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The Future Of Community Health Center Executive Leadership A Mixed-Method Formative Evaluation, Lizbeth Bayardo Cardenas Jan 2023

The Future Of Community Health Center Executive Leadership A Mixed-Method Formative Evaluation, Lizbeth Bayardo Cardenas

CGU Theses & Dissertations

This is a formative evaluation study of the California Primary Care Association's (CPCA) Leadership Equity Program, developed in response to the need for greater alignment between the communities accessing care provided by Community Health Centers and the representativeness of their future executive leaders. Community Health Centers (CHC) are a critical network of primary healthcare systems that deliver high-quality, comprehensive healthcare services to patients predominantly from under-resourced and marginalized communities of color. The study used a mixed-method concurrent triangulation design to describe how participants perceived the program achieved its goals and objectives using Kirkpatrick's Model and systems thinking. The study integrated …


The Impact Of Sugar Sweetened Beverages (Ssbs) Taxes On Consumption And Health Outcomes In Latinx Youth Residing In Los Angeles County, Jacquelyn Campos-Araujo Jan 2023

The Impact Of Sugar Sweetened Beverages (Ssbs) Taxes On Consumption And Health Outcomes In Latinx Youth Residing In Los Angeles County, Jacquelyn Campos-Araujo

Pitzer Senior Theses

This proposed research study aims to investigate whether the implementation of sugar-sweetened beverage (SSB) taxes will lead to reduced consumption and improved health outcomes in the Latinx youth population residing in Los Angeles County. The study will utilize a mixed-methods design, including a baseline survey and health examination, the implementation of SSB taxes, and a follow-up survey and health examination. The expected results suggest a statistically significant reduction in SSB consumption and improved glycemic control following the implementation of the SSB taxation intervention. However, I predict a slight decrease in the number of participants with dental caries, indicating that further …


Combatting Bacterial Infections: The Efficacy Of Poly-Gamma-Glutamic Acid On The Prevention Of Nasopharyngeal Infections Among Individuals With Cleft Lip And Palate, Florence Pun Jan 2023

Combatting Bacterial Infections: The Efficacy Of Poly-Gamma-Glutamic Acid On The Prevention Of Nasopharyngeal Infections Among Individuals With Cleft Lip And Palate, Florence Pun

Scripps Senior Theses

Cleft lip and palate (CLP) is a medical condition where children are born with an unfused lip and palate. While surgery is required to fuse the lip and palate, there are other conditions that children with CLP face after surgeries, such as otitis media (OM), speech impediments, and difficulty breathing. Particularly, OM occurs frequently in individuals with CLP because the tensor veli palatini muscles cannot open the Eustachian tube frequently and ventilate the middle ear properly, even after surgery. This thesis is a research proposal to evaluate whether γ-PGA can be used in nasal washes to safely prevent nasopharyngeal infections …


Emergency Department Use Among Probationers Enrolled In The Riverside University Health System, Whole-Person Care Pilot Program, Nirshila Chand Jan 2022

Emergency Department Use Among Probationers Enrolled In The Riverside University Health System, Whole-Person Care Pilot Program, Nirshila Chand

CGU Theses & Dissertations

Formerly incarcerated individuals suffer from poor health outcomes and often overuse emergency department (ED) services because of a lack of access to care and insurance coverage upon reentry to their community. The Riverside County Whole Person Care (WPC) pilot program implemented by Riverside University Health System (RUHS) was designed as a reentry program developed to address these challenges and ensure that releasees successfully transition back into the community. The primary aim of this project was to assess whether participating in the RUHS WPC program reduced emergency department (ED) use among recent releasees. This was a cross-sectional retrospective study of formerly …


Physicians’ Perceptions Of The Utility Of Clinical Guidelines In The Management Of People With Type 2 Diabetes In Saudi Arabia, Abdulaziz Eskandarani Jan 2022

Physicians’ Perceptions Of The Utility Of Clinical Guidelines In The Management Of People With Type 2 Diabetes In Saudi Arabia, Abdulaziz Eskandarani

CGU Theses & Dissertations

Aim: The aim of this research was to assess physicians’ perception of the utility of clinical guidelines in the management of people with Type 2 diabetes in Saudi Arabia and how their perception is affected by different physicians’ characteristics and whether high perception would result in adherence to guidelines. Methods: This study employed a cross-sectional study design and used a self-administered online survey through Qualtrics software. The survey was distributed through the Saudi Society for Diabetes (SSD) whose membership includes more than five-thousand active physicians from all regions of Saudi Arabia. There were 493 respondents to the survey. Results: Around …


Racial And Ethnic Disparities In Diabetes-Related Healthcare Service Use In The United States, 2016–2020, Gaole Song Jan 2022

Racial And Ethnic Disparities In Diabetes-Related Healthcare Service Use In The United States, 2016–2020, Gaole Song

CGU Theses & Dissertations

Diabetes is a serious public health issue in the United States. As one of the leading causes of death, the prevalence of diabetes has increased steadily and leads to an enormous medical and societal burden each year. Compared to non-Hispanic White adults, racial/ethnic minority adults have a higher risk to develop diabetes and its complications. Proper healthcare service use is important for reducing the prevalence of diabetes and the risk of complications. However, minority populations receive a lower quality healthcare service and have greater barriers to diabetes self-management. To get a better understanding of racial disparities in diabetes-related healthcare service …


A Multinational Study Of The Etiology And Clinical Teleology Of Moral Evaluations Of Patient Behaviors, Anna Yu Lee Jan 2020

A Multinational Study Of The Etiology And Clinical Teleology Of Moral Evaluations Of Patient Behaviors, Anna Yu Lee

CGU Theses & Dissertations

This dissertation is a collection of four studies which collectively explore a hypothesized construct of ‘moral evaluation of patient behaviors’ (MEPB) as a driver of health professionals’ readiness to interact humanistically with their patients. In these studies, ‘humanistic interactions’ refer to the non-technical, intangible skills and factors of clinical competence; the factors specifically explored in these studies were compassion toward patients, self-efficacy for treating patients, and optimism toward patient treatment. For the purpose of specificity, all factors were examined as they pertained to patients with substance use disorders. Survey data from a convenience sample of 524 health professionals (i.e. physicians, …


Access To Medication-Assisted Treatment For Opioid Dependence In The United States – Identifying Implications For Policy And Practice, Mofoluwake Adeniyi Jan 2020

Access To Medication-Assisted Treatment For Opioid Dependence In The United States – Identifying Implications For Policy And Practice, Mofoluwake Adeniyi

CGU Theses & Dissertations

Americans make and use the most opioids in the world. Although comprising somewhat less than 5% of the world’s population, the United States (US) produces approximately 90% of the global supply of Hydrocodone and consumes an estimated 80% of the total international supply. It is not surprising, therefore, that the American opioid epidemic, particularly as it involves adults (those 18 years and older), is worsening—Indeed, President Trump declared it a national public health emergency. Many therefore anticipate that the US Congress will enact evidence-informed policies to address the opioid crisis. Opioid Use Disorder (OUD) is a pattern of opioid use …


Relations Among Maternal And Paternal Behavior And Children's Stress Biology, S.K. Jiaming Lin, Stacey N. Doan, John Milton Jan 2019

Relations Among Maternal And Paternal Behavior And Children's Stress Biology, S.K. Jiaming Lin, Stacey N. Doan, John Milton

Scripps Senior Theses

Parenting behavior has been shown to have a wide range of effects, influencing children’s psychological and biological stress outcomes. Most research focuses on maternal parenting behaviors, with few studies observing the effects of paternal behaviors or the influence of both parents on their children. In this study, the relationship between maternal and paternal parenting behaviors was examined in its association to predict children’s cortisol levels. Cultural differences in parenting styles was also observed. American (N=86) and Chinese (N=97) families participated in the study, with parents reporting their behaviors. Children’s cortisol was collected during a stressor task and correlational analysis was …


Put Your Money Where Your Mouth Is: Reforming Organized Dentistry To Address Persistent Oral Health Disparities In The U.S., Aparna Chintapalli Jan 2019

Put Your Money Where Your Mouth Is: Reforming Organized Dentistry To Address Persistent Oral Health Disparities In The U.S., Aparna Chintapalli

Pomona Senior Theses

The importance of oral health has been largely neglected from the conventional standards of healthcare in terms of public understanding & prioritization, the industrial infrastructure, and the scope of prevention & early-intervention services. Its adjunctive locus to the field of medicine has lead to the bifurcation of the oral cavity from the rest of the human body. As a result of this divide, there have been multiple factors that have allowed socially stratified oral health outcomes to manifest. This thesis examines the determinants of oral health disparities through a multidisciplinary lens (i.e. biology, public policy, infrastructure), and offers evidence of …


Crispr Genetic Editing: Paths For Christian Acceptance And Analysis Of In Vivo And In Vitro Efficiency, Mandeep Sandhu Jan 2018

Crispr Genetic Editing: Paths For Christian Acceptance And Analysis Of In Vivo And In Vitro Efficiency, Mandeep Sandhu

Scripps Senior Theses

With advancements in CRISPR-cas9 broadening the potential paths for clinical usage of genetic editing, conversations about genetic editing have grown to outside simply scientific communities and into mainstream conversations. This study focuses specifically on Christian discourse of genetic editing and locates four major tensions for many Christians when they think about genetic editing: beginning of life, Creator-human relationship, imago Dei, and stewardship. With these major concerns in mind, I identify epigenetics, somatic cell genetic editing, and in vivo genetic editing research as important research paths to pursue as they can potentially produce techniques that more Christian individuals would feel comfortable …


Exploration Of Materials Used In 3-Dimensional Printing For The Dental Industry, Holly Chang Hayden Jan 2015

Exploration Of Materials Used In 3-Dimensional Printing For The Dental Industry, Holly Chang Hayden

Scripps Senior Theses

A limiting factor in the digitization of dental devices is the availability of materials suitable for use in both dentistry and the new digital technologies. As a rapidly growing industry, three-dimensional printing (3DP) has the potential to disrupt traditional manufacturing and prototyping methods. A review of both restorative materials and the current 3DP materials has lead to a focus on fiber- reinforced composites in the exploration for a new 3DP material. In addition, another area worth exploring and investing in would be 3D bioprinting as it opens up the possibility of regenerative dentistry.


Chemical Dental Plaque Control: Chlorhexidine Tooth Staining And Efficacy Of Common Whitening Procedures, Zoe Kiklis May 2014

Chemical Dental Plaque Control: Chlorhexidine Tooth Staining And Efficacy Of Common Whitening Procedures, Zoe Kiklis

Scripps Senior Theses

Chlorhexidine mouth rinses remove dental plaque from teeth, preventing dental caries, dental decay, and more serious systemic infections. Tooth discoloration due to extrinsic staining is the most prominent side effect of regular chlorhexidine use. Decreasing the concentration of chlorhexidine reduces staining area and severity. Staining can also be prevented and treated by tooth bleaching, a common cosmetic dental procedure that diminishes extrinsic staining by oxidizing chromagens adsorbed onto the tooth surface. In the proposed trial, common bleaching agents will be investigated for their efficacies in preventing chlorhexidine staining. Results of the trial could further the development of a chlorhexidine mouth …


Complexities In The Diagnosis And Treatment Of Thyroid Cancer: Discussions, Observations, Research And Public Policy, Hannah V. Gordon Jan 2012

Complexities In The Diagnosis And Treatment Of Thyroid Cancer: Discussions, Observations, Research And Public Policy, Hannah V. Gordon

CMC Senior Theses

The impact of the increasing incidence of thyroid cancer presents an interesting case study in public health policy and resource allocation. During the last three decades, thyroid cancer cases have increased by more than 400%. As an illness that affects the lives of hundreds of thousands each year, the human and economic costs will be magnified in the next decade. It is estimated that approximately 13-67% of people will have thyroid nodules during their life of which approximately 5% will be malignant. The standard treatment, a thyroidectomy frequently followed by radioactive 131 iodine treatment, accordingly would seem to be a …


The Dentist / Patient Relationship: The Role Of Dental Anxiety, Michael Liu Jan 2011

The Dentist / Patient Relationship: The Role Of Dental Anxiety, Michael Liu

CMC Senior Theses

Dental anxiety is a common problem found in approximately 80% of the adult population in the United States. This study examined the role of dental anxiety within the dentist/patient relationship. Negative experiences were found to be the most significant contributor of dental anxiety. The negative experiences result largely from the relationship between the dentist and the patient. Both dentist and patient are affected from the effects of dental anxiety. Therefore it is important for the dentist to establish a trusting relationship with the patient to ensure that proper dental care can be provided.