Digital Commons Network^™

Patient-Mediated Interventions In Hospital: A Systematic Review, Georgia Tobiano, Shelley Roberts, Rachel Muir, Teresa Jerofke-Owen, Christine Ting, Sarah Thorning, Daren K. Heyland, Andrea P. Marshall

College of Nursing Faculty Research and Publications

Aims

To describe the characteristics of hospital-based, patient-mediated interventions and their impact on patient, clinician and organization outcomes.

Design

Systematic review.

Data Sources

Health literature databases (MEDLINE, CINAHL and EMBASE) were searched in August 2021. Backward and forward citation searching was conducted.

Review Methods

Studies investigating patient-mediated interventions, targeted at adult hospitalized patients were eligible. Data were extracted related to study and intervention characteristics. Narrative synthesis was used to understand intervention impact on patient, clinician and organization outcomes (as per a framework). Methodological quality was assessed using the Mixed Methods Assessment Tool.

Results

Thirty-three studies, reporting 18 interventions, were included. …

Missed Opportunities In The Diagnosis Of Tuberculosis Meningitis, Niamh Simmons, Margaret A Olsen, Joanna Buss, Thomas C Bailey, Carlos Mejia-Chew

2020-Current year OA Pubs

BACKGROUND: Tuberculosis meningitis (TBM) has high mortality and morbidity. Diagnostic delays can impact TBM outcomes. We aimed to estimate the number of potentially missed opportunities (MOs) to diagnose TBM and determine its impact on 90-day mortality.

METHODS: This is a retrospective cohort of adult patients with a central nervous system (CNS) TB

RESULTS: Of 893 patients with TBM, median age at diagnosis was 50 years (interquartile range, 37-64), 61.3% were male, and 35.2% had Medicaid as primary payer. Overall, 407 (45.6%) had a prior hospital or ED visit with an MO code. In-hospital 90-day mortality was not different between those …

The Bg News February 1, 2023, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. February 01, 2023. Volume 102-Issue 16.

The Disembodied First Amendment, Nathan Cortez, William M. Sage

Faculty Scholarship

First Amendment doctrine is becoming disembodied—increasingly detached from human speakers and listeners. Corporations claim that their speech rights limit government regulation of everything from product labeling to marketing to ordinary business licensing. Courts extend protections to commercial speech that ordinarily extended only to core political and religious speech. And now, we are told, automated information generated for cryptocurrencies, robocalling, and social media bots are also protected speech under the Constitution. Where does it end? It begins, no doubt, with corporate and commercial speech. We show, however, that heightened protection for corporate and commercial speech is built on several “artifices” - …

Do We Need Patient-Specific Qa For Adaptively Generated Plans? Retrospective Evaluation Of Delivered Online Adaptive Treatment Plans On Varian Ethos, Xiaodong Zhao, Dennis N Stanley, Carlos E Cardenas, Joseph Harms, Richard A Popple

2020-Current year OA Pubs

BACKGROUND: The clinical introduction of dedicated treatment units for online adaptive radiation therapy (OART) has led to widespread adoption of daily adaptive radiotherapy. OART allows for rapid generation of treatment plans using daily patient anatomy, potentially leading to reduction of treatment margins and increased normal tissue sparing. However, the OART workflow does not allow for measurement of patient-specific quality assurance (PSQA) during treatment delivery sessions and instead relies on secondary dose calculations for verification of adapted plans. It remains unknown if independent dose verification is a sufficient surrogate for PSQA measurements.

PURPOSE: To evaluate the plan quality of previously treated …

Lgmdd1 Natural History And Phenotypic Spectrum: Implications For Clinical Trials, Andrew R Findlay, Sarah E Robinson, Stephanie Poelker, Michelle Seiffert, Rocio Bengoechea, Conrad C Weihl

2020-Current year OA Pubs

OBJECTIVE: To delineate the full phenotypic spectrum and characterize the natural history of limb girdle muscular dystrophy type D1 (LGMDD1).

METHODS: We extracted age at clinical events of interest contributing to LGMDD1 disease burden via a systematic literature and chart review. Manual muscle testing and quantitative dynamometry data were used to estimate annualized rates of change. We also conducted a cross-sectional observational study using previously validated patient-reported outcome assessments (ACTIVLIM, PROMIS-57) and a new LGMDD1 questionnaire. Some individuals underwent repeat ACTIVLIM and LGMDD1 questionnaire assessments at 1.5 and 2.5 years.

RESULTS: A total of 122 LGMDD1 patients were included from …

Potassium Fertilizer Rate Recommendations: Does Accounting For Soil Stock Of Potassium Matter?, Kimberly B. Oliver, Michael P. Popp, Di Fang, John D. Anderson, Nathan A. Slaton, Gerson L. Drescher, Trenton L. Roberts, Jada Thompson

Agricultural Economics and Agribusiness Faculty Publications and Presentations

Profitability, yield, and fertilizer use are compared across three different potassium (K) fertilizer rate recommendation ideologies. Existing agronomic, “build and maintain” rate recommendations (KE) are compared to profit-maximizing rates with and without taking long-run soil-test K (STK) implications into account. Regardless of starting STK, K use equilibrated over the course of 3 years irrespective of ideology. Since taking long-run STK into account did not alter ending STK and only led to a miniscule yield effect, we encourage producers to use annual profit-maximizing K rates that were 3–11% lower than KE rates and generated more profit with minimal yield loss.

Defining Twice Exceptional Learners: A Study Of Self-Concept, Alyssa D. Landau

Dissertations, Theses, and Capstone Projects

In 2014, the first operational definition of twice exceptional (2e) learners was published in Gifted Child Quarterly to provide a clear and identifiable profile of the population (Reis, Baum, & Burke, 2014). The article defines 2e learners as, “students who demonstrate the potential for high achievement or creative productivity in one or more domains such as math, science, technology, the social arts, the visual, spatial, or performing arts or other areas of human productivity AND who manifest one or more disabilities as defined by federal or state eligibility criteria” (Reis et al., 2014, p. 222-223). Publishing an operational definition of …

Resource Management In Mobile Edge Computing For Compute-Intensive Application, Xiaojie Zhang

Dissertations, Theses, and Capstone Projects

With current and future mobile applications (e.g., healthcare, connected vehicles, and smart grids) becoming increasingly compute-intensive for many mission-critical use cases, the energy and computing capacities of embedded mobile devices are proving to be insufficient to handle all in-device computation. To address the energy and computing shortages of mobile devices, mobile edge computing (MEC) has emerged as a major distributed computing paradigm. Compared to traditional cloud-based computing, MEC integrates network control, distributed computing, and storage to customizable, fast, reliable, and secure edge services that are closer to the user and data sites. However, the diversity of applications and a variety …

Examining Factors Related To Tobacco Treatment Engagement Among Tobacco Dependent Black/African American; Hispanic/Latino Cancer Patients: An Analysis Of Memorial Sloan Kettering Cancer Center’S Tobacco Treatment Program, Gleneara E. Bates-Pappas

Dissertations, Theses, and Capstone Projects

Among patients diagnosed with cancer, persistent tobacco use is associated with adverse clinical outcomes such as worse treatment side effects, decreased effectiveness of cancer treatment (chemotherapy, radiotherapy, and surgery), all increasing risk of recurrence, second primary cancers, and poor survival. Despite the clinical importance of tobacco cessation in the context of high quality cancer care, engaging Black/African American and Hispanic/Latino cancer patients in tobacco treatment programs can be challenging. Prior studies with the general adult population demonstrate that Black/African American and Hispanic/Latino smokers are referred to and accept tobacco cessation treatment at lower rates compared to non-Hispanic White smokers. This …

Environmental Drivers Of Dispersal In Black-And-White Ruffed Lemurs (Varecia Variegata), Amanda Mancini

Dissertations, Theses, and Capstone Projects

Dispersal is a fundamental aspect of primates’ lives, influencing population connectivity through gene flow, driving community structure and assembly, and having important consequences for adaptation and speciation. Primates disperse within an environmental context, with both intervening and local environmental factors affecting the motivation, capacity, timing, and success of dispersal at all phases. Direct evaluations of primate dispersal are challenging given the rarity of dispersal events and the large distances that animals often settle from their departure site, therefore indirect measures– such as the use of population genetic data– are more common.

The field of landscape genetics enables researchers to combine …

Tgf-B Signaling Mechanisms In Caenorhabditis Elegans Response To Bacterial Pathogens, Emma J. Ciccarelli

Dissertations, Theses, and Capstone Projects

When exposed to infection, the nematode C. elegans mounts an innate immune response through secretion of antimicrobial peptides (AMPs). Different signaling pathways in the worm regulate release of these AMPs. One highly conserved pathway is the C. elegans BMP like pathway – regulated by the ligand DBL-1. The DBL-1 pathway is noted for its significant role in development but has also been shown to regulate many post-developmental processes within the worm, including the immune response. We are interested in determining how DBL-1 signaling can mediate a response specific to immunity, separate from its other functions in the worm. Through survival …

Synthesis And Analysis Of Novel Troponoid-Based Chemical Probes, Alex Berkowitz

Dissertations, Theses, and Capstone Projects

Troponoids are a class of non-benzenoid aromatic species featuring a cycloheptatrienone ring and varying degrees of oxygenation. These scaffolds have proven ubiquitous amongst natural products, and have displayed promise as therapeutic agents against a variety of diseases. Herein, we will describe our efforts towards furthering troponoids as potential pharmaceuticals. In Chapter 1, we outline a kojic acid-derived oxidopyrylium cycloaddition/ring-opening method developed in our lab to generate ahydroxytropolones (aHTs). This route was successfully adapted to synthesize a small library of lipophilic aHTs that were proven to be effective against herpes simplex virus-1 (HSV-1) replication, while providing further insight into the mechanism …

The Devil Is In The Details: Witchcraft Materiality And Systems Of Belief In Early Modern France, Ryan Evelyn

Dissertations, Theses, and Capstone Projects

My approach to the early modern French witch figure, as defined by their materiality, considers the representation of things, objects, and substances in texts. It was inspired by the surge in material culture studies, whose genesis in the 1980s and 1990s spurred theoretical approaches to (re)considering human interactions with objects, the way in which materials can be manipulated to serve various ends, and which objects were deemed culturally significant. I employ this approach to a (re)assessment of the witch figure as illustrated in demonologies, medical texts, and imaginative literature as early as the 14^th century spanning into the early …

Beam-Based Target Alignment For Mu2e, Helenka Casler

Dissertations, Theses, and Capstone Projects

The Mu2e Experiment is a precision experiment at Fermi National Accelerator Laboratory, searching for charged lepton flavor violation (CLFV) in the conversion of a muon to an electron in the presence of an atomic nucleus. In order to achieve the expected single-event sensitivity of 3 × 10^-17 , Mu2e will require an intense muon beam, generated via pion decay. These pions are the product of a proton beam striking a radiatively-cooled tungsten target. In order to maximize pion production and prevent target failure, the beam will have to be aligned with the target center to within 0.5 mm. The …

Incarceration-Related Stigma And Caring Self-Efficacy Among Long-Term Care Nurses, Sandra D. Langston

Dissertations, Theses, and Capstone Projects

Background: A silver tsunami is occurring in U.S. prisons because of an unprecedented increase in the older population. Prisons are structurally ill-suited to care for this population and financially burdened with providing the necessary medical and nursing care. States have enacted legislation to afford justice-involved persons parole to manage chronic conditions in community-based long-term care (LTC) facilities. Changes in Medicaid regulations provide a seamless transition from prison to community long-term care for this population. However, it is not known if the stigma of justice involvement impacts the perception of long-term nurses concerning this population.

Aims/Purpose: This study examined the effects …

Quantifying Psychostimulant-Induced Sensitization Effects On Dopamine And Acetylcholine Release Across Different Timescales, Georg Lange

Dissertations, Theses, and Capstone Projects

Drug-induced behavioral sensitization describes the phenomenon that behavioral response to a drug of abuse is getting stronger if the same psychostimulant is delivered multiple times which is much more pronounced if done in the same environmental context. A proposed neural basis is the formation of an association between contextual cues and the rewarding drug which is mediated by dopamine. Dopamine operates at different timescales and to fully understand dopamine sensitization, it is necessary to investigate dopamine release at slow (tens of minutes) but also faster (sub-second) timescales. But creating a holistic view has been difficult due to a lack of …

Assessment Of Efficacy And Mechanism Of Resistance To Soil-Applied Ppo Inhibitors In Amaranthus Palmeri, Gulab Rangani, Aimone Perri, Reiofeli A. Salas-Perez, Jens Lerchl, Srikanth Kumar Karaikal, Juan Camilo Velásquez, Nilda Roma-Burgos

Crop, Soil and Environmental Sciences Faculty Publications and Presentations

Resistance to protoporphyrinogen oxidase (PPO) inhibitors in Palmer amaranth is a major concern, given the high selection pressure and increasing number of populations with reduced sensitivity to PPO herbicides in the US. We evaluated the effect of five soil-applied herbicides on Palmer amaranth (Amaranthus palmeri S. Wats.) populations collected in 2014 and 2015 in Arkansas, USA. Soil-applied saflufenacil, sulfentrazone, and flumioxazin reduced the seedling emergence 91–100%; however, fomesafen and oxyfluorfen showed reduced (63–90%) efficacy on some populations. Target-site mutation (TSM) is the major mechanism of resistance to PPO herbicides; therefore, six populations showing resistance to soil-applied fomesafen were selected for …

Trolley Problems, Private Necessity, And The Duty To Rescue, Laura A. Heymann

Faculty Publications

Laidlaw v. Sage is generally, at best, an oddity in Torts casebooks today. A case that captured the imagination of New York newspaper readers at the time, Laidlaw involved an explosion that, William Laidlaw argued, the wealthy Russell Sage survived only because, at the last moment, he pulled Laidlaw in front of him to absorb the brunt of the blast. As taught in Torts classrooms, Laidlaw is either a case about the intent requirement for battery or a case about causation. But the case, assuming the plaintiff’s story was true, also provides an interesting window into what would seem to …

How Prophet Muhammad(Saw)Took Care Of His Health, Anat Matimu

Halal Insight

No abstract provided.

Origin And Evolution Of Marsupial-Specific Imprinting Clusters Through Lineage-Specific Gene Duplications And Acquisition Of Promoter Differential Methylation, Wenqi Cao, Kory C. Douglas, Paul B. Samollow, John Vandeberg, Xu Wang, Andrew G. Clark

School of Medicine Publications

Genomic imprinting is a parent-of-origin-specific expression phenomenon that plays fundamental roles in many biological processes. In animals, imprinting is only observed in therian mammals, with ∼200 imprinted genes known in humans and mice. The imprinting pattern in marsupials has been minimally investigated by examining orthologs to known eutherian imprinted genes. To identify marsupial-specific imprinting in an unbiased way, we performed RNA-seq studies on samples of fetal brain and placenta from the reciprocal cross progeny of two laboratory opossum stocks. We inferred allele-specific expression for >3,000 expressed genes and discovered/validated 13 imprinted genes, including three previously known imprinted genes, Igf2r, Peg10, …

A Case Report Of Subacute Combined Degeneration Due To Nitrous Oxide-Induced Vitamin B12 Deficiency, Jorge Nadal Bosch, Javier Malcolm, Mario Moya, Michael Menowsky, Roberto A. Cruz

School of Medicine Publications

Nitrous oxide, also known as “laughing gas,” is a naturally occurring gas that is colorless, odorless, nonflammable, and nontoxic. It has been used as an inhalant anesthetic in the medical field for more than 150 years for dental and surgical procedures. Due to its wide availability and ability to cause euphoria, its recreational use is on the rise. We present a case of subacute combined degeneration (SCD) due to nitrous oxide-induced vitamin B12 deficiency. The patient presented with bilateral lower extremity paresthesia, weakness, and ataxic gait. The patient was found to have vitamin B12 deficiency. An MRI of the cervical …

Effortful Control Moderates The Relation Between Negative Emotionality And Child Anxiety And Depressive Symptom Severity In Children With Anxiety Disorders, Elizabeth M Raines, Andres G Viana, Erika S Trent, Haley E Conroy, Karina Silva, Michael J Zvolensky, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

The present study investigated the interactive effect of reactive (negative emotionality) and regulatory (effortful control) aspects of temperament in the prediction of child anxiety and depressive symptoms. Clinically anxious children and their mothers completed a battery of questionnaires that included self- and mother-ratings of child effortful control, negative emotionality, anxiety, and depressive symptoms. Multiple regression analyses were conducted to examine the moderating effect of effortful control on the relation between negative emotionality and child anxiety and depressive symptom severity. The interaction between negative emotionality and effortful control was statistically significant and simple slopes revealed that as effortful control increased, the …

Cultural Factors Associated With Human Trafficking Of Girls And Women In Northern Tanzania: The Case Of Arusha Region, Rehema John Magesa

Dignity: A Journal of Analysis of Exploitation and Violence

Human trafficking is persistent in many regions of Tanzania despite different efforts to reduce the practice by the Government and other stakeholders. Girls and young women are more affected by this practice in violation of their human rights than men and boys. This study explored the cultural factors attributing to the trafficking of girls and women in Northern Tanzania. The study involved 400 girls and young women for a quantitative and qualitative study on cultural determinants of human trafficking. The study found the following cultural practices pushed girls and women towards situations in which they could be trafficked: female genital …

The Process Of Sexual Misconduct By Male Teachers And Staff In K-12 Institutions, Mollee Steely Smith

Dignity: A Journal of Analysis of Exploitation and Violence

Despite the increased media attention of teachers who engage in sexual misconduct with their students, research on such incidents remains limited, specifically on how these incidents are initiated and evolve. The purpose of the current study was to examine the nature of sexual abuse incidents by K-12 teachers who engaged in sexual misconduct with students by focusing on the onset, progression, and conclusion of these cases. Data included 10 secondary narrative interviews with male sex offenders who used their position as school employees to target and engage in sexual misconduct with their students in 2014 in a southern state. All …

Hentai And The Pornification Of Childhood: How The Porn Industry Just Made The Case For Regulation, Gail Dines, Mandy Sanchez

Dignity: A Journal of Analysis of Exploitation and Violence

One of the most popular genres of online pornography today is hentai, sexualized animation, and cartoons in the style of Japanese anime. Data from Pornhub, the world’s best-known pornography website, as well as a recent report from a British regulatory agency and our research, show that much of hentai appeals to children and depicts child-like characters engaged in sexual violence. In almost every instance, this violence targets female characters. Hentai, we show, encourages adults to see minors, especially girls, as legitimate targets of sexual violence. Until the day when these depictions of sexual violence are eradicated, we call for three …

Dlr Covid-19 Mobility Review (Phase 2a): Report On Cmr Economic Development & Business Community Feedback, Sarah Rock Dr., Robert Bradshaw Dr., David O'Connor, Odran Reid

Reports

This research reports on the findings from an area focused economic development and business community focused study of the Costal Mobility Route (CMR), which is intended to complement and extend research previously conducted in Phase 1 of Dún Laoghaire-Rathdown County Council’s (DLR’s) ‘Covid-19 Mobility & Public Realm Works’ project. This study is based on participant interviews, and is limited to businesses located directly along the CMR, as well as a number of business groups representing a wider area and a Local Enterprise Office.

While one company reported a significant decline in revenue that they attribute to the CMR, the remainder …

How And Why Is Context Important In Leadership?, Burak Oc, Joseph A. Carpini

Research Collection Lee Kong Chian School Of Business

Leadership can be defined as a goal-influence process that occurs between a leader and a follower, groups of followers, or institutions that directs effort towards the achievement of a shared objective (Antonakis & Day, 2018, p. 5). From this definition, we can distil four key elements of leadership: a) leaders, b) followers, c) influence and d) goals, motivation and performance. While leaders and followers are the main actors of leadership processes, how they influence each other has implications for group goals. However, most leadership research focuses on leaders, largely treating them as the sole driver of organisation success or failure …

Design And Characterization Of An Aerosol Test Chamber For Emergency Response Patient Contamination Control Simulation And Research, Megan L. Steele, Emily M. Spatz, George P. Lemmer, Jacob M. Denney, Casey Cooper, Jeremy M. Slagley, Robert M. Eninger

Faculty Publications

Contaminated or infected patients present a risk of cross-contamination for emergency responders, attending medical personnel and medical facilities as they enter a treatment facility. The controlled conditions of an aerosol test chamber are required to examine factors of contamination, decontamination, and cross-contamination. This study presents the design, construction, and a method for characterizing an aerosol test chamber for a full-sized manikin on a standard North Atlantic Treaty Organization litter. The methodology combined air velocity measurements, aerosol particle counts and size distributions, and computational fluid dynamics modeling to describe the chamber’s performance in three dimensions. This detailed characterization facilitates future experimental …

Crypto Assets And The Problem Of Tax Classifications, Eric D. Chason

Faculty Publications

To date, Internal Revenue Service (I.R.S.) guidance on cryptocurrencies has been thin. When the I.R.S. has issued guidance, it occasionally mishandles the technical details (such as confusing air drops and hard forks). More personnel (and personnel with greater technical expertise) would allow the I.R.S. to keep pace with the explosive growth of cryptocurrency. Nevertheless, the I.R.S. could better leverage its existing resources by focusing on select issues and seeking enabling legislation from Congress. Specifically, the I.R.S. should focus on crypto issues occurring on a system-wide basis and not requiring taxpayer-specific considerations.

For example, determining whether Bitcoin is a “security” under …