Medicine and Health Sciences Commons^™

Decoding U.S. Tort Liability In Healthcare's Black-Box Ai Era: Lessons From The European Union, Mindy Duffourc, Sara Gerke

Faculty Scholarly Works

The rapid development of sophisticated artificial intelligence (“AI”) tools in healthcare presents new possibilities for improving medical treatment and general health. Currently, such AI tools can perform a wide range of health-related tasks, from specialized autonomous systems that diagnose diabetic retinopathy to general-use generative models like ChatGPT that answer users’ health-related questions. On the other hand, significant liability concerns arise as medical professionals and consumers increasingly turn to AI for health information. This is particularly true for black-box AI because while potentially enhancing the AI’s capability and accuracy, these systems also operate without transparency, making it difficult or even impossible …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

The Performance Of Marginal Modeling Methods For Rare Events With Application To Opioid Overdose Mortality And Morbidity, Shawn Nigam

Theses and Dissertations--Epidemiology and Biostatistics

Opioid misuse is a nationwide epidemic, with Kentucky having one of the highest opioid overdose-related fatality rates across all US states. These rates have increased significantly over the past decade, with particularly large increases during the COVID-19 pandemic. This dissertation aims to study the behavior of these increases and the methods for the marginal modeling of count outcomes related to opioid overdose.

Opioid overdose-related fatality rates in Kentucky increased significantly during the COVID-19 pandemic. In this chapter, we characterize the changes in opioid overdose fatality rates in Kentucky and identify associations between potential factors and fatality rates. County-level opioid overdose …

Design Of Kappa Opioid Receptor Agonists For Potential Treatment Of Multiple Sclerosis, Lindsay Kornberger

Theses and Dissertations--Pharmacy

Multiple Sclerosis (MS) is a neurodegenerative disease of the central nervous system characterized by demyelination and neuroinflammation. There is currently no cure for MS. There is a critically unmet need for the development of pharmacotherapies that can induce remyelination promoting both repair and recovery. The kappa opioid receptor (KOR) has been identified as a potential target for the development of remyelinating pharmacotherapies. KOR activation has been shown to promote functional recovery and remyelination preclinically. However, typical KOR agonists like U50,488 have limitations such as sedation and dysphoria limiting their use. This necessitates further development of new KOR agonists that maintain …

The Kinetic Modulation Of Α - Synuclein Fibrillation And Toxicity By 4-Phenylbutyric Acid, Kristos Awuah Baffour

Graduate Theses/Dissertations

ABSTRACT

The Protein misfolding and aggregation of alpha-synuclein (α-syn) into neurotoxic amyloids underlies the pathogenesis of neurodegenerative diseases such as Parkinson's disease (PD). 4-Phenylbutyrate (PBA), an FDA drug approved for treating urea cycle disorders, has garnered significant attention as a potential chemical chaperone for targeting alpha-synuclein (α-syn) aggregation. Using in vitro assays, we demonstrated that PBA treatment alters the pattern of α-syn aggregation, as evidenced by reduced formation of oligomeric species and its increased susceptibility to proteolytic cleavage under the influence of PBA. Proteinase K assay, surface plasmon resonance, and Nile red studies indicate that PBA interacts with the extensive …

Development Of Functional Plasmonic Nanoceria For The Ultrasensitive Detection Of Ebola Glycoprotein, Carissa A. Sutton

Graduate Theses/Dissertations

Infectious diseases have been increasing in both severity and prevalence, leading to increasing economic burdens and health concerns. Ebola hemorrhagic fever is an infectious disease that is both highly communicable and highly fatal. Current detection methods for the virus have high specificity and sensitivity but have long and/or complicated procedures that do not allow for early virus detection in highly affected areas. Compared to the lengthy procedure of reverse transcription-polymerase chain reaction (RT-PCR), real-time RT-PCR is more time-efficient; however, specificity and sensitivity are reduced. Since early detection of the virus is the only way to increase survival rates, sensitive detection …

Patterns Into Pathways For Improving Safety Culture: Refined Latent Class Analysis Informs Tailored Decision Support For South Carolina Dss Safety Culture Improvements, Michaela Voit

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The rising prevalence of exposures to adverse childhood experiences (ACEs) demands a coordinated public health response, as a significant body of research details the cumulative impact of ACEs on chronic morbidities contributing to reduced life expectancy. Child welfare workers (CWW) are embedded in this public health effort, tasked with preventing and mitigating the impacts of ACEs through family and prevention services. The National Partnership for Child Safety (NPCS) may improve the wellbeing of CWWs and the effectiveness of Child Welfare (CW) services by improving the quality of safety culture within CW organizations. To inform NPCS quality improvement efforts, our project …

Erratum: Toward Standardization, Harmonization, And Integration Of Social Determinants Of Health Data: A Texas Clinical And Translational Science Award Institutions Collaboration - Corrigendum, Catherine K Craven, Linda Highfield, Mujeeb Basit, Elmer V Bernstam, Byeong Yeob Choi, Robert L Ferrer, Jonathan A Gelfond, Sandi L Pruitt, Vaishnavi Kannan, Paula K Shireman, Heidi Spratt, Kayla J Torres Morales, Chen-Pin Wang, Zhan Wang, Meredith N Zozus, Edward C Sankary, Susanne Schmidt

Faculty, Staff and Student Publications

This corrects the article "Toward standardization, harmonization, and integration of social determinants of health data: A Texas Clinical and Translational Science Award institutions collaboration" in volume 8, e17.

Predicting Endothelium-Dependent Diastolic Function (Fmd)And Its Correlation With The Degree Of Coronary Artery Disease (Cad) And Plaque Vulnerability For Cardiovascular Events, Guangming Zhang, Jing Yang, Hanghang Xing, Hongning Yin, Guoqing Gu

Faculty, Staff and Student Publications

OBJECTIVE: This study aims to investigate the correlation between vascular endothelium-dependent diastolic function (FMD) and the degree of coronary artery disease (CAD), plaque vulnerability, and its predictive value for cardiovascular events.

METHODS: Initially, patients (n=100) who were admitted from January 2020 to January 2021 and intended to undergo percutaneous coronary intervention (PCI) were selected. Further, FMD in all patients was determined before the procedure and divided into a high-FMD group (≥4.2%) and a low-FMD group (

RESULTS: No significant differences were observed concerning general information, number of coronary arteries-associated branches, lesion type, involvement of the left main stem (LM), the …

A Class Of Game-Theoretic And Fokker-Planck Optimal Control Frameworks In Colon And Esophageal Cancer, Mesfer Alajmi Phd

Mathematics Dissertations - Archive

In this dissertation, we first present a new stochastic framework for parameter estimation and uncertainty quantification in colon cancer-induced immune responses. A stochastic process that captures the system's inherent randomness determines the dynamics of colon cancer. The stochastic framework is based on the Fokker-Planck equation, which represents the evolution of the probability density function corresponding to the stochastic process. We formulate an optimization problem that takes individual patient data with randomness present and solves it to obtain the unknown parameters corresponding to the individual tumor characteristics. Furthermore, we perform a sensitivity analysis of the optimal parameter set to identify the …

A Survey Of Strongyle Nematodes In New England Dairy Goats, D.J. Richardson, E.M. Wray, D. Watters, U. Hanif, E. Jalbert, E. Thompson, G. Trajkovic, A.R. Sirois, N. Pilotte

Journal of the Arkansas Academy of Science

The paucity of information concerning the occurrence of strongyle nematodes in New England dairy goats prompted a survey of 241 dairy goats from throughout New England. Of the 241 goats examined using the McMaster technique, 104 (42.7%) were infected with strongyles with a mean intensity (+ SE) of 369.7 + 45.8 eggs per gram. Subsequent molecular examination of 50 random samples from these goats revealed a prevalence of 88% infection specifically with Haemonchus contortus. Haemonchus contortus is the most important internal parasite of sheep and goats, exerting a crushing economic burden on the livestock industry worldwide due to lowered milk …

Bat Versus Ant: The First Report Of Evening Bat/Ant Interaction In Arkansas, J.D. Wilhide, D.B. Sasse, R.P. Kelso

Journal of the Arkansas Academy of Science

This paper documents the first reported occurrence of bat/ant agonistic interaction in Arkansas and the second report involving Evening Bats (Nycticeius humeralis). An adult male Evening Bat was captured during a presence / absence mist net survey along Highway 412 in Black Rock, Lawrence County, Arkansas on 4 June 2023. The bat weighed 12.0 g and had a forearm length of 36.94 mm which is in the midrange for evening bats in Arkansas (Sealander and Heidt 1990). The evening bat had two ant head capsules attached to its right cheek and at the tip of the lower lip (Fig. 1).

02.19.2024 Orsp Connect, Liz Williamson

ORED Newsletter

UM Library Training for Researchers, Kendra Sampey spotlight, School of Pharmacy's Research Day, MS Aerospace and Defense Symposium on March 29

Keynote Address And Meeting Program, Academy Editors

Journal of the Arkansas Academy of Science

No abstract provided.

Journal Acknowledgements And Editorial Board, Academy Editors

Journal of the Arkansas Academy of Science

No abstract provided.

Instructions To Authors, Academy Editors

Journal of the Arkansas Academy of Science

No abstract provided.

Distal Urogenital Anatomy And Epithelial Morphology In The Male Cajun Chorus Frog, Pseudacris Fouquettei (Anura: Hylidae), S.E. Trauth

Journal of the Arkansas Academy of Science

I examined the microanatomy of the distal urogenital system in male Cajun Chorus Frogs (Pseudacris fouquettei) from a small sample (n = 6) collected in central Arkansas in March 2018 and February 2023. Specifically, my primary objectives were to investigate the following: (1) the paired Wolffian (urogenital) ducts caudally from the kidneys to their merging with the urodeum of the cloaca, (2) the structure of seminal vesicles (if present), and (3) the epithelial morphologies among the distal urogenital tract, the posterior alimentary canal, and cloaca. My histological analysis confirmed the presence of ampullae (sperm storage structures) as mid-duct expansions of …

Use Of Google Earth Streetview To Evaluate Nesting By The Cliff Swallow (Petrochelidon Pyrrhonota) In Lowlands Of Eastern Arkansas, With Reports Of New Records, R. Tumlison, Z. Autrey

Journal of the Arkansas Academy of Science

Cliff Swallows (Petrochelidon pyrrhonota) typically construct their mud nests under the overhangs of cliffs. However, construction of concrete bridges and overpasses has provided suitable nesting structure in the last few decades. As the number of such nesting sites have increased, the breeding range also has expanded. We evaluated the use of Google Earth Streetview as a means of cheaply harvesting data regarding nesting distribution. The gourd-shaped nests of Cliff Swallows were easily discernible via available imagery, and we were able to document previously unreported nest sites of this species in 6 counties in eastern Arkansas (5 from imagery, 1 from …

Shell Damage Patterns In Limpkin Mussel Middens At Bois D’Arc Lake, Arkansas, G.R. Graves

Journal of the Arkansas Academy of Science

The Limpkin (Aramus guarauna) is rapidly colonizing the lower Mississippi Valley from recently established Gulf Coast populations. Anecdotal reports indicate that it feeds on freshwater mussels and gastropods in Arkansas, but without documentation. Here I report an analysis of Limpkin shell middens from Bois d’Arc Lake in Hempstead Co. Limpkins at this location preyed heavily on Pyganodon grandis (Giant Floater), a large mussel species widely distributed in the Mississippi Valley. Limpkins employ vigorous bill blows to pierce holes in mussels and usually attack the anterior end of the shell. Video and photographs of feeding birds provide new insight on the …

Rapid Expansion Of The Limpkin Aramus Guarauna Across Anglo-America, A. Alam, R. Kaddoura, J. Jackson, R. Kannan

Journal of the Arkansas Academy of Science

We quantitatively document and describe the recent rapid expansion of the Limpkin Aramus guarauna across Anglo-America (United States and Canada). Using data downloaded from eBird (www.eBird.org), we present graphs showing the explosive growth in reports of number of individual birds and frequencies in checklists for this species in several parts of Anglo- America outside Florida (its traditional Anglo- American range). We also provide geographic progression maps to illustrate the expansion through time (2013-2023) and furnish qualitative information on foods consumed by the bird in new areas, based on a survey of 274 images uploaded by citizen scientists in eBird. Possible …

X-Ray Diffraction And Petrographic Analysis Of Magnet Cove Carbonatite Core, Arkansas, R.E. Mero, D. Mayo, M.P. Testa

Journal of the Arkansas Academy of Science

Geothermal activity such as hot springs are known to precipitate calcium carbonate (CaCO3) minerals, producing rocks such as tufa, travertine and sometimes associated with carbonatite. The precipitation of CaCO is caused by the reduction of CO, which is less soluble in warmer waters. Geothermal heating of water in natural springs drives this precipitation of CaCO3 in areas of Arkansas including Magnet Cove. Magnet Cove, Arkansas is an alkalic igneous rock complex that is composed of a series of ring dikes post-Mississippian in age. These dikes have intruded into faulted and folded Paleozoic sedimentary rocks. One of these igneous dikes is …

New Record Of Leucistic Blue Catfish, Ictalurus Furcatus (Siluriformes: Ictaluridae) From The Black River, Lawrence County, Arkansas, C.T. Mcallister, H.W. Robison

Journal of the Arkansas Academy of Science

The Blue Catfish, Ictalurus furcatus (Lesueur), the largest North American ictalurid, inhabits deep watersheds, impoundments, and main channels and backwaters of medium to large rivers, over mud, sand, and gravelly substrate. Its native range includes the Mississippi River basin from western Pennsylvania to southern South Dakota and southwestern Nebraska south to the Gulf of Mexico and in Alabama, Florida, The Rio Grande drainage of Texas and New Mexico (Page and Burr 2011). In Arkansas, I. furcatus is found throughout the Arkansas, Red, and Mississippi river drainages and has been stocked by the Arkansas Game and Fish Commission into reservoirs throughout …

Treatment With The Immunocontraceptive Vaccine, Gonacon, Induces Temporary Fertility Control In Free-Ranging Prairie Dog Populations In Colorado, Usa, Aaron B. Shiels, Jackson Runte, Emily W. Ruell, Douglas C. Eckery, Gary W. Witmer, Daniel J. Salkeld

United States Department of Agriculture Wildlife Services: Staff Publications

Context

Prairie dogs (Cynomys spp.) are rodents enjoyed by some humans; yet, they cause crop and property damage, and carry zoonotic disease. Non-lethal control of prairie dogs is of interest in urban/suburban settings. The injectable immunocontraceptive vaccine GonaCon (active ingredient is gonadotropin-releasing hormone [GnRH]) has been shown to be effective at reducing fertility in equine and deer, and is a US EPA-registered vaccine for use in these ungulate species.

Aims

To conduct a replicated field study to test efficacy of GonaCon in black-tailed prairie dogs (C. ludovicianus), and if found to be efficacious, to help facilitate …

Comparison Of Ketamine-Xylazine, Butorphanol-Azaperone-Medetomidine, And Nalbuphine-Medetomidine-Azaperone For Raccoon (Procyon Lotor) Immobilization, Shylo R. Johnson, Christine K. Ellis, Chad Wickham, Molly R. Selleck, Amy T. Gilbert

United States Department of Agriculture Wildlife Services: Staff Publications

Raccoons (Procyon lotor) are frequently handled using chemical immobilization in North America for management and research. In a controlled environment, we compared three drug combinations: ketamine-xylazine (KX), butorphanol-azaperone-medetomidine (BAM), and nalbuphinemedetomidine- azaperone (NalMed-A) for raccoon immobilization. In crossover comparisons, raccoons received a mean of the following: 8.66 mg/kg ketamine and 1.74 mg/kg xylazine (0.104 mL/kg KX); 0.464 mg/kg butorphanol, 0.155 mg/kg azaperone, and 0.185 mg/kg medetomidine (0.017 mL/kg BAM); and 0.800 mg/kg nalbuphine, 0.200 mg/kg azaperone, and 0.200 mg/kg medetomidine (0.020 mL/kg NalMed-A). Induction time was shortest with KX (mean6SE, 10.060.7 min) and longest with NalMed-A (13.061.3 min). …

Using Prescribed Fire And Biosolids Applications As Grassland Management Tools: Do Wildlife Respond?, Brian E. Washburn, Michael J. Begier

United States Department of Agriculture Wildlife Services: Staff Publications

Prescribed burning is a management tool commonly used in forested ecosystems in the southeastern United States, but the influence of this method on grassland vegetation and wildlife in this geographic region is unknown. During 2009–2015, we conducted a study to determine if the application of prescribed burning and/or long-term biosolid applications alter plant communities and/or wildlife use of grassland areas at Marine Corps Air Station Cherry Point, Havelock, North Carolina. We monitored vegetation growth, measured plant community composition, and documented wildlife activity in four study plots for 3 years after the implementation of annual winter prescribed burns. Prescribed burning reduced …

Potential Landscape Connectivity For Invasive Wild Pigs (Sus Scrofa) Across The Northern Prairies Of North America, Corey J. Kramer, Melanie R. Boudreau, Ryan Powers, Kurt C. Vercauteren, Ryan S. Miller, Ryan K. Brook

United States Department of Agriculture Wildlife Services: Staff Publications

Understanding landscape scale connectivity is an essential component in the management of invasive species since connectivity facilitates their invasion potential. Invasive wild pigs (Sus scrofa) are among the most prolific invaders on the planet, causing billions of dollars in agricultural and environmental damage annually. Newly introduced to Canada in the 1980s, we examined wild pig invasion potential across the northern prairies from western Canada into the currently wild pig-free northern U.S. states. We used GPS collar data collected in the Canadian prairies to quantify resource selection and incorporated results into an electric circuit theory framework to evaluate potential …

Rapid Point-Of-Care Testing For Detection Of Antibodies To Toxoplasma Gondii In Black Vultures And Ring-Billed Gulls From Pennsylvania, Alexa Rosypal Von Dohlen, Sydney Randall, Jordyan Grays, Mark A. Dugo, Brian J. Hunt, Justin Brown, Kyle Van Why, Sawsan Ammar, Richard Gerhold

United States Department of Agriculture Wildlife Services: Staff Publications

Toxoplasma gondii is a zoonotic protozoan parasite that infects most warm-blooded animals, including birds. Scavenging birds are epidemiologically important hosts because they can serve as indicators of environmental T. gondii levels. A rapid point-of-care (POC) test that detects antibodies to T. gondii in humans is commercially available. In this research, we assessed the ability of the human POC test to detect anti–T. gondii antibodies in 106 black vultures (Coragyps atratus) and 23 ring-billed gulls (Larus delawarensis) from Pennsylvania, USA. Serum samples were tested with the POC test and compared to the modified …

Low Secondary Risks For Turkey Vultures From A Sodium Nitrite Toxic Bait For Wild Pigs, Justin A. Foster, John C. Kinsey, Michael J. Lavelle, Kurt C. Vercauteren, Nathan P. Snow

United States Department of Agriculture Wildlife Services: Staff Publications

An acute and orally‐delivered toxic bait for wild pigs (Sus scrofa) containing sodium nitrite (SN) is being developed and tested for potential registration in the U.S. We evaluated oral toxicity of SN and risk of secondary consumption in a common avian scavenger, the turkey vulture (Carthartes aura), by 1) conducting an acute oral toxicity test (LD₅₀) for turkey vultures by oral gavage, and 2) allowing turkey vultures to feed on whole carcasses and digestive tracts of wild pigs that died from consuming SN‐laden bait. Captive tests were conducted during fall 2016 and spring 2017 in the …

A Method For Characterizing Disease Emergence Curves From Paired Pathogen Detection And Serology Data, Joshua Hewitt, Grete Wilson-Henjum, Derek T. Collins, Jourdan M. Ringenberg, Christopher A. Quintanal, Robert Pleszewski, Jeffrey C. Chandler, Thomas J. Deliberto, Kim M. Pepin

United States Department of Agriculture Wildlife Services: Staff Publications

1. Wildlife disease surveillance programs and research studies track infection and identify risk factors for wild populations, humans and agriculture. Often, several types of samples are collected from individuals to provide more complete information about an animal's infection history. Methods that jointly analyse multiple data streams to study disease emergence and drivers of infection via epidemiological process models remain underdeveloped. Joint-analysis methods can more thoroughly analyse all available data, more precisely quantifying epidemic processes, outbreak status, and risks.

2. We contribute a paired data modelling approach that analyses multiple samples from individuals. We use ‘characterization maps’ to link paired data …

Torque Teno Sus Virus 1: A Potential Surrogate Pathogen To Study Pig-Transmitted Transboundary Animal Diseases, Xiaolong Li, Brandon M. Parker, Raoul K. Boughton, James C. Beasley, Timothy J. Smyser, James D. Austin, Kim M. Pepin, Ryan S. Miller, Kurt C. Vercauteren, Samantha M. Wisely

United States Department of Agriculture Wildlife Services: Staff Publications

Understanding the epidemiology and transmission dynamics of transboundary animal diseases (TADs) among wild pigs (Sus scrofa) will aid in preventing the introduction or containment of TADs among wild populations. Given the challenges associated with studying TADs in free-ranging populations, a surrogate pathogen system may predict how pathogens may circulate and be maintained within wild free-ranging swine populations, how they may spill over into domestic populations, and how management actions may impact transmission. We assessed the suitability of Torque teno sus virus 1 (TTSuV1) to serve as a surrogate pathogen for molecular epidemiological studies in wild pigs by investigating …