Digital Commons Network^™

Caregiver Determinants And Capacity For Participation In Constraint-Induced Movement Therapy, Hunter G Moore, Amy Ayala, Bhooma R Aravamuthan, Alyssa E Smith, Sharon L Ramey, Catherine R Hoyt

2020-Current year OA Pubs

AIM: Hemiplegic cerebral palsy affects 1 in every 1,100 children, making it the most common pediatric motor disability. Constraint-Induced Movement Therapy (CIMT) is an evidence-based intervention that significantly improves upper extremity function when implemented with high fidelity. Despite its effectiveness, CIMT's intensive nature-requiring daily therapy for up to twenty days-limits its availability. This study examined caregivers' perspectives on implementing and adapting home-based CIMT to identify practical solutions for improving intervention accessibility.

METHOD: Caregivers of a child who has a diagnosis associated with upper extremity motor impairment consistent with cerebral palsy were recruited from the Cerebral Palsy Center at the St. …

The Stabilizing Potential Of The Supraspinatus Is Inhibited In Tear-Associated Scapula Shapes But Can Be Modulated By Kinematic Adjustments, Erin C S Lee, Nathan M Young, Ellen Y Li, Rebekah L Lawrence, Michael J Rainbow

2020-Current year OA Pubs

INTRODUCTION: Specific scapula shapes are associated with full-thickness tears of the supraspinatus tendon. A primary role of the supraspinatus is to actively stabilize the glenohumeral joint against muscles that generate destabilizing shear forces. Mechanisms that increase the supraspinatus load required to perform this stabilizing function may increase an individual's susceptibility to tears. Previous work has shown that tear-associated scapula shapes increase the destabilizing action of the deltoid during arm-raising, but no work has investigated whether tear-associated shapes inhibit the stabilizing potential of the supraspinatus itself.

METHODS: We combined statistical shape modeling, kinematics-driven simulations of the glenohumeral joint, and a finite …

Expanding The Spectrum Of White Matter Abnormalities In Wolfram Syndrome: A Retrospective Review, Justin Simo, Heather M Lugar, Tamara Hershey, Et Al.

2020-Current year OA Pubs

BACKGROUND AND OBJECTIVES: Wolfram syndrome (WFS) is a genetic disorder mainly caused by pathogenic variants in the

METHODS: We conducted an international multicenter retrospective study of the clinical, genetic, and radiological data from 17 unrelated WFS subjects.

RESULTS: Seven subjects (7/17; 41%) showed at least one focal white matter lesion evocative of MS. Among these seven, three fulfilled the McDonald radiological criteria of dissemination in space and time, suggesting an inflammatory demyelinating process. All subjects reviewed in the study had at least one of the classical WFS MRI features.

CONCLUSION: Our report expands the WFS spectrum of white matter involvement …

Perspectives Of Key Stakeholders On Integrating Wearable Sensor Technology Into Rehabilitation Care: A Mixed-Methods Analysis, Allison E Miller, Carey L Holleran, Marghuretta D Bland, Ellen E Fitzsimmons-Craft, Caitlin A Newman, Thomas M Maddox, Catherine E Lang

2020-Current year OA Pubs

INTRODUCTION: Rehabilitation is facing a critical practice gap: Patients seek out rehabilitation services to improve their activity in daily life, yet recent work demonstrates that rehabilitation may be having a limited impact on improving this outcome due to lack of objective data on patients' activity in daily life. Remote monitoring using wearable sensor technology is a promising solution to this address this gap. The purpose of this study was to understand patient and clinician awareness of the practice gap and preferences for integrating wearable sensor technology into rehabilitation care.

METHODS: This study used a mixed-methods approach consisting of surveys and …

Longitudinal Association Of Retinal Morphology And White Matter Progression In Retinal Vasculopathy With Cerebral Leukoencephalopathy And Systemic Manifestations, Henok Getahun, Rajendra S Apte, Wilson X Wang, Vivian Chen, Mae Gordon, Julia Huecker, John P Atkinson, M Kathryn Liszewski, Slim Fellah, Serguei V Astafiev, Jonathan J Miner, Andria L Ford

2020-Current year OA Pubs

BACKGROUND: Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations (RVCL-S) is a rare small vessel disease marked by vision loss and neurocognitive deterioration. We sought to characterize the relatedness of the underlying retinal structure and cerebral disease.

METHODS: Participants with RVCL-S underwent optical coherence tomography (OCT) and brain MRI at baseline and 2 years. Total macular volume (TMV) and central subfield thickness (CST) were generated from OCT images. Neuroimaging metrics of ischemic brain injury included white matter hyperintensity (WMH) volume, white matter microstructure (mean diffusivity), and normalized white matter volume. Associations between retinal and neuroimaging metrics were assessed.

RESULTS: Eleven …

Adaptation Of A Digital Health Intervention For Rural Adults: Application Of The Framework For Reporting Adaptations And Modifications-Enhanced, Maura M Kepper, Callie Walsh-Bailey, Loni Parrish, Ainsley Mackenzie, Lisa M Klesges, Peg Allen, Kia L Davis, Randi Foraker, Ross C Brownson

2020-Current year OA Pubs

INTRODUCTION: Adaptation is a key aspect of implementation science; interventions frequently need adaptation to better fit their delivery contexts and intended users and recipients. As digital health interventions are rapidly developed and expanded, it is important to understand how such interventions are modified. This paper details the process of engaging end-users in adapting the PREVENT digital health intervention for rural adults and systematically reporting adaptations using the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME). The secondary objective was to tailor FRAME for digital health interventions and to document potential implications for equity.

METHODS: PREVENT's adaptations were informed by two pilot …

Factors Associated With The Use Of Combined Nutritional Complementary And Alternative Medicine Among Southern Us Older Adults: Results From The Study Of Aging Ii, Kristen Allen-Watts, Deanna Rumble, Taylor Taylor, Andrew Sims, Lisa H Antoine, Georgiana Logan, Cynthia J Brown, Thomas W Buford, Burel R Goodin, Andrea Cherrington, Richard Kennedy

2020-Current year OA Pubs

BACKGROUND: Older adults use nutritional complementary and alternative medicine (CAM) to reduce the risk of (or treat) non-communicable conditions and diet deficiencies. While prior research has explored the individual use of dietary supplements, vitamins, and minerals among older adults, few studies have examined factors influencing the combined use of these modalities, especially among Southern, older adults in the United States.

METHODS: Data were extracted from 419 participants from the University of Alabama at Birmingham Study of Aging II, a population-based longitudinal study of mobility among community-dwelling older adults. Self-reported data, including insurance and rural residence status, was collected. Comorbidity burden …

Perceptions Of Oral Corticosteroid Use For Children With Asthma In A Survey Of Us Caregivers, Nina C Ramirez, Vivian Hernandez-Trujillo, Kaharu Sumino, Dennis Williams, Mitu Patel, Donna D Gardner

2020-Current year OA Pubs

INTRODUCTION: Oral corticosteroids (OCS) are an essential component of asthma treatment, but their long-term effects can be serious and cumulative. Potentially serious effects include adrenal suppression and psychological effects. To mitigate side effects, OCS use should be minimized. A survey of caregivers in the US was conducted to determine their perceptions of OCS use for their child with asthma.

METHODS: Individuals who participated in US consumer research panels were invited to complete an online cross-sectional survey from October-November 2023. Eligible participants were caregivers of a child ages 6-17 years currently being treated for asthma by a healthcare provider and who …

Hydroxyurea Utilization Among Individuals With Sickle Cell Disease In Tennessee: A Pooled Analysis Of Claims Data, Ayesha Mukhopadhyay, Matthew P Smeltzer, Judy Dudley, Sherif M Badawy, Joacy G Mathias, Allison P Plaxco, Meredith A Ray, Andrew D Wiese, Walter I Stevens, James G Gurney, Chinonyelum Nwosu, Jerlym S Porter, Lisa M Klesges, Jane S Hankins, William O Cooper

2020-Current year OA Pubs

IMPORTANCE: Hydroxyurea reduces severe disease among individuals living with sickle cell disease (SCD). These individuals experience high acute care utilization, but the associations between patterns of hydroxyurea utilization and healthcare utilization are not well investigated.

OBJECTIVE: This study aimed to determine the association between hydroxyurea use and healthcare utilization among individuals with SCD in Tennessee (TN).

DESIGN: We conducted a population-based, retrospective cohort study of individuals with SCD using secondary data analysis of Tennessee Medicaid, Medicare, and BlueCross BlueShield of Tennessee (BCBS-TN).

PARTICIPANTS: A total of 4,901 individuals with SCD were included in the study.

EXPOSURE: Hydroxyurea adherence was estimated …

Environmental Sustainability, An Essential Outcome For Implementation Scientists To Improve Health, Virginia Mckay, Emmanuel Tetteh, Nicholas Wong, C Bradley Kramer, Jason Burnham

2020-Current year OA Pubs

While there is evidence of humans' harmful impact on the environment, translating such evidence into changes is challenging. Implementation science can facilitate a shift from a reactive to proactive approach in tackling environmental sustainability. This article aims to spur further discussion among implementation scientists to incorporate environmental sustainability within their research, while also offering concepts relevant to environmental science researchers seeking to apply implementation science principles.

Live Culture-Based Qpcr Screening Of Taq Dna Polymerase Variants For Resistance To Pcr Inhibitors, Milko B Kermekchiev, Zhian Zhang, Wayne M Barnes

2020-Current year OA Pubs

We present a live culture PCR (LC-PCR) workflow that enables direct screening of randomly mutagenized Thermus aquaticus (Taq) and Klentaq1 DNA polymerase libraries without enzyme purification. Intact bacterial cells expressing individual variants serve as both enzyme source and DNA template in real-time PCR, allowing rapid selection for inhibitor resistance in a 96-well format. Screening ~14,000 clones in the presence of potent inhibitors (chocolate, black pepper) yielded two novel variants-Taq C-66 (E818V) and Klentaq1 H101 (K738R)-with superior resistance to diverse PCR inhibitors, including blood, humic acid, and plant extracts, compared to wild-type and previously known resistant mutants. Resistance persisted after purification, …

Factors Affecting Viral Suppression Or Rebound In People Living With Hiv And Receiving Antiretroviral Therapy In Ghana, Anthony T Boateng, James O Aboagye, Helena Lamptey, Christopher Z-Y Abana, Araba Abaidoo-Myles, Darius N K Quansah, Seth Agyemang, Yaw Awuku-Larbi, Gloria Ansa, Joseph Oliver-Commey, Vincent Ganu, George B Kyei, Peter Puplampu, Evelyn Y Bonney

2020-Current year OA Pubs

INTRODUCTION: Regular viral load (VL) testing for people living with HIV (PLWH) is key to attaining the Joint United Nations Program on HIV/AIDS (UNAIDS) Fast-Track 95-95-95 target to end the HIV epidemic by 2030. However, VL testing remains sporadic in routine HIV care in the majority of resource-limited settings, including Ghana, except when provided through research initiatives. In this study, we measured VL among PLWH in Ghana at regular intervals and investigated factors affecting viral suppression (VS) and rebound.

METHODS: We analyzed data from a hospital-based cohort enrolled in our HIV cure research. Participants were recruited from three hospitals in …

Distinct Gut Microbiome Features Characterize Fasciola Hepatica Infection And Predict Triclabendazole Treatment Outcomes In Peruvian Patients, Giljae Lee, Bruce A Rosa, Martha V Fernandez-Baca, John Martin, Rodrigo A Ore, Pedro Ortiz, Miguel M Cabada, Makedonka Mitreva

2020-Current year OA Pubs

BACKGROUND:

METHODS: In this study, we investigated the relationship between

RESULTS AND DISCUSSION: Infection was associated with specific microbial taxonomic and functional features, including higher abundance of

CONCLUSIONS: Our findings underscore the impact of helminth infection on gut microbiome and suggest a potential role of gut microbiota in modulating TCBZ efficacy, offering novel insights into

Absence Of T-Box Transcription Factor 21 Limits Neuromuscular Junction Recovery After Nerve Injury In T-Bet-Knockout Mice, Albina Jablonka-Shariff, Curtis Broberg, Alison K Snyder-Warwick

2020-Current year OA Pubs

INTRODUCTION: Terminal Schwann cells (tSCs), at the neuromuscular junction (NMJ), play critical roles in the repair of motor axon terminals at muscle, and rebuild neuronal signaling following nerve injury. Knowledge of mediators impacting tSCs post-nerve injury and in disease may guide beneficial therapies to improve motor outcomes. We previously found T-box transcription factor 21 (TBX21/TBET), classically associated with T-helper1 cells and immune cell recruitment, is expressed in tSCs at the mouse NMJ. The purpose of this study was to examine effects of

METHODS: Wildtype (WT) and

RESULTS:

DISCUSSION: Our findings show that the

Developing And Testing Tele-Support Psychotherapy Using Mobile Phones For Depression Among Youth In Kampala District, Uganda: Study Protocol For A Pilot Randomized Controlled Trial, Etheldreda Nakimuli-Mpungu, Jeremiah Mutinye Kwesiga, John Mark Bwanika, Davis Musinguzi, Caroline Nakanyike, Jane Iya, Sabrina Bakeera Kitaka, Benedict Akimana, Charlotte Hawkins, Patricia Cavazos, Jean B Nachega, Edward J Mills, Musisi Seggane

2020-Current year OA Pubs

INTRODUCTION: In the post-COVID-19 era, depressive disorders among youth have risen significantly, creating an urgent need for accessible, cost-effective mental health interventions. This study adapts Group Support Psychotherapy into Tele-Support Psychotherapy (TSP) via mobile phones. It aims to evaluate its feasibility, acceptability, effectiveness, and cost-efficiency in addressing mild to moderate depression among youth in central Uganda.

METHODS AND ANALYSIS: This study will use a mixed-methods approach, starting with a qualitative phase to adapt Group Support Psychotherapy into Tele-Support Psychotherapy (TSP) via mobile phones. Guided by ecological theories and the Unified Theory of Acceptance and Use of Technology (UTAUT), focus group …

Unveiling Sub-Populations In Critical Care Settings: A Real-World Data Approach In Covid-19, Wesley Anderson, Andrew P Michelson, Et Al.

2020-Current year OA Pubs

BACKGROUND: Disease presentation and progression can vary greatly in heterogeneous diseases, such as COVID-19, with variability in patient outcomes, even within the hospital setting. This variability underscores the need for tailored treatment approaches based on distinct clinical subgroups.

OBJECTIVES: This study aimed to identify COVID-19 patient subgroups with unique clinical characteristics using real-world data (RWD) from electronic health records (EHRs) to inform individualized treatment plans.

MATERIALS AND METHODS: A Factor Analysis of Mixed Data (FAMD)-based agglomerative hierarchical clustering approach was employed to analyze the real-world data, enabling the identification of distinct patient subgroups. Statistical tests evaluated cluster differences, and machine …

The Arch Model: A Neuroevolutionary Framework For Behavioral Execution, Tahir Rahman, Charles F Zorumski, J Reid Meloy

2020-Current year OA Pubs

Behavior arises from the convergence of multiple constraints rather than single causes. The ARCH × Φ model formalizes this process as a computational grammar of behavior, in which Archetype (A), Drive (D), and Culture (C) interact multiplicatively, and expression occurs only when a context-sensitive threshold (Φ) is crossed. This scalar-vector framework specifies behavior as probabilistic and testable, supporting hypotheses that can be evaluated across neurobiological, behavioral, and symbolic domains. We define a provisional taxonomy of ten archetypal systems (Systema Behavorum), such as Agonix (competition), Theromata (caregiving), and Sacrifex (self-sacrifice), which serve as structured inputs to the grammar. ARCH × Φ …

Blood Biomarkers As Surrogate Endpoints In Alzheimer's Disease Research, Guogen Shan, Hui Li, Yahui Zhang, Guoqiao Wang, Charles Bernick

2020-Current year OA Pubs

BACKGROUND: Blood biomarkers for Alzheimer's disease (AD) can be utilized as surrogate endpoints to accelerate therapeutic development for this condition.

METHODS: We assessed the association between short-term changes in blood biomarkers and long-term declines in cognitive and brain structure volume measures using the ADNI database, with a focus on amyloid-

RESULTS: A trend association was found between changes in the levels of plasma neurofilament light (NfL) at 12 months and changes in the scores on the Mini-Mental State Examination (MMSE) at 24 months in Aβ-positive mild cognitive impairment (MCI) patients. For A

CONCLUSION: Increased plasma levels of NfL or p-tau181 …

Advancing Sustainability In Low-Resource Settings: Development And Validation Of A Sustainability Tool For Evidence-Based Interventions And Programs, Chisom Obiezu-Umeh, Divya S Subramaniam, Ucheoma Nwaozuru, Titilola Gbaja-Biamila, Lateef Akeem Blessing, Thembekile Shato, David Oladele, Lisa R Hirschhorn, Enbal Shacham, Hong Xian, Oliver Chukwujekwu Ezechi, Juliet Iwelunmor

2020-Current year OA Pubs

INTRODUCTION: Despite substantial research and growing evidence on effectiveness, the longer-term benefits of proven healthcare interventions and programs have not been fully explored due to challenges sustaining such efforts. Existing sustainability measures developed in high-income countries may not reflect determinants unique to the sustainability of interventions in low- and middle-income countries (LMICs), including African countries. To address this gap, our study developed a Sustainability Tool to Assess Evidence-Based Interventions and Programs (STEPS), which provides a theory-based measure that can be used to assess multilevel determinants of sustainability from the perspective of frontline health workers, service providers, or implementation practitioners.

METHODS: …

Venous Microtrauma Associated With Pharmacomechanical Catheter-Directed Thrombolysis In A Large Animal Acute Deep Venous Thrombosis Model, Mohamed S Zaghloul, Sophia R Pyeatte, Shahab Hafezi, Usama Ismail, Rodrigo Meade, Batool Arif, Roger Rowe, Luis Sanchez, Mohamed A Zayed

2020-Current year OA Pubs

BACKGROUND: Pharmacomechanical catheter-directed thrombolysis (PCDT) is commonly used to treat acute deep venous thrombosis (DVT). The AngioJet Rheolytic Thrombectomy (ART) device is a widely used option. However, previous serious adverse events led to an FDA black-box warning. Limited large animal studies have assessed ART's efficacy and safety. We investigated the periprocedural outcomes and venous histomorphic impact of ART in a novel large animal acute DVT model.

METHODS: Six adult male Yorkshire pigs (96-113 kilograms) underwent general anesthesia and continuous hemodynamic monitoring. Acute DVT was induced in the infrarenal IVC using occlusive balloons. Three pigs were treated with ART's thrombectomy mode …

Evaluating A Community Academic Partnership To Advance Equity-Focused Cancer Genetic Implementation Research: A Qualitative Analysis Of Partner Perspectives, Ariana Naaseh, Meera Muthukrishnan, Isabel Temosihue, Erin L Linnenbringer

2020-Current year OA Pubs

BACKGROUND: Forming community academic partnerships (CAPs) can increase the applicability, translation, and dissemination of implementation research focused on addressing health inequities within the community setting. We aimed to explore community and academic partners' perspectives on their participation in a novel, multi-disciplinary cancer genetic equity CAP focused on developing a multi-level intervention for breast, ovarian, prostate, and pancreas cancers.

METHODS: We conducted semi-structured interviews with CAP members. Questions addressed partners' motivations for participation in the CAP, feedback about the partnership, and opportunities for future CAPs. All interviews were audio-recorded, de-identified, transcribed, and then coded inductively by 2 analysts to identify relevant …

High-Resolution Single-Cell Rna Sequencing Using Canfam4 Reveals Novel Immune Subsets And Checkpoint Programs In Healthy Dogs, Myung-Chul Kim, Taeeun Gu, Hyeewon Seo, Yewon Moon, Nicholas Borcherding, Ryan Kolb, Yubin Kim, Youngmin Yun, Woo-Jin Song, Chung-Young Lee, Hyun Je Kim, Weizhou Zhang

2020-Current year OA Pubs

INTRODUCTION: Single-cell RNA sequencing (scRNA-seq) enables high-resolution profiling of immune heterogeneity. Although previous studies have mapped the single-cell transcriptomic atlases of peripheral leukocytes in healthy dogs, the identification and functional characterization of distinct immune subsets remain incomplete.

METHODS: We constructed a single-cell atlas of peripheral leukocytes from six healthy small-breed dogs using the 10x Genomics platform and the updated canFam4 genome.

RESULTS AND DISCUSSION: Analysis of 30,040 high-quality transcriptomes revealed 51 distinct immune subsets, including

CONCLUSION: To our knowledge, this study represents the first comprehensive, gene-resolved single-cell analysis to reveal immunoregulatory checkpoint mechanisms underlying immune homeostasis in healthy dogs. Our …

Detection Of Human Herpesvirus 7 In Conjunctival Samples Collected From Individuals Recovering From Conjunctivitis, Andrew T E Hartwick, Christina E Morettin, Jennifer S Harthan, Meredith Whiteside, Ellen Shorter, Spencer D Johnson, Mary K Migneco, Christian K Olson, Julia B Huecker, Tammy Than, Mae O Gordon

2020-Current year OA Pubs

PURPOSE: Although it is often reported that adenovirus is the most common etiology for infectious conjunctivitis, a recent multi-center clinical study found that adenovirus was confirmed by polymerase chain reaction in only 16% of cases presenting with acute conjunctivitis. Here, we investigated the hypothesis that a member of Herpesviridae could be the underlying etiology in some non-adenoviral cases of conjunctivitis.

METHODS: Molecular assays for Herpes Simplex 1 and 2 (HSV-1, HSV-2) and Human Herpesvirus 6A, 6B and 7 (HHV-6A, HHV-6B, HHV-7) were performed on conjunctival samples collected from 18 individuals with acute conjunctivitis and during their recovery in follow-up visits …

Automated Basal Insulin Delivery Versus Multiple Daily Injections In Type 1 Diabetes: Results From A Randomized Parallel Controlled Trial, Johan H Jendle, Janet B Mcgill, Et Al.

2020-Current year OA Pubs

INTRODUCTION: This study evaluated 6-month effectiveness and safety of automated insulin delivery (AID) in comparison with multiple daily injections (MDI) in pediatric and adult type 1 diabetes (T1D).

MATERIALS AND METHODS: Individuals with T1D, aged 2-80 years, were enrolled across 32 international centers (in the United States, Europe, Canada, and New Zealand) and randomized 1:1 to AID intervention (MiniMed™ 670G or 770G system) or MDI with or without continuous glucose monitoring. Primary endpoints were change in mean HbA1c for participants with a baseline HbA1c >8.0% (Group 1) and percentage of time spent below 70 mg/dL (%TBR < 70 mg/dL [< 3.9 mmol/L]) for participants with baseline HbA1c ≤8.0% (Group 2), to show superiority of AID intervention versus MDI. Safety endpoints including rates of severe hypoglycemia and diabetic ketoacidosis (DKA), and difference in diabetes treatment satisfaction score were assessed.

RESULTS: For Group 1, …

Neural Mechanisms Underlying Synchronization Of Movement To Musical Cues In Parkinson Disease And Aging, Elinor C Harrison, Sarah Grossen, Lauren E Tueth, Allison M Haussler, Kerri S Rawson, Meghan C Campbell, Gammon M Earhart

2020-Current year OA Pubs

INTRODUCTION: External and internal musical cues provide therapeutic techniques for gait rehabilitation in aging and neurological disorders. For people with Parkinson disease (PwPD), mental singing is a type of internal cue that can regularize gait timing. No studies to date have directly measured brain activity during external and internal musical cues as used in gait rehabilitation. Evidence suggests the neural mechanisms of external vs. internal cued movement differ. External cues are thought to drive movement via recruitment of cerebello-thalamo-cortical (CTC) pathways, while internal cues are thought to rely more on striato-pallido-thalamocortical (SPT) pathways.

METHODS: We investigated the neural mechanisms that …

Treatment Efficacy For Infantile Epileptic Spasms Syndrome In Children With Trisomy 21, Henry Chen, Adam L Numis, Renée A Shellhaas, John R Mytinger, Debopam Samanta, Rani K Singh, Shaun A Hussain, Danielle Takacs, Kelly G Knupp, Li-Rong Shao, Carl E Stafstrom

2020-Current year OA Pubs

BACKGROUND: Infantile Epileptic Spasms Syndrome (IESS) is the most common epilepsy syndrome in children with trisomy 21. First-line standard treatments for IESS include adrenocorticotropic hormone (ACTH), oral corticosteroids, and vigabatrin. Among children with trisomy 21 and IESS, treatment with ACTH or oral corticosteroids may yield higher response rates compared with vigabatrin. However, supporting data are largely from single-center, retrospective cohort studies.

METHODS: Leveraging the multi-center, prospective National Infantile Spasms Consortium (NISC) database, we evaluated the efficacy of first-line (standard) treatments for IESS in children with trisomy 21. We assessed clinical spasms remission at two weeks, clinical spasms remission at three …

Using The Practical, Robust Implementation And Sustainability Model To Inform Meaningful Partner Engagement And The Selection Of Implementation Strategies To Increase Colorectal Cancer Screening In Federally Qualified Health Centers, Jesse Nodora, Samir Gupta, Samantha Hurst, Aimee S James, Borsika A Rabin

2020-Current year OA Pubs

Engaging community partners in research meaningfully can guide effective implementation efforts. This approach is particularly crucial when we work with complex, multilevel programs in low-resource settings that serve diverse populations. The application of dissemination and implementation science theories, models, and frameworks to facilitate the iterative, multilevel engagement of partners in selecting and optimizing implementation strategies is not commonly described in the literature. In collaboration with three federally qualified health centers in San Diego County, we utilized the Practical, Robust Implementation and Sustainability Model (PRISM), which is a contextually expanded version of the widely used Reach, Effectiveness, Adoption, Implementation, and Maintenance …

In Silico Prediction Of The Impact Of Genomic Variations In The Small Conductance Calcium Activated Potassium Channel Sk3 Structure And Function, Lucia Padilla, Coral Del Val, Daria B Neidre, Agustín S Kokenge, Juan E Martinez, Antonio L Teixeira, Igor Zwir, Gabriel A De Erausquin

2020-Current year OA Pubs

The small-conductance calcium-activated potassium channel SK3, encoded by the KCNN3 gene, plays a critical role in regulating dopaminergic neuron (DN) firing patterns by modulating after hyperpolarization currents. SK3 dysfunction has been implicated in neuropsychiatric and neurodegenerative disorders. We analyzed structural and functional consequences of KCNN3 splicing and genetic variation. Alternative splicing variants of the KCNN3 gene were retrieved from the Ensembl database and aligned using T-Coffee, manually inspected and curated. Protein domains were identified with Pfam 35.0, SMART 9.0, and InterPro 98.0, and visualized. An AlphaFold2 model of SK3 full-length protein (UniProt: Q9UGI6) used as reference and structural models of …

Perceptions Of Anti-Racism Efforts And Mental Health Among Students In Higher Education In The United States, Hans Oh, Nicole R Karcher, Megan Besecker, Jordan E Devylder, Karen D Lincoln

2020-Current year OA Pubs

BACKGROUND: Anti-racism efforts are imperative for campus communities, yet little is known about whether perceiving their presence on campuses relates to a range of mental health outcomes among students.

METHODS: We analyzed data from the Healthy Minds Study 2020-2021 (

RESULTS: Individuals who disagreed that their schools combatted racism in their campus communities had significantly greater odds of mental health problems (depression, anxiety, psychotic experiences, suicidal ideation, suicide plan, suicide attempt, perceived need for help, and loneliness), and lower odds of flourishing when compared with those who strongly agreed with the statement. For most outcomes, we observed an apparent dose-response …

Applications Of Quantum Computing In Clinical Care, Stevan C Fairburn, Lara Jehi, Brenton T Bicknell, Beckley G Wilkes, Bharat Panuganti

2020-Current year OA Pubs

INTRODUCTION: This review examines quantum computing (QC) applications in clinical care, emphasizing advancements directly impacting patient outcomes. QC holds transformative potential in medicine, particularly through enhancing diagnostic accuracy, optimizing treatment plans, and enabling real-time decision-making.

METHODS: A systematic analysis of 35 studies published between 2015 and 2024 was conducted. The studies were evaluated for their contributions to diagnostic, therapeutic, and decision-support improvements in clinical care enabled by quantum computing technologies.

RESULTS: The analysis revealed QC's promise in improving diagnostic accuracy in medical imaging, optimizing treatments in oncology, and enhancing real-time clinical decision-making. QC-driven algorithms demonstrated potential to enhance diagnostic accuracy …