Digital Commons Network^™

Assessments Of Social Vulnerability On Laryngeal Cancer Treatment & Prognosis In The Us: Epidemiology, David J. Fei-Zhang, Camaren M. Cuenca, Angela D. Haskins, Andrew P. Stein, David G. Lott, Urjeet A. Patel, Stephanie S. Smith, Amy L. Dimachkieh, Nosayaba Osazuwa-Peters, Jill N. D’Souza, Anthony M. Sheyn, Jeffrey C. Rastatter, Daniel C. Chelius

School of Medicine Faculty Publications

Background: Previous social determinants of health (SDoH) studies on laryngeal cancer (LC) have assessed individual factors of socioeconomic status and race/ethnicity but seldom investigate a wider breadth of SDoH-factors for their effects in the real-world. This study aims to delineate how a wider array of SDoH-vulnerabilities interactively associates with LC-disparities. Methods: This retrospective cohort study assessed 74,495 LC-patients between 1975 and 2017 from the Surveillance-Epidemiology-End Results (SEER) database using the Social Vulnerability Index (SVI) from the CDC, total SDoH-vulnerability from 15 SDoH variables across specific vulnerabilities of socioeconomic status, minority-language status, household composition, and infrastructure/housing and transportation, which were measured …

Research And Reflections On Southeast Asian American Education And Advancement, Wayne E. Wright, Vikrant Chap, Phitsamay S. Uy, Chhany Sak-Humphry, Vichet Chhuon, Bryan Thao Worra

Purdue University Press Books

This book is in commemoration of the twentieth anniversary of the Journal of Southeast Asian American Education and Advancement (JSAAEA) and the fiftieth anniversary of Southeast Asian American refugee resettlement in the United States. Pivotal research articles, reviews, and creative works from past issues of JSAAEA have been selected for this volume to document the history and experiences of Cambodian, Laotian, Hmong, and Vietnamese Americans since initial refugee resettlement began in the United States in 1975, as well as the experiences of more recent Southeast Asian immigrant and refugee groups. Reviews of academic books, novels, memoirs, children’s books, and motion …

Exploring The Public Health Agency Of Canada’S And The Ontario Government’S Vaccine-Related Crisis Communication On X During The Covid-19 Pandemic, Sheraza Burney, Lori Donelle Phd, Rn, Fcan, Anita Kothari

Publications

Crisis communication strategies must be tailored to the unique nature of social media. In response to the COVID-19 pandemic, public health agencies have widely used social media to address vaccine hesitancy and misinformation. This research utilized the social media pandemic communication model to describe the key themes disseminated through the Ontario government and the Public Health Agency of Canada's vaccine-related crisis communication on X (formerly Twitter). Between 27 January 2020 and 6 April 2021, 1271 posts related to COVID-19 vaccination were collected from three official government X accounts—two from the province of Ontario and one from Canada. Posts were analyzed …

Identifying Distinct Subgroups With Severe Pain In Sickle Cell Disease: A Cluster Analysis Of The Grndad Multi-Center Registry, Martha O. Kenney, Samuel Wilson, Morgan Rosser, Sophie Lanzkron, Julie Kanter, Susan Padrino, Payal Desai, Deepa Manwani, Alice Cohen, Stephanie Guarino, Ward Hagar, Joshua Field, Jane Little

Department of Medicine Faculty Papers

Sickle cell disease (SCD) affects millions of individuals worldwide, and is characterized by both acute, episodic pain and chronic, persistent pain. Despite the significant burden of the disease, clinicians continue to face significant challenges in treating SCD pain due to variability in pain experiences. The objectives of this study were (1) to identify distinct pain subgroups based on demographic and biopsychosocial characteristics and (2) to evaluate the relationship between the subgroups and pain impact - a SCD-disease specific measure of pain interference. To achieve these objectives, we performed a hierarchical cluster analysis on a cross-sectional sample of adults with SCD …

Dna Extraction And Species Determination Of Historic Museum Pelt Samples, Selin Ates

Student Theses

The identity of the fur covering the sculpture named Object in the Museum of Modern Art has remained a mystery since its creation in 1936 by Meret Oppenheim. DNA testing can possibly provide an answer, but to preserve the integrity of the sculpture, only a very small piece of the fur can be sampled. Prior to testing Object, testing using museum samples was performed to determine whether DNA of a sufficient quantity and quality can be extracted and sequenced. Several DNA extraction and sample washing methods were tested to examine the effects on the DNA of museum pelts aged …

Connecting With Our Creator: How Experiences In Nature Enable Closeness With God, Elsa Longhurst

Undergraduate Honors Theses

Experiences in nature allow individuals to connect with God powerfully. Many researchers have considered the benefits of nature (Fredrickson & Anderson, 1999; Louv, 2008; Unsworth et al., 2016), but few have studied the potential for nature to help individuals connect with Deity (Naor & Mayseless, 2020). The present study seeks to understand how nature can help people have a deeper connection to God, considering both vertical and horizontal spirituality (Krauss & Silver, 2021). Participants felt that spending time in nature strengthened their conviction that God is the creator of all things. Many participants shared that being outside allowed them to …

Assessment Of The 3-30-300 Standard In New London, Connecticut: Gis Analysis And Systematic Literature Review On Urban Tree Cover, Natalie Michele Reilly

Honors Scholar Theses

Cecil Konijnendijk’s 3-30-300 standard allows cities to monitor their current urban forestry conditions and progress toward improvement. The standard is met if individuals can see three trees from their home, have 30% canopy cover in their neighborhood, and are within 300 meters of a green space. I conducted a systematic review of relevant literature and an assessment of whether New London, Connecticut meets the standard. My goal was to evaluate the benefits of urban forestry standards, the feasibility of implementation, and whether cities tested adhered. The 30-component of the standard was the most difficult part to meet due to a …

Parents Perceived First Aid Skills In Dealing With The Ingested Poisoning Products, Saudi Arabia, A Cross-Sectional Study, Maher Hassan Nahari, Bsaim Abdulsalam Altirkistani, Athoub Nasser Kadasa, Saleh Salah Alilwani Et.Al.

Saudi Toxicology Journal

Introduction: Toxins are substances that can lead to harmful effects when introduced to the body. Accidental poisonings remain a critical concern for pediatric health, so understanding the nature of toxins and the potential risks associated with them is a fundamental aspect of child safety. Parents' knowledge and attitudes towards toxins and poisoning incidents significantly influence the outcomes of accidental exposures. Materials and Methods: An observational cross-sectional study conducted across various regions of Saudi Arabia in March 2024. Participants were selected by convenience sampling. A total of 1,997 participants took the self-administered questionnaire. Results: The majority of the participants are married …

Trust But Verify … As Long As You Can: Transparency, Consent Management And Their Limits In A Big Data-Machine Learning Environment, Pablo Iannello

University of Dayton Law Review

No abstract provided.

Secondary Educators’ Knowledge And Perceptions Of Their Own Self-Efficacy As It Relates To 504 Plan Accommodations For Students Diagnosed With Adhd, Anne Richardson

Seton Hall University Dissertations and Theses (ETDs)

This study investigated the role of Section 504 accommodations in meeting the needs of secondary students with attention-deficit/hyperactivity disorder (ADHD) in the United States. While legislation requires equitable education for students with disabilities, gaps remain in understanding how educators perceive their own abilities in implementing Section 504 plans for students with ADHD. The study used a qualitative research design to explore the academic and organizational challenges faced by secondary school students with ADHD, specifically examining the knowledge, perceptions, and self-efficacy of secondary educators regarding ADHD strategies and 504 plan accommodations. Semi-structured interviews were conducted via Zoom with 11 educators from …

Role Of Enhanced External Counterpulsation In Long Covid, Sachin A. Shah, Quy Phan, Joshua A. Radel

Pacific Faculty Work

No abstract provided.

Empowering Nurses, Enhancing Mobility: A Qi Initiative Using Plof And Clof To Promote Patient Ambulation, Kaela Nguyen

Master's Projects and Capstones

The quality improvement project involves the intervention of implemented mobility educational flyers about the mobility tools, Clinician Reported Level of Function (CLOF) and Patient Reported Level of Function (PLOF) and aims to increase patient mobility post surgery. The quality improvement project was conducted in two medical surgical units in a San Francisco hospital. To address unmet mobility goals, during change of shift, in-services on the educational flyers about the mobility tools (CLOF and PLOF), were utilized to provide education about the importance of mobility, how to utilize the mobility tools, and correctly document ambulation. More than twenty flyers were posted …

Effect Of Clean Closing Tray Use On Surgical Site Infection Following Colorectal Surgeries, Elizabeth Carlson, Nora Laban, Shelli Bergeron, Diana Lee, Donna Kayal, Kristin Lemarbe, Scarlett Hao, Jacob Mesiti, Bradley Krasnick, Harry Wasvary

Conference Presentation Abstracts

Introduction:  Reducing surgical site infections (SSIs) after colorectal surgeries remains a key quality improvement target. The summative effect of multiple pre-, intra-, and postoperative interventions bundled as part of Enhanced Recovery After Surgery (ERAS) programs are shown to effectively reduce SSIs, however the individual impact of each intervention has not been well-studied. This study evaluates the impact of clean closing tray use on the rate of SSIs in colorectal surgeries.  Methods:  A retrospective cohort study was conducted at a single tertiary care center of all intraabdominal colorectal surgeries performed between 2016 and 2021. Patients with documented infection present at the …

The Wright Way: Advancing Pediatric Perianesthetia Nursing Competencies, Marisela E. Acevedo-Padilla

Master's Projects and Capstones

Objective Implementing the Donna Wright Competency Model at a Bay Area Children’s Hospital in its peri-anesthesia units. Throughout available literature it was possible to observe the positive effects of implementing a competency model such as the DWCM has on the confidence of nursing staff and patient outcomes. An important point shown by literature was addressing more than technical skills and incorporating critical thinking and ethical considerations regarding patient care. Aim We aim to improve nurse competency in pediatric peri-anesthesia units at a Bay Area Children's Hospital by implementing Donna Wright’s Competency Model. Data obtained in August 2024 from a series …

Passive Envelope Retrofits As Climate Justice Infrastructure Against Extreme Heat: A Gis-Guided Approach For Outdated Single-Family Homes In Urban California, Mert Oztekin Mr.

Master's Projects and Capstones

I examined the opportunities to enhance equity in energy performance, climate resilience, and environmental adaptation through climate-resilient envelope retrofitting and spatially guided implementation strategies (via mappings of the Urban Heat Island -UHI- and socio-economic vulnerability indicators). Passive envelope retrofits of attic insulation; high-performance windows; cool roofs; and green roofs / walls, are examined across multiple climate zones of California' aged single-family housing stock, focusing on the Disadvantaged Communities (DACs). Through spatial analysis, strong overlap between Urban Heat Island(UHI) exposure; pre-1980 housing; socioeconomic disadvantage, and thus the need for spatially-directed action is underlined. The policy landscape analysis provides confirmation of the …

Bridging The Gap In Early Mobilization: Implementing The Bmat 2.0 To Enhance Patient Care And Outcomes, Elyas Gul

Master's Projects and Capstones

Objective: Early mobilization of patients is correlated to enhanced functional recovery (Zhang et al., 2019), decreased hospital stays (Zhang et al., 2019), and a reduction in healthcare costs (Liu et al., 2019). Unfortunately, inconsistency in hospital staff training and an absence of mobility assessment standardization have served as barriers to successful implementation. Aim: This quality improvement project aims to increase the percentage of RNs and CNAs who effectively use the BMAT 2.0 to promote early mobilization of medical-surgical endocrine and stroke patients by 20%, from 31.4% to 51.4% by April 22, 2025. The project will occur during a 12-week …

Shifting Us Strategies: Preventing China’S Continued Military Aggression Through Unrestricted Warfare Tactics Targeting Supply Chains, Andrew P. Downs

Master's Projects and Capstones

Strategic competition between the United States and the People's Republic of China (PRC) has developed into a complex multi-domain struggle encompassing military, economic, and trade aspects. This research demonstrated that the current U.S. deterrence strategy is mismatched in its ability to engage with the PRC and its use of asymmetric tactics. While the US continually depends on technological advantage through expensive platforms, the PRC is developing more subtle ways in which to subvert the US' ability to respond to an expanding China. While the US response has focused on conventional means, the PRC has adopted Unrestricted Warfare as a counter …

The Hidden Logic Behind Migration And Success, Elsa Russom

Master's Projects and Capstones

This research paper explores the hidden drivers of financial success among Eritrean migrants navigating uncertainty, displacement, and limited institutional access. Drawing on original survey data collected from diaspora communities across East African host countries, I apply a mixed-methods framework combining ordinal and binary logistic regression, random forest classification, bootstrapping, and Bayesian causal mediation; to identify the structural and cultural variables most predictive of financial stability. The findings reveal that participation in Ekub, a traditional rotating savings association, and engagement in communal support systems are the strongest predictors of financial success, outperforming conventional factors such as age, education, or employment status. …

The Seed Pile Project - A Reflection, A. Haven Kiers, Caroline Larsen, Kate Hayes, Sahar Sadegh Malak Abadi, Ashley Hong, Billy Krimmel

Cities and the Environment (CATE)

We conducted a community-science project in Northern California - the Seed Pile Project - with three broad goals: 1) to test which locally-native, seed-dispersed plants would thrive without intervention in human-occupied spaces, 2) to engage the public with the often-ignored biodiversity along our roadsides, sidewalks, and other highly-disturbed spaces, and 3) to create community around rewilding our urban areas. We conducted the project initially as a pilot project in 2020-2021, then as a community-science project in 2021-2022 and 2022-2023. The project design was intentionally simple to make it accessible for participants of all ages: participants received free packets of native, …

Into The Urban Wild: Overcoming Barriers To Urban Rewilding Through Expert Perspectives On Benefits, Hurdles, And Measures For Creating Wilder Greenspaces, Simon S. Moesch, Dagmar Haase, Brenda M. Zoderer, Sophie Lokatis

Cities and the Environment (CATE)

Urban rewilding, which promotes the development and transformation of urban greenspaces (UGS) into wilder forms, has garnered public support and offers numerous benefits – from enhancing human well-being and providing wildlife habitats to bolstering urban resilience against climate change. However, many UGS remain highly manicured. Research suggests that public expectations, safety concerns, conflicts with heritage preservation goals, and perceived disservices (e.g., allergenic pollen or unwanted wildlife) are among the barriers to adopting wilder designs; however, it remains unclear which factors hinder UGS rewilding the most. To investigate this, the study conducted semi-structured interviews with 26 experts involved in UGS management, …

Dose Planning And Radiation Optimization For Thoracic Conventional, Twice Daily, And Stereotactic Radiation Therapy: A Delphi Consensus From A National Survey Of Practitioners, Hina Saeed

All Publications

Purpose: We sent surveys to a large number of radiation oncologists with active thoracic cancer practices and applied the Delphi method over 3 rounds to generate consensus dose-volume histogram metrics. We used these results to create consensus-based organs-at-risk dose constraints and target goal templates for practical implementation.

Methods and materials: In this institutional review board-approved study, data were collected using REDCap electronic data capture on a secure server. Radiation oncologists identified from the Accreditation Council for Graduate Medical Education-accredited departments' websites were asked to confirm their self-identification as thoracic radiation oncologists and nominate other respondents. All invitees were asked to …

Environmental History In Western Anatolia (Turkey) Since The Last Glacial Maximum, Mustafa Dogan, Cetin Senkul, Jessie Woodbridge

School of Geography, Earth and Environmental Sciences

Mediterranean landscapes have been shaped by complex interactions between climate, land use and fire overmulti-millennial timescales. Understanding past trajectories of change provides knowledge of how modernlandscapes emerged, which can be valuable for their sustainable management. The aim of this study is toreconstruct environmental change in Western Anatolia (Turkey) through palaeoecological analysis of sedimentfrom Buldan Yayla Lake (Denizli-Buldan) from the Last Glacial Maximum (LGM) to the present, using a high-resolutionand multi-proxy dataset. To this end, fossil pollen, micro-charcoal, non-pollen palynomorphs, micro(μ)-XRF and radiocarbon analyses were applied to an ~18 m sediment core from Buldan Yayla Lake (Denizli-Buldan). According to the fossil …

Entire Volume Journal Of Banking And Financial Economics 2025, 1(23)

Journal of Banking and Financial Economics

Entire Volume Journal of Banking and Financial Economics 2025, 1(23)

Ethical Considerations In Lgbtqi+ Clinical Care, Thomas G. Plante

Psychology

Much recent attention has focused on the emerging area of LGBTQI+ health care and evidence-based best practices for professionals providing physical and mental health services to clients from this community. Advocacy and politics have also received a great deal of press attention that might impact the delivery of much needed professional health care services. Issues related to non-binary, transgender, and gender affirming health care have received perhaps the most attention and can be polarizing in some communities with politicians and state legislators weighing in and micromanaging access to available treatment as well. Psychologists and other health care professionals must be …

Instability-Driven Phase Separation For Quantum Structure Formation In Iii-V Semiconductors, Leonid Miroshnik

Chemical and Biological Engineering ETDs

High temperature phase instability limits the performance of III-V zinc blende semiconductor devices. A technique using an encapsulant and sacrificial layer is developed to reduce thermal degradation by group V sublimation during thermal processing of InGaAs/GaAs structures. This technique is successful in preventing As sublimation and preserving an atomically smooth surface required for surface-sensitive characterization. The degradation of the GaAsSb/InP interface by phase separation is studied. Significant interdiffusion and intermixing occurs due to the formation of a molten InSb at the interface. The intermixing is driven by phase separation and melting of the InSb interfacial layer that enhances atomic mobility. …

Empowering Egyptian Neighbourhoods With The 15-Minute City Concept, Farah Adel Shabanna, Marwa Adel El Sayed

Architectural Engineering

Car dependency has become a significant challenge in Egypt, especially in big cities due to high vehicle density, lack of public transport, and inefficient traffic management. The 15-minute city is an urban planning concept that aims to create self-sufficient neighbourhoods with essential services such as shopping, healthcare and education are within a 15-minute walk or bike ride from home. Hence, this study adopted a comparative case study methodology to compare two cities that adopt this model in terms of urban design, infrastructure mobility, and implementation policy. The research aims to successfully implementing the concept in Egyptian neighbourhoods ensuring accessibility and …

Heritage Sites In Digital Age: New Pathways To Sustain Cultural Identity, Raneem Mohamed, Aya Said, Marwa Adel El Sayed

Architectural Engineering

Heritage sites are essential as they represent the natural and cultural heritage of the world, promoting identity and contributing to education. To ensure that future generations connect with their past, heritage preservation is essential for safeguarding societies' historical identity and traditions. However, with the current digital age where technology has a prominent role in modern society, its integration into preservation efforts has become crucial. By bridging the gap between tradition and innovation, a harmonious balance can be achieved, allowing technological advancements to thrive while ensuring the preservation of rich cultural identities. This research aims to investigate preservation techniques, with a …

Hydroponic Green Walls As A Sustainable Solution For Thermal Comfort And Energy Efficiency In Office Buildings, Hosam Abd El-Aziz Amr, Maya Hisham Fathy

Architectural Engineering

Since Egypt is urbanizing rapidly, office buildings suffer from severe thermal comfort and energy efficiency issues. Poor insulation and high temperatures result in heavy energy consumption in cooling. This study proposes the application of hydroponic green walls to enhance thermal performance and aesthetics in urban office buildings. With these exterior walls integrated into building facades, issues of heavy energy consumption due to poor insulation and high temperatures are resolved. Hydroponic green walls not only enhance insulation and energy consumption but also render working conditions greener and more productive. Both qualitative and quantitative methods are employed by this study in evaluating …

The Argument For Lobbyists: How Lobbying Brings Policy Experts Back Into The System, Luke Cambra

Washington Semester Program

No abstract provided.

A Case Of Pheochromocytoma In A Mayer-Rokitansky-Kuster-Hauser, Chinazo Chukwunenye, Mounika Paravastu, Joumana Chaiban

Advocate GME

No abstract provided.