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Exploring Potential Risk Factors Of Fetal Origins Of Diabetes: Maternal Stressors During Pregnancy And Birth Outcomes Among Women In A Hospital In The Municipality Of Caguas, Puerto Rico, Juan Pablo Arroyo

USF Tampa Graduate Theses and Dissertations

Puerto Rico has the highest prevalence of type 2 diabetes, low birth-weight, and the second highest prevalence of preterm-birth in all the U.S. and its non-incorporated territories. These conditions are related. Birth-weight at both ends of the spectrum and preterm-birth are associated with an increased risk for developing type 2 diabetes and immune-inflammatory dysregulations. Maternal psychosocial stressors during pregnancy have also been recognized as potential risk factors for type 2 diabetes, and have been consistently associated with preterm-birth and low birth-weight across populations. Current evidence points toward epigenetic fetal metabolic-programming as the mechanism that underlies the increased risk for the …

School Mental Health: Views Of Services Integration And Attitudes Toward Evidence-Based, Donna L. Burton

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Purpose of the study. Through secondary data analysis of results from the School Mental Health Services Integration Survey (SMHSIS), this study describes indicators of school mental health integration preparedness, including role identification, willingness to engage in tasks associated with mental health services integration and implementation facilitators. The study also investigated the utility of a modified version of the Evidence-Based Practice Attitude Scale (EBPAS) for use with school staff.

Study rationale. With as many as 20% of children meeting criteria for mental disorders that cause impairment, the gaps in mental health services delivery to this special needs population are evident …

Quality Of Life In Female Breast Cancer Survivor In Panama, Mayela Castro

USF Tampa Graduate Theses and Dissertations

Abstract

Introduction: Breast cancer is the most common female cancer worldwide and it is also the principal cause of death from cancer among women globally. Breast cancer has the highest prevalence among Panamanian women and its incidence is also growing every year. Women living with and beyond breast cancer have special needs that have to be considered by society and the health care systems. After diagnosis, the quality of life (QOL) of women is highly affected, due to the emergence of physical, psychological and social effects which lead to changes in attitudes and expectations towards life.

Purpose: To evaluate the …

Universal Tumor Screening For Lynch Syndrome: Identification Of System-Level Implementation Factors Influencing Patient Reach, Deborah Le Cragun

USF Tampa Graduate Theses and Dissertations

Lynch syndrome (LS) is the most prevalent cause of hereditary colorectal cancer (CRC) and confers high risks for several other types of cancer. Universal tumor screening (UTS) of all newly diagnosed patients with CRC can improve LS identification and decrease associated morbidity and mortality among patients and family members. However, for UTS to be effective, patients who screen positive must pursue genetic counseling and confirmatory germline testing (i.e., high patient reach). The purposes of this study were to characterize UTS programs, identify barriers and facilitators to implementation, document whether there have been negative outcomes, and determine institutional and implementation conditions …

African Americans And Hospice: A Culture-Centered Exploration Of Disparities In End-Of-Life Care, Patrick Dillon

USF Tampa Graduate Theses and Dissertations

As the United States' population ages and grows more diverse, scholars and practitioners have grown increasingly concerned about persistent disparities in the cost and quality of end-of-life health care, particularly with regard to African Americans. Although a variety of factors may influence these disparities, most scholars agree that the underutilization of hospice care by this population is an important contributor. Drawing from the culture-centered approach to health communication and narrative theory, the present study explores African American patients and caregivers' experiences with hospice care and takes an initial step toward addressing disparities in end-of-life care. I begin this study, first, …

Parent Distress In Life With A Child With Type 1 Diabetes, Lauren Nicole Johnson

USF Tampa Graduate Theses and Dissertations

Objective:

The purpose of this study was to highlight parent distress in diabetes, identify factors associated with distress and to show how public health and clinical professionals can assist parents in coping with their child's diabetes and living positively as a family unit.

Methods:

Parents of youth with diabetes (N = 41 qualitative, N = 332 quantitative) were engaged in focus groups, interviews, and survey research to understand their needs and stressors in life with a child with diabetes. Themes were examined in the qualitative data, and correlations and a regression model were run and analyzed from the quantitative data …

Evaluation Of Occupational Risk Factors For Nurses And Cnas: Analysis Of Florida Workers' Compensation Claims Database, Sheila Mohammed

USF Tampa Graduate Theses and Dissertations

Musculoskeletal injuries lead to most claims even though needlestick injuries receive the most attention. In 2010, health expenditures in the United States neared $2.6 trillion. CNAs, orderlies, and attendants had the highest rates of musculoskeletal disorders of all occupations with an incidence of 249 per 10,000 compared to 34 per 10,000 for all workers. The financial burden of back injuries in the healthcare industry is estimated to add up to $20 billion annually. Data was extracted for cause of injury, nature of injury and body part injured. Extracted data was analyzed both descriptively and by logistic and linear regression using …

Quantifying The Ergonomic Impact On Healthcare Workers Using A Needle-Free Injector Device, Humberto Jose Olivero Lara

USF Tampa Graduate Theses and Dissertations

Background: Jet injectors are advantageous over needle injectors by eliminating sharps hazards. The Government Accountability Office estimates 29% preventable sharp injuries with an estimated direct cost of more than $500 million out of the CDC's reported incidence of 385,000 needle stick injuries per year among US hospital healthcare workers. Yet the forces required to set and trigger devices using spring mechanisms for medication delivery have not been explored. This laboratory experiment measured forces exerted by healthcare workers (HCWs) using a particular jet injector approved by FDA in 2011.

Objectives: In order to quantify the ergonomic impact on HCWs using a …

Social Determinants Of Racial And Ethnic Disparities In Perinatal Morbidity: Social Origins Of Perinatal Health Study, Abraham A. Salinas-Miranda

USF Tampa Graduate Theses and Dissertations

BACKGROUND: The social causation of preterm birth remains elusive, without an adequate explanatory framework. Thus, this study proposed and evaluated a conceptual model of the social determinants of perinatal health for the understanding of perinatal health disparities.

METHODS: A prospective cohort study was conducted with pregnant women between 20 and 35 weeks gestation who were participating in two Healthy Start programs in Central Florida, from July 2011-August 2013. Perinatal health was operationalized based on gestational age, birth weight, and healthy start infant risk screen score. The predictors were: early life adversity, social position, maternal health-related quality of life, maternal stress, …

Daily Recovery From Work: The Role Of Guilt, Eunae Cho

USF Tampa Graduate Theses and Dissertations

Acknowledging the critical role that occupational factors play in employee health, researchers have tried to understand ways to reduce the harmful effects of work on employee health. As the process by which individuals recharge resources that have been depleted, recovery has been recognized as important due to its potential to mitigate the negative effects of work on employee well-being. Although the recovery literature has continued to grow, many questions remain unanswered. The purpose of the present study was to expand our knowledge of recovery by examining situational (job characteristics) and individual (trait guilt) predictors of recovery and investigating psychological attributes …

Survivorship, Infertility And Parenthood: Experiencing Life After Cancer In Puerto Rico, Karen Elizabeth Dyer

USF Tampa Graduate Theses and Dissertations

While incidence rates are increasing for many cancers in Puerto Rico, mortality rates are declining (Torres-Cintron, et al. 2010), resulting in growing numbers of survivors and creating a situation in which long-term survivorship concerns are beginning to emerge as priorities. The importance of quality-of-life among survivors of cancer is increasingly being recognized among healthcare providers, although there remains a gap in knowledge of how young adult survivors cope with long-term treatment-related physical effects, such as infertility, and of the impact of cancer on survivors' social relationships and future goals.

Because understandings of "cancer survivorship," as well as of reproduction, vary …

Perceived Experiences Of Discrimination In Health Care: A Barrier For Cancer Screening Among American Indian Women With Type 2 Diabetes, Kelly Gonzales, Anna K. Harding, William E. Lambert, Rongwei Fu, William G. Henderson

OHSU-PSU School of Public Health Faculty Publications and Presentations

Purpose - Breast and cervical cancer-mortality disparities are prominent among American Indian women. These disparities, in part, may result from patients perceived experiences of discrimination in health care. This report evaluates the impact of perceived discrimination on screening for breast and cervical cancer in a sample of 200 American Indian women with type 2 diabetes.

Methods - Data were collected from patient report and medical records. Prevalence of breast and cervical cancer screening were assessed. Unadjusted and adjusted logistic regression analyses were used to assess associations between perceived discrimination, cancer screening status, and patients' health care-seeking behaviors.

Findings - Substantial …

Associations Of Perceived Stress, Sleep, And Human Papillomavirus In A Prospective Cohort Of Men, Stephanie Kay Kolar

USF Tampa Graduate Theses and Dissertations

Introduction: Mucosal human papillomavirus (HPV) infection is the most common sexually transmitted infection (STI) and is associated with genitals warts, anogenital cancers, and oropharyngeal cancers. Most sexually active persons will become infected with HPV at some point in their lives, however few will develop HPV-related diseases such as warts, lesions, or cancer as a result of the infection. It is unclear why a minority of individuals fail to clear HPV infection and develop clinical disease. Due to initial associations with cervical lesions, much research has focused on women. Th1 type immune responses have been associated with successful response to HPV …

Parent Pathways: Recognition And Responses To Developmental Delays In Young Children, Jennifer Marshall

USF Tampa Graduate Theses and Dissertations

The importance of early recognition and intervention for developmental delays is increasingly acknowledged, yet high rates of under-enrollment and 1-3 year delays in entry to the public early intervention system continue. Much research has examined developmental screening in health and child care settings, but less well understood is what prompts parents to identify problems and seek help for their children. This mixed methods study rooted in the Health Belief Model and Social Support Theory examined child, parent, family, and community level factors related to parent recognition (awareness and concern) and response (help-seeking and enrollment in services), including formal and informal …

The Role Of Connectedness And Religious Factors On Bullying Participation Among Preadolescents In Puerto Rico, Melissa C. Mercado-Crespo

USF Tampa Graduate Theses and Dissertations

Relationships or connections with caring pro-social others (e.g., parents, teachers, school, friends, neighborhood, religion) serve as pro-resilience assets that may enhance children's abilities to cope with bullying. The purpose of this research study was to explore the roles of connectedness and religiosity as potential factors that could enhance resiliency against bullying among preadolescents in Puerto Rico (PR). This doctoral dissertation also addressed several gaps in the children's bullying, resilience and religiosity research literature.

A sample of 426 community-based afterschool program preadolescents (ages 10-12 years old) participated in this exploratory, cross-sectional study, by completing a quantitative questionnaire in paper and pencil …

The Sunland Training Centers: Florida’S Institutes For Children With Intellectual Disabilities, Kim Curry

Florida Public Health Review

Developmental disabilities affect about one out of every six children in the United States. These conditions create significant financial and social costs to families and society. Specifically, questions have long arisen as to how best to manage the needs of persons with intellectual disabilities. Historically, the nomenclature used to address intellectual disabilities has evolved as has the philosophy of venues to provide optimal care and the development of specific skills for conducting this care. Considerable dissension still exists about the type and nature of institutional care for even the most profoundly disabled individuals. This paper reviews relevant history, including laws, …

The State Of Health And Safety Program Management As It Pertains To Osha In The Funeral Industry: A Formative Analysis, Brad William Kuchnicki

Online Theses and Dissertations

From a law perspective, contingency refers to possible events that may or may not happen, by which, when happening, some particular title may be affected. In the funeral industry, OSHA regulations govern a vast array of procedures directly related to day-to-day operations. If at any time one of these controls have or have not been implemented, enforced or altered, the organization could be influenced. This thesis will analyze the state of health and safety program management as it pertains to OSHA in the funeral industry.

Safety On A Drilling Rig: Is It Safety Culture?, Jonathan Wade Henson

Online Theses and Dissertations

Why do workers on a modern offshore drilling rig continue to make decisions leading to unsafe conditions, acts or incidents? In a perfect world, workers in any industry would go to work and come home in the same condition as they started the day: no incidents. Worker injuries and deaths are all too common in the workplace whether on land or at sea. On a modern drilling rig, operating hundreds of miles offshore, far from the nearest hospital, working in all kinds of weather presents an industry ripe with risks. The worker or rig hand holds the key to making …

Examining The Value Of Fire Prevention Inspections In Commercial Occupancies, Philip Steven Gairson

Online Theses and Dissertations

This research paper will evaluate the value of conducting fire prevention inspections within the commercial occupancy and the associated reduction in the occurrence of fires. While the fire problem within the United States has experienced a decline in the number of fires and fire related injuries, the reality is that the nation continues to experience significant fire loss. With the introduction of more comprehensive codes and standards, the enforcement of fire regulations becomes paramount in maintaining a fire safe community. Typically, fire prevention enforcement is accomplished through annual fire inspections performed by the fire department. While personnel within the fire …

Social Cognitive Theory Vs. Social Comparison Theory: Examining The Relationship Between Social Influence And Weight Loss, Emily Grigg

Masters Theses

This qualitative study investigated the impact of social influence on weight loss, more specifically, the internal and external elements that effect response and success of those who are trying to lose weight. The research focused on three questions: (1) How great of an influence does self-efficacy have in weight loss success? (2) How great of an influence does social comparison have in weight loss success? (3) Which factor has the largest impact on weight loss: self-efficacy, peer efficacy, or positive social support, or negative social support? Data was collected by the researcher conducting semi-structured interviews. These interview were conducted with …

Military Tobacco Dependence Treatment: Implications Of Treatment Type On Abstinence And Weight Management Ability, Bradley A. Briscoe

DNP Projects

Military readiness, employer productivity and individual health are all significantly impacted by high rates of tobacco use. Current research, to date, suggests that use of brief, individually tailored behavioral modification strategies through group therapy may be most effective in smoking cessation. The objective of this Practice Inquiry Project was to explore aspects of tobacco use the U.S. military population and examine potential relationships between type of treatment, smoking abstinence, and maintenance of body weight (e.g. avoid weight gain) among those seeking tobacco use cessation. The findings of this project can provide guidance on enhancing current tobacco cessation efforts to enable …

Family-Focused Physical Activity, Diet, And Obesity Interventions In African-American Girls: A Systematic Review, Daheia J. Barr-Anderson, Alexis W. Adams-Wynn, Katherine I. Disantis, Shiriki Kumanyika

Faculty Publications

Obesity interventions that involve family members may be effective with racial/ethnic minority youth. This review assessed the nature and effectiveness of family involvement in obesity interventions among African-American girls aged 5-18 years, a population group with high rates of obesity. Twenty-six databases were searched between January 2011 and March 2012, yielding 27 obesity pilot or full-length prevention or treatment studies with some degree of family involvement and data specific to African-American girls. Interventions varied in type and level of family involvement, cultural adaptation, delivery format, and behavior change intervention strategies; most targeted parent-child dyads. Some similarities in approach based on …

Impact Of Climate Change On Occupational Health And Safety, Ariane Adam-Poupart, France Labrèche, Audrey Smargiassi, Patrice Duguay, Marc-Antoine Busque, Charles Gagné, Joseph Zayed

Rapports de recherche scientifique

Les effets des changements climatiques (CC) sont souvent discutés en fonction de leurs impacts sur l’environnement et sur la population générale. Toutefois, leurs conséquences sur la santé et la sécurité des travailleurs (SST) n'ont été que très peu abordées par la communauté scientifique. Pourtant, les travailleurs peuvent être directement ou indirectement affectés par les CC notamment par des contraintes thermiques auxquelles ils peuvent être exposés ou encore, par des modifications aux écosystèmes qui sont à la base de leurs activités économiques. L’objectif général de cette étude était d’explorer les avenues de recherche en regard de l’impact négatif des changements climatiques …

Social And Behavioral Sti Risk Factors: Comparing A Two-Year Community College Setting To A Four-Year University Setting, Oswald M. Attin

Faculty Publications and Presentations

No abstract provided.

Interracial Couple Status In Relation To Birth Outcomes Among Singleton Infants Born To U.S. Resident Mothers, 2004-2008., Su Jin Jeong

All ETDs from UAB

Due to the growing trend in interracial marriages in the United States, the issue of birth outcomes to infants born to such couples deserves more attention and examination. The purpose of this population-based, cross-sectional, observational study is to examine the association between interracial couple status and birth outcomes (i.e. low birth weight, very low birth weight, preterm birth, very preterm birth, small for gestational age) among singleton infants delivered in the United States. Interracial couples are defined as those in a relationship who are not of the same race or ethnic designation. Non-Hispanic white, non-Hispanic black, Hispanic, Asian, Chinese, Filipino, …

Uptake Of Antenatal Care Services And Pregnancy Outcome In Kumasi, Ghana, Asundep Ntui

All ETDs from UAB

A prior study reported a 44.6% prevalence of adverse pregnancy outcomes in Kumasi, Ghana. This study investigated factors that may influence antenatal care (ANC) utilization and their association with adverse pregnancy outcomes; defined as low birth weight, stillbirth, preterm delivery or small for gestational age among pregnant women in Kumasi. A quantitative cross sectional study of 643 women, age 19-48 years who presented for delivery at select public hospitals and private traditional birth attendants from July through November 2011 was conducted. Information on socio-demographic characteristics and other factors associated with ANC attendance was collected using a structured questionnaire. Medical and …

The Relationship Of Maternal Depressive Symptoms Among First Time Adolescent And Adult Mothers And Their Safe Parenting Practices And Child Injuries, Angela Warren Baumann

All ETDs from UAB

Maternal depressive symptoms have been associated with deficits in parenting practices that protect children from injuries; however, few studies have been conducted to examine these relationships. Using data from a multisite longitudinal study of 252 first-time mothers, the relationships between the use of safe parenting practices and maternal depressive symptoms was examined, taking into account mother's resources (as defined by age and education level) and race at five time points during the first 3 years of the child's life. Depressive symptoms were assessed using the Beck Depression Inventory. Measures of maternal depressive symptoms, safe parenting practices (use of car seat, …

Predictors Of Colorectal Cancer Surveillance Among Survivors Of Childhood Cancer At High Risk For Subsequent Colorectal Malignancies, Casey Leigh Daniel

All ETDs from UAB

Childhood cancer survivors who were treated with ionizing radiation are at a significantly higher risk of developing a subsequent colorectal cancer (CRC) compared to the general population. The Children's Oncology Group (COG) recommends that children and adolescents who were treated with radiation therapy of 30 Gy or more to the abdomen, pelvis, or spine undergo a colonoscopy every five years, beginning at age 35 or 10 years after completion of radiation. Despite these recommendations, research indicates low adherence rates to CRC screening among high-risk childhood cancer survivors. Determining the predictors of attending subsequent colorectal cancer surveillance among individuals in this …

Studies On Distracted Driving: Three Papers Examining The State Of The Literature And The Impact Of Texting Restrictions On Motor Vehicle Crash-Related Fatalities And Hospitalizations, Alva Oletia Ferdinand

All ETDs from UAB

ABSTRACT This three-paper dissertation addresses gaps in the literature focused on distracted driving and the impact of regulations aimed at reducing its prevalence. With the widespread proliferation of mobile phone usage and more sophisticated in-vehicle entertainment and information systems, it is now commonplace for drivers to engage in non-driving activities (also referred to as "secondary tasks") while driving. It is widely believed that distracted driving is positively related to motor vehicle crashes and other undesirable driving outcomes. This dissertation specifically focuses on three topics: (1) the nature of the distracted driving literature given the numerous secondary tasks, driving performance outcomes, …

The Relationship Of Religiosity, Spirituality And High-Risk, Tommie Lee Watkins

All ETDs from UAB

Religion and spirituality are important concepts for many Black MSM. While many social factors may be associated with the increasing disparity of HIV infection among Black MSM, high levels of religiosity and spirituality prevalent in Black culture may be correlated with high risk behavior among Black MSM and may help explain this population's increasing incidence of HIV infection. Research supports a relationship between religiosity, spirituality, and high risk behavior among populations. Some research has suggested that religiosity and spirituality among Black MSM may be correlated but are multifaceted constructs. Conclusions suggest that among Black MSM these constructs account for certain …