Digital Commons Network^™

Racial Disparities In The Prescription Of Opioids For Chronic Noncancer Pain, Olivia Delorenzo, Brooke Worster, Erin Kelly

Health Equity and Quality Improvement (HEQI) Summit

Aims:

• Elucidate correlations of racial disparities in the prescription of opioids for chronic noncancer pain (CNCP) before and after the release of the current CDC Guideline.
• Investigate correlations of racial disparities in the co-prescription of opioids and benzodiazepines in CNCP patients before and after the release of the current CDC Guideline.

Accessible And Culturally Sensitive Services To Reduce Mental Health Disparities In Postpartum Women: A Qi Project, Veronica Chavez, Mph(C), Hephsibah Loeb, Md, Karuna Poddar, Md, Elizabeth Liveright, Md, Julia Switzer, Md, Francesca Mancuso, M4, Kristina Cowper, Do

Health Equity and Quality Improvement (HEQI) Summit

Aim: Develop a culturally sensitive list of mental health services and resources easily accessible to women in the Jefferson community who are at risk of or have PPD.

Addressing Healthcare Disparities In Patients Undergoing Cervical Spine Surgery: A Quality Improvement Initiative, Victor Wang, Md, Glenn Arturo Gonzalez Ozuna, Md, Adam Leibold, Md, Dwight Mitchell Self, Md, Nicole Spare, Md, Gentian Toshkezi, Md, Richard Schmidt, Md

Health Equity and Quality Improvement (HEQI) Summit

Project Aim:

Improve hospital length of stay and readmission rates for patients of non-White racial/ethnic backgrounds following Cervical Spine surgeries

Aspiration Pneumonia Prevention Protocol At Thomas Jefferson University Hospital: Utilizing A Mandatory Yale Swallow Protocol, Ryan Lamm, Kimberly R. Bush, Christine Schleider, Kathleen Shindle, Darlene Rosendale, Scott Cowan, John Renzi

Health Equity and Quality Improvement (HEQI) Summit

AIM: Implement a hospital-wide mandatory dysphagia screen protocol with a minimum of 75% compliance on each unit by April 2022 to reduce AP rates at our institution by 50% (5/1000) by January 2023.

Optimizing Ed Staff Utilization Of Phone And Video Interpreter Services, Zachary Bopp, Anh Nguyen, Alexander Kleinmann, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: Evaluate the effectiveness of a modified training module on the use of LIS in a hospital setting in improving ED staff care for LEP patients.

Quality Improvement: Assessment Of Knowledge And Attitudes Regarding The Confusion Assessment Method Delirium Screening Tool, Emma Delouw, Md, Katelyn Koons, Kristine Swartz, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIMs:

• Evaluate the need for reeducation efforts on CAM
• Increase CAM use, comfort and knowledge

Utility Of Inpatient Fracture Liaison Service On Post-Hospitalization Follow-Up, Jessica Watari, Do, Shirin Jaggi, Do, Eric Shiffrin, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: We implemented an inpatient fracture liaison service to identify patients admitted for fragility fractures with the goal of improving outpatient follow-up.

Smoking Cessation In The Inpatient Setting, Tara Rakiewicz, Md, Jaya Janadhyala, Md, Yair Lev, Md, Rachael Grosso, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: To increase assessment of patient’s smoking status and increase rates of tobacco cessation pharmacotherapy prescription at discharge by 10% over the course of six months in patients admitted for coronary artery disease

Survey Of Confidence And Knowledge To Manage Patellofemoral Pain In Readers Versus Nonreaders Of The Physical Therapy Clinical Practice Guideline, Richard W. Willy, Lisa T. Hoglund, Neal R. Glaviano, Lori A. Bolgla, David M. Bazett-Jones

Department of Physical Therapy Faculty Papers

Objectives: To compare beliefs of physical therapists (PTs) who read the clinical practice guideline (CPG) for the management of individuals with patellofemoral pain (PFP) to those who have not read the CPG.

Design: Cross-sectional study.

Setting: Online survey.

Participants: 494 currently licensed/registered PTs or physiotherapists.

Main Outcome Measures: Respondents answered Likert-based or open-ended questions regarding the diagnosis, prognosis, risk factors, and management of individuals with PFP, as well as confidence for managing individuals with PFP, especially the ability to identify beneficial and non-beneficial interventions. We dichotomized responses into participants who read (READERS) and did not read (NonREADERS) the CPG.

Results: …

Forage News [2022-05], Department Of Plant And Soil Sciences, University Of Kentucky

Forage News

No abstract provided.

Institutional Betrayals As Sex Discrimination, Emily Suski

Faculty Publications

Title IX jurisprudence has a theoretical and doctrinal inadequacy. Title IX’s purpose is to protect public school students from sex discrimination in all its forms. Yet, courts have only recognized three relatively narrow forms of sex discrimination under it. Title IX jurisprudence, therefore, cannot effectively recognize as sex discrimination the independent injuries, called institutional betrayals, that schools impose on students because they have suffered sexual harassment. Institutional betrayals occur when schools betray students’ trust in or dependency on them by failing to help students in the face of their sexual harassment. These injuries cause harms that can be more severe …

Association Of Phosphate-Containing Versus Phosphate-Free Solutions On Ventilator Days In Patients Requiring Continuous Kidney Replacement Therapy, Melissa L. Thompson Bastin, Arnold J. Stromberg, Sethabhisha N. Nerusu, Lucas J. Liu, Kirby P. Mayer, Kathleen D. Liu, Sean M. Bagshaw, Ron Wald, Peter E. Morris, Javier A. Neyra

Statistics Faculty Publications

Background and objectives Hypophosphatemia is commonly observed in patients receiving continuous KRT. Patients who develop hypophosphatemia may be at risk of respiratory and neuromuscular dysfunction and therefore subject to prolongation of ventilator support. We evaluated the association of phosphate-containing versus phosphate-free continuous KRT solutions with ventilator dependence in critically ill patients receiving continuous KRT.

Design, setting, participants, & measurements Our study was a single-center, retrospective, pre-post cohort study of adult patients receiving continuous KRT and mechanical ventilation during their intensive care unit stay. Zeroinflated negative binomial regression with and without propensity score matching was used to model our primary outcome: …

Speaker Diarization And Identification From Single-Channel Classroom Audio Recording Using Virtual Microphones, Antonio Gomez

Electrical and Computer Engineering ETDs

Speaker identification in noisy audio recordings, specifically those from collaborative learning environments, can be extremely challenging. There is a need to identify individual students talking in small groups from other students talking at the same time. To solve the problem, we assume the use of a single microphone per student group without any access to previous large datasets for training.

This dissertation proposes a method of speaker identification using cross-correlation patterns associated to an array of virtual microphones, centered around the physical microphone. The virtual microphones are simulated by using approximate speaker geometry observed from a video recording. The patterns …

John Shrestha Honors Portfolio, John Shrestha

Honors Capstone Portfolios

John Shrestha's honors portfolio captured in May 2022.

Marisa Sullivan Honors Portfolio, Marisa Sullivan

Honors Capstone Portfolios

Marisa Sullivan's honors portfolio captured in May 2022.

Greater Portland Health Medication Assisted Treatment: Prescription Drug And Opioid Addiction Expansion Project: Biannual Summary, Mary Lindsey Smith Phd, Katharine Knight, Mark Richards Bs, Tyler Egeland Ba, Evelyn Ali Bs

Substance Use Research & Evaluation

Greater Portland Health (GPH) in collaboration with Preble Street Resource Center was awarded a Medication Assisted Treatment: Prescription Drug & Opioid Addiction (MOUD-PDOA) grant from SAMHSA. The GPH MOUD-PDOA project included a mixed-methods evaluation led by Catherine E. Cutler Institute’s Substance Use Research and Evaluation Team (SURE). The aims of the evaluation are to build knowledge, document lessons learned, and provide feedback to inform the implementation and refinement of the GPH MOUD-PDOA Program. This summary presentation is a biannual summary of the GPH MOUD-PDOA Project. For more information, please contact Lindsey Smith at [email protected]

Reading And Writing Like A Scientist: Implementation Of Disciplinary Literacy Strategies In A Middle School Science Classroom, Cameron K. Boyette

Masters of Education in Teaching and Learning

This study examined what happened when disciplinary literacy strategies were implemented in a middle school science class along with the students’ and teachers’ perceptions of these strategies. The researcher implemented disciplinary literacy strategies that went along with the scope and sequence for seventh-grade science at the time of implementation of the study. She collected data through surveys, observations, and interviews with students and teachers. Data were analyzed through the constant comparative method and coding. When disciplinary literacy strategies were implemented, students showed compartmentalization of reading and writing to their ELAR classes. Teachers showed negative perceptions of their students’ literacy abilities. …

The Impact Of The Covid-19 Pandemic On Orthopaedic Surgery Residency Applicants During The 2021 Residency Match Cycle In The United States, Nicholas C. Danford, Md, Connor Crutchfield, Ba, Amiethab A. Aiyer, Md, Charles M. Jobin, Md, William N. Levine, Md, Sean Lynch

Health Equity and Quality Improvement (HEQI) Summit

To quantify the impact of the COVID-19 pandemic on rising fourth-year medical students' plans to apply to residency in orthopedic surgery.

Hear Me Now: When Storytelling Meets A Health System Library, Heather J. Martin, Amanda Schwartz

Articles, Abstracts, and Reports

Background: A chance encounter at work led to an innovative and rewarding partnership between a large health system library and a storytelling program whose mission is to give patients, loved ones, and caregivers a sacred space to share their stories and make healthcare more humane.

Description: Providence System Library Services leadership collaborated with palliative care communication managers to support the mission and growth of a health system storytelling program. The program includes professionally produced podcasts, multimedia video and audio stories from patients/families/employees, and other online content. Library involvement was multifaceted including fact checking and literature searching to support the podcast; …

Interdiction Models To Disrupt The Operations Of Sex Trafficking And Other Forced Illicit Labor Networks, Michael T. Clark

All Theses

Sex traffickers often force their victims to work in both commercial sex markets and perform other illicit activities (e.g., drug dealing, theft, and fraud). Current literature has failed to address interdiction models that aim to disrupt all components of a sex traffickers’ operation, including these other illicit activities. In this thesis, we present a interdiction problem, and its single-level linear optimization reformulation, to reduce the profit of a human trafficking network concurrently operating in the commercial sex market and other illicit activity markets. Our novel formulation aims to investigate the practical implications of interdiction decisions made to disrupt a human …

Vermont Global Warming Solutions Act: The Costs Of Inaction From Land Conversions, Grayson L. Younts

All Theses

The Vermont (VT) Global Warming Solutions Act (GWSA, 2020) sets greenhouse gas (GHG) emissions reduction targets as 26% below 2005 by 2025, 40% below 1990 by 2030 and 80% below 1990 by 2050 for energy-related emissions only. Vermont’s omission of GHG emissions from land conversions can result in significant costs of inaction (COI), which can hinder state’s mitigation and adaptation plans and result in a climate crisis-related risks (e.g., credit downgrade). Science-based spatio-temporal data of GHG emissions from soils as a result of land conversions can be integrated into the conceptual framework of “action” versus “inaction” to prevent GHG emissions. …

“People Like They Historical Shit In A Certain Way”: The Civil War Plays Of Suzan-Lori Parks, Or Commercialized Memory And Black Lives, Brandon Eric Fisher

All Theses

Suzan-Lori Parks has explored the relationship between Blackness, slavery, and capitalism throughout her career. I argue that Parks’s three works—The America Play (1995), Topdog/Underdog (2001), and Father Comes Home from the Wars (2015)—should receive critical attention as her Civil War plays. By this phrase, I mean that Parks embeds her critiques of racial capitalism in historical narratives about America’s bloodiest conflict. In these three plays, she takes up several white supremacist Civil War tropes—tropes like what scholar Cody Marrs calls the “Father Abraham” story and the “Agrarian Imagination” myth—and criticizes them as narratives that deny African American history. To …

Out Of The Box: Bridging The Long-Distance Gap Between Consumer And Product In Online Experiences By Using Ar To Facilitate A Deeper Connection Through Virtual Try-Ons, Jessica E. Schell

All Theses

As consumers are more and more preferring online experiences to brick-and-mortar shopping, there is a growing need for new and creative marketing strategies that can overcome the physical distance between consumer and product. In this paper, I demonstrate how augmented reality can bridge that gap, allowing consumers to connect with a product in a way that is not possible through traditional online media forms such as images and video. To that end, this paper includes a detailed breakdown of the conception and creation of Out of the Box, an augmented-reality application developed to enable users to virtually interact with …

A Bayesian Model Selection Approach To Mediation Analysis., Wesley L Crouse, Gregory R Keele, Madeleine S Gastonguay, Gary Churchill, William Valdar

Faculty Research 2022

Genetic studies often seek to establish a causal chain of events originating from genetic variation through to molecular and clinical phenotypes. When multiple phenotypes share a common genetic association, one phenotype may act as an intermediate for the genetic effects on the other. Alternatively, the phenotypes may be causally unrelated but share genetic loci. Mediation analysis represents a class of causal inference approaches used to determine which of these scenarios is most plausible. We have developed a general approach to mediation analysis based on Bayesian model selection and have implemented it in an R package, bmediatR. Bayesian model selection provides …

Genome-Wide Transcript And Protein Analysis Highlights The Role Of Protein Homeostasis In The Aging Mouse Heart., Isabela Gerdes Gyuricza, Joel M Chick, Gregory R Keele, Andrew Deighan, Steven C. Munger, Ron Korstanje, Steven P Gygi, Gary Churchill

Faculty Research 2022

Investigation of the molecular mechanisms of aging in the human heart is challenging because of confounding factors, such as diet and medications, as well as limited access to tissues from healthy aging individuals. The laboratory mouse provides an ideal model to study aging in healthy individuals in a controlled environment. However, previous mouse studies have examined only a narrow range of the genetic variation that shapes individual differences during aging. Here, we analyze transcriptome and proteome data from 185 genetically diverse male and female mice at ages 6, 12, and 18 mo to characterize molecular changes that occur in the …

Gen Ms 68 Lillian E. Brooks Nursing Diary, Jill Piekut Roy

Search the General Manuscript Collection Finding Aids

Collection includes a diary kept by Lillian E. Brooks from August 29, 1935 to May 6, 1939, and three accompanying items. The collection documents the daily life and work of a Maine woman who aspired to be a nurse before her untimely death.

Pirate Arbitration, David Horton

Minnesota Law Review Vols. 106:2 onward (2021-present)

The U.S. Supreme Court’s expansion of the Federal Arbitration Act (FAA) has transformed the American civil justice system. In a series of controversial opinions, the Court has held that the FAA preempts state law, bars class actions, and empowers companies to delegate questions about the arbitration itself to arbitrators. For decades, critics have objected that forced arbitration dilutes consumers’ and employees’ rights. However, this Article explores a byproduct of the arbitration revolution that is arguably even more troubling. Recently, criminals, opportunists, and other shady entities have started exploiting the Court’s FAA jurisprudence to accomplish goals that are illegal. The Article …

Power To The People: Distributing The Benefits Of A Clean Energy Transition Through Equitable Policy, Legislation, And Energy Justice Initiatives, Alexandria E. Dolezal

Minnesota Law Review Vols. 106:2 onward (2021-present)

The transition to renewable energy may be accelerating, but the path to a clean energy future is still littered with potential inequities. This reality has become increasingly evident in the early 2020s as the COVID-19 pandemic has exacerbated injustices within the existing energy system, leaving many low-income and minority communities struggling to pay for essential utilities. Moreover, marginalized communities are disproportionately impacted by the negative externalities of the energy sector, such as air pollution and climate- change-induced natural disasters. Recent events, like the Texas power crisis and unprecedented heatwaves in 2021, have brought these issues into sharper focus, while equally …

Constraining Criminal Laws, F. Andrew Hessick, Carissa Byrne Hessick

Minnesota Law Review Vols. 106:2 onward (2021-present)

Most criminal law is statutory. Although the violation of criminal statutes can result in significantly more serious consequences than violations of other types of statutes, the dominant theories of statutory interpretation do not distinguish between criminal statutes and non-criminal statutes. Those theories say that, when interpreting statutes, courts should always be faithful agents aiming to implement the will of the legislature, and that task does not change depending on whether the statute is criminal. This Article shows that treating the interpretation of criminal statutes the same way as other statutes is a major departure from the past. Historically, courts did …

Psychological Parenthood, Anne L. Alstott, Anne C. Dailey, Douglas Nejaime

Minnesota Law Review Vols. 106:2 onward (2021-present)

Family law in the United States is governed by an assortment of familiar legal doctrines and policies that often undermine, and sometimes sever, the relationships between children and the adults with whom children are most closely bonded. For example, the “best interests of the child” standard, which has long governed a host of legal determinations such as custody, offers only a vague and indeterminate guideline for decision-making, an approach that risks undervaluing the importance of children’s relationships to close caregivers. Similarly, courts and commentators commonly assert that the federal Constitution provides special protection to biological parent-child relationships, despite the fact …