Medicine and Health Sciences Commons^™

Impact Of Language Sampling Context On Language Productivity And Complexity, Trina J. Tolentino

USF Tampa Graduate Theses and Dissertations

Language sampling is a familiar tool in the speech-language pathologist’s (SLP’s) repertoire, used to assess a student’s language ability and inform treatment targets. The current literature has several studies comparing various dimensions of language sampling context, but with relatively small samples. The goal of this study was to identify what sampling contexts elicit the most productive and complex language, thereby contributing insight into what conditions may yield the most accurate representation of a child’s language skill, as well as the resulting intervention focus.

One-thousand thirty-seven kindergarten, first-, second-, and third-grade students (mean age [years; months] ≈ 7;5; range = 5;0-10;9), …

Going Flat: Challenging Gender, Stigma, And Cure Through Lesbian Breast Cancer Experience, Beth Gaines

USF Tampa Graduate Theses and Dissertations

This paper explores the decision-making process of reconstruction surgery among lesbian breast cancer patients to better understand how identity impacts healthcare decisions. Breast cancer patients experience the disease in unique ways due to gender, sexuality, race, and class, impacting their individual decisions regarding treatment plans. Many breast cancer patients face mastectomy surgery as the first plan of treatment after diagnosis. By exploring the impact of gender, sexuality, stigma, and ideas of cure, this research aims to advance research about breast cancer by recognizing why some lesbian breast cancer patients forego reconstruction surgery and instead choose to “go flat.

"Are We Done?": The Minimization Of Covid-19 And The Individualization Of Health In The United States, Cassidy R. Boe

USF Tampa Graduate Theses and Dissertations

As the death toll from Covid-19 in the United States exceeds 1 million in just over two years, more variants continue to emerge, threatening more waves of Covid-19 and ultimately, more deaths. Despite this, mask use continues to decline, and one third of Americans say that the pandemic is over. The Centers for Disease Control and Prevention (CDC) has been central in publicly disseminating biomedical knowledge using Twitter. The CDC’s Twitter account (@CDCgov) shares information related to the spread of Covid-19, including mitigation measures such as mask recommendations and vaccine information. I have conducted a narrative analysis of the replies …

A Biocultural Analysis Of The Impacts Of Interactions Between West Africans And Europeans During The Trans-Atlantic Trade At Elmina, Ghana, Heidi Ellen Miller

USF Tampa Graduate Theses and Dissertations

This project utilizes a biocultural approach to assess the demographics and health of the West African population from Elmina, Ghana. Elmina, selected by the Portuguese in 1482 as the site of the first European trade fort in sub-Saharan Africa, grew from a small coastal fishing village to a large settlement over the course of more than 400 years of trade and cultural entanglement. Taken over by the Dutch and then ceded to the British, the people of Elmina navigated significant cultural changes, changes and experiences that can be detected in their skeletal remains. Bioarchaeological research concerned with the effects of …

Resilience And Health Outcomes Of Sexual Minority Middle-Aged And Older Adults, Christi L. Nelson

USF Tampa Graduate Theses and Dissertations

While research on lesbian, gay, and bisexual (hereafter referred to as sexual minority) middle-aged and older adults has increased over the past decade, there is still a critical need for more research on the health and resilience in this growing subpopulation. Research has provided evidence that sexual minority adults have an increased risk of negative health outcomes when compared to heterosexual adults. Research has also demonstrated possible resilience in sexual minority middle-aged and older adults; however, few studies have measured resilience in middle-aged and older adults. Gaining a better understanding of resilience in sexual minority adults may help identify modifiable …

Of Body And Mind: Bioarchaeological Analysis Of Nineteenth And Early Twentieth Century Anatomization And Institutionalization In Siena, Italy, Jacqueline M. Berger

USF Tampa Graduate Theses and Dissertations

Institutional bioarchaeology is a growing sub-field within bioarchaeology, particularly social bioarchaeology as informed by the biocultural approach. However, the majority of studies in this vein have primarily addressed English-speaking contexts, to include analyses of institutional assemblages preserved archaeologically, and anatomical collections. The present study examines of the Siena Craniological Collection (SCC) - located in Siena, Italy. The collection was assembled between 1862-1931, and originally contained remains of 1,122 patients from both the general and mental hospitals in operation in Siena during this period (Brasili-Gualandi & Gualdi-Russo, 1989a). In addition to demographic analysis of the Siena Craniological Collection as a whole, …

Mental Illness Diagnosis And The Construction Of Stigma, Katie Lynn Walkup

USF Tampa Graduate Theses and Dissertations

This dissertation explores how mental health legislation and related policy documents contribute to identification, diagnosis, and stigmatization. Using a mixed methods approach including content and stylometric text analysis with R as a heuristic for close and critical reading, I demonstrate how these documents normalize mental health concerns as a public threat. To do this work, I analyze how the Florida Mental Health Act (Chapter 394) and the Florida Marjory Stoneman Douglas High School Public Safety Act (SB 7026) circulate and sustain dominant narratives about mental illness. I trace where these narratives are distributed into Florida school districts’ mandatory mental health …

Functional Gait Asymmetries Achieved Through Modeling And Understanding The Interaction Of Multiple Gait Modulations, Fatemeh Rasouli

USF Tampa Graduate Theses and Dissertations

Walking is an important determinant of human functionality. Gait disabilities affect millions of people worldwide every year. Investigating the science of walking advances recovery techniques and assistive devices for gait rehabilitation. A functional gait promotes productivity, independence, and quality of life. Human gait, like any other moving mechanism, is a dynamic system. Understanding and analyzing the dynamic aspects of gait improves the recovery methods to fundamentally affect and interact with lower limbs.

This dissertation aims to fill the gaps in mechanical simulations of gait and dynamic analysis of rehabilitation techniques. The solutions consider kinematic, kinetic, and spatiotemporal parameters of gait …

Aligning Voice And Communication With Identity – A Survey On Transgender And Gender Diverse Populations, Rachel T. Chalom

USF Tampa Graduate Theses and Dissertations

Purpose: This research has two goals. The first goal is to examine transgender (TG) and gender diverse (GD) voice and communication functioning and the impact of voice on their everyday lives. The second goal is to examine the knowledge, attitudes, and beliefs speech-language pathologists (SLP) have about the TG and GD community and to investigate the relationship between self- and listener-perception and its correspondence to quality of life (QoL).

Methods: A total of 59 participants took part in this research. The research was separated into two parts, the first included 24 TG and GD individuals who participated in a Qualtrics …

Social Exclusion Of Older Mossi Women Accused Of Witchcraft In Burkina Faso, West Africa, Clarisse Barbier

USF Tampa Graduate Theses and Dissertations

Among the most marginalized populations in the world, one group of women has been persistently ignored, silenced, and forgotten. In Burkina Faso, West Africa, older women in rural villages are often the target of witchcraft accusations; the consequences of these accusations are alarming because these women undergo violent attacks, face exclusion from their villages, and become the most vulnerable and marginalized segment of the Burkinabe population. Between August 2017 and November 2018, I conducted an ethnographic study of Burkinabe women accused of witchcraft living in two shelters in the capital city of Ouagadougou and examined women’s experiences of accusation, trauma, …

Perceived Discrimination And Cardiovascular Outcomes In Blacks: A Secondary Data Analysis Of The Heart Score Study, Marilyn Aluoch

USF Tampa Graduate Theses and Dissertations

Despite the consistent reduction in morbidity and mortality associated with cardiovascular disease (CVD) over the last four decades, CVD remains the leading cause of death globally. In the United States, Blacks are disproportionately affected by CVD compared to Whites. Blacks are also more likely to report incidence of perceived discrimination. Perceived discrimination has been linked to cardiovascular risk factors such as smoking, hypertension (HTN), hyperlipidemia, and obesity. However, the relationship between perceived discrimination and cardiovascular outcomes such as stroke, myocardial infarction, acute ischemic syndrome, coronary revascularization, and cardiac death remains unclear. The primary goal of this study was to examine …

Autonomy, Suffering, And The Practice Of Medicine: A Relational Approach, Michael A. Stanfield

USF Tampa Graduate Theses and Dissertations

In this project, I argue that the conventional view of personal autonomy that is operational in contemporary American culture, bioethics and medical practice places undue emphasis on individualism and a limited range of personal qualities and attributes (such as self-sufficiency). Instead, I argue in favor of a relational approach to autonomy which recognizes that each person that exists has certain minimal connections or relations to others, and these connections/relations are identity-forming. Unfortunately, current medical practices have tended to overemphasize individuality and choice (consistent with the conventional view) while minimizing or excluding these relational aspects. As a result, informed consent and …

‘If He Hits Me, Is That Love? I Don’T Think So’: An Ethnographic Investigation Of The Multi-Level Influences Shaping Indigenous Women’S Decision-Making Around Intimate Partner Violence In The Rural Peruvian Andes, Isabella Li Chan

USF Tampa Graduate Theses and Dissertations

This dissertation examines how the intersections of gender, ethnicity, place, and class shape indigenous women’s risks for and experiences of intimate partner violence and related decision-making in Carhuaz province, an underserved, resource-poor setting in the Peruvian Andes. This dissertation applied a mixed-methods, community-based approach to 11 months of ethnographic fieldwork in Peru, which included 82 face-to-face surveys using the World Health Organization’s Multi-Country Study Instrument, 38 semi-structured interviews with survivors, community members, and IPV-related service providers, and 6 participatory action research workshops (n=64).

Through this dissertation, the voices of indigenous women struggling with intimate partner violence illuminate the lived realities …

The Role Of Migration-Related Stress In Depression Among Haitian Immigrants In Florida: A Mixed Method Sequential Explanatory Approach, Dany Amanda C. Fanfan

USF Tampa Graduate Theses and Dissertations

Recognizing, appropriately treating depression, and meeting the mental health needs of the growing number of Haitian immigrants in the United States (US), continue to pose a challenge because of differences in culture, beliefs, idiom of distress, expression of depression as well as specific stressors associated with the migration process. Previous studies, while limited, document high levels of depression among Haitian migrants, and postulated that migration-related stress (MRS) may play a significant role. Aspects of the migration process, more specifically stressors endured during settlement in the US may negatively precipitate the development of depression.

This study used a mixed method sequential …

The Politics Of Medicine At The Late Medici Court: The Recipe Collection Of Anna Maria Luisa De’ Medici (1667 – 1743), Ashley Lynn Buchanan

USF Tampa Graduate Theses and Dissertations

This dissertation analyzes the social, cultural, and political significance of recipes at the late Medici court. In doing so, it examines how the late Medici court used medicinal and pharmaceutical patronage to maneuver politically and socially as well as increase the court’s cultural cache throughout Europe. By the beginning of the eighteenth century, it was clear that the Medici line would end and that the Grand Duchy of Tuscany would become a satellite state of a larger European power. Yet while the late Medici court found themselves increasingly sidelined in the cultural and political landscape of Europe, science and medicine …

Chemotherapy-Induced Alopecia And Quality-Of-Life: Ovarian And Uterine Cancer Patients And The Aesthetics Of Disease, Meredith L. Clements

USF Tampa Graduate Theses and Dissertations

This study is an examination of ovarian and uterine cancer patients’ perceptions of chemotherapy-induced alopecia and how it impacts quality-of-life over the course of chemotherapy. The chapters in this dissertation address the following research questions: How do ovarian and uterine cancer patients communicate about their experiences of alopecia over the course of chemotherapy? How does chemotherapy-induced alopecia influence patients’ understandings of quality-of-life? Longitudinal interviews were conducted with a patient population of twenty-three, and each patient was interviewed at least twice over the course of chemotherapy. The data set was composed of fifty-five interviews, and a thematic analysis was performed across …

Designing The Haptic Interface For Morse Code, Michael Walker

USF Tampa Graduate Theses and Dissertations

Two siblings have a muscular degenerative condition that has rendered them mostly blind, deaf and paraplegic. Currently, the siblings receive communication by close range sign language several feet in front of their vision. Due to the degenerative nature of their condition, it is believed that the siblings will eventually become completely blind and unable to communicate in this fashion. There are no augmented communication devices on the market that allow communication reception for individuals who cannot see, hear or possess hand dexterity (such as braille reading). To help the siblings communicate, the proposed communication device will transmit Morse code information …

Contextual Factors And The Syndemic Of Alcohol Use And Risky Sexual Behaviors Among Men Who Have Sex With Men, Humberto López Castillo

USF Tampa Graduate Theses and Dissertations

Since the early 1990s with the AIDS pandemic, there has been an increasing interest on the importance of risky sexual behaviors, especially among men who have sex with men (MSM). An important antecedent for these behaviors is alcohol use. Studies consistently show an increased frequency of both alcohol use and risky sexual behaviors in MSM populations. However, to date, there has not been a precise estimate of the effect size in these diverse populations and a consistent way to measure it. More so, the importance of context is often cited as a source of variability, but is rarely measured in …

“A Wound That Never Heals”: Health-Seeking Behaviors And Attitudes Towards Breast Cancer And Cancer In General Among Women In Nakirebe, Uganda, Ann Louise Tezak

USF Tampa Graduate Theses and Dissertations

The scale and severity of cancer, specifically breast cancer, remains significantly different across the spectrum of low-income to high-income countries. This study explores women’s beliefs about breast cancer and associated prevention and health-seeking behaviors in a rural area of Uganda. Through a critical medical anthropological perspective, the study examines the social, cultural, and economic factors that shape women’s understanding of cancer, and breast cancer specifically, and that influence their use of biomedical services. Data were collected over a three-month period through 35 in-depth interviews and two focus groups with 10 women older than 18 years in the rural setting of …

Factors Associated With Treatment Seeking In Automotive Manufacturing, Khin Thingyan Chit

USF Tampa Graduate Theses and Dissertations

Introduction

The prevalence of work-related musculoskeletal disorders is very common. The main objective of the study was to identify any association between the severity of musculoskeletal symptoms and treatment choice by workers in automobile manufacturing plants.

Methods

A cross-sectional study of 1017 production workers in six automobile manufacturing plants was performed. The study included the structured interviews to determine symptoms, preexisting personal risk factors, treatment choices (health care provider or no treatment sought), job strain, and job satisfaction. Nordic style questionnaire for symptoms, Karasek’s Demand Control Model and three job satisfaction questions were used to assign symptom severity, job strain, …

Her-Storicizing Baldness: Situating Women's Experiences With Baldness From Skin And Hair Disorders, Kasie Holmes

USF Tampa Graduate Theses and Dissertations

A general goal to my study was to promote an inclusive approach to baldness by sharing and centering women's experiences with baldness from skin and hair conditions, such as autoimmune alopecia areata conditions and monilethrix. Specifically, a main goal of my study was to her-storicize the lived experiences of women who are bald from skin and hair conditions by examining medical and cultural discourses surrounding these conditions, femininity, and female baldness. Additionally, my study considers strategies of accommodation and resistance that bald women perform in a given context, space, or time. For instance, I consider the ways participants manage their …

Illness Perceptions Of Polycystic Ovary Syndrome, Elizabeth Baker

USF Tampa Graduate Theses and Dissertations

Polycystic ovary syndrome (PCOS) is a chronic illness that affects approximately five million premenopausal women in the United States and is associated with significant cosmetic, reproductive, metabolic, and psychological consequences. Despite its prevalence, few studies have explored the lived experiences and illness perceptions of women living with PCOS. Identifying illness perceptions of women living with (WLW) PCOS is important, because mounting research suggests that a person's perceptions of their chronic illness and its management determine that person's coping behaviors (e.g., adherence, self-management) and, consequently, illness outcomes.

In this dissertation, the Common Sense Model (CSM) is used as a framework to …

Religiosity, Spirituality, And Depressive Symptoms In Older Adults In An Active Living Community, Monica D'Adrianne Solomon

USF Tampa Graduate Theses and Dissertations

The population of older adults in the United States is steadily rising. The Centers for Disease Control and Prevention (CDC) recently released a call to reduce mental distress in older adults. Research shows that mental distress is associated with depressive symptoms, which are significantly related to many chronic medical conditions, functional impairment, suicide, and all-cause mortality. Depression is a major public health concern. There is an interest in gerontology research on the buffering role of engagement against depressive symptoms such as volunteering, social activities, and religion. Certain religious beliefs and behaviors contribute to maintaining or improving mental health and research …

Time Wounds All Heels: Human Nature And The Rationality Of Just Behavior, Timothy Glenn Slattery

USF Tampa Graduate Theses and Dissertations

We share our world with many people who ignore the principles of justice and who regularly take advantage of others by breaching trust or breaking agreements. This dissertation is about the irrationality of the actions of these covenant-breakers. A covenant-breaker typically believes that unjust behavior is to his advantage and that only a fool would act in any other way. Would it not be disturbing if this were true?

My central claim will be that adherence to the precepts of justice is a rational strategy for a self-interested actor. I intend to demonstrate that con men and covenant-breakers do not …

The Strong Black Woman, Depression, And Emotional Eating, Michelle Renee Offutt

USF Tampa Graduate Theses and Dissertations

Abstract

Eighty percent of all black women are overweight or obese which can lead to greatly increased morbidity and mortality, increasing healthcare costs and loss of healthy years of life. While multiple factors may contribute to obesity in black women, the cultural persona of the Strong Black Woman (SBW), an ideology that promotes unflagging toughness and denial of self-needs, may be the basis for behaviors that contribute to steady state obesity in this group. The purpose of this study was to investigate the relationships between the SBW persona, depression, and emotional eating.

Two predominately black churches in Florida were approached …

"When You Tell Them, Your Secret Is Out There": Experiences Of Sexuality And Intimacy Among Hiv Positive Black Women, Mackenzie Rae Tewell

USF Tampa Graduate Theses and Dissertations

HIV/AIDS infections disproportionately impact African Americans within the United States. In 2010, black Americans made up 12 percent of the United States population, yet accounted for 44 percent of new HIV/AIDS infections (Kaiser Family Foundation 2013). The majority of black women (85 percent) are infected with the virus through heterosexual contact, meaning it is critical examine their sexual lives in order to gain insight into this infection within this population (CDC 2011b). Through semi-structured interviews at a Tampa, Florida AIDS service organization, this study presents the experiences of sexuality and intimacy among HIV positive black women. Results demonstrate that HIV …

Spiritual Life Review With Older Adults: Finding Meaning In Late Life Development, Alicia Margaret Stinson

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Spirituality has been recognized as a positive factor in the lives of older adults, especially as it influences their emotional, mental, and physical well-being. This convenience sample study included 17 older adults residing at a faith based continuing care retirement community in Florida. The sample was represented by Caucasian older adults with an average age of 84 years, highly educated, majority Protestant and mostly female. Spiritual life reviews were conducted using spiritual life maps (Hodge, 2005) and semi-structured interview questions. Erikson's epigenetic stage of ego-integrity was used along with Butler's life review process and Tornstam's gerotranscendence as a conceptual …

Relationships Of Heat Stress Levels To Heat-Related Disorders And Acute Injury During Deepwater Horizon Cleanup Operations, Michael H. Hiles

USF Tampa Graduate Theses and Dissertations

Outdoor workers are often subjected to thermal conditions beyond the comfort zone, but to what degree do such conditions affect the health and safety of those workers is still a matter requiring further investigation. The purpose of this study is to examine the relationship between thermal conditions and (1) heat-related disorders and (2) acute injuries using injury and illness data collected during the BP Deepwater Horizon clean-up operations. Over an eleven month period, 5,485 cases were identified as either heat-related or an acute injury (incident type) and further divided by severity. Daily weather data were used to estimate the wet …

Analysis Of Variable Effects On Presence Of Cryptosporidium Oocysts And Giardia Cysts In Effluent Water From Wastewater Treatment Utilities In Florida From 1998 To 2010, Katherine Jane Barkan

USF Tampa Graduate Theses and Dissertations

The concern of a Cryptosporidium or Giardia waterborne outbreak due to treated wastewater has had water treatment utilities using some of the highest water cleansing technologies available. Cryptosporidiosis and Giardiasis are severe diarrheal diseases which can lead to death, thus it is important that appropriate steps are taken to assure these parasites are not present in the effluent of treated wastewater. This study examined the results of 863 assays for Giardia and Cryptosporidium on the effluent of wastewater treatment facilities and found that county of collection, watershed of collection, and laboratory analyzing the sample have the most significant impact on …

Systematic Review Of Core Muscle Electromyographic Activity During Physical Fitness Exercises, Jason Martuscello

USF Tampa Graduate Theses and Dissertations

Activating the core muscles through exercise training programs is believed to be important for athletic performance. Considerable attention has been credited to the lumbar multifidus, transverse abdominis, and quadratus lumborum in designing exercise training programs. Numerous core exercise claims and recommendations abound in the fitness and physical therapy communities touting a superior core challenge for these muscles. The plethora of core activation literature with conflicting outcomes has convoluted the process of choosing exercises for an optimal core training approach. Although an abundance of research studies have quantified the muscle activity, collectively, a consensus on the type of exercise that elicits …