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Restoring, Protecting, And Expanding Abortion Access In The United States: Seeking Consensus Through The Delphi Method, Sarah Pickering

Dissertations and Theses

Background: The Dobbs v. Jackson Women’s Health Organization Supreme Court decision exacerbated inequitable access to abortion in the US. Agreement is needed on which strategies should be prioritized to restore, protect, and expand abortion access.

Methods: We convened a multidisciplinary, geographically diverse Delphi panel of clinical, research, policy, legal, and advocacy experts to reach consensus (i.e., agreement >67%) on recommended actions. Using feedback from three rounds of surveys, and input from a select expert advisory group (N=10), we iteratively refined the statements and recommendations.

Results: The panel (N=85) developed 25 consensus statements and 32 recommendations for action by advocates, funders, …

Application Of Methods To Population-Based Surveys To Reduce Bias In Estimates Of Sars-Cov-2 Infection Burden In The Population, Saba Qasmieh

Dissertations and Theses

BACKGROUND: Population-based surveys designed to randomly sample the population can be a critical and complementary tool to traditional surveillance approaches. Probability-based surveys enable the measurement of SARS-CoV-2 testing and outcomes that avoid issues around self-selection into testing, making them an effective approach to address ascertainment bias in passive surveillance. For surveys to be a useful and reliable surveillance tool for understanding the burden and distribution of SARS-CoV-2 infection, they need to capture prevalence estimates that are both valid and reliable to be optimally informative for public health measures. The dissertation was undertaken to address three main gaps that have implications …

A Mixed Methods Approach To Understanding The Links Between Mining, Climate Change And Selected Health Outcomes In India, Mary J. Cheruvillil

Dissertations and Theses

Despite ample evidence of the significant role that mining activities play in determining health outcomes, in India there is a dearth of comprehensive health studies that draw linkages between mining and health. The purpose of the following study is to investigate the impact of mining activities on population health in India using three different methods: ecological multivariable regression, exploratory spatial data analysis (ESDA) and content analysis of government documents using a phenomenological approach. The first aim uses the ecological multivariable regression to examine associations between mining activities and children’s malnutrition outcomes at the district level. Census data, the Demographic Health …

Factors Associated With Racial And Ethnic Disparities In Cesarean Delivery Among Women With Low-Risk Pregnancies At New York City Hospitals, 2012-2017, Ellen Brazier

Dissertations and Theses

BACKGROUND: While Cesarean delivery is a life-saving procedure when certain complications arise, it is associated with increased risks of maternal mortality and morbidity, as well as neonatal and childhood morbidities, and increased risks for women during subsequent pregnancies. Stark and persistent racial/ethnic disparities in Cesarean delivery that are not explained by clinical risks raise concerns about overuse of the procedure, as well as the contribution of potentially avoidable Cesareans to disparities in maternal mortality and morbidity. Understanding the extent to which disparities in Cesarean delivery may be attributable to differences in care during labor is critical for addressing these disparities. …

Poly(Β-Gal-Thr): A New Scalable Synthetic Mucin, Manuel A. Lema

Dissertations and Theses

A method for the preparation of glycosylated polypeptides via the nucleophilic ring-opening polymerization of a glycosylated N-carboxyanhydride (NCA) monomer is reported. The synthesis of 2,3,4,6-tetraacetyl-β-galactose-threonine N-carboxyanhydride (β-AcO-Gal-Thr-NCA) monomer in 5 steps with an 8 % overall yield is described, and the single-crystal X-ray structure is provided. The effect of a series of Ni⁰-based organometallic initiators, nucleophilic amine initiators, co-catalysts, and solvents on the polymerization were explored. The kinetics of the three most promising conditions were studied in greater detail. The conditions that provided the highest yield, low polydispersity (Ð), and …

More Than Meets The Eye: A Taxonomic Revision Of The Nearctic Species In The Eye-Gnat Genus Amiota Loew (Diptera: Drosophilidae), Lance E. Jones

Dissertations and Theses

Thorough biotic inventories are still needed even in families as seemingly well-studied as fruit flies (Diptera: Drosophilidae). Drosophilidae have had an outsize effect on the history of biology because of their pivotal role in the study of genetics, development, and evolution. Even with more than a century of intensive study, large gaps remain in our understanding of diversity in this fly family, including well-studied areas such as North America. This thesis presents a taxonomic revision of the Nearctic species of the genus Amiota Loew. Twenty-three species are identified as being new to science for publication at a later date. This …

Burdern Of Chronic Health Conditions And Healthcare Utilization Among Mobile Populations In Sub-Saharan Africa, Elizabeth M. Ortiz

Dissertations and Theses

Background: Much of public health research in sub-Saharan Africa on mobile occupations, such as truck drivers and sex workers, has focused on HIV risk. However, evidence is emerging to suggest that the HIV epidemic among these groups is coupled with a high prevalence of chronic health conditions (CHC), specifically hypertension, diabetes, and obesity. For people living with HIV, increased risk of CHC may also be linked to HIV-related chronic inflammatory cascade. In Africa, there has been little research on CHC risk factors or patterns of healthcare utilization among mobile populations. Therefore, the objectives of this study are to examine the …

Do Saproxylic Curculionids Affect The Fitness Of Co-Occurring Cerambycids?, Sheila R. Heath

Dissertations and Theses

Saproxylic insects sometimes coexist in incredibly high numbers under bark and share common resources. Thus, interactions between species are possible and could even explain their coexistence. This study investigates evidence of negative or positive effects of curculionid beetles (Coleoptera: Curculionidae) on cerambycid beetles (Coleoptera: Cerambycidae) that coexisted in dead tree branches in Costa Rica. Co-occurrence analysis and generalized regressions were used to test associations between cerambycid and curculionid species. Three cerambycid species that each co-occurred with a curculionid species were selected to measure fitness. Fitness measures of the cerambycid were compared with abundance of the co-occurring curculionid to assess the …

Incorporating Place And Space: A Hierarchical Spatial Approach To Exploring Preventable Congestive Heart Failure Hospitalizations In New York City, Rachael Weiss Riley

Dissertations and Theses

Background: Faced with rising medical care costs, increasing prevalence, and widening health disparities, preventing congestive heart failure (CHF) hospitalizations is a central public health concern. Despite evidence of geographical clustering in preventable CHF admissions, there is a lack of research designed to examine spatial patterning of CHF and the local area neighborhood determinants that contribute to this variability. This study sought to assess and evaluate the importance of both space and place in analyzing preventable CHF hospitalizations and readmissions by applying appropriate statistical techniques, clarifying the assumption inherent in each method, and interpreting the findings within the context of existing …

Are Weevils Picky Eaters? Community Structure And Host Specificity Of Neotropical Saproxylic Beetles (Coleoptera: Curculionidae), Jhunior A. Morillo

Dissertations and Theses

Abstract Primary saproxylic beetles play a major role in forest nutrient cycling and making deadwood accessible to other decomposers. Understanding beetle host preferences and patterns of community assembly is critical for their conservation, and for predicting which species might become invasive. This project aims to investigate the ecological and host specificity, as well as the community composition of curculionids in a mosaic of old-growth (OG) and secondary forest on the Osa Peninsula, Costa Rica. The subfamily Scolytinae was expected to be the most species-rich and abundant. Ambrosia beetles were expected to have more generalist species than other curculionids. Old growth …

Modern Foraminiferal Assemblages Of The Denmark Strait, Laura Larocca

Dissertations and Theses

Foraminifera occupy a geological range from the early Cambrian to the present day. Their well preserved shells, high relative abundance, and short response time to changing environmental conditions make foraminifera ideal proxies for environmental change. Benthic foraminifera are a valuable but poorly understood paleobiological proxy for the reconstruction of environmental conditions on continental shelves occupied by arctic and subarctic waters. This study identifies, examines, and quantifies calcareous benthic foraminiferal faunas from a sediment core taken from the Denmark Strait. Our analysis of three-thousand individuals from ten discrete samples aim to provide a better understanding of the modern patterns of foraminiferal …

The Effect Of The Study Region On Gis Models Of Species Geographic Distributions And Estimates Of Niche Evolution; Preliminary Tests With Montane Rodents (Genus Nephelomys) In Venezuela, Ali Raza

Dissertations and Theses

Various niche-based techniques exist to model a species' potential geographic distribution in a Geographic Information Systems (GIS) framework. These models compare the environmental conditions of localities of a species' occurrence versus those of the overall study region. In addition to uses in areas such as macroecology and conservation biology, this approach has been applied recently to studies of niche evolution and historical biogeography. Definition of the study region is critical for all of these applications but has not been addressed previously. Here, I examine the effect of changes in the extent of the study region on potential distribution models of …