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Humeral Head Retroversion On A Contemporary Skeletal Population With Known Physical Activity To Investigate The Differential Expressions Of Biological Sex, Elizabeth Hightower

Electronic Theses and Dissertations

Retroversion is an angled measurement of the humerus that is indicative of habitual overhand activity. Elevated retroversion measurements (in degrees) indicate overhand activity. Overhand activity indicates subsistence gathering from spear or atlatl throwing. Most retroversion research is conducted in populations where men perform more physically demanding labor. Therefore, bioarchaeologists are producing the same data over and over. Additionally, contemporary retroversion data is used as comparative figures. These subjects range from youth to professional baseball players, but the data on women is nearly obsolete. Bioarchaeology needs contemporary female retroversion data. Research was conducted at the University of Tennessee Knoxville where humeral …

Program Agenda 11-18-25, Angela Brock

Programs Committee (PC)

No abstract provided.

A New Model For Care: Iod Program Grad Takes Innovative Approach To Disability And Health, Romy Eberle

UNH Today Archive

No abstract provided.

Ertapenem As An Antibiotic Prophylaxis For Colectomies And Laparotomies: A Systematic Review, Stephanie Martinez Ugarte, Mokunfayo O Fajemisin, Beatriz Varman, Parker C Towns, Elias A Chamely, Renee W Green, William D Rieger, Susan H Wootton, Lillian S Kao

Library Staff Publications

Introduction: Given concerns for antibiotic resistance, broader spectrum antibiotic agents such as ertapenem are being used for pre-operative prophylaxis. We hypothesize that pre-operative ertapenem prior to laparotomies and colectomies is superior at decreasing surgical site infections (SSIs) compared with other widely used antibiotic agents.

Methods: Medline, Embase, the Cochrane Library, and Web of Science were queried for studies until February 02, 2025. Studies were excluded if they did not evaluate ertapenem as a pre-operative antibiotic prophylaxis in patients undergoing laparotomy or colectomy, the outcome was not SSIs, or it represented a review of prior publications. Three reviewers independently extracted relevant …

Two Unrelated Pseudomonas Aeruginosa Phages Require The Exopolysaccharide Psl For Infection, Kristen Amyx-Sherer, Leila C Awasthi, Amanda Zheng, Anna Johannesman, Michele Leroux, Courtney Reichhardt

2020-Current year OA Pubs

Bacteria commonly protect themselves from a variety of threats by forming biofilms, which are communities of bacteria that are tightly packed together within an extracellular matrix. Biofilm formation has generally been thought to protect bacteria from phage infection. The opportunistic pathogen Pseudomonas aeruginosa produces biofilm matrices that can contain three distinct exopolysaccharides that contribute to the difficulty in treating infected patients. Here, we demonstrate that two diverse P. aeruginosa phages have evolved to exploit this biofilm matrix to access the bacterial cells by both binding to and degrading a major biofilm exopolysaccharide, Psl. We examined the effect of these phages …

Depth-Variant Deconvolution Applied To Widefield Microscopy For Rapid Large-Volume Tissue Imaging, Daniel D Lee, Kevin A Telfer, Mark A J Koenis, Yim K Lee, Kevin W Namink, Brian T Saunders, Heyun Lee, Hailey Kelley, Heather S Ruiz, Joseph P Gaut, Gwendalyn J Randolph, Bernd H Zinselmeyer

2020-Current year OA Pubs

Innovations in 3D tissue imaging have revolutionized research, but limitations stemming from lengthy protocols and equipment accessibility persist. Widefield microscopy is fast and accessible but often excluded from 3D imaging workflows due to its lack of optical sectioning. Here we combine tissue clearing with a commercial depth-variant deconvolution approach that we optimized for large-volume widefield imaging. By implementing prefiltering with z-brick splitting, we achieve subnuclear axial resolution in tissues to a depth of 500 µm in multi-tile scan images. We illustrate the utility of this method in a model of ileitis and to gain a 3D perspective in thick brain …

Bladder Health And The Urogenital Microbiome In Community-Dwelling Adult Females, L Brubaker, D Mcdonald, S Putnam, C Brennan, C S Fok, C E Lewis, J L Lowder, M G Mueller, L M Rickey, E R Mueller, S J Song, K Rudser, R Knight, E S Lukacz, Plus Consortium

2020-Current year OA Pubs

UNLABELLED: Despite the established association with lower urinary tract symptoms, the relationship between a healthy bladder and the urogenital microbiome is unknown. This observational cohort study of 435 community-dwelling women examined bladder health and function using a validated instrument. Voided urine samples were self-collected, shipped to a repository, and underwent 16S rRNA amplicon sequencing. Two hundred seventy-four (56%) samples were retained following a limit-of-detection analysis for low biomass samples. A differential abundance analysis showed that

IMPORTANCE: There is increasing awareness that human microbiomes impact health and modulate certain health conditions. Recently, investigators developed a validated assessment of bladder health in …

Of Rollercoasters And Resilience: The Role Of Ceos’ Biases And Heuristics For Large Firms’ Technological Innovation, Cristina O. Vlas, Radu E. Vlas

International Journal of Applied Management and Technology

How do CEOs’ personality biases and motivational heuristics influence innovation in large firms? Because large-firm innovation is more common and less risky, overlooked factors—such as narcissism, self-monitoring, and promotion or prevention foci—become pivotal. Drawing on these traits, we found that narcissistic CEOs differ from self-monitoring CEOs in driving innovation. Moreover, the effect of self-monitoring CEOs depends on whether their regulatory focus is oriented toward promotion or prevention. However, this interplay between personality and motivation does not apply to narcissistic CEOs, suggesting that certain characteristics remain relatively fixed. These findings advance the understanding of how CEO traits shape large-firm innovation and …

Academic Senate - Agenda, 11/18/2025, Academic Senate

Academic Senate Agendas

No abstract provided.

The Dorsal Forearm As A Novel Target For Intramuscular Injections: Clinical Pharmacokinetic Results With Naloxone, Thomas F. Krol, Bryan G. Beutel, Carlos Fierro, Scott J. Weir

Faculty and Staff Publications

The dorsal forearm represents a potentially viable location for a convenient wearable device for the administration of intramuscular (IM) injections, but this site has not previously been formally targeted for this purpose. The objectives of this study were to administer naloxone via IM injection into the dorsal forearm, characterize the pharmacokinetic (PK) profile of this injection site, and compare it to that of a standard IM injection. The study was an outpatient, open-label, single period, single treatment, single dose proof of concept (PoC) trial in 12 healthy subjects. After screening, participants provided a time zero (pre-dose) blood sample and then …

Development Of A Low-Barrier, Reimbursable Take-Home Naloxone Program At A Regional Health System, Kory S. London, Sejal Patel, Drew Lockstein, Jamal Rashid, Dennis Goodstein, Richard Pacitti, Tareva Warrick-Stone, Frederick Randolph, Alan Cherney, Karen Alexander, Megan Reed

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

INTRODUCTION: Take-home naloxone (THN) programs in emergency departments (ED) can reduce opioid overdose deaths by providing naloxone directly to at-risk patients before discharge. However, sustainable models that integrate reimbursement and workflow alignment remain limited.

METHODS: A reimbursable ED-led THN program was developed across a large regional health system. The program used electronic health record (EHR)-integrated ordering, on-site kit dispensing, and third-party insurance billing when available. Kits were stocked in automated medication dispensing systems and supplemented by city-provided stock for uninsured patients. Pilot outcomes included kits dispensed and reimbursement rates across eight participating EDs.

RESULTS: A total of 2,520 naloxone kits …

A Decision Tree For Evaluating Generative Ai Output And Input For Bias, Debra Henline Sullivan, Christine Frazer

Biennial Convention (CONV)

Generative AI models, such as GPT-4.o, have become increasingly prevalent in various domains, from creative content generation to decision-making support. However, these models are susceptible to biases present in their training data, which can lead to biased or unfair outcomes. While various methods exist for detecting and mitigating bias in AI, there is a lack of standardized, accessible tools for systematically evaluating AI-generated content. Biases in Generative AI input (both implicit and explicit) will result in biased Generative AI output, so it is also important to analyze input. This poster presents a decision tree as a systematic tool to help …

Implementation Of A Dementia-Specific Advance Care Planning Tool: A Quality Improvement Pilot, Stephanie Nichole Johnson

Biennial Convention (CONV)

Purpose: There are 55 million cases of dementia worldwide and the cost of care for these individuals is estimated to rise to $2 trillion by 2030. Dementia-specific Advance Care Planning (ACP) can help to reduce the burdens of providing care to those diagnosed with dementia. This study sought to determine if the implementation of a dementia-specific ACP tool increases knowledge and decision-maker confidence, as well as decrease inappropriate healthcare utilization rates.

Method: At a Program for All-Inclusive Care for the Elderly (PACE), individuals diagnosed with a cognitive deficit (CD) and their surrogate decision-maker (SDM) were recruited as dyads to participate …

Nursing Education And Practice In The Afp: Responding To The Vucad National Security Threats, Darlene Dialogo Flores

Biennial Convention (CONV)

INTRODUCTION: The COVID-19 pandemic has underscored the critical importance of healthcare, revealing both the system's strengths and vulnerabilities. This study focuses on the preparedness of the Philippine healthcare workforce, particularly among military and civilian nurses in the AFP, to handle national security threats in a VUCAD environment. It evaluates whether current nursing education equips nurses with the skills needed to face complex challenges. This study emphasizes the need for holistic national security strategies and proposes enhancing nursing education to prepare for 21st-century security challenges, focusing on CBRNE, climate change, cyberattacks, and emerging viruses.

OBJECTIVES: Determine the responsiveness and relevance of …

Developing Interventions To Improve Future Age And Situation Specific Mask Wearing, John Knight, Barbara R. Medvec, Patrick Hammett

Biennial Convention (CONV)

Background: Outcomes from the COVID-19 pandemic indicate that masks lower a person’s exposure to respiratory infections. The Centers for Disease Control and Prevention (CDC) continues to recommend situation-specific mask-wearing to protect oneself from COVID-19 variants and other viruses. Yet, the clinical community continues to struggle with targeting interventions to increase the likelihood of mask-wearing when the risk of virus exposure is higher in the post-pandemic environment. In this study, we applied the Health Belief Model (HBM) to identify the attitudes and beliefs influencing mask-wearing and recommend targeted interventions for low-frequency mask wearers in CDC recommended situations.

Methods: We administered a …

A Multi-Patient Sim To Increase Exposure To Diversity And Evaluate Clinical Judgement, Elizabeth Holtel, Gina Herron, Megan Stuffle, Jennifer Remick

Biennial Convention (CONV)

Lack of readiness for practice in newly licensed Registered Nurses (RN) is not a new problem in nursing education. Existing literature demonstrates a preparation-practice gap, lack of practice readiness, and a crisis of competency in newly licensed RN. A large-scale study by Kavanagh and Szweda¹ found that only 20-24% of newly licensed nurses demonstrated acceptable levels of practice readiness. With over 10,000 assessments collected to date, the researchers note a continued decline in practice readiness with 2020 data showing only 9% of newly licensed nurses demonstrating acceptable levels². To address this gap, a multi-patient simulation-based experience (SBE) …

“They Are Having Sex!” Hbcu Students Awareness Of Sexual Risk Associated With Hiv Prevention, Tyesha Karume

Biennial Convention (CONV)

In 2020, 20% of new HIV diagnoses in the U.S. were among individuals aged 13-24 transitional age youth (TAY), with 85% being male and 54% Black/African American (CDC, 2022a). Black/African American TAY acquire HIV at disproportionately higher rates than other ethnic groups (CDC, 2023e). A study of students at Historically Black Colleges/Universities (HBCUs) revealed that women reported 2-5 sexual partners, while men reported six or more, with up to 55.5% being inconsistent in condom use (Marshall et al., 2020). Despite this, 89% of students believed their sexual behaviors posed little to no HIV risk (Okeke et al., 2021).

This project …

Faculty Advisors Perspectives Of Baccalaureate Nursing Students' Attrition: A Qualitative Study, Danielle E. Shaver, Jennifer Dunbar Viveiros, Susan Hunter Revell, Christine Ann Devine

Biennial Convention (CONV)

Background: Exploring faculty advisors' perspectives on voluntary attrition is essential to optimize resources and increase the number of nursing graduates. This qualitative study aimed to uncover nursing faculty advisors' perceptions of the extrinsic factors, intrinsic factors, and mediators that influence four-year baccalaureate students' decisions to voluntarily leave nursing programs.

Method: A qualitative descriptive design utilized Rubin and Rubin’s (2012) interviewing methodology to solicit narrative accounts from 12 experienced nursing faculty advisors in four-year baccalaureate nursing degree programs.

Results: The semi-structured interviews revealed four intrinsic themes: preparedness, fear, maturity, and personal crisis. Four extrinsic themes emerged: external motivations, interpersonal relationships, program …

Purposeful Presence: Faculty Perspectives On Social Presence In Online Learning, Thomas D. Dyer

International Journal for the Scholarship of Teaching & Learning

Social presence is a critical component of effective online education, fostering engagement, connection, and a sense of community among students and instructors. This qualitative descriptive study explored how online faculty conceptualize and operationalize social presence in their virtual classrooms. Through interviews and focus groups, faculty described practices that cultivated connection, responsiveness, and authentic interaction. The findings informed the development of the Social Presence Literacy Framework (SPLF), which offers a lens for understanding the varied ways instructors approach presence in online environments. This study provides insights for professional development and instructional design by grounding pedagogical strategies in the lived experiences of …

Influence Of A High-Impact Practice Government Course On Retention, Graduation, Gpa, And Student Integration Among First-Time-In-College (Ftic) Students, Amy L. O'Dell

International Journal for the Scholarship of Teaching & Learning

Just over half of the students who start a bachelor’s degree in the United States, fail to complete it within four years (National Center for Education Statistics, 2024). As a result, millions of people with some college no credential (SCNC) struggle with student loan debt, lower income, and the threat of default. In response, many colleges and universities are using high-impact practice (HIP) classroom pedagogy to help more students persist and graduate. This study investigated the effect of a HIP government course, known as Town Hall, on first-time-in-college (FTIC) students at a mid-sized, rural, R2 university in the southern United …

Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the incidence of central line-associated bloodstream infections (CLABSI) in the Pediatric Intensive Care Unit (PICU) by educating clinical staff on the importance of hand hygiene and bundle compliance. Despite established guidelines, CLABSI remains a significant issue in healthcare, particularly in PICUs, where patients are at higher risk for infections. The practice-focused question guiding the project was: How does staff education on hand hygiene and CLABSI bundle compliance impact the prevention of CLABSI in the PICU? Twenty-five PICU nurses participated in the educational sessions. Analytical strategies included pretests and …

Reduce Readmission Among Patients Within 60 Days Of Discharge In A Behavioral Health Unit, Iretioluwa Emmanuella Adeniran-Adetoye

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focused on a staff education initiative to reduce 60-day readmission rates in a behavioral health unit within a hospital. The project was staff focused, emphasizing the provision of training to the nursing staff to effectively design the discharge planning of patients by actively involving them in the discharge plans. The purpose was to provide nurses with the necessary skills and knowledge to strengthen discharge planning and directly influence patient outcomes. Addressing the practice problem was an urgent need because patients in the behavioral health unit were at increased risk of readmission. The main factors …

The Experiences Of African Americans Seeking Health Care Services, Sandy Latreice Sullivan

Walden Dissertations and Doctoral Studies

Health care experiences are shaped by life events and cultural background, making engagement with providers individualized. African Americans have historically reported distrust of health professionals due to targeted mistreatment. The purpose of this generic qualitative study was to explore the experiences of middle-aged African American adults receiving care from non-African American health care providers. Rosenstock’s health belief model was the framework for the study. Nine participants were recruited from social media using purposeful sampling. Data were gathered through semistructured interviews held on Zoom. Saldana’s four-step qualitative data analysis process was utilized to analyze the data. The results of the data …

African Americans’ Perceptions Of The Impact Of Childhood Community Violence And Historical Oppression On Parenting, Iyabo Adediran

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) can have detrimental impacts on lifelong functioning. Although African Americans experience disproportionately higher rates of community violence, one type of ACE, the potential long-term impacts of exposure to such violence and of historical oppression on their parenting practices in adulthood, was little understood. In this qualitative study, an ethnographic approach was used to explore African American parents’ perceptions of how early exposure to community violence (before age of 18) and the intergenerational transmission of historical oppression influenced their current parenting practices. The conceptual framework, which integrated Engel’s biopsychosocial model and Bowen’s family systems theory, provided a …

Middle-Class Black Women, The Strong Black Women Role, And Seeking Treatment For Depression, Kendra Griffin

Walden Dissertations and Doctoral Studies

This qualitative study explored how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman (SBW) role. This study investigated how middle-class Black women perceive seeking mental health treatment for depression while identifying with the Strong Black Woman role and how they interpret this role in relation to coping with depression. Guided by a social constructionist framework, the study used a qualitative design. Eight women who identified as middle-class, experienced depression, and endorsed the SBW role participated in semi-structured interviews. Braun and Clarke’s six phase thematic analysis revealed six themes: therapy as cultural …

Stigma Associated With Using Mental Health Services Among The Igbos In Nigeria, Emmanuel Okoye Sr

Walden Dissertations and Doctoral Studies

This study addressed the impact of stigma and cultural beliefs on help-seeking behaviors among the Igbo tribe in Nigeria. The importance of this issue lies in its potential to increase access to mental health services and foster well-being among Igbo community members who might be harmed by stigma and cultural barriers. The study's theoretical framework was the cultural theory of mental illness, which emphasizes how cultural values and beliefs influence how people perceive and express their mental health. This study aimed to offer guidance for interventions and programs that address mental health disparities in the Igbo community by comprehending the …

The Experience Of Modern Day Marriages For Women Who Identify As Strong Black Women, Arielle Jackson

Walden Dissertations and Doctoral Studies

The Strong Black Woman (SBW) schema has been explored during the past two decades; however, limited research has been conducted on the phenomenological experiences of Black women who identify with the characteristics of the SBW schema and their impact on Black and African American marriages. The purpose of this study was to explore the lived experiences of married African American women in modern day marriages who endorse the characteristics of the superwoman schema. This qualitative study was an interpretative phenomenological analysis and focused on the lived experiences of this population. Individual interviews of 12 married African American women who identified …

Aqueous Humor Biomarkers In Ocular Oncology: Insights And Advances, Lara Cheslow, Signe Caksa, Rachel E. Cain, Scott A. Waldman, Andrew A. Aplin

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

Ocular malignancies, though relatively rare, pose significant risks to patients' vision, quality of life, and potential for developing metastatic disease. Due to the eye's complicated and delicate anatomy, diagnosing ocular malignancy and monitoring its progression can be technically challenging. Current approaches include direct tumor biopsy, vitreous humor sampling, and imaging. However, these techniques are associated with rare, yet potentially severe, side effects and can be invasive or limited in detecting microscopic disease. Recent studies have introduced aqueous humor sampling as a promising, minimally invasive alternative to diagnose ocular malignancy, guide therapeutic management, monitor response to treatment, and track early recurrence. …

Letter From The Editors, Larissa Oliveira Pires, Selcuk Dogan, Hui Jin, Joe Pellegrino

International Journal for the Scholarship of Teaching & Learning

This letter introduces the second issue in volume 19 of the International Journal of the Scholarship of Teaching and Learning (ijSoTL). It considers the changing state of SoTL as a discipline and the factors driving those changes, then presents the articles in this issue as they represent those trends.

Ethical Tensions In The Ethics Review Of Scholarship Of Teaching And Learning Projects: Revealing Values From A Health Faculty In Aotearoa New Zealand., Amanda B. Lees, Rosemary Godbold, Simon Walters

International Journal for the Scholarship of Teaching & Learning

This study employed a case study approach to explore ethical conduct in Scholarship of Teaching and Learning (SoTL) research. Originating within biomedical research, the remit of ethics review bodies now commonly extends to assessing SoTL projects. Set within a health faculty at a university in Aotearoa New Zealand, we examined student and academic perspectives on ethical conduct in SoTL research to gauge how their values align with those who decide on ethical standards of research involving them. Drawing on reflexive thematic analysis, our findings reflect tensions between the relational and cultural values of SoTL and the biomedically based values of …