Social and Behavioral Sciences Commons^™

Validation Of A Process For Shared Decision-Making In Pediatrics, Douglas J Opel, Holly Hoa Vo, Nicolas Dundas, Heather Spielvogle, Amanda Mercer, Benjamin S Wilfond, Jonna Clark, Carrie L Heike, Elliott M Weiss, Mersine A Bryan, Seema K Shah, Carolyn A Mccarty, Jeffrey D Robinson, Jennifer Blumenthal-Barby, Jon Tilburt

Center for Medical Ethics and Health Policy Staff Publications

OBJECTIVE: We sought to confirm, refute, or modify a 4-step process for implementing shared decision-making (SDM) in pediatrics that involves determining 1) if the decision includes >1 medically reasonable option; 2) if one option has a favorable medical benefit-burden ratio compared to other options; and 3) parents' preferences regarding the options; then 4) calibrating the SDM approach based on other relevant decision characteristics.

METHODS: We videotaped a purposive sample of pediatric inpatient and outpatient encounters at a single US children's hospital. Clinicians from 7 clinical services (craniofacial, neonatology, oncology, pulmonary, pediatric intensive care, hospital medicine, and sports medicine) were eligible. …

Figg At 5: An Update On Us Public Perspectives On Forensic Investigative Genetic Genealogy Five Years After Its Introduction To Criminal Investigations, Sophie L Schott, April Adams, Ryan J Dougherty, Taylor Montgomery, Folasade C Lapite, Faith E Fletcher

Center for Medical Ethics and Health Policy Staff Publications

Nearly 50 years after Roe versus Wade, the United States Supreme Court's decision in Dobbs versus Jackson Women's Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restrictions. Abortion research not only includes studies that establish the safety, quality, and efficacy of evidence-based abortion care protocols, but also encompasses studies on the availability of abortion care, the consequences of being denied an abortion, and …

Clinician Perceptions Of Passport For Care, A Web-Based Clinical Decision Support Tool For Survivorship Care Plan Delivery, Jason E King, Michael C O'Connor, Ellen Shohet, Susan M Krause, Michael E Scheurer, Marc E Horowitz, David G Poplack, C Michael Fordis, Maria M Gramatges

Center for Medical Ethics and Health Policy Staff Publications

Background: The Children's Oncology Group Long-Term Follow-Up Guidelines provide exposure-based risks and recommendations for late effects screening of survivors of childhood cancer. Passport for Care (PFC) is a web-based clinical decision support tool for generating a personalized survivorship care plan (SCP) derived from the Guidelines and user-entered exposures. We assessed PFC clinician user practices and perceptions of PFC impact on clinic workflow, guidelines application, and survivor shared decision-making.

Procedure: A 35-item REDCap survey was emailed to all PFC users (n = 936) in 146 current and former PFC user clinics. Anonymous responses were permitted. Results were summarized and compared with …

Treatment And Life Goals Among Veterans With Gulf War Illness, Nicole Sullivan, Hannah Schorpp, Sarah Crosky, Scott Thien, Drew A Helmer, David R Litke, Wilfred R Pigeon, Karen S Quigley, Lisa M Mcandrew

Center for Medical Ethics and Health Policy Staff Publications

Medically unexplained syndromes (MUS), also termed persistent physical symptoms, are both prevalent and disabling. Yet treatments for MUS are marked by high rates of patient dissatisfaction, as well as disagreement between patients and providers on the management of persistent physical symptoms. A better understanding of patient-generated goals could increase collaborative goal setting and promote person-centered care, a critical component of MUS treatment; yet research in this area is lacking. This paper aimed to develop a typology of treatment and life goals among Gulf War veterans with a medically unexplained syndrome (Gulf War Illness). We examined participants’ responses to open-ended questions …

Cannabis-Assisted Psychotherapy For Complex Dissociative Posttraumatic Stress Disorder: A Case Report, Anya Ragnhildstveit, Miriam Kaiyo, Matthew Brian Snyder, Laura Kate Jackson, Alex Lopez, Chasity Mayo, Alyssa Claire Miranda, River Jude August, Paul Seli, Reid Robison, Lynnette Astrid Averill

Center for Medical Ethics and Health Policy Staff Publications

Background: A dissociative subtype of posttraumatic stress disorder, known as "D-PTSD", has been included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. In addition to meeting criteria for PTSD, patients endorse prominent dissociative symptoms, namely depersonalization and derealization, or detachment from one's self and surroundings. At present, this population is supported by a highly heterogeneous and undeveloped literature. Targeted interventions are therefore lacking, and those indicated for PTSD are limited by poor efficacy, delayed onset of action, and low patient engagement. Here, we introduce cannabis-assisted psychotherapy (CAP) as a novel treatment for D-PTSD, drawing parallels to psychedelic …

Community Engagement In Precision Medicine Research: Organizational Practices And Their Impacts For Equity, Janet K Shim, Nicole Foti, Emily Vasquez, Stephanie M Fullerton, Michael Bentz, Melanie Jeske, Sandra Soo-Jin Lee

Center for Medical Ethics and Health Policy Staff Publications

Background: In the wake of mandates for biomedical research to increase participation by members of historically underrepresented populations, community engagement (CE) has emerged as a key intervention to help achieve this goal.

Methods: Using interviews, observations, and document analysis, we examine how stakeholders in precision medicine research understand and seek to put into practice ideas about who to engage, how engagement should be conducted, and what engagement is for.

Results: We find that ad hoc, opportunistic, and instrumental approaches to CE exacted significant consequences for the time and resources devoted to engagement and the ultimate impacts it has on research. …

Payer Reimbursement Practices And Incentives For Improving Interpretation Of Germline Genetic Testing, Patricia Deverka, Janis Geary, Charles Mathews, Matan Cohen, Gillian Hooker, Mary Majumder, Zuzana Skvarkova, Robert Cook-Deegan

Center for Medical Ethics and Health Policy Staff Publications

Germline genetic testing for inherited cancer risk has shifted to multi-gene panel tests (MGPTs). While MGPTs detect more pathogenic variants, they also detect more variants of uncertain significance (VUSs) that increase the possibility of harms such as unnecessary surgery. Data sharing by laboratories is critical to addressing the VUS problem. However, barriers to sharing and an absence of incentives have limited laboratory contributions to the ClinVar database. Payers can play a crucial role in the expansion of knowledge and effectiveness of genetic testing. Current policies affecting MGPT reimbursement are complex and create perverse incentives. Trends in utilization and coverage for …

Effects Of Cyclic Heat Stress On The Acute Inflammatory Response In Broilers, Alessandro J. Rocchi, Chrysta N. Beck, Jossie M. Santamaria, Gisela F. Erf

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Heat stress (HS) is a growing concern in broiler production. Little is known regarding the effect of HS on immune function. To examine the effects of HS on innate immunity, the local- and systemic-inflammatory responses to lipopolysaccharide (LPS) were examined in Cobb 500 male broiler chicks reared under thermoneutral (TN) or cyclic HS conditions. Beginning at four days of age, HS birds were subjected to 35 °C from 8:00 a.m. to 10:00 p.m. and TN temperatures from 10:00 p.m. to 8:00 a.m. At 37 days of age, four groups of broilers were formed: LPS-TN (8 broilers), phosphate-buffered saline (PBS)-TN (4 …

Depersonalizing Troubles In Institutional Interaction: Routinizing In Parent-Teacher Conferences, Danielle M. Pillet-Shore

Faculty Publications

This article advances our understanding of institutional interaction by showing when and how it can be advantageous for professionals to treat addressed-recipients as non-unique. Examining how teachers talk about children-as-students during parent-teacher conferences, this investigation illuminates several specific interactional methods that teachers use to depersonalize the focal student’s trouble, delineating as among these the novel practice of “routinizing”—citing firsthand experience with other similar cases. Analysis demonstrates how teachers use routinizing to enact their expertise, both responsively as a vehicle for attenuating and credentialing their advice-giving to parents/caregivers, and proactively to preempt parent/caregiver resistance to their student-assessments/evaluations. This research …

The Rayleigh Problem (Random Flights) Is Everywhere Redux, John E. Gray, Stephen R. Addison

Journal of the Arkansas Academy of Science

The phase noise problem (or Rayleigh problem) occurs in all aspects of radar. It is an effect that a radar engineer or physicist always has to take into account as part of a design or in an attempt to characterize the physics of a problem such as reverberation. Normally, the mathematical difficulties of phase noise characterization are avoided by assuming the phase noise probability distribution function (PDF) is uniformly distributed, and the Central Limit Theorem (CLT) is invoked to argue that the superposition of relatively few random components obey the CLT and hence the superposition can be treated as a …

Choosing To Remember Beauty: Storytelling And Intergenerational Memory In The Mountains Sing, Matthew Tran , '23

Senior Theses, Projects, and Awards

No abstract provided.

Mental Health Experiences In 2021 For Adults With Disabilities Who Are Lgbt, Debra Brucker, Chris Surfus, Megan Henly

Faculty Publications

Using data from the U.S. Census Bureau’s weekly Household Pulse Survey conducted during the COVID-19 pandemic (July 21, 2021 – October 11, 2021), this study examines the prevalence of anxiety, worry, loss of interest and depression, receipt of mental health treatment, and self-reported unmet need for mental health treatment among adults with and without disabilities by lesbian, gay, bisexual, or transgender (LGBT) status. Controlling for age, educational attainment, employment, health insurance coverage, and race/ethnicity, adults with disabilities, regardless of LGBT status, had statistically significantly increased odds of anxiety, worry, loss of interest and depression, receipt of mental health treatment, and …

Parenting Style In Childhood And Depressive Symptoms Among Family Caregivers In Middle And Later Adulthood In The United States: The Role Of Perceived Control, Yujun Liu, M. Courtney Hughes, Abby Baumbach, Hongdao Meng

Faculty Articles, Papers, and Other Scholarship

Background

Method

Result

Policy Innovation As The Cornerstone Of Energy Transition: An Analysis Of Energy Policy In The Shipping Economy And Operations, Peyman Ghaforian Masodzadeh

World Maritime University Ph.D. Dissertations

Despite being excluded from most climate change treaties, the maritime sector is expected to manage and reduce carbon emissions in line with global decarbonization goals. Although the IMO's effort has been evident by the adoption of energy regulations and the GHG strategy during the past decade, however, the effectiveness and adequacy of the adopted energy policy remain questionable. This thesis aims to identify problems associated with energy policy in the shipping industry and propose appropriate solutions. Initially, this study was premised on the hypothesis that “energy policy in the shipping industry involves problems associated with policy design, policy implementation, and …

#Notalllibraries: Toxicity In Academic Libraries And Retention Of Librarians, Samantha Guss, Jennifer Stout, Sojourna Cunningham

VCU Libraries Faculty and Staff Publications

No abstract provided.

Doing A Good Search: Basic Rules And Search Tips, Roy E. Brown

VCU Libraries Faculty and Staff Publications

This handout is an update of a previous handout and should be used as a reference for those learning how to search databases effectively. The handout covers the basic rules of doing a good search in order to search more efficiently and effectively. The revised handout includes information related to Boolean operators, types of questions, and a list of potential databases to be searched for various clinical questions.

Clinical Inquiry Question Development Checklist, Roy E. Brown

VCU Libraries Faculty and Staff Publications

The Clinical Inquiry Question Development Checklist is a handout used in instructional sessions with nurses about the clinical inquiry process. This process includes evidence-based practice, performance improvement, and research. The revised handout contains information related to the performance improvement process and various other aspects of the clinical inquiry process.

The Clinical Inquiry Process Diagram Question Development Checklist, Roy E. Brown

VCU Libraries Faculty and Staff Publications

The Clinical Inquiry Question Development Checklist is a handout used in instructional sessions with nurses about the clinical inquiry process. This process includes evidence-based practice, performance improvement, and research. The revised handout closely aligns with the 4^th version of the Clinical Inquiry Process Diagram and contains information related to the performance improvement process and various other aspects of the clinical inquiry process.

Least Flycatchers Under-Reported In Fall Migration In Arkansas —A Citizen Science Conundrum, L. Barnes, R. Kannan

Journal of the Arkansas Academy of Science

The Least Flycatcher Empidonax minimus is a small passerine migrant bird that passes through Arkansas in fall and spring migration. The birds are vocal during spring passage but relatively quiet and unobtrusive during fall migration, leading to many fewer reports by birdwatchers in fall than spring. We use eBird maps and data to present evidence to support this discrepancy between fall and spring observations. We also show that the species is under-reported in Arkansas during the fall compared to neighboring regions. This may be in part due to the reluctance of some birders to provide the minimal evidence required to …

Citizen Science: Role Of Inaturalist In Biodiversity Documentation And Education In Arkansas, K. Baker, L. Barnes, S. Rana, J. Jackson, R. Kannan

Journal of the Arkansas Academy of Science

iNaturalist is a global online digital platform for documenting and fostering interest in biodiversity, with Research Grade (RG) entries being vetted and scientifically valid observations. Here we present a review of the role of approximately 16,000 Arkansans using the iNaturalist tool for recording 445,000 verifiable observations comprising 10,800 species, with 40 percent RG, and one third of observations still pending confirmation. Overall, plants lead in RG observations followed by invertebrates and birds. Within these groups, reptiles lead in proportion of RG observations, followed by birds and amphibians. Less charismatic or infrequently encountered organisms are less represented. Arkansas ranks about average …

Meeting Clean Energy Goals Will Require The Grid Of The Future, Ken Berlin, Rob Gramlich, Alexandra B. Klass, Josiah Neeley

Articles

The transmission grid is the critical superhighway that connects energy supply and demand. But our grid was designed for the power plants of the past—not for the diverse range of resources and technologies of our clean energy future. Over 70 percent of the nation’s transmission infrastructure is more than 25 years old, and in many areas of the country constraints have already been an impediment to renewable power. To meet greenhouse gas reduction goals, we will need to expand electric transmission systems by 60 percent by 2030 and possibly triple the capacity of these systems by 2050. The Infl ation …

Expanding Medicaid To Reduce Human Immunodeficiency Virus Transmission In Houston, Texas: Insights From A Modeling Study, Francis Lee, Aditya S Khanna, Camden J Hallmark, Richa Lavingia, Marlene Mcneese, Jing Zhao, Melanie L Mcneese, Salma Khuwaja, Babak M Ardestani, Nicholson Collier, Jonathan Ozik, Anna L Hotton, Nina T Harawa, John A Schneider, Kayo Fujimoto

Faculty, Staff and Student Publications

CONTEXT: Medicaid expansion has been nationally shown to improve engagement in the human immunodeficiency virus (HIV) treatment and prevention continua, which are vital steps to stopping the HIV epidemic. New HIV infections in the United States are disproportionately concentrated among young Black men who have sex with men (YBMSM). Houston, TX, is the most populous city in the Southern United States with a racially/ethnically diverse population that is located in 1 of 11 US states that have not yet expanded Medicaid coverage as of 2021.

METHODS: An agent-based model that incorporated the sexual networks of YBMSM was used to simulate …

Is Idaho English Really “The Epitome Of Average English”?, Joseph A. Stanley, Katrina Jackson

Faculty Publications

“Epitome of Average English”?

Preston (1989:64–65) chapter 3: “Where they speak correct English”

• Indianans ranked all 50 states’ English from most correct to least correct
• Mississippi’s ratings clustered low.
• Indiana’s ratings clustered high
• New York’s was bimodal.
• Florida’s was uniform.
• Idaho’s was normally distributed, centered around the middle.

“Idaho… [shows] a remarkably normal histogram… It is, apparently, the epitome of average English for these raters. Perhaps it is a least-caricatured state, meeting the negative definition of Standard English – the variety which displays no known non-standard elements.”

"That Was Biased": How Do Parental Racial/Ethnic Socialization And Motivations To Control Prejudice Predict White Adults' Defensive Reactions To Prejudice Feedback?, Joo Young Yang

Psychology Faculty Publications

Racism and systemic racism remain prevalent issues in American, but White Americans (50%) tend to be less likely to recognize the existence of institutional racism in America compared to people of color (67-83%; Ipsos, 2020). Moreover, studies indicate that many White Americans react defensively when given feedback about their own biases (Howell, 2017). White parents in America are unlikely to have discussions about race or racial inequality with their children, taking a rather race mute approach (Apfelbaum et al., 2012), although how parents discuss about race can create a powerful context for children's racial attitude development. Thus, this study aimed …

A Coalition-Driven Examination Of Organization Capacity To Address Food Insecurity In Greater Houston: A Qualitative Research Study, Jemima C John, Jennifer Gonzalez, Sara-Grace Chan, Heidi Mcpherson, Jennifer N Aiyer, Esperanza Galvan, Nicole Browning, Shreela V Sharma

Faculty, Staff and Student Publications

BACKGROUND: Economic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts.

METHODS: A twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically …

Using Implementation Mapping To Increase Uptake And Use Of Salud En Mis Manos: A Breast And Cervical Cancer Screening And Hpv Vaccination Intervention For Latinas, Lara S Savas, Preena Loomba, Ross Shegog, Angelita Alaniz, Crystal Costa, Emily Adlparvar, Marlyn A Allicock, Roshanda Chenier, Margaret Goetz, Christine M Markham, Maria E Fernandez

Faculty, Staff and Student Publications

BACKGROUND: Despite CDC recommendations for breast and cervical cancer screening and HPV vaccination, cancer control behaviors are underutilized among low-income Latinas.

METHODS: We used Implementation Mapping to create SEMM-Dissemination and Implementation Assistance (SEMM-DIA), a set of implementation strategies designed to support implementation and maintenance of SEMM in clinic settings. Specifically, we used Implementation Mapping's five iterative tasks to guide the use of theories and frameworks, evidence, new data, and stakeholder input to develop strategies to accelerate and improve implementation fidelity, reach, and maintenance of the SEMM intervention. The resulting implementation mapping logic model also guides the SEMM-DIA evaluation plan to …

Health-Related Quality Of Life And Recovery Capital Among Recovery Residents Taking Medication For Opioid Use Disorder In Texas, Elizabeth O Obekpa, Sheryl A Mccurdy, Vanessa Schick, Christine M Markham, Kathryn R Gallardo, Johnny Michael Wilkerson

Faculty, Staff and Student Publications

BACKGROUND: Recovery from opioid use disorder (OUD) includes improvements in health-related quality of life (HRQOL) and is supported by recovery capital (RC). Little is known about RC and HRQOL among recovery residents taking medication for OUD. We described HRQOL and RC and identified predictors of HRQOL.

METHODS: Project HOMES is an ongoing longitudinal study implemented in 14 recovery homes in Texas. This is a cross-sectional analysis of data from 358 participants' on HRQOL (five EQ-5D-5L dimensions-mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and RC (Assessment of Recovery Capital scores) collected from April 2021 to June 2023. Statistical analyses were conducted …

Understanding The Implications Of Under-Reporting, Vaccine Efficiency And Social Behavior On The Post-Pandemic Spread Using Physics Informed Neural Networks: A Case Study Of China, Samiran Ghosh, Alonso Ogueda-Oliva, Aditi Ghosh, Malay Banerjee, Padmanabhan Seshaiyer

Faculty, Staff and Student Publications

In late 2019, the emergence of COVID-19 in Wuhan, China, led to the implementation of stringent measures forming the zero-COVID policy aimed at eliminating transmission. Zero-COVID policy basically aimed at completely eliminating the transmission of COVID-19. However, the relaxation of this policy in late 2022 reportedly resulted in a rapid surge of COVID-19 cases. The aim of this work is to investigate the factors contributing to this outbreak using a new SEIR-type epidemic model with time-dependent level of immunity. Our model incorporates a time-dependent level of immunity considering vaccine doses administered and time-post-vaccination dependent vaccine efficacy. We find that vaccine …

Fakestack: Hierarchical Tri-Bert-Cnn-Lstm Stacked Model For Effective Fake News Detection, Ashfia Jannat Keya, Hasibul Hossain Shajeeb, Md Saifur Rahman, M F Mridha

Faculty, Staff and Student Publications

False news articles pose a serious challenge in today's information landscape, impacting public opinion and decision-making. Efforts to counter this issue have led to research in deep learning and machine learning methods. However, a gap exists in effectively using contextual cues and skip connections within models, limiting the development of comprehensive detection systems that harness contextual information and vital data propagation. Thus, we propose a model of deep learning, FakeStack, in order to identify bogus news accurately. The model combines the power of pre-trained Bidirectional Encoder Representation of Transformers (BERT) embeddings with a deep Convolutional Neural Network (CNN) having skip …

Age And Sex-Specific Stroke Epidemiology In Covid-19, Youngran Kim, Maria A Parekh, Xiaojin Li, Yan Huang, Guo-Qiang Zhang, Bharti Manwani

Faculty, Staff and Student Publications

BACKGROUND: COVID-19 has emerged as an independent risk factor for stroke. We aimed to determine age and sex-specific stroke incidence and risk factors with COVID-19 in the US using a large electronic health record (EHR) that included both inpatients and outpatients.

METHODS: A retrospective cohort study was conducted using individual-level data from Optum

RESULTS: Of 387,330 COVID-19 patients, 2,752 patients (0.71%, 95% CI 0.68-0.74) developed stroke during the 180-day follow-up, AIS in 0.65% (95% CI 0.62-0.67), and ICH in 0.11% (95% CI 0.10-0.12). Of strokes among COVID-19 patients, 57% occurred within 3 days. Advanced age was associated with a substantially …