Phenotypic Diversity And Outcomes In Pediatric Nmda Receptor Encephalitis: A 15-Year Retrospective Study From The Largest Children's Hospital In The United States, Alexander J Sandweiss, Timothy Erickson, Yike Jiang, Varun Kannan, Jonathan M Yarimi, Kristen S Fisher, Nikita Shukla, Tim Lotze, Eyal Muscal, Kristy O Murray

Faculty, Staff and Students Publications

Anti‐NMDAR encephalitis (NMDARE) is an autoantibody‐mediated disorder characterized by seizures, movement disorders, neurocognitive deficits, and psychosis, but the complete phenotypic heterogeneity, and outcomes are incompletely understood in children. This single‐center retrospective analysis of NMDARE at the largest pediatric hospital in the United States between 2009 and 2024 screened 115 patients diagnosed with NMDARE. 103 had sufficient clinical data available for analyses. Two‐thirds were Hispanic, disproportionate to the Houston metro area demographics, and Hispanic patients had a higher CSF white cell count and antibody titer. Approximately one‐half of the patients with idiopathic NMDARE presented with a focal cortical phenotype that localized …

Racial, Ethnic, And Neighborhood Disparities In Acute Kidney Injury In Pediatric Acute Leukemia, Wendy C Bravo, Yimei Li, Tamara P Miller, Kelly Getz, Lusha Cao, Edward Krause, Mark Ramos, Judy Lee, Maria Monica Gramatges, Karen R Rabin, Michael Scheurer, Richard Aplenc, Michelle Denburg

Faculty, Staff and Students Publications

Introduction: We sought to identify racial/ethnic and neighborhood disparities in acute kidney injury (AKI) in children with acute lymphoblastic or myeloid leukemia (ALL, AML).

Methods: Electronic health record data were retrospectively collected from patients treated for de novo pediatric ALL or AML in the multicenter Leukemia Electronic Abstraction of Records Network. AKI was defined by modified Kidney Disease Improving Global Outcomes criteria. Neighborhood-level resources were defined by the Child Opportunity Level (COL). Prevalence ratios (PRs) for AKI at diagnosis by race/ethnicity and COL were calculated using modified Poisson regression. Cox regression was used to calculate hazard ratios (HRs) of first …

Interplay Between Genetic Ancestry, Self-Reported Race And Ethnicity, And Clinical Factors In Pediatric Acute Lymphoblastic Leukemia: A Redial Consortium Report, Pragati Kore, Jennifer M Geris, Maria Leon-Camarena, Maria I Castellanos, Olga A Taylor, Veronica Garcia-Morales, Austin L Brown, Pagna Sok, Jeremy M Schraw, Van Huynh, Kathleen F Ludwig, Laura J Klesse, Sandi L Pruitt, Amy E Hughes, Kevin Tien, Kenneth M Heym, Timothy Griffin, Rodrigo Erana, Juan Carlos Bernini, Maria M Gramatges, Elizabeth G Atkinson, Philip J Lupo, Michael E Scheurer, Karen R Rabin

Faculty, Staff and Students Publications

Background: Pediatric acute lymphoblastic leukemia (ALL) is the most common cancer in children, and its incidence and outcomes vary by race and ethnicity.

Methods: The Reducing Ethnic Disparities in Acute Leukemia (REDIAL) Consortium has assembled a cohort of patients < 25 years at diagnosis to examine genetic and neighborhood-level factors influencing ALL. As the cohort is ongoing, for this report, we examined sociodemographic and cytogenetic factors that might be associated with ALL outcome disparities.

Results: Among 2,512 patients diagnosed between 2005 and 2020, we observed distinct patterns of genetic ancestry and residential characteristics across self-reported race and ethnicity. Latino children, who comprised 55.3% of the cohort, had a mean Amerindigenous ancestry proportion of 50.9%, whereas non-Latino White children exhibited a predominantly European ancestry (mean = 78%). Neighborhood-level analysis revealed significant socioeconomic and geographic differences by …

More Than A Mesh: Gastrocnemius Flap Augmentation In Extensor Mechanism Reconstruction, Jered Wilson

Summer Research Program Abstracts

No abstract provided.

An Examination Of Student-Faculty Relationships As A Factor In Retention Of Students In The Department Of Agriculture, Macie C. Johnson

Electronic Theses and Dissertations

The purpose of this study was to discover the best approach in building academic relationships between students and faculty. Based on past research, student GPA, learning style, faculty relatability, and involvement were common factors in retention research. These factors contributed to the creation of statements used to analyze the best course of action in building academic relationships between students and faculty. Students and faculty in the Department of Agriculture at Stephen F. Austin State University were able to rank statements using a Quasi-Q-Sort. Results from the Quasi-Q-Sort were analyzed using cross-tabulation, descriptive statistics, Kendall’s W, and Mann-Whitney tests. Following these …

Post-Exercise Vitals Recovery Response In Barrel Horses: A Field Study On Cooling Methods Used By Competitors, Lauran E. Hetrick

Electronic Theses and Dissertations

Barrel racing demands peak physical performance from equine athletes, yet limited research evaluates the field-based strategies used to optimize equine recovery at competition. This study assessed recovery management approaches used by competitors to elucidate their influence of physiological recovery by measuring heart rate, respiratory rate, and body temperature during a high-profile barrel race competition. Physiological data were collected at baseline, immediately post-exercise, and during a 15–30-minute cooldown period to characterize recovery under real-world conditions. Significant increases in HR, RR, and BT occurred from baseline to post-run (p < 0.001), followed by reductions during cooldown (p < 0.01), though values remained elevated (p < 0.05). Rinsing reduced HR and RR (p < 0.01), while shade and fans decreased RR and variably influenced HR. Noise, as a confounding variable, decreased HR but increased BT (p < 0.001). Ultimately, these results emphasize multimodal recovery approaches in competitive equine management in the field.

From Mono To Object: A Contextual Evolution Of R&B And Soul Vocal Production Techniques With Emphasis On Object-Based Audio In Dolby Atmos, Samuel W. Slape

Electronic Theses and Dissertations

The human voice is the central element in much of recorded commercial music, and in R&B it serves as the primary vehicle of expression. Across the evolution of reproduction formats, including mono, stereo, surround, and Dolby Atmos, engineers have adapted strategies to preserve vocal clarity while exploring new spatial possibilities. This thesis examines how these shifts in technology and perception have shaped vocal production, using R&B as a lens for the relationship between format and artistic practice. Psychoacoustics provides a foundation for understanding how listeners perceive localization, masking, and vocal prominence. Analytical approaches are introduced to distinguish direct and indirect …

A Schenkerian Approach To The Marches Of Karl L. King, Dylan J. Custer

Electronic Theses and Dissertations

While the American march is a staple of wind band repertoire, it has been underrepresented in the field of advanced music theory. This thesis examines marches through the lens of Schenkerian analysis, which uncovers deep levels of structural cohesion and brings a fresh perspective to the American march genre. Specifically, this study uses Schenkerian methods to study the music of Karl L. King (1891-1971) across the span of his half-century career. King’s extensive output established an enduring blueprint for the genre. By applying an analytical framework derived from the work of Harald Krebs, this research demonstrates how the march can …

Pedagogy Of Immersive Audio In Music For Collegiate Application, Nathaniel Q. Stansbury

Electronic Theses and Dissertations

Academia has always struggled to keep up with the fast-changing audio industry. Recent developments in immersive audio have further widened this gap, and comparatively few pedagogical materials exist to assist in addressing the problem. This manuscript proposes a three-course curriculum designed to prepare undergraduate engineers for immersive music production. Course I introduces the history and terminology of immersive audio. Course II explores DAW signal flow, production procedures, and major immersive formats. Course III focuses on applied mixing, giving students hands-on experience. The curriculum acts as an opportunity for universities and educators to better equip students going into the music industry. …

Thinking Beyond Bias: The Confirmation Bias Index And The Cognitive–Motivational Predictors Of Accurate Headline Evaluation, Anthony Cantu

Electronic Theses and Dissertations

Confirmation bias — the tendency to favor belief-consistent information over contradictory evidence — represents a central challenge in contemporary misinformation research, yet its behavioral measurement has remained inconsistent across studies. This study introduced the Confirmation Bias Index (CBI), a preregistered behavioral measure defined as the difference in accuracy between ideologically congruent and incongruent headline evaluations. Using a 3 (headline slant: Conservative, Neutral, Liberal) × 2 (veracity: True, False) within-participants design, 198 participants evaluated 36 validated news headlines for accuracy. Results supported a veracity main effect and a reliable group-level confirmation bias effect indexed by the CBI. Headline slant alone did …

Predicting Well-Being Outcomes With Job Demands And Resources In A Higher Education Setting, Makinzy D. Hoxsey

Electronic Theses and Dissertations

Faculty in higher education face growing pressures that impact well-being and engagement. Guided by the Job Demands-Resources (JD-R) framework, the present study examined how perceptions of institutional changes, job demands, job resources, and personal resources such as grit and tolerance for ambiguity related to perceptions of well-being outcomes among teaching faculty at Stephen F. Austin State University. Job demands encompass dimensions of workload, emotional labor, work-life conflict, and role conflict, while job resources include elements of autonomy and social support. A multivariate multiple regression (MVMR) analysis was conducted using survey data from faculty members (n = 98). Results indicated that …

Body Size Variation And Floral Associations Of The American Bumble Bee, Bombus Pensylvanicus, In East Texas, Sabekun Nahar

Electronic Theses and Dissertations

The American bumble bee, Bombus pensylvanicus, is an important pollinator species that was once widespread in much of North America but has experienced population declines in recent decades in some regions. As a species of conservation concern, it is important to understand how body size varies in response to environmental conditions and to identify the key floral resources that support this species. I examined body size variation in East Texas and floral resource use of B. pensylvanicus across Texas. In the first chapter, body size variation among queens, workers, and males was quantified using thorax width and size variation …

Integrated Geophysical, Geotechnical, And Mineralogical Characterization Of Expansive Weches Formation Soils In East Texas: Implications For Infrastructure Design, Samuel Annobil

Electronic Theses and Dissertations

This study investigates the geotechnical, geophysical, and mineralogical characteristics of soils derived from the Weches Formation in Nacogdoches County, East Texas, with emphasis on the relationships among electrical resistivity, moisture condition, compaction state, and mineralogical composition. The Weches Formation is well known for producing clay-rich, moisture-sensitive soils that pose challenges to subgrade performance because of their plasticity and swelling behavior. Representative soil samples were collected and subjected to laboratory testing, including particle size analysis, Atterberg limits, Standard Proctor compaction, free swell tests, electrical resistivity measurements, and X-ray diffraction (XRD) mineralogical analysis. The soils are predominantly fine-grained and clay-rich, with USCS …

Predictors Of Elevated Borderline Personality Disorder And Pai-Bor Scores: The Role Of Psychological, Trauma, And Treatment Factors, Isabel Avendano Gil

Electronic Theses and Dissertations

Borderline Personality Disorder (BPD) is a complex and multifaceted mental health condition that significantly affects individuals' emotional, cognitive, and interpersonal functioning. BPD is characterized by impulsivity, emotional dysregulation, unstable relationships, and self-destructive behaviors, and often results in significant impairment across multiple life domains. Previous research has consistently identified Adverse Childhood Experiences (ACEs), particularly sexual abuse (SA), as key contributors to the development of BPD. These early traumas are closely associated with core features of the disorder, including affective instability, identity disturbance, impulsivity, and maladaptive interpersonal patterns.

Psychotherapeutic interventions, such as Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT), have …

A Quantitative Study On The Impact Of Alternative Education Placements On Graduation Outcomes Of Public Education Students In Special Populations, Mark D. True

Electronic Theses and Dissertations

ABSTRACT

This study examined the relationship between Disciplinary Alternative Education Program (DAEP) placement and graduation outcomes among students in special populations within a large, urban public school district in Texas. Grounded in Social Cognitive Theory, this study analyzed a four-year longitudinal cohort to determine whether DAEP placement was associated with differences in graduation outcomes, including on-time graduation, late graduation, and dropout status. The study examined differences between students with single and multiple DAEP placements. The sample included over 4,000 students including students who experienced DAEP placement. Data were analyzed using descriptive and inferential statistics to compare outcomes between DAEP and …

The Camus Initiative: A Multiphase, Multicentre International Collaboration To Redefine Risk Stratification, Reporting, And Grading Of Surgical Complications In Urology., Christopher Soliman, Niranjan J. Sathianathen, Niall M. Corcoran, Nathan Lawrentschuk, Patrick Y. Wuethrich, Marc A. Furrer, Paul Chung, Camus Study Group Collaborators

Department of Neurology Faculty Papers

Surgical complications remain a major source of preventable morbidity, mortality, and health care expenditure, but existing frameworks such as the Clavien-Dindo classification and Comprehensive Complication Index are clinician-centred and intervention-focused and fail to capture cumulative patient-centred outcomes. This protocol outlines the Complications After Major and Minor Urological Surgery (CAMUS) initiative, a global, multiphase effort to redefine complication reporting, risk stratification, and outcome measurement in urological surgery. CAMUS aims to address these limitations via an integrated, seven-arm programme combining retrospective and prospective data analysis, consensus development, and digital infrastructure design. Arm 1 has assembled a retrospective data set of 130 034 …

Use And Awareness Of Online Resources In University Libraries, Rudraksha Gouridevi

Library Philosophy and Practice (e-journal)

The study of the use and awareness of online resources in university libraries. The study used a survey to collect primary data. A questionnaire was used to collect primary data from library users (undergraduate, postgraduate students, and research scholars) in selected university libraries, both public and Deemed University libraries, in Andhra Pradesh. The study covered four university libraries. Out of the total number of students and research scholars (25266) from the four universities. In this study, only 10 percent of the respondents were selected as the survey sample. The study indicated that the highest rate of users are accessing the …

Computational Fluid Dynamics-Based Risk Stratification Of Modified Blalock-Taussig-Thomas Shunt Thrombogenicity, Yi Qiao, Ethan Penn, Jacob Miller, Scott Bugenhagen, Ram Rohatgi, Kelsey Mercer, Blaire Kulp, Jinli Wang, Pirooz Eghtesady, Guy M Genin, Edon J Rabinowitz, David Bark

2020-Current year OA Pubs

BACKGROUND: The modified Blalock-Taussig-Thomas shunt (mBTTS) is a critical palliative procedure for infants with single-ventricle physiology, but thrombosis-related occlusion affects 8% to 12% of infants and carries nearly 50% mortality. Meanwhile, existing antithrombotic strategies fail to address the hemodynamic factors driving thrombosis, highlighting the need for a deeper understanding of flow dynamics in shunt failure.

OBJECTIVES: This study aims to identify how mBTTS geometry influences hemodynamics and thrombosis risk, providing quantitative guidance for surgical planning and shunt design optimization.

METHODS: We used patient-specific imaging data to test 54 idealized mBTTS configurations, systematically varying key geometric factors: pulmonary artery diameter, shunt …

Sustainment Of Hydroxyurea Adherence In Patients With Sickle Cell Disease, Andrew M Heitzer, Zachary Wooten, Guangjin Luo, Marsha Treadwell, Allison A King, Victor R Gordeuk, Nirmish Shah, Christina M Abrams, Sarah Mccuskee, Siera Gollan, Jennifer Longoria, Jane S Hankins, Sickle Cell Disease Implementation Consortium

2020-Current year OA Pubs

IMPORTANCE: Despite established treatment guidelines and strong therapeutic benefit, hydroxyurea remains underused among patients with sickle cell disease.

OBJECTIVE: To assess the change in self-reported hydroxyurea use (ie, taking the medication at all) and adherence (ie, the number of days taken per week) over time and to examine factors associated with the trajectory of hydroxyurea use and adherence.

DESIGN, SETTING, AND PARTICIPANTS: Data were collected through the Sickle Cell Disease Implementation Consortium, a longitudinal, multicenter, observational cohort study that recruited patients from 8 centers across the US. Data collection occurred from 2017 to 2022, and analyses were performed from January …

Cognitive Behavioral Therapy For Individuals With Low Literacy And Perinatal Depression: A Randomized Clinical Trial, Eliza Kleban, Ashleen Lee, Aminata Koroma, D Taylor Hendrixson, Joshua Duncan, Mark J Manary, Kevin B Stephenson

2020-Current year OA Pubs

IMPORTANCE: Perinatal depression is common in sub-Saharan Africa, yet treatment gaps are substantial. Cognitive behavioral therapy (CBT) is effective but relies on written materials.

OBJECTIVE: To evaluate the efficacy of a culturally adapted CBT intervention delivered by lay counselors to women with perinatal depression in rural Sierra Leone.

DESIGN, SETTING, AND PARTICIPANTS: This study was an individually randomized, outcomes assessor- and investigator-blinded, clinical trial of an adapted CBT intervention vs enhanced usual care. The trial was conducted in 6 government-run antenatal clinics in Pujehun District, Sierra Leone, which has limited infrastructure, low literacy, high maternal undernutrition, and no perinatal mental …

Advancing Peripheral Nerve Regeneration (Nerve Space 2025), Ken Porche, Tara Sara Saffari, Hollie Power, Wesley P Thayer, S Shelby Burks, John C Elfar, Alexander Y Shin, David M Brogan

2020-Current year OA Pubs

UNLABELLED: Peripheral nerve injuries remain a major clinical challenge due to slow axonal regeneration, rapid Wallerian degeneration (WD), and degeneration of target organs prior to reinnervation.

WHERE ARE WE NOW?: Strategies to enhance regeneration can be broadly divided into three categories: preventing or delaying WD, speeding up axonal regeneration, and improving the molecular environment at the injury site. Approaches to delay WD include polyethylene glycol-mediated axonal fusion, which may restore early axonal continuity and conduction, and inhibition of sterile alpha and TIR motif-containing 1, the central executioner of WD, with small-molecule inhibitors now in clinical trials. Methods to accelerate axon …

Use And Public Reporting Of Predetermined Change Control Plans For Ai-Enabled Medical Devices, Patryk A Dabek, Florence T Bourgeois, Ariel D Stern, Yi Zhu, Alexander O Everhart

2020-Current year OA Pubs

No abstract provided.

Crispr-Cas9 Cd33-Deleted Allogeneic Hematopoietic Cell Transplantation With Gemtuzumab Ozogamicin Maintenance In Aml: A Phase 1/2 Trial, John F Dipersio, Et Al.

2020-Current year OA Pubs

Patients with high-risk acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) are likely to relapse despite allogenic hematopoietic cell transplantation (HCT). Post-HCT preventative maintenance can be limited by toxicity toward the normal donor cells. Tremtelectogene empogeditemcel (trem-cel) is a CRISPR-Cas9 gene-edited allogeneic HCT product lacking CD33, designed to shield the donor graft from cytotoxicity of subsequent CD33-targeted therapies such as gemtuzumab ozogamicin (GO). In this multicenter, phase 1/2a, open-label study, adult patients with AML/MDS with high relapse risk received trem-cel after myeloablative conditioning followed by GO maintenance (0.5-2.0 mg m

Androgen Loss Accelerates Brain Tumour Growth Via Hpa Axis Activation, Juyeun Lee, Joshua B Rubin, Et Al.

2020-Current year OA Pubs

Many cancers, including glioblastoma (GBM), show a male-biased incidence and associated worse outcomes

Differences In Injury Rates By Competition Level Among Scholastic And Collegiate Female Lacrosse Athletes: A Systematic Review, Carrie J Froemming, Daniel C Touhey, Robert H Brophy, Derrick M Knapik

2020-Current year OA Pubs

BACKGROUND: Women's lacrosse is an increasingly popular sport. Current rules allow incidental body and stick-to-stick contact, with limited required protective equipment. Injuries to the head, face, and lower extremities are common, especially at higher levels of competition. Differences in injury rates and types based on competition level remain largely unknown.

PURPOSE: To systematically review the literature to better understand injury differences between scholastic and collegiate female lacrosse athletes.

STUDY DESIGN: Systematic review; Level of evidence, 4.

METHODS: Under PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses), 543 studies were identified in September 2025 in PubMed, Scopus, Google Scholar, …

Single-Cell Spatiotemporal Dissection Of The Human Maternal-Fetal Interface, Cheng Wang, Sarah K England, David K Stevenson, Gary M Shaw, Et Al.

2020-Current year OA Pubs

The human maternal-fetal interface is characterized by mosaic intermingling of maternal and fetal cells

Synovial Fluid Biomarkers Associated With Anterior Cruciate Ligament Injury And Reconstruction: A Systematic Review, Daniel C Touhey, Derrick M Knapik, Sina Tartibi, Varun Gopinatth, Tanya Boghosian, Matthew J Matava, Matthew V Smith, Robert H Brophy

2020-Current year OA Pubs

BACKGROUND: Synovial fluid biomarkers reflect the inflammatory response after joint injury and surgery. Previous studies have identified synovial fluid biomarker concentrations in the knee after both anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR).

PURPOSE: To systematically review the literature to summarize reported changes in synovial fluid biomarkers and their concentrations after acute ACL injury/ACLR.

STUDY DESIGN: Systematic review; Level of evidence, 4.

METHODS: Studies published in the PubMed, EMBASE, and the Cochrane Library databases reporting in English on humans sustaining ACL tears and undergoing ACLR from inception to August 2025 were identified and included if postinjury/preoperative and/or postoperative …

Multicenter Comparison Of Modern Plating Options In Fibula, Scapula, And Osteocutaneous Radial Forearm Free Flaps, Craig A Bollig, Amit Walia, Patrik J Pipkorn, Ryan S Jackson, Sidharth V Puram, Jason T Rich, Randal C Paniello, Et Al.

2020-Current year OA Pubs

OBJECTIVES: Evaluate the association of plating strategies with hardware removal and operative time, after adjusting for relevant clinical variables.

STUDY DESIGN: Retrospective Review.

SETTING: Multiple Academic Medical Centers.

METHODS: Patients undergoing osseous free flap reconstruction stratified based on the plating strategy [conventional plating with a hand-bent plate, precontoured plate, and virtual surgical planning (VSP) with patient-specific hardware and cutting guides]. Variables associated with hardware removal were analyzed using multivariable logistic regression. To evaluate the effect of plating strategy on operative time, a multivariable linear regression model was created. Adjusted odds ratios (aOR) with 95% confidence intervals (CI) were calculated.

RESULTS: …

Adapt-On-Demand: Enabling Flexible And Scalable Adaptive Radiotherapy Through Workflow Automation, Sean Domal, Min Geon Choi, Justin Visak, Ruiqi Li, Taoran Li, Boon-Keng Kevin Teo, Xiaodong Zhao, Matthew Schmidt, Eric Laugeman, David Parsons, Yang Kyun Park, Shahed Badiyan, David Sher, Mu-Han Lin

2020-Current year OA Pubs

PURPOSE: CT-guided adaptive radiotherapy (CTgART) offers significant clinical benefits, but its utilization is often limited by resource demands and rigid workflows. This study presents a flexible and scalable "Adapt-on-Demand" (AOD) framework that integrates the adaptive capabilities of the Varian Ethos platform with the high-throughput IGRT delivery of the Varian Halcyon, supported by automated scripting.

METHODS: We developed an end-to-end dual-platform workflow that dynamically transitions between ART and IGRT delivery based on patient needs. Key components include Eclipse Scripting API (ESAPI) automation to streamline adapted plan ingestion from the Ethos Treatment Planning and Management System (TPMS) export directory, compatibility conversion for …

Preterm Birth Increases Susceptibility To Hyperglycemia-Induced Kidney Injury With Sex-Specific Differences In Structural And Molecular Responses, Rachel K Dailey, Aleksandra Cwiek, Logan C Hamil, Sage Timberline, Ayyappa Kumar Sista Kameshwar, Masako Suzuki, Jaya Isaac, Kimberly Deronde, Mark Conaway, Kevin M Bennett, Edwin J Baldelomar, Matthew R Hoch, Kimberly J Reidy, Jennifer R Charlton

2020-Current year OA Pubs

BACKGROUND: Preterm birth increases the long-term risk of diabetes and chronic kidney disease (CKD), yet its impact on diabetic kidney disease (DKD) is unclear. We previously showed that male preterm mice with diabetes develop early features of DKD, including reduced podocyte density, decreased renin expression, activation of angiogenesis pathways, and impaired endothelial-podocyte signaling. Here, we examine whether preterm birth similarly accelerates DKD progression in female mice and compare structural and transcriptomic outcomes in the females to the prior male cohort to assess sex-specific differences.

METHODS: Preterm mice were delivered by Caesarean section at 19 days post conception (dpc) and term …