Digital Commons Network^™

Stroke Severity, Caregiver Feedback, And Cognition In The Regards-Cares Study, Jason A Blake, D Leann Long, Amy J Knight, Burel R Goodin, Michael Crowe, Suzanne E Judd, J David Rhodes, David L Roth, Olivio J Clay

2020-Current year OA Pubs

BACKGROUND: Cognitive impairment after stroke is common and is present in up to 60% of survivors. Stroke severity, indicated by both volume and location, is the most consequential predictor of cognitive impairment, with severe strokes predicting higher chances of cognitive impairment. The current investigation examines the associations of 2 stroke severity ratings and a caregiver-report of poststroke functioning with longitudinal cognitive outcomes.

METHODS AND RESULTS: One hundred fifty-seven caregivers and stroke survivor dyads participated in the CARES (Caring for Adults Recovering From the Effects of Stroke) project, an ancillary study of the REGARDS (Reasons for Geographic and Racial Differences in …

Tracers Mission And Gnc Architecture, Sanny Omar, Reid Reynolds

Small Satellite Conference

The Tandem Reconnection and Cusp Electrodynamics Reconnaissance Satellites (TRACERS) NASA mission consists of two identical spinner spacecraft built by Millennium Space Systems to investigate the effects of solar wind on the Earth's magnetosphere, particularly in the Northern "magnetic cusp" region near the magnetic North pole. The TRACERS satellites will measure AC/DC magnetic fields, electric fields, and electron/ion distributions to better characterize Earth-sun interactions and determine whether magnetic reconnection phenomena are primarily spatially or temporarily driven. This will improve our ability to understand and forecast space weather and "solar storms" which have the potential to disrupt or damage power grids and …

An Unusual Case Of Refractory Hypoxia: The Many Ways Of Providing Oxygen, Saliha Erdem, Mir Babar Basir

Journal of Shock and Hemodynamics

This case report outlines the complex clinical course of a 26-year-old female patient who presented with altered mental status after an N-methyl-3,4-methylenedioxy-amphetamine overdose. The patient exhibited profound hemodynamic instability and respiratory failure. She subsequently developed shock, necessitating advanced life support measures, including veno-venous extracorporeal membrane oxygenation with a dual lumen right atrium to pulmonary artery cannula (ProtekDuo; LivaNova, London, UK) and Quadrox Oxygenator (Getinge, Wayne, NJ) system. This resulted in worsening hypoxemia, which was attributed to an increased left ventricular preload. In response, an intra-aortic balloon pump was used to decrease the left ventricle’s afterload. After balloon placement, the patient’s …

Starling Cubesat Swarm Technology Demonstration Flight Results, Scott Miller, Caleb Adams, Nahum Alem, Howard Cannon, Randy Grashuis, Ted Hendriks, Soon Hwang, Michael Iatauro, Craig Pires, Justin Kruger, Simone D'Amico

Small Satellite Conference

The Starling swarm of four 6U CubeSats launched in July 2023 to test four key technologies to enable future swarm missions:

1) Mobile Ad-Hoc Networking (MANET) over a crosslink radio network

2) Autonomous onboard decision-making for operations

3) Optical-based absolute and relative navigation

4) Autonomous maneuver planning and execution

The Starling team implemented the Better Approach to Mobile Ad-hoc Networking (B.A.T.M.A.N.) protocol to automatically manage the crosslink network of four satellites. The B.A.T.M.A.N. protocol uses a decentralized approach to managing a molti-hop mesh network of devices, in this case, a satellite swarm. The four satellites were able to successfully establish …

Friend Social Network Size Moderates The Association Between Age And Physical Activity Across Adulthood, Ashley Kuzmik, Yin Liu, Yendelela Cuffee, Lan Kong, Christopher N. Sciamanna, Liza S. Rovniak

International Journal of Exercise Science

International Journal of Exercise Science 17(5): 1068-1082, 2024. Both physical activity and social network size decline as people age. However, limited research has examined if social network size and contact frequency differentially influence physical activity across the adult lifespan. This study aimed to assess if these social network characteristics moderated the relationship between age and physical activity level across adulthood. Multiple regression analyses were conducted to examine the main-effect association between age, past-week physical activity, and past-year physical activity, as well as the moderating effect of social network characteristics (i.e., friend network size, friend contact frequency, relative network size, and …

Improved Forecasting Of Leo Satellite Orbital Decay During The 25Th Solar Cycle Maximum, Ravi Teja Nallapu, Chen Yap, Mike Siegers, Isil Demir, Kiruthika Devaraj, Scott Mcintosh

Small Satellite Conference

Planet is a leading provider of global, daily satellite imagery and geospatial solutions. Planet's mission is to image the world every day and make change visible, accessible, and actionable. To enable this mission, Planet operates the world's largest constellation of Earth Observation satellites (about 180 Doves and 20 Skysats) in the LEO environment of 400-550 km. However, this latitude regime became a challenging environment as we approached the solar maximum of the 25th solar cycle. The solar cycle describes an 11-year rotation period of the Sun's magnetic poles, which is characterized by several activities like solar flares and coronal mass …

Membership Meeting And Closing Ceremonies, The Mythopoeic Society

Mythcon

While the Members’ Meeting portion of Mythcon will be of interest primarily to members of the Mythopoeic Society, all conference participants are welcome to attend. Led by the Mythopoeic Society Stewards, the meeting will announce and discuss timely and necessary Society topics. Following the meeting, we will host our traditional leave-taking closing ceremonies which feature singing songs dear to Mythcon regulars. Words and music at: https://mythsoc.org/mythcon/mythcon-closing-songs.htm Members’ Meeting and Closing Ceremonies take place Monday morning, 11:15 am - 1 pm in the Terrace Rooms.

John Wain: The Inkling In The Middle, David Bratman

Mythcon

John Wain (1925-1994) - novelist, poet, and general man of letters – was caught between two literary generations. A tutorial pupil of C.S. Lewis’s at Oxford, he was invited by Lewis to join the Inklings, a private literary club consisting mostly of dons. While Wain enjoyed the company of his seniors, he felt at odds with them on basic matters of literary preference, in particular seeing no point to fantasy. Wain is more often classed with his contemporaries, post-WW2 writers known as The Movement, the University Wits, or the Angry Young Men, poets and novelists in a realist, often sarcastic …

Taking Chances: Plagiarism In Manuscripts, Richard Alweis

Advances in Clinical Medical Research and Healthcare Delivery

The Editor-in-Chief reflects on why authors plagiarize after the journal received several manuscripts containing plagiarized work.

Post Anesthesia Care Unit Comprehension Safety Program Quality Improvement Project On De-Escalation Of Patients, Mary M. Gaukler Giannavola, Basil George Verghese, Deborah Maier

Advances in Clinical Medical Research and Healthcare Delivery

Background:

Violence within the healthcare setting has risen significantly, and has crossed into areas where staff are less prepared to manage and deescalate challenging patient encounters. This lack of preparedness and confidence has led to increased staff stress, burn out, and can potentiate poor patient outcomes.

Methods:

A pre/post-simulation quality improvement project was performed within a tertiary hospital Post-Anesthesia Care Unit in Upstate New York to evaluate the effect of simulation on feelings of confidence and preparedness in patient de-escalation with PACU nurses and patient care technicians. The project evaluation included the Thackrey’s Clinician Confidence in Coping with Patient Aggression …

A Cross-Disciplinary Undergraduate Research Project: Bonding Through Books With Incarcerated Mothers And Grandmothers, April Terry, Sarah Miller

Criminal Justice Faculty Publications

This study addresses two areas of need in the literature. First, we recognize the impact of experiential-learning on student outcomes and fewer opportunities within the social sciences. Second, as academics in criminal justice and education, we are aware of educational needs of incarcerated persons. The current study blended together experiential-learning alongside a reading program within one state’s women’s correctional facility, targeting (grand)mothers. Two faculty and 40 students, spanning two academic departments, completed a research-based experiential-learning project with one community partner. This undergraduate project sought to benefit students, incarcerated (grand)mothers, and the (grand)children of incarcerated (grand)mothers through a read-aloud program. Through …

Ada News - 08/05/2024, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Analyzing Hiv/Aids Trends And Disparities In The Bronx: A Comparative Study With Nyc Boroughs, Caleb Adjei

CUNY Mexican Studies Institute

This study analyzes changes in reported HIV/AIDS cases over time in the Bronx, identifying the racial/ethnic groups and neighborhoods most affected by the disease. The Bronx consistently exhibits the highest rate of new HIV diagnoses among New York City’s boroughs, with Latino/Hispanic and Black populations being disproportionately impacted. Key neighborhoods like High Bridge-Morrisania, Crotona-Tremont, and Fordham-Bronx Park have the highest case concentrations. Despite advancements in healthcare and treatments like antiretroviral therapy, disparities persist. The findings highlight the need for targeted interventions to support the most affected communities and address the underlying social determinants contributing to the disparities in HIV/AIDS diagnoses.

Case Study Of Gun Control Policies Of Four Northeastern States, Cassandra Lynn Cantwell

Honors Program Theses and Projects

This case study contains mentions of suicide, gun violence, and related topics that some readers may find distressing. Reader discretion is advised. Over the past few years, it has appeared that instances of gun violence have been more prevalent. There have been numerous accounts of mass shooting events, many of which have targeted schools and major events like concerts. This has provoked a feeling of unease and fear in many individuals, as these occurrences are almost routinely subjected on news networks. To confront this topic, this study explores the relevant firearm policies that govern the access to firearms and the …

Assessment Of Economic Viability Of Direct Current Fast Charging Infrastructure Investments For Electric Vehicles In The United States, Daniel Bernal, Adeeba A. Raheem, Sundeep Inti, Hongjie Wang

Electrical and Computer Engineering Faculty Publications

As the global transportation sector increasingly adopts electric vehicles, the demand for advanced and accessible charging infrastructure is rising. In addition to at-home electric vehicle (EV) charging, there is a growing need for the swift development of commercial direct current fast charging (DCFC) stations to meet on-the-go EV charging demands. While government funds are available to support the expansion of the EV charging network in the United States, the establishment of a robust nationwide EV charging infrastructure requires significant private sector investment. This study was conducted to assess the economic feasibility of various business models for fast charging stations in …

Lanthorn, Vol. 59, No. 01, August 5, 2024, Grand Valley State University

Volume 59, August 5, 2024 – April 14, 2025

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.

Understanding Athletes’ Experience When Transitioning To Life Beyond Sport: A Pilot Study, Alyssa L. Moore

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

It’S More Than Skin Deep: Evaluating Mental Health Care In Dermatology Settings, Emma Kraft

Theses and Graduate Projects

Background: There is a high prevalence of mental health comorbidities in those with dermatologic conditions given the visible nature of many conditions. However, mental health often fails to be addressed due to lack of mental health education, stigma around mental health, and lack of mental health resources for patients. Purpose: This research study aims to assess how patients and providers experience and address mental health in dermatology settings. Methods: A systematic literature review was performed analyzing the relationship between dermatologic conditions and mental health. Additionally, a survey was conducted to assess how dermatology providers approach mental health in dermatology settings. …

Education And Management Of Lymphedema, Alison Gillard, Rebecca King

Summer 2024 OTD Capstone Symposium

Lymphedema is a chronic and progressive condition whose incidence is increasing each year. This underserved population demonstrates frustration and confusion with self-managing symptoms.

This program aimed to compile evidence-based resources into an easily accessible format for the population to use as needed.

Modeling Knowledge Graphs And Its Applicability In Multi-Source Social Network Data, Abiola Sylvester Akinnubi

Theses and Dissertations

Social network analysis is becoming more relevant with the rise of Large Language Models and other AI frameworks, particularly as online content creation surges. However, analyzing social network data from different platforms to study online opinions and influence campaigns remains challenging. Even more complex is the concept of multi-source social network analysis. Knowledge graphs, an essential part of Web 4.0 and crucial in information modeling and encoding, offer a unique solution. They allow for a more concise encoding of relationships between entities and related discussions. However, there is limited investigation into using multi-source data for examining online information campaigns and …

Why There Is No Evidence That Pyridine Killed The English Crabs, Alex T. Ford, Mark F. Fitzsimons, Crispin Halsall

School of Geography, Earth and Environmental Sciences

The North East coast of England experienced a mass mortality event in late 2021 affecting millions of crabs and lobsters. The die-off coincided with the redevelopment of one of the UK's flagship ports, prompting local scientists to suggest the remobilization of dredged industrial contaminants as a cause. A multi-agency investigation found no definitive causal factor; however, re-evaluation of data by consultants drew a different conclusion, linking the industrial compound pyridine to the crustacean deaths. Authors of an unpublished study subsequently claimed that their data demonstrated pyridine to be exceptionally toxic and that their modeling explained the coastal distribution of washups. …

Maternal Serum Branched-Chain Amino Acids In Early Pregnancy And Offspring Growth Patterns From 1 Year To 8 Years Of Age, Ninghua Li, Junhong Leng, Rui Zhang, Hui Wang, Weiqin Li, Shuang Zhang, Yijuan Qiao, Jing Li, Zhijie Yu, Gang Hu, Zhongze Fang, Xilin Yang

Population and Public Health Science Faculty Publications

No abstract provided.

Using Keyword Analysis For Market Validation Research, Zoeanna A. Mayhook

Libraries Faculty and Staff Scholarship and Research

Market validation is essential for assessing the feasibility of a business idea, product, or service but can involve extensive and costly primary and secondary research. Business librarians are well-positioned to support entrepreneurs and researchers but may be constrained by pricey subscriptions for business resources. While most often associated with search engine marketing, keyword research proves to be beneficial for market validation. This paper proposes integrating keyword analysis into market validation practices. It outlines the process of conducting keyword analysis and opportunities for business librarians to incorporate these strategies in their resource guides and programming.

A Quantitative Investigation Into Isotropic Variations Of Treatment Planning Isocenters To Model Patient Misalignment During Radiation Therapy Delivery And Its Impact On Evaluated Dose Metrics For Hypofractionated Dibh Left Breast Cancer Patients, Mckenzie Gemeiner

Masters Projects

Introduction

This research was conducted for carcinoma of the left breast without nodal involvement using the 3D deep inspiration breath hold (DIBH) treatment technique. Limiting dose to healthy tissues is crucial in radiation treatment planning. The impact of dosimetric uncertainty due to isotropic variations on constraints and goals is often overlooked. This study investigates dose metric differences due to inherent patient misalignment modeled by isotropic variations in treatment planning.

Methods

10 patient subjects were randomly selected with carcinoma of the left breast without nodal involvement, each using the 3D hypofractionated, deep inspiration breath hold (DIBH) technique. All plans had 24 …

Effective Data Breach Prevention Strategies In Hospitals, Melissa Nichol Ramos

Walden Dissertations and Doctoral Studies

The healthcare industry has been a rapidly growing target for data breach incidents. Data security is essential to health information managers (HIMs) because of their responsibility to safeguard health data and prevent cyberattacks affecting clinical operations. Grounded in the conceptual framework of the unified information security policy compliance model, the purpose of this qualitative pragmatic inquiry was to explore effective strategies by six HIMs who successfully implemented effective cybersecurity strategies in their organizations. Data were collected from semistructured interviews and public sources of information. Thematic analysis revealed three major themes: (a) differences in HIMs’ approaches to data security; (b) human …

Preschool Teachers’ Perceptions Of The Development Of Literacy Skills In A Play-Based Learning Environment, Erica Collette Dinnocenzo

Walden Dissertations and Doctoral Studies

Preschool teachers are an essential part of the education system in the United Sates. The problem is that research and data about the development of literacy skills exist for kindergarten and upper grades, but there is minimal research on preschool teachers' perceptions on the development of literacy skills in a play-based learning environment. The purpose of this basic qualitative study, guided by Piaget’s constructivist theory, was to explore the perceptions of preschool teachers from a Midwestern city about the best practices and strategies used to develop literacy skills in a play-based preschool setting. Ten preschool teachers who worked in a …

Enhancing Crossflow Dynamics Through The Gas Injection From Multiple Cylinders, Sahrish B. Naqvi, Sadia Siddiqa, Maciej Matyka, Rama S. R. Gorla, Md. Mamum Molla

Faculty Publications

We investigate unsteady, two-dimensional laminar fluid flow around cylinders, focusing on understanding the impact of injecting methane gas through two diametrically opposite arcs on the cylinder in the crossflow of the second fluid. This study encompasses applications in mixing and dispersion, which are crucial in various technological and natural processes. Our analysis addresses velocity field’s contribution to the spatiotemporal distribution of transported quantities. We observed that mixing induces a transition from laminar to turbulent flow. Depending on the injected-to-crossflow velocity ratios, the wake vortices downstream of cylinder arrays separate from or connect to the injected gas. This phenomenon significantly impacts …

Debriefing Orientation For Novice Simulation Faculty, Cindy M. Carter

Doctor of Nursing Practice Projects

Faculty new to the simulation environment lack the knowledge, skills, and confidence to deliver proper debriefing methods. The Doctor of Nursing Practice (DNP) project’s problem is the need for a standardized, evidence-based debriefing process in the undergraduate RN program at the College of Nursing in Oklahoma. The study aims to follow the International Nursing Association for Clinical Simulation and Learning (INACSL) best practices to implement a debriefing simulation for novice faculty to improve faculty self-efficacy with the debriefing process (Decker et al., 2021). The DNP student evaluated faculty using pre-and post-tests containing questions from the Debriefing Assessment for Simulation in …

Increasing High-Alert Medication Administration Competence In Undergraduate Nursing Students Using An Unfolding Obstetrical Simulation, Jenna A. Warf

Doctor of Nursing Practice Projects

This DNP project aimed to increase medication competence in undergraduate nursing students through an unfolding high-fidelity simulation. Before the implementation of this project, students at the project site had experienced minimal exposure to obstetrical nursing care and medication administration. This quality improvement project occurred at a community college in Texas, with undergraduate nursing students (n=18). The participants completed an Evolve pretest, unfolding high-fidelity simulation, Simulation Effectiveness Tool-Modified (SET-M) survey, and an Evolve posttest. The unfolding simulation consisted of a three-part simulation with a preeclamptic obstetrical patient that started at a physician’s office, progressed to triage, and ended as an inpatient …

Large-Scale Mutational Analysis Identifies Unc93b1 Variants That Drive Tlr-Mediated Autoimmunity In Mice And Humans., Victoria E. Rael, Julian A. Yano, John P. Huizar, Leianna C. Slayden, Madeleine A. Weiss, Elizabeth A. Turcotte, Jacob M. Terry, Wenqi Zuo, Isabelle Thiffault, Tomi Pastinen, Emily G. Farrow, Janda L. Jenkins, Mara L. Becker, Stephen C. Wong, Anne M. Stevens, Catherine Otten, Eric J. Allenspach, Devon E. Bonner, Jonathan A. Bernstein, Matthew T. Wheeler, Robert A. Saxton, Undiagnosed Diseases Network, Bo Liu, Olivia Majer, Gregory M. Barton

Manuscripts, Articles, Book Chapters and Other Papers

Nucleic acid-sensing Toll-like receptors (TLR) 3, 7/8, and 9 are key innate immune sensors whose activities must be tightly regulated to prevent systemic autoimmune or autoinflammatory disease or virus-associated immunopathology. Here, we report a systematic scanning-alanine mutagenesis screen of all cytosolic and luminal residues of the TLR chaperone protein UNC93B1, which identified both negative and positive regulatory regions affecting TLR3, TLR7, and TLR9 responses. We subsequently identified two families harboring heterozygous coding mutations in UNC93B1, UNC93B1+/T93I and UNC93B1+/R336C, both in key negative regulatory regions identified in our screen. These patients presented with cutaneous tumid lupus and juvenile idiopathic arthritis plus …