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Social and Behavioral Sciences Commons

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Full-Text Articles in Social and Behavioral Sciences

Exploring Three Strategies For The Prevention Of Hospital-Acquired Clostridium Difficile Infection In Nys Acute Care Hospitals-- : Structure-Process-Outcome Model Of Quality Improvement, Danielle Jane Durant Jan 2018

Exploring Three Strategies For The Prevention Of Hospital-Acquired Clostridium Difficile Infection In Nys Acute Care Hospitals-- : Structure-Process-Outcome Model Of Quality Improvement, Danielle Jane Durant

Legacy Theses & Dissertations (2009 - 2024)

Those receiving medical care are at risk for developing serious hospital-acquired conditions (HACs), which include infections (HAIs) and other harm while receiving medical care. Pay for performance programs initiated by the Centers for Medicare and Medicaid Services (CMS), and private payers, linking reimbursements to quality of care, have created financial incentives for hospitals to address these HACs. The most common HAI in the United States, causing almost half a million infections, with 29,000 deaths within 30 days of diagnosis, results from Clostridium difficile. Infection with this bacterium leads to deadly diarrhea, and disproportionately impacts patients 65 and older, representing 80% …


For Better Or Worse? : Exploring How Decentralization Shapes Local Expenditures And Health Service Utilizations In Indonesia, Adenantera Dwicaksono Jan 2018

For Better Or Worse? : Exploring How Decentralization Shapes Local Expenditures And Health Service Utilizations In Indonesia, Adenantera Dwicaksono

Legacy Theses & Dissertations (2009 - 2024)

Decentralization has become one of the most important public-sector reform programs globally since the 1990s with mixed results. In this four-paper dissertation, I explored how decentralization reforms affect public goods and services delivery, by analyzing how post-decentralization institutional changes shape local expenditure decisions and health service utilizations in Indonesia. The main goal of this dissertation was to improve understanding on a better approach to studying public goods and services delivery under a decentralized governance. I used primarily quantitative methods in this dissertation. I started with a systematic review of quantitative studies on the impacts of decentralization reforms and health system …


The Impacts Of Hiv-Specific Criminal Laws On Hiv Serostatus Disclosure, Risk Behaviors, And Hiv Testing, Shao-Chiu Juan Jan 2018

The Impacts Of Hiv-Specific Criminal Laws On Hiv Serostatus Disclosure, Risk Behaviors, And Hiv Testing, Shao-Chiu Juan

Legacy Theses & Dissertations (2009 - 2024)

Before the advent of anti-retroviral therapy (ART), many states enacted and strictly enforced laws that criminalized HIV transmission. These laws were enacted to prevent HIV-infected individuals from knowingly transmitting the virus to the uninfected. Over the past two decades, however, questions have been raised regarding the effectiveness of HIV criminalization and its unintended consequences. For example, there is little evidence that the criminalization of HIV transmission has been effective in reducing the spread of the disease, particularly when compared to education and other prevention efforts. Moreover, stigmatization associated with criminalization may actually undermine public health efforts. The dissertation aims to …


The Impact Of Adverse Childhood Experiences On Mental Health, Executive Functioning, And Emotion Regulation Across Childhood : Which Family And Community Factors Mitigate Risk?, Atara Siegel Jan 2018

The Impact Of Adverse Childhood Experiences On Mental Health, Executive Functioning, And Emotion Regulation Across Childhood : Which Family And Community Factors Mitigate Risk?, Atara Siegel

Legacy Theses & Dissertations (2009 - 2024)

It is well established that adverse childhood experiences (ACEs) increase risk of developing mental health disorders later in life. It is unclear how early in childhood these effects can be seen. Executive functioning (EF) and emotion regulation (ER) have been proposed as potential mechanisms which mediate the effect of ACEs on mental health. Individual ACEs have been associated with poor EF and ER. It is unclear whether ACE scores impact EF and ER in a graded, dose-response manner. It is also unclear how early in childhood these effects can be seen. Finally, more research is needed to identify family and …