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Increasing Access To Pre-Exposure Prophylaxis (Prep) Among Transgender Women And Trans Feminine Non-Binary Individuals In New York City, Augustus Klein 2018 The Graduate Center, City University of New York

Increasing Access To Pre-Exposure Prophylaxis (Prep) Among Transgender Women And Trans Feminine Non-Binary Individuals In New York City, Augustus Klein

All Dissertations, Theses, and Capstone Projects

In the United States transgender women (i.e., individuals born male whose gender identity is on the feminine spectrum) are a highly vulnerable and marginalized population at high risk for HIV. Substance use, survival sex work, depression, unstable housing, and high levels of victimization and violence are commonly reported by transgender women and trans feminine individuals, indicating the potential for multiple concurrent HIV risks and underlying vulnerabilities. Structural forms of discrimination may contribute to these risk factors, possibly leading to poor outcomes such as unemployment or underemployment, homelessness, and lack of access to gender-affirming health care. Given this context, a ...


Underlying Contribution Of Executive Functioning To Cognition And Academic Achievement In Individuals With Dystrophinopathy, Robert Fee 2018 The Graduate Center, City University of New York

Underlying Contribution Of Executive Functioning To Cognition And Academic Achievement In Individuals With Dystrophinopathy, Robert Fee

All Dissertations, Theses, and Capstone Projects

Dystrophinopathy is a genetic disorder that results in the lack of or abnormal expression of the protein dystrophin. It is a disorder that alters cell structure and function, impacts the developing brain and brain function, presents with multi-domain cognitive deficits, and influences both mood and behavior. Cognitive impairments appear to be more localized to specific areas of functioning rather than a global deficit; however, deficits have been identified across multiple cognitive domains including language and aspects of executive functioning. A careful examination of the cognitive phenotype and its association to mutations affecting CNS isoforms is necessary to clarify the neuropsychological ...


The Effect Of A Voice Treatment On Facial Expression In Parkinson’S Disease: Clinical And Demographic Predictors, Amanda D. Bono 2018 The Graduate Center, City University of New York

The Effect Of A Voice Treatment On Facial Expression In Parkinson’S Disease: Clinical And Demographic Predictors, Amanda D. Bono

All Dissertations, Theses, and Capstone Projects

Parkinson’s disease (PD) is a neurodegenerative disease associated with a wide range of motoric, cognitive, and behavioral symptoms. Impairments in facial mobility and emotional expressivity are common and can impair communication, in turn, affecting daily functioning and quality of life. Previous research suggests that the Lee Silverman Voice Treatment © (LSVT LOUD; Ramig et al., 2001, 2011) increases vocal loudness and facial expressivity in individuals with PD compared to PD and healthy controls. This study extends the literature by examining the effects of LSVT and an articulation-based control treatment (i.e., ARTIC) on multiple aspects of facial expressivity (i.e ...


Resting-State Functional Connectivity In Youth With Gender Dysphoria, Felix L. Garcia 2018 The Graduate Center, City University of New York

Resting-State Functional Connectivity In Youth With Gender Dysphoria, Felix L. Garcia

All Dissertations, Theses, and Capstone Projects

Current developmental models of gender identity and gender dysphoria (GD) lack sex-specific profiles of brain function that differentiate between typically-developing and cross-gender identified youth, as postulated by models like the unified theory of the origins of sex differences (Arnold, 2009) and the neurobiological theory of the origins of transsexuality (Swaab & Garcia-Falgueras, 2009). Previously, investigators have used brain imaging modalities such as Resting-State functional Magnetic Resonance Imaging (R-fMRI) to demonstrate differences in resting-state functional connectivity (RSFC) between typically-developing male and female youth, and between typically-developing and GID-diagnosed youth. In the present pilot study, I used R-fMRI to investigate differences in RSFC between typically-developing and cross-gender identified male and female youth subgroups, with the hypothesis that GID-diagnosed subgroups would demonstrate connectivity patterns in between those of typically-developing males and females. Eleven youth diagnosed with gender identity disorder (four males, ages 9 to 20 years; seven females, ages 12 to 20 years) were matched on age and assigned gender with 11 typically-developing youth. All participants completed written informed consent to undergo the IRB-approved research procedures. R-fMRI were collected while the participants were lying down and resting, with their eyes closed. Primary analyses focused on 14 ...


Stereotype Threat As An Explanation For Sexual Risk Taking Behavior In Gay Men: A Multi-Study Exploration Of Mechanisms, Inna Saboshchuk 2018 The Graduate Center, City University of New York

Stereotype Threat As An Explanation For Sexual Risk Taking Behavior In Gay Men: A Multi-Study Exploration Of Mechanisms, Inna Saboshchuk

All Dissertations, Theses, and Capstone Projects

Stereotype threat is a hindrance in performance that occurs when an individual’s awareness of negative stereotypes associated with his/her group results in inadvertent conforming to that stereotype. Stereotype threat research has been conducted on myriad group and domain identifications but gay men are strikingly absent from the stereotype threat literature. One of the most prevalent stereotypes about gay men indicates they are sexually promiscuous and that this promiscuity is linked to HIV infection. In a series of three research projects, a theoretical model proposing stereotype threat as a mechanism for sexual risk taking behavior in gay men is ...


Atherosclerosis In Subjects Newly Diagnosed With Human Immunodeficiency Virus Infection., Tatiana V Kirichenko, Veronika A Myasoedova, Tatiana E Shimonova, Alexandra A Melnichenko, Dmitri Sviridov, Igor A Sobenin, Alexey I Mazus, Alexander N Orekhov, Michael I Bukrinsky 2018 George Washington University

Atherosclerosis In Subjects Newly Diagnosed With Human Immunodeficiency Virus Infection., Tatiana V Kirichenko, Veronika A Myasoedova, Tatiana E Shimonova, Alexandra A Melnichenko, Dmitri Sviridov, Igor A Sobenin, Alexey I Mazus, Alexander N Orekhov, Michael I Bukrinsky

Microbiology, Immunology, and Tropical Medicine Faculty Publications

HIV infection is associated with the increased risk of cardiovascular disease (CVD), even in patients successfully treated with the combination antiretroviral therapy (cART). However, the relationship between HIV, cART, and pathogenesis of CVD remains controversial. In the present study, we evaluated the carotid intima-media thickness (CIMT), a surrogate marker of atherosclerosis, in HIV-infected subjects receiving or not receiving cART. One hundred nine newly diagnosed HIV-infected subjects and one hundred nine uninfected age-matched controls (all males) without the history of CVD, hypertension, or diabetes were recruited into the present study. Cross-sectional analysis at baseline (BL) showed significantly increased levels of triglycerides ...


Nutrition Education To Improve Health Outcomes In Community Dwelling Older Adults, Sara Giessinger 2018 University of San Francisco

Nutrition Education To Improve Health Outcomes In Community Dwelling Older Adults, Sara Giessinger

Master's Projects and Capstones

Abstract

The proportion of people age 60 and over is growing faster than other age group, and will double by 2050 from approximately 605 million to 2 billion worldwide, in addition to the 80 and over population quadrupling by the same time. Non-communicable diseases such as obesity, cancer, coronary heart and lung disease, diabetes, hypertension, insulin resistance, and hyperlipidemia,represent 63% of deaths annually worldwide. Due to the immense contact nurses have with clients, they play a key role in screening, referrals and education to guide this demographic to improved health outcomes through nutrition and physical activity interventions (Xiaoyue, Parker ...


Electrocardiographic Characteristics, Antiarrhythmic Utilization, And Outcomes In Patients With Left Ventricular Assist Devices, Scott Lundgren, Elizabeth Lyden, Douglas Stoller, Marshall Hyden, Adam Burdorf, Ronald Zolty, John Um, Brian Lowes 2018 University of Nebraska Medical Center

Electrocardiographic Characteristics, Antiarrhythmic Utilization, And Outcomes In Patients With Left Ventricular Assist Devices, Scott Lundgren, Elizabeth Lyden, Douglas Stoller, Marshall Hyden, Adam Burdorf, Ronald Zolty, John Um, Brian Lowes

The VAD Journal

Background: Left ventricular assist devices (LVAD) are an increasingly used therapy for patients with advanced heart failure. Arrhythmias are common complications following LVAD implantation requiring admission, initiation, and escalation of medical therapy. Despite their frequent use in the treatment of arrhythmias, little has been reported regarding electrocardiographic changes, antiarrhythmic utilization, and outcomes post-LVAD.

Methods: A total of 309 patients who received a LVAD underwent retrospective chart review pre- and post-LVAD. Kaplan-Meier curves were calculated and compared using the log-rank test. Cox regression model was used for univariate analysis and those with a p

Results: There was a significant reduction in ...


Rapid-Results-Keto-Use5.Png, keto belly burn fat 2018 University of California, San Francisco

Rapid-Results-Keto-Use5.Png, Keto Belly Burn Fat

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Recently, 7-Keto-DHEA has emerged as a safer and more powerful alternative to DHEA for use in anti-aging and weight loss. As the active metabolite of the keto belly burn fat hormone DHEA, 7-Keto-DHEA is several times more potent than DHEA at raising thermogenesis by stimulating enzyme production in the liver while lacking androgenic side effects such as hair loss, benign prostatic hyperplasia and virilization. Many modern users prize the supplement for its accelerating effect on the weight loss produced by diet and exercise.
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Identifying And Improving Drug Diversion Protocols Through Behavioral Drug Diversion Identification, Leonard Simon 2018 DePaul University

Identifying And Improving Drug Diversion Protocols Through Behavioral Drug Diversion Identification, Leonard Simon

Grace Peterson Nursing Research Colloquium

No abstract provided.


The Effects Of Exercise On Depression In African American And Latino Population, Emmanuel Conliffe 2018 DePaul University

The Effects Of Exercise On Depression In African American And Latino Population, Emmanuel Conliffe

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies have shown the effectiveness of exercise as a potential treatment for major depression disorder, but few have focused specific populations such as Blacks and Hispanics. Due to cultural concerns about anti-depressant medications, using exercise and physical activities can be an attractive approach for treatment of depression in African American and Latino populations.

Objectives: To identify the effects of exercise and physical activity on depression among the minority population and to determine whether exercise is an effective type of therapy for this population.

Methods: An integrated literature review was conducted. The keywords included “depression, therapeutic exercise, physical ...


Factors Associated With The Rise In Repeat Cesarean Deliveries, Danielle Walczak 2018 DePaul University

Factors Associated With The Rise In Repeat Cesarean Deliveries, Danielle Walczak

Grace Peterson Nursing Research Colloquium

Abstract

Background: Women choose elective repeat cesarean deliveries as opposed to vaginal birth after cesarean (VBAC’s) based on various reasons and these choices are most often made without adequate education from healthcare professionals.

Objectives: The purpose of this integrative literature review is to determine why there is a continuing rise in elective repeat cesareans and whether women in the United States are being routinely informed of VBAC’s based off of their decision for the mode of delivery.

Method: An integrative literature review was conducted using the databases of CINAHL, PubMed, ProQuest Nursing and Allied Health, and other studies ...


Attitudes And Beliefs Among Anesthesia Provides Regarding Smartphone Use For Intraoperative Anesthetic Management, Jasprit Dulat, Marjorie Reeves 2018 DePaul University

Attitudes And Beliefs Among Anesthesia Provides Regarding Smartphone Use For Intraoperative Anesthetic Management, Jasprit Dulat, Marjorie Reeves

Grace Peterson Nursing Research Colloquium

Background: Smartphone technology has evolved at the same accelerated pace as healthcare technological innovation. The literature shows that healthcare providers already utilize Smartphone technology to bridge gaps in knowledge and provide quality care to patients. Critics of these advancements are leery about Smartphone use in the operating room (OR) because it may be a source of distraction for anesthesia providers; however, supporters argue that their use is also recognized as a potential aid in learning. Objectives: This study was conducted to assess workplace attitudes and beliefs regarding the use of Smartphones in the operating room in order to establish policies ...


Effective Learning Methods For Clinical Skills In Simulation Laboratories: High-Fidelity Mannequins And Standardized Patients, Sandra Cupic 2018 DePaul University

Effective Learning Methods For Clinical Skills In Simulation Laboratories: High-Fidelity Mannequins And Standardized Patients, Sandra Cupic

Grace Peterson Nursing Research Colloquium

Abstract

Background: Many nursing programs are utilizing simulation laboratories to teach clinical skills in a safe environment. Two modes of high-fidelity simulation—high-fidelity mannequins and standardized patients (SPs)—allow for an interactive experience that closely resembles the health care setting.

Objectives: The purpose of this integrative literature review was to compare the two high-fidelity simulation methods—high-fidelity mannequins and standardized patients (SPs)—and their benefits when it comes to the development of nursing skills. Furthermore, the paper explored how skills learning laboratories can be optimized.

Method: An integrative literature review of 19 research articles was conducted using databases of CINAHL ...


Evaluation Of Video Games On Adolescent Health: An Integrative Literature Review, Benjamin Yohannan 2018 DePaul University

Evaluation Of Video Games On Adolescent Health: An Integrative Literature Review, Benjamin Yohannan

Grace Peterson Nursing Research Colloquium

Abstract

Background: As technology has advanced, use video games can make an impact an adolescent’s life. While there is controversy in the use of video games, there are limited studies to a provide a comprehensive review of the positive and negative effects regarding the use of video games.

Objectives: The purpose of this literature review was to use current research in determining whether or not video games are favorable in adolescent’s health by understanding its risks and benefits. With these considerations, appropriate recommendations can be provided to determine how to make the video games more beneficial.

Method: An ...


Food Assistant Programs’ Food Quality And The Risk Of Developing Type Ii Diabetes In Native Americans, Ignacio Perez Jr 2018 DePaul University

Food Assistant Programs’ Food Quality And The Risk Of Developing Type Ii Diabetes In Native Americans, Ignacio Perez Jr

Grace Peterson Nursing Research Colloquium

Abstract

Background: A key factor behind the high rates of diabetes among Native Americans living in reservations is the high poverty rate. Though food assistance is provided on reservations to combat poverty and food insecurity, the rates of type II diabetes are still at an alarming high rate. Continuation of the alarming incidence of type II diabetes brings to question the nutritional quality of the food offered by food assistance programs.

Objectives: The purpose of study was to examine food assistance programs utilized by Native Americans to determine if the food quality may have an impact on the risk of ...


Barriers And Mental Health Of Undocumented Latinos In The United States, Maricela Rodriguez 2018 DePaul University

Barriers And Mental Health Of Undocumented Latinos In The United States, Maricela Rodriguez

Grace Peterson Nursing Research Colloquium

Abstract

Background: Mental illness affects over 40 million people in the U.S. every year. Latinos, regardless of legal status are a vulnerable population who experience many stressors. Being undocumented magnifies such challenges, ultimately affecting mental health. Minimal research has investigated the barriers that this population faces as well as the implications that being undocumented has on their mental health.

Objective: The objective of this study is to identify the barriers that undocumented Latinos in the United States face and to describe the overall mental health consequences related to undocumented status.

Method: An integrative literature review was utilized to analyze ...


Barriers To Providing Psychiatric Care Within Cook County Public Health System: An Integrative Literature Review, Elizabeth Ann Reuter 2018 DePaul University

Barriers To Providing Psychiatric Care Within Cook County Public Health System: An Integrative Literature Review, Elizabeth Ann Reuter

Grace Peterson Nursing Research Colloquium

Abstract

Background: Cook County Public Health Systems located in Cook County, Illinois, are responsible for providing free and low cost psychiatric care to thousands of residents despite continuing state and federal budget cuts and inadequate Medicaid reimbursements. This not only financially strains county taxpayers, but it also limits treatment options, negatively impacts patients, and places an extreme burden on the public service workforce.

Objectives: The purpose of this integrative literature review was to identify the major barriers of providing psychiatric care within Cook County Public Health Systems.

Method: An integrative literature review was conductedusing the databases of Academic Search ...


Parental Influence On Screen Time Usage, Lashawna Williams 2018 DePaul University

Parental Influence On Screen Time Usage, Lashawna Williams

Grace Peterson Nursing Research Colloquium

Parental Influence on Screen Time: An Integrative Literature Review

Lashawna Williams

Faculty Sponsor: Shannon Simonovich

Background: Screen time exposure is found to be the most influential factor, contributing to developmental disabilities. However, there are limited studies to examine how parenting choices influence the amount of screen time children receive.

Objectives: The purpose of this integrative review of literature (IRL) was to identify key factors that influenced the amount of daily screen time parents allot their children.

Method: An integrative review of literature was conducted to identify the key factors influencing the amount of daily screen time parents allot their children ...


Recommended Interventions To Address The Education-Practice Gap In Mental Health Nursing: An Integrated Literature Review, Marlena D'Agostin 2018 DePaul University

Recommended Interventions To Address The Education-Practice Gap In Mental Health Nursing: An Integrated Literature Review, Marlena D'Agostin

Grace Peterson Nursing Research Colloquium

Abstract

Background: Mental health is all encompassing and is widely prevalent in the U.S. population, demonstrating a need for effective care for patients in the mental health setting. There is a gap, however, in providing the highest quality of care within this setting named the theory-practice gap. The theory-practice gap creates a barrier in translating knowledge that is being taught in the classroom to what is used in clinical practice.

Objectives: The purpose of this integrative literature review was to investigate the theory-practice gap in mental health nursing through the implementation of evidence-based practice (EBP) in the clinical practice ...


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