Digital Commons Network^™

Trajectories Of Supportive Care Needs For People Who Travel To Receive Cancer Treatment: A Longitudinal Study In Australia, Susannah K. Ayre, Elizabeth A. Johnston, Michael Ireland, Sonja March, Jeff Dunn, Suzanne Chambers, Belinda C. Goodwin

Research outputs 2022 to 2026

Objective: To describe trajectories of change in unmet supportive care needs over a two-year period among people diagnosed with cancer and assess whether these trajectories vary as a function of sociodemographic and clinical characteristics. Methods: This analysis used data from a longitudinal study of people in Queensland, Australia who travelled largely from regional and remote areas to metropolitan centres to receive cancer care (N = 784). Supportive care needs were measured at baseline, then at 3-, 12-, and 24-month post-baseline across five domains (‘psychological’, ‘physical and daily living’, ‘health systems and information’, ‘patient care and support’, ‘sexuality’) using the Supportive …

Bayesian Belief Networks: Redefining Wholesale Electricity Price Modelling In High Penetration Non-Firm Renewable Generation Power Systems, Martin J. Maticka, Thair S. Mahmoud

Research outputs 2022 to 2026

The transition of electricity generation from firm to non-firm renewable generation is driving changes in wholesale electricity price dynamics that are increasingly challenging to model due to the stochastic nature of wind and solar as the primary energy source. Robust pricing models are essential for optimising financial performance in liberalised electricity markets. The novelty of this paper is the application of Bayesian Belief Networks in the modelling of wholesale electricity price formation, specifically in power systems with a high penetration of non-firm renewable generation. This paper links the mathematical Bayesian representation to established statistical and computational approaches using a functional …

Bgp Anomaly Detection As A Group Dynamics Problem, Ben A. Scott, Michael N. Johnstone, Patryk Szewczyk, Steven Richardson

Research outputs 2022 to 2026

Understanding group information and collective behaviors is an ongoing area of research, encompassing natural phenomena and human dynamics. Quantifying interactions and interdependencies at the group level can be valuable for understanding complex and dynamical systems. The Border Gateway Protocol (BGP), the default inter-domain routing protocol for the Internet, operates within a large, complex, and dynamic system vulnerable to security threats. Traditional BGP anomaly detection focuses on single observables from individual Autonomous Systems (ASes), which inadequately addresses the multidimensional, multi-viewpoint nature of the Internet and interdomain routing. This paper introduces a novel approach for quantifying group AS-level information and dynamics. We …

A Holistic Marine Biosecurity Risk Framework That Is Inclusive Of Social, Cultural, Economic And Ecological Values, Marnie L. Campbell, Chad L. Hewitt

Research outputs 2022 to 2026

Effectively managing non-indigenous marine species risks demands swift, transparent decisions amid limited data and in an environment where conflicting interest across environmental, economic, social, and cultural realms exists. Conventional risk assessment tools often fail to comprehensively evaluate these risks together, leading to stakeholder dissatisfaction, conflicts and poor biosecurity outcomes. To address this, we present a structured 7-step marine biosecurity risk framework. It systematically assesses incursion's ecological, economic, social and cultural impacts, encourages stakeholder engagement and promotes inclusive decision-making. Steps include defining contexts, setting objectives, estimating consequences, determining management options, evaluating trade-offs, implementing decisions, and communicating risks effectively. A simulation using …

Consolidating The Evidence On The Effectiveness Of Strategies To Promote Vegetable Intake In Priority Settings: An Overview Of Systematic Reviews, Paige G. Brooker, Astrid A.M. Poelman, Katherine M. Livingstone, Clare E. Collins, Seema Mihrshahi, Ros Sambell, Jason H.Y. Wu, Gilly A. Hendrie

Research outputs 2022 to 2026

Background: Effective interventions to increase vegetable intake are urgently needed. This systematic rapid review aimed to summarise the effectiveness of interventions targeting increased vegetable intakes across diverse settings. Methodology: The review was guided by the conduct of rapid reviews from the Cochrane Handbook. The literature was searched in February 2024 across PubMed, Web of Science and Cochrane Central for systematic review articles published since 2014. The Risk of Bias In Systematic Reviews tool was used and characteristics of reviews synthesised narratively with intervention effectiveness results were summarised. Results: A total of 20 systematic reviews met the eligibility criteria. Most targeted …

Comparative Single-Cell Analysis Reveals Tendon Progenitor Dysfunction By Age-Associated Oxidative Stress And Its Restoration By Antioxidant Treatments, Laura Ortinau, Dongsu Park

Faculty, Staff and Students Publications

Impaired healing of adult tendons with fibrosis remains clinical challenges while neonatal tendons have full functional restoration. However, age-associated cellular and molecular changes in tendon cells and tendon stem/progenitor cells (TSPCs) remain unknown. Here, comparative single cell transcriptomics of early postnatal (2 weeks old) and adult (20 weeks old) mouse tendons revealed that adult tendons have reduced number of TSPCs, decreased gene expression in tendon and cartilage development, and a greater population of fibro-tenogenic cells. Notably, adult TSPCs and tenocytes exhibit increased expression of immune-response and oxidative-stress genes with higher EGFR but decreased IGF signaling. Adult tendon cells show increased …

Minimal Clinically Important Difference In Obsessive-Compulsive Disorder, Erik Andersson, Christian Rück, Daniel A Geller, David Mataix-Cols

Faculty, Staff and Students Publications

No abstract provided.

American Cochlear Implant Alliance Position Statement On Newborn Congenital Cytomegalovirus Screening, Gail J Demmler-Harrison, Cailtin Sapp, Anne Morgan Selleck, Alex D Sweeney

Faculty, Staff and Students Publications

It is estimated that 1 in every 200 US newborns has congenital cytomegalovirus (cCMV). Delayed identification of cCMV in newborns precludes timely intervention to mitigate sequelae of the infection such as hearing loss and other neurological complications. Newborn testing for cCMV enables appropriate diagnosis and intervention by multidisciplinary teams to properly manage the immediate sequelae of cCMV, avoid unnecessary additional testing that can result from delayed diagnosis, and monitor for future complications. It is the position of the American Cochlear Implant Alliance, the National CMV Foundation, and the American Academy of Otolaryngology-Head and Neck Surgery that universal newborn cCMV screening …

Testosterone Modulation Of Muscle Transcriptomic Profile During Lifestyle Therapy In Older Men With Obesity And Hypogonadism, Alessandra Celli, Reina Armamento-Villareal, Ngoc Ho Lam Nguyen, Georgia Colleluori, Yoann Barnouin, Nicola Napoli, Clifford Qualls, Benny Abraham Kaipparettu, Dennis T Villareal

Faculty, Staff and Students Publications

Background: Testosterone replacement therapy (TRT) added to lifestyle therapy can mitigate weight-loss-induced reduction of muscle mass and bone mineral density (BMD) in older men with obesity and hypogonadism.

Objective: To investigate the molecular mechanisms underlying the attenuation of muscle and BMD loss in response to TRT during intensive lifestyle intervention in this high-risk older population.

Methods: Among 83 older (≥ 65 years) men with obesity (BMI ≥ 30 kg/m2) and hypogonadism (early AM testosterone persistently < 300 ng/dL) associated with frailty (Modified Physical Performance Test score ≤ 31) randomized into 26-week lifestyle therapy plus testosterone (LT+TRT) or placebo (LT+Pbo) in the LITROS trial, 38 underwent serial muscle biopsies for the muscle transcriptomics substudy.

Results: Despite similar ~10% weight loss, lean body mass and thigh muscle volume decreased less in LT+TRT than LT+Pbo (-2% vs. -4%, respectively; p = …

Gheard: An Open-Access Modular Curriculum To Incorporate Equity, Anti-Racism, And Decolonization Training Into Global Health Education, Demarco Bowen, Msandeni Chiume-Kayuni, Whitney Cameron, S Aya Fanny, Elizabeth Groothuis, Bethany Hodge, Cindy Howard, James C Hudspeth, Sheridan Langford, Megan S Mchenry, Ijeoma Nnodim Opara, Beena D Kamath-Rayne, Parminder S Suchdev, Reena P Tam, Franci Taylor, Victor Musiime

Faculty, Staff and Students Publications

Background Global health (GH) interest is rising among graduate medical education (GME) trainees, yet GH engagement is marred by the impact of colonization or racism, and there remains a lack of training to confront these challenges.

Objective To develop a modular, open-access curriculum that provides training in decolonization for GH GME and evaluate its feasibility and impact on learners’ critical reflection on decolonization.

Methods From 2019 to 2022, 40 GH educators, including international and indigenous scholars from diverse organizations, created the Global Health Education for Equity, Anti-Racism, and Decolonization (GHEARD) curriculum. Using Kern’s 6 steps of curriculum development, critical gaps …

Implementation Of Electronic Triggers To Identify Diagnostic Errors In Emergency Departments, Li Wei, Daniel R Murphy, Umair Mushtaq, Dean F Sittig, Andrew J Zimolzak, Hardeep Singh

Faculty, Staff and Students Publications

Importance: Missed diagnosis can lead to preventable patient harm.

Objective: To develop and implement a portfolio of electronic triggers (e-triggers) and examine their performance for identifying missed opportunities in diagnosis (MODs) in emergency departments (EDs).

Design, setting, and participants: In this retrospective medical record review study of ED visits at 1321 Veterans Affairs health care sites, rules-based e-triggers were developed and implemented using a national electronic health record repository. These e-triggers targeted 6 high-risk presentations for MODs in treat-and-release ED visits. A high-risk stroke e-trigger was applied to treat-and-release ED visits from January 1, 2016, to December 31, 2020. A …

Evaluating Donor-Recipient Sex Mismatch In Anterior Cruciate Ligament Reconstruction With Allograft: Outcomes At 2 Years Postoperatively, Connor Crutchfield, Natalie Lowenstein, Chilan Leite, Christian Lattermann, Elizabeth Matzkin

SKMC Student Presentations and Publications

BACKGROUND: Female patients tend to suffer a greater risk of reinjury and worse patient-reported outcome measures (PROMs) after anterior cruciate ligament reconstruction (ACLR) than male patients, regardless of the graft type used.

PURPOSE/HYPOTHESIS: This study explored the role of donor-recipient sex mismatching to help explain these sex-based dispar- ities in outcomes after ACLR with an allograft. The hypothesis was that allograft donor-recipient sex mismatch would adversely affect surgical outcomes at a 2-year follow-up, with male-to-female graft donations yielding the lowest rates of success.

STUDY DESIGN: Cohort study; Level of evidence, 3.

METHODS: Patients who underwent primary ACLR with an allograft …

Exploring Access To Care In Zimbabwe Using The 3-Delay Model, Katerina Green, Naboth Matinhira, Amiti Jain, Tissiana Vallecillo, Priya Arya, Estephania Candelo, Munyaradzi Katiro, Tafadzwa Nyamurowa, Dontre' Douse, Joshua Wiedermann

SKMC Student Presentations and Publications

OBJECTIVES: We aim to identify the diversity of barriers to care for otolaryngology-head and neck surgery patients in Harare, Zimbabwe.

METHODS: Interviews were conducted at four general otolaryngology clinics in Harare in October 2022.The patient population included children and adults presenting to either government or private clinics. Via interpreter, six standardized questions were discussed with each patient. Survey responses were used to categorize patients into one or more of three types of delays: (1) deciding to seek care, (2) reaching the appropriate healthcare facility, and (3) receiving adequate care after reaching that facility.

RESULTS: Forty-six patients participated in this survey. …

Benefits And Harms Of Hepatocellular Carcinoma Screening Outreach In Patients With Cirrhosis: A Multicenter Randomized Clinical Trial, Sruthi Yekkaluri, Yan Liu, Vanessa Cerda, Chaitra Banala, Aisha Khan, Minjae Lee, Karim Seif El Dahan, Caitlin C Murphy, Jennifer R Kramer, Ruben Hernaez

Faculty, Staff and Students Publications

Background: The value of hepatocellular carcinoma screening is defined by the balance of benefits from early tumor detection vs harms because of false-positive results. We evaluated the value of a mailed outreach strategy for hepatocellular carcinoma screening in patients with cirrhosis.

Methods: We conducted a multicenter pragmatic randomized clinical trial comparing mailed outreach for hepatocellular carcinoma screening (n = 1436) and usual care with visit-based screening (n = 1436) among patients with cirrhosis at 3 health systems from March 2018 to September 2021. Outcomes of interest were early stage hepatocellular carcinoma detection (ie, screening benefit) and diagnostic evaluation for false-positive …

Managed Diversity Along The Legal Silk Road: The Asean-Asia Relationship In International Arbitration, Mark Mclaughlin

Research Collection Yong Pung How School Of Law

Efforts to foster closer economic integration often focus on the alignment of standards with respect to goods and services. The harmonization of substantive regulations mitigates the inevitable friction caused by moving assets from one jurisdiction to another. In this chapter, it is argued that interna- tional arbitration plays a similar function in the Association of Southeast Asian Nations (ASEAN)-Asia relationship. By providing a neutral and reliable forum for dispute resolution, international arbitration helps manage legal diversity by creating a ‘Legal Silk Road’ on which commercial parties can engage with a familiar dispute resolution process without having to engage the local …

Black English For Lawyers: A Primer, L. Alexander Walker Iii

Faculty Scholarship

Lawyers do not know as much about Black English as they should, and people’s freedom hangs in the balance. Differences between language varieties in sounds and grammar can change and have changed the outcome of cases: “He at work” and “He be at work” mean two completely different things. To reduce misinterpretation and therefore wrongful outcomes, this Article provides a primer on the sounds, words, grammar, and social context of Black English targeted directly at legal practitioners. It begins by explaining key concepts in linguistics and making the case for why lawyers must foreground accurate description over normative prescription when …

Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields

Electronic Theses and Dissertations

The child welfare system in the United States requires collaboration across various agencies in the provision of services. Although collaboration between mental health therapists and state agencies is fundamental when the goal is to provide quality care and achieve positive outcomes for families involved with Child Protective Services (CPS), the system is characterized as complicated and fragmented. Using Bronstein’s 2003 model of interprofessional collaboration to understand the dynamics of collaboration between mental health therapists and CPS workers in Texas, this qualitative descriptive research study described mental health therapists’ perceptions of collaborating with CPS workers in delivering therapy services to CPS-involved …

Montana Resident Report: In-State And Out-Of-State Travel Q2 2024, Carter Bermingham, Megan Schultz, Matthew Pettigrew, Jayce Beck

Institute for Tourism and Recreation Research Publications

A summary of Montana residents’ self-reported travel behavior, both in-state and out-of-state, for 2024.

Fostering Value Cocreation Using An Agency-Style Client Project In Marketing Education, Chiharu Ishida, Peter Kaufman, Mark Gibson, Gary Hunter

Faculty Publications – Marketing

Experiential learning is key to any discipline, and in marketing it is of particular interest to foster mastery and a sense of professionalism through a client project in the classroom. In the marketing education literature, the value of client projects is well documented. Building on the value cocreation (VCC) stream of research and project-based learning, we propose that a multicourse, full-service “agency-style” structure allows classes to realize VCC beyond the traditional client-based project. We define agency-style projects as those in which teams from different courses are assigned unique, interrelated tasks and ultimately offer a comprehensive recommendation for the client’s multidimensional …

Russian Culture: War Saturated And War Sanctified; Reflections On Russia, The Story Of War, Mark R. Elliott

Occasional Papers on Religion in Eastern Europe

A review of Gregory Carleton, Russia, The Story of War, (Cambridge, MA: Belknap Press of Harvard University Press, 2017)

ISBN: ‎ 978-0674972483

The 2024 Whippoorwill Award: Gathering Stories Of Indigeneity, Connection, And Belonging, Erika L. Bass, Michael J. Young, Alan Hoffman, Jacqueline Yahn, Monica Roe, Devon Brenner, Chea Parton

The Rural Educator

No abstract provided.

A Systematic Review Of Research On The Experiences Of Rural Black Men Attending Four-Year Institutions Within The Us Since 2002, Jarvis Marlow-Mccowin

The Rural Educator

This systematic literature review focuses on the experiences of rural Black men attending four-year colleges and universities within the US. The review addresses three research questions: How is rurality defined within the literature reviewed? What characteristics (e.g., identity dimensions) are included within the literature? What does the available research say about the experiences of rural Black students, mainly rural Black men, specific to factors explored and identified to foster success? These research questions were answered by reviewing literature published in academic journals from 2002–2023. Findings from the data collection, extraction, and analysis process are relevant to how rurality is discussed …

“We Don’T Have To Take Things So Seriously”: Humor, Queer Livability, And Homonormativity For A Rural English Language Arts Teacher, Brandon Haskey-Valerius, Ryan Schey

The Rural Educator

Extending and challenging existing research about LGBTQIA+ life in rural educational contexts, this ethnographically informed qualitative study describes how Lulu—a white, cisgender, queer secondary English language arts teacher in a rural, public school in the Midwest—discursively constructed the functions of her humor with respect to teaching, queerness, and their interrelations. Drawing on social theorizations of humor, particularly queer theorizations of humor, this article argues that Lulu described her humor as having three functions: building relationships, facilitating learning, and opening possibilities for queerness. These findings illustrate tensions in that Lulu leveraged humor to build a livable, joyous career in which she …

Parental Emotional, Social And Transitional Health In The First 6 Months After Childhood Critical Illness: A Longitudinal Qualitative Study, Pei Fen Poh, Matthew C. Carey, Joseph C. Manning, Jan Hau Lee, Jos M. Latour

School of Nursing and Midwifery

Aim: To explore the experiences and support needs of parents in the first 6 months after paediatric critical care. Design: Longitudinal qualitative design. Methods: Sequential semi-structured qualitative interviews were conducted with a sample of 28 parents in succession at 1 month and at 6 months (n = 22) after their child's discharge from paediatric critical care using purposive sampling. Data were analysed using the adapted five-stage framework analysis. Results: Data were developed into eight synthesized themes, three domains and an overarching theme: Regaining Normalcy. Families of children requiring medical treatment at 6 months showed signs of adaption to daily care …

Offshore Wind Farms Could Impact Coastal Marine Heatwaves In Eastern Boundary Upwelling Systems, Michael Dalsin, Ryan K. Walter, Piero L.F. Mazzini

Physics

Analysis of ecosystem impacts from offshore wind (OSW) farm development has primarily focused on localized effects. However, in Eastern Boundary Current Upwelling Systems (EBUS) like the California Current, OSW farms can modify the intensity and spatial structure of wind-driven upwelling, inducing non-local (tens of kms away) changes to seawater temperature. Recent numerical modeling research determined that a hypothetical upper bound full buildout of OSW farms in central California could warm coastal waters through a reduction in upwelling. Here, we examine the sensitivity of coastal marine heatwaves (MHWs), which are prolonged extreme seawater temperatures that are among the greatest threats to …

Host Traits And Temperature Predict Biogeographical Variation In Seagrass Disease Prevalence, F.R. Schenck, J.K. Baum, K.E. Boyer, J.E. Duffy, F.J. Fodrie, J. Gaeckle, Torrie Hanley, C.M. Hereu, K.A. Hovel, P. Jorgensen, D.L. Martin, N.E. O’Connor, B.J. Peterson, J.J. Stachowicz, A.R. Hughes

Biology Faculty Publications

Diseases are ubiquitous in natural systems, with broad effects across populations, communities and ecosystems. However, the drivers of many diseases remain poorly understood, particularly in marine environments, inhibiting effective conservation and management measures. We examined biogeographical patterns of infection in the foundational seagrass Zostera marina by the parasitic protist Labyrinthula zosterae, the causative agent of seagrass wasting disease, across >20° of latitude in two ocean basins. We then identified and characterized relationships among wasting disease prevalence and a suite of host traits and environmental variables. Host characteristics and transmission dynamics explained most of the variance in prevalence across our survey, …

Adminstrability Over Testementary Freedom Of Disposition, Kevin Bennardo

University of Richmond Law Review

Freedom of disposition is unquestionably accepted as the organizing principle of inheritance law in the United States. But what if we’ve been wrong about that this whole time? Or perhaps we haven’t been wrong exactly, but instead have been badly overstating things? Regardless of the answers, these are questions worth exploring. It’s time for a reckoning. …

Access, Welfare, And Lawsuits: Restoring Reproductive And Economic Autonomy Post-Dobbs, Jill C. Engle

University of Richmond Law Review

Access to abortion and increased poverty for women and children are inversely correlated: as access to abortion decreases, feminine and child poverty increase. Women who try to access abortions are more likely to already be mothers, and more likely to be living below the poverty line. In post-Dobbs America, abortion is illegal or severely restricted in approximately half of the states. In states where abortion access is most restricted, women and children experience poverty at the highest rates in the nation. The Supreme Court majority that decided Dobbs chose to ignore the connection between abortion and poverty. In doing so, …

February 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

February is the Month that we Celebrate Love. Here are a few tips on how to Love yourself more.

Adopting Community-Centric Fundraising: Findings From A National Study, Dorothy A. Johnson Center For Philanthropy At Grand Valley State University, Elizabeth J. Dale, Maya Hemachandra

Research, Reports, and Publications

This national study examines the adoption of Community-Centric Fundraising (CCF) practices across U.S. nonprofit organizations. Proposed in 2019, CCF is a set of principles developed by people of color to align fundraising with movements for race, equity, and social justice (CCF, 2024). Based on survey responses from 283 organizations and in-depth interviews with 14 fundraising professionals, the research revealed both promising developments and persistent challenges in transforming established fundraising approaches.