Digital Commons Network^™

Using Natural Language Processing To Evaluate Electronic Health Records Of Patients With Ovarian Cancer For Documentation Of Goals Of Care, Hillarie Elizabeth Joehl

Dissertations

Growing evidence supports the benefits of serious illness communication including goals of care (GOC) discussions and documentation in the electronic health record (EHR). Patients who discuss end-of-life (EOL) care with their clinicians are more likely to have positive outcomes including better-reported quality of life, less distress, and a higher likelihood of receiving care consistent with their preferences. Limited research suggests only a small fraction of ovarian cancer patients have such discussions with their clinicians. Using a novel natural language processing (NLP) methodology, this retrospective and descriptive study explores EHRs for patients with ovarian cancer to characterize documentation of GOC. Using …

Spotted Stem Borer, Chilo Partellus (Swinhoe) Infestation In Corn Fields Of Türkiye, Vahdetti̇n Akmeşe, Sevcan Öztemi̇z, Efkan Akçali, Mustafa Gökhan Bi̇lgi̇n, Serap Toker Demi̇ray, Erdal Sertkaya

Turkish Journal of Agriculture and Forestry

No abstract provided.

Potential Roles Of Plant Growth-Promoting Microbes In Wheat Adaptation And Tolerance To Herbicide And Drought Stress Combination, Oksana Lastochkina, Massimo Bosacchi

Turkish Journal of Agriculture and Forestry

No abstract provided.

The Study Of The Quality Parameters Of The Tortilla Chips Products Formulated From Mixtures Of Corn Flour And Legumes, Giorgiana Buzgau, Romi̇na Alina Marc, Crina Carmen Muresan, Anca Farcas, Sonia Ancuta Socaci, Andruta Muresan, Sevastita Muste

Turkish Journal of Agriculture and Forestry

No abstract provided.

Unreimbursed Medical Expense Tax Deductions In Light Of Per-And Polyfluoroalkyl Substances, Tyler Young

Catholic University Law Review

Per– and Ployfluoroalkyl Substances (PFAS) have been used in a wide variety

of products due to their ability to reduce friction. However, studies have shown

that exposure to PFAS can cause harmful effects in humans. In fact, it has been

called a “national emergency” in testimony before Congress. As a result, there

have been efforts to limit exposure to the disease-causing substances through

abatement and avoidance. The Internal Revenue Code, through the

unreimbursed medical expense tax deduction of I.R.C. § 213, may offer one

policy solution for individuals seeking to participate in abatement activities.

This comment explores the development and …

Cover And Contents

Turkish Journal of Agriculture and Forestry

No abstract provided.

Plant Growth Regulators Ameliorate Biochemical And Molecular Parameters In Plantago Ovata Forssk. Under Salt Stress, Abdul Samad, Kanval Shaukat, Mahmood Ur Rahman Ansari, Hafiz Muhammad Ahmad, Mereen Nizar, Abdul Hakeem, Sajid Fiaz, Hayat Ali Alafari, Areej S. Jalal, Kotb A. Attia, Neva Karataş

Turkish Journal of Agriculture and Forestry

No abstract provided.

Conventional And Organic Fertilization Improve The Growth Responses And Essential Oil Content Of Salvia Fruticosa Mill., Fi̇li̇z Öktüren Asri̇, Memi̇ş Ensar Ertürk, Murat Şi̇mşek, Fati̇h Alpay Vuran, Fatma Uysal Bayar

Turkish Journal of Agriculture and Forestry

No abstract provided.

Organic Amendments: A Natural Way To Suppress Phytopathogens: A Sustainable Approach To Go Green, Rameesha Naghman, Mahnoor Tanveer Bhatti, Zarqa Najabat, Sajjad Hyder, Zarrin Fatima Rizvi, Amjad Shahzad Gondal, Zikria Zafar, Sadia Malik, Rashid Iqbal, Aqsa Hafeez, Baber Ali, Romi̇na Alina Marc

Turkish Journal of Agriculture and Forestry

No abstract provided.

Impact Of Dust Load And Lead (Pb) Stress On Leaf Functioning Of Urban Vegetation, Muhammad Azeem Sabir, Muhammad Farrakh Nawaz, Tanveer Hussain Khan, Usman Zulfiqar, Junaid Naseer, Sadam Hussain, Sadaf Gul, Muhammad Faisal Maqsood, Rashid Iqbal, Baber Ali, Rana Roy

Turkish Journal of Agriculture and Forestry

No abstract provided.

Brown Rust Resistance Screening And Molecular Characterization Of Wheat Cultivars By Molecular Markers, Behi̇ye Banu Bi̇lgen, Büşra Yürük, Hazal Nasi̇ri̇an

Turkish Journal of Agriculture and Forestry

No abstract provided.

Lactation Physiokinetics—Using Advances In Technology For A Fresh Perspective On Human Milk Transfer, Jimi Francis, Paul Flynn, Maisha Naowar, Premananda Indic, Darby Dickton

Electrical Engineering Faculty Publications and Presentations

Introduction: Though the nature of breastfeeding is critical, scant information is available on how the action of the milk transfer from mother to infant is regulated in humans, where the points of dysfunction are, and what can be done to optimize breastfeeding outcomes. While better therapeutic strategies are needed, before they can be devised, a basic scientific understanding of the biomechanical mechanisms that regulate human milk transfer from breast to stomach must first be identified, defined, and understood. Methods: Combining systems biology and systems medicine into a conceptual framework, using engineering design principles, this work investigates the use of biosensors …

Revisiting Asthma Obstructive Sleep Apnea Overlap: Current Knowledge And Future Needs, Damini Saxena, Ikuyo Imayama, Muhammad Adrish

Faculty, Staff and Students Publications

Asthma and obstructive sleep apnea are highly prevalent conditions with a high cost burden. In addition to shared risk factors, existing data suggest a bidirectional relationship between asthma and OSA, where each condition can impact the other. Patients with asthma often complain of sleep fragmentation, nocturnal asthma symptoms, daytime sleepiness, and snoring. The prevalence of OSA increases with asthma severity, as evidenced by multiple large studies. Asthma may lower the threshold for arousal in OSA, resulting in the hypopnea with arousal phenotype. Epidemiologic studies in adults have shown that OSA is associated with worse asthma severity, increased frequency of exacerbation, …

Direct Cost Variance Analysis Of Peroral Endoscopic Myotomy Vs Heller Myotomy For Management Of Achalasia: A Tertiary Referral Center Experience, Syedreza Ali Haider, Gregory S Bills, C Prakash Gyawali, Passisd Laoveeravat, Jordan Miller, Samir Softic, Mihir S Wagh, Moamen Gabr

2020-Current year OA Pubs

BACKGROUND: Laparoscopic Heller myotomy (LHM) has been the traditional surgical treatment for achalasia. Recently, peroral endoscopic myotomy (POEM) has demonstrated similar clinical outcomes with shorter procedure times. Studies comparing the direct cost-effectiveness of POEM

AIM: To compare costs of POEM

METHODS: This retrospective chart review aimed to compare the outcomes and cost of clinical care between patients who underwent POEM and LHM procedures for achalasia. The study was conducted at a tertiary academic center from January 2019 to December 2020. Clinical outcomes, including post-operative Eckardt scores and adverse events, were assessed and compared between the two groups. Direct cost variance …

The Parenting Education Needs Of Aboriginal Women Experiencing Incarceration, Belinda J. Lovell, Mary Steen, Angela Brown, Karen Glover, Adrian Esterman

Journal of the Australian Indigenous HealthInfoNet

The aim of this study was to listen to the voices of women experiencing incarceration and understand their parenting education needs. This paper reports on data from focus group interviews with 13 Aboriginal women in prison. The data were analysed using reflexive thematic analysis, creating five themes: (1) working towards a positive self; (2) communication (3) parenting from a distance; (4) jumping through hoops to get connected; and (5) connecting with Aboriginal cultures. The women were seeking guidance and clarity about the Child Protection system and how to regain child custody. Many women were wanting to invest in self-care and …

Addressing The Long-Term Influence Of Neurotrauma On Self-Concept And Self-Identity Development: A Pilot Study, Alyse C. Giallorenzo, Brittany C. Adams, Jessica M. Winter

The Open Journal of Occupational Therapy

Background: Numerous neurotrauma survivors face lifelong disability post injury as a result of an event, yet there are limited specialized continued care services to support future outcomes, specifically self-concept, self-identity, and quality of life. To reduce health care barriers and support health promotion post injury, student researchers explored the influence of a community-based occupational therapy (OT) program for the neurotrauma population.

Methods: Four participants, 37 to 58 years of age, with a history of neurotrauma, participated in a mixed methods study composed of a 6-week community-based educational OT program. Outcome measures included Activity Card Sort, Lawton Brody Scale, …

Establishing Initial Content Validity, Interrater Reliability, And Intra-Rater Reliability Of The Revised Visual Activity Sort For At-Risk Adolescents And Young Adults, Sharon Gutman, Katie O'Day, Ashley Choi, Alexis Kearney, Sandra Rogers

The Open Journal of Occupational Therapy

Background: The purpose of this study was to establish the content validity and inter- and intra-rater reliability of the revised Visual Activity Sort, which is a card sorting assessment designed specifically for at-risk adolescents and young adults.

Method: Six content experts were selected and asked to rate the relevancy of each of the 121 Visual Activity Sort cards. Two trained raters participated in the establishment of inter- and intra-rater reliability with 30 high school students attending a charter school for at-risk adolescents and young adults in a socioeconomically disadvantaged urban area.

Results: Based on the content experts’ …

Investigating Associations Of Omega-3 Fatty Acids, Lung Function Decline, And Airway Obstruction, Bonnie K Patchen, Pallavi Balte, Traci M Bartz, R Graham Barr, Myriam Fornage, Mariaelisa Graff, David R Jacobs, Ravi Kalhan, Rozenn N Lemaitre, George O'Connor, Bruce Psaty, Jungkyun Seo, Michael Y Tsai, Alexis C Wood, Hanfei Xu, Jingwen Zhang, Sina A Gharib, Ani Manichaikul, Kari North, Lyn M Steffen, Josée Dupuis, Elizabeth Oelsner, Dana B Hancock, Patricia A Cassano

Faculty, Staff and Student Publications

Rationale: Inflammation contributes to lung function decline and the development of chronic obstructive pulmonary disease. Omega-3 fatty acids have antiinflammatory properties and may benefit lung health.

Objectives: To investigate associations of omega-3 fatty acids with lung function decline and incident airway obstruction in a diverse sample of adults from general-population cohorts.

Methods: Complementary study designs: 1) longitudinal study of plasma phospholipid omega-3 fatty acids and repeated FEV1 and FVC measures in the NHLBI Pooled Cohorts Study and 2) two-sample Mendelian randomization (MR) study of genetically predicted omega-3 fatty acids and lung function parameters.

Measurements and Main Results: The …

What Do Readers Want? Results Of An Online Survey To Involve Readers In Updating The Seventh Edition Of The Manual Of Dietetic Practice, Linda Wedlake, Duane Mellor, Tom Marriott, Kate Maslin, Gary Frost, Mary Hickson

School of Nursing and Midwifery

Background The Manual of dietetic practice (‘Manual’) is the core textbook for qualified and student dietitians. A survey was conducted to explore views on the scope, content and presentation of the Manual to inform the forthcoming edition. Methods The survey comprised of questions on demographics, structure, content, access (print/digital), missing topics, strengths and weaknesses. It was distributed to members of the British Dietetic Association (BDA) and other relevant groups in August 2022. Responses are presented as frequencies and free text as themes. Results Of 1179 responses, 91% were from professionals, of whom 72% were registered dietitians with a mean of …

Stroke Recovery Is A Journey: Prediction And Potentials Of Motor Recovery After A Stroke From A Practical Perspective, Sheng Li

Faculty, Staff and Student Publications

Stroke recovery is a journey. Stroke survivors can face many consequences that may last the rest of their lives. Assessment of initial impairments allows reasonable prediction of biological spontaneous recovery at 3 to 6 months for a majority of survivors. In real-world clinical practice, stroke survivors continue to improve their motor function beyond the spontaneous recovery period, but management plans for maximal recovery are not well understood. A model within the international classification of functioning (ICF) theoretical framework is proposed to systematically identify opportunities and potential barriers to maximize and realize the potentials of functional recovery from the acute to …

The Challenges Of Supporting Young Children’S Outdoor Play In Early Childhood Education And Care Settings, Ji Hyun Oh

Northwest Journal of Teacher Education

This study explored preschool teachers’ beliefs about the challenges they have experienced when supporting young children’s outdoor play. Through Charmaz’s (2006) constructivist grounded theory data analysis process, two types of challenges for providing outdoor play were specified including: (1) natural environmental challenges, such as insect bites, allergies, and severe weather issues and (2) physical environmental challenges that include lack of play materials/environments and playground maintenance. The participant teachers perceive that these challenges are related to their preparation and planning for outdoor play including the provision of outdoor play, allotted play time, and a number of outdoor learning activities.

Post-Sport Male Athlete Nutrition And Mental Health, Nafees Alam

Social Work Faculty Publications and Presentations

This publication aims to bring to light the experiences of current and former adult male athletes and their nutrition and mental health. Although there is literature on female athlete nutrition, there is a general gap in literature on male athlete nutrition. Thus, we've decided to conduct a qualitative case study research design to begin studying this topic. The goal of this study was to collect, analyze, and disseminate data related to this topic in order to further research and hopefully set the table for quantitative studies on this topic in the future. We’ve collected detailed accounts from 5 current and …

Stat3 Modulates Cd4+ T Mitochondrial Dynamics And Function In Aging, Emelia Zukowski, Marco Sannella, Jack Donato Rockhold, Gabriella H. Kalantar, Jingting Yu, Sara Santacruz‐Calvo, Madison K. Kuhn, Nasun Hah, Ling Ouyang, Tzu‐Wen Wang, Lyanne Murphy, Heather Marszalkowski, Kaleigh Gibney, Micah J. Drummond, Elizabeth A. Proctor, Hatice Hasturk, Barbara S. Nikolajczyk, Leena P. Bharath

Health Sciences Faculty Publications

Aging promotes numerous intracellular changes in T cells that impact their effector function. Our data show that aging promotes an increase in the localization of STAT3 to the mitochondria (mitoSTAT3), which promotes changes in mitochondrial dynamics and function and T‐cell cytokine production. Mechanistically, mitoSTAT3 increased the activity of aging T‐cell mitochondria by increasing complex II. Limiting mitoSTAT3 using a mitochondria‐targeted STAT3 inhibitor, Mtcur‐1 lowered complex II activity, prevented age‐induced changes in mitochondrial dynamics and function, and reduced Th17 inflammation. Exogenous expression of a constitutively phosphorylated form of STAT3 in T cells from young adults mimicked changes in mitochondrial dynamics and …

Introduction To Leadership For Complex Problems And The United Nations Sustainable Development Goals, Rian Satterwhite, Kate Sheridan, Whitney Mcintyre Miller

Education Faculty Articles and Research

"Alarming headlines referencing catastrophe and our perilous proximity to a tipping point from which we cannot return create a common refrain when it comes to climate change: the time to act is now—or has already passed—and if we do not reorient ourselves and our relationship to the world immediately, we are doomed. The urgency of the climate crisis is real, and with it comes a need to reckon with the deeply rooted systems and structures that have created this and other interdependent complex global challenges. However, our demise is not a foregone conclusion. Despite the doomsday headlines so common to …

The Diamond, October 13, 2023, Dordt University

Dordt Diamond

• Front Page: Defender Crazies Re-Ignites Dordt Athletics; Somdi Baccam: The Man Behind the Camera; Marine Band Shares Gift of Music with Dordt Community
• News: Dordt Adds Off Campus Study Program in Baltimore; What Happens if the Government Shuts Down?; Caleb Meulenberg Brings Industry Experience to the Ag Teach [sic] Program
• Feature: International Friendship Family Program Shares Culture; Senior Recital Highlights Violin and Organ; Dordt Chapel: Hearing God's Voice; What Do Professors Do Over Heartland?
• Arts & Entertainment: Kylie Sorensen Takes the Stage in Senior Voice Recital; Beautiful Things: Dordt Worship Releases New Singles; D'Arte Club Hosts …

Effects Of Rootstock And Location On Open Field ‘Bhn 589’ And ‘Nebraska Wedding’ Grafted Tomato Yield, Raihanah H. Shonerd, Ashley A. Thompson, Samuel E. Wortman

Department of Agronomy and Horticulture: Faculty Publications

Grafted tomato (Solanum lycopersicum) production is popular, particularly in high tunnels, because grafted plants can mitigate soilborne disease incidence in highly infested soils and increase water and nutrient use efficiency and crop yield and quality. However, these potential benefits are not as well documented in open field production systems with less disease pressure. The objective of this study was to quantify the effect of tomato grafting on fruit yield, number, and size across 2 years (2018 and 2019) and three diverse open-field production environments in Nebraska (Lincoln, North Platte, and Dwight). At each location, a scion from one …

Statistical And Machine Learning Approaches To Describe Factors Affecting Preweaning Mortality Of Piglets, Md Towfiqur Rahman, Tami M. Brown-Bandl, Gary A. Rohrer, Sudhendu R. Sharma, Vamsi Manthena, Yeyin Shi

Department of Agricultural and Biological Systems Engineering: Faculty Publications

High preweaning mortality (PWM) rates for piglets are a significant concern for the worldwide pork industries, causing economic loss and well-being issues. This study focused on identifying the factors affecting PWM, overlays, and predicting PWM using historical production data with statistical and machine learning models. Data were collected from 1,982 litters from the U.S. Meat Animal Research Center, Nebraska, over the years 2016 to 2021. Sows were housed in a farrowing building with three rooms, each with 20 farrowing crates, and taken care of by well-trained animal caretakers. A generalized linear model was used to analyze the various sow, litter, …

Statistical And Machine Learning Approaches To Describe Factors Affecting Preweaning Mortality Of Piglets, Md Towfiqur Rahman, Tami M. Brown-Bandl, Gary A. Rohrer, Sudhendu R. Sharma, Vamsi Manthena, Yeyin Shi

Department of Agricultural and Biological Systems Engineering: Faculty Publications

High preweaning mortality (PWM) rates for piglets are a significant concern for the worldwide pork industries, causing economic loss and well-being issues. This study focused on identifying the factors affecting PWM, overlays, and predicting PWM using historical production data with statistical and machine learning models. Data were collected from 1,982 litters from the U.S. Meat Animal Research Center, Nebraska, over the years 2016 to 2021. Sows were housed in a farrowing building with three rooms, each with 20 farrowing crates, and taken care of by well-trained animal caretakers. A generalized linear model was used to analyze the various sow, litter, …

U.S. Adolescent Rest-Activity Patterns: Insights From Functional Principal Component Analysis (Nhanes 2011–2014), Chris Ho Ching Yeung, Jiachen Lu, Erica G Soltero, Cici Bauer, Qian Xiao

Children’s Nutrition Research Center Staff Publications

Background: Suboptimal rest-activity patterns in adolescence are associated with worse health outcomes in adulthood. Understanding sociodemographic factors associated with rest-activity rhythms may help identify subgroups who may benefit from interventions. This study aimed to investigate the association of rest-activity rhythm with demographic and socioeconomic characteristics in adolescents.

Methods: Using cross-sectional data from the nationally representative National Health and Nutrition Examination Survey (NHANES) 2011-2014 adolescents (N = 1814), this study derived rest-activity profiles from 7-day 24-hour accelerometer data using functional principal component analysis. Multiple linear regression was used to assess the association between participant characteristics and rest-activity profiles. Weekday and weekend …

Us Adolescent Rest-Activity Patterns: Insights From Functional Principal Component Analysis (Nhanes 2011-2014), Chris Ho Ching Yeung, Jiachen Lu, Erica G Soltero, Cici Bauer, Qian Xiao

Faculty, Staff and Student Publications

BACKGROUND: Suboptimal rest-activity patterns in adolescence are associated with worse health outcomes in adulthood. Understanding sociodemographic factors associated with rest-activity rhythms may help identify subgroups who may benefit from interventions. This study aimed to investigate the association of rest-activity rhythm with demographic and socioeconomic characteristics in adolescents.

METHODS: Using cross-sectional data from the nationally representative National Health and Nutrition Examination Survey (NHANES) 2011-2014 adolescents (N = 1814), this study derived rest-activity profiles from 7-day 24-hour accelerometer data using functional principal component analysis. Multiple linear regression was used to assess the association between participant characteristics and rest-activity profiles. Weekday and weekend …