Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 2 of 2

Full-Text Articles in Medicine and Health Sciences

The Social Dynamics Of Antibiotic Use In A Large American Medical Complex, Katharina Rynkiewich May 2020

The Social Dynamics Of Antibiotic Use In A Large American Medical Complex, Katharina Rynkiewich

Arts & Sciences Electronic Theses and Dissertations

Based on 18 months of anthropological fieldwork, 35 in-depth interviews, and over 360 hours of participant observation with two specialty physician groups, my dissertation is an analysis of the social dynamics involved in antibiotic decision making, prescription, and use at a large North American medical complex in a Midwestern city. Due to the global problem of antimicrobial resistance, hospitals have been particularly interested in reducing antibiotic overuse and misuse. Though the use of antibiotics has long had an impact at the population level, physicians often advocate for additional antibiotic coverage in the individual patient. I examine a policy aimed at …


"Urban" Dengue? An Examination Of Perceived Dengue Risk And Notions Of The Urban In Esmeraldas Province, Ecuador, Charlotte Robbins Apr 2020

"Urban" Dengue? An Examination Of Perceived Dengue Risk And Notions Of The Urban In Esmeraldas Province, Ecuador, Charlotte Robbins

Senior Theses and Projects

Is dengue fever an urban disease as public health literature suggests? And what does this literature mean by urban? To answer these questions, I compare perceptions of the urban and dengue risk from residents who I interviewed across different sites in Esmeraldas Province, Ecuador. I ground my analysis in four urban frameworks: the bounded city theory, postcolonial theory, assemblage urbanism, and urban political ecology. I find that residents in Esmeraldas Province think about urban spaces very differently from how the Ecuadorian government defines what is urban. In particular, residents discuss government investment in infrastructure and services as an important dimension …