Digital Commons Network^™

Senior Long-Term Care In Tennessee, Trends And Options, Tennessee. Comptroller Of The Treasury.

Office of Research and Education Accountability

No abstract provided.

Passengers’ Deviant Behavior Mapping In Duri Train Station, Ahmad Zubair, Widyawati Sumadio, A.R.Z Putri

Jurnal Geografi Lingkungan Tropik (Journal of Geography of Tropical Environments)

The lack of train station facilities influences the passengers' deviant behavior. This paper aims to analyze the Pattern of Commuter Line passengers' behavior in Duri Station. In collecting data regarding the passengers' behavior, we observed the passengers using the Place Centeres Mapping method. This observation technique aims to understand how people utilize or accommodate their behavior at a particular time and location in the train station. This research model is divided into two stages. The first stage consists of observation and semi-structured interviews with the passengers. The second stage examines the passengers' behavior based on location within the train station. …

Dean's Research Newsletter, April 2022, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

The Impact Of Nutrition Literacy And Neighborhood On Diet Quality In The Mexican Origin Population, Sylvia Pena

Dissertations (1934 -)

Introduction: Diet quality is a critical component in achieving optimal health outcomes. A poor diet can lead to various health complications including obesity, heart disease, and diabetes. Hispanic individuals have been found to have higher rates of obesity; therefore, it is critical that variables impacting diet quality be examined in this population. Available literature concerning nutrition literacy, neighborhood and diet quality have not been specific to subgroups of the Hispanic population, therefore, identifying how these factors influence the Mexican origin population is needed. The aim of this dissertation was to better understand the impact of nutrition literacy and neighborhood on …

Popular Information: An Analysis Of Foi Use And Behavior, A.Jay Wagner

College of Communication Faculty Research and Publications

A substantial amount of freedom of information research exists, though a majority is focused on U.S. laws' outcomes and FOI's shortcomings. But little is known about who makes requests and why requests are made in the United States. The exploratory study addresses these gaps via a nationally representative survey across key demographic variables of 1116 U.S. residents. Analysis found advanced education to be a strong, positive predictor of FOI familiarity and request submission. Malegender and a belief that FOI improves government accountability were also found to be significant predictors of FOI knowledge and use. The survey sampled U.S. residents, but …

The Dangers Of Being Old In Rural Tanzania: A Call For Interventions For Strengthening Palliative Care In Low-Income Communities, Kahabi Isangula

School of Nursing & Midwifery, East Africa

Tanzania is currently implementing political reforms that, with time, are expected to improve quality of life among individuals regardless of their age. This improvement in quality of life, consequently prolonged life expectancy implies that the aging population will significantly increase in a few years to come. Research projects that the number of people aged 60 years and above will increase from the current 4- percent to 10-percent of the total population by 2050 (United Republic of Tanzania, 2003; Kivelia and Kirway, 2011; Morrissette andWane, 2012). The projected increase suggests that the older population will be at a disadvantage because majority …

Perceptions And Knowledge Towards Covid-19 Vaccine Hesitancy Among A Subpopulation Of Adults In Kenya: An English Survey At Six Healthcare Facilities, Jasmit Shah, Abdulaziz Mansur Abeid, Karishma Sharma, Soraiya Manji, Jamila Nambafu, Robert Korom, Keya Patel, Rajiv Patel, Reena Shah, Sayed Karar

Brain and Mind Institute

Background: Vaccine hesitancy, as defined by the WHO, is the reluctance or refusal to vaccinate despite the availability of vaccines and is one of the ten threats to global health in 2019. Vaccine hesitancy remains a complex matter influenced by multiple factors, especially in sub-Saharan Africa.

Methods: We conducted a cross-sectional study between November 2021 and January 2022 among the general adult public seeking care at six different healthcare facilities in Kenya. The survey, in English, consisted of questions based on demographics, knowledge, and attitudes, including hesitancy towards the COVID-19 vaccine.

Results: Of the 3996 surveys collected, 55.1% were from …

Understanding The Mechanism Of Deep Learning Frameworks In Lesion Detection For Pathological Images With Breast Cancer, Wei-Wen Hsu, Chung-Hao Chen, Chang Hao, Yu-Ling Hou, Xiang Gao, Yun Shao, Xueli Zhang, Jingjing Wang, Tao He, Yanhong Tai

Electrical & Computer Engineering Faculty Publications

With the advances of scanning sensors and deep learning algorithms, computational pathology has drawn much attention in recent years and started to play an important role in the clinical workflow. Computer-aided detection (CADe) systems have been developed to assist pathologists in slide assessment, increasing diagnosis efficiency and reducing misdetections. In this study, we conducted four experiments to demonstrate that the features learned by deep learning models are interpretable from a pathological perspective. In addition, classifiers such as the support vector machine (SVM) and random forests (RF) were used in experiments to replace the fully connected layers and decompose the end-to-end …

Cyp2d6 Gene Resequencing In The Malagasy, A Population At The Crossroads Between Asia And Africa: A Pilot Study, E Ricky Chan, Rajeev K. Mehlotra, Karim A Pirani, Arsene C. Ratsimbasoa, Scott M. Williams, Andrea Gaedigk, Peter A. Zimmerman

Manuscripts, Articles, Book Chapters and Other Papers

Background: Plasmodium vivax malaria is endemic in Madagascar, where populations have genetic inheritance from Southeast Asia and East Africa. Primaquine, a drug of choice for vivax malaria, is metabolized principally via CYP2D6. CYP2D6 variation was characterized by locus-specific gene sequencing and was compared with TaqMan™ genotype data. Materials & methods: Long-range PCR amplicons were generated from 96 Malagasy samples and subjected to next-generation sequencing. Results: The authors observed high concordance between TaqMan™-based CYP2D6 genotype calls and the base calls from sequencing. In addition, there are new variants and haplotypes present in the Malagasy. Conclusion: Sequencing unique admixed populations provides more …

Facilitators And Barriers To Pediatric Clinical Trial Recruitment And Retention In Rural And Community Settings: A Scoping Review Of The Literature., Sara E. Watson, Paul Smith, Jessica Snowden, Vida Vaughn, Lesley Cottrell, Christi A. Madden, Alberta S. Kong, Russell Mcculloh, Crystal Stack Lim, Megan Bledsoe, Karen Kowal, Mary Mcnally, Lisa Knight, Kelly Cowan, Elizabeth Yakes Jimenez

Manuscripts, Articles, Book Chapters and Other Papers

Children in rural settings are under-represented in clinical trials, potentially contributing to rural health disparities. We performed a scoping review describing available literature on barriers and facilitators impacting participation in pediatric clinical trials in rural and community-based (nonclinical) settings. Articles identified via PubMed, CINAHL, Embase, and Web of Science were independently double-screened at title/abstract and full-text levels to identify articles meeting eligibility criteria. Included articles reported on recruitment or retention activities for US-based pediatric clinical studies conducted in rural or community-based settings and were published in English through January 2021. Twenty-seven articles describing 31 studies met inclusion criteria. Most articles …

Linguistic Justice In Peer Tutoring, Emily Livingston

School of Education and Leadership Student Capstone Projects

Academic standards in higher education often require students to conform to Standard American English language practices—a linguistically unsound approach to language use that can be harmful to multilingual and multidialectal learners. Peer tutors in Writing and Tutoring Centers often find themselves enforcing these standards without reflection. This capstone project addressed the following questions: How have the monolingual language policies of the U.S. education system encouraged linguistic biases? How might linguistic biases lead to inequitable outcomes for multilingual students? What training and education can be provided to peer tutors to critically reflect on and begin to address these inequities while tutoring …

Teachers Of Color And American Indian Teachers In Suburban Schools: Retaining Through Resilience And Community Cultural Wealth, Dua Yang

School of Education and Leadership Student Capstone Projects

The capstone question in this paper was: How can a Community Cultural Wealth (CCW) Model be used to develop the resilience, resistance, and retention of Teachers of Color and American Indian Teachers (TOCAITs) in suburban school districts? The paper addressed the contextual challenges in the suburban school districts and ways to retain Teachers of Color and American Indian Teachers (TOCAITs) in this context. The literature reviewed how suburban school districts responded to demographic shifts. It highlighted issues around systems and practices that were colorblind and inequitable to the diverse learners it served. In addition, these contextual problems were connected to …

How Do Schools Assess And Deliver Effective Professional Development To Mainstream Teachers With A Focus On Supporting Multilingual Learners?, Michelle Tornga

School of Education and Leadership Student Capstone Projects

A significant educational concern in the state of Minnesota is that there is a substantial achievement gap between native English speakers and Multilingual Learners (MLLs). Despite implementation of federal (ESSA) and state legislation (LEAPS Act) designed to address this issue, an achievement gap still persists and Minnesota educators continue to struggle to support MLLs academically. This capstone project uses a synthesis from a literature review and the creation of a website, survey and pre-selected curated professional development resources in order to answer the question: How Do Schools Assess and Deliver Effective Professional Development to Mainstream Teachers With a Focus on …

Best Practices To Improve English Language Acquisition For High School El Students Who Have Experienced Trauma, Hannah Sundermeyer

School of Education and Leadership Student Capstone Projects

English Learner students are a rapidly growing subset of the U.S. student population with unique strengths and needs compared to their monolingual peers. My experiences as an EL teacher with secondary EL students who have experienced trauma led to my capstone question: what best practices can be used for high school EL students who have been impacted by trauma to build their English language acquisition? While there is a plethora of research on EL students and on trauma, there is little research connecting the two topics. However, research demonstrates a number of proven strategies to help EL students and students …

The Impact Of French Cultural Beliefs And The French Philosophy Of Eating On The Structure Of Lunch In French Public Schools, Colline Roland

School of Education and Leadership Student Capstone Projects

The purpose of this capstone is to explore the guiding question of how the French cultural beliefs of food impact public elementary school lunches in France so that administrators of French immersion schools can better understand how the French philosophy of eating directly impacts/contributes to the structure of school lunch. This capstone analyzes contemporary French culture, food and eating culture in France, school lunches, and the socialization and time structure of lunches. It illustrates how French culture has shaped the French lunchroom and the impact these elements have on the health of students. To communicate this research, this project involved …

Implicit Racial Bias And Placement Processes In Education, Alyson Sartain

School of Education and Leadership Student Capstone Projects

The awareness of implicit bias has grown significantly since 1977. Its subconscious and automatic processing effects are found to be significant factors in explicit action and attitudes in schools. There is an increased need for creating an equitable schooling experience for students in schools. Current literature suggests that there is a significance in teacher implicit racial bias in the classroom which leads to the inequity and disproportionality of exceptionality classes. A noted disproportionality in race for exceptionality classes in both Individuals with Disabilities Act and Every Student Succeeds Act urged the question: How can teachers’ recognition of their own implicit …

Developing Critical Consciousness In The English Language Arts Classroom, Benjamin Moberg

School of Education and Leadership Student Capstone Projects

Critical consciousness, first conceived by Freire (2014), and later adopted into Ladson-Billings’ (1995) culturally relevant pedagogy, supports students in understanding systemic injustice and their capacity to create change. With a specific focus on the English Language Arts discipline, the curriculum designed for this capstone incorporates a number of reading, writing, and discussion strategies to answer the research question: What are the most effective strategies for developing critical consciousness in students in the English Language Arts classroom? In this eight week curriculum, students learn to read with and against a classical text, discuss and debate the ideologies underpinning the text, and …

The Benefits Of Incorporating Comprehensive Sex Education Into A Curriculum As Early As Kindergarten, Emma Laughlin

School of Education and Leadership Student Capstone Projects

Research has demonstrated that there are a variety of benefits that students, schools, and communities experience when comprehensive sex education is implemented. These benefits include positive changes in student mental and sexual health, positive changes in violence reduction amongst students, and positive changes in community norms. The capstone project created as a result of this research is a website that advocates for comprehensive sex education in the state of Minnesota. The website is meant to be a resource for both parents and educators to learn about comprehensive curriculum, the current sex education standards and where they are lacking, and to …

Together In Discussion: Creating Space And Inspiring Conversation To Support Underrepresented Adolescent Student Identity Development, Nicole Nicpon

School of Education and Leadership Student Capstone Projects

This capstone addresses the question: How can same-identity peer groups impact adolescent development? The paper focuses on research around adolescent identity development and exploring affinity groups and other safe spaces that are options for schools to implement. There are many different theories on adolescent identity development, social development being an important part of a teen’s identity development, but what about students that do not have peers that they can easily identify with? How can they safely explore and develop their identity? The project is a curriculum guide that helps support adolescent identity development, the curriculum is geared for high school …

Looking In To Speak Up: How White Educators Can Utilize Literacy To More Confidently And Competently Discuss Race And Racism With Early Elementary Students, Morgan Hanlon

School of Education and Leadership Student Capstone Projects

literacy to more confidently and competently discuss race and racism with early elementary students? Research indicates children are ready to begin discussing race and racism as early as three or four years old, but that educators tend to avoid these conversations assuming their students are not yet ready to handle these topics. This paper reviews literature on racism in education, understanding bias, developmental readiness, and literacy resources supporting discussions of race. The project created in connection with this research question involves a five session professional development course aimed at supporting educators in feeling more confident and competent in discussing these …

How Can Teachers Utilize A Curriculum To Expand Students’ Knowledge Of Waste Management And Change Their Waste Reduction Behaviors?, Alexis Craig

School of Education and Leadership Student Capstone Projects

Research has shown that environmental education is an important tool to develop students’ knowledge of the environment and foster more environmentally friendly behaviors (Braun et. al., 2018). Lack of education in waste management and waste reduction fields has led to confusion on where waste goes, what can be recycled, and how students’ can change their behaviors to reduce their waste footprint. This paper investigates waste management in the United States and North Dakota, and how it can be implemented into an environmental education curriculum. The curriculum designed for this project uses this information and these environmental education and behavior change …

Utilizing Experiential Education In Nature-Based Settings To Impact Pro-Environmental Behaviors, Delaney Babich

School of Education and Leadership Student Capstone Projects

Spending time in nature can have many effects on a person. I wanted to find out if one of these effects was a change in behavior regarding sustainable actions and mindsets. The research question posed for this project is: How does experiential education in a nature based setting impact pro-environmental behaviors? After researching many different forms of outdoor education and frameworks widely used in education, I decided my project would consist of an interactive activity booklet meant to be taken to a park or natural space along the Mississippi River in the Twin Cities, or the surrounding areas. I wanted …

Death Education In Environmental Education: Making Meaning From Children's Eco-Grief, Gabrielle Loisel

School of Education and Leadership Student Capstone Projects

Eco-grief, the feeling of sadness, loss, or bereavement caused by environmental degradation and destruction, is an increasingly widespread phenomenon as ecological issues such as climate change are widely acknowledged. Children, with their limited agency, are vulnerable to feelings of helplessness and may develop maladaptive coping mechanisms, while educators often struggle to discuss environmental topics that prompt negative emotions. Drawing on best practices from the field of death education, this project examines ways of making meaning and outlines a new set of best practices for environmental educators to assuage students' eco-grief as well as their own, answering the question of: How …

How Can Environmental Based Library Programming Benefit Communities?, Samantha Morrison

School of Education and Leadership Student Capstone Projects

As technology advances, and cities and population grow, there is a higher need for environmental education. Outdoor education provides many benefits in many different ways. Libraries offer free services to everyone in the community and provide the perfect opportunity to give everyone a chance to learn about the environment. This project focuses on enhancing library programming through nature based learning, asking the question How can communities benefit from environmental education focused library programming? Research shows that there are many different benefits to environmental education and exposure to nature. The literature reviews discusses how outdoor learning is good on mental and …

Decolonizing Environmental Education: A Resource Guide For Non-Indigenous Educators, Kaitlin Ziehr

School of Education and Leadership Student Capstone Projects

The field of environmental education is shaped by pervasive narratives and ideologies of settler colonialism. Many scholars cite the need for Indigenous voices and perspectives to be centered in education in order to move towards a process of decolonization, reconciliation, and support for ongoing Indigenous resurgence. In order for non-Indigenous educators to be able to guide students towards critical understanding of the history and context of land in environmental education, they must first investigate their own identity and assumptions within settler colonial society and education. This capstone project provides a resource guide in the form of a website for non-Indigenous …

Building Student Confidence: Capitalizing On Social And Emotional Skill Building In Environmental Education, Lindsay Mccord

School of Education and Leadership Student Capstone Projects

on the social and emotional learning of students, most notably building self-esteem, confidence, and independence. At a time in which children spend less time outdoors, environmental education programs provide an unique opportunity for children to engage in nature and the outdoors and reap the social, emotional, and physical benefits. The professional development materials designed for this project utilizes four identified methods for incorporating social and emotional skill building into environmental education programs, in order to capitalize on the social and emotional learning in environmental education programs. Incorporating social and emotional skill building has been central to nature preschools and forest …

Can Providing An Outdoor Education Activity Booklet That Meets State Standards Of Learning Increase Environmental Education In The Classroom?, Danielle Simmons

School of Education and Leadership Student Capstone Projects

For this capstone project an outdoor activity booklet was created to help bridge the gap between formal and informal education. In order to accomplish that, the guiding question was: Can providing an outdoor education activity booklet that meets state standards of learning increase environmental education in the classroom? This booklet is meant for students in grades kindergarten to second grade to be used at school or at home, to explore their environment while meeting Virginia standards of learning. This booklet focuses on place-based learning and goes through the five regions of Virginia using activities to guide students' learning. The booklet …

Standardized Health Data And Research Exchange (Share): Promoting A Learning Health System., Sierra Davis, Louis Ehwerhemuepha, William Feaster, Jeffrey Hackman, Hiroki Morizono, Saravanan Kanakasabai, Abu Saleh Mohammad Mosa, Jerry Parker, Gary Iwamoto, Nisha Patel, Gary Gasparino, Natalie Kane, Mark A. Hoffman

Manuscripts, Articles, Book Chapters and Other Papers

Aggregate de-identified data from electronic health records (EHRs) provide a valuable resource for research. The Standardized Health data and Research Exchange (SHaRE) is a diverse group of US healthcare organizations contributing to the Cerner Health Facts (HF) and Cerner Real-World Data (CRWD) initiatives. The 51 facilities at the 7 founding organizations have provided data about more than 4.8 million patients with 63 million encounters to HF and 7.4 million patients and 119 million encounters to CRWD. SHaRE organizations unmask their organization IDs and provide 3-digit zip code (zip3) data to support epidemiology and disparity research. SHaRE enables communication between members, …

Barriers, Access And Management Of Paediatric Epilepsy With Telehealth., Kari Gali, Sucheta Joshi, Sarah Hueneke, Alexis Katzenbach, Linda Radecki, Trisha Calabrese, Linda Fletcher, Cristina Trandafir, Carey Wilson, Monisha Goyal, Courtney J. Wusthoff, Jean-Baptist Lepichon, Rhonda Corvalan, April Golson, Jessica Hardy, Michael Smith, Elizabeth Cook, Joshua L. Bonkowsky

Manuscripts, Articles, Book Chapters and Other Papers

Access to paediatric neurology care is complex, resulting in significant wait times and negative patient outcomes. The goal of the American Academy of Pediatrics National Coordinating Center for Epilepsy's project, Access Improvement and Management of Epilepsy with Telehealth (AIM-ET), was to identify access and management challenges in the deployment of telehealth technology. AIM-ET organised four paediatric neurology teams to partner with primary-care providers (PCP) and their multidisciplinary teams. Telehealth visits were conducted for paediatric epilepsy patients. A post-visit survey assessed access and satisfaction with the telehealth visit compared to an in-person visit. Pre/post surveys completed by PCPs and neurologists captured …

Association Of Abnormal Findings On Neonatal Cranial Ultrasound With Neurobehavior At Neonatal Intensive Care Unit Discharge In Infants Born Before 30 Weeks' Gestation., Jennifer Helderman, T Michael O'Shea, Lynne Dansereau, Jennifer Check, Julie A. Hofheimer, Lynne M. Smith, Elisabeth Mcgowan, Charles R. Neal, Brian S. Carter, Steven L. Pastyrnak, Bradford Betz, Joseph Junewick, Heather L. Borders, Sheri A. Dellagrotta, Barry M. Lester

Manuscripts, Articles, Book Chapters and Other Papers

Importance: Cranial ultrasound (CUS) findings are routinely used to identify preterm infants at risk for impaired neurodevelopment, and neurobehavioral examinations provide information about early brain function. The associations of abnormal findings on early and late CUS with neurobehavior at neonatal intensive care unit (NICU) discharge have not been reported.

Objective: To examine the associations between early and late CUS findings and infant neurobehavior at NICU discharge.

Design, Setting, and Participants: This prospective cohort study included infants enrolled in the Neonatal Neurobehavior and Outcomes in Very Preterm Infants Study between April 2014 and June 2016. Infants born before 30 weeks' gestational …