Digital Commons Network^™

Implementation Science To Accelerate Clean Cooking For Public Health., Joshua Rosenthal, Kalpana Balakrishnan, Nigel Bruce, David Chambers, Jay Graham, Darby Jack, Lydia Kline, Omar Masera, Sumi Mehta, Ilse Ruiz Mercado, Gila Neta, Subhrendu Pattanayak, Elisa Puzzolo, Helen Petach, Antonello Punturieri, Adolfo Rubinstein, Michael Sage, Rachel Sturke, Anita Shankar, Kenny Sherr, Kirk Smith, Gautam Yadama

Environmental and Occupational Health Faculty Publications

Clean cooking has emerged as a major concern for global health and development because of the enormous burden of disease caused by traditional cookstoves and fires. The World Health Organization has developed new indoor air quality guidelines that few homes will be able to achieve without replacing traditional methods with modern clean cooking technologies, including fuels and stoves. However, decades of experience with improved stove programs indicate that the challenge of modernizing cooking in impoverished communities includes a complex, multi-sectoral set of problems that require implementation research. The National Institutes of Health, in partnership with several government agencies and the …

Rare Mutations And Potentially Damaging Missense Variants In Genes Encoding Fibrillar Collagens And Proteins Involved In Their Production Are Candidates For Risk For Preterm Premature Rupture Of Membranes, Bhavi P. Modi, Maria E. Teves, Laurel N. Pearson, Hardik I. Parikh, Piya Chaemsaithong, Nihar U. Sheth, Timothy P. York, Roberto Romero, Jerome F. Strauss

Human and Molecular Genetics Publications

Preterm premature rupture of membranes (PPROM) is the leading identifiable cause of preterm birth with ~ 40% of preterm births being associated with PPROM and occurs in 1% - 2% of all pregnancies. We hypothesized that multiple rare variants in fetal genes involved in extracellular matrix synthesis would associate with PPROM, based on the assumption that impaired elaboration of matrix proteins would reduce fetal membrane tensile strength, predisposing to unscheduled rupture. We performed whole exome sequencing (WES) on neonatal DNA derived from pregnancies complicated by PPROM (49 cases) and healthy term deliveries (20 controls) to identify candidate mutations/variants. Genotyping for …

"We're Human": An Analysis Of Formal And Informal Training Methods For Direct Care Staff Working With Dual-Diagnosis Populations, Adam Clay Stephenson

Theses, Dissertations and Capstones

Direct care staff, or DCS, are individuals tasked with providing a number of care services to individuals with disabilities in various settings. This study focuses on a group of direct care staff working at a day habilitation program in central West Virginia. Training techniques used to prepare these workers for a diverse array of roles are reviewed comparatively and through a sociological theoretical lens utilizing perspectives from Bandura (1977), Laubach (2005), Marx (1964), and Wolfensberger (1983). Semi-structured interview results indicate that formal training is driven by a less valorous view of disabled individuals as a class than informal training; that …

Addressing Culture And Context In Humanitarian Response: Preparing Desk Reviews To Inform Mental Health And Psychosocial Support., M Claire Greene, Mark J D Jordans, Brandon A Kohrt, Peter Ventevogel, Laurence J Kirmayer, Ghayda Hassan, Anna Chiumento, Mark Van Ommeren, Wietse A Tol

Psychiatry and Behavioral Sciences Faculty Publications

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context. To respond rapidly to humanitarian emergencies, international organizations often seek to design programs according to international guidelines and mobilize external human resources to manage and deliver programs. Familiarizing international humanitarian practitioners with local culture and contextualizing programs is essential to minimize risk of harm, maximize benefit, and optimize efficient use of resources. Timely literature reviews on traditional health practices, cultural beliefs and attitudes toward mental health and illness, local health care systems and previous experiences with humanitarian interventions can provide international practitioners …

Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo

Anthropology

Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom’s three ecumenical organisations, showing how a diverse group people singly glossed as ‘Christian’ in most public health acceptability studies critically rejected the procedure in unity, but not uniformly. Participants saw medical male circumcision’s promotion and …

Occupational Therapy Program 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Tay-Sachs And Its Prevalence In The Ashkenazi Jewish, French-Canadian, And Louisiana Cajun Population, Kayla Peveler

Student Research Conference Select Presentations

The purpose of my study is to examine the molecular evolution of the HEXA gene and its implications to Tay-Sachs disease. Also, this study intends to compare and contrast the mutations that occur within the various populations at high-risk of developing this disease. My central concept is population genetics in which populations are compared among each other to identify patterns or possible causes of a particular phenomenon. Numerous research studies have been conducted to study specific popul ations for Tay-Sachs, such as the Ashkenazi Jewish population and the Indian communit y. In my study, I intend to compare and contrast …

Addressing Culture And Context In Humanitarian Response: Preparing Desk Reviews To Inform Mental Health And Psychosocial Support., M Claire Greene, Mark J D Jordans, Brandon A Kohrt, Peter Ventevogel, Laurence J Kirmayer, Ghayda Hassan, Anna Chiumento, Mark Van Ommeren, Wietse A Tol

Psychiatry and Behavioral Sciences Faculty Publications

Delivery of effective mental health and psychosocial support programs requires knowledge of existing health systems and socio-cultural context. To respond rapidly to humanitarian emergencies, international organizations often seek to design programs according to international guidelines and mobilize external human resources to manage and deliver programs. Familiarizing international humanitarian practitioners with local culture and contextualizing programs is essential to minimize risk of harm, maximize benefit, and optimize efficient use of resources. Timely literature reviews on traditional health practices, cultural beliefs and attitudes toward mental health and illness, local health care systems and previous experiences with humanitarian interventions can provide international practitioners …

Do Bilingual Speakers Shift Fundamental Frequency Based On Language Acquisition Or Language Dominance?, Nydia Abigail Mendez

ETD Archive

As Spanish-English bilingual speakers continue becoming a growing part of the population in the United States it is essential to investigate their acoustic measures. The purpose of this study was to investigate a possible shift in fundamental frequency (F0) measures in bilingual speakers, and it sought to determine whether that shift was based on language acquisition or language dominance. Eleven Spanish-English bilinguals were asked to complete the following tasks 1) answer the Language Experience and Proficiency Questionnaire (LEAP-Q) 2) complete 3 Spanish and 3 English category fluency trials by naming words belonging to a category (e.g. animals), each one minute …

Identity And Career Experiences Of Muslim Immigrant Women: The United States Context, Basak Kacar Khamush

ETD Archive

Muslim women's sense of self is at stake due to prevailing stigma and oppression toward Muslims. Employment and workplace have emerged as primary settings for encounters of negative bias, prejudice, and discrimination. Muslim immigrant women face multiple disadvantages on the basis of their various intersecting identities. The purpose of this study was to explore identity and career experiences of first generation immigrant Muslim women in American society, particularly in work and career settings. Informed by relational approaches to career development and social identity perspective, and grounded on the constructivist paradigm, a phenomenological qualitative analysis using consensual qualitative research (CQR) was …

Stimulated Hyposalivary Flow Rates In Healthcare Students In An Interprofessional Awareness Educational Program Curriculum, R Constance Wiener

Faculty & Staff Scholarship

Purpose. Hyposalivation influences quality of life and medication compliance. However, oral health knowledge (in general) and knowledge about hyposalivation (in particular) are often lacking in nondental healthcare professional’s curricula. Additionally, hyposalivation has not been adequately studied in young adults. The purpose for this study is twofold: to use an interprofessional educational curriculum to increase nondental healthcare students’ knowledge about oral health and salivary testing and determine whether hyposalivation is different between sexes in young adults. Method. First-year medical and pharmacy students () learned the process of saliva collection and provided samples in an interprofessional program. Results. There were 14.4% of …

Three Damn Letters, Katherine Ammon

Honors Program Theses

Amyotrophic lateral sclerosis (ALS) is a terminal disease that destroys a patient's motor neurons. In the play Three Damn Letters, a sarcastic woman must accept her own ALS diagnosis while also balancing her relationships with her father, husband, and son. This seriocomedic play explores themes of family roles, disability, love, and death.

When Is A Randomised Controlled Trial Health Equity Relevant? Development And Validation Of A Conceptual Framework, J. Jull, M. Whitehead, M. Petticrew, E. Kristjansson, D. Gough, Sarah Baird, +Several Additional Authors

Global Health Faculty Publications

Background Randomised controlled trials can provide evidence relevant to assessing the equity impact of an intervention, but such information is often poorly reported. We describe a conceptual framework to identify health equity-relevant randomised trials with the aim of improving the design and reporting of such trials.

Methods An interdisciplinary and international research team engaged in an iterative consensus building process to develop and refine the conceptual framework via face-to-face meetings, teleconferences and email correspondence, including findings from a validation exercise whereby two independent reviewers used the emerging framework to classify a sample of randomised trials.

Results A randomised trial can …

Moral Distress And Associated Factors Among Baccalaureate Nursing Students: A Multisite Descriptive Study, Lorretta Krautscheid,, Deborah A. Demeester, Valorie Orton, Austin Smith, Conor Livingston, Susan M. Mclennon

Faculty Publications - College of Nursing

Moral distress and its associated negative consequences among postlicensure nurses have been extensively discussed in the literature. Moral distress is defined as knowing the ethically correct action one should take but feeling constrained from acting on one’s convictions because of internal and external constraints (Epstein & Delgado, 2010; Hamric, 2014; Jameton, 1984; McCarthy & Gastmans, 2015; Musto, Rodney, & Vanderheide, 2015). The focus in much of the reviewed literature is on measuring and describing moral distress, moral residue (lingering feelings associated with moral distress), and subsequent deleterious consequences (frustration, apathy, compassion

Using A Social Ecological Model To Explore Upstream And Downstream Solutions To Rural Food Access For The Elderly, Lauri Andress

Faculty & Staff Scholarship

A social ecological model is applied to the secondary analysis of qualitative data to study the impact of place on rural food access for older adults in West Virginia. The use of a social-ecological model to review the senior’s coded narratives provided a clearer picture of higher impact, upstream levers to address food security for older adults in a rural region. The elderly have restricted access to food in rural West Virginia because of an indirect relationship with place that acts through the social ecological domains of the built environment, macrosocial factors, stressors, the natural environment, and social support. The …

The Role Of Breastfeeding In Mother-To-Child Transmission Of Hiv/Aids: A Comparative Case Study Of Three Countries, Anjali Cherukuri

Honors Undergraduate Theses

The HIV pandemic has affected millions of people around the world both medically and socially, since there is a stigma associated with this disease. Common methods of transmission include sexual intercourse and sharing needles, but there are other lesser known methods through which people can contract this disease. One such way is mother-to-child transmission (MTCT), in which a mother could transmit the virus to her child either during pregnancy, childbirth, or through breastfeeding. This paper focuses on the role of breastfeeding in the transmission of HIV from mother to child. Many studies have investigated how breastfeeding results in the transmission …

Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg

Behavioral Science Faculty Publications

This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …

Role Of Healthcare Providers' Recommendation Style In Hpv Vaccine-Decision-Making Among Haitian Parents And Female Patients, Dudith Pierre-Victor, Dionne P. Stephens, Rachel Clarke, Kemesha Gabbidon, Purnima Madhivanan

USF St. Petersburg Campus Faculty Publications

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers’ recommendation style in Haitian parents’ and female patients’ HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV …

Expanding Access To Integrated Family Planning Intervention Packages For Married Adolescent Girls In Urban Slums Of Dhaka, Bangladesh, Fauzia Akhter Huda, Hassan Rushekh Mahmood, Sadia Afrin, Anisuddin Ahmed, Nafis Al Haque, Bidhan Krishna Sarker

Reproductive Health

This research report describes an intervention study conducted among married adolescent girls aged 15–19 years in four urban slums of Dhaka, Bangladesh. Objectives of the study were to examine the acceptability and feasibility of forming married adolescent girls’ clubs, and involving community health volunteers (Shasthya Skebikas) and marriage registrars to increase access to family planning (FP) information and services, to promote the uptake of long-acting reversible contraceptive methods, and to provide FP information to newlywed couples at the time of marriage registration. The study findings revealed that a noteworthy number of married adolescent girls received FP-related information, mostly from the …

We Like Fried Things: Negotiating Health, Taste And Tradition Among Spanish Caribbean Communities In New York City, Melissa Fuster

Publications and Research

The study was conducted to understand fried-food (FF) consumption among Hispanic Caribbean (HC) communities in New York City. Data were collected through qualitative interviews with 23 adults self-identified as Cuban, Dominican, or Puerto Rican. Most informants considered FFs an important part of their traditional diet. Potential explanations included taste, cost, convenience, and the emotive values attached to FF. FF consumption was contextualized in local foodscapes. Results include strategies to diminish FF consumption and differences across HC groups and migratory generations. The relevance for future nutrition interventions addressing health disparities in this community is discussed

การใส่กางเกงรัดกล้ามเนื้อต่อการลดการสะสมแลคเตทที่เกิดจากการออกกำลังกายอย่างหนักในโปรแกรมที่ทำให้เกิดการล้าเฉพาะบาสเกตบอลในนักกีฬาบาสเกตบอลชาย, ธวัชชัย พลอยแดง

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์ จุดมุ่งหมายของการศึกษานี้เพื่อศึกษาผลของการใส่กางเกงรัดกล้ามเนื้อต่อการลดแลคเตทในเลือดที่เกิดจากการล้าจากการออกกำลังกายแบบเฉพาะของบาสเกตบอลในนักกีฬาบาสเกตบอลชาย วิธีการศึกษา การศึกษาในรูป crossover design ในนักบาสเกตบอลที่มีทักษะสูง จำนวน 19 คน (อายุ 19.95 ± 1.87 ปี ค่าดัชนีมวลกาย 22.45 ± 1.36 กิโลกรัม/ตารางเมตร และค่าความสามารถการใช้ออกซิเจนสูงสุด 47.26 ± 2.83 มิลลิลิตร/กิโลกรัม/นาที) กำหนดรูปแบบให้ใส่กางเกงรัดกล้ามเนื้อ (แรงกดที่ผิวหนัง 16.71 ± 1.35 มิลลิเมตรปรอท) สลับกับกางเกงเลคกิ้ง (3.79 ± 1.47 มิลลิเมตรปรอท) ในลำดับการสุ่มที่เว้นระยะระหว่างโดยเว้นระยะห่างในแต่ละรูปแบบ 5 วัน ทำการวัดระดับความเข้มข้นของแลคเตทจากเลือดที่ปลายนิ้ว สมรรถภาพการกระโดดสูงสุด และ การวัดคลื่นสัญญาณไฟฟ้ากล้ามเนื้อ gastrocnemius ก่อนและหลังการออกกำลังกายแบบเฉพาะของบาสเกตบอล ผลการศึกษา ผลของกางเกงรัดกล้ามเนื้อขณะออกกำลังกายมีค่าแลคเตทในเลือดน้อยกว่ากลุ่มกางเกงเลคกิ้ง อย่างมีนัยสำคัญทางสถิติ (p<0.05) ค่า integrated electromyography และ median frequency ขณะใส่กางเกงรัดกล้ามเนื้อและกางเกงเลคกิ้งช่วงหลังออกกำลังกายเมื่อเปรียบเทียบกับก่อนออกกำลังกายลดลงแตกต่างอย่างมีนัยสำคัญทางสถิติ (p<0.05) ค่าสหสัมพันธ์ (correlation) ระหว่าง การเปลี่ยนแปลง median frequency กับการเปลี่ยนแปลงของระดับแลคเตทในเลือด มีค่าความสัมพันธ์ที่ r = .2 และ r = .47 ในขณะใส่กางเกงรัดกล้ามเนื้อและกางเกงเลคกิ้ง ตามลำดับ สรุปผล ผลการศึกษานี้แสดงให้เห็นว่ากลุ่มกางเกงรัดกล้ามเนื้อสามารถช่วยลดการสะสมของแลคเตทในเลือดขณะออกกำลังกายเฉพาะบาสเกตบอลที่ทำให้เกิดอาการล้าได้ดีกว่าเมื่อเปรียบเทียบกับการใส่กางเกงเลคกิ้ง

Effect Of Slant Boards In Combination With Handwriting Practice, Kristen N. Brevoort

Occupational Therapy Program Student Theses, Dissertations and Capstones

Handwriting difficulties affect 10% to 30% of children in elementary school often hindering their successful participation in a number of occupations, including academic participation. Occupational therapists provide treatments for handwriting difficulties; however, many of these interventions have limited to no evidence to support their effectiveness. One of these interventions is the use of a slant board, a treatment strategy often combined with handwriting practice. Clinicians commonly combine the use of slant boards and handwriting practice to facilitate the development of handwriting skills in young children. However, the effectiveness of this combination of interventions in improving the quality of handwriting remains …

Mealtime Insights: A Photovoice Project With African American Mothers And Their Young Children, Paula Ann Rabaey

Occupational Therapy Program Student Theses, Dissertations and Capstones

Mothering is a complex and multifaceted occupation that encompasses the nurturing work that women engage in. It addition, it has been established that ethnicity, class, and gender have effects on motherhood that need to be taken into account when looking at the occupations of motherhood across cultures. One important task that occurs within a mothers’ daily routine is that of making meals for their children. This dissertation sought to gain a rich, in-depth description of the phenomenon of the mealtime experience for African American mothers of low socioeconomic status and young children living in an inner-city environment in the Midwest. …

Differentiating Responses Of Lung Cancer Cell Lines To Doxorubicin Exposure: In Vitro Raman Micro Spectroscopy, Oxidative Stress And Bcl-2 Protein Expression, Zeineb Farhane, Franck Bonnier, Marcus A. Maher, Jane Bryant, Alan Casey, Hugh Byrne

Articles

The potential of Raman micro spectroscopy as an in vitro, non-invasive tool for clinical applications has been demonstrated in recent years, specifically for cancer research. To further illustrate its potential as a high content and label free technique, it is important to show its capability to elucidate drug mechanisms of action and cellular resistances. In this study, cytotoxicity assays were employed to establish the toxicity profiles for 24 hr exposure of lung cancer cell lines, A549 and Calu-1, to the commercially available drug, doxorubicin (DOX). Raman spectroscopy, coupled with Confocal Laser Scanning Microscopy and Flow Cytometry, was used to track …

More Than Brides Alliance: Baseline Report, Niger, Grace Saul, Andrea J. Melnikas, Sajeda Amin, Sarah Engebretsen, Aissa Diarra, Chaibou Saadou

Poverty, Gender, and Youth

The More Than Brides Alliance (MTBA) seeks to improve the lives of adolescent girls and includes activities across multiple domains (reproductive health, education, gender norms, and livelihoods, to name a few). The Population Council conducted baseline surveys of adolescents in select areas of two regions in Niger (Tillaberi and Maradi) as part of an evaluation of MTBA interventions to delay marriage. The goals of the baseline study were to: 1) provide a benchmark against which changes resulting from the intervention may be measured at the midline and endline periods; 2) provide information about the current situation and context for adolescent …

Multilevel And Multisectoral Processes Of Implementing Nutritionsensitive Ideology And Programming In Ethiopia’S Development Landscape, Andrea Marie Warren

Theses and Dissertations

This research sought to understand the ways in which ideas and discourses in international development are adapted in a country context. Our particular focus was on how ideas at the international and national level become reality at the subnational and community levels. We primarily examined the sensitization of Ethiopia’s Productive Safety Net Program to nutrition across sectors and down levels of government as a way to understand how the global momentum around nutrition, particularly multisectoral or nutrition-sensitive initiatives, can be translated into action.

The first manuscript delves further into the operational realities of implementing multisectoral nutrition-sensitive programming among the neglected …

Self-Efficacy And Cultural Competency Assessment Of The Associate Degree Nursing Student, Deborah Smith Hartman

Walden Dissertations and Doctoral Studies

Effective nursing care can be threatened when nurses are not culturally attuned with their patients. Associate degree nursing (ADN) students receive information about diverse ethnicities in the nursing curriculum, but it may not be sufficient to provide the expertise necessary to care for patients of various cultural backgrounds. The purpose of this quantitative study was to explore the 2nd year ADN students' levels of cultural competence and their perceptions of self-efficacy in working with Caucasian, African American, Native American, Hispanic, and Asian ethnicities. The study used a cross-sectional survey design to determine if a relationship existed between the students' reported …

Rituals Reproducing Race: African American Women's Feminine Hygiene Practices, Shared Experiences, And Power, Angela K. Guy-Lee

Wayne State University Dissertations

This dissertation is an exploration of the role African American women’s feminine hygiene practices, namely vaginal douching, plays in the creation and reproduction of race. Compared to their white and Latina counterparts, African American women are the most likely to engage in this practice. Vaginal douching is associated with myriad reproductive and sexual health problems. These problems include but are not limited to recurrent yeast infections, bacterial vaginosis, disrupting healthy vaginal microbiomes, and spontaneous preterm birth; of which African American women experience disproportionately. Although racial differences in vaginal douching are well documented, little is known about the impetus for African …

Parental Understandings Of The Meaning Of Autism Spectrum Disorder (Asd), Kylara Leyva

Open Access Theses & Dissertations

This study examines how parents understand autism, their child's behavior and development. Parents can understand their child's behavior and development through a medical model perspective, which sees the childâ??s autism as a series of deficits and deviations. However, a growing number of parents understand their child's behavior and development through a neurodiversity perspective, where a child is seen as having differences in behavior, instead of deficits. Parents' understandings of autism can influence how they see their child's behavior and development and be a driver for seeking diagnosis. In-depth interviews were conducted with parents of children with autism to probe for …

Neonatal Shoulder Width Suggests A Semirotational, Oblique Birth Mechanism In Australopithecus Afarensis, Jeremy M. Desilva, Natalie M. Laudicina, Karen R. Rosenberg, Wenda R. Trevathan

Peer Reviewed Articles

Birth mechanics in early hominins are often reconstructed based on cephalopelvic proportions, with little attention paid to neonatal shoulders. Here, we find that neonatal biacromial breadth can be estimated from adult clavicular length (R² = 0.80) in primates. Using this relationship and clavicular length from adult Australopithecus afarensis, we estimate biacromial breadth in neonatal australopiths. Combined with neonatal head dimensions, we reconstruct birth in A. afarensis (A.L. 288-1 or Lucy) and find that the most likely mechanism of birth in this early hominin was a semi-rotational oblique birth in which the head engaged and passed through the inlet …