Digital Commons Network^™

Educational Intervention On Rheumatic Heart Disease In Samoa, Linda Loyda Ida Tovar

Undergraduate Honors Theses

This paper reviews the impact of rheumatic heart disease (RHD) in Samoa and assesses the effectiveness of a caregiver education intervention by using data collected during the 2019 Rheumatic Relief Program trip. A pre- and post- survey collection tool was used to evaluate the effectiveness of current educational efforts among Samoan child caregivers. Dr. Richard Gill and Dr. Lori Allen, who are both BYU Department of Biology professors and Rheumatic Relief directors, participated in the creation of this program evaluation and completion. This project aims to assess the current caregiver education intervention program used in Rheumatic Relief and provide clear …

Disaster And The Built Environment: How The Prephub Has The Potential To Impact Preparedness And Create Resilience During Natural Disasters., Sequoia Bellanca

University Honors Theses

Around the world, natural disasters pose a common threat to most communities. In 2015, Thecho, Nepal, suffered a magnitude 7.8 earthquake, killing 9,000 people and injuring nearly 22,000 (Reid, 2018). In the Pacific Northwest, the coast awaits a catastrophic earthquake, known as "The Really Big One" (Schulz, 2020), scientifically predicted to cause mass destruction. Although communities continue to experience and anticipate these disasters, the preparedness rate amongst individuals is shockingly low. Using this information, researchers developed a structure, rooted in interdisciplinary design, that will aid in the passive education of disaster preparedness amongst individuals and communities. Through unobtrusive qualitative research, …

Development Of The Infant Gut Microbiome Predicts Temperament Across The First Year Of Life, Molly Fox, S. Melanie Lee, Kyle S. Wiley, Venu Lagishetty, Curt A. Sandman, Jonathan P. Jacobs, Laura M. Glynn

Psychology Faculty Articles and Research

Perturbations to the gut microbiome are implicated in altered neurodevelopmental trajectories that may shape life span risk for emotion dysregulation and affective disorders. However, the sensitive periods during which the microbiome may influence neurodevelopment remain understudied. We investigated relationships between gut microbiome composition across infancy and temperament at 12 months of age. In 67 infants, we examined if gut microbiome composition assessed at 1–3 weeks, 2, 6, and 12 months of age was associated with temperament at age 12 months. Stool samples were sequenced using the 16S Illumina MiSeq platform. Temperament was assessed using the Infant Behavior Questionnaire-Revised (IBQ-R). Beta …

Strengths And Weaknesses Of Digital Diaries As A Means To Study Patient Pathways: Experiences With A Study Of Hypertension In The Philippines, Jhaki A. Mendoza, Maureen L. Seguin, Gideon Lasco, Lia M. Palileo-Villanueva, Arianna Maever L. Amit, Alicia Renedo, Martin Mckee, Benjamin Palafox, Dina Balabanova

Development Studies Faculty Publications

The rise of digital mobile communications has made possible novel research methods that can provide a better understanding of patients’ experience of non-communicable diseases. This study explores the opportunities and challenges in employing “digital diaries” via mobile phones to track the lived experiences of people with hypertension in the Philippines. Following in-depth interviews, 40 hypertensive adults were invited to submit digital diaries over 12 months. Mobile phones were found to be an efficient way of reaching participants, although it was difficult to collect in-depth narratives about their experiences using the medium beyond nominal responses about symptoms and treatment. Possible explanations …

Reducing Stroke Burden Through A Targeted Self-Management Intervention For Reducing Stroke Risk Factors In High-Risk Ugandans: A Protocol For A Randomized Controlled Trial, Shirley Moore, Carol Blixen, Martha Sajatovic

Faculty Scholarship

Introduction: Stroke burden is rapidly increasing globally. Modifiable risk factors offer an opportunity to intervene, and targeting hypertension is a key actionable target for stroke risk reduction in sub-Saharan Africa. This 3-site planned randomized controlled trial builds on promising preliminary data. Methods: A total of 246 Ugandan adults will be recruited randomized to experimental intervention vs. enhanced treatment control. Intervention participants will receive six weekly group-format stroke risk reduction self-management training sessions, and the controls will receive information on cardiovascular risk. The primary study outcome is systolic B.P. measured at baseline, 13-week, 24 weeks (6 months). Secondary outcomes include other …

Assessing Hiv Risk, Syndemics, Resilience And Engagement In Care In A Large National Cohort Of Gay, Bisexual And Other Men Who Have Sex With Men In The United States, Javier Lopez-Rios

Dissertations and Theses

Background: HIV continues to be a pervasive public health issue in the United States with more than 1.2 million people living with HIV (PLWHIV) across the nation. Gay, bisexual and other men who have sex with men (GBM) account for over two-thirds of all new HIV diagnoses with racial and ethnic minorities shouldering a large proportion of the burden of disease. Although HIV transmission is predominantly driven by sexual behaviors, there are underlying complex individual, behavioral, and structural factors that contribute to high rates of sexual behavior and subsequent HIV acquisition. Moreover, difficulties remain in maximizing linkage to care …

Mapping The Suitability Of Cal Poly's Insulated Solar Electric Cookers (Isec) In Ghana, Togo, And Jamaica, Julia G. Kraatz

Social Sciences

The World Health Organization estimates that 3 billion people depend on biomass fuels for cooking, heating, and other day-to-day activities, which causes approximately 4.3 million people annually to die from illnesses attributable to indoor air pollution. The issue is especially pressing for women and children in developing countries, because women care for the home and are consequently responsible for attaining household fuels and cooking. In 2015, ISECs (Insulated Solar Electric Cookers) were developed at California Polytechnic State University, San Luis Obispo, as a technology that utilizes solar electricity to directly cook food in a well-insulated chamber. They are capable of …

Bolstering Geometric Morphometrics Sample Sizes With Damaged And Pathologic Specimens: Is Near Enough Good Enough?, D. Rex Mitchell, Claire A. Kirchhoff, Siobhán B. Cooke, Claire E. Terhune

Biomedical Sciences Faculty Research and Publications

Obtaining coordinate data for geometric morphometric studies often involves the sampling of dry skeletal specimens from museum collections. But many specimens exhibit damage and/or pathologic conditions. Such specimens can be considered inadequate for the analyses of shape and are excluded from study. However, the influences that damaged specimens may have on the assessment of normal shape variation have only been explored in two-dimensional coordinate data and no studies have addressed the inclusion of pathological specimens to date. We collected three-dimensional coordinate data from the cranium and mandible of 100 crab-eating macaques (Macaca fascicularis). Tests typically employed to analyze shape variation …

Solanum Jamesii As A Food Crop: History And Current Status Of A Unique Potato, David Kinder, John Bamberg, Lisbeth Louderback, Bruce Pavlik, Alfonso Del Rio

Pharmacy Faculty Scholarship

Solanum jamesii is a wild potato found in the US southwest. There is ample evidence that this potato was used by ancestral Puebloans as a food source, where some researchers think it was used as a starvation food while others consider it to be regular food source. Currently this potato is being grown by Native Americans, notably the Navajo, as a specialty food as well as a food crop. There are several attributes to this potato that make it especially suitable for development as our climate changes and food needs become more demanding, including its drought tolerance and ability to …

Clinical Decision Science: Experience Can Be Shared; Can It Be Taught?, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The editor reflects on the biopsychosocial model of clinical decision making and whether it can be taught in clinical medicine.

Impact Of Local Terminology On The Design Of A Community-Based Diagnostic And Management Algorithm For Postpartum Sepsis: Findings Of Formative Research, Shabina Ariff, Fatima Mir, Wafa Aftab, Farrukh Raza, Shujaat Zaidi, Sheraz Memon, Amnesty Lefevre, Linda A. Bartlett, Peter Winch, Sajid Bashir Soofi, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Background: Postpartum sepsis is one of the leading causes of maternal mortality and morbidity in developing countries. This formative research elicits local terms used for postpartum illnesses and symptoms of postpartum sepsis with the aim of improving postpartum diagnosis and management in Pakistan.
Methods: We conducted 34 in-depth interviews with recently delivered women (RDW), traditional birth attendants (TBAs), healthcare providers and family members of RDW from rural Sindh to explore local Sindhi terms used to describe postpartum sepsis and related symptoms. During interviews, all participants were asked to orally free list common symptoms of postpartum illnesses; those who were aware …

How Will The Future Of Work Shape Osh Research And Practice? A Workshop Summary, Sarah A Felknor, Jessica M K Streit, Michelle Mcdaniel, Paul A Schulte, L Casey Chosewood, George L Delclos

Faculty, Staff and Student Publications

Growth of the information economy and globalization of labor markets will be marked by exponential growth in emerging technologies that will cause considerable disruption of the social and economic sectors that drive the global job market. These disruptions will alter the way we work, where we work, and will be further affected by the changing demographic characteristics and level of training of the available workforce. These changes will likely result in scenarios where existing workplace hazards are exacerbated and new hazards with unknown health effects are created. The pace of these changes heralds an urgent need for a proactive approach …

Contemporary Brazilian Catholicism And Healing Practices: Notes On Environmentalism And Medicalization, Juliano F. Almeida

Journal of Global Catholicism

Anthropological studies on Brazilian Catholicism traditionally focused on popular variants of this religious practice and their relationship with the official Catholicism. Encouraged by recent anthropological perspectives, which highlight the relevance of devoting researches not only on the margins, but also on the center of social practices, this paper analyzes contemporary practices of Brazilian Catholic friars and priests on health promotion. The analysis of their publications (books that include practices and tips on health and that became best sellers etc.), as well as interviews, allows us to perceive a process of environmentalization on the contemporary Brazilian Catholicism. This process seems to …

Editor's Introduction, Marc Roscoe Loustau

Journal of Global Catholicism

No abstract provided.

The Associations Of Chronic Stress, Social Support, Health Behaviors And Metabolic Syndrome Among Hispanic Women, Edna Esquer

Dissertations

The Associations of Chronic Stress, Social Support, Health Behaviors and Metabolic Syndrome Among Hispanic Women

Background: Metabolic syndrome (MetS) prevalence is 25% among Mexican American women 30 – 49 years of age, compared to 22% among non-Hispanic Whites in the United States. Little is known about the additional contributions of chronic stress, social support and health behaviors to the development of MetS among this population.

Purpose: Describe the associations between chronic stress, social support, and health behaviors and the presence of MetS in Hispanic women living in an underserved community.

Methods: A retrospective cohort study design. The Adult Treatment Panel …

Gender, Sexuality And Human Rights: A Comparative Analysis Of The Role Of Civil Society Organizations In Hiv/Aids Responses In Brazil And Nigeria, Emma Stefania Schoppmeyer

Senior Theses

A global epidemic that has affected lives around the world, AIDS has accentuated inequalities across class, race, gender and sexual orientation. In many developing countries, women are disproportionately affected by the epidemic and are more vulnerable than men to HIV infection. The objective of this paper is to address the cultural and social norms surrounding gender and sexuality that have allowed and perpetuated women’s susceptibility to AIDS. I examine the gender constructs and inequities in Brazil and Nigeria to demonstrate how gender affects transmission in sexual relationships as well as the role it plays in creating differential experiences with HIV …

Addressing Vaccine Hesitancy With Motivational Interviewing: A Pilot Study, Olivia Ball

Doctor of Nursing Practice Final Manuscripts

Statement of the problem: The unprecedented 2019 Measles outbreaks in the US and the current COVID 19 global pandemic highlight the necessity of addressing vaccine hesitancy. Improving vaccine confidence requires strategic communication approaches that focus on addressing the complex reasons for vaccine hesitancy.

Purpose: The purpose of this project was to improve both provider’s understanding of the complex factors involved in vaccine hesitancy and confidence in using motivational interviewing to address vaccine hesitancy.

Intervention: An educational presentation for advanced practice nurses was conducted with the purpose of highlighting the benefits of using motivational interviewing in vaccine hesitant patients.

Results: The …

How Art Therapy Can Ethically Address Symptoms Of Trauma With Asylum Seekers And Refugees, A Literature Review, Lydia Klauck

Expressive Therapies Capstone Theses

Asylum seekers at the Southern border of the United States of America have experienced a number of complex traumas due to premigration experiences in their country of origin as well as anti-immigration laws that cause further oppression and discrimination. The intention of this capstone thesis is to examine how art therapy can ethically address the symptoms of trauma seen in asylum seekers and refugees in the United States. This literature review looked at arts-based and qualitative studies conducted in other countries as well as literature about trauma-informed treatment within the psychotherapy field in order to address the gap in the …

Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman

Expressive Therapies Capstone Theses

Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …

"It's The Way You Sing It": Translating Music Therapy For Isolated Older Adults Affected By Covid-19 To The Television Screen, Eunice Wong

Expressive Therapies Capstone Theses

The current Covid-19 pandemic has increased the likelihood of loneliness and social isolation among older adults due to the restrictions on movement and visitations in care facilities. Loneliness and social isolation have consistently been identified as risk factors for poor mental and physical health in older people. Meanwhile, a growing number of older adults are utilizing technological resources to enhance their interpersonal relationships and overall quality of life. In the winter of 2020/2021, an innovative music therapy-informed television program was designed and produced for isolated older adults in need of mental and emotional support. This project, produced jointly by a …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Nurses' Perspectives On Pain Management In The Emergency Department, Elizabeth Fitzgerald

Seton Hall University Dissertations and Theses (ETDs)

Over 130 million people seek care in emergency departments (ED) in the United States annually. Most patients who seek treatment in emergency departments are experiencing a painful condition, and as such, ED nurses should have a deep understanding of pain management in the ED. There is limited qualitative research which explores pain management from the nurses’ perspective. The purpose of this study is to describe pain management from the nurse’s perspective. Thorne’s (2005) method of Interpretive Description guided this qualitative inquiry. New knowledge describing the nature of pain management in the ED provides insight into elements which support and impede …

Development And Assessment Of Feasibility Of A Community-Based Peer Support Intervention To Mitigate Social Isolation And Stigma Of Adolescent Motherhood In Harare, Zimbabwe, Chiwoneso B. Tinago, Edward A. Frongillo Jr. Ph.D., Andrea M. Warren, Vivian Chitiyo, Ashley K. Cifarelli, Shannon Fyalkowski, Victoria Pauline

Faculty Publications

Background: Adolescent mothers in Zimbabwe often experience stigma, isolation, and lack coping skills and resources to successfully navigate motherhood. Social isolation and stigma are linked to poor mental health outcomes. No interventions currently address mental health of adolescent mothers in Zimbabwe. Peer support groups in other contexts have been effective at increasing social connectedness, self-esteem, and self-efficacy, providing coping mechanisms to manage stigma experiences, in addition to empowering and improving mental health of adolescents and adolescent mothers. To develop a community-based peer support intervention, we aimed to understand the unique needs of adolescent mothers, how peer support groups could …

Effects Of Bimodal Transcranial Direct Current Stimulation On Modulation Of Spinal Circuitry In People With Chronic Post-Stroke Hemiparesis, John Patrick Gan, Rafael Cabrera, Lana Laudermilch, Benjamin Wolkenhauer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Stroke can lead to gait abnormalities such as foot drop. Foot drop can result from decreased corticospinal tract input to the ankle dorsiflexors and/or from exaggerated stretch reflexes on the soleus due to reduced reciprocal inhibition from spinal reflex pathways. Transcranial direct current stimulation (tDCS) attempts to modulate corticospinal tract input and spinal reflex pathways by delivering electrical signals to parts of the brain. The degree of neuromodulation from tDCS can be measured through the Hoffman Reflex (H-reflex)—a tool used to estimate alpha motor neuron excitability which is increased in individuals post-stroke. Purpose: The primary purpose of this study …

Neuroliberalism And Beyond, Neve Durrwachter

Anthropology Honors Papers

This paper evaluates the healthy lifestyle promotion corporation known as Blue Zones by focusing on their approach to behavioral modification. The analysis relies on popular theories of governmentality such as neoliberalism, libertarian paternalism, and neuroliberalism that seek to explain how personal forms of knowledge intersect with mechanisms of social control to influence the creation of policy. Through a content-analysis of the organization’s foundational text, I argue that Blue Zones is best understood as a form of neuroliberalism because it grants individuals the autonomy to be their own choice architects.

Hyperostosis Frontalis Interna: Irregular Skull Ossification In Cadaveric Dissection, Anthony Sciuva, Sara Eliseo, Zhi Quan Kuat, Yeva Nayflish, Leslie Pryor Mcintosh

Research Day

Hyperostosis Frontalis Interna (HFI) is an unusual condition characterized by the thickening of the frontal bone of the skull. HFI has been found most often in post-menopausal women, with incidence rates surpassing men by nearly nine times. This abnormal thickening of the skull may compress the cerebrum leading to atrophy, frequent headaches, and cognitive impairment. In this case report, we describe an 88-year-old Caucasian female cadaver that originated with the Body Donor Program of PCOM Georgia with an extensive presentation of HFI. A distinct irregular ossification of the internal surface of the frontal bone was noted bilaterally with visibly demarcated …

Intangible Cultural Heritage: A Benefit To Climate-Displaced And Host Communities, Gül Aktürk, Martha B. Lerski

Publications and Research

Climate change is borderless, and its impacts are not shared equally by all communities. It causes an imbalance between people by creating a more desirable living environment for some societies while erasing settlements and shelters of some others. Due to floods, sea level rise, destructive storms, drought, and slow-onset factors such as salinization of water and soil, people lose their lands, homes, and natural resources. Catastrophic events force people to move voluntarily or involuntarily. The relocation of communities is a debatable climate adaptation measure which requires utmost care with human rights, ethics, and psychological well-being of individuals upon the issues …

Virtual Cadaver Dissection Prior To Clinical Experiences In Nurse Anesthesia, Hannah Ruholl, Kyle Smith

Doctor of Nursing Practice Projects

Anatomy and physiology (A&P) courses are the foundation of anesthesia training. Student registered nurse anesthetists (SRNAs) must be A&P experts as they perform clinical skills for the first time. Traditionally, cadaver dissection has been used to enhance comprehension of A&P. However, not all facilities can allocate the time, space, or financial resources for cadaver dissection within their programs of study, especially at institutions that lie outside of major medical centers. Despite the presence of a virtual cadaver at a nurse anesthesia program in the Midwest, its introduction to SRNAs as a resource had not been fully employed. The goals of …

The Power, (Problem), And Potential Of Prayer, Meghan E. Stretar

School of Theology and Seminary Graduate Papers/Theses

This paper illuminates the complex and nuanced relationship between mental health and prayer, particularly seeking theologically grounded understandings of prayer and of our relationship with God in times of mental distress that goes beyond intercessory prayer. The paper begins with an evaluation of social structures that cause mental health problems (notably in college students). A discussion on emotional agility, scarcity, and vulnerability serves as a transition to examining this question from a theological perspective, the second main section of this paper. In this section, I claim that a misunderstanding of the divine-human relationship and of prayer is one potential source …

Pandemic And Õen Consumption In Japan: Deliberate Buying To Aid The Seller, Kosuke Mizukoshi, Yuichiro Hidaka

Markets, Globalization & Development Review

This dialogue contribution discusses whether it is possible to create favorable new social assistance under the market principles, based on the Ouen or Õen (aid) consumption in Japan. The meaning of consumption has changed due to the COVID-19 pandemic. In Japan, aid consumption is increasing. This means helping local restaurants and producers by willfully and proactively buying and consuming their services and products. This is a favorable form of new social assistance and the result of strong marketing and market functions. The penetration of market forces may surpass pure altruistic behavior such as donations and gifts, by creating new market-linked …