Digital Commons Network^™

The Primary Care Np's Guide To Prevention And Management Of Falls In Older Adults, Janice Mark

Nursing and Health Professions Faculty Research and Publications

Falls are a growing health concern affecting older adults (defined as ages 65 years and older) that can lead to devastating consequences. NPs in primary care settings play an important role in the prevention and management of older adult falls. Methods and resources to screen for fall risk, assess risk factors, and manage falls in older adults are discussed.

Quantifying Turning Tasks With Wearable Sensors: A Reliability Assessment, Angela R. Weston, Prokopios Antonellis, Peter C. Fino, Carrie W. Hoppes, Mark E. Lester, Margaret M. Weightman, Leland E. Dibble, Laurie A. King

Physical Therapy Faculty Publications

Objective

The aim of this study was to establish the test–retest reliability of metrics obtained from wearable inertial sensors that reflect turning performance during tasks designed to imitate various turns in daily activity.

Methods

Seventy-one adults who were healthy completed 3 turning tasks: a 1-minute walk along a 6-m walkway, a modified Illinois Agility Test (mIAT), and a complex turning course (CTC). Peak axial turning and rotational velocity (yaw angular velocity) were extracted from wearable inertial sensors on the head, trunk, and lumbar spine. ICCs were established to assess the test–retest reliability of average peak turning speed for each task. …

Intramuscular But Not Nebulized Administration Of A Mrna Vaccine Against Rhodococcus Equi Stimulated Humoral Immune Responses In Neonatal Foals, Jocelyne M Bray, Emma G Villafone, Bibiana Petri Da Silveira, Susanne K Kahn, Cameron L Martin, Chiara Mancino, Francesca Taraballi, Michael F Criscitiello, Luc Berghman, Angela I Bordin, Jeroen Pollet, Noah D Cohen

Faculty, Staff and Students Publications

Objective: Design and evaluate immune responses of neonatal foals to a mRNA vaccine expressing the virulence-associated protein A (VapA) of Rhodococcus equi.

Animals: Cultured primary equine respiratory tract cells; Serum, bronchoalveolar lavage fluid (BALF), and peripheral blood mononuclear cells (PBMCs) from 30 healthy Quarter Horse foals.

Methods: VapA expression was evaluated by western immunoblot in cultured equine bronchial cells transfected with 4 mRNA constructs encoding VapA. The mRNA construct with greatest expression was used to immunize foals at ages 2 and 21 days in 5 groups: (1) 300 μg nebulized mRNA (n = 6); (2) 600 μg nebulized mRNA (n …

How Much Exercise Is Too Much? Understanding The Impact On Atrial Remodelling

Faculty, Staff and Students Publications

No abstract provided.

Culturally Relevant Africultural Coping Moderates The Association Between Discrimination And Antiretroviral Adherence Among Sexual Minority Black Americans Living With Hiv., Glenn J. Wagner, Laura M. Bogart, David J. Klein, Sean J. Lawrence, Kathy Goggin, Mahlet Gizaw, Matt G. Mutchler

Manuscripts, Articles, Book Chapters and Other Papers

Exposure to discrimination has been linked to lower HIV antiretroviral therapy (ART) adherence and poor HIV care outcomes among Black Americans. Coping has been shown to mitigate the harmful effects of discrimination on health behaviors, but the use of cultural relevant Africultural coping strategies is understudied as a moderator of the association between intersectional discrimination and ART adherence among Black Americans. We used adjusted logistic regression to test whether Africultural coping strategies (cognitive/emotional debriefing; collective; spiritual-centered; ritual-centered) moderated associations between multiple forms of discrimination (HIV, sexual orientation, race) and good ART adherence (minimum of 75% or 85% of prescribed doses …

Identification Of Early Opportunities For Simultaneous H2 Separation And Co2 Storage Using Depleted Coal Seams, Masoud Aslannezhad, Mohammad Sayyafzadeh, Stefan Iglauer, Alireza Keshavarz

Research outputs 2022 to 2026

Hydrogen (H2) production by steam methane reforming (SMR) is an economically viable technique on a commercial scale. However, this process produces large amounts of carbon dioxide (CO2), which eventually negates the benefits of employing H2 as an industrial input and clean energy carrier. This issue has led to increasing interest in capturing CO2 emissions from SMR to produce H2. This study proposes and investigates the use of coalbed methane (CBM) resources for separating the mixture of H2 and CO2 gases. The competitive adsorption mechanism in CBM not only can separate the H2 gas from the mixture but also results into …

Analysis Of The Outer Retinal Bands In Abca4 And Prph2-Associated Retinopathy Using Oct, Rachael C. Heath Jeffery, Johnny Lo, Jennifer A. Thompson, Tina M. Lamey, Terri L. Mclaren, John N. De Roach, Lauren N. Ayton, Andrea L. Vincent, Abhishek Sharma, Fred K. Chen

Research outputs 2022 to 2026

Purpose: To evaluate the outer retinal bands using OCT in ABCA4- and PRPH2-associated retinopathy and develop a novel imaging biomarker to differentiate between these 2 genotypes.

Design: Multicenter case-control study. Participants: Patients with a clinical and genetic diagnosis of ABCA4- or PRPH2-associated retinopathy and an age-matched control group.

Methods: Macular OCT was used to measure the thickness of the outer retinal bands 2 and 4 by 2 independent examiners at 4 retinal loci.

Main Outcome Measures: Outcome measures included the thicknesses of band 2, band 4, and the band 2/band 4 ratio. Linear mixed modeling was used to make comparisons …

Dropout From Exercise Trials Among Cancer Survivors—An Individual Patient Data Meta-Analysis From The Polaris Study, Benedikte Western, Andreas Ivarsson, Ingvild Vistad, Ingrid Demmelmaier, Neil K. Aaronson, Gillian Radcliffe, Marc Van Beurden, Martin Bohus, Kerry S. Courneya, Amanda J. Daley, Daniel A. Galvão, Rachel Garrod, Martine M. Goedendorp, Kathleen A. Griffith, Wim H. Van Harten, Sandi C. Hayes, Fernando Herrero-Roman, Anouk E. Hiensch, Melinda L. Irwin, Erica James, Marlou-Floor Kenkhuis, Marie J. Kersten, Hans Knoop, Alejandro Lucia, Anne M. May, Alex Mcconnachie, Willem Van Mechelen, Nanette Mutrie, Robert U. Newton, Frans Nollet, Hester S. Oldenburg, Ron Plotnikoff, Martina E. Schmidt, Katie H. Schmitz, Karl-Heinz Schulz, Camille E. Short, Gabe S. Sonke, Karen Steindorf, Martijn M. Stuiver, Dennis R. Taaffe, Lene Thorsen, Miranda J. Velthuis, Jennifer Wenzel, Kerri M. Winters-Stone, Joachim Wiskemann, Sveinung Berntsen, Laurien M. Buffart

Research outputs 2022 to 2026

Introduction: The number of randomized controlled trials (RCTs) investigating the effects of exercise among cancer survivors has increased in recent years; however, participants dropping out of the trials are rarely described. The objective of the present study was to assess which combinations of participant and exercise program characteristics were associated with dropout from the exercise arms of RCTs among cancer survivors. Methods: This study used data collected in the Predicting OptimaL cAncer RehabIlitation and Supportive care (POLARIS) study, an international database of RCTs investigating the effects of exercise among cancer survivors. Thirty-four exercise trials, with a total of 2467 patients …

Examination Of Traditional Botnet Detection On Iot-Based Bots, Ashley Woodiss-Field, Michael N. Johnstone, Paul Haskell-Dowland

Research outputs 2022 to 2026

A botnet is a collection of Internet-connected computers that have been suborned and are controlled externally for malicious purposes. Concomitant with the growth of the Internet of Things (IoT), botnets have been expanding to use IoT devices as their attack vectors. IoT devices utilise specific protocols and network topologies distinct from conventional computers that may render detection techniques ineffective on compromised IoT devices. This paper describes experiments involving the acquisition of several traditional botnet detection techniques, BotMiner, BotProbe, and BotHunter, to evaluate their capabilities when applied to IoT-based botnets. Multiple simulation environments, using internally developed network traffic generation software, were …

Machine Learning-Enhanced All-Photovoltaic Blended Systems For Energy-Efficient Sustainable Buildings, Mohammad Nur-E-Alam, Kazi Z. Mostofa, Boon K. Yap, Mohammad K. Basher, Mohammad A. Islam, Mikhail Vasiliev, Manzoore E. M. Soudagar, Narottam Das, Tiong S. Kiong

Research outputs 2022 to 2026

The focus of this work is on the optimization of an all-photovoltaic hybrid power generation systems for energy-efficient and sustainable buildings, aiming for net-zero emissions. This research proposes a hybrid approach combining conventional solar panels with advanced solar window systems and building integrated photovoltaic (BIPV) systems. By analyzing the meteorological data and using the simulation models, we predict energy outputs for different cities such as Kuala Lumpur, Sydney, Toronto, Auckland, Cape Town, Riyadh, and Kuwait City. Although there are long payback times, our simulations demonstrate that the proposed all-PV blended system can meet the energy needs of modern buildings (up …

Local Habitat Composition And Complexity Outweigh Seascape Effects On Fish Distributions Across A Tropical Seascape, Molly Moustaka, Richard D. Evans, Gary A. Kendrick, Glenn A. Hyndes, Michael V. W. Cuttler, Tahlia J. Bassett, Michael J. O’Leary, Shaun K. Wilson

Research outputs 2022 to 2026

Context: The distribution of animals is influenced by a complex interplay of landscape, environmental, habitat, and anthropogenic factors. While the effects of each of these forces on fish assemblages have been studied in isolation, the implications of their combined influence within a seascape remain equivocal. Objectives: We assessed the importance of local habitat composition, seascape configuration, and environmental conditions for determining the abundance, diversity, and functional composition of fish assemblages across a tropical seascape. Methods: We quantified fish abundance in coral, macroalgal, mangrove, and sand habitats throughout the Dampier Archipelago, Western Australia. A full-subsets modelling approach was used that incorporated …

Measurements Of The Effective Stress Coefficient For Elastic Moduli Of Sandstone In Quasi-Static Regime Using Semiconductor Strain Gauges, Vassily Mikhaltsevitch, Maxim Lebedev

Research outputs 2022 to 2026

Numerous experimental and theoretical studies undertaken to determine the effective stress coefficient for seismic velocities in rocks stem from the importance of this geomechanical parameter both for monitoring changes in rock saturation and pore pressure distribution in connection with reservoir production, and for overpressure prediction in reservoirs and formations from seismic data. The present work pursues a task to determine, in the framework of a low-frequency laboratory study, the dependence of the elastic moduli of n-decane-saturated sandstone on the relationship between pore and confining pressures. The study was conducted on a sandstone sample with high quartz and notable clay content …

Longitudinal Predictors Of Health-Related Quality Of Life In Isolated Dystonia, Marie Vidailhet, Emmanuel Roze, Tobias Bäumer, Irene A Malaty, Aparna Wagle Shukla, Joseph Jankovic, Stephen G Reich, Alberto J Espay, Kevin R Duque, Neepa Patel, Joel S Perlmutter, H A Jinnah, Valerie Brandt, Norbert Brüggemann

Faculty, Staff and Students Publications

OBJECTIVE: To determine longitudinal predictors of health-related quality of life (HR-QoL) in an international multicenter cohort of patients with isolated dystonia.

METHODS: Out of 603 dystonia patients prospectively enrolled in the Natural History Dystonia Coalition study, 155 were assessed three times within 2 years for HR-QoL, symptoms of depression, generalized anxiety disorder (GAD), and social anxiety disorder (SAD), as well as dystonia severity and dystonic tremor. In addition, the impact of botulinum neurotoxin (BoNT) injections on HR-QoL was evaluated after 1 year.

RESULTS: Depressive symptoms at baseline predicted lower HR-QoL on all subscales after 2 years (all p ≤ 0.001). …

The Pridx Framework To Engage Payers In Reducing Diagnostic Errors In Healthcare, Leah M Blackall, Hardeep Singh

Faculty, Staff and Students Publications

Objectives: No framework currently exists to guide how payers and providers can collaboratively develop and implement incentives to improve diagnostic safety. We conducted a literature review and interviews with subject matter experts to develop a multi-component 'Payer Relationships for Improving Diagnoses (PRIDx)' framework, that could be used to engage payers in diagnostic safety efforts.

Content: The PRIDx framework, 1) conceptualizes diagnostic safety links to care provision, 2) illustrates ways to promote payer and provider engagement in the design and adoption of accountability mechanisms, and 3) explicates the use of data analytics. Certain approaches suggested by PRIDx were refined by subject …

Assessing The Accuracy Of Openet Satellite-Based Evapotranspiration Data To Support Water Resource And Land Management Applications, John M. Volk, Justin L. Huntington, Forrest S. Melton, Richard Allen, Martha Anderson, Joshua B. Fisher, Ayse Kilic, Anderson Ruhoff, Gabriel B. Senay, Blake Minor, Charles Morton, Thomas Ott, Lee Johnson, Bruno Comini De Andrade, Will Carrara, Conor T. Doherty, Christian Dunkerly, Mackenzie Friedrichs, Alberto Guzman, Christopher Hain, Gregory Halverson, Yanghui Kang, Kyle Knipper, Leonardo Laipelt, Samuel Ortega-Salazar, Christopher Pearson, Gabriel E.L. Parrish, Adam Purdy, Peter Revelle, Tianxin Wang, Yun Yang

AES Faculty Publications and Presentations

Remotely sensed evapotranspiration (ET) data offer strong potential to support data-driven approaches for sustainable water management. However, practitioners require robust and rigorous accuracy assessments of such data. The OpenET system, which includes an ensemble of six remote sensing models, was developed to increase access to field-scale (30 m) ET data for the contiguous United States. Here we compare OpenET outputs against data from 152 in situ stations, primarily eddy covariance flux towers, deployed across the contiguous United States. Mean absolute error at cropland sites for the OpenET ensemble value is 15.8 mm per month (17% of mean observed ET), mean …

Prediction Of Adverse Events Risk In Patients With Comorbid Post-Traumatic Stress Disorder And Alcohol Use Disorder Using Electronic Medical Records By Deep Learning Models, Haohan Wang, M Daniel Brannock, Thomas Kosten, Neal David Ryan, Levent Kirisci, Lirong Wang

Faculty, Staff and Students Publications

Background: Identifying co-occurring mental disorders and elevated risk is vital for optimization of healthcare processes. In this study, we will use DeepBiomarker2, an updated version of our deep learning model to predict the adverse events among patients with comorbid post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD), a high-risk population.

Methods: We analyzed electronic medical records of 5565 patients from University of Pittsburgh Medical Center to predict adverse events (opioid use disorder, suicide related events, depression, and death) within 3 months at any encounter after the diagnosis of PTSD+AUD by using DeepBiomarker2. We integrated multimodal information including: lab tests, …

A Deep Learning Approach To Remove Contrast From Contrast-Enhanced Ct For Proton Dose Calculation, Xu Wang, Yao Hao, Ye Duan, Deshan Yang

2020-Current year OA Pubs

PURPOSE: Non-Contrast Enhanced CT (NCECT) is normally required for proton dose calculation while Contrast Enhanced CT (CECT) is often scanned for tumor and organ delineation. Possible tissue motion between these two CTs raises dosimetry uncertainties, especially for moving tumors in the thorax and abdomen. Here we report a deep-learning approach to generate NCECT directly from CECT. This method could be useful to avoid the NCECT scan, reduce CT simulation time and imaging dose, and decrease the uncertainties caused by tissue motion between otherwise two different CT scans.

METHODS: A deep network was developed to convert CECT to NCECT. The network …

Making Cities Mental Health Friendly For Adolescents And Young Adults, Pamela Y. Collins, Moitreyee Sinha, Tessa Concepcion, George Patton, Thaisa Way, Layla Mccay, Augustina Mensa-Kwao, Helen Herrman, Evelyne De Leeuw, Lukoye Atwoli

Brain and Mind Institute

Urban life shapes the mental health of city dwellers, and although cities provide access to health, education and economic gain, urban environments are often detrimental to mental health1,2. Increasing urbanization over the next three decades will be accompanied by a growing population of children and adolescents living in cities3. Shaping the aspects of urban life that influence youth mental health could have an enormous impact on adolescent well-being and adult trajectories4. We invited a multidisciplinary, global group of researchers, practitioners, advocates and young people to complete sequential surveys to identify and prioritize the characteristics of a mental health-friendly city for …

Enhanced Or Hindered Research Benefits? A Realist Review Of Community Engagement And Participatory Research Practices For Non-Communicable Disease Prevention In Low- And Middle-Income Countries., Sonja Klingberg, Bipin Adhikari, Catherine Draper, Edna Bosire, Deborah Nyirenda, Priscilla Tiigah, Ferdinand Mukumbang

Brain and Mind Institute

Introduction: Community engagement and participatory research are widely used and considered important for ethical health research and interventions. Based on calls to unpack their complexity and observed biases in their favour, we conducted a realist review with a focus on non-communicable disease prevention. The aim was to generate an understanding of how and why engagement or participatory practices enhance or hinder the benefits of non-communicable disease research and interventions in low- and middle-income countries.

Methods: We retroductively formulated theories based on existing literature and realist interviews. After initial searches, preliminary theories and a search strategy were developed. We searched three …

Pediatric Cancer Incidence Among Individuals With Overgrowth Syndromes And Overgrowth Features: A Population-Based Assessment In Seven Million Children, Surya P Rednam, Mark A Canfield, Sharon E Plon, Joanne Nguyen, Jeremy M Schraw, Philip J Lupo

Faculty, Staff and Students Publications

Background: Overgrowth syndromes (e.g., Beckwith-Wiedemann) are associated with an increased risk of pediatric cancer, although there are few population-based estimates of risk. There are also limited studies describing associations between other overgrowth features (e.g., hepatosplenomegaly) and pediatric cancer. Therefore, cancer risk among children with these conditions was evaluated with data from a large, diverse population-based registry linkage study.

Methods: This study includes all live births in Texas during the years 1999-2017. Children with overgrowth features and syndromes were identified from the Texas Birth Defects Registry; children with cancer were identified by linkage to the Texas Cancer Registry. Cox regression models …

Life After The Pandemic: Use Of An Educational Coping Strategy Tool Kit For Healthcare Professionals, Christine Thorpe-Gilpin

Electronic Theses and Dissertations

Research has proven that acute care healthcare professionals (i.e., nurses, certified nursing assistants, and respiratory therapists have been experiencing ongoing challenges and ineffective coping mechanisms. The Toolkit for Emotional Coping for Healthcare Staff (TECHS) educational toolkit has introduced practical coping skills that could benefit healthcare workers. Using the TECHS has effectively inspired the development and usage of practical coping skills among healthcare workers. There were three tools included in the TECHS educational material to understand and manage adversity, which can be repeated for new or recurring stressful situations in a personal or team-based approach. These tools were based on cognitive-behavioral …

Examining The Influence Of Adult Mentors On Fostering Prosocial Behaviors Among Teens, John H. Weaver Iii

Electronic Theses and Dissertations

This dissertation addressed a critical public health concern stemming from the prevalence of antisocial behavior among U.S. teenagers. The study specifically tackled the lack of information regarding the components of an effective risk-reduction mentoring program for teens. The primary aim was to explore how young adult alums of a central Florida mentoring program articulated the influence of mentoring relationships that have shaped their attitudes and perceptions concerning prosocial behavior during adolescence. As a bounded qualitative case study, this research employed semistructured interviews with 11 young adult mentees from a mentoring program. Additionally, a focus group of five adult mentors who …

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

An Interpretative Phenomenological Analysis Of Urban Early College High School Teachers' Experiences, Tamika Vanessa Taylor Young

Electronic Theses and Dissertations

Teachers are fundamental to students' performance by fostering relationships and imparting knowledge in the classroom. Dual-credit teachers work for Early College High School (ECHS) programs to assist historically underrepresented students in accelerating their path toward earning college credits and associate degrees while attending high school. Hard-to-staff ECHS programs with underrepresented pupils in lower socioeconomic urban areas suffer high teacher attrition. How urban ECHS teachers define their professional experiences is still being determined, which affects organizational outcomes. The purpose of this phenomenological qualitative exploratory study was to investigate and understand the lived experiences of urban ECHS teachers in Texas. This study …

Sepsis, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Translanguaging In Mandarin Instruction, Xiaodi Zhou, Xiaochen Du

Bilingual and Literacy Studies Faculty Publications

Mandarin has become a growing focus of language instruction in recent decades, and there have been many different approaches, from foreign language education to bilingual education, to dual-language immersion. In many such Mandarin instructional spaces, teachers adhere to the prescribed monolingual policy. In recent years, some have even experimented with creative pedagogy like skits and interactive boardgames, often relying on gestures in order to make their instruction comprehensible. Even with these multimodal approaches, students are still confined to leverage only the limited social and linguistic resources of the curriculum. Given current classroom necessities, there has been a shift to translanguaging …

Seizures, First Nonfebrile Seizure, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Clinical Practice Guidelines)

No abstract provided.

Pharyngitis, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Clinical Practice Guidelines)

No abstract provided.

Morphology Characterization Of Electrospun Polystyrene Membranes, Ahmed Oleiwi, Akram Jabur, Qusay Alsalhy, Suriani Abu Bakar

Journal of Applied Sciences and Nanotechnology

The concentration of the polymer solution is one of the most important factors in the formation of fibers in electrospinning technology. Different polymer concentrations of thermoplastic polystyrene are used in this study. At the same time, the other operating parameters of the electrospinning process (such as flow rate, voltage, distance between capillary and collector), the solution parameters (such as conductivity and molecular weight of the solution) and the environmental conditions (such as temperature and humidity) were kept constant. Field emission scanning electron microscopy was used to investigate the morphological changes on the surface of the fibers and to determine the …

Enhancing Gas Sensing Performance By Laser Ablation And Characterization Of Ag@Au Bimetallic Nanoparticles, Yasamen Khadim, Uday Nayef, Falah Mutlak

Journal of Applied Sciences and Nanotechnology

This study analyzes the effects of laser pulse energy set at 700 millijoules per pulse on silver, gold and silver@gold nanoparticles deposited on porous silicon (PS). Our main goal is to determine the optimal conditions by comprehensively evaluating their influence on structural, electrical, morphological and optical properties. In pulsed laser ablation in liquid, a Nd:YAG laser with a pulse width of 10 nanoseconds and a wavelength of 1064 nm is used to produce the nanoparticles. X-ray diffraction (XRD) analysis confirms the crystalline growth of the core-shell nanoparticles with distinct peaks in the data confirming the presence of both Au and …