Digital Commons Network^™

Relationship Between The Hospital Readmission Reduction Program And Readmissions, Postoperative Complications, And Cost, Cary A. Blick, Blake P. Williams, Drake T. Myers, Joshua Pomranke, Sarah M. Clemente, Alberto Coustasse

Management Faculty Research

Hospital readmissions have contributed significantly to rising healthcare costs in the United States. To curb rising costs, the Centers for Medicare and Medicaid Services introduced the Hospital Readmissions Reduction Program (HRRP), a penalty-based program designed to decrease healthcare costs. This research aims to determine if the HRRP has successfully reduced healthcare costs and increased quality outcomes associated with total knee arthroplasty (TKA) or total hip arthroplasty (THA) as defined by a reduction in readmission rates, postoperative complications, and overall costs. Although a positive correlation has been shown between outcomes and costs post-HRRP, more research is needed to tease out the …

Disparities In Access To Cancer Diagnostics In Asean Member Countries, Nicole Rose I. Alberto, Isabelle Rose I. Alberto, Corinna Victoria M. Puyat, Maria Alexandra R. Antonio, Frances Dominique V. Ho, Edward Christopher Dee, Brandon A. Mahal, Michelle Ann B. Eala

Ateneo School of Medicine and Public Health Publications

Diagnostics, including laboratory tests, medical and nuclear imaging, and molecular testing, are essential in the diagnosis and management of cancer to optimize clinical outcomes. With the continuous rise in cancer mortality and morbidity in the Association of Southeast Asian Nations (ASEAN), there exists a critical need to evaluate the accessibility of cancer diagnostics in the region so as to direct multifaceted interventions that will address regional inequities and inadequacies in cancer care. This paper identifies existing gaps in service delivery, health workforce, health information systems, leadership and governance, and financing and how these contribute to disparities in access to cancer …

Incorporating Cultural Healing Practices Into Mental Health Care, Maria Jeremiason, Hailey Wilhelm, Yuriana Soto, Erin Sudbeck

Master of Social Work Student Policy Advocacy Briefs

Minnesota approaches mental health based on Western cultural traditions. This approach does not encompass the traditions of multicultural communities, many of whom have experienced deep generational trauma, oppression, and discrimination. We must address our treatment of people living with mental illness by incorporating and expanding holistic cultural traditions rooted in the cultural traditions of all Minnesotans. This will include honoring the work of cultural healers, cultural brokers, elders, and community health workers within all communities.

A Case Of Neuroleptic Malignant Syndrome Presenting As Anxiety, Cameron G. Hanson, Amit Chopra

Emergency Medicine Articles

Neuroleptic malignant syndrome (NMS) is a rare but potentially lethal complication of dopamine antagonist use. A 34-year-old male presented to the emergency department with a chief complaint of feeling anxious for the past several days. He presented with his family who helped provide history as he had become less communicative over the preceding two days. It was revealed that the patient had a recent psychiatric hospitalization for suspected new-onset psychosis and was discharged six days prior to his presentation. It was reported that the patient was discharged with unknown psychiatric medications but stopped taking them two days prior because he …

Conventional Methods And Future Trends In Antimicrobial Susceptibility Testing, Md Abdus Salam, Md Yusuf Al-Amin, Jogendra Singh Pawar, Naseem Akhter, Irine Banu Lucy

Neurology Articles

Antimicrobial susceptibility testing is an essential task for selecting appropriate antimicrobial agents to treat infectious diseases. Constant evolution has been observed in methods used in the diagnostic microbiology laboratories. Disc diffusion or broth microdilution are classical and conventional phenotypic methods with long turnaround time and labour-intensive but still widely practiced as gold-standard. Scientists are striving to develop innovative, novel and faster methods of antimicrobial susceptibility testing to be applicable for routine microbiological laboratory practice and research. To meet the requirements, there is an increasing trend towards automation, genotypic and micro/nano technology-based innovations. Automation in detection systems and integration of computers …

Measuring Ground Surface Elevation Changes In A Slow-Moving Colluvial Landslide Using Combinations Of Regional Airborne Lidar, Uav Lidar And Uav Photogrammetric Surveys, Sarah E. Johnson, William C. Haneberg, L. Sebastian Bryson, Matthew M. Crawford

UK CARES Faculty Publications

Slow-moving, chronically destructive landslides are projected to grow in number globally in response to precipitation increases from climate change, and land disturbances from wildfire, mining and construction. In the Cincinnati and northern Kentucky metropolitan area, USA, landslides develop in colluvium that covers the steep slopes along the Ohio River and its tributaries. Here we quantify elevation changes in a slow-moving colluvial landslide over 14 years using county- wide lidar, uncrewed aerial vehicle (UAV) structure-from-motion (SfM) surveys and a UAV lidar survey. Because the technology and quality differ between surveys, the challenge was to calculate a threshold of detectable change for …

A Unified Approach To Regression Testing For Mobile Apps, Zeinab Saad Abdalla

Electronic Theses and Dissertations

Mobile Applications have been widely used in recent years daily all over the world and are essential in our personal lives and at work. Because Mobile Applications update frequently, it is important that developers perform regression testing to ensure their quality. In addition, the Mobile Applications market has been growing rapidly, allowing anyone to write and publish an application without appropriate validation. A need for regression testing has arisen with the growth of different Mobile Apps and the added functionalities and complexities. In this dissertation, we adapted the FSMWeb [14] approach for selective regression testing to allow for selective regression …

A Unified Front: The Need For A Comprehensive, Centralized Network For Financial Institutions And Law Enforcement To Collaborate On Anti-Human Trafficking Efforts, Kacie T. England

North Carolina Banking Institute

No abstract provided.

Tiny Home Lot Split Policy: A Needed Adjunct To Accessory Dwelling Units In Promoting Affordable Housing, Christopher J. Hoffler

North Carolina Banking Institute

No abstract provided.

Using Mds Preference Plot As Visual Analytics Of Data: A Machine Learning Approach, Yan Zhang, Cody Ding

Education Sciences and Professional Programs Faculty Works

The primary purpose of this paper is to advocate the use of multidimensional scaling (MDS) preference plot to study relationships among variables and individual differences in these variables. MDS preference plot is not a new visual technique; nevertheless, its application to visualize individual differences in variables for high-dimensional data is rare, particularly in education and social sciences. We illustrated its application using a real example in an educational setting. The results indicate that the MDS preference plot is a viable visualization technique for data mining and analytics. Traditional statistical methods, such as the analysis of variance, can be used to …

Flood Hydrology In Tropical Coastal Catchments: Linking Watershed Dynamics To Mangrove Sedimentation, Shannon L. Jones

Electronic Theses and Dissertations

Coastal flooding is expected to be more frequent and severe from amplified flooding from sea level rise (SLR) and upstream anthropogenic activity, particularly in tropical regions. Improved hydrologic modeling and characterization are needed to better understand, predict, and manage flooding where these amplifications are expected. Yet tropical catchments are often ungauged or have limited hydrogeomorphic data. Thus, locally calibrated models that incorporate local knowledge and alternative data can be used to provide greater information. This doctoral dissertation quantifies relationships between land use, precipitation, discharge, and downstream sediment accretion in a representative ungauged catchment using a locally calibrated rainfallrunoff model validated …

Uncovering Zn2+ And Ca2+ Homeostasis And Crosstalk In Primary Hippocampal Neurons, Chen Zhang

Electronic Theses and Dissertations

Zn²⁺ has been suggested to act as an intracellular signaling molecule due to its regulatory effects on numerous protein targets including enzymes, transcription factors, ion channels, neurotrophic factors, and postsynaptic scaffolding proteins. However, intracellular Zn²⁺ concentration is tightly maintained at steady levels under natural physiological conditions. Dynamic changes in intracellular Zn²⁺ concentration have only been detected in cells exposed to pathologic stimuli or upon receptor ligand binding. In the first project of my dissertation, for the first time, we revealed that developing neurons fire spontaneous and synchronous Zn²⁺ spikes at a specific time window (from 14 …

Linking Mathematical Models And Trap Data To Infer The Proliferation, Abundance, And Control Of Aedes Aegypti, Jing Chen, Xi Huo, Andre B. B. Wilke, John C. Beier, Chalmers Vasquez, William Petrie, Robert Stephen Cantrell, Chris Cosner, Shigui Ruan

Mathematics Faculty Articles

Aedes aegypti is one of the most dominant mosquito species in the urban areas of Miami-Dade County, Florida, and is responsible for the local arbovirus transmissions. Since August 2016, mosquito traps have been placed throughout the county to improve surveillance and guide mosquito control and arbovirus outbreak response. In this paper, we develop a deterministic mosquito population model, estimate model parameters by using local entomological and temperature data, and use the model to calibrate the mosquito trap data from 2017 to 2019. We further use the model to compare the Ae. aegypti population and evaluate the impact of rainfall intensity …

Famines, Poverty And Intergenerational Mobility In Developing Countries, Monishankar Sarkar

Electronic Theses and Dissertations

The famine has not ended yet. Though much has been done, famine is still visiting some parts of the globe, ravaging economies, taking lives, and compelling people to experience acute hunger, starvation, and associated diseases. Deadly famines have impacted parts of Asia and the Pacific at different times. China has experienced the most lethal famine in history in terms of severity and fatalities. Africa is still facing famine. There are many countries worldwide, across continents, whose population is still facing hunger and starvation on an alarming scale. Thus, famine is still relevant today.

The effects of famine have been the …

Nebline, March/April 2023

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

Youth-Led Photovoice Project Gives Refugees Opportunity to Explore Mental Health by Emily Gratopp

Upcoming Photovoice Exhibits

Recipe of the Month: Baharat (Middle East Spice Blend) by Emily Gratopp

Early Season Disease Control in the Home Orchard by Sarah Browning

Garden Guide: Things to Do This Month

2023 Chemigation Training

Farm Estate Planning Workshop, March 7

2023 Lincoln Early Childhood Conference, Saturday, March 25

Two Lancaster 4-H’ers Participated in National 4-H Congress

4-H Horse Judging Team at Nationals

Teen Council 4-H’ers Team Up to Lead Lock-In

Heart of 4-H Volunteer Award: Trevor Kauer and Bethany Bettenhausen

4-H Club Gives Youth With …

Vibrational Dynamics In The Undercooled Liquid Of Ultra-Fragile Metallic Glasses, Hillary L. Smith, C. N. Saunders, C. Bernal-Choban, S. H. Lohaus, C. J. Stoddard, L. K. Decker, J. Y. Y. Lin, J. L. Niedziela, D. L. Abernathy, J.-H. Na, M. D. Demetriou, B. Fultz

Physics & Astronomy Faculty Works

The lattice vibrational dynamics in ultra-fragile Pt₅₇Cu₂₃P₂₀ and Pt60Cu20P20 glasses were investigated using in situ inelastic neutron scattering to measure the evolution of the phonon density of states (DOS) through the glass transition, into the undercooled liquid phase, and through crystallization. The phonon DOS curves are remarkably similar for the undercooled liquids and the amorphous solids. The vibrational entropy was obtained with these phonon DOS curves, and changes in vibrational entropy caused by the glass transition are less than 0.05k_B/atom. For these highly fragile metal/metalloid glasses, the excess vibrational entropy of the …

Ray Lezotte, Meeting His Wife And A Passion For The Air Force, University Libraries

East Campus Oral Histories

WMU and State High Alum Ray Lezotte speaks with Cassie Kotrch over the phone to share some of his memories of his time as a student at Campus School, State High, and WMU as well as his memory of the teacher who ignited his passion for the air force, where he would spend 4 year between attending State High and WMU.

“Really Just Bettering Myself”: Experiences Of Division I Male Transfer Student-Athletes, Jonae Benson, Tyrell Commander, Seth Flanagan, Cardan Williams, Sarah Stokowski, Chris Corr, Michael Godfrey

Publications

The purpose of the study was to document the lived experiences of National Collegiate Athletic Association (NCAA) Division I transfer athletes. Researchers conducted semi-structured inter- views with eight male athletes participating in Division I athletics at a comprehensive research university in the Southeast United States. Interviews revealed transfer athletes’ motivations to seek transfer and perceptions of their experience upon transfer. Not surprisingly, athletes sought to transfer for athletic, social, and academic reasons. However, participants indicated that social support structures, tangible institutional resources, and acceptance (i.e., assimilation) were integral to the positive perception of their transfer decision. The importance and potential …

Characterization Of A Set Of Small Planets With Tess And Cheops And An Analysis Of Photometric Performance, D. Oddo, D. Dragomir, A. Brandeker, H. P. Osborn, K. Collins, K. G. Stassun, N. Astudillo-Defru, A. Bieryla, S. B. Howell, D. R. Ciardi, S. Quinn, J. M. Almenara, C. Briceño, K. I. Collins, K. D. Colón, D. M. Conti, N. Crouzet, E. Furlan, T. Gan, C. L. Gnilka, R. F. Goeke, E. Gonzales, M. Harris, J. M. Jenkins, Eric L.N. Jensen, D. Latham, N. Law, M. B. Lund, A. W. Mann, B. Massey, F. Murgas, G. Ricker, H. M. Relles, P. Rowden, R. P. Schwarz, J. Schlieder, A. Shporer, S. Seager, G. Srdoc, G. Torres, J. D. Twicken, R. Vanderspek, J. N. Winn, C. Ziegler

Physics & Astronomy Faculty Works

The radius valley carries implications for how the atmospheres of small planets form and evolve, but this feature is visible only with highly precise characterizations of many small planets. We present the characterization of nine planets and one planet candidate with both NASA TESS and ESA CHEOPS observations, which adds to the overall population of planets bordering the radius valley. While five of our planets—TOI 118 b, TOI 262 b, TOI 455 b, TOI 560 b, and TOI 562 b—have already been published, we vet and validate transit signals as planetary using follow-up observations for four new TESS planets, including …

Designing Polymers With Stimuli-Responsive Degradation For Biomedical Applications, Chuanfeng Li, Zhengyu Deng, Elizabeth R. Gillies

Chemistry Publications

Early biomedical applications of polymers were in areas such as joint replacements and often involved durable polymers. However, biodegradable polymers are increasingly being used to perform temporary functions such as drug delivery or supporting cells, after which they can break down and be eliminated from the body. Polymers that degrade specifically in response to stimuli offer additional opportunities to control when and where this degradation occurs, enabling enhanced functions such as site-specific drug release and the early detection of disease. In this article, we will discuss recent advancements in the design, preparation, and application of stimuli-responsive polymer degradation. In …

Patient And Physician Factors Associated With First Diagnosis Of Non-Affective Psychotic Disorder In Primary Care, Joshua C. Wiener, Rebecca Rodrigues, Jennifer N S Reid, Suzanne Archie, Richard G Booth, Chiachen Cheng, Saadia Hameed Jan, Paul Kurdyak, Arlene G Macdougall, Lena Palaniyappan, Bridget L Ryan, Kelly K. Anderson

Epidemiology and Biostatistics Publications

Primary care physicians play a central role in pathways to care for first-episode psychosis, and their increased involvement in early detection could improve service-related outcomes. The aim of this study was to estimate the proportion of psychosis first diagnosed in primary care, and identify associated patient and physician factors. We used linked health administrative data to construct a retrospective cohort of people aged 14-35 years with a first diagnosis of non-affective psychosis in Ontario, Canada between 2005-2015. We restricted the sample to patients with help-seeking contacts for mental health reasons in primary care in the six months prior to first …

Evaluating The Feasibility And Potential Impacts Of A Recovery-Oriented Psychosocial Rehabilitation Toolkit In A Health Care Setting In Kenya: A Mixed-Methods Study, Regina Casey, Joshua C. Wiener, Terry Krupa, Rosemary Lysaght, Marlene Janzen Le Ber, Ruth Ruhara, Elizabeth Price, Romaisa Pervez, Sean Kidd, Victoria Mutiso, David M Ndetei, Arlene G Macdougall

Epidemiology and Biostatistics Publications

OBJECTIVES: This pilot study evaluated the feasibility and potential impacts of delivering the Psychosocial Rehabilitation (PSR) Toolkit for people with serious mental illness within a health care setting in Kenya.

METHOD: This study used a convergent mixed-methods design. Participants were people with serious mental illness (n = 23), each with an accompanying family member, who were outpatients of a hospital or satellite clinic in semirural Kenya. The intervention consisted of 14 weekly group sessions of PSR cofacilitated by health care professionals and peers with mental illness. Quantitative data were collected from patients and family members using validated outcome measures before …

Closed-Loop Recyclable Plastics From Poly(Ethyl Cyanoacrylate), Allison J. Christy, Scott T. Phillips

Materials Science and Engineering Faculty Publications and Presentations

Ethyl cyanoacrylate is a highly reactive monomer that has been used nearly exclusively to make Super Glue and related fast-setting adhesives. Here, we describe transformation of this highly abundant, readily available monomer into a closed-loop recyclable plastic that could supplant currently used (and often unrecycled/unrecyclable) plastics, such as poly(styrene). We report polymerization conditions, plastic-processing methods, and plastic-recycling protocols for poly(ethyl cyanoacrylate) plastics that make the Super Glue monomer a viable starting material for a next generation of closed-loop recyclable plastics. The processes described are scalable, and the plastics can be recycled in a closed-loop process with >90% yields, even when …

Paragonimiasis Misdiagnosed As Pulmonary Tuberculosis: A Case Report, Renzo Villanueva-Villegas, Javier Diaz-Mendoza, Juan Salas-Lopez, Carlos Espiche

Pulmonary and Critical Care Medicine Articles

Paragonimiasis is a zoonosis caused by the ingestion of raw or undercooked crustaceans parasitized with metacercaria of Paragonimus spp. In Peru, Cajamarca is considered an endemic region for paragonimiasis. A 29-year-old man from the department of San Martín, Peru presented with a three-year history of cough, chest pain, fever, and hemoptysis. Treatment for tuberculosis (TB) was initiated even with negative results for sputum acid-fast bacillus (AFB), due to the patient's clinical characteristics and the high prevalence of the condition in the region. After eight months, due to the lack of any clinical improvement, he was referred to a regional hospital, …

Opening Doors, Kathy Foss, Srg Partnership

Linfield Magazine

The new Linfield University Science Complex is paving the way for science education, students and the future

The World's Genius In Mcminnville, Rich Schmidt

Linfield Magazine

A look at the history of the Oregon Nobel Laureate Symposium

Recall Patterns And Risk Of Primary Liver Cancer For Subcentimeter Ultrasound Liver Observations: A Multicenter Study, Amit G. Singal, T. Tara Ghaziani, Neil Mehta, Kali Zhou, Lauren T. Grinspan, Jihane N. Benhammou, Andrew M. Moon, Ju Dong Yang, Reena Salgia, Anjana Pillai, Elizabeth Zheng, Nicole E. Rich, Purva Gopal, Prasun Jalal, Elizabeth Verna, Sruthi Yekkaluri, Samuel Phen, Jonathan Melendez-Torres, Omar Alshuwaykh, Hailey Choi, Kevin Junus, John Grady, Michael Song, Emily A. Leven, Jung Yum, Vrushab Gowda, Manaf Alsudaney, Perla Hernandez, Nirmal Desai, Neehar D. Parikh

Gastroenterology Articles

BACKGROUND: Patients with cirrhosis and subcentimeter lesions on liver ultrasound are recommended to undergo short-interval follow-up ultrasound because of the presumed low risk of primary liver cancer (PLC).

AIMS: The aim of this study is to characterize recall patterns and risk of PLC in patients with subcentimeter liver lesions on ultrasound.

METHODS: We conducted a multicenter retrospective cohort study among patients with cirrhosis or chronic hepatitis B infection who had subcentimeter ultrasound lesions between January 2017 and December 2019. We excluded patients with a history of PLC or concomitant lesions ≥1 cm in diameter. We used Kaplan Meier and multivariable …

Metabolic Syndrome And Chronic Disease Risk In South Asian Immigrants: A Review Of Prevalence, Factors, And Interventions, Meena Mahadevan, Mousumi Bose, Kelly M. Gawron, Renata Blumberg

Department of Nutrition and Food Studies Scholarship and Creative Works

South Asians (SAs) are among the fastest-growing ethnic groups in the U.S. Metabolic syndrome (MetS) is a condition that is characterized by multiple health factors that increase the risk for chronic diseases, such as cardiovascular disease (CVD) and diabetes. MetS prevalence among SA immigrants ranges from 27–47% in multiple cross-sectional studies using different diagnostic criteria, which is generally higher compared to other populations in the receiving country. Both genetic and environmental factors are attributed to this increased prevalence. Limited intervention studies have shown effective management of MetS conditions within the SA population. This review reports MetS prevalence in SAs residing …

Simulation Of Monthly Mean And Monthly Base Flow Of Streamflow Using Random Forests For The Mississippi River Alluvial Plain, 1901 To 2018, Benjamin J. Dietsch, William H. Asquith, Brian K. Breaker, Stephen M. Westenbroek, Wade H. Kress

United States Geological Survey: Water Reports and Publications

Improved simulations of streamflow and base flow for selected sites within and adjacent to the Mississippi River Alluvial Plain area are important for modeling groundwater flow because surface-water flows have a substantial effect on groundwater levels. One method for simulating streamflow and base flow, random forest (RF) models, was developed from the data at gaged sites and, in turn, was used to make monthly mean streamflow and base-flow predictions at 162 ungaged sites in the study area. Daily streamflow observations and computed base flow from 247 streamgages were used as the basis for the development of these RF models. RF …

College Administrator Experiences: A Phenomenological Study Of Higher Education Leadership In American Prisons, Donavan Bailey

Education Doctorate Dissertations

Higher education for the incarcerated (HEP) is a re-energized phenomenon in the age of criminal justice reform and social change. Following the 2015 Second Chance Pell Grant Experimental Initiative (SCP), which granted select colleges tuition funding for prisoners, HEP grew exponentially. The successes of the SCP laid the groundwork for the 2020 FASFA Simplification Act. In July 2023 the 2020 FSA begins, and all those imprisoned within America may access Pell Grant Funds for higher education. Despite momentous efforts to bring higher education to the incarcerated, HEP grapples with continued challenges and lacks unified, evidence-based competency equal to normative higher …