EXAMINING THE RELATIONSHIP BETWEEN ADMINISTRATIVE AND FACULTY LEADERSHIP IN THE DEVELOPMENT AND SUSTAINABILITY OF E-LEARNING PROGRAMS AT HISTORICALLY BLACK COLLEGES AND UNIVERSITIES

As e-learning continues to evolve and become a mainstream offering in higher education, colleges and universities are faced with growing online enrollments and student demand for access to courses and programs delivered in an e-learning environment. In 2019, approximately one out of three students in the United States enrolled in at least one e-learning course. Higher education leaders at Historically Black Colleges and Universities (HBCUs) are driven to identify processes and models to support and sustain e-learning initiatives. planning process be inclusive of institutional stakeholders. The study substantiates the importance of faculty buy-in and participation in the planning and deployment of e-learning. Results from the study suggest implications and recommendations for leadership at HBCUs to understand, address, and support critical operational areas in order to build, enhance, scale, and sustain e-learning programs. Study findings contribute to the literature on e-learning implementation at HBCUs, specifically the role of faculty in the planning process. Finally, it is recommended that further research be conducted on the practicality of unifying e-learning operations under the direction of a leadership position responsible for championing e-learning across the institution

Not Home Alone: Leveraging Telehealth and Informatics to Create a Lean Model for COVID-19 Patient Home Care

In response to the emerging COVID-19 public health emergency in March 2020, the Medical University of South Carolina rapidly implemented an analytics-enhanced remote patient monitoring (RPM) program with state-wide reach for SARS-CoV-2-positive patients. Patient-reported data and other analytics were used to prioritize the sickest patients for contact by RPM nurses, enabling a small cadre of RPM nurses, with the support of ambulatory providers and urgent care video visits, to oversee 1234 patients, many of whom were older, from underserved populations, or at high risk of serious complications. Care was escalated based on prespecified criteria to primary care provider or emergency department visit, with 89% of moderate- to high-risk patients treated solely at home. The RPM nurses facilitated the continuity of care during escalation or de-escalation of care, provided much-needed emotional support to patients quarantining at home and helped find medical homes for patients with tenuous ties to health care

Thymus transplantation for complete DiGeorge syndrome: European experience

Background: Thymus transplantation is a promising strategy for the treatment of athymic complete DiGeorge syndrome (cDGS). Methods: Twelve patients with cDGS were transplanted with allogeneic cultured thymus. Objective: To confirm and extend the results previously obtained in a single centre. Results: Two patients died of pre-existing viral infections without developing thymopoeisis and one late death occurred from autoimmune thrombocytopaenia. One infant suffered septic shock shortly after transplant resulting in graft loss and the need for a second transplant. Evidence of thymopoeisis developed from 5-6 months after transplantation in ten patients. The median (range) of circulating naïve CD4 counts (x10663 /L) were 44(11-440) and 200(5-310) at twelve and twenty-four months post-transplant and T-cell receptor excision circles were 2238 (320-8807) and 4184 (1582 -24596) per106 65 T-cells. Counts did not usually reach normal levels for age but patients were able to clear pre-existing and later acquired infections. At a median of 49 months (22-80), eight have ceased prophylactic antimicrobials and five immunoglobulin replacement. Histological confirmation of thymopoeisis was seen in seven of eleven patients undergoing biopsy of transplanted tissue including five showing full maturation through to the terminal stage of Hassall body formation. Autoimmune regulator (AIRE) expression was also demonstrated. Autoimmune complications were seen in 7/12 patients. In two, early transient autoimmune haemolysis settled after treatment and did not recur. The other five suffered ongoing autoimmune problems including: thyroiditis (3); haemolysis (1), thrombocytopaenia (4) and neutropenia (1). Conclusions: This study confirms the previous reports that thymus transplantation can reconstitute T cells in cDGS but with frequent autoimmune complications in survivors

EXAMINING THE RELATIONSHIP BETWEEN ADMINISTRATIVE AND FACULTY LEADERSHIP IN THE DEVELOPMENT AND SUSTAINABILITY OF E-LEARNING PROGRAMS AT HISTORICALLY BLACK COLLEGES AND UNIVERSITIES

As e-learning continues to evolve and become a mainstream offering in higher education, colleges and universities are faced with growing online enrollments and student demand for access to courses and programs delivered in an e-learning environment. In 2019, approximately one out of three students in the United States enrolled in at least one e-learning course. Higher education leaders at Historically Black Colleges and Universities (HBCUs) are driven to identify processes and models to support and sustain e-learning initiatives. planning process be inclusive of institutional stakeholders. The study substantiates the importance of faculty buy-in and participation in the planning and deployment of e-learning. Results from the study suggest implications and recommendations for leadership at HBCUs to understand, address, and support critical operational areas in order to build, enhance, scale, and sustain e-learning programs. Study findings contribute to the literature on e-learning implementation at HBCUs, specifically the role of faculty in the planning process. Finally, it is recommended that further research be conducted on the practicality of unifying e-learning operations under the direction of a leadership position responsible for championing e-learning across the institution

Initial analysis of archived non-human primate frontal and rear impact data from the biodynamics data resource

<p><b>Objective</b>: The research objective was to conduct an initial analysis of non-human primate (NHP) data from frontal and rear impact events archived in the Biodynamics Data Resource (BDR) records of the Naval Biodynamics Laboratory (NBDL). These rare data, collected between 1973 and 1989, will inform the safety community of upper-end tolerance limits of NHP and may be related to severe crash scenarios.</p> <p><b>Methods</b>: Data from frontal and rear acceleration tests to 93 macaque NHP were examined. Each NHP was fully torso restrained, whereas the head–neck complex was unrestrained. Each NHP underwent between 1 and 21 total runs; 2 total runs was most common—a low-level run and then a high-level run. Following each impact exposure, the NHP was evaluated using a series of medical examinations. Now part of the legacy collection in the BDR, these evaluations were used to assess NHP exposures to be in one of 3 categories: noninjurious, injurious, or fatal. Using reported peak sled acceleration values, data were amenable to survival analysis statistical methodology to derive injury probability curves (IPCs). IPCs were derived for injury and fatality outcomes.</p> <p><b>Results</b>: Fatal injuries for both frontal and rear impacts were mostly at the cranio-vertebral junction. In addition to hemorrhage, fatal frontal and rear impact tests both produced predominantly atlanto-occipital dislocations, with and without spinal cord transection. After exclusions, IPCs were derived for frontal and rear impact for both (1) fatal outcome and (2) injurious outcome (any injury including fatal injury). For frontal impact, 53 NHP qualified with 5, 25, and 50% risk for fatality at 89, 105, and 114 peak sled <i>G</i>s, respectively, and for injurious outcome at 70, 92, and 106 <i>G</i>s, respectively. For rear impact, 34 NHP qualified with 5, 25, and 50% risk for fatality at 96, 122, 138 peak sled <i>G</i>s, respectively, and for injurious outcome at 75, 99, and 115 <i>G</i>s, respectively.</p> <p><b>Conclusions</b>: The majority of injuries were at the cranio-vertebral junction, indicating that the inertial head mass caused a tensile loading mechanism to the cervical spine. These data may be used in conjunction with finite element modeling to estimate risks to the human population. The most direct application in the automotive environment could be to the well-restrained child. The <i>N_ij</i> neck injury criteria, currently based on data from piglet studies, could also benefit because the NHP is a more accurate human surrogate. These types of tests are likely to never be repeated and will form an upper bound of tolerance information valuable to safety system designers.</p