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Articles 24991 - 25020 of 791961
Full-Text Articles in Entire DC Network
Injury Prevention And Care Training Website, Samantha E. Myers
Injury Prevention And Care Training Website, Samantha E. Myers
Theses/Capstones/Creative Projects
Injury Prevention and Care is a University of Nebraska Omaha (UNO) resource within Campus Recreation and Wellness. It serves a variety of students, staff, , and other membership holders with a variety of resources and treatments in caring for injuries and in seeking to prevent new or worsening of injuries. In facilitating the health and growth of this department and their staff, updating the current training resources, and making them more accessible was necessary. Moving forward, discussions of the importance of accessibility and providing various resources, both in IPC and across the UNO campus, were pivotal in the formation and …
Pathways To Aggression: Understanding Peer Victimization In Adolescence, Makenzie H. Clarken
Pathways To Aggression: Understanding Peer Victimization In Adolescence, Makenzie H. Clarken
Theses/Capstones/Creative Projects
Insight into aggression among early adolescents is important to understanding its predictors and consequences. In adolescence, aggression is typically related to underlying issues. Addressing this is important, as unmanageable aggression progressing past early adolescence can result in involvement in the criminal justice system. Studies show that peer victimization is associated with increased levels of aggression. Aggressive adolescents may attract victimization from their peers, or those who are victimized may respond with aggression. The current study followed a sample of 182 fifth and sixth graders over the course of the school year. Constructs such as aggression, peer victimization, and social withdrawal …
Holistically Analyzing The Initial Athlete-Provider Interaction During Sports Injury Diagnosis, Tyler Baldwin
Holistically Analyzing The Initial Athlete-Provider Interaction During Sports Injury Diagnosis, Tyler Baldwin
Theses/Capstones/Creative Projects
Recovering from injury is crucial for an athlete’s health-related quality of life and mental health. A potentially significant moment that could influence an athlete’s mindset towards recovery is the interaction between the provider and athlete during initial diagnosis. To analyze this moment from both perspectives, this study performs a thematic analysis of five semi-structured provider interviews and ten athlete interviews. In this study, all five providers exemplified an understanding of this moment’s significance, expressing awareness of their potential impact on the athlete’s mindset, and emphasizing mutual understanding to ensure streamlined recovery. Meanwhile, all ten of the athletes expressed self-awareness regarding …
Building Focus: Using Relaxation Music To Support Students With Autism In The Classroom, Whitney Drewrey
Building Focus: Using Relaxation Music To Support Students With Autism In The Classroom, Whitney Drewrey
Electronic Theses and Dissertations
This study explores the use of audio sensory input, specifically, relaxation music, as a strategy to reduce off-task behavior in elementary students with autism within the general education classroom. The aim was to minimize distractions and teacher redirections, thereby promoting a more inclusive and productive learning environment for all students. Guided by the principles of improvement science, the research employed a single-case design with three elementary students diagnosed with autism. Data were collected through momentary time sampling and mood inventories during independent classwork periods.
The central research question guiding this study was: What effect does relaxation music have on the …
Cognitive Behavioral Therapy (Cbt) Benefits For Autism Spectrum Disorder, Riley Q. Thomas
Cognitive Behavioral Therapy (Cbt) Benefits For Autism Spectrum Disorder, Riley Q. Thomas
Institute for Disability Studies
No abstract provided.
Nutritional Knowledge Of The Phenylketonuria Diet Among Healthcare Providers In Saudi Arabia, Nouf A. Alghamdi, Rouba K. Naaman
Nutritional Knowledge Of The Phenylketonuria Diet Among Healthcare Providers In Saudi Arabia, Nouf A. Alghamdi, Rouba K. Naaman
Saudi Medical Journal
ABSTRACT Objectives: Phenylketonuria (PKU) is associated with detrimental impacts on factors contributing to the etiology of obesity, and metabolism disorders. Therefore, we hypothesized that physicians and dietitians demonstrate a sufficient level of nutritional knowledge of the PKU type diet. The aim of this study is to assess understanding of the PKU diet in relation to current guidelines among dietitians and metabolic physicians in Saudi Arabia. Methods: This study involved 238 participants, primarily Saudi and non-Saudi dietitians and metabolic physicians working in Saudi Arabia, who asked to complete an electronic questionnaire assessing their nutritional knowledge of the PKU diet. The questionnaire …
Are People More Likely To See Actions As Intentional When They Are Forced To Make Their Decisions Quickly? A Replication And Extension Of Rosset (2008), Andrew Elmore
Honors Theses
Rosset (2008) reported evidence of an intentionality bias, which is a key prediction of a model of human cognition that suggests that people learn to override intentional attributions of behavior, a dual-process model of intention attribution. A model that hypothesizes that when people are deprived of the time to develop deliberate thought processes, their default explanation for actions is intentional, and that this default attribution has to be consciously overridden. Rosset’s main method of testing this was by providing test sentences to participants and placing them into two scenarios where they had different levels of time to process the sentences. …
Best Practice Recommendations For Anesthesia Providers In Preventing Postoperative Delirium In The Geriatric Population Undergoing Non-Cardiac Surgery, Ana Primeaux, Ashanti Reed
Best Practice Recommendations For Anesthesia Providers In Preventing Postoperative Delirium In The Geriatric Population Undergoing Non-Cardiac Surgery, Ana Primeaux, Ashanti Reed
Doctoral Projects
Postoperative delirium (POD) is a significant and preventable complication in geriatric patients undergoing non-cardiac surgery. Such complication is associated with foreseeable consequences, such as prolonged hospitalization, long-term cognitive decline, increased morbidity and mortality, and increased costs. Despite the emerging awareness of evidence-based nonpharmacologic and pharmacologic interventional strategies, POD still represents a clinical challenge for anesthesia providers.
Currently, there is a lack of clinical guidelines to guide formalized education and evidence-based interventions on POD prevention across anesthesia practice settings. Consequently, there is a critical need to raise awareness that the lack of clinical guidelines and the high incidence of POD may …
The Edge Of The World: An Examination Of The Wild West In California, 1840-1880, Chloe J. Cushing
The Edge Of The World: An Examination Of The Wild West In California, 1840-1880, Chloe J. Cushing
Master's Theses
“The Edge of the World” revolves around the history of the Wild West in California through the lens of Richard Maxwell Brown’s Western War of Incorporation theory. Rather than being a mythology sensationalized by Hollywood and literature, for the Golden State, the Wild West was a very real and tangible part of its early-American era, characterized by U.S. imperialism, high murder rates, anti-authoritarianism, and other rampant forms of chaos that affected the state for generations. By examining the conditions and effects of the late Mexican period, the Gold Rush, Confederate sympathizers, and the Southern Pacific Railroad, this thesis highlights the …
Structural Racism And Intimate Partner Violence Perpetration Among Racially Diverse Men Transitioning Into Fatherhood: An Anti-Racist Approach To Ipv Prevention, Tiara C. Willie, Sabriya Linton, Leslie B. Adams, Nicole Overstreet, Shannon Whittaker, Theresa Faller, Deja Knight, Trace S. Kershaw
Structural Racism And Intimate Partner Violence Perpetration Among Racially Diverse Men Transitioning Into Fatherhood: An Anti-Racist Approach To Ipv Prevention, Tiara C. Willie, Sabriya Linton, Leslie B. Adams, Nicole Overstreet, Shannon Whittaker, Theresa Faller, Deja Knight, Trace S. Kershaw
Psychology
Background: Young couples transitioning into parenthood are at elevated risk of experiencing intimate partner violence (IPV), in part, due to the social and economic stressors associated with this critical time. Interpersonal racial discrimination is a known risk factor for male-to-female IPV perpetration, however few studies have examined this relationship among men transitioning to fatherhood. Similarly, structural racism acknowledges how inequitable systems reinforce racial discrimination; yet, few studies have investigated whether structural racism relates to the discrimination-IPV perpetration association. This study examined relationships among structural racism, racial discrimination, stress, and IPV perpetration among racially diverse men transitioning into fatherhood. Methods: Using …
Study Protocol For The Rainbow Austrian Longitudinal Family (Ralf) Study: A Longitudinal, Multi-Method, Multi-Rater Investigation Of Risk And Resilience Factors In Austrian Lgbtq+ Parent Families, Betty Geidel, Magdalena Siegel, David Steryl, Abbie E. Goldberg, Guy Bodenmann, Martina Zemp
Study Protocol For The Rainbow Austrian Longitudinal Family (Ralf) Study: A Longitudinal, Multi-Method, Multi-Rater Investigation Of Risk And Resilience Factors In Austrian Lgbtq+ Parent Families, Betty Geidel, Magdalena Siegel, David Steryl, Abbie E. Goldberg, Guy Bodenmann, Martina Zemp
Psychology
Background: Research on LGBTQ+ parent families is evolving to include a growing range of family systems, identities, methodologies, and topics. However, studies that examine minority-specific risk and resilience factors and their associations with within-family processes remain scarce, particularly outside a US-American context. Addressing these research gaps quantitatively poses challenges for researchers, because traditional modelling techniques based on (generalized) linear models are not ideally suited to capture the complexity and intersectionality of family experiences. Within this study protocol, we introduce the Rainbow Austrian Longitudinal Family (RALF) study. Its main goal is to comprehensively investigate general and minority-specific factors that affect the …
Exploring Factors Informing The Choice Of Caesarean Sections Among Couples, And Healthcare Workers: A Case Of The Nairobi Hospital, Kenya, Mercy Mukubwa
MSc in Advanced Practice Midwifery
Background: A caesarean section (C/S) is a lifesaving procedure to reduce maternal and newborn morbidity and mortality. It is associated with more risks compared to a vaginal birth. The rates of C/S have been on an upward trend globally and are expected to continue to rise further. C/S predisposes neonates to poor outcomes, some of which could be life-threatening compared to vaginal birth. Similarly, C/S mothers are at greater risk for serious complications.
Objective: The primary objective of this study was to investigate the factors influencing the decision to undergo a caesarean section among couples and healthcare workers …
Lived Experiences Of Chemotherapy-Induced Nausea And Vomiting Among Patients Diagnosed With Cancer At Machakos Level Five Hospital, Nancy Njeri Kamau
Lived Experiences Of Chemotherapy-Induced Nausea And Vomiting Among Patients Diagnosed With Cancer At Machakos Level Five Hospital, Nancy Njeri Kamau
MSc in Advanced Practice Nursing
Background: Chemotherapy-induced nausea and vomiting (CINV) remains one of the most prevalent and distressing adverse effects of cancer treatment, affecting a substantial proportion of patients and significantly compromising their physical functioning, nutritional status, treatment adherence, and overall quality of life. However, there is a paucity of localized evidence on the magnitude and functional burden of CINV among patients diagnosed with cancer receiving chemotherapy at county referral hospitals, such as Machakos Level 5 Hospital, hence the current study.
Aim of the study: The study aimed at exploring the lived experiences of chemotherapy induced nausea and vomiting among patients diagnosed with …
The Guardian The Month Of December 2025, Wright State Student Body
The Guardian The Month Of December 2025, Wright State Student Body
The Guardian Student Newspaper
News articles from The Guardian for the Month of December 2025. The Guardian is the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.
Genodermatosis Among The Southwestern Saudi Population: The Pattern And The Need For A Premarital Genetic Screening Protocol, Hamad A. Alfahaad
Genodermatosis Among The Southwestern Saudi Population: The Pattern And The Need For A Premarital Genetic Screening Protocol, Hamad A. Alfahaad
Saudi Medical Journal
ABSTRACT Objectives: To characterize the clinical and genetic spectrum of genodermatoses in Southwestern Saudi Arabia, the present study examines the impact of consanguinity on this particular population, and proposes a tailored premarital genetic screening protocol. Methods: A retrospective cross-sectional study of 32 patients diagnosed with genodermatoses during the study period at a tertiary hospital (King Khalid Hospital, Najran) were included. Genetic screening was performed for patients with suspected genodermatoses based on clinical findings, using whole-exome sequencing (WES), specifically employing next-generation sequencing (NGS) technology. Clinical and genetic analysis data were extracted from medical records. Results: Among 32 patients diagnosed with genodermatoses, …
Combating Antimicrobial Resistance In Asia: A Comprehensive Review Of Strategic Action Plans, Policies, And The Role Of The Who, Saud Almawash
Combating Antimicrobial Resistance In Asia: A Comprehensive Review Of Strategic Action Plans, Policies, And The Role Of The Who, Saud Almawash
Saudi Medical Journal
ABSTRACT Over the past 70 years, antimicrobial resistance (AMR) has emerged as a critical public health concern in Asia. Regional challenges such as dense population, scarce resources, and diverse healthcare systems further complicate the containment efforts. To address this, Asian countries have adopted several strategies and policies. A comprehensive review of published literature was conducted to identify key policies and interventions. Findings revealed diverse approaches to AMR containment, including surveillance and monitoring systems, antibiotic stewardship programs, infection control measures, vaccination strategies, and public health awareness campaigns. However, implementation of these strategies is hindered by resource, political, and regulatory barriers. The …
Why Doody's New Health Humanities List Is A Vital Catalyst, Sandra Y. Desjardins
Why Doody's New Health Humanities List Is A Vital Catalyst, Sandra Y. Desjardins
Library Staff Publications
No abstract provided.
Identity And Representation In Contemporary Art: An Inclusive 400/500-Level Art History Seminar Course, Laura E. Franz
Identity And Representation In Contemporary Art: An Inclusive 400/500-Level Art History Seminar Course, Laura E. Franz
Theses
This project is an upper-level art history seminar addressing identity and representation – specifically related to race, ethnicity, gender, and sexuality – in contemporary art. Primarily a discussion-based course, the course is focused on inclusivity and is highly structured, with weekly low-stakes assignments that provide students with ample opportunities to practice engaging with academic texts. Designed for students with varying levels of academic skills, it is built around current non-academic articles that students select via an online survey. Students then “unpack” the “big ideas” in each of the four chosen non-academic articles via a cluster of academic readings and videos …
Culture-Dependent Characterization Of Microbial Succession And Persistence In The Integrated Lunar/Martian Analog Habitat (Ilmah), Haley Olivia Boles
Culture-Dependent Characterization Of Microbial Succession And Persistence In The Integrated Lunar/Martian Analog Habitat (Ilmah), Haley Olivia Boles
Theses and Dissertations
This study examines culture-dependent microbial monitoring in a closed lunar/Martian analog habitat, focusing on viable community dynamics relevant to long-duration missions. A standardized sampling and cultivation pipeline was implemented in ILMAH to track microbial succession and persistence under realistic operational conditions. Surface samples were collected across eight habitat zones at five mission timepoints (Days 0, 5, 10, 15, 20) during a 21-day crewed mission. Samples were concentrated post-collection and plated on chromogenic film media to quantify total aerobic bacteria (AC-R), fungi (YM-R), E. coli (EC), and S. aureus (SA). Plates were imaged and enumerated digitally; representative colonies were isolated and …
Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli
Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli
Brain and Mind Institute
The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental …
Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire
Community Perspectives On Factors Contributing To Resilience For Healthy Aging In Kenya, Linda Khakali, Everline Onchari, Maureen Ondire, Catherine Onyancha, Chinedu Momoh, Edna Bosire
Brain and Mind Institute
Background: The global elderly population is increasing and expected to double in thenext decade. Aging increases the likelihood of adversities, with resilience becomingan important aspect of healthy aging. Understanding how individuals conceptualizeresilience offers an opportunity to create contextually relevant interventions forpromoting healthy aging. This study aimed to explore adults’ perspectives on factorsinfluencing resilience in Kenya.
Method: Using qualitative methods, 36 adults aged 35 years and above werepurposively recruited from various communities in Nairobi County to participate ininterviews. We asked questions about their understanding of aging, adversity andresiliency. We also provided them with case scenarios of two individuals respondingdifferently to the …
Perceptions And Attitudes On Biospecimen Sample Collection For Dementia Research In Kenya, Lucy Kamau, Chinedu Momoh, Karen Blackmon, Caroline Kiio, Jasmit Shah, Vaibhav Narayan, Irene Meier, Olivera Nesic Taylor,, Zul Merali, Edna Bosire
Perceptions And Attitudes On Biospecimen Sample Collection For Dementia Research In Kenya, Lucy Kamau, Chinedu Momoh, Karen Blackmon, Caroline Kiio, Jasmit Shah, Vaibhav Narayan, Irene Meier, Olivera Nesic Taylor,, Zul Merali, Edna Bosire
Brain and Mind Institute
Background: Biospecimen sample collection is crucial in dementia diagnosis and evaluation. Limited research exists from African Countries including Kenya on people's perception on biospecimen sample collection for dementia- a disease that is largely unknown. Our aim was to understand the public perceptions towards collection of biospecimen samples for dementia research in Kenya.
Method: We conducted 8 focused group discussions (FGDs; age and gender stratified) in Nairobi to understand people's perceptions about different biospecimens (urine, saliva, blood, tears, hair, cerebrospinal fluid (CSF) and the brain samples). An open-ended FGD guide was used for the discussions, each lasting about 90 minutes.
Result: …
The Equity Implications Of Pecuniary Externalities On An Electric Grid, Charles Sims, Gasser G. Ali, J Scott Holladay, Tim Roberson, Chien-Fei Chen, Islam H. El-Haddad
The Equity Implications Of Pecuniary Externalities On An Electric Grid, Charles Sims, Gasser G. Ali, J Scott Holladay, Tim Roberson, Chien-Fei Chen, Islam H. El-Haddad
Civil Engineering Faculty Publications
The adoption of rooftop photovoltaic (PV) systems can create upward pressure on retail electricity rates as utilities are forced to spread their fixed costs of generation and transmission across a smaller customer base. Since high-income households are more likely to purchase PV systems, low-income households may be disproportionately impacted by these rate increases. Using a novel combination of agent-based computational economic modeling and a choice experiment of rooftop solar adoption, we show how this pecuniary externality between low- and high-income customers increases low-income electricity bills by 10% in an area with some of the highest poverty rates in the United …
Key Factors And Experiences That Influence The Career Trajectory Of Black Women In Charter School Senior Leadership, Oscia A. Miles
Key Factors And Experiences That Influence The Career Trajectory Of Black Women In Charter School Senior Leadership, Oscia A. Miles
Education Doctoral
This interpretive phenomenological analysis examined the career trajectories of four Black women in senior leadership roles within charter schools in the Northeastern Region of the United States. It explored how personal, professional, and cultural factors shaped their leadership experiences. Findings revealed that the participants faced systemic and cultural barriers impacting both access to leadership and their ability to sustain those roles. They navigated intersecting challenges of race, gender, and institutional expectations while balancing personal and community commitments. This study underscores the need for equity-centered strategies to address structural barriers and foster inclusive leadership pathways. Three recommendations emerged: targeted mentorship, equity-driven …
Weathering Of Black Doulas In Hospitals: Challenges And Opportunities, Denise Elaine Bolds
Weathering Of Black Doulas In Hospitals: Challenges And Opportunities, Denise Elaine Bolds
Education Doctoral
Black maternal health continues to face significant disparities in the United States, highlighting the crucial role of Black Doulas in promoting birth equity (Declercq & Zephyrin, 2020; K. Taylor et al., 2023). This qualitative, phenomenological study explored the lived experiences of 10 certified Black Doulas working in hospital settings nationwide. Guided by the weathering hypothesis (Geronimus, 1992, /2023), critical race feminist theory (Wing, 2020), Black feminist theory (Collins, 2000), Sojourner syndrome (Bailey, 2017), and the looking-glass self (Cooley, 1902), the study examined how systemic racism, occupational challenges, and advocacy fatigue intersect to shape their professional experiences.
Using semi-structured interviews, participants …
Exploring The Relationship Between Job Satisfaction And Servant Leadership In Community Corrections: A Probation Officer’S Perspective, Shamira B. Gambrell
Exploring The Relationship Between Job Satisfaction And Servant Leadership In Community Corrections: A Probation Officer’S Perspective, Shamira B. Gambrell
Education Doctoral
Probation officers work in demanding environments marked by high caseloads, role conflict, and organizational pressures that can negatively affect job satisfaction and workforce stability. Leadership practices at the frontline supervisory level play a critical role in shaping these experiences, yet limited empirical research has examined servant leadership within community corrections. The purpose of this quantitative correlational study was to examine the relationship between probation officers’ perceptions of servant leadership demonstrated by their direct supervisors and their level of job satisfaction.
Data were collected from probation officers affiliated with departments connected to the American Probation and Parole Association using an anonymous …
A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner
A Quantitative Exploration Of Risk And Protective Factors Affecting The Mental Health Of Chitimacha Tribal Youth, Daphnie Vilcan-Tanner
LSU New Orleans Theses and Dissertations
This study examines the relationships between demographics, risk factors, and protective factors with mental distress among Chitimacha Tribal adolescents aged 12 to 18. Using a Positive Youth Development framework, the research aimed to identify the prevalence of mental distress, trauma, discrimination, and protective factors, as well as their collective and individual impacts on mental health. Data were collected through online surveys completed by 73 participants residing on or near the Chitimacha Tribal Reservation. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results revealed that while trauma and discrimination collectively predicted mental distress, family and community …
Three Funny Things: A Multicultural Validation, Jon Hook
Three Funny Things: A Multicultural Validation, Jon Hook
Dissertations
This dissertation evaluated the efficacy of Three Funny Things, a humor-based positive psychology intervention (PPI) designed to enhance subjective well-being (SWB) and reduce depressive symptoms. Subjective well-being was operationalized through self-reported happiness, measured by the Authentic Happiness Inventory (AHI), and depressive symptomatology, measured by the Center for Epidemiologic Studies Depression Scale (CES-D). A repeated-measures design was employed across three time points: baseline (Time 1), post-intervention (Time 2), and one-month follow-up (Time 3). Participants (N = 126) represented a racially diverse community sample, including individuals identifying as White (61%), Black or African American (18%), Hispanic or Latino/a (11%), Asian (6%), and …
Pharmacy Matters December 2025/January 2026, University Of Mississippi School Of Pharmacy
Pharmacy Matters December 2025/January 2026, University Of Mississippi School Of Pharmacy
Pharmacy Matters Newsletters
Featured stories: School of Pharmacy Celebrates Employees of 25 Years, A Word of Gratitude and Year-End Highlights, Pharmacy Students Earn Top 10 Finish in ASHP Clinical Skills Competition, Pharmacy Students Earn Top Honors in 3MT Competition, Student Pharmacist Named to National Community Pharmacy Scholars Cohort, UM Pharmacy Celebrates First Year of Dietary Supplements and Medical Cannabis, Pharmacy Student Balances Rigorous Academics With Rebelettes Dance Team, Research Professor Recognized with Two Prestigious Awards, Oregano Oil Shows Promise as Natural Fire Ant Repellant, Researchers Develop Tool to Study Autism Risk Factors, Pharmacy Alumnus, Former Football Player Inducted Into MAIS Hall of Fame, …
Augmenting Large Language Models To Predict Social Determinants Of Mental Health In Opioid Use Disorder Using Patient Clinical Notes, Madhavi Pagare, Deva Sai Kumar Bheesetti, Inyene E. Essien-Aleksi, Mohammad Arif Ul Alam
Augmenting Large Language Models To Predict Social Determinants Of Mental Health In Opioid Use Disorder Using Patient Clinical Notes, Madhavi Pagare, Deva Sai Kumar Bheesetti, Inyene E. Essien-Aleksi, Mohammad Arif Ul Alam
Health Sciences Faculty Publications
Objective
Identifying social determinants of mental health (SDOMH) in patients with opioid use disorder (OUD) is crucial for estimating risk and enabling early intervention. Extracting such data from unstructured clinical notes is challenging due to annotation complexity and requires advanced natural language processing (NLP) techniques. We propose the Human-in-the-Loop Large Language Model Interaction for Annotation (HLLIA) framework, combined with a Multilevel Hierarchical Clinical-Longformer Embedding (MHCLE) algorithm, to annotate and predict SDOMH variables. Materials and Methods
We utilized 2636 annotated discharge summaries from the Medical Information Mart for Intensive Care (MIMIC-IV) dataset. High-quality annotations were ensured via a human-in-the-loop approach, refined …