Digital Commons Network^™

Enrollment Management Strategies At Rural Community Colleges Resulting From The Pandemic, Robin C. Daniel, Mitchell R. Williams, Kim E. Bullington

Educational Leadership & Workforce Development Faculty Publications

Higher education institutions around the world were impacted by the COVID-19 pandemic that began in early 2020. Because U.S. community colleges focus on two-year degrees and workforce development, they were affected differently than their four-year counterparts. This study examined how academic administrators at different rural community colleges in Virginia, United States, perceived enrollment management practices that were implemented or changed due to the pandemic. This sequential explanatory study's first phase was quantitative and measured mid- to senior-level administrators' views of how the pandemic affected their colleges' enrollment management practices. The second qualitative phase resulted in five themes surrounding COVID-related enrollment …

Dismantling The Master's House: A Decolonial Blueprint For Internationalization Of Higher Education, Bhavika Sicka, Minghui Hou

Educational Leadership & Workforce Development Faculty Publications

While critical scholars have attempted to decenter internationalization, limited research has aimed to understand internationalization efforts in the context of the socio-historical particularities of the postcolonial condition. This paper takes a decolonial perspective in the study of internationalization, in light of the Eurocentric tendencies of modernity, whose major manifestation in higher education is neoliberal globalization. We unpack internationalization in the U.S. and examine how it is embedded in and reproduces neoliberalism, racism, and colonialism. Since decolonization is not merely deconstructive but also regenerative, we reconceive what it means to be international and recommend how internationalization can be deployed as a …

[Review Of The Book Neo-Nationalism And Universities: Populists, Autocrats, And The Future Of Higher Education, By J.A. Douglas], Bhavika Sicka

Educational Leadership & Workforce Development Faculty Publications

Neo-nationalism and Universities, a collection of essays edited by John Aubrey Douglass, explores the effects of the global phenomenon of neo-nationalism on the behaviors, roles, and values of major universities. The book's contributing authors, diverse and seasoned voices in higher education, illustrate how nationalisms of the past have taken on new configurations, ranging from nascent populism to autocratic regimes, across contexts such as the U.S., UK., Hungary, Poland, Turkey, China, Russia, and Brazil. Through grounded national and pan-national examinations, the chapters shed light on how neo-nationalist parties and leaders have domesticated universities, weaponized science, and curtailed dissent to service …

Perspectives On Teacher Leadership: Implications For Practice And Teacher Leadership Development, Jennifer Thomason, Karen L. Sanzo, Jay Paredes Scribner

Educational Leadership & Workforce Development Faculty Publications

Teacher leaders are valuable members of the school community. However, there is little existing research that explores how teacher leaders shape and enact their roles. In this article we explore how teacher leaders come to understand their role, as well as how principals and other school colleagues interact with teacher leaders and the ways in which those interactions support teacher leader role development. These findings have significant implications in helping us understand how to help teacher leaders develop in their role and the ways in which leaders can foster teacher leadership growth.

Exploring The Role Of Family-School Partnerships In School Choice, Jason E. Saltmarsh

Educational Leadership & Workforce Development Faculty Publications

Parental access to useful information about schools continues to be a structural barrier that limits the equity potential of school choice programs. While “information interventions” or simplified and readable knowledge resources show promise for counteracting information disparities between families, this line of research has provided limited insight on the particular preferences and needs of parents or the value of person-to-person interpretive assistance in school decisions. This exploratory study uses qualitative methods to investigate parent-school collaboration for the purpose of school selection in Washington, D.C. Drawing on a social capital framework, this study analyzes information transactions from parents’ perspectives to clarify …

Social Emotional Learning And Its Framework For Technology Education, Virginia R. Jones, Daniel L. Trent

Educational Leadership & Workforce Development Faculty Publications

Social Emotional Learning (SEL) is a key construct for engagement in technology education learning at the undergraduate level. The sample population for this applied research study is two higher education institutions, one located in the Mississippi Delta with a predominately homogenous population of rural, African American students and the other in West Virginia, with a predominant population of rural Caucasian students. The students were enrolled in technology education-based courses and participated in the research study survey to assess their social emotional learning and their overall college success and engagement. The findings of this very limited sample size showed that undergraduate …

Sexuality And Gender Inclusivity In Victim Service Providers' Information Materials, Shon M. Reed

Sociology & Criminal Justice Faculty Publications

[Introduction] Intimate partner violence (IPV)[1] is a serious social problem which impacts people from all walks of life. National estimates indicate that roughly two in five women and men will experience physical violence at the hands of an intimate partner during their lifetime (Leemis et al., 2022). While this high frequency of violence across gender groups is a serious concern, statistics show that IPV victimization is extremely high in LGBTQ+ population (Messinger, 2017; Walters et al., 2013). Victimization rates are particularly pronounced when it comes to the transgender population where estimates show that roughly half of the transgender population has …

Multiple Sclerosis Followed By Neuromyelitis Optica Spectrum Disorder: From The National Multiple Sclerosis Society Case Conference Proceedings, Carolyn Goldschmidt, Steven L. Galetta, Robert P. Lisak, Laura J. Balcer, Andrew Hellman, Michael K. Racke, Amy E. Lovett-Racke, Roberto A. Cruz

School of Medicine Publications

A woman presented at age 18 years with partial myelitis and diplopia and experienced multiple subsequent relapses. Her MRI demonstrated T2 abnormalities characteristic of multiple sclerosis (MS) (white matter ovoid lesions and Dawson fingers), and CSF demonstrated an elevated IgG index and oligoclonal bands restricted to the CSF. Diagnosed with clinically definite relapsing-remitting MS, she was treated with various MS disease-modifying therapies and eventually began experiencing secondary progression. At age 57 years, she developed an acute longitudinally extensive transverse myelitis and was found to have AQP4 antibodies by cell-based assay. Our analysis of the clinical course, radiographic findings, molecular diagnostic …

Learning A Healthy Rhythm: An Intervention To Increase Children’S Resources For Stress Management, Kristin Haglund, Amanda L. King, Abir K. Bekhet, Mauricio Garnier-Villarreal, Karen Olson, Rashs Atshan, Angela Ortiz, Johanna De Los Santos, Ruth Ann Belknap

College of Nursing Faculty Research and Publications

This article describes a pilot test of a community engaged, culturally relevant, arts-based intervention. The purpose was to increase children’s personal protective buffering resources. Protective buffering resources help children cope with stressful stimuli, reduce activation of their systemic stress response, mitigate allostatic load, and promote optimal health. The “Learning a Healthy Rhythm” intervention included a stress management component and an ongoing Afro-Latino percussion program for 18 children ages 9–11. The stress management component included educational content about stress, self-assessment of stress symptoms, and stress management techniques. A mixed-method intervention evaluation design was used. Qualitative data, quantitative data, and biometrics including …

Theoretical Substruction Of Resilience Theory: Dementia Caregivers' Burden And Their Care Recipients' Behavior, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Theoretical substruction is vital in clarifying models and guiding research. In this article, the process of theoretical substruction was examined through resilience theory to provide an example of the congruence between theoretical and operational definitions in nursing research. The author examines the significance of resilience theory in the context of dementia caregivers’ burden and their care recipients’ behavioral problems. The steps of theoretical substruction are included, and a model of resilience is presented that includes middle-range concepts, relational statements, and propositions derived from the research literature. The rigorous process of theoretical substruction provides an example of a theoretically sound basis …

Patient Engagement, Involvement, Or Participation -- Entrapping Concepts In Nurse-Patient Interactions: A Critical Discussion, Teresa Jerofke-Owen, Georgia Tobiano, Ann C. Eldh

College of Nursing Faculty Research and Publications

The importance of patients taking an active role in their healthcare is recognized internationally, to improve safety and effectiveness in practice. There is still, however, some ambiguity about the conceptualization of that patient role; it is referred to interchangeably in the literature as engagement, involvement, and participation. The aim of this discussion paper is to examine and conceptualize the concepts of patient engagement, involvement, and participation within healthcare, particularly nursing. The concepts were found to have semantic differences and similarities, although, from a nursing perspective, they can be summoned to illustrate the establishment of a mutual partnership between a patient …

Lived Experiences Of American Adults Who Survive Covid-19: Implications For Physical Activity And Interpersonal Stress, Linda B. Piacentine, Hannah C. Barbosa, Kristin Haglund, Lauren Opielinski, Sandra K. Hunter, Paula E. Papanek, Marie K. Hoeger Bement, Norah L. Johnson

College of Nursing Faculty Research and Publications

Introduction: The cumulative number of COVID-19 cases has surpassed 579 million globally. Symptoms during and after COVID-19 infection vary from mild cold symptoms to severe multisystem illness. Given the wide range of symptom presentations and complications post COVID-19, the purpose of this study was to describe the lived experience of American adults surviving COVID-19.

Method: This study employed an exploratory qualitative description design. Semi-structured interviews were conducted with a sample of 35 individuals, [white (94%), female (71%), mean age = 43.7 years], with proximity to a university in an urban Midwest American city. Interviews occurred between May and …

Experiences Of Sex Workers In Chicago During Covid-19: A Qualitative Study, Randi Beth Singer, Sarah Abboud, Amy K. Johnson, Jessica L. Zemlak, Natasha Crooks, Sangeun Lee, Johannes Wilson, Della Gorvine, Jahari Stamps, Douglas Bruce, Susan G. Sherman, Alicia K. Matthews, Crystal L. Patil

College of Nursing Faculty Research and Publications

COVID-19 exacerbated health disparities, financial insecurity, and occupational safety for many within marginalized populations. This study, which took place between 2019 and 2022, aimed to explore the way in which sex workers (n = 36) in Chicago were impacted by COVID-19. We analyzed the transcripts of 36 individual interviews with a diverse group of sex workers using thematic analysis. Five general themes emerged regarding the detrimental impact of COVID-19 on sex workers: (1) the impact of COVID-19 on physical health; (2) the economic impact of COVID-19; (3) the impact of COVID-19 on safety; (4) the impact of COVID-19 on …

Severity Of Post-Traumatic Stress And Non-Medical, Concomitant Opioid And Benzodiazepine Use In A Sample Of Women At High Risk Of Overdose, Catherine Tomko, Kristin E. Schneider, Danielle Friedman Nestadt, Jessica L. Zemlak, Susan G. Sherman

College of Nursing Faculty Research and Publications

Women who exchange sex and use opioids experience substantial post-traumatic stress disorder (PTSD) symptoms. Among veterans, PTSD increases the risk of concomitant opioid-benzodiazepine use, increasing overdose risk, but this relationship is underexplored in other at-risk populations. We examined correlates of non-medical benzodiazepine use among a cohort of women who exchange sex and use opioids daily (N = 270) in Baltimore, MD. PTSD symptom severity was measured by the full PCL-5 (possible range: 0–80, categorized by tertile as low, medium, high) and four symptom-specific subscales. The prevalence of benzodiazepine use was 27% and the median PCL-5 score was 34. In …

A Randomized Controlled Trial Of An Oral Probiotic To Reduce Antepartum Group B Streptococcus Colonization And Gastrointestinal Symptoms, Lisa Hanson, Leona Vandevusse, Marie Forgie, Emily Malloy, Maharaj Singh, Maryanne Scherer, Diana Kleber, Jonah Dixon, Andrew J. Hryckowian, Nasia Safdar

College of Nursing Faculty Research and Publications

BACKGROUND

Probiotics have been suggested as a strategy to reduce antenatal group B Streptococcus colonization. Although probiotics are known to improve gastrointestinal symptoms, this has not been studied during pregnancy.

OBJECTIVE

This study aimed to evaluate the efficacy of a probiotic to reduce: (1) standard-of-care antenatal group B Streptococcus colonization and colony counts and (2) gastrointestinal symptoms of pregnancy.

STUDY DESIGN

In a double-blind fashion, 109 healthy adult pregnant people were randomized to Florajen3 probiotic or placebo capsules once daily from 28 weeks’ gestation until labor onset. Baseline vaginal and rectal study swabs for group B Streptococcus colony-forming units and …

A Comparison Of Two Hormonal Fertility Monitoring Systems For Ovulation Detection: A Pilot Study, Qiyan Mu, Richard J. Fehring

College of Nursing Faculty Research and Publications

Background and Objectives: Accuracy in detecting ovulation and estimating the fertile window in the menstrual cycle is essential for women to avoid or achieve pregnancy. There has been a rapid growth in fertility apps and home ovulation testing kits in recent years. Nevertheless, there lacks information on how well these apps perform in helping users understand their fertility in the menstrual cycle. This pilot study aimed to evaluate and compare the beginning, peak, and length of the fertile window as determined by a new luteinizing hormone (LH) fertility tracking app with the Clearblue Fertility Monitor (CBFM).

Materials and Methods: A …

Case Reports From Women Using A Quantitative Hormone Monitor To Track The Perimenopause Transition, Maria Meyers, Richard J. Fehring, Mary Schneider

College of Nursing Faculty Research and Publications

The fertility tracking of menstrual cycles during perimenopause with a quantitative hormone monitor is a novel undertaking. Women in regular menstrual cycles have been tracking their fertility using different biomarkers since the 1960′s. Presently, there are newer electronic hormonal devices used to track fertility that provide more exact and objective data to help delineate the fertile time frame of a woman’s cycle. These devices measure quantitative levels of estrogen, the luteinizing hormone, progesterone, and follicle-stimulating hormone, all of which occur at varying levels during the menstrual cycle. As women advance toward menopause, their cycles vary in length, and their hormones …

Sickle Cell Virtual Support Group Program For Adults: An Implementation Evaluation, Dora L. Clayton-Jones, Lee Za Ong, Abir K. Bekhet, Weneaka D. Jones, Elodie Ontala, James Griffin, Ethlean Peacock, Kristin Haglund

College of Nursing Faculty Research and Publications

Sickle cell disease (SCD) is associated with medical and psychosocial challenges. SCD in adulthood is characterized by increased morbidity and mortality, vulnerability, inadequate self-management preparation, and limited social support. This study evaluated the implementation of a virtual support group during the COVID-19 pandemic using an intervention parameters framework evaluation. Participants included six adults living with SCD. Content analysis was conducted for each of the six intervention parameters, and satisfaction scores were summarized. Participants positively evaluated all intervention parameters of the virtual support group. Findings confirmed that a community-engaged intervention supports self-management and establishes key social networks for adult participants.

A Swimming Program For Children With Autism Spectrum Disorders: Assessing Critical Parameters From Caregivers’ Perspectives, Abir K. Bekhet, Norah L. Johnson, Tana Karenke, Amy V. Van Hecke

College of Nursing Faculty Research and Publications

One in 54 individuals is diagnosed with autism spectrum disorders (ASD). Swimming can impact the physical and mental well-being of persons with ASD, which in turn may improve their caregivers’ well-being. The purpose of this qualitative evaluation study is to assess the necessity, acceptability, feasibility, fidelity, and beginning effectiveness of a 12-session swimming training program (STP) at an indoor university pool designed to teach persons with ASD how to swim, and to teach caregivers precautions for safety around water. Participants included 7 boys, and 3 girls with ASD [mean age 7.05 years (SD 1.17)] and their caregivers. Results indicated that …

Physical Activity, Inflammation, And Physical Function In Older Adults: Results From The Health & Retirement Study, Jeanne L. Hlebichuk, Randall J. Gretebeck, Mauricio Garnier-Villarreal, Linda B. Piacentine, Maharaj Singh, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Physical function declines with aging due to physical and biological changes. The biological process of aging has been associated with increases in systemic inflammation and a greater risk for chronic conditions. In older adults, physical activity aids in maintenance of function. However, the influence of inflammatory biomarkers and adiposity on physical activity and physical function needs to be further explored. Methods: A cross-sectional secondary data analysis from Wave 13 of the Health & Retirement Study (HRS) core biennial data and Venous Blood Study (VBS) was conducted. Structural equation modeling was used to establish the model and test the relationships. Results: …

Exploring The Feasibility Of Intrapartum Gbs Collection To Identify Residual Gbs In A Pilot Study Of An Antenatal Probiotic Intervention, Emily Malloy, Lisa Hanson, Leona Vandevusse, Karen Robinson, Maharaj Singh, Marie Forgie

College of Nursing Faculty Research and Publications

Background: We aimed to explore the feasibility of collecting intrapartum maternal Group B Streptococcus (GBS) colonization and immediate post-birth neonatal GBS colonization cultures for use in a larger trial and to identify cases of residual GBS, which were hypothesized to be less common in the probiotics group.

Methods: This sub-study added additional outcome measures to the parent study to identify intrapartum and neonatal colonization and compare between probiotic and placebo groups and to identify cases of residual GBS. Intrapartum maternal vaginal and rectal GBS cultures were collected at the time of admission to a hospital for labor and to give …

Sprinting In A Marathon: Nursing Staff And Nurse Leaders Make Meaning Of Practicing In Covid-19 Devoted Units Pre-Vaccine, Natalie S. Mcandrew, William E. Rosa, Kaylen M. Moore, Jacqueline Christianson, Tala Abuzahra, Megann Mussatti, Colleen Mccracken, Amy R. Newman, Kelly Calkins, Susan Breakwell, Katie Klink, Jill L. Guttormson

College of Nursing Faculty Research and Publications

Objective

To describe the lived experience of nursing staff and nurse leaders working in COVID-19 devoted units (intensive care or medical unit) prior to vaccine availability.

Research Design

Qualitative phenomenological design with a focus group approach.

Methods

The study team recruited a convenience sample of nursing staff (nurses, and nursing assistants/nurse technicians) and nurse leaders (managers, assistant nurse managers, clinical nurse specialists, and nurse educators) at an academic medical center in the midwestern United States. Focus groups and individual interviews were conducted to encourage participants to describe their (1) experiences as nursing professionals, (2) coping strategies, and (3) perspectives about …

Cost-Effectiveness Of Intensive Vs Standard Blood Pressure Control Among Older Patients With Hypertension, Chia-Te Liao, Han Siong Toh, Li Sun, Chun-Ting Yang, Angie Hu, Dongmei Wei, Jesus D. Melgarejo, Zhen-Yu Zhang

School of Medicine Publications

Key Points

Question Is intensive blood pressure management among older patients with hypertension cost-effective?

Findings This economic evaluation with a Markov model and extensive sensitivity analyses estimated the incremental lifetime medical costs, quality-adjusted life-years (QALYs), and cost-effectiveness of intensive vs standard blood pressure targets for older patients with hypertension in China, the US, and the UK. Intensive blood pressure control produced fewer cardiovascular events and low costs per QALY gained, well below the typical willingness-to-pay thresholds, and the cost-effective advantages were consistent over various clinical scenarios across different countries.

Meaning These clinical and economic findings suggest intensive blood pressure control …

Intracranial Carotid Arteriosclerosis Mediates The Association Between Blood Pressure And Cerebral Small Vessel Disease, Jesus D. Melgarejo, Meike W. Vernooij, M. Arfan Ikram, Zhen-Yu Zhang, Daniel Bos

School of Medicine Publications

Background:

Intracranial arteriosclerosis could explain the association between blood pressure (BP) and cerebral small vessel disease (CSVD). Therefore, we tested whether intracranial carotid artery calcification (ICAC) mediates the association between BP and CSVD and determined pathophysiological mechanisms based on ICAC subtypes.

Methods:

One thousand four hundred fifty-eight stroke-free participants from the Rotterdam Study (mean age, 68 years; 52% women) underwent nonenhanced computed tomography scans to quantify ICAC volume (mm3) between 2003 and 2015. ICAC was categorized into intimal and internal elastic lamina calcifications. CSVD included white matter hyperintensities volume, the presence of lacunes, and cerebral microbleeds visualized on magnetic resonance …

Immunohistochemical Markers Of Temporomandibular Disorders: A Review Of The Literature, Luis Eduardo Almeida, Andrea Doetzer, Matthew L. Beck

School of Dentistry Faculty Research and Publications

Temporomandibular disorders (TMD) are a group of internal derangements encompassing dysfunction, displacement, degeneration of the temporomandibular joints and surroundings muscles of mastication, often accompanied by pain. Relationships between TMD and various chemical biomarkers have been examined throughout the years. This paper aims to gather evidence from the literature regarding other biomarkers and presenting them as one systematic review to investigate the potential links between TMD and different biochemical activity. To identify relevant papers, a comprehensive literature search was carried out in MEDLINE/PubMED, EMBASE, Web of Science and a manual search was performed in the International Journal of Oral and Maxillofacial …

Parallel Endodontic Education Via Social Media: An Exploratory Survey Study, Nawar Nawar, Shehabeldin Mohamed Saber Prof.Dr., Mostafa M.A. Elkholy, William Nguyen Ha, Sebastian Burklein

Dentistry

No abstract provided.

Effect Of Overlay Material Type And Design On Fracture Resistance Of Mod Cavities In Molars. (In-Vitro Study), Sara Adel Botros, Mohamed Fouad Haridy, Shaimaa Gad

Dentistry

Objective: To evaluate the influence of restoration material type (CAD/CAM lithium disilicate blocks and reinforced composite blocks) and restoration design on fracture resistance of molars with MOD cavities. Methods and Materials: A total of 54 sound human molars were divided into 2 groups (n=9) according to: 1) material type: lithium disilicate CAD/CAM blocks and reinforced composite CAD/CAM blocks; 2) restoration design: overlay with intra-coronal extension or without intra-coronal extension. Additional 18 samples were assigned to positive control group (sound molars, n=9) and negative control group (unrestored MOD cavities, n=9). Standardized MOD cavities were prepared with occlusal width 3 mm, cavity …

Effect Of Air-Borne Abrasion Protocol On Micro-Tensile Bond Strength To Dentin Of Different Cad\ Cam Blocks (In-Vitro Study), Mohamed Fouad Haridy, Shereen Adel Gad, Radwa Nagy

Dentistry

No abstract provided.

Effect Of Different Surface Treatment Protocols On Micro-Tensile Bond Strength Of Cad/Cam Composite Blocks To Dentin, Mohamed Fouad Haridy, Ali Safwat, Shadwa Kabil

Dentistry

No abstract provided.

Effect Of Different Digital Impression Techniques On The Trueness Of Post Space Scans With Fixed Cervical Diameter, Omar Elsergany

Dentistry

Objective: The aim of this study was to measure the trueness of post space impression by 2 digital impression techniques: Impression Scanning (IS) and Model Scanning (MS) with cervical diameter 3 millimeters. Materials and methods: Fourteen freshly extracted single rooted lower second premolars were endodontically treated using Wave-One single file technique. Then mounted in acrylic blocks parallel to long access using a dental surveyor 2mm above the CEJ, drills in sequence 1.4 and 1.6 millimeter then diamond stone with 3 millimeter diameter were used for teeth preparation with a standardized depth of 8mm. Teeth were scanned by reference scanner InEos5 …