programs have shown significant improvements in A1C and blood sugar control in different settings (Powers et al., 2020). However, it has not been implemented in many primary care settings.

Purpose: The purpose of this project was to implement and evaluate …

Days Of 2023, Michael Chang

Yalobusha Review

No abstract provided.

Right, Left, Right: Dance Training Impacts On Postural Control, Mackenzie Griffith

Longwood Senior Theses

Background: Studies have shown a lack of definitive findings examining postural control amongst dominant and non-dominant stance limbs. Neuromuscular training may have limb dependent impacts and is a possible contributor across dance training, other athlete training, and active population members. Purpose: The purpose of this study was to compare postural control between dominant and nondominant single limb stances in trained dancers and compare those results with the single limb postural control of recreationally active college females. Methods: The study recruited 18 participants who met the set criteria for one of two groups: recreationally active females (N=10) and female dancers (N=8). …

The (Dis)Advantages Of Device Free Time: A Mixed -Methods Digital Detox Study, Sandrah Burrill

Longwood Senior Theses

Digital detox practices are periods of device restriction, reduction, or abstinence aimed to seek improvements in the negative outcomes associated with frequent device use. There are numerous gaps in digital detox literature including unsustainable periods of detox, imprecise definitions of digital detox, a lack of investigation into mediating mental health constructs, no collection of participant-driven qualitative data, and a failure to control for compensatory behaviors. Gaps like these could account for continued mixed findings in areas like anxiety, depression, and life satisfaction, salient to mental well-being. The present study aims to further parse the role that device-free time plays in …

Costimulatory Domains In Chimeric Antigen Receptor T Cells Alter Serial Killing Efficacy Against Pediatric Rhabdomyosarcomas And Osteosarcomas, Kristen Wilkins

Longwood Senior Theses

Chimeric antigen receptor (CAR) T cell therapy is a new promising therapy for hematopoietic malignancies. However, CAR T cells have yet to be successful in the treatment of solid tumors, including pediatric osteosarcoma and rhabdomyosarcoma. Changing the structure of CAR T cell receptors has been considered as a way to enhance the targeting of solid tumors. One method of changing the structure of CAR T cells is by changing the costimulatory domain. Inclusion of various costimulatory domains may alter many functions of CAR T cells, including serial killing, which is an important function needed to overcome the immunosuppressive microenvironment of …

Multigenerational Consequences Of Environment And Loss On Maternal Behavior, Anxiety, Boldness, And Memory In Rats, Alayna Palamar

Longwood Senior Theses

Maternal behavior has long been studied for the implications it presents for offspring outcomes. In the present study, we examined the interplay between the positive effects of environmental enrichment and the negative consequences of loss – defined as a 50% litter cull – on both mothers and their offspring. In this multigenerational study, maternal Sprague Dawley rats were separated into one of four of the following conditions: enriched/control, enriched/loss, standard/control, and standard/loss. Maternal rats (P generation) were assessed using the following behavioral assays: Elevated Plus Maze (EPM) for anxiety-like behavior and boldness, Object Location Maze (OLM) for spatial memory, and …

Peripheral Ameloblastoma: Case Report And Literature Review, Anna Cappell Cooper Ba, Daria Vasilyeva Dds, Khanh Trinh Dmd, Elizabeth Philipone Dmd

The New York State Dental Journal

Peripheral ameloblastoma is a benign, painless, and slow-growing odontogenic tumor, which commonly affects gingival soft tissues or edentulous alveolar areas. Peripheral ameloblastoma is typically found during the 5th to 7th decades of life, with a mean patient age of 52 years, and exhibits a male predilection. Histopathology features are consistent with those of conventional ameloblastoma. The treatment of choice is conservative surgical excision with minimal disease-free margins and appropriate follow-up.

Guiding Our Implants: Using Dynamic Surgical Guidance To Maximize Predictability, Shane Endres Dds, Ma, Ryan Schure Dds, Msc, Frcd

The New York State Dental Journal

Dynamic surgical guidance (DSG) is a recent advance in implant dentistry, used in an effort to maximize the efficiency and predictability of implant surgeries. A study, conducted by Navigate Surgical Technologies using the Inliant system, was undertaken in Toronto, Canada to analyze the success and accuracy of this technology. Twenty-three implants placed in twenty-two subjects were examined. The results showed that implant placement using Inliant was extremely accurate when compared to the pre-surgical plan. Additionally, there were no significant errors or deviations in implant placement. The study concluded with the Food and Drug Administration of the United States granting safety …

Everyone Deserves A Dental Home, Loren C. Baim Dds

The New York State Dental Journal

With knowledge and preparation, dental practices should be able to accommodate the growing population of people on the autism spectrum.

Advancing Farmworkers’ Rights: An Environmental Justice Approach, Jessica Gilbert-Overland, Cassandra Bocanegra

Global Citizenship Pedagogy Community

In this workshop, we employ an environmental justice lens to examine the issues and working conditions that farmworkers experience in Western New York (WNY) and across the state more generally. Specifically, we delve into questions related to the ways that farmworkers in our region experience and access land, as well as the connections between today’s industrialized food system and farmworkers’ rights. Through discussion and art, we will interrogate related power dimensions, the health implications of climate change, and the impacts of neocolonial state, federal, and international policies that perpetuate unjust working conditions and enable ongoing resource extraction and enclosure. Together, …

Diagnostic Stewardship To Improve Patient Outcomes And Healthcare-Associated Infection (Hai) Metrics., Harjot K. Singh, Kimberly C. Claeys, Sonali D. Advani, Yolanda Ballam, Jessica Penney, Kirsten M. Schutte, Christopher Baliga, Aaron M. Milstone, Mary K. Hayden, Daniel J. Morgan, Daniel J. Diekema

Manuscripts, Articles, Book Chapters and Other Papers

Diagnostic stewardship seeks to improve ordering, collection, performance, and reporting of tests. Test results play an important role in reportable HAIs. The inclusion of HAIs in public reporting and pay for performance programs has highlighted the value of diagnostic stewardship as part of infection prevention initiatives. Inappropriate testing should be discouraged, and approaches that seek to alter testing solely to impact a reportable metric should be avoided. HAI definitions should be further adapted to new testing technologies, with focus on actionable and clinically relevant test results that will improve patient care.

Workers' Rights Front And Center, Lance Plunkett Jd, Llm

The New York State Dental Journal

New York City takes lead in codifying employee rights and employer obligations.

Prevalence And Risk Factors Of Hikikomori In Young Adults In The Middle East, Harshil Paresh Shah

Theses

Hikikomori, a form of severe social withdrawal that can occur without the presence of any other psychological disorder, was once thought to be a Japanese culture-bound phenomena. However, studies have emerged from several parts of the world showing that this may be a global issue. Extant literature suggests associations between hikikomori and behavioral addictions such as gaming addiction and Problematic Social Media Use (PSMU). Since there is a relative paucity of research examining this phenomenon in the Middle Eastern context, this study aimed to determine the prevalence and risk factors of hikikomori in young adults of the Middle East. It …

An Intelligent Framework Towards Fully Autonomous Driving Fueled By Smart Roads, Muhammad Jalal Khan

Dissertations

Autonomous Vehicles (AVs) are transforming next-generation autonomous mobility. These vehicles promise to increase road safety, improve traffic efficiency, reduce vehicle emissions, and enhance overall mobility. They achieve higher levels of Autonomous Driving (AD) by integrating sensors, communication technologies, computation, and Artificial Intelligence (AI). Apart from these advancements, significant gaps remain in integrating heterogeneous technologies and disciplines essential for optimizing AD. Therefore, the current solution approaches lack the capability to exploit intelligent road infrastructures and effectively orchestrate perceptual services for complex driving scenarios. The main objective of this dissertation is to address these challenges by proposing a novel end-to-end intelligent framework …

Common Gynecologic Emergencies In Radiology, Jackson Ritchey, Elizabeth Craig

Aurora GME

No abstract provided.

Nondelegation And The Legislative Versus Administrative Exactions Divide: Why Legislatively Imposed Exactions Do Not Require A More Searching Standard Of Review, Hunter Dominick

Fordham Law Review

As the United States continues to grow and urbanize, local governments have tried to manage this growth to mitigate the external impacts that new developments can cause. One method by which state and local governments seek to control growth within their borders is by imposing conditions on the issuance of building permits—otherwise known as exactions. Exactions, however, face federal constitutional limits under the Takings Clause of the Fifth Amendment, which applies to state and local governments through the Fourteenth Amendment.

In Nollan v. California Coastal Commission and Dolan v. City of Tigard, the U.S. Supreme Court restricted exactions in …

April 2024 News Releases, University Of Montana--Missoula. Office Of University Relations

University of Montana News Releases, 1928, 1956-present

No abstract provided.

Improving Early Design Processes With The Use Of Bim And Vr Technologies In The Gcc Construction Industry, Mohamed Wahid Mohamed

Theses

The early stages of construction projects play a crucial role in determining the outcome of the entire project life cycle. However, conventional early design practices have been facing significant challenges and limitations in recent times. These challenges include a lack of coordination among various disciplines, communication gaps, and poor decision-making. Unfortunately, these challenges often lead to increased costs, project delays, and change orders. To tackle these challenges, it is essential to adopt the latest technological advancements in the construction industry. This is especially important given the complexity of modern construction projects and the rapid construction growth. One of the most …

Friction Stir Welding Of Tube-To-Tubesheet And Spot Joints For Virgin And Recycled Thermoplastic Materials, Syed Haris Iftikhar

Dissertations

Thermoplastic materials are becoming popular, due to their chemically inert and anti-fouling properties, for use in industrial heat exchanger applications involving heating/cooling of highly reactive fluids like acids. A novel non-conventional joining framework, based on the Friction Stir Welding (FSW) technique, is developed to create high-quality thermoplastic Tube-to-Tubesheet Joints (TTJs). The proposed technique has applications in the thermoplastic shell-and-tube heat exchanger and piping industries (as flange-to-pipe joints). The primary objective is to study the feasibility of the FSW technique for developing thermoplastic TTJs, followed by optimization of the process parameters and detailed material characterizations. This work used workpieces (tube, tubesheet) …

2024 Spring Vol. 41 No. 1, Alumni Affairs School Of Medicine

Medicinews

No abstract provided.

Innominate Artery Pseudoaneurysm From A Salter-Harris Fracture Of The Sternoclavicular Joint, Emily Y Fan, Santiago Abrill Zegarra, Jennifer Walker, Errol Mortimer, Jessica P Simons

Faculty, Staff and Student Publications

Fractures and dislocations of the sternoclavicular joint (SCJ) are uncommon, accounting for <5% of all shoulder girdle injuries. They are relatively more common in the pediatric population than in the adult population and can often present concurrently as a posteriorly displaced medial clavicular dislocation with a fracture through the unfused physis. It is especially important to recognize this injury, because its management and potential sequelae are very different from those for fractures of the clavicle shaft. This type of injury frequently requires closed or open operative management because fracture-dislocation of the SCJ can be associated with potentially serious complications such as pneumothorax, brachial plexus injury, vagus nerve injury, tracheal injury, and vascular compromise. Few case reports describe fracture-dislocation of the SCJ resulting in vascular injuries. We describe the case of a 17-year-old boy who sustained a blunt hockey injury resulting in a right physeal fracture-dislocation of the SCJ causing an innominate artery pseudoaneurysm. This was treated with excision of the pseudoaneurysm, bovine pericardial patch angioplasty repair of the innominate artery, and open reduction and internal fixation of the medial clavicular physeal fracture.

Influenza Incidence, Lineages, And Vaccine Effectiveness Estimates In Lima, Peru, 2023, Juan Gonzalo Acevedo-Rodriguez, Carlos Zamudio, Noah Kojima, Fiorella Krapp, Pablo Tsukayama, Victor Giancarlo Sal Y Rosas Celi, Dante Baldeon, Carmen Stefany Neciosup-Vera, Carlos Medina, Elsa Gonzalez-Lagos, Laura Castro, Ashley Fowlkes, Eduardo Azziz-Baumgartner, Eduardo Gotuzzo

Faculty, Staff and Student Publications

No abstract provided.

Experiences Of Using The Mindset Self-Management Mobile Health App Among Hispanic Patients: Results Of A Qualitative Study, Refugio Sepulveda, Jenny Chong, Ross Shegog, Kimberly Martin, Charles Begley, Robert Addy, Omar Rosales, Tomas Nuño, Shiela Soto, Cecilia Rosales, David Labiner

Faculty, Staff and Student Publications

BACKGROUND: Interventions focusing on epilepsy self-management (ESM) are vital for promoting the health of people living with epilepsy. E-technology and mobile health (mHealth) tools are becoming increasingly integrated into practice to promote self-management strategies for chronic diseases, enhance care delivery, and reduce health disparities. Management Information and Decision Support Epilepsy Tool (MINDSET), a bilingual decision support tool (available in English and Spanish), was found to be both feasible and effective in facilitating goal-based ESM in the clinic.

PURPOSE: To assess the experience of using MINDSET as an ESM intervention among Hispanic patients with epilepsy to inform future interventional studies.

METHODS: …

Does A Reduction In Receiving Assistance With Daily Activities Among Older Adults In Mexico Indicate An Increase In Unmet Needs Or A Decrease In Needs For Care?, Brian Downer, Rafael Samper-Ternent, Philip Cantu, Matthew Miller, Rebeca Wong

Faculty, Staff and Student Publications

OBJECTIVES: The percentage of older adults in Mexico with difficulty completing activities of daily living (ADL) who receive assistance from family appears to be decreasing. We compared 2 birth cohorts of older adults in Mexico to investigate whether this trend reflects an increase in unmet caregiving needs or a decrease in the need for care.

METHODS: We selected Mexican Health and Aging Study participants aged 60-76 in 2001 (n = 4,805) and 2018 (n = 6,494). ADL tasks were dressing, walking, bathing, getting in and out of bed, and toileting. Participants who reported difficulty with an ADL were asked if …

The Dementia Care Study (D-Care): Recruitment Strategies And Demographic Characteristics Of Participants In A Pragmatic Randomized Trial Of Dementia Care, Mia Yang, Rafael Samper-Ternent, Elena Volpi, Aval-Na'ree Green, Maya Lichtenstein, Katy Araujo, Pamela Borek, Peter Charpentier, James Dziura, Thomas M Gill, Rebecca Galloway, Erich J Greene, Kristin Lenoir, Peter Peduzzi, Can Meng, Jordan Reese, Amy Shelton, Eleni A Skokos, Jenny Summapund, Erin Unger, David B Reuben, Jeff D Williamson, Alan B Stevens

Faculty, Staff and Student Publications

INTRODUCTION: Pragmatic research studies that include diverse dyads of persons living with dementia (PLWD) and their family caregivers are rare.

METHODS: Community-dwelling dyads were recruited for a pragmatic clinical trial evaluating three approaches to dementia care. Four clinical trial sites used shared and site-specific recruitment strategies to enroll health system patients.

RESULTS: Electronic health record (EHR) queries of patients with a diagnosis of dementia and engagement of their clinicians were the main recruitment strategies. A total of 2176 dyads were enrolled, with 80% recruited after the onset of the pandemic. PLWD had a mean age of 80.6 years (SD 8.5), …

Potential Impact Of Annual Vaccination With Reformulated Covid-19 Vaccines: Lessons From The Us Covid-19 Scenario Modeling Hub, Sung-Mok Jung, Sara L Loo, Emily Howerton, Lucie Contamin, Claire P Smith, Erica C Carcelén, Katie Yan, Samantha J Bents, John Levander, Jessi Espino, Joseph C Lemaitre, Koji Sato, Clifton D Mckee, Alison L Hill, Matteo Chinazzi, Jessica T Davis, Kunpeng Mu, Alessandro Vespignani, Erik T Rosenstrom, Sebastian A Rodriguez-Cartes, Julie S Ivy, Maria E Mayorga, Julie L Swann, Guido España, Sean Cavany, Sean M Moore, T Alex Perkins, Shi Chen, Rajib Paul, Daniel Janies, Jean-Claude Thill, Ajitesh Srivastava, Majd Al Aawar, Kaiming Bi, Shraddha Ramdas Bandekar, Anass Bouchnita, Spencer J Fox, Lauren Ancel Meyers, Przemyslaw Porebski, Srini Venkatramanan, Aniruddha Adiga, Benjamin Hurt, Brian Klahn, Joseph Outten, Jiangzhuo Chen, Henning Mortveit, Amanda Wilson, Stefan Hoops, Parantapa Bhattacharya, Dustin Machi, Anil Vullikanti, Bryan Lewis, Madhav Marathe, Harry Hochheiser, Michael C Runge, Katriona Shea, Shaun Truelove, Cécile Viboud, Justin Lessler

Faculty, Staff and Student Publications

BACKGROUND: Coronavirus Disease 2019 (COVID-19) continues to cause significant hospitalizations and deaths in the United States. Its continued burden and the impact of annually reformulated vaccines remain unclear. Here, we present projections of COVID-19 hospitalizations and deaths in the United States for the next 2 years under 2 plausible assumptions about immune escape (20% per year and 50% per year) and 3 possible CDC recommendations for the use of annually reformulated vaccines (no recommendation, vaccination for those aged 65 years and over, vaccination for all eligible age groups based on FDA approval).

METHODS AND FINDINGS: The COVID-19 Scenario Modeling Hub …

The Influence Of Home Versus Clinic Anal Human Papillomavirus Sampling On High-Resolution Anoscopy Uptake In The Prevent Anal Cancer Self-Swab Study, Jenna Nitkowski, Timothy J Ridolfi, Sarah J Lundeen, Anna R Giuliano, Elizabeth Y Chiao, Maria E Fernandez, Vanessa Schick, Jennifer S Smith, Bridgett Brzezinski, Alan G Nyitray

Faculty, Staff and Student Publications

Background Anal cancer disproportionately affects sexual and gender minority individuals living with HIV. High-resolution anoscopy (HRA) is an in-clinic procedure to detect precancerous anal lesions and cancer, yet prospective data on factors associated with HRA attendance are lacking. We examined whether anal HPV sampling at home versus in a clinic impacts HRA uptake and assessed HRA acceptability. Methods Sexual and gender minority individuals were randomised to home-based self-sampling or clinical sampling. All were asked to attend in-clinic HRA 1year later. We regressed HRA attendance on study arm using multivariable Poisson regression and assessed HRA acceptability using χ 2 tests. Results …

Differential Effects Of Type 2 Diabetes Treatment Regimens On Diabetes Distress And Depressive Symptoms In The Glycemia Reduction Approaches In Diabetes: A Comparative Effectiveness Study (Grade), Jeffrey S Gonzalez, Ionut Bebu, Heidi Krause-Steinrauf, Claire J Hoogendoorn, Gladys Crespo-Ramos, Caroline Presley, Aanand D Naik, Shihchen Kuo, Mary L Johnson, Deborah Wexler, Jill P Crandall, Anne E Bantle, Valerie Arends, Andrea L Cherrington

Faculty, Staff and Student Publications

Objective: We evaluated whether adding basal insulin to metformin in adults with early type 2 diabetes mellitus (T2DM) would increase emotional distress relative to other treatments.

Research design and methods: The Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE) of adults with T2DM of < 10 years' duration, HbA1c 6.8-8.5%, and taking metformin monotherapy randomly assigned participants to add insulin glargine U-100, sulfonylurea glimepiride, the glucagon-like peptide-1 receptor agonist liraglutide, or the dipeptidyl peptidase 4 inhibitor sitagliptin. The Emotional Distress Substudy enrolled 1,739 GRADE participants (mean [SD] age 58.0 [10.2] years, 32% female, 56% non-Hispanic White, 18% non-Hispanic Black, 17% Hispanic) and assessed diabetes distress and depressive symptoms every 6 months. Analyses examined differences at 1 year and over the 3-year follow-up.

Results: Across treatments, diabetes distress (-0.24, P < 0.0001) and depressive symptoms (-0.67, P < 0.0001) decreased over 1 year. Diabetes distress was lower at 1 year for the glargine group than for the other groups combined (-0.10, P = 0.002). Diabetes distress was also lower for liraglutide than for glimepiride or sitagliptin (-0.10, P = 0.008). Over the 3-year follow-up, there were no significant group differences in total diabetes distress; interpersonal diabetes distress remained lower for those assigned to liraglutide. No significant differences were observed for depressive symptoms.

Conclusions: Contrary to expectations, this randomized trial found no evidence for a deleterious effect of basal insulin on emotional distress. Glargine lowered diabetes distress modestly at 1 year rather than increasing it. Liraglutide also reduced diabetes distress at 1 year. Results can inform treatment decisions for adults …

Does Emotional Distress Predict Worse Glycemic Control Over Time? Results From The Glycemia Reduction Approaches In Diabetes: A Comparative Effectiveness Study (Grade), Andrea L Cherrington, Ionut Bebu, Heidi Krause-Steinrauf, Claire J Hoogendoorn, Gladys Crespo-Ramos, Caroline Presley, Aanand D Naik, Ashok Balasubramanyam, Michaela R Gramzinski, Tina Killean, Valerie L Arends, Jeffrey S Gonzalez

Faculty, Staff and Student Publications

Objective: To evaluate whether baseline levels of depressive symptoms and diabetes-specific distress are associated with glycemic control in Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE), a large randomized controlled trial comparing the metabolic effects of four common glucose-lowering medications when combined with metformin in individuals with type 2 diabetes mellitus (T2DM).

Research design and methods: The primary and secondary outcomes were defined as an HbA1c value ≥7%, subsequently confirmed, and an HbA1c value >7.5%, subsequently confirmed, respectively. Separate Cox proportional hazards models assessed the association between baseline levels of each exposure of interest (depressive symptoms measured with …