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Vol5iss4, Hca Healthcare

HCA Healthcare Journal of Medicine Covers

Cover for Volume 5 Issue 1 of the HCA Healthcare Journal of Medicine.

Why Are There So Many Definitions Of Eutrophication?, Alexandrine Pannard, Philippe Souchu, Christian Chauvin, Monique Delabuis, Chantal Gascuel-Odoux, Erik Jeppesen, Morgane Le Moal, Alain Ménesguen, Gilles Pinay, Nancy N. Rabalais, Yves Souchon, Elisabeth M. Gross

Faculty Publications

Because of the first observations in the 1900s of the oligotrophic and eutrophic states of lakes, researchers have been interested in the process that makes lakes become turbid because of high phytoplankton biomass. Definitions of eutrophication have multiplied and diversified since the mid-20th century, more than for any other ecological process. Reasons for the high number of definitions might be that the former ones did not sufficiently describe their causes and/or consequences. Global change is bringing eutrophication more into the spotlight than ever, highlighting the need to find consensus on a common definition, or at least to explain and clarify …

Key Uncertainties And Modeling Needs For Managing Living Marine Resources In The Future Arctic Ocean, Julia G. Mason, Andrea Bryndum-Buchholz, Juliano Palacios-Abrantes, Renuka Badhe, Isabella Morgante, Daniele Bianchi, Julia L. Blanchard, Jason D. Everett, Cheryl S. Harrison, Ryan F. Heneghan, Camilla Novaglio, Colleen M. Petrik

Faculty Publications

Emerging fishing activity due to melting ice and poleward species distribution shifts in the rapidly-warming Arctic Ocean challenges transboundary management and requires proactive governance. A 2021 moratorium on commercial fishing in the Arctic high seas provides a 16-year runway for improved scientific understanding. Given substantial knowledge gaps, characterizing areas of highest uncertainty is a key first step. Marine ecosystem model ensembles that project future fish distributions could inform management of future Arctic fisheries, but Arctic-specific variation has not yet been examined for global ensembles. We use the Fisheries and Marine Ecosystem Intercomparison Project ensemble driven by two Earth System Models …

Lactoferrin And Lysozyme To Promote Nutritional, Clinical And Enteric Recovery: A Protocol For A Factorial, Blinded, Placebo-Controlled Randomised Trial Among Children With Diarrhoea And Malnutrition (The Boresha Afya Trial), Ruchi Tiwari, Kirkby Tickell, Emily Yoshioka, Joyce Otieno, Adeel Shah, Barbra Richardson, Lucia Keter, Maureen Okello, Churchil Nyabinda, Indi Trehan

Paediatrics and Child Health, East Africa

Introduction: Children with moderate or severe wasting are at particularly high risk of recurrent or persistent diarrhoea, nutritional deterioration and death following a diarrhoeal episode. Lactoferrin and lysozyme are nutritional supplements that may reduce the risk of recurrent diarrhoeal episodes and accelerate nutritional recovery by treating or preventing underlying enteric infections and/or improving enteric function.

Methods and analysis: In this factorial, blinded, placebo-controlled randomised trial, we aim to determine the efficacy of lactoferrin and lysozyme supplementation in decreasing diarrhoea incidence and improving nutritional recovery in Kenyan children convalescing from comorbid diarrhoea and wasting. Six hundred children aged 6–24 months with …

Faculty Attitudes Toward The Preparation Of Baccalaureate Nursing Students For Practice In Hospital And Non-Hospital Settings, Lisa Radley

Dissertations

The ongoing nursing shortage worsened in recent years following the COVID-19 pandemic, has resulted in increasing concerns about future deficits in the nursing workforce. Many nurses are approaching retirement age at a time when the overall demand for healthcare services is expected to increase. Changes in nursing education have been recommended to ensure that the next generation of nurses are willing and prepared to meet the needs of an ageing population. Nursing faculty will have important roles in the education and mentoring of students to prepare them to care for diverse populations in a variety of practice settings. Understanding faculty …

Privacy Mismanagement: Privacy Harms, Digital Market Monopolies, And Antitrust Law, Kristie Lam

UC Law Journal

Privacy self-management fails to protect consumer privacy. In the advent of the Internet, individuals had the option to tailor how their personal data was used throughout digital markets. However, since the digital markets are dominated by a few large conglomerates, namely Meta and Google, consumers have little choice to determine how they will use the internet in the face of the blatantly decreasing quality of privacy protection. The lack of adequate privacy protections in the digital markets harms consumers and erodes democratic institutions. Given the societal ramifications of consolidated digital markets on consumers, antitrust laws are the appropriate mechanism to …

Development Of A Turning Movement Estimator, Somayeh Nazari Enjedani

Boise State University Theses and Dissertations

Turning Movement (TM) counts at intersections are crucial for several reasons. There has been extensive research on this topic throughout the history of traffic research, which reflects its importance in transportation engineering and urban planning. It can be said that one of the most significant applications of TMs is signal timing at intersections. Signal timing design requires data on the turning decisions of vehicles that travel through intersections to allow enough time for each movement at the intersection. Most of organizations around the USA are still applying traditional methods for collecting TM data, such as manual counts. These methods are …

Using Latent Variables To Improve The Management Of Depression Among Hemodialysis Patients, Douglas D. Gunzler, Martha Sajatovic, Ashwini R. Sehgal

Faculty Scholarship

Background: Screening for depression can be challenging among hemodialysis patients due to the overlap of depressive symptoms with dialysis or kidney disease related symptoms. The aim of this study was to understand these overlapping symptoms and develop a depression screening tool for better clinical assessment of depressive symptoms in dialysis patients. Methods: We surveyed 1,085 dialysis patients between March 1, 2018 and February 28, 2023 at 15 dialysis facilities in Northeast Ohio with the 9-item patient health questionnaire (PHQ-9) and kidney disease quality of life (KDQOL) instrument. To evaluate overlap across questionnaire items, we used structural equation modeling (SEM). We …

Advancing Prediction And Decision Analytics Techniques To Improve Treatment Of Tuberculosis, Maryam Kheirandish Borujeni

Graduate Theses and Dissertations

Tuberculosis (TB) remains a global health challenge, significantly impacting morbidity and mortality rates worldwide. Despite advancements in diagnosis and treatment, TB continues to pose substantial challenges, particularly in low-resource settings. This dissertation aims to develop a robust treatment monitoring framework for TB patients to ensure personalized and effective treatment using demographic and clinical information. The current standard TB treatment framework, recommended by the World Health Organization (WHO), involves monitoring patients through laboratory tests such as smear and culture sputum tests at specific time points during treatment. These tests, however, are not fast and accurate enough to determine the severity of …

Brd4 Mediates Tgf-Beta-Induced Vascular Smooth Muscle Cell Differentiation, Sana Petkar

Biotechnology Theses

Vascular smooth muscle cell (VSMC) differentiation is an essential component of vascular development. Vascular smooth muscle cells do not terminally differentiate, the regulatory factors modulate their phenotype between proliferative and differentiated states, which is a major factor contributing to vascular diseases like atherosclerosis, aneurysms, hypertension, etc. Transforming growth factor β (TGF-β) family is highly conserved in mammals and plays an essential role in VSMC differentiation. The canonical TGF-β pathway is propagated by phosphorylation of receptor-associated Smad proteins (R-Smads) following TGF-β stimulation.Bromodomain-containing protein 4 (BRD4) is a protein encoded by the BRD4 gene in humans. BRD4 is novel epigenetic modulator that …

20,000 Ft. View: An Introduction To Emergency Management, Bethany Swindell, Jamie Stacy

ATU Faculty OER Books and Materials

This book adopts a "20,000-foot view" approach, offering an essential understanding of emergency management without delving into operational specifics. It doesn't detail day-to-day practices of emergency management offices. Instead, it paints a high-level portrait of the field's core principles. This approach equips readers with a broad framework—a canvas onto which they can later add layers of specialized knowledge.

A Peek Behind The Scenes At The Making Of Three Decades Of Supreme Court Copyright Decisions, Jonathan Band

Joint PIJIP/TLS Research Paper Series

No abstract provided.

Nursing News & Views - August 2024, Joanne Miller Rn

Nursing Newsletters

Nursing News & Views - August 2024

Cutting Propagation Of 'Coy' Alder-Leaf Mountain Mahogany, Asmita Paudel, Youping Sun, Atanda Samuel Oladejo

Plants, Soils, and Climate Faculty Publications

‘Coy’ alder-leaf mountain mahogany (Cercocarpus montanus) is a new cultivar developed from a species native to the western United States with potential for use in xeriscaping, rock gardens, and water-efficient landscaping. However, efficient propagation methods are not well developed for it. In this study, cutting propagation of ‘Coy’ alder-leaf mountain mahogany was investigated over 3 years to evaluate the effects of wounding method, rooting hormone, type of cuttings collected, and time for cutting collection on rooting. In May, Jul, and Sep 2020, 2021, and 2022, nondormant hardwood subterminal cuttings and/or semihardwood terminal cuttings were collected for wounding studies. …

Tremblings, August 2024, Western Aspen Alliance

Tremblings

Function over form: the benefits of aspen for Greater Sage-grouse

Michel T. Kohl, Associate Professor of Wildlife Management and Wildlife Extension Specialist, University of Georgia

David Dahlgren, Associate Professor and Rangeland Wildlife Extension Specialist, Utah State University

Sage-grouse, and their elaborate springtime breeding displays, are an icon of Western landscapes. Yet, sage-grouse (a sagebrush obligate species) have been facing decades-long declines due to the loss of habitat. Historically, the species ranged across 13 western states and two Canadian provinces. Today, they occur across < 50% of that range, and abundance has declined 80% since 1965 and almost 40% since 2002. Despite this, it was determined in 2015 that the sage-grouse did not warrant Endangered Species protection due to the strength of wide-spread collaborative conservation actions.

Detection Of Cryptosporidium Spp. In Surface Water And Tissues Of Bivalves In Waterways Of Coney Island, New York (Usa), Manasvi Patel

Biochemistry and Molecular Biology

Combined sewer overflows (CSOs) are major sources of pollutants such as microbial pathogens, total suspended solids (TSS), oxygen depleting substances, toxicants, and nutrients. Untreated wastewater contains parasites like Giardia, Cryptosporidium and Entamoeba which impact human health. Cryptosporidium is the leading cause of diarrheal diseases which spreads through contaminated water supplies. Our research on Coney Island in Brooklyn investigated the amount of Cryptosporidium oocysts found in the water and bivalves/shellfish tissue and to supports a parallel study examining both people's use of waterways around Coney Island (for religious ceremonies, fishing, foraging, swimming, etc.) and their perceptions of how polluted the …

Scaling Up, Sustaining, And Enhancing School-Based Sexuality Education Programs In Resource-Constrained And Conservative Contexts: Replicable Lessons From Positive-Deviant Countries, Chandra Mouli, Michielsen Kristien, Gogoi Aparajita, Nair M, Ziauddin Mohammed, Hadi S, Ijaz A, Rubio Auriolesh, Marleen Temmerman

Centre of Excellence in Women and Child Health

Despite considerable efforts, progress in the implementationof sexuality education (SE) has been uneven. This study identi-fied six “positive-deviant” low- and middle-income countries,i.e., countries that had scaled up, sustained and enhancedtheir SE programs when many others—in similar social, cul-tural and economic circumstances—were not able to do so. Inother words, they were significantly and consistently moresuccessful than the norm. Countries were shortlisted using avalidated framework and were analyzed using three other vali-dated frameworks on political priority setting, scaling up, andstakeholder engagement. The study found that India, Pakistan,Nigeria, Senegal, Mexico, and Uruguay had scaled up (eithernationwide or in some states/provinces), sustained andenhanced their …

Assessment Of Inquiry-Based Learning Practice In Response To The Science Achievement Gap Of City Schools, Lexus K. Baxendale,

Masters Theses

Over the past few decades, many city schools have seen a decline in graduation rates, attendance, rates, and standardized test scores. Once high achieving schools, are now struggling to get students to attend school let alone graduate. One specific area that has experienced this decline is K-12 science education. As a secondary science educator working within a city district, I have witnessed firsthand the substantial gaps in knowledge that many students exhibit even as they transition into high school. These gaps are often profound and can be traced back to the early stages of their education, where foundational scientific concepts …

A Design Thinking Mixed Method Study On Social-Emotional Learning Lessons For Early Elementary Learners, Emily Woodall

Dissertations

Social emotional learning (SEL) had largely been absent from early elementary curriculum, despite research which indicated the need for specialized SEL curricula for unique groups, especially students identified as gifted and talented, exceptional students living in geographically isolated areas, and unidentified gifted students from historically disadvantaged minority groups, including African American, Latinx, and Native American. The researcher proposed an SEL pilot in early elementary grades, including pre-kindergarten and kindergarten, may create a scaffolded approach to SEL curricula throughout the students’ educational experiences with a focus on scaffolding to specific subgroups, such as gifted and talented students with unique SEL needs. …

Acute Effects Of Multi-Joint Eccentric Exercise On Lower Extremity Muscle Activation Measured During Land And Water Walking, Brayden Worley

All Graduate Reports and Creative Projects, Fall 2023 to Present

Although prior literature has established the preliminary clinical benefits of aquatic exercise across various clinical populations, there is a need to explore the potential for including aquatic-based movement as a key component of a multi-modal approach toward improving mobility and reducing fall risk. Eccentric exercise may complement aquatic exercise given that movements performed in water immersion tend to be low impact. Eccentric exercise may also improve the passive stiffness of lower extremity extensors, which gives an additional rationale for the potential of eccentric exercise to reduce fall risk when combined with aquatic exercise. There may also be an acute response …

Token Economies And Implementation In General Education Classrooms, Ana Kesler

All Graduate Reports and Creative Projects, Fall 2023 to Present

Previous studies have shown the positive effects token economies can have on student behavior. The current project examined the implementation and effects on student behavior of creating a tier two behavior intervention system based on student preferences for reinforcers and using token economies in a general education first grade classroom. Based on the Assessment portion of the project, five students would benefit from a token economy behavior intervention system. The author collaborated with general education school personnel to design and implement a token economy for each of the students. Using the token economy with preferred reinforcers positively impacted four of …

The Community Connections Of St. John's Episcopal Church, Connor Murphy

All Graduate Reports and Creative Projects, Fall 2023 to Present

St. John's has been an institution that stands for service and community in Logan, Utah for the past 150 years. During this time, many things have changed, but some have stayed the same. The goals of this exhibit are to show both the changes and consistent features of St. John's in its history and to share the story of a church that has done so much for the community. The attached paper is meant to engage with the academic community and the linked exhibit and digital archive collection is meant to provide a resource to the public where they can …

Desire As A Framework For Adaptation: Examining Aku No Hana As An Unconventional Adaptation Of Les Fleurs Du Mal, Zoe Dalley

All Graduate Reports and Creative Projects, Fall 2023 to Present

In this project, I began by arguing that the 2009 to 2014 manga series Aku No Hana by author and artist Shūzō Oshimi should be considered an unconventional adaptation of the 19th century collection of poems Les Fleurs Du Mal by French poet Charles Baudelaire. I then turned my analysis to the practice of adaptation more broadly, using desire, a central theme to both of my chosen primary texts, as my lens through which I examined some of the central complexities and paradoxes inherent to adaptation, such as the simultaneous expectation of textual faith and a new authorial vision. I …

Evaluating The Cost Of Gain And Financial Returns Of Cattle Fed Hydroponically Produced Barley Fodder, Lex Peterson

All Graduate Reports and Creative Projects, Fall 2023 to Present

Hydroponically produced fodder continues to garner attention as a feed source within livestock production. This attention in part is due to a belief that hydroponically produced fodder is more efficient in its use of inputs such as water when compared to conventional feeds. Water efficiency is especially appealing in areas like the Intermountain West region of the U.S where water availability is often constrained. This analysis looks to understand how using hydroponically produced barley fodder to finish steers compares economically to finishing steers on a nutritionally equivalent conventional finishing ration. To do so, a stochastic simulation model is constructed to …

Analyzing Market Dynamics: Effects On Quality Grade Premiums And Discounts For Alfalfa Hay, Colby Wilkins

All Graduate Reports and Creative Projects, Fall 2023 to Present

This paper looks at how market strength affects the price premiums and discounts associated with alfalfa hay quality grades. Previous research has mainly focused on how attributes of alfalfa hay influence the price received. In this study, we use ordinary least squares linear regression and visual data representations to examine the effects of market strength on price received in conjunction with hay quality. The results demonstrate that during periods of relatively high average prices of alfalfa hay there is no significant impact on the average premiums and discounts associated with hay quality. However, during periods of relatively low average prices, …

Advertising The West: The History Of La Fiesta De Los Vaqueros, Monique Davila

All Graduate Reports and Creative Projects, Fall 2023 to Present

In February 1925, Tucson celebrated the first La Fiesta de Los Vaqueros with a three-day rodeo that ended with a huge parade through the city center. Created by Philadelphia-born and new resident of Tucson Frederick Leighton Kramer and other Tucson city boosters, the event became an annual fiesta with the hopes of not only promoting Tucson and a fundraiser for the University of Arizona’s newly established polo team, but also a way to share Kramer’s newfound enthusiasm for Tucson’s beauty and history. However, the history the fiesta presented centered around the Anglo-American pioneers of southern Arizona. This approach ignored the …

Contrastive General Graph Matching With Adaptive Augmentation Sampling, Jianyuan Bo, Yuan Fang

Research Collection School Of Computing and Information Systems

Graph matching has important applications in pattern recognition and beyond. Current approaches predominantly adopt supervised learning, demanding extensive labeled data which can be limited or costly. Meanwhile, self-supervised learning methods for graph matching often require additional side information such as extra categorical information and input features, limiting their application to the general case. Moreover, designing the optimal graph augmentations for self-supervised graph matching presents another challenge to ensure robustness and effcacy. To address these issues, we introduce a novel Graph-centric Contrastive framework for Graph Matching (GCGM), capitalizing on a vast pool of graph augmentations for contrastive learning, yet without needing …

A Learned Generalized Geodesic Distance Function-Based Approach For Node Feature Augmentation On Graphs, Amitoz Azad, Yuan Fang

Research Collection School Of Computing and Information Systems

Geodesic distances on manifolds have numerous applications in image processing, computer graphics and computer vision. In this work, we introduce an approach called 'LGGD' (Learned Generalized Geodesic Distances). This method involves generating node features by learning a generalized geodesic distance function through a training pipeline that incorporates training data, graph topology and the node content features. The strength of this method lies in the proven robustness of the generalized geodesic distances to noise and outliers. Our contributions encompass improved performance in node classification tasks, competitive results with state-of-the-art methods on real-world graph datasets, the demonstration of the learnability of parameters …

Maximizing Supply Chain Performance Leveraging Machine Learning To Anticipate Customer Backorders, Abdulrahim Ali, Raja Jayaraman, Elie Azar, Maher Maalouf

Industrial Engineering: Faculty & Staff Publications

No abstract provided.

Decision-Making Under Risk: When Is Utility-Maximization Equivalent To Risk-Minimization?, Francesco Ruscitti, Ram Sewak Dubey, Giorgio Laguzzi

Department of Economics Faculty Scholarship and Creative Works

Motivated by the analysis of a general optimal portfolio selection problem, which encompasses as special cases an optimal consumption and an optimal debt-arrangement problem, we are concerned with the questions of how a personality trait like risk-perception can be formalized and whether the two objectives of utility-maximization and risk-minimization can be both achieved simultaneously. We address these questions by developing an axiomatic foundation of preferences for which utility-maximization is equivalent to minimizing a utility-based shortfall risk measure. Our axiomatization hinges on a novel axiom in decision theory, namely the risk-perception axiom.