Digital Commons Network^™

Group Concept Mapping To Develop A Salon-Based Hpv Self-Collection Intervention, Kelly N B Palmer, Namoonga M Mantina, Adebola Adegboyega, Itunu O Sokale, Kathleen Pryor, Azaria Suero-Davis, Trevon Brooks, Jennifer Hatcher

Faculty, Staff and Students Publications

Background: Black women in the US face higher cervical cancer mortality rates due to delayed diagnoses linked to lower screening rates. Contributing factors include provider bias, costs, and limited access, particularly affecting women aged 40-64. While innovative approaches like clinical and home-based HPV self-collection exist, equitable dissemination remains challenging. Distributing HPV self-collection kits in unconventional sites like hair salons may offer a solution. Using concept mapping, we gathered community insights to design a salon-based cervical cancer screening intervention.

Methods: We employed groupwisdom™ and REDCap platforms for community-based participatory intervention development. Participants included members of the Black Community Advisory Council of …

Transoral Robotic-Assisted Removal Of A Submucosal Pyriform Sinus Foreign Body, Elisabeth Wenneker, Rebecca Doctor, Ari Schuman, Adam Szymanowski, Ray Wang

Faculty, Staff and Students Publications

Background: Submucosal foreign bodies of the medial pyriform sinus represent a challenge given limited visualization and difficult retraction with endoscopic approaches, and risk of injury to the recurrent laryngeal nerve with open approaches. Transoral robotic surgery (TORS) offers improved visualization and multiple working arms to facilitate retraction. We present a novel case utilizing the Da Vinci SP system for removal of an embedded fishbone of the medial pyriform sinus.

Results: An 84-year-old woman presented with five days of odynophagia and globus sensation after swallowing a fish bone. Non-contrast computed tomography scan revealed a 3.0 cm submucosal object within the post-cricoid …

Screening For Diabetes After Solid Organ Transplantation: A 10-Year Retrospective Study, Ridwan B Ibrahim, Sneha Kumar, Sahil Malik, Joseph A Spinner, Daniel H Leung, Sridevi Devaraj

Faculty, Staff and Students Publications

Post-transplantation diabetes mellitus (PTDM) is a common and important complication after solid organ transplantation, affecting long-term outcomes. Graft rejection, decreased patient survival, infections and increased cardiovascular risk are associated with PTDM and may arise from both transplant-related and traditional risk factors. Early screening for PTDM is crucial for early detection and management. Despite clinical guidelines recommending regular screening for PTDM, screening rates remain suboptimal. This retrospective study analyzes PTDM screening rates between January 2014-January 2024 among pediatric kidney, liver, heart and lung transplant recipients at a large quaternary academic pediatric transplant center. PTDM screening rates vary by organ type, with …

Plasma Metabolomic And Proteomic Signatures Of Blood Pressure Management After Bariatric Surgery Among Adolescents, Shudi Pan, Zhenjiang Li, Juan Pablo Lewinger, Jesse A Goodrich, Hongxu Wang, Sarah Rock, Carmen Chen, Todd M Jenkins, Stephanie Sisley, Stephen R Daniels, Douglas I Walker, Max T Aung, Erika Garcia, Rob Mcconnell, Sandrah P Eckel, Michele A La Merrill, Tanya L Alderete, Zhuanghua Chen, Frank D Gilliland, Thomas H Inge, David V Conti, Justin R Ryder, Lida Chatzi

Faculty, Staff and Students Publications

Background: Emerging omics approaches, including metabolomics and proteomics, can be integrated into obesity treatment for better blood pressure management. We tested whether preoperative metabolomic and proteomic profiles predict long-term elevated blood pressure (EBP) changes better than known risk factors in adolescents undergoing bariatric surgery.

Methods: We included 108 participants from the Teen-LABS (Teen-Longitudinal Assessment of Bariatric Surgery). Plasma untargeted metabolomics (via liquid chromatography with high-resolution mass spectrometry) and Olink proteomics were assessed pre surgery. An elastic net model with stability selection was used to identify features predictive of EBP reductions 5 years post surgery. Models including identified metabolites, proteins, and …

Vaccine Hesitancy At Nine Community Sites Across The United States, Early In Covid-19 Vaccine Rollout, Aneeka Ratnayake, Julie H Hernandez, Jessica Justman, Jason E Farley, Yael Hirsch-Moverman, Ken Ho, Stockton Mayer, Abiodun Oluyomi, Magdalena E Sobieszczyk, Shobha Swaminathan, Timothy Skalland, Jean De Dieu Tapsoba, Patricia J Kissinger

Faculty, Staff and Students Publications

Background: Vaccine hesitancy has been a significant concern throughout the COVID-19 pandemic. Vaccine hesitancy can be attributed to lack of confidence in vaccines, complacency about the health threat, or lack of convenience of vaccination. To date, few studies have used methods designed to include populations underrepresented in research when identifying factors associated with vaccine hesitancy.

Methods: Between January and July 2021, potential participants were recruited from community venues selected through time-location sampling in 15 defined communities in the United States. Study staff administered a questionnaire on demographics, COVID-19 behaviors and attitudes, and vaccination status or intention to consenting individuals. Vaccine …

Sleep-Disordered Breathing Subtypes And Future Diet Quality In The Multi-Ethnic Study Of Atherosclerosis, Kaitlin S Potts, Cecilia Castro-Diehl, Tianyi Huang, Alexis C Wood, Jerome I Rotter, Stephen S Rich, Tamar Sofer, Susan Redline, Heming Wang

Children’s Nutrition Research Center Staff Publications

Objectives: Sleep-disordered breathing (SDB) and diet quality impact cardiometabolic disease, but few studies have examined if SDB influences diet quality. This study estimated the association between SDB subtypes (with and without sleepiness) and future diet quality in the Multi-Ethnic Study of Atherosclerosis.

Methods: Probable SDB was characterized by self-reported physician-diagnosed sleep apnea (PDSA) or habitual snoring and subtyped by presence or absence of sleepiness. A food frequency questionnaire measured diet 1.6 years before, and 7.8 years after SDB assessment. Diet quality was measured with the Alternate Healthy Eating Index-2010 (AHEI). Mean differences in AHEI at follow-up by SDB subtypes were …

From Bladder To Brain: How You Know When It’S Time To Go, Anne M J Verstegen, Kara L Marshall

Duncan NRI Faculty and Staff Publications

The decision to urinate relies on assessing bladder fullness and context to determine an appropriate time and place to go. Any disruption in this interoceptive process results in frequent and sometimes debilitating consequences in daily life. Recent work has uncovered key pathways and brain regions that contribute to the sense of bladder stretch and the control of urinary reflexes, but many open questions remain. Here, we review the known mechanisms that convey sensory information from the bladder to the brain and back down again, and we highlight the knowledge gaps and opportunities for better understanding this system, which will be …

Association Of Area Deprivation Index With Perinatal And Covid-19 Outcomes During The Early Pandemic: A Secondary Analysis Of A Prospective Cohort Study, Abigail Bell, Megan Foeller, Candice Woolfolk, Emily Diveley, Fan Zhang, Amy Scheffer, Ruizhi Huang, Daniel Jackson, Nandini Raghuraman, Ebony Carter, Indira U Mysorekar, Jeannie C Kelly

Center on Aging Staff Publications

Objective: We sought to evaluate the relationship between neighborhood-level deprivation and perinatal outcomes, particularly preterm birth, as well as COVID-19 outcomes among pregnant patients during the early pandemic.

Methods: We performed a secondary analysis of a prospective longitudinal cohort study that investigated the impact of prenatal COVID-19 exposure on perinatal outcomes. Pregnant patients were recruited 12/23/20-7/18/22 and serially assessed for COVID-19 exposure during pregnancy, with serum antibody testing, electronic medical record review, and patient report. For this secondary analysis, address at the time of delivery was used to categorize patients into low ADI (≤50th percentile Area Deprivation Index, indicating low …

Framerate Sensitivity And Cinemagoing Explain The Soap Opera Effect Of Films: A Preregistered Study Of Undergraduate Students In Singapore., Sonny Rosenthal, Benjamin J. Li

Research Collection College of Integrative Studies

The soap opera effect is an unsettling feeling that some individuals experience while watching films at a high framerate. It has received little scholarly attention, and most explanations of it are speculative or anecdotal. Drawing on the mere exposure effect, this preregistered laboratory experiment provides new evidence of framerate sensitivity and cinemagoing as explanatory factors of the soap opera effect. Undergraduate students (N = 270) reported their cinemagoing and completed a novel task to measure their framerate sensitivity. They also completed a task indicating their framerate preferences. Those with a higher framerate sensitivity and more regular cinemagoing preferred the standard …

Public Views Towards Lifespan, Healthspan, And Healthy Longevity Medicine In Singapore: A Qualitative Study From The Healthy Longevity (Helo) Initiatives, Belinda Wang, Anna Szucs, Elena Sandalova, Zhi Meng Lim, E. J. Horberg, Paul A. O’Keefe, Louis Island, Sonny Rosenthal, Andrea B. Maier

Research Collection College of Integrative Studies

Introduction: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the Healthy Longevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.Results: Thirty-six participants (mean age = 49.4 …

An Assessment Of The Viva Callesj September 2025 Event In San José, Richard Kos, Adam Cohen

Mineta Transportation Institute

Viva CalleSJ is an open-streets initiative where several miles of the City of San José’s streets are closed to vehicular traffic, allowing residents to walk, bike, scooter, and skate freely. This report evaluates the Viva CalleSJ event held in San José on September 7, 2025, which attracted more than 150,000 participants. Using a mixed-methods approach, this evaluation examines aspects such as attendance, activities, modal access, and economic impacts, utilizing data from participant surveys (in English, Spanish, and Vietnamese), interviews, and observational analysis. The findings indicate that the Viva CalleSJ September 2025 event was largely successful in achieving its objectives, including …

Exploring Electric Bicycle Safety Performance Data And Policy Options For California, Asha Weinstein Agrawal, Kevin Fang

Mineta Transportation Institute

This study was conducted as directed by California Senate Bill 381 (2023), which called for research to help policymakers develop effective laws and policy to support the twin goals of expanding electric bicycle use and protecting the safety of electric bicycle riders and other road users. The three major strands of findings presented in this report are (1) a review of how California and other states (and countries) regulate electric bicycle use, (2) a review of the electric bicycle safety literature, including original analysis of primary data on crashes, injuries, and deaths, and (3) strategies that the state could adopt …

The Influence Of Body Mass Index On Tumor Treating Fields Therapy In Patients With Metastatic Non-Small Cell Lung Cancer: A Post-Hoc And Simulation Analysis From The Phase Iii Lunar Study, Christian Rolfo, David E Gerber, Rupesh Kotecha, Jeffrey P Ward, Wallace Akerley, Lukas Weiss, Ariel Naveh, Nadav Shapira, Ticiana Leal, Corey J Langer, Lunar Study Investigators

2020-Current year OA Pubs

INTRODUCTION: In the phase III LUNAR study, overall survival (OS) with PD-(L)1 inhibitor or docetaxel was improved by adding Tumor Treating Fields (TTFields) therapy in patients with metastatic non-small cell lung cancer progressing on/after platinum-based therapy. This post-hoc analysis evaluated the effects of body mass index (BMI) on TTFields delivery.

METHODS: OS was assessed in LUNAR patients with BMI <  25 kg/m

RESULTS: In the BMI <  25 kg/m

CONCLUSIONS: In this post-hoc analysis, we found no difference in OS benefit of TTFields therapy between patients with BMI <  25 kg/m

Rhinovirus C15 Infection Induces Airway Epithelial Cell Remodeling And Robust Inflammatory Responses: Potential Implications For Airway Obstruction In Children, Yiran Li, Shilpi Singh, Hannah L Briggs, Jordan E Kreger, Alex L Sliwicki, Emily L Eberhardt, Shiuhyang Kuo, Jessica A Czapla, J Kelley Bentley, Heidi R Flori, Amjad Horani, Steven L Brody, Marc B Hershenson

2020-Current year OA Pubs

Despite recognition of rhinovirus-C (RV-C) as a cause of severe respiratory exacerbations, little is known about the pathogenesis of RV-C infections. We infected mucociliary-differentiated primary tracheobronchial epithelial cells with RV-C15 or RV-A16. Initial RNASeq data showed that, compared to RV-A16, RV-C15 decreased expression of genes related to ciliary function while increasing expression of genes associated with mucus secretion and inflammation. Using different airway epithelial cell isolates, we confirmed greater reduction in DNAI2 and FOXJ1 (regulates production of motile cilia) and increased FOXA3 (regulates mucin -related gene expression) after RV-C15 infection compared to RV-A16. Similarly, nasal swab samples from children with …

Trainee Perspectives On Diversity, Equity, And Inclusion: A Group Concept Mapping Study, Nicholas Szoko, Ana Radovic, Jennifer E Wolford, Loreta Matheo, Orquidia Torres

2020-Current year OA Pubs

Growing work highlights the importance of diversity, equity, and inclusion (DEI) initiatives in graduate medical education. Few studies have employed participatory research approaches to solicit trainee perspectives related to DEI. Our goal was to utilize group concept mapping (GCM), a mixed-methods participatory research approach, to describe resident perspectives on DEI within a large pediatric residency program. To organize and represent their perspectives on DEI, trainees completed brainstorming, sorting/rating, and interpretation activities in accordance with GCM methodology. Activities occurred via two synchronous discussion sessions (brainstorming and interpretation) and an electronic survey (sorting/rating). Items from the brainstorming session were sorted (i.e. grouped …

Final Quarterly Operations And Maintenance Report Butte Treatment Lagoon System – First Quarter 2024, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Approval Letter For The Final Butte Priority Soils Operable Unit (Bpsou) Butte Treatment Lagoons (Btl) Groundwater Treatment System Quarterly Operation And Maintenance Report – Quarter 2 2024 (Dated August 19, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Comment Letter For The Butte Priority Soils Operable Unit (Bpsou) Butte Treatment Lagoons (Btl) Groundwater Treatment System Quarterly Operation And Maintenance Report – Quarter 2 2025 (Dated September 30, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Approval Letter For The Butte Priority Soils Operable Unit Clark Tailings Consolidated Waste Management Area 2019-2023 Data Summary Report And Response To Epa Comments (Dated September 24, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Draft Final 2022 Insufficiently Reclaimed Sites Sampling: Bres No. 16 Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Draft Final 2022 Insufficiently Reclaimed Sites Sampling: Bres No. 96 – Washoe Dump Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Revised Draft Final 2022 Unreclaimed Sites Sampling: Ur-06 Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Primary Care Physicians Prescribe Fewer Expensive Combination Medications Than Dermatologists For Acne: A Retrospective Review, Noah Keime, Oliver Titus, Monika Ziogaite, Jeremy Hugh, Lisa M. Schilling, Robert P. Dellavalle, Sarah J. Billups

Student Publications

Background: Many dermatologic medications are available as expensive combination products, though their lower-cost, generic components are available. Underutilization of these cheaper replacements is common and influenced by several factors, including prescriber's knowledge and disease severity.

Objective: To characterize differences in prescribing patterns for high- vs lower-cost dermatologic agents for acne between dermatologists and primary care physicians (PCPs).

Methods: Using an administrative insurance claims database, IQVIA PharMetrics Plus for Academics, we identified medication claims between January 01, 2017, and June 30, 2022. Inclusion criteria were claims for high-cost medications and lower-cost alternatives for patients diagnosed with acne. We excluded patients without …

Worth The Risk? Standardized Screening To Identify Substance Use Among Patients Before Surgery, Samantha Cooley, Mark C. Bicket, Hanan Mohammed, Yenling Lai, Sarah Evilsizer, Chad M. Brummett, Jennifer F. Waljee

Student Publications

Objective:

We sought to compare the identification of unhealthy substance use before surgery using Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS), a standardized 4-item instrument, versus routine clinical documentation in the electronic medical record (EHR).

Background:

Over 20% of individuals exhibit unhealthy substance use before elective surgery. Routine EHR documentation is often based on nonstandard questions that may not fully capture the extent of substance use and are subject to bias. In contrast, brief standardized screening could provide a more efficient and systematic approach.

Methods:

We conducted a cross-sectional study among adults (≥18 y) at a preoperative clinic …

Effect Of The Debrief Component Of The Experiential Learning Model On Attitudes Of 4-H Camp Participants, Creenna Bocksnick

Graduate Theses and Dissertations

This study examined the effect of the debrief/reflection component of the Experiential Learning Model on attitudes of 5 - 12-year-olds (n = 58) and 13 - 15-year-old (n = 22) campers attending a three-day camp session during summer 2022. The 5- 12-year-old campers engaged in canoeing/paddleboarding, archery, rock climbing, leather crafting, and fishing. The 13 - 15-year-old campers engaged in canoeing/paddleboarding, rock climbing/giants ladder, high ropes course, and noodle boat races. Both groups of campers were randomly assigned in approximately equal numbers to either a no-debrief (control) or de-brief (treatment) group. For each camp activity the control group completed a …

Increasing Soil Health In Zero-Grade, Flood-Irrigated Rice In Eastern Arkansas, Hannah Elizabeth Vickmark

Graduate Theses and Dissertations

In an effort to build and maintain soil health and sequester soil C, many producers and researchers are turning towards regenerative management practices in agricultural systems, such as reduced tillage or no-tillage (NT), the implementation of winter cover crops (CC), and the use of organic or green manures, such as biochar. However, little research is being conducted on the long-term soil health and agronomic benefits of these practices in a flood-irrigated rice (Oryza sativa L.) production system. Three replications of seven treatment combinations were applied to 6.1 x 30.5 m rice plots. Baseline soil health properties were quantified at six …

Design And Development Of A Multi-Port Solid State Circuit Breaker Based On Half Bridge Sic Mosfets, Yannal Nawafleh

Graduate Theses and Dissertations

This thesis investigates multi-port solid-state circuit breaker (M-SSCB) architectures that reduce steady-state conduction losses while preserving microsecond-class DC fault interruption and per-port selectivity. The proposed M-SSCB consolidates protection for several node interfaces into a single assembly with shared sensing, control, and a common energy-absorption branch. In normal operation, two electrically symmetric parallel semiconductor paths are established so each port’s current divides approximately in half; because conduction loss scales with current squared, the M-SSCB achieves ≈75% reduction in on-state loss relative to a conventional anti-series SiC path without increasing device count. During fault handling, the coordinated controller detects the local over-current, …

Towards Vision-Brain Understanding At Scales: From Classical To Quantum Machine Learning Approaches, Xuan-Bac Nguyen

Graduate Theses and Dissertations

In recent years, large-scale learning approaches such as unsupervised and self-supervised learning have revolutionized artificial intelligence. These methods enable machines to learn high-level representations without explicit human supervision, achieving remarkable success across vision, language, and multimodal tasks. However, such advances come at a cost—they rely on massive datasets, billions of parameters, and extensive computational resources. Despite these achievements, artificial systems still fall short of the remarkable learning efficiency of the human brain, which can infer, adapt, and generalize from limited experiences. This gap motivates a deeper exploration of how biological intelligence acquires knowledge and how these principles can inspire the …

Two Topics In Survival Analysis: Restricted Distance Covariance Test For Non-Proportional Hazard And A New Estimation For Dropout Rate, Ruizhe Yin

Graduate Theses and Dissertations

When treatment effects change over time, standard statistical methods, such as the log-rank test and the Cox proportional hazards model, may give misleading results. This dissertation presents the restricted distance covariance (rdcov) test, a nonparametric method that compares survival curves between groups within a chosen study period [0, τ] using right censored data. The statistic measures the dependence between pre-specified group labels and survival times using pairwise distances from Kaplan-Meier estimates. Our method does not rely on the proportional hazards assumption, and it equals zero only when survival functions are identical across groups. Thus, this test can be applied to …

Using Color And Fluorescent Spectrometry As A New Rapid Cleaning Verification Method In Poultry Processing Plants, Clark Griscom

Graduate Theses and Dissertations

The poultry industry is expected to be growing at 3% in the total global market with the U.S. being the largest producer of poultry meat. Poultry processing plants are expected to produce 140 birds per minute with the potential of up to 175 birds per minute to meet the market demand. With the growing market and need for faster production, maintaining food safety needs to be a priority to ensure the safety of consumers. Over 9.9 million foodborne illness cases are reported each year in the United States. A change in food safety is needed, and one area lacking is …