Digital Commons Network^™

Communication, Sarah Bobrowski, Alaina Carlson, Natalie Dicke, Jack Krueger, Jordan Haddad, Leah Mach, Flora Njodzeka, John Schmidt, Brock Voigt, Katie Wilson

Leadership Education Newsletters

No abstract provided.

The Impact Of Cognitive Behavioral Therapy On Sleep Problems In Autistic Children With Co-Occurring Anxiety, Andrew G Gusick, Ariel M Lyons-Warren, Robin P Goin-Kochel, Chaya Murali, Leandra N Berry, Eric A Storch

Faculty, Staff and Students Publications

Purpose: This study seeks to examine the relationship between anxiety-symptom severity and sleep behaviors in autistic children receiving cognitive behavioral therapy (CBT).

Methods: We conducted a secondary-data analysis from a sample of 93 autistic youth, 4 to 14 years, participating in 24 weeks of CBT. Clinicians completed the Pediatric Anxiety Rating Scale (PARS) and parents completed the Children's Sleep Habits Questionnaire, Abbreviated/Short Form (CSHQ-SF) at baseline, mid-treatment, post-treatment and 3 months post-treatment. Mediation analysis evaluated the role of anxiety symptoms in mediating the effect of time in treatment on sleep.

Results: There was a negative association between time in treatment …

Neurocritical Care And Neuromonitoring Considerations In Acute Pediatric Spinal Cord Injury

Faculty, Staff and Students Publications

Management of pediatric spinal cord injury (SCI) is an essential skill for all pediatric neurocritical care physicians. In this review, we focus on the evaluation and management of pediatric SCI, highlight a novel framework for the monitoring of such patients in the intensive care unit (ICU), and introduce advancements in critical care techniques in monitoring and management. The initial evaluation and characterization of SCI is crucial for improving outcomes as well as prognostication. While physical examination and imaging are the main stays of the work-up, we propose the use of somatosensory evoked potentials (SSEPs) and transcranial magnetic stimulation (TMS) for …

Temporary Peripheral Nerve Stimulation For The Treatment Of Greater Occipital Neuralgia

Faculty, Staff and Students Publications

Background: Greater occipital neuralgia (GON), a cause of chronic headaches, can be debilitating and vastly affect one's quality of life. Recent strides in comprehending the pathophysiology of GON and the ongoing evolution of approaches to the condition's treatment have led to the pursuit of more effective interventions. Among these, temporary peripheral nerve stimulation (PNS) devices have surfaced as an avenue for management, presenting a minimally invasive yet highly efficient alternative in treating other chronic pain conditions. This study discusses a case of GON successfully managed with temporary (60-day) PNS.

Case report: A 35-year-old man presented with a nearly 8-month history …

Investigation Of Drying Shrinkage Characteristics In Lightweight Engineered Cementitious Composites, Agnel Mathew, Farhad Aslani

Research outputs 2022 to 2026

Lightweight engineered cementitious composites (LW-ECCs) not only offer comparable mechanical strengths compared with conventional concrete, but also increase the tensile strain of the composite and exhibit strain-hardening behavior, and can be utilized in weight-critical structures such as buildings in seismically active areas. Hollow glass microsphere is a type of ultra-lightweight inorganic non-metallic hollow sphere and it has been deemed as one of the potential sustainable fillers of cement composites. This study aims to investigate the drying shrinkage behavior of LW-ECCs mix designs incorporating different types of hollow glass microspheres (HGMs). Eight types of HGMs with different densities (0.2–0.6 g/cm3) and …

The Australian Multidomain Approach To Reduce Dementia Risk By Protecting Brain Health With Lifestyle Intervention Study (Au-Arrow): A Study Protocol For A Single-Blind, Multi-Site, Randomized Controlled Trial, Samantha L. Gardener, Stephanie J. Fuller, Sharon L. Naismith, Laura Baker, Miia Kivipelto, Victor L. Villemagne, Stuart M. Grieve, Paul Yates, Stephanie R. Rainey-Smith, Juliana Chen, Belinda Thompson, Nicola J. Armstrong, Malika G. Fernando, Carolina B. Castro, Silochna Meghwar, Rema Raman, Andrew Gleason, Catriona Ireland, Roger Clarnette, Kaarin J. Anstey, Kevin Taddei, Manohar Garg, Hamid R. Sohrabi, Ralph N. Martins

Research outputs 2022 to 2026

Introduction: The Finnish Geriatric Intervention Study (FINGER) led to the global dementia risk reduction initiative: World-Wide FINGERS (WW-FINGERS). As part of WW-FINGERS, the Australian AU-ARROW study mirrors aspects of FINGER, as well as US-POINTER.

Method: AU-ARROW is a randomized, single-blind, multisite, 2-year clinical trial (n = 600; aged 55–79). The multimodal lifestyle intervention group will engage in aerobic exercise, resistance training and stretching, dietary advice to encourage MIND diet adherence, BrainHQ cognitive training, and medical monitoring and health education. The Health Education and Coaching group will receive occasional health education sessions. The primary outcome measure is the change in a …

Just In Time, Just For You: Growing A Peer Learning Program, Miriam Sullivan, Genevieve Franulovich, Sharon Matthews, Andrew Kelly

Research outputs 2022 to 2026

Peer learning programs are well established as an effective approach to improving students’ learning and wellbeing. However, they can be difficult to implement and grow in practice. This paper describes the introduction of a “just-in-time, just-for-me” Peer Skills Advisers program and how it has evolved over the last five years. The peer staff found that the role improved their sense of belonging and employability but observed that it is challenging to set boundaries with students. The program grew steadily over time as students and staff became more aware of the service, although there is still room for growth in online …

Unlocking The Therapeutic Potential Of Ellagic Acid For Non-Alcoholic Fatty Liver Disease And Non-Alcoholic Steatohepatitis, Tharani Senavirathna, Armaghan Shafaei, Ricky Lareu, Lois Balmer

Research outputs 2022 to 2026

Obesity is in epidemic proportions in many parts of the world, contributing to increasing rates of non-alcoholic fatty liver disease (NAFLD). NAFLD represents a range of conditions from the initial stage of fatty liver to non-alcoholic steatohepatitis (NASH), which can progress to severe fibrosis, through to hepatocellular carcinoma. There currently exists no treatment for the long-term management of NAFLD/NASH, however, dietary interventions have been investigated for the treatment of NASH, including several polyphenolic compounds. Ellagic acid is one such polyphenolic compound. Nutraceutical food abundant in ellagic acid undergoes initial hydrolysis to free ellagic acid within the stomach and small intestine. …

Micropolarized To The Core

Faculty, Staff and Students Publications

Macromolecules can undergo liquid–liquid phase separation to form condensates that have critical roles in biological functions and dysfunctions. A new study demonstrates that differences in micropolarity between components is a prime determinant of the multiphasic architecture of biomolecular condensates.

Editorial: Endocrine Regulation Of Mineral Ions And Their Relevance To Metabolic Diseases, Mor-Li Hartman, Mohammed S. Razzaque

School of Medicine Publications

No abstract provided.

Advisory Opinion On Climate Change: Summary Of Written Observations Submitted To The Inter-American Court Of Human Rights (Part 1), Maria Antonia Tigre

Sabin Center for Climate Change Law

On January 9, 2023, the Foreign Ministers of Chile and Colombia requested an advisory opinion from the Inter-American Court of Human Rights (IACtHR) on the scope of state obligations for responding to the climate emergency under the frame of international human rights law and, specifically, under the American Convention on Human Rights. Within this context, the IACtHR received a total of 255 amicus brief submissions.

This report includes summaries of the amicus briefs submitted to the Court. Due to the number of submissions received and the short timeframe prior to the hearings, the report is divided into parts. This first …

Visions For Digital Integrated Cardiovascular Care: Hrs Digital Health Committee Perspectives., Sanjiv M. Narayan, Elaine Y. Wan, Jason G. Andrade, Jennifer N. Avari Silva, Neal Kumar Bhatia, Thomas Deneke, Abhishek J. Deshmukh, Ki H Chon, Lori A. Erickson, Hamid Ghanbari, Peter A. Noseworthy, Rajeev Kumar Pathak, Lisa Roelle, Amber Seiler, Jagmeet P. Singh, Uma N. Srivatsa, Anthony Trela, Angela Tsiperfal, Niraj Varma, Omair K. Yousuf

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Maple Tales Curriculum Competencies Overview, Sarah Grosvenor

UNH Cooperative Extension

No abstract provided.

Water Quality Considerations In Landscaping, Tom Swenson

UNH Cooperative Extension

No abstract provided.

Multi-Aspect Rule-Based Ai: Methods, Taxonomy, Challenges And Directions Towards Automation, Intelligence And Transparent Cybersecurity Modeling For Critical Infrastructures, Iqbal H. Sarker, Helge Janicke, Mohamed A. Ferrag, Alsharif Abuadbba

Research outputs 2022 to 2026

Critical infrastructure (CI) typically refers to the essential physical and virtual systems, assets, and services that are vital for the functioning and well-being of a society, economy, or nation. However, the rapid proliferation and dynamism of today's cyber threats in digital environments may disrupt CI functionalities, which would have a debilitating impact on public safety, economic stability, and national security. This has led to much interest in effective cybersecurity solutions regarding automation and intelligent decision-making, where AI-based modeling is potentially significant. In this paper, we take into account “Rule-based AI” rather than other black-box solutions since model transparency, i.e., human …

Matrix Profile Data Mining For Bgp Anomaly Detection, Ben A. Scott, Michael N. Johnstone, Patryk Szewczyk, Steven Richardson

Research outputs 2022 to 2026

The Border Gateway Protocol (BGP), acting as the communication protocol that binds the Internet, remains vulnerable despite Internet security advancements. This is not surprising, as the Internet was not designed to be resilient to cyber-attacks, therefore the detection of anomalous activity was not of prime importance to the Internet creators. Detection of BGP anomalies can potentially provide network operators with an early warning system to focus on protecting networks, systems, and infrastructure from significant impact, improve security posture and resilience, while ultimately contributing to a secure global Internet environment. In this paper, we present a novel technique for the detection …

Nonstationary Recharge Responses To A Drying Climate In The Gnangara Groundwater System, Western Australia, Simone Gelsinari, Sarah Bourke, James Mccallum, Don Mcfarlane, Joel Hall, Richard Silberstein, Sally Thompson

Research outputs 2022 to 2026

The response of groundwater recharge to climate change needs to be understood to enable sustainable management of groundwater systems today and in the future, yet observations of recharge over long-enough time periods to reveal responses to climate trends are scarce. Here we present a meta-analysis of 60 years of recharge studies over the Gnangara Groundwater System of South-West Western Australia, covering a period of sustained drying consistent with climate change projections. The recharge process in the area is defined by a wet winter during which rain saturates a deep, highly permeable soil profile with very low water storage capacity. Measurements …

Neural And Behavioural State Switching During Hippocampal Dentate Spikes, Ivan Soltesz

Faculty, Staff and Students Publications

Distinct brain and behavioural states are associated with organized neural population dynamics that are thought to serve specific cognitive functions^1–3. Memory replay events, for example, occur during synchronous population events called sharp-wave ripples in the hippocampus while mice are in an ‘offline’ behavioural state, enabling cognitive mechanisms such as memory consolidation and planning^4–11. But how does the brain re-engage with the external world during this behavioural state and permit access to current sensory information or promote new memory formation? Here we found that the hippocampal dentate spike, an understudied population event that …

The Moderating Effects Of Hiv Relevant Factors On The Relationship Between Intimate Partner Violence And Intention To Start Hiv Pre-Exposure Prophylaxis (Prep) Among Cisgender Women, Beryl A Koblin, Hong-Van Tieu, Rachele K Lipsky, Vijay Nandi, Anne M Teitelman

Faculty, Staff and Students Publications

Background:

Intimate partner violence (IPV) and HIV are serious and related public health problems that detrimentally impact women’s health. Because women who experience IPV are more likely to acquire HIV, it is critical to promote HIV prevention strategies, such as HIV pre-exposure prophylaxis (PrEP), that increase autonomy.

Setting:

This study of cis-gender women eligible for HIV PrEP took place between 2017 and 2019 in Philadelphia and New York City.

Methods:

This study aimed to examine the relationship between four types of IPV (control, psychological, psychological, physical, sexual) and intention to start PrEP among PrEP-eligible cisgender women; and assess the extent …

What Weight Changes Really Happened During Covid-19 Among Older Adults?

Faculty, Staff and Students Publications

No abstract provided.

Correspondence Attention For Facial Appearance Simulation, Tianshu Kuang, Nathan Lampen, Jungwook Lee, Hannah H Deng, Michael A K Liebschner, James J Xia, Jaime Gateno, Pingkun Yan

Faculty, Staff and Students Publications

In orthognathic surgical planning for patients with jaw deformities, it is crucial to accurately simulate the changes in facial appearance that follow the bony movement. Compared with the traditional biomechanics-based methods like the finite-element method (FEM), which are both labor-intensive and computationally inefficient, deep learning-based methods offer an efficient and robust modeling alternative. However, current methods do not account for the physical relationship between facial soft tissue and bony structure, causing them to fall short in accuracy compared to FEM. In this work, we propose an Attentive Correspondence assisted Movement Transformation network (ACMT-Net) to predict facial changes by correlating facial …

The Role Of Epigenetic Mechanisms In The Long-Term Effects Of Early-Life Adversity And Mother-Infant Relationship On Physiology And Behavior Of Offspring In Laboratory Rats And Mice

Faculty, Staff and Students Publications

Maternal care during the early postnatal period of altricial mammals is a key factor in the survival and adaptation of offspring to environmental conditions. Natural variations in maternal care and experimental manipulations with maternal-child relationships modeling early-life adversity (ELA) in laboratory rats and mice have a strong long-term influence on the physiology and behavior of offspring in rats and mice. This literature review is devoted to the latest research on the role of epigenetic mechanisms in these effects of ELA and mother-infant relationship, with a focus on the regulation of hypothalamic-pituitary-adrenal axis and brain-derived neurotrophic factor. An important part of …

Cognitive Function Remains Associated With Functional Impairment In Profound Dementia: Alzheimer Disease And Dementia With Lewy Bodies, Jeffrey Bishop, Chi-Ying R Lin

Faculty, Staff and Students Publications

Background and objectives: The Baylor Profound Mental Status Examination (BPMSE) was developed to assess cognitive function in the profound stage of dementia. The Clinical Dementia Rating (CDR) scale has been widely used in measuring functional performance in dementia. We aimed to determine whether cognitive function is related to overall functional impairment in profound dementia.

Methods: We selected 864 patients with probable Alzheimer disease (AD) and 25 patients with possible dementia with Lewy Bodies (DLB) cases with profound dementia by Mini-Mental Status Examination or/and clinical global impression. We used BPMSE to measure cognitive function and the CDR sum-of-boxes (CDR-SB) score to …

Scurvy In An Adolescent: A Case Report

Faculty, Staff and Students Publications

Scurvy is a rare condition characterized by a deficiency in dietary vitamin C. Historically a disease taught in the context of long ocean voyages with limited vitamin intake, it is now rare in developed nations. The classical physical exam findings include gingival bleeding, perifollicular hemorrhages, and corkscrew hairs. We discuss the case of a 15-year-old female with scurvy whose initial presentation suggested more common diagnoses seen in the emergency department setting. Her course was complicated by a prior history of anorexia nervosa and a restrictive diet that lacked necessary vitamins. Once the patient's dietary habits were identified, a detailed physical …

Improved Accuracy And Efficiency Of Primary Care Fall Risk Screening Of Older Adults Using A Machine Learning Approach, Hannah E Rice, Michael Sainlaire, Lillian Min, Linying Zhang, Tien Thai, Min-Jeoung Kang, Siyun Li, Christian Tejeda, Stuart Lipsitz, Lipika Samal, Diane L Carroll, Lesley Adkison, Lisa Herlihy, Virginia Ryan, David W Bates, Patricia C Dykes

Faculty, Staff and Students Publications

Background: While many falls are preventable, they remain a leading cause of injury and death in older adults. Primary care clinics largely rely on screening questionnaires to identify people at risk of falls. Limitations of standard fall risk screening questionnaires include suboptimal accuracy, missing data, and non-standard formats, which hinder early identification of risk and prevention of fall injury. We used machine learning methods to develop and evaluate electronic health record (EHR)-based tools to identify older adults at risk of fall-related injuries in a primary care population and compared this approach to standard fall screening questionnaires.

Methods: Using patient-level clinical …

Using The Consolidated Framework For Implementation Research (Cfir) To Guide Implementation Of Cardio-Oncology Services, Jessica Miller Clouser, Colleen A Mcmullen, Akosua K Adu, Gretchen Wells, Amit Arbune, Jing Li

2020-Current year OA Pubs

INTRODUCTION: Cardio-oncology focuses on diagnosing and preventing adverse cardiovascular outcomes in cancer patients. Interdisciplinary cardio-oncology services address the spectrum of prevention, detection, monitoring, and treatment of cancer patients at risk of cardio-toxicity and aim to improve the continuum of cardiac care for oncology patients. The goal of this study was to engage clinician and administrative stakeholders to assess multilevel needs, barriers, and expectations regarding cardio oncology services.

METHODS: We interviewed clinicians and administrators at an academic medical center using the Consolidated Framework for Implementation Research (CFIR) to understand multilevel determinants influencing cardio-oncology service implementation. We also conducted a web-based survey …

Feasibility Of Surface-Guidance Combined With Cbct For Intra-Fractional Breath-Hold Motion Management During Ethos Rt, Taeho Kim, Eric Laugeman, Kendall Kiser, Joshua Schiff, Shanti Marasini, Alex Price, H Michael Gach, Nels Knutson, Pamela Samson, Clifford Robinson, Casey Hatscher, Lauren Henke

2020-Current year OA Pubs

PURPOSE: High-quality CBCT and AI-enhanced adaptive planning techniques allow CBCT-guided stereotactic adaptive radiotherapy (CT-STAR) to account for inter-fractional anatomic changes. Studies of intra-fractional respiratory motion management with a surface imaging solution for CT-STAR have not been fully conducted. We investigated intra-fractional motion management in breath-hold Ethos-based CT-STAR and CT-SBRT (stereotactic body non-adaptive radiotherapy) using optical surface imaging combined with onboard CBCTs.

METHODS: Ten cancer patients with mobile lower lung or upper abdominal malignancies participated in an IRB-approved clinical trial (Phase I) of optical surface image-guided Ethos CT-STAR/SBRT. In the clinical trial, a pre-configured gating window (± 2 mm in AP …

Long-Term Outcomes Of Vulvar Or Vaginal Cancer Patients Undergoing Laparoendoscopic Single-Site Inguinal Lymphadenectomy, Bo Ding, Mu-Lan Ren, Yang Shen

Faculty, Staff and Students Publications

INTRODUCTION: Laparoendoscopic single-site inguinal lymphadenectomy (LESS-IL), a minimally invasive technique, has been reported in patients with vulvar or vaginal cancer regarding its safety and feasibility. However, the long-term outcomes, especially oncologic outcomes, are still lacking. We aimed to evaluate the long-term outcomes of LESS-IL to confirm its safety further.

PATIENTS AND METHODS: Data were prospectively collected from patients with vulvar or vaginal cancer who underwent LESS-IL at our institution between July 2018 and June 2021. The patients were followed up for at least 12 months. All procedures were performed according to treatment standards. Short- and long-term complications and oncologic outcomes …

Hepatocellular Carcinoma Screening In A Contemporary Cohort Of At-Risk Patients, Nabihah Tayob, Vincent Merrill, Daniel Q Huang, Ju Dong Yang, Anand V Kulkarni, Fasiha Kanwal, Jorge Marrero, Neehar Parikh, Amit G Singal

Faculty, Staff and Students Publications

IMPORTANCE: Cohort studies demonstrating an association of hepatocellular carcinoma (HCC) screening with reduced mortality are prone to lead-time and length-time biases.

OBJECTIVE: To characterize the clinical benefits of HCC screening, adjusting for lead-time and length-time biases, in a diverse, contemporary cohort of at-risk patients.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study of patients with HCC was conducted between January 2008 and December 2022 at 2 large US health systems. Data analysis was performed from September to November 2023.

MAIN OUTCOMES AND MEASURES: The primary outcome was screen-detected HCC, defined by abnormal screening-intent abdominal imaging or α-fetoprotein level within 6 …

Deep-Learning-Based Image Super-Resolution Of An End-Expandable Optical Fiber Probe For Application In Esophageal Cancer Diagnostics, Richa Shukla, Shaleen Vasavada, Sharmila Anandasabapathy, Mark A Anastasio, Elena Petrova

Faculty, Staff and Students Publications

SIGNIFICANCE: Endoscopic screening for esophageal cancer (EC) may enable early cancer diagnosis and treatment. While optical microendoscopic technology has shown promise in improving specificity, the limited field of view (

AIM: To improve the efficiency of endoscopic screening, we propose a novel concept of end-expandable endoscopic optical fiber probe for larger field of visualization and for the first time evaluate a deep-learning-based image super-resolution (DL-SR) method to overcome the issue of limited sampling capability.

APPROACH: To demonstrate feasibility of the end-expandable optical fiber probe, DL-SR was applied on simulated low-resolution microendoscopic images to generate super-resolved (SR) ones. Varying the degradation …