Medicine and Health Sciences Commons^™

Consumer Adoption Of Health Information Systems, Sankara Subramanian Srinivasan

Graduate Theses and Dissertations

At nearly 18 percent of the country's GDP, the U.S. healthcare industry continues to wrestle with growing cost and a quality of care that does not match the increased spending. The dominant focus to date has been on promoting Health IT (HIT) system implementation and digitizing health records at the provider's end, with scant attention to the role of the patient in the healthcare process. The source of inefficiency in the healthcare system is not only on account of shortcomings at the provider's end but also due to non-compliance (such as failing to adhere to medication advice and follow-up visits) …

Sanitation Infrastructure, Medicinal Plant Use And Diarrhea In Rural Costa Rican Communities, Travis Clifford Sondgerath

Open Access Theses

Diarrhea is estimated to be responsible for 3.3 million deaths a year and is particularly problematic in the developing world among children. The Millennium Development Goals established by the United Nations has set a goal of reducing mortality among children by two thirds during the new millennium. However due to the nature of diarrhea it is often difficult to study its patterns, distribution, and determinants.

This study presents an analysis of the relationship between diarrhea and sanitation infrastructure and medicinal plant use in 4 rural Costa Rican communities. Over the past few decades' access to clean drinking water and municipal …

Content Analysis Concerning State Green Lodging Certification Programs In The United States, Yue Yu

Open Access Theses

The present thesis reports a content analysis study of state green lodging certification programs (SGLCPs) in the United States. The study explores how the government and industry associations operate and maintain SGLCPs. Through online research, the researcher found that 20 states have SGLCP. There are total 21 programs in operation currently. The study focused on the textual content of the 21 programs' websites.

The study determined the rationale of SGLCPs adoption through analyzing program purposes and certification bodies. The application procedure, assessment process, participation rate, certification levels, recertification process of programs were discussed to figure out whether SGLCPs implement the …

Turning Stealth Liposomes Into Cationic Liposomes For Anticancer Drug Delivery, Vijay Gyanani

University of the Pacific Theses and Dissertations

Targeting the anticancer agents selectively to cancer cells is desirable to improve the efficacy and to reduce the side effects of anticancer therapy. Previously reported passive tumor targeting by PEGylated liposomes (stealth liposomes) have resulted in their higher tumor accumulation. However their interaction with cancer cells has been minimal due to the steric hindrance of the PEG coating. This dissertation reports two approaches to enhance the interaction of stealth liposomes with cancer cells. First, we designed a lipid-hydrazone-PEG conjugate that removes the PEG coating at acidic pH as in the tumor interstitium. However, such a conjugate was highly unstable on …