Digital Commons Network^™

Autologous Cellular Therapy For Cerebral Palsy: A Randomized, Crossover Trial, Charles S Cox, Jenifer Juranek, Steven Kosmach, Claudia Pedroza, Nivedita Thakur, Allison Dempsey, Kimberly Rennie, Michael C Scott, Margaret Jackson, Akshita Kumar, Benjamin Aertker, Henry Caplan, Fabio Triolo, Sean I Savitz

Faculty, Staff and Student Publications

We examined an autologous mononuclear-cell-therapy-based approach to treat cerebral palsy using autologous umbilical cord blood or bone-marrow-derived mononuclear cells. The primary objective was to determine if autologous cells are safe to administer in children with cerebral palsy. The secondary objectives were to determine if there was improvement in motor function of patients 12 months after infusion using the Gross Motor Function Measure and to evaluate impact of treatment on corticospinal tract microstructure as determined by radial diffusivity measurement. This Phase 1/2a trial was a randomized, blinded, placebo-controlled, crossover study in children aged 2–10 years of age with cerebral palsy enrolled …

Structure Of The Hsp110:Hsc70 Nucleotide Exchange Machine, Yusra Ahmed, Jeremy Miciak, W Pat Taylor, David J Francis

Faculty, Staff and Student Publications

We evaluate the direct and inferential mediation (DIME) model for reading comprehension with a sample of struggling readers in Grades 3 to 5 (N = 364) in the context of a large-scale randomized controlled trial (RCT) investigating two theoretically distinct reading interventions (text processing + foundational skills [n = 117] or text processing only [n = 120]) and a control condition (n = 127). We investigate whether the intervention affects not just reading comprehension levels, but also how variables within the reading system interrelate. This approach allows the focus to shift from intervention as influencing a …

The Novel Use Of Biplane Imaging For Ultrasound-Guided Regional Anesthesia, Yusra Ahmed, Shawn Kent, Paul T Cirino, Milena Keller-Margulis

Faculty, Staff and Student Publications

Research suggests that executive function, motivation, transcription, and composition processes are implicated in the writing quality and productivity of children with and without learning difficulties. However, numerous components embedded within these constructs create both conceptual and empirical challenges to the study of written expression. These challenges are reflected in the writing research by way of poor delineation of constructs and insufficient distinction among domain general resources (e.g. working memory) versus processes related to the academic domain of writing (e.g. pre-planning), as well as among lower- (e.g. handwriting) and higher-order (e.g. editing) writing-specific processes. The current study utilizes the Not-so-Simple View …

Informal Science, Technology, Engineering And Math Learning Conditions To Increase Parent Involvement With Young Children Experiencing Poverty, Tricia A Zucker, Gloria Yeomans Maldonado, Michael Assel, Cheryl Mccallum, Cindy Elias, John M Swint, Lincy Lal

Faculty, Staff and Student Publications

Broadening participation in early science, technology, engineering and math (STEM) learning outside of school is important for families experiencing poverty. We evaluated variations of the Teaching Together STEM pre-kindergarten program for increasing parent involvement in STEM learning. This informal STEM, family engagement program was offered in 20 schools where 92% of students received free/reduced lunch. The core treatment included a series of family education workshops, text messages, and family museum passes. The workshops were delivered at school sites by museum outreach educators. We randomly assigned schools to business-as-usual control or one of three additive treatment groups. Using an additive treatment …

The Value Of Peer Support In Curbing Moral Injury: A Resident’S Perspective, May W Chen, Jennifer K Lee, Gilbert Vezina, Aylin Tekes, Jamie Perin, Ruoying Li, Alexandra O'Kane, Meaghan Mcgowan, Taeun Chang, Charlamaine Parkinson, Colleen Krein, Tareq Al-Shargabi, Frances J Northington, Ken M Brady, An N Massaro, Rathinaswamy B Govindan

Faculty, Staff and Student Publications

Identifying the hemodynamic range that best supports cerebral perfusion using near infrared spectroscopy (NIRS) autoregulation monitoring is a potential physiologic marker for neonatal hypoxic-ischemic encephalopathy (HIE) during therapeutic hypothermia. However, an optimal autoregulation monitoring algorithm has not been identified for neonatal clinical medicine. We tested whether the hemoglobin volume phase (HVP), hemoglobin volume (HVx), and pressure passivity index (PPI) identify changes in autoregulation that are associated with brain injury on MRI or death. The HVP measures the phase difference between a NIRS metric of cerebral blood volume, the total hemoglobin (THb), and mean arterial blood pressure (MAP) at the frequency …

Neurovascular Disease: 2022 Update, Louise D Mccullough

Faculty, Staff and Student Publications

In this update we present a series of papers focused on topics that have emerged in vascular disease over the prior year. The first two papers focus on the pathogenesis of vascular malformations, the first on brain arteriovenous malformations, and the second on cerebral cavernous malformations. These disorders can lead to significant brain injuries from intracerebral hemorrhage (if they rupture) or other neurological complications, including seizures. The next set of papers reflects work that has advanced our understanding of how the brain and the immune system "communicate" after brain injury, including stroke (papers 3-6). The first of these shows that …

Patient-Reported Outcomes Of Primary Total Ankle Arthroplasty In Patients Aged <50 Years, M Pierce Ebaugh, Travis Alford, Kamen Kutzarov, Elizabeth Davis, Michael Greaser, William C Mcgarvey

Faculty, Staff and Student Publications

Background:

Compared to more prevalent arthritic conditions, ankle arthritis is complicated by an earlier age of onset. Recently published data demonstrates excellent survivorship and complication rates in short-/midterm follow-up of younger patients who received a primary total ankle arthroplasty (TAA). Additionally, older TAA patients display comparable reported outcomes relative to hip/knee arthroplasty. However, there remains a paucity of literature surrounding the reported outcomes of younger patients undergoing TAA. Thus, our aim was to assess the reported outcomes of individuals aged <50 years receiving a primary TAA.

Methods:

A retrospective cohort analysis of adult patients <50 years who received a primary total ankle replacement was conducted. Patient demographics, diagnosis, treatment, and outcome characteristics were recorded from a chart review of 41 patients with at least 1 year of postoperative clinical follow-up. Postoperative reported outcomes were obtained via telephone interviews. Primary outcomes that were measured included emotional and physical health, activity limitation, ambulation, and global health. Measures used included the 36-Item Short Form Health Survey (SF-36), Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health, and Sickness Impact Profile Ambulation. The functional outcomes in our study sample were compared with age- and gender-matched norms from a general US population, and 95% CIs were calculated for each functional outcome mean. Student t test was used for continuous variables, and χ2 analysis was used …

Diagnostic Accuracy Of Calculated Tumor Volumes And Apparent Diffusion Coefficient Values In Predicting Endometrial Cancer Grade, Chandan Kakkar, Kamini Gupta, Kunal Jain, Vikram Narang, Aminder Singh, Kavita Saggar, Namita Bansal, Dania Cioni, Emanuele Neri

Faculty, Staff and Student Publications

BACKGROUND: Magnetic resonance imaging (MRI) has been shown to be an accurate imaging technique for the preoperative assessment of local staging of endometrial cancer and for evaluating the depth of myometrial invasion.

MATERIALS AND METHODS: This was a single-center retrospective study performed on patients with histopathologically proven endometrial carcinoma who underwent an MRI examination of the pelvis between October 2017 and May 2020.

RESULTS: In the present analysis, mean apparent diffusion coefficient (ADC) values for each histologic grade were 0.72 ± 0.13 × 10

CONCLUSION: Preoperative noninvasive radiological assessment for tumor volume, TV/ UV or tumor volume/uterine volume is important …

Evaluation Of Contemporary Echocardiographic And Histomorphology Parameters In Predicting Mortality In Patients With Endomyocardial Biopsy-Proven Cardiac Al Amyloidosis, Efstratios Koutroumpakis, Adam Niku, Christopher K Black, Abdelrahman Ali, Humaira Sadaf, Juhee Song, Nicolas Palaskas, Cezar Iliescu, Jean-Bernard Durand, Syed Wamique Yusuf, Hans C Lee, L Maximilian Buja, Anita Deswal, Jose Banchs

Faculty, Staff and Student Publications

INTRODUCTION: This study examined the role of echocardiographic and cardiac histomorphology parameters in predicting mortality in patients with cardiac AL amyloidosis.

METHODS: Patients with endomyocardial biopsy-proven cardiac AL amyloidosis treated at MD Anderson Cancer Center between 6/2011 and 6/2020 were identified. Stored echocardiographic images and endomyocardial biopsy samples were processed for myocardial strain analysis and a detailed histomorphology characterization.

RESULTS: Of 43 patients; 44% were women and 63% white. Median age was 65 years; 51% underwent stem cell transplantation (SCT). Thirty patients (70%) died during follow up (median follow up: 4.1 years). Lower LA strain (

CONCLUSION: Lower LA strain …

Cytokines And Chemokines Profile In Encephalitis Patients: A Meta-Analysis, Alireza Soltani Khaboushan, Mohammad-Taha Pahlevan-Fallahy, Parnian Shobeiri, Antônio L Teixeira, Nima Rezaei

Faculty, Staff and Student Publications

Background: Encephalitis is caused by autoimmune or infectious agents marked by brain inflammation. Investigations have reported altered concentrations of the cytokines in encephalitis. This study was conducted to determine the relationship between encephalitis and alterations of cytokine levels in cerebrospinal fluid (CSF) and serum.

Methods: We found possibly suitable studies by searching PubMed, Embase, Scopus, and Web of Science, systematically from inception to August 2021. 23 articles were included in the meta-analysis. To investigate sources of heterogeneity, subgroup analysis and sensitivity analysis were conducted. The protocol of the study has been registered in PROSPERO with a registration ID of CRD42021289298. …

Editor's Note (Volume 22), Jim Baird

Jeffers Studies

No abstract provided.

The Point Alma Venus Manuscripts: Preliminary Versions Of The Women At Point Sur, By Robinson Jeffers, Jim Baird

Jeffers Studies

No abstract provided.

Control-Core: A Framework For Simulation And Design Of Closed-Loop Peripheral Neuromodulation Control Systems, Pradeeban Kathiravelu, Mark Arnold, Jake Fleischer, Yuyu Yao, Shubham Awasthi, Aviral Kumar Goel, Andrew Branen, Parisa Sarikhani, Gautam Kumar, Mayuresh V. Kothare, Babak Mahmoudi

Faculty Research, Scholarly, and Creative Activity

Closed-loop Vagus Nerve Stimulation (VNS) based on physiological feedback signals is a promising approach to regulate organ functions and develop therapeutic devices. Designing closed-loop neurostimulation systems requires simulation environments and computing infrastructures that support i) modeling the physiological responses of organs under neuromodulation, also known as physiological models, and ii) the interaction between the physiological models and the neuromodulation control algorithms. However, existing simulation platforms do not support closed-loop VNS control systems modeling without extensive rewriting of computer code and manual deployment and configuration of programs. The CONTROL-CORE project aims to develop a flexible software platform for designing and implementing …

Presence 5 For Racial Justice Workshop: Fostering Dialogue Across Medical Education To Disrupt Anti-Black Racism In Clinical Encounters, Megha Shankar, Kelsey Henderson, Raquel Garcia, Gabrielle Li, Ke Andrea Titer, Rhonda Graves Acholonu, Utibe R. Essien, Cati Brown-Johnson, Joy Cox, Jonathan G. Shaw, Marie Christine Haverfield, Kenji Taylor, Sonoo Thadaney Israni, Donna Zulman

Faculty Research, Scholarly, and Creative Activity

Introduction: Anti-Black racism has strong roots in American health care and medical education. While curricula on social determinants of health are increasingly common in medical training, curricula directly addressing anti-Black racism are limited. Existing frameworks like the Presence 5 framework for humanism in medicine can be adapted to develop a novel workshop that promotes anti-racism communication. Methods: We performed a literature review of anti-racism collections and categorized anti-racism communication practices using the Presence 5 framework to develop the Presence 5 for Racial Justice Workshop. Implementation included an introductory didactic, a small-group discussion, and a large-group debrief. Participants evaluated the workshop …

Lightweight And Expressive Fine-Grained Access Control For Healthcare Internet-Of-Things, Shengmin Xu, Yingjiu Li, Robert H. Deng, Yinghui Zhang, Xiangyang Luo, Ximeng Liu

Research Collection School Of Computing and Information Systems

Healthcare Internet-of-Things (IoT) is an emerging paradigm that enables embedded devices to monitor patients vital signals and allows these data to be aggregated and outsourced to the cloud. The cloud enables authorized users to store and share data to enjoy on-demand services. Nevertheless, it also causes many security concerns because of the untrusted network environment, dishonest cloud service providers and resource-limited devices. To preserve patients' privacy, existing solutions usually apply cryptographic tools to offer access controls. However, fine-grained access control among authorized users is still a challenge, especially for lightweight and resource-limited end-devices. In this paper, we propose a novel …

Secure Cloud Data Deduplication With Efficient Re-Encryption, Haoran Yuan, Xiaofeng Chen, Jin Li, Tao Jiang, Jianfeng Wang, Robert H. Deng

Research Collection School Of Computing and Information Systems

Data deduplication technique has been widely adopted by commercial cloud storage providers, which is both important and necessary in coping with the explosive growth of data. To further protect the security of users' sensitive data in the outsourced storage mode, many secure data deduplication schemes have been designed and applied in various scenarios. Among these schemes, secure and efficient re-encryption for encrypted data deduplication attracted the attention of many scholars, and many solutions have been designed to support dynamic ownership management. In this paper, we focus on the re-encryption deduplication storage system and show that the recently designed lightweight rekeying-aware …

Fundamental Data Analysis Tools And Concepts For Bioacoustical Research, Chandra Salgado Kent, Tiago A. Marques, Danielle Harris

Research outputs 2022 to 2026

Bioacoustics is a growing field of research in which sound is measured to gain knowledge about species’ natural history and their environments. For example, bioacousticians have been able to create phylogenies, identify populations, and estimate abundance using sound. Moreover, today, many animals are exposed to human-generated noise, which can impact animals’ behavior, ability to communicate, physiology, hearing, and, in some instances, survival. Bioacoustics, thus, is commonly used to assess and predict the impacts of anthropogenic noise on animals and their populations. The use of bioacoustics to address such research questions, however, is only effective provided the quantitative and statistical analysis …

Implementing The National Quality Standard In Schools: Leadership That Motivates Improvement Initiatives Through Psychological Ownership, Gillian Kirk, Lennie Barblett

Research outputs 2014 to 2021

From 2016, all Western Australian schools were mandated to implement the National Quality Standard (NQS) in Kindergarten through to Year 2. Over the first year of implementation, this mandate had varying degrees of success in adoption. This study examined four schools which were identified as having implemented the NQS. A qualitative methodology was employed to examine those factors that supported implementation. A key finding was the integral role played by distributed leadership in adopting new initiatives. Using Activity Theory to conceptualise the data, it was found that psychological ownership was a key factor in enabling distributed leadership. Ownership was enabled …

Mixed-Ability Grouping In Physical Education: Investigating Ability And Inclusivity In Pedagogic Practice, Shaun D. Wilkinson, Dawn Penney

Research outputs 2014 to 2021

In the United Kingdom (UK) particularly, grouping strategies in secondary education have attracted considerable political attention. While setting students by ability is frequently adopted in mathematics, English and science, mixed-ability grouping is common in other subjects, including physical education (PE). Educational research exploring grouping has highlighted the need for research to extend understanding of the pedagogical assumptions, challenges and/or opportunities associated with the use of mixed-ability grouping in various subject and school settings. This case study research sought to examine mixed-ability grouping with a particular focus on how this grouping strategy was enacted in Key Stage 3 (Years 7, 8 …

Power, Passion And Politics: A Grounded Theory Study Of Academic Experiences In Policy Development And Implementation In Higher Education, Marie Brennan

Doctoral

This research study is designed to investigate the lived experiences and perspectives of the academic community on policy development in Irish higher education. A review of the current policy landscape in Ireland and Europe and in particular empirical studies concerning policy implementation provided the focus of the study. The initial study focused on contemporary literature on policy development practices affected by globalisation and subsequently the issues at a national level. Where the gaps in knowledge were identified were in terms of policy implementation at the local level and where the study is aligned. The participants in the study are academics …

Identification Of Biomarkers For The Prediction Of Radiation Toxicity In Prostate Cancer Patients, Daniel Cullen

Doctoral

The success of radiotherapy in tumour control depends on the total dose given. However, the tolerance of the normal tissues surrounding the tumour limits this dose. It is not known why some patients develop radiation toxicity and, currently, it is not possible to predict before treatment which patients will experience adverse effects. Thus, there is an unmet clinical need for a new test to identify patients at risk of radiation toxicity. The aim of this study was to determine if spectral variations in blood lymphocytes from PCa patients may suggest Raman spectral bands that could be used in future research …

To Investigate The Foveal Avascular Zone In A Young Healthy Population Using Optical Coherence Tomography Angiography, Susan O'Shea

Masters

Introduction/Aims Inflammatory diseases such as diabetes, glaucoma and age-related macular degeneration (AMD) can alter the size and shape of the foveal avascular zone (FAZ). Macular pigment (MP), a powerful antioxidant, located at the macula can protect the eye from oxidative stress damage. This study aims to investigate possible factors affecting the FAZ, such as vessel perfusion and overweight/obesity, in association with MP status in a young, healthy population. Normative values for FAZ size/shape and vascularity will also be proposed.

Methods One hundred and fifty-four subjects aged 18-35 years old were recruited. Superficial FAZ area, diameter, ganglion cell layer, central macular …

Potential Interactions Between Metal-Based Phenanthroline Drugs And The Unfolded Protein Response Endoplasmic Reticulum Stress Pathway, Tadhg O'Leary, Pauraic Mccarron, Michael Devereux, Steve Meaney

Articles

The unfolded protein response has recently been implicated as a mechanism by which 1,10-phenanthrolinecontaining coordination compounds trigger cell death. We explored the interaction of two such compounds —one containing copper and one containing manganese—with endoplasmic reticulum (ER) stress. Pretreatment with anisomycin significantly enhanced the cytotoxic activity of both metal-based compounds in A2780, but only the copper-based compound in A549 cells. The effects of pretreatment with tunicamycin were dependent on the nature of the metal center in the compounds. In A2780 cells, the cytotoxic action of the copper compound was reduced by tunicamycin only at high concentration. In contrast, in A549 …

An Improved Wild Horse Optimization Algorithm For Reliability Based Optimal Dg Planning Of Radial Distribution Networks, Mohammed Hamouda Ali, Salah Kamel, Mohamed H. Hassan, Marcos Tostado-Véliz, Hossam Zawbaa

Articles

This paper introduces a novel technique for optimal distribution system (DS) planning with distributed generation (DG) systems. It is being done to see how active and reactive power injections affect the system’s voltage profile and energy losses. DG penetration in the power systems is one approach that has several advantages such as peak savings, loss lessening, voltage profile amelioration. It also intends to increase system reliability, stability, and security. The main goal of optimal distributed generation (ODG) is a guarantee to achieve the benefits mentioned previously to increase the overall system efficiency. For extremely vast and complicated systems, analytical approaches …

Examining The Size Of The Latent Space Of Convolutional Variational Autoencoders Trained With Spectral Topographic Maps Of Eeg Frequency Bands, Taufique Ahmed, Luca Longo

Articles

Electroencephalography (EEG) is a technique of recording brain electrical potentials using electrodes placed on the scalp [1]. It is well known that EEG signals contain essential information in the frequency, temporal and spatial domains. For example, some studies have converted EEG signals into topographic power head maps to preserve spatial information [2]. Others have produced spectral topographic head maps of different EEG bands to both preserve information in The associate editor coordinating the review of this manuscript and approving it for publication was Ludovico Minati . the spatial domain and take advantage of the information in the frequency domain [3]. …

Dark Patterns: Effect On Overall User Experience And Site Revisitation, Deon Soul Calawen

Dissertations

Dark patterns are user interfaces purposefully designed to manipulate users into doing something they might not otherwise do for the benefit of an online service. This study investigates the impact of dark patterns on overall user experience and site revisitation in the context of airline websites. In order to assess potential dark pattern effects, two versions of the same airline website were compared: a dark version containing dark pattern elements and a bright version free of manipulative interfaces. User experience for both websites were assessed quantitatively through a survey containing a User Experience Questionnaire (UEQ) and a System Usability Scale …

The Impact Of Emotion Focused Features On Svm And Mlr Models For Depression Detection, Alexandria Mulligan

Dissertations

Major depressive disorder (MDD) is a common mental health diagnosis with estimates upwards of 25% of the United States population remain undiagnosed. Psychomotor symptoms of MDD impacts speed of control of the vocal tract, glottal source features and the rhythm of speech. Speech enables people to perceive the emotion of the speaker and MDD decreases the mood magnitudes expressed by an individual. This study asks the questions: “if high level features deigned to combine acoustic features related to emotion detection are added to glottal source features and mean response time in support vector machines and multivariate logistic regression models, would …

An Investigation Of The Relationship Between Subjective Mental Workload And Objective Indicators Of User Activity, Greg Byrne

Dissertations

Whilst the concept of physical workload is intuitively understood and readily applicable in system design, the same cannot be said of mental workload (MWL), despite its importance in our increasingly technological society. Despite its origin in the mid 20th century, the very concept of ”mental workload” is still a topic of debate in the literature, although it can be loosely defined as “the amount of mental work necessary for a person to complete a task” (Miller, 1956; Longo, 2014). Several methods have been utilized to measure of MWL, including physiological methods such as neuro-imagery, performance-based metrics, and subjective measures via …

Real-Time Stock Market Recommendation & Prediction Using Multi Source Data, Kalpana Konety

Dissertations

Stock investors must be cognizant of both the current price of their stock and the price at which they want to sell it in the future. This does not stop investors to monitor past price patterns and apply their knowledge to the present. ’Past performance is not an indicator of future success’, as the saying goes. To put it another way, historical stock data alone isn’t enough to forecast future stock prices. Another key factor to consider in a trading strategy is the impact of market psychology. Financial data, which is a type of multimedia data, provides a wealth of …

Performance Evaluation Of An Edge Computing Implementation Of Hyperledger Sawtooth For Iot Data Security, Sean Connolly

Dissertations

Blockchain offers a potential solution to some of the security challenges faced by the internet-of-things (IoT) by using its practically immutable ledger to store data transactions. However, past applications of blockchain in IoT encountered limitations in the rate at which transactions were committed to the chain as new blocks. These limitations were often the result of the time-consuming and computationally expensive consensus mechanisms found in public blockchains. Hyperledger Sawtooth is an open-source private blockchain platform that offers an efficient proof-of-elapsed-time (PoET) consensus mechanism. Sawtooth has performed well in benchmarks against other blockchains. However, a performance evaluation for a practical application …