Medicine and Health Sciences Commons^™

Ongoing Genocides And The Need For Healing: The Cases Of Native And African Americans, Benjamin P. Bowser, Carl O. Word, Kate Shaw

Genocide Studies and Prevention: An International Journal

The elimination of Native peoples and the enslavement of Africans in the U.S. more than qualify as acts of historical state sponsored genocide. A feature of both genocides is that they ended as institutional practices but have continued culturally and psychologically. The primary contemporary legacy of these genocides is racism which reinforces historical trauma and grief. Suggestions are made for how healing for Native and African Americans can begin despite ongoing racism. This includes psychological counseling for White Americans with beliefs in White supremacy. Suggestions are also made for how reconciliation can begin at the county-level between descendants of slave …

Using Artificial Intelligence To Decipher Epigenetic Code Of Drug Resistance In The Deadliest Human Malaria Parasite, Samira Jahangiri

USF Tampa Graduate Theses and Dissertations

Malaria remains one of the immense global public health challenges, with an estimated ~200 million cases worldwide in 2019 despite the remarkable gains in reducing this deadly disease over the past decade. The recent emergence and spread of artemisinin resistance (ART-R) in Plasmodium falciparum will increasingly impede global efforts to control and eliminate malaria. Previous studies have observed broad transcriptional changes and identified several noncoding genetic variants strongly associated with ART-R. The broad transcriptional variations suggest that the malaria parasite uses sophisticated epigenetic regulation to survive under drug pressure. Therefore, evaluating the regulatory effects of noncoding-variants in malaria parasites is …

The Debate On Physician-Assisted Death In The United States: A Narrative Analysis Of Formula Stories, Rebecca Blackwell

USF Tampa Graduate Theses and Dissertations

Public policy discussions can be viewed as empirical windows into broadly shared culturalvalues and emotions of the social contexts in which the policy discussions take place. This project is a narrative analysis of the public debate on physician-assisted death (PAD), drawing from three data sources: newspaper articles, the websites of social movement organizations, and testimonies from a state legislative hearing. This analysis explores ways in which social actors deploy personal stories that contribute to shape the policy-making process by appealing to cultural beliefs and broadly shared emotions. The findings of this project constitute a contribution to the study of emotions …

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 …

Contribution Of Retinal Ganglion Cells To Brown-Norway Rat Spatiotemporal Visual Perception And The Electroretinogram, Nicholas P. Johnson

USF Tampa Graduate Theses and Dissertations

Retinal Ganglion Cells (RGCs) are the sole cells through which visual information is transmitted from the eye to the brain. As such, RGC dysfunction has a dramatic effect on vision and perception. Retinal neurodegenerative diseases, such as glaucoma, are one of the leading causes of blindness worldwide. The study of these diseases requires well-characterized models in order to swiftly and effectively develop diagnostic tools and therapeutics. This dissertation aims to characterize specific properties of the visual system of the Brown-Norway rat. First, visual processing was evaluated in awake, freely moving rats. Contrast sensitivities of Brown-Norway rats were characterized by discrimination-driven …

Decisions And How Doctors Make Them: Modeling Multilevel Decision-Making Within Diagnostic Medicine, Michelle S. Kaplan

USF Tampa Graduate Theses and Dissertations

Effective decision-making is critical and necessary for organizational success across a wide range of occupations, situations, and industries. However, decision making, by its nature, is not always a direct process of a single decision leading to a direct outcome. Rather, it can often become a multilevel process whereby one decision’s outcome leads to information that is used in subsequent larger or other types of decisions. The decision-making process then becomes progressively more complex and more difficult to navigate as these decisions compound within one another. Thus, decision-makers must find an appropriate way to approach such decisions. Understanding the multilevel nature …

Managing Incomplete Data In The Patient Discharge Summary To Support Correct Hospital Reimbursements, Fadi Naser Eddin

USF Tampa Graduate Theses and Dissertations

The patient discharge summary is a document that conveys the patient's story to other healthcare practitioners, external users, and, most importantly from a financial perspective, health insurers. A defect or incompleteness in the patient's discharge summary will result in delays in the collection process through denial of the entire or partial reimbursement claim or, in the best-case scenario, delay until the discharge summary issue is resolved. The purpose of this project is to address the issue of the incompleteness of discharge summary from the perspective of healthcare providers, with the goal of understanding, diagnosing, and intervening in the research problem. …

Moving In Fluid: Exploring How Fishes Manipulate Water To Swim Efficiently, Nils B. Tack

USF Tampa Graduate Theses and Dissertations

Moving through a dense fluid such as water presents some unique challenges to minimizing energy use and maximizing performance (i.e., speed). Due to animal-fluid interactions during swimming (drag and thrust production) fish have evolved a variety of morphological structures and locomotor mechanisms. For instance, fish rely on body bending and/or fins to interact with the surrounding water such that energy can be transferred to generate thrust. Typically, this synergy promotes morphologies and behaviors aimed at enhancing propulsive efficiency and/or minimizing metabolic activity to lessen the cost of transport (COT). This work focuses on quantifying the energetic and hydromechanical benefits of …

Exercise Prescription Practices In University Counseling Centers: Testing The Information-Motivation-Behavioral Skills Model, A'Naja M. Newsome

USF Tampa Graduate Theses and Dissertations

The co-occurence of physical inactivity and poor mental health in the college student population can lead to chronic health issues that have negative short-term (e.g., academic success and weight gain) and long-term (e.g., obesity, serious mental illness, and premature mortality) impacts. Integrating exercise prescription into the mental health treatment plan of college students could enhance the holistic care model described by The American College Health Association (ACHA) and Healthy Campus task force. Understanding the knowledge, attitudes, and skills that mental health professionals (MHPs) hold regarding exercise prescription is important for policy formation and program development for college student health. The …

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 …

Mobile Response Teams And The Youth Emergency Behavioral Health System, Paige J. Alitz

USF Tampa Graduate Theses and Dissertations

Introduction: This dissertation includes three separate manuscripts that coalesce under the shared topic of mobile crisis response and the emergency behavioral health system. Method: The first manuscript includes a synthesis of the research on mobile crisis response from the 1960s to present day to assess whether mobile crisis services can improve mental health care access in the U.S. for youth and adults. The second manuscript includes bivariate and multivariate analyses of MRT participant data to characterize participants who receive an involuntary psychiatric evaluation versus those who do not, and to assess factors associated with involuntary psychiatric evaluation or referral to …

Community Assessment Of Water Perceptions And Household Point-Of-Use Treatment Methods In Madagascar, Isabella Rose Silverman

USF Tampa Graduate Theses and Dissertations

One in four people around the world do not have access to safe drinking water, which means that two billion people globally lack access. In high-income countries, 0.02% of yearly deaths are attributed to unsafe water sources; however, an alarming 10.6% of deaths occur in Madagascar, for the same reason.

To achieve Sustainable Development Goal 6: Ensure access to water and sanitation for all, a collaboration between public health and engineering is critical. Within the public health sector, social marketing is commonly utilized to address a problem by using commercial marketing principles to change behavior for the good of society. …

Seasonality In Competence To Transmit West Nile Virus For A Widespread Reservoir, Kyle L. Koller

USF Tampa Graduate Theses and Dissertations

All organisms face a central conflict; a limited supply of resources must beoptimally allocated to competing biological functions. Utilizing robust immune defenses can be energetically costly;, thus, immune function is often diminished when other processes, such as reproduction, molt, or migration demand energy. As wild animals residing in temporally dynamic environments face seasonal patterns in resource availability, infectious disease risk, and environmental suitability, many species have evolved endogenous biological rhythms so that the performance of reproduction, molt, or migration and the associated trade-off with immune function be completed when doing so best promotes fitness. In turn, this demand to optimize …

Synthesis Of A Multimodal Ecological Model For Scalable, High-Resolution Arboviral Risk Prediction In Florida, Sean P. Beeman

USF Tampa Graduate Theses and Dissertations

West Nile virus (WNV) and Eastern Equine Encephalitis virus (EEEV) represent the two greatest endemic arboviral risks to the state of Florida. Currently, no approved human vaccine exists for the prevention of either virus. In the absence of a vaccine, effective disease surveillance is paramount for public health. In Florida, WNV and EEEV sentinel chicken surveillance is conducted by mosquito control programs operated at the county, municipality, or special taxing district level. This program was implemented in 1978 following human outbreaks of St. Louis Encephalitis virus (SLEV) that occurred between 1959 and 1977, with initial sentinel coops placed in proximity …

The Development Of Bioactive Peptidomimetics Based On Γ-Aapeptides, Minghui Wang

USF Tampa Graduate Theses and Dissertations

Peptidomimetics are small protein like chains which can mimic primary, secondary or eventertiary structures of peptides. They have been attracting more and more attention because of their special advantages, such as high tolerance to proteolytic degradation and thousands of chemical diversities. γ-AApeptides were developed by our group as a kind of peptidomimetics that represent γ-substituted-N-acylated-N-aminoethyl amino acids. Many biological functions of γ-AApeptides have already been discovered. To expand the potential application of γ-AApeptides, I designed and synthesized three series of antimicrobial derivatives with broad-spectrum of antibacterial activity. A one-bead-two-compound thioether bridged macrocyclic γ-AApeptides library was built and screened against NRF2 …

Who To Choose? Rating Broker Best Practices In The Medicare Advantage Industry, Darwin R. Hale

USF Tampa Graduate Theses and Dissertations

The purpose of this study is to help navigate the U.S. Healthcare system in a way that maximizes value and minimizes risk to Medicare Beneficiaries. We do this through the creation of a tool that will aid in the selection of an independent health broker. Brokers are the trusted resource who have the responsibility and expertise to optimize client value through needs analysis, education, and expectations setting. Beneficiaries need help with life impacting health and wellness decisions and ongoing support across the continuum of care. The qualitative research included interviews of industry experts with combined Medicare experience of more than …

Managing Health Locus Of Control In Patient-Provider Relationships, James Wallace

USF Tampa Graduate Theses and Dissertations

Patient locus of control is a strong determinant of health outcomes, yet health care professionals do not typically address it in care plans. In fact, management of most medical conditions is hindered because the treating physician has little information about the patient’s locus of control. This research addresses the question “How can locus of control be used to enable health care practitioners to improve medical outcomes?”

Research Methodology. Using an engaged scholarship approach incorporating the Elaborated Action Design Research methodology, the research drives the guided, emergent design of a novel protocol and two separate artifacts for management of health locus …

Asking The Experts: Perception Of The Relative Importance Of Antecedents Of Optimal Financial Behavior, Chad M. Jones

USF Tampa Graduate Theses and Dissertations

Although there is ample research on financial behavior, the inclusion of financial planners in the sample frames of such research is rare. This study used certified financial planners (CFPs) as the sole sample population to identify antecedents of optimal financial behavior and their relative importance. Data from a nationally representative sample of 167 CFPs indicated that (a) financial literacy lost relative importance as CFP tenure increased, (b) romantic partnership closely rivaled financial literacy in importance, (c) financial literacy was more weakly correlated with romantic partnership than with the other antecedents investigated, and (d) romantic partnership was universally accepted as a …

“Practice Basic Hygiene, And You’Ll Stay Healthy”: How Primary School Reading Textbooks Transmitted Cultural Education In The Soviet Union, Victoria Storozenko

University of South Florida (USF) M3 Publishing

Russia’s Cultural Revolution, beginning after the October Revolution in 1917, produced a broadly defined understanding of culture and cultural education at Russian schools that encompassed even basic hygiene and health. Drawing from postdoctoral research, this paper discusses the Cultural Revolution’s impact and its ideas on cultural education as presented in textbooks for 10-year general education schools in the Soviet Union. Discourse analysis revealed that the schoolbooks acted as an interface between a functional education system and changes in its surrounding environment, especially changes due to the Cultural Revolution. Amid today’s COVID-19 pandemic, the study’s findings raise several questions about what …

"25 Years Later And I'M Still Here...Still Positive": Older Black Males' Lived Experiences Of Aging With Hiv In Hillsborough County, Fl, Bernice Kathleen Lopez-Mccoy

USF Tampa Graduate Theses and Dissertations

Today, adults aged fifty and older are the fastest growing segment of those living with HIV/AIDS. Yet, little remains known about the socio-cultural consequences of aging with HIV, and whether social and health care infrastructure is currently adequate to meet the unique needs of this population. Particularly understudied are older minority men aging with HIV. Drawing from an anthropological life course perspective and tenets of Becker’s (1997) framework on life disruption and reorganization, this dissertation research investigated older, Black males’ experiences of disruption and reorganization from aging with HIV in the present landscape of HIV care.This research comprised of the …

Informing Indigent Health Care Service Programs Within A Local Government Context: Strategies For Population-Based Service Planning, Assessment, And Policy Development, Joshua Troy Barnett

USF Tampa Graduate Theses and Dissertations

The number of medically indigent adults continues to grow in the United States, despite recent expansions in health care coverage to individuals who are non-disabled, low income, and uninsured. Indigent health care programs (IHCPs) are safety net services that are often funded and operated by local governments. These IHCPs provide access to health services at low to no-cost which protect the health and financial welfare of the individuals these programs serve and support the sustainability of the health systems that treat them. Although localities continue to expand their presence in safety net health care delivery, little is known about locally …

Multidimensional Well-Being Across Time Scales In Caregivers And Non-Caregivers, Victoria R. Marino

USF Tampa Graduate Theses and Dissertations

Contemporary research on informal caregiving recognizes that, though stressful, providing care for a disabled family member or friend can bring psychological benefits, such as increased meaning or purpose in life, growing closer to the care recipient, and learning new skills. Scales of eudaimonic well-being (EWB – e.g., meaning in life, personal growth, and positive relations with others) developed in positive psychology literature offer an innovative solution to incorporating caregiving benefits into between-groups comparisons of caregiver and non-caregiver well-being, which have typically focused on cross-sectional assessment of hedonic well-being (HWB – i.e., negative/positive affect and life satisfaction). Moreover, using daily using …

Predictors Of Goal Attainment Among High School Students In Accelerated Academic Curricula Receiving School-Based Motivational Interviewing Intervention, Camille E. Hanks

USF Tampa Graduate Theses and Dissertations

Students enrolled in Advanced Placement (AP) courses and International Baccalaureate (IB) programs represent a unique group of adolescents given the high demands of their rigorous coursework and the elevated stress they experience compared to peers in the general education (Suldo & Shaunessy-Dedrick, 2013). These students are often missed in traditional screening procedures that tend to identify students struggling academically or exhibiting disruptive behaviors. Fortunately, Shaunessy-Dedrick and colleagues (2021) developed a comprehensive school-based intervention program, including universal (Tier 1) and selective (Tier 2) components, which aims to support the well-being of AP/IB students. The Tier 2 component of this program (i.e., …

Stressors, Resources, And Psychological Well-Being Among Working Black And White Caregivers In The United States, Maureen E. Templeman

USF Tampa Graduate Theses and Dissertations

By the year 2060 in the United States (U.S.), not only will the number of adults aged 65 and older double, non-Hispanic Whites (Whites), who currently constitute 77% of the older adult population, will constitute just slightly more than half of older adults. As the older adult population diversifies, so will their caregivers. Over 60% of informal caregivers of older adults (caregivers) are employed, and the majority of these are employed full time. Little is known about the unique experiences of working Black or African American (Black/AA) and White caregivers and non-caregivers in the U.S. This dissertation consists of three …

Early Indicators Of Cognitive Dysfunction: The Role Of Mild Behavioral Impairment, Hillary J. Rouse

USF Tampa Graduate Theses and Dissertations

Older age is associated with an increased risk for cognitively impairing diseases such as dementia. Despite significant research to find ways to cure this disease, there has been little success. However, a critical need when an intervention is discovered is a need to find ways to identify people who are at the greatest risk of developing dementia earlier in the disease process so that interventions can be implemented at that time. This could potentially lessen their risk or delay when they are diagnosed. Using longitudinal data from the National Alzheimer’s Coordinating Center (NACC), the aims of this current dissertation were …

Targeting Modern Pathogens With Rational Drug Design, Michael Dominic Sacco

USF Tampa Graduate Theses and Dissertations

Since the first living organisms appeared on earth, their very existence was dependent on their ability to contend for resources. To this day, organisms are perpetually competing for resources, and in doing so, have evolved highly effective defense mechanisms and systems for propagation. Although invisible to the eye, we live in a world teeming with microbes and viruses. While many are harmless, others cause widespread disease. One of the key niches for these pathogens, particularly bacteria, are health-care facilities. These health-care facilities have a high concentration of immunocompromised patients and rely heavily on antibiotics, which strongly contributes to antibiotic resistance. …

Exploring Adult Attachment In Intimate Relationships Among Women Who Were Exposed To Intimate Partner Violence In Childhood: A Convergent Mixed Methods Approach, Ngozichukwuka C. Agu

USF Tampa Graduate Theses and Dissertations

Background: Trauma in childhood including exposure to intimate partner violence is associated with a myriad of negative outcomes in physical health, mental health, academic performance, and relationship domains. Adult attachment in intimate relationships is a key factor that determines several health outcomes as well as healthy relationships. This study explored: 1) the perceptions of childhood exposures to intimate partner violence and how these exposures could have impacted adult attachment; 2) the perceptions of relationship factors that play a role in the development of adult attachment in intimate relationships; and 3) the behavioral and socioenvironmental influences that frame perceptions of adult …

An Evaluation Of Distributed And Accumulated Reinforcer Arrangements On Skill Acquisition And Preference, Natalie R. Mandel

USF Tampa Graduate Theses and Dissertations

Discrete trial training (DTT), an evidence-based instructional procedure (Wong et al., 2015), is often used to teach skills to individuals with autism. Manipulations to the reinforcement component of DTT have increased its instructional efficiency, resulting in acquisition of skills in less time (e.g., Cividini-Motta & Ahearn, 2013). Results of previous studies (e.g., DeLeon et al., 2014) indicate that some individuals prefer to complete larger work requirements that result in a larger amount of a reinforcer (i.e., accumulated arrangement), rather than receiving access to small amounts of a reinforcer dispersed throughout the work requirement (i.e., distributed arrangement). In addition, accumulated reinforcer …

Evolution Of Targeted Therapy Resistance In Eml4-Alk Positive Non-Small Cell Lung Cancer, Robert Vander Velde

USF Tampa Graduate Theses and Dissertations

Targeted therapies have emerged as potent treatments that lead to the remission of many tumors. However, they rarely cure cancers in advanced, metastatic settings. This is due to the evolution of resistance, which in turn can be ascribed to the survival of small subpopulations of tolerant and/or resistant cells. Here we investigated the evolution of resistance to EML4-ALK inhibitors in non-small cell lung cancer (NSCLC) and demonstrated that resistance evolves gradually, from unique pre-treatment sub-populations, as multiple resistance mechanisms accumulate in a Darwinian fashion. Despite accumulating multiple changes, cells evolved, in parallel, toward similar inhibitor specific phenotypes. Evolving cells have …

A Multi-Faceted Approach To Understanding Acceptability Of Docs K-5: A Qualitative Analysis, Andrea Guarnieri

USF Tampa Graduate Theses and Dissertations

This qualitative study investigated the acceptability of DOCS K-5, a behavior parenting program adapted for parents of elementary aged children. Despite proven efficacy in preventing maladaptive behaviors, parenting programs have historically suffered from low attendance and engagement. Participants (N = 13) attending the pilot DOCS K-5 program took part in six group interviews while enrolled in the program to examine the facilitators and barriers to attendance, perceived effectiveness, and collateral benefits received from participation in the program. This study considered possible cognitive, affective, instructional, and pragmatic facilitators or barriers to attendance and engagement. Participants described motivations to learn various types …