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The Relationship Between Sexual Functioning And Sleep Quality In A Female Undergraduate Student Sample, Alexander Kuka

All Graduate Theses, Dissertations, and Other Capstone Projects

A relative lack of literature exists regarding the relationship between sexual functioning and sleep quality in women. The current study assessed these constructs in a sample of 260 undergraduate female students via online administration of relevant measures for sleep quality, sexual functioning, stress, and medical conditions and prescription medications. The relationship between sleep quality and sexual functioning was positive but not significant, even when controlling for relevant variables such as stress. As such, future research might seek to clarify this relationship and to identify variables that mediate or moderate this relationship.

Kidquest Childhood Obesity Prevention Program: Analysis Of Its Influence On Health Of Rural South Dakota 5th And 6th Grade Children, Nayef Bumaryoum

Electronic Theses and Dissertations

Obesity is a growing problem throughout the developed world. This project will focus on obesity in rural children by studying those living in an area of South Dakota. Research shows high levels of overweight and obese children in this demographic. The two major objectives of this study are to evaluate the efficacy of the KidQuest (KQ) nutrition and physical activity curriculum in reducing the proportion of children and adolescents who are overweight and obese within participating South Dakota 5th and 6th grade children using baseline/post-intervention data and to determine which KQ teacher type is most effective as evaluated by anthropometric, …

Reply To Letter To The Editor, "Response To Medical Students' Attitudes Towards Female Sex Workers", Jenna T. Nakagawa, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

No abstract provided.

Caribbean Heat Threatens Health, Well-Being, And The Future Of Humanity, Cheryl C. Macpherson, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

Climate change has substantial impacts on public health and safety, disease risks and the provision of health care, with the poor being particularly disadvantaged. Management of the associated health risks and changing health service requirements requires adequate responses at local levels. Health-care providers are central to these responses. While climate change raises ethical questions about its causes, impacts and social justice, medicine and bioethics typically focus on individual patients and research participants rather than these broader issues. We broaden this focus by examining awareness among health-care providers in the Caribbean region, where geographic and socioeconomic features pose particular vulnerabilities to …

Prevalence And Factors Associated With Convulsive Status Epilepticus In Africans With Epilepsy, Symon M. Kariuki, Angelina Kakooza-Mwesige, Ryan G. Wagner, Eddie Chengo, Steven White, Gathoni Kamuyu, Anthony Ngugi, Josemir W. Sander, Brian G.R. Neville, Charles R.J. Newton

Family Medicine, East Africa

Objective: We conducted a community survey to estimate the prevalence and describe the features, risk factors, and consequences of convulsive status epilepticus (CSE) among people with active convulsive epilepsy (ACE) identified in a multisite survey in Africa.

Methods: We obtained clinical histories of CSE and neurologic examination data among 1,196 people with ACE identified from a population of 379,166 people in 3 sites: Agincourt, South Africa; Iganga-Mayuge, Uganda; and Kilifi, Kenya. We performed serologic assessment for the presence of antibodies to parasitic infections and HIV and determined adherence to antiepileptic drugs. Consequences of CSE were assessed using a questionnaire. Logistic …

Basic Epidemiology, Center For Leadership In Public Health Practice

Preparedness and Emergency Response Learning Center

Basic Epidemiology, a training course from the USF Center for Leadership in Public Health Practice, develops the awareness and knowledge of public health workers who may be deployed on Field Epidemiology strike teams. It is designed to help them assist local, regional, state, and national epidemiology staff in disease investigations during surge capacity. Basic Epidemiology is a required prerequisite for the IFIRST and IFIRST-2 programs.

Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor

Honors Theses

Around 400,000 people tear their anterior cruciate ligaments (ACLs) every year in the United States. The majority of these injuries occur during athletics, and most commonly to females. Their neuromuscular abilities, anatomies, and hormones put female athletes at a much higher risk of ACL injury than male athletes. The current gold standard of treatment, ACL reconstruction, is an imperfect technique at best. It leaves patients with much higher risk of both ACL reinjury and early onset of osteoarthritis. Prevention programs, aimed at reducing the neuromuscular risk factors in female athletes, have proved to effectively reduce the number of noncontact ACL …

Motivational Interviewing For Parent-Child Health Interventions: A Systematic Review And Meta-Analysis, Belinda Borrelli, Erin M. Tooley

Arts & Sciences Faculty Publications

Purpose: Motivational interviewing (MI) is a patient-centered approach focusing on building intrinsic motivation for change. This paper presents a meta-analysis of parent-involved MI to improve pediatric health behavior and health outcomes.

Methods: Study inclusion criteria: (1) examined modifiable pediatric health behaviors (< 18 years old); (2) used MI or motivational enhancement; (3) conducted a randomized controlled trial with a comparison group (non-MI control or active treatment group); (4) conducted the intervention with only a parent or both a parent and child; and (5) were written in English. Twenty-five studies (with 5,130 participants) were included and independently rated. Weighted mean effect sizes, using random-effects assumptions, were calculated.

Results: Relative to comparison groups, MI was associated with significant improvements in health behaviors (e.g., oral health, diet, physical activity, reduced screen time, smoking cessation, reduced second hand smoke) and reduction in body mass index. Results suggest that MI may also outperform comparison groups in terms of dental caries, but more studies are needed. MI interventions were more …

High School Teacher And Administrator Perceptions Of Student Health Promotion: An Exploratory Study, Sarah B. Conklin

Theses and Dissertations

The current study explored the high school health promotion environment with regards to physical activity, nutrition, and sedentary behaviors from the perspective of high school health and physical education teachers and administrators. Specifically, potential strategies for a prevention program to promote student physical activity participation and healthy eating, and decrease student sedentary time were explored.

Individual semi-structured interviews were conducted with physical education teachers to explore potential strategies to promote student health behaviors. Next, interviews were conducted with high school administrators to determine the feasibility of recommended strategies. Teachers and administrators in the current study expressed a need for strategies …

Experimental Evolution Of An Rna Virus In Wild Birds: Evidence For Host-Dependent Impacts On Population Structure And Competitive Fitness, Nathan D. Grubaugh, Darci R. Smith, Doug E. Brackney, Angela M. Bosco-Lauth, Joseph R. Fauver, Corey L. Campbell, Todd A. Felix, Hannah Romo, Nisha K. Duggal, Elizabeth A. Dietrich, Tyler Eike, Jennifer E. Beane, Richard A. Bowen, William C. Black, Aaron C. Brault, Gregory D. Ebel

Journal Articles: Epidemiology

Within hosts, RNA viruses form populations that are genetically and phenotypically complex. Heterogeneity in RNA virus genomes arises due to error-prone replication and is reduced by stochastic and selective mechanisms that are incompletely understood. Defining how natural selection shapes RNA virus populations is critical because it can inform treatment paradigms and enhance control efforts. We allowed West Nile virus (WNV) to replicate in wild-caught American crows, house sparrows and American robins to assess how natural selection shapes RNA virus populations in ecologically relevant hosts that differ in susceptibility to virus-induced mortality. After five sequential passages in each bird species, we …

Does Human Papillomavirus Affect Pregnancy Outcomes? An Analysis Of Hospital Data 2012-2014, Harpriya Kaur, Delf Schmidt-Grimminger, Steven W. Remmenga, Baojiang Chen, K.M. M. Islam, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

Objective: To estimate the rate of Human Papillomavirus among pregnant women and its impact on the pregnancy outcomes.

Study design: This was a retrospective cohort study of women who sought prenatal care and later delivered at the Nebraska Medical Center from 2012-2014. Human Papillomavirus infection was based on a cytological cervicovaginal diagnosis (Pap test) report. Bivariate and multivariable analyzes were performed using SAS 9.3.

Results: Of the total sample size of 4824 women, 221 (4.4%) were HPV-positive. Women with Human Papillomavirus infection had increased risk of preeclampsia (adjusted OR: 2.83 95% CI: 1.28-6.26) and were also 1.8 times more likely …

Development And Validation Of A Discrete Event Simulation Model To Evaluate The Long Term Use Of Electronic Cigarettes In Us Population, Kunal Saxena

Theses and Dissertations

Introduction: Cigarette smoking is associated with lung cancer, cardiovascular disease, and chronic respiratory conditions. It is responsible for high mortality and morbidity risk in the US population. Smokers find sudden quitting difficult and it is reported that a large number of unassisted quitting attempts are eventually unsuccessful. Electronic cigarette or e-cig is a novel battery-driven, nicotine delivery product, currently being used as a smoking cessation tool by current and former smokers. Since its resemblance to a conventional cigarette, and its non-combustible nature, e-cig use has risen exponentially in the last few years. To address such public health issues, the US …

The Relationship Of Hispanic Ethnicity, Drug Use, And Bullying With Suicidal Ideation Among Adolescent Females In The 2013 Youth Risk Behavior Surveillance Survey, Erin Camp

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

BACKGROUND: There is little research on the relationship of Hispanic ethnicity, drug use, and bully victimization with suicidal ideation among adolescent females. This study investigates all components and their association with suicidal ideation using the 2013 Youth Risk Behavior Surveillance Survey (YRBSS).

METHODS: Participants were 6,621 adolescent females who completed a self-administered questionnaire (YRBSS). Students answered a series of questions regarding unintentional injuries and violence and alcohol and other drug use.

RESULTS: Results indicated that there was an association between drug use, bully victimization, and suicidal ideation. Bivariate analyses using chi-square tests showed the relationships between these risk factors and …

Influence Of Environmental Exposure On Human Epigenetic Regulation, C. J. Marsit

Dartmouth Scholarship

Environmental toxicants can alter epigenetic regulatory features such as DNA methylation and microRNA expression. As the sensitivity of epigenomic regulatory features may be greatest during the in utero period, when critical windows are narrow, and when epigenomic profiles are being set, this review will highlight research focused on that period. I will focus on work in human populations, where the impact of environmental toxicants in utero, including cigarette smoke and toxic trace metals such as arsenic, mercury and manganese, on genome-wide, gene-specific DNA methylation has been assessed. In particular, arsenic is highlighted, as this metalloid has been the focus …

Weight Management Counseling And Obesity Severity In Children With Special Health Care Needs, Adeola Sonaike

Walden Dissertations and Doctoral Studies

Epidemiologic surveillance indicates an increased susceptibility to obesity among children with special health care needs (SHCN) in comparison to children without. The present study investigated this disparity in weight severity between both groups, with a focus on the provision of obesity management counseling by physicians. This study consisted of a retrospective medical record review that acknowledged the effect of patient-provider interactions on health behaviors and risk perceptions. An independent sample t test compared the incidence of clinician-initiated obesity management counseling received by children with SHCN to that which was received by children without SHCN. This t test revealed a statistically …

The Sweet Taste Of Health: A Positive Deviance Inquiry Into Communicative Acts That Lead To Effective Management Of Diabetes Among Hispanics, Claudia Martinez Boyd

Open Access Theses & Dissertations

ABSTRACT

Diabetes is among the fastest growing diseases in the world. In the U.S., Hispanics are the third most affected population. Nonetheless, there are Hispanics diagnosed with diabetes who have, against all odds, found solutions to manage their disease. This study focused on the intrapersonal and interpersonal acts and behaviors of "positive deviant" Hispanics living on the U.S. - Mexico border that effectively managed their diabetes. They are referred to as "positive deviants" because they accrue "positive" outcomes and "deviants" because they are not the norm.

A PD inquiry was conducted and twelve PD respondents between the ages of 20 …

Effectiveness Of A Volunteer Transportation Program To Increase Access To Healthcare In Vietnam, Kyla Crisp

Undergraduate Theses, Professional Papers, and Capstone Artifacts

As a part of the Global Leadership Initiative capstone project at the University of Montana, my group created a website and transportation program that works to increase access to healthcare in Missoula, Montana. Ancillary aspects of healthcare such as health literacy, transportation, housing, and food are all major factors affecting a person’s health. Our project titled UM Volunteers for Global Health Access seeks to unite University students and the low-income population in Missoula in order to provide rides to healthcare appointments. The transportation framework will allow patients at Partnership Health Center to be connected with University of Montana student volunteers. …

Physician Density And Location Of Physician Training : The Impact On Avoidable Hospitalizations, Robert Martiniano

Legacy Theses & Dissertations (2009 - 2024)

Avoidable hospitalizations are those hospitalizations that could have been avoided had there been appropriate levels of primary care, and higher levels of avoidable hospitalizations have been linked to higher rates of poverty and of race/ethnicity and to individuals who are on Medicaid or who are uninsured. The association with physician density has, however, been inconsistent, with research linking both better and worse physician density to higher rates of avoidable hospitalizations. Very little research, however, has been conducted on other physician characteristics and the rate of avoidable hospitalizations.

The Impact Of Heat Event On Emergency Department Visits Due To Cardiovascular Diseases Among Elderly During Transitional Seasons And Summer In New York State, 2005-2013, Mengxuan Li

Legacy Theses & Dissertations (2009 - 2024)

Background: Prior studies have reported the association between heat exposure and cardiovascular diseases (CVDs) in summer, but transitional season effects are rarely studied. Additionally, the elderly has not received enough attention as a high risk group. Emergency department (ED) visits can capture heat response at the early stage, but few studies have used it as an outcome.

Untreated Depression In Persons Living With Hiv In Kazakhstan, Dina Terloyeva

Legacy Theses & Dissertations (2009 - 2024)

Objective:This study investigates the occurrence of depressive symptoms among persons living with HIV, and the relationship between depressive symptoms and HIV treatment initiation and adherence.

The Effects Of Landscape On Malaria Vectors Of The Neotropics, William David Lainhart

Legacy Theses & Dissertations (2009 - 2024)

Worldwide malaria control efforts have had varying degrees of success, leaving many countries either eliminating malaria or controlling malaria. In order to maintain forward momentum toward malaria elimination, malaria-eliminating and –controlling countries require different information regarding risk factors, spatial distributions of cases and vectors, vector biology metrics, and vector population genetics. The goal of this dissertation work was to provide information that addresses the knowledge gaps preventing the creation of effective vector and malaria control programs in one malaria-eliminating country (Panama) and two malaria-controlling countries (Peru and Brazil). Case data from Panama were analyzed to assess differences in risk factors …

Assessment Of Quality Of Life (Qol) In People Living With Hiv In Georgia, Ekaterine Karkashadze

Legacy Theses & Dissertations (2009 - 2024)

Background: Identification of factors that influence quality of life (QoL) is important in order to improve health and social care services. No prior research is available on QoL in people living with HIV in the country of Georgia. The purpose of our study was to assess QoL among Georgian HIV-infected individuals and to examine associations of socio-demographic and disease-related factors with general and domain-specific QoL.

Supplemental Nutrition Assistance Program And Home Food Availability : The Role Of Depression And Household Characteristics, Marta D. Hernandez

Legacy Theses & Dissertations (2009 - 2024)

Although about 47 million low-income people participated in the Supplemental Nutritional Assistance Program (SNAP) program at the end of 2012, the effect of SNAP participation on some nutrition related outcomes is controversial or unknown. Particularly, the effect of SNAP on food availability at-home has not been examined despite its association with food consumption. In addition, little is known about individual and social factors influencing this relationship. This study examined the effects of the interaction between SNAP participation and depression and the effects of the interaction between SNAP participation and the presence of children under 17 years of age on food …

An Investigation Of Alkaline Earth And Rare Earth Elements In Human Bone Following Long-Term Parenteral Nutrition, Aubrey L. Galusha

Legacy Theses & Dissertations (2009 - 2024)

This investigation focused on a unique collection of archived human bones obtained post-mortem from 7 patients, who had received long-term parenteral nutrition (PN) for up to 21 years. Parenterals are administered intravenously as a nutritional supplement, and may be contaminated with metals, which are completely absorbed into the blood compartment. Some metal contaminants may be deposited in the body’s reservoir for inorganic elements – bone.

Investigating Socioeconomic And Personal Network Factors As Predictors For Major Depressive Disorder, Especially In Women During Their Reproductive Transition, Molly Kathleen Mccann

Legacy Theses & Dissertations (2009 - 2024)

Abstract

A Genetic Epidemiologic Investigation Of Breast Cancer Susceptibility, Cristy Ellen Stagnar

Legacy Theses & Dissertations (2009 - 2024)

Introduction

Breastfeeding Initiation, Duration And Exclusivity In New York State : Impact Of Hospital Maternity Care Practices, Hospital Characteristics And Individual/Socio-Demographic Factors, Eileen Mary Fitzpatrick

Legacy Theses & Dissertations (2009 - 2024)

Prevalence of breastfeeding initiation in New York State (NYS) nearly meets Healthy People 2020 goals. Improvements in breastfeeding duration and exclusive breastfeeding (EBF) have lagged behind those achieved for initiation. Implementation of Ten Steps to Successful Breastfeeding in hospital maternity care has improved breastfeeding initiation, duration and exclusivity; but data on the independent association with specific Steps have been equivocal. Utilizing NYS-linked data from the Maternity Practices in Infant Nutrition and Care (mPINC) and the Pregnancy Risk Assessment Monitoring System (PRAMS), the associations of individual maternity care practices/Steps with breastfeeding behaviors were evaluated. Analyses included mothers who participated in PRAMS …

Study Of Human Ovarian Follicular Fluid High Density Lipoprotein (Hdl) And Embryo Quality During In Vitro Fertilization (Ivf), Keewan Kim

Legacy Theses & Dissertations (2009 - 2024)

Follicular fluid (FF) is in direct contact with granulosa cells that surround a developing oocyte, and high density lipoprotein (HDL) is the sole lipoprotein found in FF. Therefore, we investigated 41 FF HDL particle components, including 26 HDL-cholesterol (HDL-C) subfractions measured for particle size, apolipoproteins, enzymes, and lipophilic micronutrients, in association with embryo quality on 180 women undergoing in vitro fertilization (IVF).

Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …

Evidence Of Son Preference And Resulting Demographic And Health Outcomes In Pakistan, Zeba Sathar, Gul Rashida, Sabahat Hussain, Anushe Hassan

Poverty, Gender, and Youth

Pakistan has a highly patriarchal society. Consequently, the desire for sons is a dominant and widely prevalent cultural value that is reinforced by feudal kinship systems that permeate many parts of the country. While reliance on sons is stronger in rural areas because of agricultural work and the tying of land ownership with male inheritance, even in other areas boys are seen to be important in carrying on the family name and taking care of parents in old age. On the other hand, daughters are seen as an expense and an economic burden in both rural and urban areas. A …