Social and Behavioral Sciences Commons^™

How Should Technology-Dependent Patients' Care Be Managed Collaboratively To Avoid Turfing?, Emma Cooke, Holland Kaplan

Center for Medical Ethics and Health Policy Staff Publications

Technology-dependent patients require interventions (eg, tracheostomies, gastrostomy tubes, or total parenteral nutrition) to survive. Such patients are commonly "turfed" between general services or from subspecialty to general services within the hospital. This case commentary proposes several explanations for why technology-dependent patients are particularly susceptible to turfing, including clinicians' lack of familiarity with managing patients' technology, bias and ableism, and quality-of-life quandaries. It also addresses ways to combat turfing of technology-dependent patients and proposes educational strategies for managing common problems in the care of technology-dependent patients.

Acute And Chronic Kidney Injury During Therapy For Pediatric Acute Leukemia: A Report From The Leukemia Electronic Abstraction Of Records Network (Learn), Wendy Hsiao, Yimei Li, Kelly Getz, Lusha Cao, Edward Krause, Mark Ramos, Judy Lee, Maria Monica Gramatges, Karen R Rabin, Michael E Scheurer, Richard Aplenc, Michelle Denburg, Tamara P Miller

Center for Medical Ethics and Health Policy Staff Publications

Children with acute leukemia are at increased risk of kidney injury. Using electronic health record data from three centers between 2010 and 2018, this study retrospectively described acute kidney injury (AKI) and chronic kidney disease (CKD) prevalence in children with acute lymphoblastic or myeloid leukemia (ALL, AML) using Common Terminology Criteria for Adverse Events (CTCAE) and Kidney Disease Improving Global Outcomes (KDIGO) definitions. AKI during therapy was 25% (ALL) and 32% (AML) using CTCAE, versus 84% (ALL) and 74% (AML) using KDIGO. CKD prevalence was low and Grade 1/Stage 2. Further investigation is needed to optimally define kidney injury in …

Idiographic Coping Outcomes In Youth With Autism Spectrum Disorder And Co-Occurring Anxiety: Results From The Taasd Study, Lesley A Norris, Jonathan C Rabner, Eric A Storch, Jeffrey J Wood, Connor Kerns, Adam B Lewin, Brent J Small, Philip C Kendall

Center for Medical Ethics and Health Policy Staff Publications

Versions of cognitive behavioral therapy (Coping Cat, CC; Behavioral Interventions for Anxiety in Children with Autism, BIACA) have shown efficacy in treating anxiety among youth with autism spectrum disorder. Measures of efficacy have been primarily nomothetic symptom severity assessments. The current study examined idiographic coping outcomes in the Treatment of Anxiety in Autism Spectrum Disorder study (N = 167). Longitudinal changes in coping with situations individualized to youth fears (Coping Questionnaire) were examined across CC, BIACA and treatment as usual (TAU) in a series of multilevel models. CC and BIACA produced significantly greater improvements than TAU in caregiver-reported coping. Youth …

"You Kind Of Have To Act Like A Robot": Latina College Students, Emotional Labor, And The Demands Of Service Work, Julia Holguin

Open Access Theses & Dissertations

In this thesis project, my aim was to discern whether a discernible pattern exists in the way Latina college students at UTEP navigate the challenges of work, education, and family responsibilities. Given the evolving nature of the contemporary economy, the selling of emotions in the workplace has become increasingly prevalent. Latinas, often overrepresented in low-wage occupations, find themselves tasked with balancing work demands alongside familial responsibilities and academic pursuits. Existing research has predominantly leaned on Arlie Russell Hochschild's theory of emotional labor, notably showcased in her study on flight attendants, to illustrate the gendered nature of this phenomenon. This qualitative …

Staff Matters: Holiday Celebrations That Engage And Appreciate Employees, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

This Staff Matters column addresses a dentist's concerns about organizing inclusive end-of-year holiday celebrations for the staff. The response emphasizes the importance of recognizing diverse religious practices and fostering camaraderie. Suggestions include a themed recipe exchange, outdoor activities, community service, or involving staff in event planning. Emphasizing the need for initial guidance to align with goals, the column encourages inclusive celebrations that contribute to staff satisfaction, retention, and a positive workplace atmosphere.

Be A Leader In Your Practice: What’S Your Style?, William Chase Dds, Maom

The Journal of the Michigan Dental Association

In this Leadership Development feature, the author draws from a wealth of leadership experience in Rotary to explore the importance of leadership in dentistry. Emphasizing the need for self-evaluation through emotional intelligence, the article delves into five key aspects: self-awareness, self-regulation, motivation, empathy, and social skills. The author introduces three leadership styles — Transformational Leadership, Situational Leadership, and Servant Leadership — highlighting their characteristics and benefits. Encouraging readers to adopt diverse leadership styles, the piece underlines the significance of effective leadership in dental practice, community engagement, and organized dentistry.

The Role Of Media In Shaping Chinese Narratives On National Rights Images, Gloria Andrea Baca

Open Access Theses & Dissertations

The research project below that provides a qualitative analysis of the Chinese Mediaâ??s role in shaping national rights images. The research conducts an analysis on human rights abuse allegations against China that directly target the Uyghur population residing in the Xinjiang Providence. This paper conducts an analysis of seven white papers, which are government issued responses presented by the CCP, to interpret which types of the four narrative buildings strategies listed are utilized when responding to the accusations. The basis of this paper establishes that when the Chinese government address allegations of abuse towards the Uyghur population, they will respond …

The Impact Of Language Proficiency, Attention, And Working Memory On Situational Model Updating, Omar Carrasco

Open Access Theses & Dissertations

When individuals read a narrative text, they construct a mental representation known as a situational model to comprehend the unfolding story. These models require updates at meaningful changes in the story to reflect current information accurately. Existing research highlights the attentional and working memory demands of these updating mechanisms. Surprisingly, there is a lack of exploration into the role of language proficiency in these processes. In this study, bilingual English and Spanish speakers read narratives depicting everyday activities in their dominant and non-dominant languages and intermittently performed a recognition task related to character or spatial information. The use of bilingual …

An Examination Of Lgbtqia+ College Students And Their Past Experiences With Homelessness, Michaela Dakota Castor

Open Access Theses & Dissertations

In the United States, there are more than 20 million people who identify as LGBTQIA+ which equates to roughly 8% of the population (Powell 2021). Although LGBT youth only make up 5% to 10% of the youth population, 28% will experience housing insecurity (The Trevor Project 2022). For many members of the LGBTQIA+ community, â??coming outâ?? is a sentimental and often scary experience. LGBTQIA+ youth, in particular, are afraid of being rejected and kicked out of their homes because of their sexuality and gender expression. 1 in 4 LGBTQIA+ individuals will be homeless and 68% will face some sort of …

Implementation Of State Of New Mexico's Manual Of Procedures Psab Supplement 12 Capital Assets By A Southern New Mexico School District In Disposal Of E-Waste In The Post Covid 19 Environment, Hector Serrato Giron

Open Access Theses & Dissertations

The COVID-19 pandemic has caused diverse social, economic, and political challenges. The particular challenge that was the focus of this study is the upsurge in electronic use and consequent upsurge in electronic waste. This was caused by the implementation of online instructional delivery processes during Covid-19 (Ermakova, 2021), the switch to home offices (Adejumo & Oluduro, 2021) and the fact that school districts have directed massive financial investments to instructional technology (Baldé & Kuehr, 2021). This trend of heightened e-waste generation is likely to continue (Jiang et al., 2021).

I used a qualitative approach to address the two research questions. …

Potential Interventions For Policy Support Targeting Justice Involved People With Mental Illness, Betel Alexis Hernandez

Open Access Theses & Dissertations

Many people hold the misconception that people with mental illness are dangerous. Consequently, people with mental illness are often feared. This stigma is reinforced by the overrepresentation of people with mental illness in the criminal legal system. However, many people with mental illness struggle with the legal system due to ineffective policies making it difficult to adequately identify and treat this population within the legal system. The current studies aimed to understand public support of correctional policy aimed at people with mental illness, examine attitudinal factors that may be associated with this support, and test potential interventions for decreasing stigma …

Analysis Of Travel Behavior At International Border Crossings: Application Of Travel Surveys, Jennifer Areli Moreno Escamilla

Open Access Theses & Dissertations

Transportation planning provides an insight into the demand and traffic distribution of existingconditions of a region and helps identify future transportation needs. The results generated from forecasting models influence many decisions on the selection of transportation projects and funding allocations. Thus, forecasting models require up-to-date trip information to represent trip patterns and generate representative traffic demand analysis in a such complex areas as binational regions. The purpose of this study is to provide an analysis on travel survey methodology applied to collect trip information at international border crossings. Based on the results of the survey, an analysis on trip pattern …

A Psychometric Validation Of An Adapted Withdrawal Intolerance Scale For Alcohol Withdrawal Syndrome, Sarah Nicole Najera

Open Access Theses & Dissertations

While potentially life threatening, alcohol withdrawal is often under treated and inadequately integrated into the continuum of care for AUD. The current study served as part of a clinically impactful line of research by identifying key physical and psychological aspects of withdrawal. Using a measure previously developed for smoking cessation, a withdrawal intolerance measure was adapted (IDQ-A) and psychometrically validated. We aimed to establish construct validity of a three factor model of the IDQ-A, convergent and discriminant validity, as well as predictive validity. Those highly motivated to quit drinking and high in alcohol dependence were recruited via specialized social media …

A Phenomenological Study Of Disciplinary Alternative Education Program "Enforcers" On The U.S-Mexico Border: Administrators, Teachers, Coaches, Substitutes, And Campus Patrols, Jair Alejandro Munoz

Open Access Theses & Dissertations

Stemmed from zero-tolerance policies, Disciplinary Alternative Education Programs/Classrooms (DAEPs) in Texas are disciplinary spaces designed to house students deemed at risk, while schools continue to serve students’ educational needs of (Aron 2006, Tajalli & Garba, 2014). Once there, students are stereotyped with analogous carceral-framed personas that taint who they are, how they are perceived, and/or how they are treated in alternative classrooms (Dunning-Lozano, 2015; 2018). As a result, the programs/classrooms are fundamental bastions of the school-to-prison-nexus involving a culmination of practices, and policies, along with institutional enforcements that push youths from school to the legal system (Fernandez, Kirshner & Lewis, …

Bitcoin's Technical Foundation And Its Potential For A Decentralized And Environmentally Friendly Future, Iqtiar Md Siddique

Open Access Theses & Dissertations

This research examines a systematic analysis of Bitcoin, employing a Coefficient of Variation (CV) approach to gauge its degree of decentralization. Bitcoin, an innovative decentralized digital currency, has received much attention for its potential to revolutionize traditional financial systems. This study employs the Coefficient of Variation (CV) to acquire insights into the wealth distribution and concentration among Bitcoin users. This research demonstrates how decentralized the network of Bitcoin is. The methodology uses real data on Bitcoin addresses and their holdings to compute the Coefficient of Variation (CV). This approach provides valuable insights into the ongoing discourse surrounding Bitcoin's decentralization, offering …

Under Pressure: A Daily Diary Study Of Online Social Influence And Youth Substance Use, Anna Dmitriyevna Ziencina

Open Access Theses & Dissertations

Alcohol and marijuana are widely used by youths across the U.S. [Substance Abuse and Mental Health Services Administration (SAMHSA), 2023], and youthsâ?? use of such substances comes with a myriad of consequences (e.g., increased risk for long-term substance abuse; Griffin et al., 2019). Social influence is one process through which youths may develop positive attitudes towards substance use (Steinberg & Monahan, 2007), but there is a dearth of research on how such influence operates within the online environment. The present study sought to examine associations between daily social media use and youthsâ?? daily attitudes towards alcohol and marijuana useâ??as well …

Exploring Aging Using The Selection, Optimization, And Compensation (Soc) Framework In Conjunction With Kinematic Gait And Verbal Fluency Task Analysis In Healthy Adults, Emily Ann Chavez

Open Access Theses & Dissertations

This multi-study dissertation examined dual-task performance in young and middle-aged adults using verbal fluency tasks (VFT) during different walking scenarios (baseline, performing a VFT, walking narrowly, and performing a VFT while walking narrowly) as well as the Selection, Optimization, and Compensation (SOC) model. Thirty adults (15 young adults (YA; 19-44 years) and 15 middle-aged adults (MA; 45-65 years) participated in this study. Overall, there were no significant differences between groups when data was examined in short (means of means approach) and long-form (incorporating all data), when analyzing clustering and switching strategies, gait speed variability, or dual-task costs. Overall, these three …

Responding Well To Spiritual Worldviews: A Taxonomy For Clinical Ethicists, Trevor M Bibler

Center for Medical Ethics and Health Policy Staff Publications

Every clinical ethics consultant, no matter their own spirituality, will meet patients, families, and healthcare professionals whose spiritualities anchor their moral worldviews. How might ethicists respond to those who rely on spirituality when making medical decisions? And further, should ethicists incorporate their own spiritual commitments into their clinical analyses and recommendations? These questions prompt reflection on foundational issues in the philosophy of medicine, political and moral theory, and methods of proper clinical ethics consultation. Rather than attempting to offer definitive answers to these questions, this essay prompts readers to consider their own answers to these questions. Specifically, it offers a …

Will You Go The Distance? A Satisfaction Survey Of Telemedicine In Sexual Medicine, Gal Saffati, Taher Naeem, Jordan Kassab, Daniela Orozco Rendon, Charles Green, Larry I Liphsultz, Mohit Khera

Faculty, Staff and Student Publications

BACKGROUND: The success of telemedicine depends on patient satisfaction with the care that they receive, which is impacted by the ease of use of the technology, quality of the connection, and perceived effectiveness of care.

AIM: The study sought to evaluate patient satisfaction with telemedicine services in a high-volume andrology clinic.

METHODS: We included all patients who had a telemedicine appointment between January 1, 2020, and August 22, 2022. Demographic information was gathered, and a satisfaction survey was conducted using REDCap software. Data were grouped into 2 age categories, with ≥50 years as the cutoff (19-50 years; >50 years). The …

Responsibility Gaps And Black Box Healthcare Ai: Shared Responsibilization As A Solution, Benjamin H Lang, Sven Nyholm, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

As sophisticated artificial intelligence software becomes more ubiquitously and more intimately integrated within domains of traditionally human endeavor, many are raising questions over how responsibility (be it moral, legal, or causal) can be understood for an AI’s actions or influence on an outcome. So called “responsibility gaps” occur whenever there exists an apparent chasm in the ordinary attribution of moral blame or responsibility when an AI automates physical or cognitive labor otherwise performed by human beings and commits an error. Healthcare administration is an industry ripe for responsibility gaps produced by these kinds of AI. The moral stakes of healthcare …

Depressive Symptoms In Autistic Youth With Anxiety Disorders, Rebecca L Greenberg, Andrew G Guzick, Sophie C Schneider, Saira A Weinzimmer, Minjee Kook, Amanda B Perozo Garcia, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Objective: Anxiety and depression often coexist in youth and share overlapping symptomatology; however, little is known about the comorbidity of anxiety and depression in autistic youth. This study explores (1) the frequency of depressive symptoms among autistic children with clinically significant anxiety, (2) clinical variables that may be associated with elevated depressive symptoms, and (3) whether pretreatment depressive symptoms predict cognitive behavioral therapy (CBT) outcomes for anxiety.

Method: Children aged 7 to 13 years (N = 87) and their parents participated in a randomized controlled trial comparing 2 versions of a parent-led, telehealth-delivered CBT program. Parents and children completed a …

Gaze And Avoidant Patterns Of Visual Attention To Aversive Stimuli During Fear Habituation Trial: A Pilot Eye Tracking Study, Minoru Takahashi, Manabu Kikuchi, Jun-Ichi Yamamoto, Michiyo Hirai

Psychological Science Faculty Publications

Previous studies have revealed that attentional bias toward aversive stimuli may play a causal role in the development and maintenance of anxiety disorders. This pilot study designed an experiment, using eye tracking, to capture gaze patterns individuals may display during a fear habituation trial. Three trials were conducted with twenty-eight subjects who reported aversion to insects. Pictures of cockroaches were used as aversive stimuli. The time proportion of the total visit duration and average visit duration toward aversive stimuli were analyzed using a mixed ANOVA, with three habituation trials and four self-report on fear level scores as within-participants factors. …

The Effects Of Covid-19 School Disruptions On Social, Emotional, And Behavioral Skills, Reggie N. Rios

Electronic Theses and Dissertations

School disruptions, closure of school buildings and online learning, in response to the coronavirus disease in 2019 (Covid-19) pandemic impacted students in unique ways (Azmat & Ahmad, 2022; Hosszu et al., 2022; Hussong et al., 2021; Patrick et al., 2020; Spitzer, 2020) and possibly had long-term effects on the social, emotional, and behavioral skills students normally establish and practice within the school setting (Steedly et al., 2008; Taylor & Larson, 1999; Zins et al., 2007). The lack of research related to the effects of school closures during the Covid-19 pandemic on social, emotional, and behavioral skills was addressed in this …

A Mixed-Methods Exploration Of Emergency Service Use In Autistic Youth And Young Adults, Rebecca S. Bradley

Graduate Theses and Dissertations

Autistic youth are at an increased risk for needing emergency services as compared to neurotypical peers. In fact, approximately 20% of autistic youth will interact with police by the age of 21, and rates of emergency department visits are 30 – 70% higher among autistic individuals than neurotypical peers. While research has begun to explore the nature of emergency service use in this group, researchers have not yet assessed important individual-, family-, and community-level factors that may be associated with these encounters. This study aimed to address this gap in the field by 1) characterizing families of autistic children who …

Habitat Associations Of Plains Spotted Skunk (Spilogale Interrupta) Across The Plains Ecoregion. And The Landcover Occupancy Models Of The Gray Fox (Urocyon Cinereoargenteus) In The Southeastern Plains Region In Arkansas, Michael Shaw

Graduate Theses and Dissertations

Much of the landscape of the United States has been altered by humans, leading to the eradication of most populations of large mammalian predators. Consequently, many species of mammalian mesopredators (medium-sized mammalian predators) have come to dominate the landscape. Species such as the gray fox (Urocyon cinereoargenteus) may appear to be on the rise and doing well due to their widespread range, but at a local scale may need monitoring and less is known in areas of its range. Others such as the plains spotted skunk have a wide range across the plains but are on the decline even with …

Modeling The Peak Ground Acceleration And Assessing The Economic Loss And Casualty Due To Potential Earthquakes Of Various Magnitudes In The New Madrid Seismic Zone, Mahmud Afroz

Graduate Theses and Dissertations

The New Madrid Seismic Zone (NMSZ) is one of the active tectonic zones capable of producing big earthquakes in the southcentral USA. The objective of this study was to assess the economic losses and casualties that might be caused by various magnitudes of seismic events in the NMSZ. The manifestation is the estimation for each magnitude which is using the Peak Ground Acceleration (PGA) that might occur during an earthquake. It is calculated using an attenuation function that correlates the intensity of local ground movement, the earthquake magnitude, and the distance from its epicenter. The assessment of casualties was conducted …

The Needs That Instagram Satisfies For People Seeking News & How This Displaces Time Spent With Traditional Media, Madeleine Dunn

Graduate Theses and Dissertations

This paper examines how the current climate of mainstream media is changing, and how this may affect journalistic norms and practices. There are many outlets for consumers to receive news, including traditional media, such as television news, newspapers, magazines, etc. There is also social media. The future of mainstream media outlets, like television stations, newspapers, magazines and radio stations, seems to depend on the growing use of social media sites for the use of getting news. This research will focus on Instagram as an alternative to traditional media, and why people prefer to use this outlet to get their news. …

Airbnb Valuation: A Machine Learning Approach, Katherine Wyatt

Graduate Theses and Dissertations

This thesis uses a geospatially-enhanced, machine learning approach to investigate variations in rental success on the peer-to-peer property sharing website Airbnb.com. Geographic factors, listing attributes and amenities, customer response metrics, and host attributes are included in decision tree modeling to predict the short-term probability of receiving a review. The most important variables in increasing model accuracy are assessed and variations in the importance of these variables investigated using Shapley values.

The Alumni Base Holds The Institution In Their Heart: Alumni Decision Making And Communication Strategies During University Leadership Change, Brandy Cox Jackson

Graduate Theses and Dissertations

The purpose of the research was to understand how alumni executives make decisions and formulate communication strategies during university leadership change. The research was based on the trends found by the American Council on Education that the tenure of the college president has been on the decline since 2006 and is currently 5.9 years. Multiple factors have been identified in the literature that have led to this decline. The research focused on the largest constituency of most universities, its alumni base, and provides context and a description of decision making and communication strategies for alumni executives navigating leadership change. The …

Development Of A Historic Digital Elevation Model (Hdem) From Archival Aerial Imagery Over The Black Mountain Alluvial Fan, Canada, Emma Menio

Graduate Theses and Dissertations

In a rapidly changing Arctic, reconstructing landscapes pre-warming is essential to understanding impacts due to climate-inducted geomorphic change. High-latitude elevation datasets extend temporally back to the 2000s, while region-wide warming became measurable in the 1980s. Historic aerial imagery archives provide datasets of high-resolution imagery from the mid- to late- 1900s with stereo-capability that can be harnessed to create historic digital elevation models, or hDEMs. A major issue with reconstructing a surface from the past is finding a way to constrain it in space, given a lack of ground control from that era, especially at high latitudes. The main purpose of …