Digital Commons Network^™

Parental Barriers Toward Seeking Mental Healthcare For Saudi Children At Risk Of Adhd, Amani Kappi

Theses and Dissertations--Nursing

Attention deficit hyperactivity disorder (ADHD) is a mental health disorder commonly diagnosed in childhood. Underdiagnosis and undertreatment of ADHD can lead to the development of other mental illnesses and disruptions in social functioning in adulthood. Therefore, parents can play a crucial role in proactively seeking mental healthcare for children who are at risk for or who have a clear diagnosis of ADHD. Studies in the United Kingdom and the United States highlight many barriers that prevent parents from seeking mental healthcare for their children, such as negative attitudes towards the mental healthcare system and stigma towards mental illnesses.

Cultural differences …

Protective Factors Against Self-Harm And Suicidality Among Australian Indigenous Adolescents: A Strengths-Based Analysis Of The Longitudinal Study Of Indigenous Children, Irteja Islam, Lisa Sharwood, Verity Chadwick, Tuguy Esgin, Alexandra Martiniuk

Research outputs 2022 to 2026

Background: Understanding and encouraging social and emotional well-being (SEWB) among Indigenous adolescents is vital in countering the impacts of colonisation and intergenerational trauma. As self-harm and suicidality are considered markers of poor SEWB among Indigenous communities, we aimed to identify the individual-level and community-level factors protecting Indigenous adolescents from self-harm and suicidality. Methods: Data came from Footprints in Time—The Longitudinal Study of Indigenous Children (waves 10 and 11), conducted among Indigenous families across Australia. A strengths-based analysis fitted multilevel logistic regression to explore associations with factors proposed as protective against self-reported self-harm and suicidality among Indigenous adolescents. Results: Our study …

Structural Violence & Small Victories: Political Epidemiology Of Hiv Among Msm In Nigeria, 2000-2010, Debbie A. Dada

Harvey M. Applebaum ’59 Award

No abstract provided.

Illuminating The Increase Of Intentional Dating In The Covid-19 Pandemic And Its Connection To Relationship Satisfaction Through The Lens Of Photography., Caitlin Carnegie

Art Therapy | Master's Theses

In this study, the researcher examined if the reality of the COVID-19 pandemic prompted individuals to reprioritize their emotional needs in intimate relationships. As a result of reprioritizing intimate relationship needs, the researcher also examined whether intentional dating increased within an individual. Furthermore, the researcher explored the use of photography to illuminate an individual's relationship satisfaction and motivation for dating. Asking these questions can help to better understand how the COVID-19 pandemic impacted intimate dating relationships and how dating trends may have shifted. It further explores how photography can also be used as a research tool as well as a …

Implementation Of Telehealth Clinical Nurse Leader Interventions To Reduce Rehospitalizations In Rural Home Health Patients, Briana White

DNP Scholarly Projects

Reimbursement for home-based care is moving towards a value-based purchasing (VBP) model. This change brings a renewed sense of urgency to focus efforts in care delivery to sustain positive outcomes such as reducing rehospitalizations. The Clinical Nurse Leader role has been instrumental in hospital settings in improving patient outcomes, and evidence points toward the potential success of implementation of this role in the rural microsystem setting. This quality improvement project implemented a remote telehealth intervention led by Clinical Nurse Leaders, to decrease rehospitalizations of Medicare patients assessed as at-risk for 30-day rehospitalization. The DMAIC QI model was used to ensure …

Workplace Violence Prevention For Nurses And Healthcare Workers In The State Of Maine A Health Policy Initiative, Gretchen Forsley

DNP Scholarly Projects

Abstract

Background: Health care workplace violence is a pervasive and persistent problem, underreported, and when reported it is tolerated, excused, or ignored. Prior to the pandemic, the “normal” demands of a stressful workplace for a resilient nurse might include short staffing, a lack of resources, violence, bullying, and disruptive behaviors from patients or families. Since the pandemic, the rates of increasing healthcare violence can be attributed to several factors such as delays in care and services, reducing admissions and procedures, consistent understaffing, a lack of adequate mental health services, increased violence against women, limited or no visitor policies, low-security coverage, …

Pediatric Telehealth Simplified: A Toolkit For The Rural Pediatric Occupational Therapy Practitioner, Stacy Michelle Buschette

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to promote occupational therapy to rural pediatric populations by means of effective and efficient telehealth service delivery via an extensive toolkit. The toolkit is meant to enhance the occupational therapy practitioner’s skills, abilities, and competencies pertaining to telehealth to ease the transition to telehealth implementation.

Methodology: An in-depth literature review of current research was conducted to determine the common barriers and supports that are experienced by occupational therapy practitioners implementing telehealth service delivery. Due to the occurrence of the COVID-19 pandemic, numerous occupational therapy practitioners were compelled to transition to telehealth intervention …

Environmental Racism In Baltimore: A Geographical Study Into The Connections Between Environmental Toxins And Public Health, Genevieve Block

Honors Theses

An investigation into the relationship between environmental toxins and environmental racism in Baltimore City, Maryland.

Health Sciences First Year Seminar Library Lesson Plan (Hsf90), Ian Mcdermott

Open Educational Resources

This lesson plan, and accompanying slides, is for the library instruction session for HSF90, LaGuardia Community College's health sciences first year seminar course. The lesson details the importance of college-level research for students who will enter various health sciences professions. The lesson also covers the importance of citation in academic research, covering what to cite and how to do it using library subscription databases.

Written Piece And Art By Antonella D'Ascanio, Antonella D'Ascanio

Quill & Scope

No abstract provided.

African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith

Walden Dissertations and Doctoral Studies

African American (AA) women have a 54.8% overall obesity rate in the United States. This quantitative cross-sectional study’s aim was to determine what factors may have an impact on body image perceptions of AA women in Alabama and New Jersey. A gap in research this study addressed is sociodemographic and geographic differences that may impact obesity rates among AA women. The theoretical framework used for this study was the social cognitive theory. Secondary data were obtained from the 2018 Behavioral Risk Factor Surveillance System. Linear regression (LR) analyses results showed that none of the sociodemographic variables (education level, employment status, …

An Examination Of Three Transitional Events In The Substance Misuse Trajectories Of Women With Criminal Legal System Involvement, Martha Tillson

Theses and Dissertations--Sociology

Research has consistently demonstrated that criminal legal system (CLS)-involved women are distinct from men in initiation and course of drug use, with important differences on biological, environmental, and sociocultural levels. Thus, the unique pathways and transitions into and out of drug use for women with CLS involvement are critical to consider from a research perspective, but also from a need to develop and support evidence-based, women-centered services in correctional contexts. This dissertation project uses a three-paper format to investigate three aims: (1) to understand CLS-involved women’s initiations to injection drug use and their experiences providing injection initiation assistance (IIA) to …

The Association Between Diabetes Mellitus Of Different Durations And Risk Of Pancreatic Cancer: An Australian National Data-Linkage Study In Women, Sitwat Ali, Renhua Na, Karen Tuesley, Katrina Spilsbury, Louise M. Stewart, Michael Coory, Penelope M. Webb, Peter Donovan, Sally-Anne Pearson, Susan J. Jordan, Rachel E. Neale

IHR Papers and Journal Articles

Aims: The bidirectional association between diabetes mellitus (DM) and pancreatic cancer (PC) is established; however, the strength of association between duration of DM and risk of PC needs further investigation.

Methods: We conducted a case-control study nested within a population-based cohort of Australian women established using record linkage. Women diagnosed with PC from July 2007 to December 2013, were matched to five controls based on age and state of residence. DM was defined according to prescription of anti-diabetic medication from administrative prescription data. We used conditional logistic regression to calculate odds ratios (OR) and 95% confidence intervals (CI), adjusted for …

Examining The Spatial Relationship Between Maternal Morbidity, Access To Health Care, And Community Characteristics In West Virginia, Sarah E. Woolard

Graduate Theses, Dissertations, and Problem Reports (ETD)

Maternal-related morbidity rates in the United States have risen almost three fold since the early 1990’s. Issues related to rurality, socioeconomic disparities, and pre-existing health conditions increase the risk of poor pregnancy outcomes and introduce barriers to accessing advanced maternal health care. West Virginia (WV) has higher maternal morbidity rates than many other states in the United States (US), and is considered to be driven by all 55 counties being classified as Appalachian, possessing the highest prenatal smoking rate in the US, and having disparities in access to health care. Despite this, no previous studies have evaluated maternal morbidity in …

Capture-Recapture Reveals Heterogeneity In Habitat-Specific Mongoose Densities And Spatiotemporal Variability In Trapping Success In St. Kitts, West Indies, Caroline C. Sauvé, Are R. Berentsen, Amy Gilbert, Anne Conan, Luis Cruz-Martinez, Patrick A. Leighton

United States Department of Agriculture Wildlife Services: Staff Publications

The small Indian mongoose (Urva auropunctata) is a non-native invasive species across the Caribbean and a rabies reservoir on at least four islands in the region. Although previous studies reported mongoose density estimates in their non-native range, the variability in trapping designs, study seasonality, and analytical methods among studies precludes direct comparisons. This study is the first to report mongoose densities for the island of St. Kitts, West Indies. Our objective was to quantify mongoose densities across four habitats characteristic for the island. High capture and recapture rates in this study resulted in detailed estimates of spatial heterogeneity …

Exploring Predictors In The Receipt Of Patient/Family-Centered Care, Arami Anwell

Theses and Dissertations

Study 1

OBJECTIVES: The research aim of this study was to identify predictors associated with the receipt of PFCC among U.S. children/families

METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the National Survey of Children’s Health (NSCH) 2018–20019. Patient/family-centered care (PFCC) was measured using five components of health care delivery that were answered on a 4-point Likert scale. Logistic regression models were analyzed for the overall receipt of PFCC and each component of PFCC, with survey weighting added to adjust for complex sampling design.

RESULTS: Many predictors were associated with the receipt of PFCC. …

Epidemiology Of Antibiotic Use And Drivers Of Cross-Border Procurement In A Mexican American Border Community, Heather T Essigmann, David A Aguilar, William B Perkison, Katherine G Bay, Magdalena R Deaton, Sharon A Brown, Craig L Hanis, Eric L Brown

Faculty, Staff and Student Publications

BACKGROUND: The U.S.-Mexico Border is an area of opportunity for improved health care access; however, gaps remain as to how and where U.S. border residents, particularly those who are underinsured, obtain care. Antibiotics are one of the most common reported drivers of cross-border healthcare access and a medication of particular concern since indiscriminate or inappropriate use is associated with antimicrobial resistance. In addition, many studies assessing preferences for Mexican pharmaceuticals and healthcare in U.S. border residents were done prior to 2010 when many prescription medications, including antibiotics, were available over the counter in Mexico.

METHODS: Data used in this study …

Whole Genome Sequencing, De Novo Assembly, And Comparative Analysis Of Varanus Salvator And Megaustenia Siamensis, Wanna Chetruengchai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Understanding the animal genome structure and function is pivotal for expanding our current knowledge of evolution, biodiversity, cosmeceutical and medical applications. Each species has a unique characteristic feature. Varanus salvator is a reptile (vertebrate) prevalent in Thailand. It has evolved over millions of years to adapt and survive in urban environments, polluted canals, and garbage dumps. It still survives without noticeable effects. Megaustenia siamensis, an invertebrate, is famous for its ability to produce biological adhesive substances enabling it to stick to trees’ leaves even in heavy rain. However, there is very little genomics or transcriptomics data for V. salvator …

The Impact Of Community Violence Exposure On The Health Behaviors And Health Service Utilization Among High-Risk Black Men, Paris Willis

Graduate Research Theses & Dissertations

This qualitative study explored the lived experience of high-risk Black men exposed to community violence in hopes of understanding their health challenges and behaviors in highly violent communities. Eleven Black men considered high-risk participated in the study through individual semi-structured interviews addressing the research questions below:1. How do high-risk Black men perceive community violence? 2. How do high-risk Black men maintain their health residing in high violent communities? 3. How do high-risk Black men in high violent communities utilize healthcare? 4. Do high-risk Black men exposed to community violence trust healthcare providers? Community violence exposure is a complex multilayered topic …

Covid-19 Vaccination In Palestine/Israel: Citizenship, Capitalism, And The Logic Of Elimination, Nicolas Howard, Emily Schneider

Sociology & Criminal Justice Faculty Publications

Despite Israel’s responsibility under international law to combat the spread of contagious diseases and epidemics in its occupied territories, Israeli officials have refused to distribute COVID-19 vaccines to Palestinians in the West Bank and Gaza Strip. Through a critical discourse analysis of Israeli officials’ statements regarding Israel’s COVID-19 vaccination campaign, this paper explores how Israel evades this responsibility while presenting itself as committed to public health and human rights. We find that Israeli officials strategically present Palestinians as an autonomous nation when discussing COVID-19 vaccinations, despite Israel’s ongoing attempts to prevent the creation of a Palestinian state. Relatedly, Israel justifies …

The Effect Of Federally Qualified Health Centers (Fqhcs) Prevalence On Uncompensated Care In Us Hospitals, Kena R. Norris

All ETDs from UAB

Over the past two decades, uncompensated care in U.S. hospitals has grown at a staggering rate and reached $46.4 billion in 2013. It began to decline in 2014, due to the passage of the Patient Protection and Affordable Care Act (ACA), but is now on the rise again. Uncompensated care is typically affected by policy and market factors such as legislative changes and an increase in the number of uninsured. While hospitals continue to serve as critical safety net providers, they are often not the only or most appropriate facility to serve the indigent in U.S. communities. Instead, federally qualified …

Predictors Of Us Hospital Responsiveness To International Patient Inquiries, Suzanne M. Garber

All ETDs from UAB

Medical travel has been growing at a steady rate as global travel has also increased. However, with the advent of COVID-19, all global travel came to a screeching halt, including travel intended for medical purposes across borders. Now that travel is resuming worldwide, American hospital administrators are anxious to fill their beds with more profitable, international patients to make up for revenue losses incurred during the pandemic. Existing literature on the topic of medical tourism focuses on the role of patient initiative, choice, and risk-taking behaviors with little mention of hospital leadership’s ability or desire to construct a management strategy, …

The Use Of Vesgen For Analysis Of Retinal Vasculature In Pulmonary Arterial Hypertension, Mariana Desiree Dupont

All ETDs from UAB

Pulmonary artery hypertension is a chronic and progressive disease leading to right heart failure and, ultimately, death if untreated. The goal of the studies in this dissertation was to determine if fluorescein angiography (FA), and color fundus angiography (CF) imaging could be used to garner critical information about retinal changes in individuals with pulmonary artery hypertension (PAH). VESsel GENerational Analysis (VESGEN) is a noninvasive computer program that assigns branching generation to large and small vessels. VESGEN was utilized to investigate vascular alterations in FA, and CF imaging investigating disease progression in PAH. This dissertation demonstrated that PAH patients had aberrant …

Palliative Care Experiences And Educational Needs Of Healthcare Interprofessionals In Jamaica: A Mixed Methods Study, Rebecca L. Edwards

All ETDs from UAB

Universal access to palliative care (PC) is a human right that much of the world has not accomplished and educating a PC workforce is critical to PC advancement. Higher PC disparities exist in low-and-middle income countries, such as Jamaica. The World Health Organization Public Health Model and the International PC Initiative’s PC roadmap emphasize the importance of PC education. The purpose of this mixed methods dissertation study was to investigate the PC experiences and educational needs of healthcare interprofessionals who provide care for patients with late-stage serious illnesses in Jamaica. Three specific aims incorporated quantitative investigation of physicians’, nurses’, and …

History Of Allergy, Atopy, Infectious And Autoimmune Disease And Risk Of Multiple Myeloma, Tony B. Zbysinski

All ETDs from UAB

Multiple Myeloma (MM) is a plasma cell malignancy, which is defined in part by antibodies and complexes of immunoglobulin (Ig) heavy and light chains (IgH and IgL). Previous associations of immune-stimulating conditions such as allergic, autoimmune, and infectious conditions and the risk of multiple myeloma (MM) are inconsistent. However, these studies were conducted in populations of European ancestry, leaving the possibility that these conditions may contribute to the excess risk of plasma cell proliferative disorders observed among Black Americans. Therefore, we assessed MGUS, a precursor condition to myeloma, and MM risk related to a history of allergy, atopy, infections and …

Access To The Kidney Transplant Waitlist For People Living With Hiv, Brittany A. Shelton

All ETDs from UAB

People living with HIV (PLWH) have experienced substantial increases in life expectancy, largely attributable to improvements in care such as antiretroviral therapy. As a result, there has been a concurrent increase in the development of aging-related comorbidities such as end-stage organ disease. One such comorbidity is kidney disease. Concerningly, PLWH are at disproportionately higher risk of chronic kidney disease and end-stage kidney disease (ESKD) as compared to HIV-negative counterparts. Kidney transplantation is the ideal therapy for ESKD as it is both cost-effective and provides a significant survival benefit and yet, despite excellent transplant outcomes among PLWH, access to transplantation among …

Elucidating The Role Of Stat4 In Cd4 T Cell Mediated Pathogenicity, Ashlyn E. Anderson

All ETDs from UAB

While the exact cause of many autoimmune diseases is currently unknown, many genetic factors are associated with increased disease susceptibility such as single nucleotide polymorphisms in the STAT4 gene locus. Signal Transducer and Activator of Transcription 4 (STAT4) is critical for the development and function of Th1 cells; however, many Th1 associated molecules are dispensable for CD4 mediated inflammation such as IFNγ, T-bet, and IL-12Rβ2, suggesting that STAT4 may function outside of the Th1 cell lineage. Importantly, Stat4 has recently been correlated with an inflammatory Th17 cell phenotype. Using a murine model of neuroinflammation, we illustrate that Th17 intrinsic STAT4 …

Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan

Walden Dissertations and Doctoral Studies

Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran …

Relationship Between Ceo Gender, Hospital Size, And Urban, Rural Location, Levinda Walpole

Walden Dissertations and Doctoral Studies

Leadership diversity concerning gender is important in the health care sector because diversity encourages problem solving from different perspectives. The purpose of this quantitative correlational study was to examine whether there was a relationship between CEO gender and the size of nonprofit hospitals and rural/urban location of hospitals in Texas. The independent variables were hospital bed size, which was categorized according to various groupings, and rural/urban areas in Texas. The dependent variable was gender (male and female). The theoretical framework that grounded this study was the perspective of organizational culture and the leader’s role based on the competing values framework. …

Overcoming Barriers To Executive Leadership Advancement Of Nurses From Racial And Ethnic Minority Backgrounds, Ena M. Williams

Walden Dissertations and Doctoral Studies

The social problem is the underrepresentation of nurses with racial and ethnic minority backgrounds in executive nursing leadership positions as compared to the general population. The management problem is that even when academically prepared, nurses with racial and ethnic minority backgrounds perceive that they face both singular and systemic barriers to promotional opportunities to executive nurse positions, which can lead to negative organizational and societal outcomes. A literature gap exists as to why this phenomenon persists. The purpose of this qualitative, narrative inquiry study was to explore the personal stories and lived experiences of a purposive sample of 17 executive …