Digital Commons Network^™

It's In The Design: Student Perceptions Of Intercultural Interactions In Online Communication Classrooms, Darius Lana

Electronic Theses and Dissertations, 2020-2023

This study identifies how intercultural interaction takes place in online communication courses within higher education. Radically politicized efforts to remove discussion around identity and difference from education and increased enrollment in online courses has raised a concern regarding the degree to which diversity, equity, and inclusion goals are being met in college classrooms generally and online sections specifically. This study identified how current pedagogical content, structure, and delivery of online communication courses may impact intercultural interaction and interaction. Findings indicate a need to address the design of online communication courses to better meet the desired intercultural interaction of the students …

I Versus We: Social Regulations Exacerbated Tension Between Individualism And Collectivism During China’S Twenty-First Century Public Health Emergencies, Duan Wang

Honors Theses

Since 2020, the COVID-19 pandemic has been a global public health problem, which stimulated restrictions like lockdowns, public service closures, and strict border controls that disrupted individuals' life patterns to mitigate the potential transmission within communities. Intriguingly, with its adherence to the “zero-COVID tolerance” policy, China represented a unique case in the overall global reopening trend after three years of the pandemic. Such an unwavering, uncompromising stance reflected conflicts between individuals and the Chinese government regarding COVID regulations, which exposed the tension between individualism and government-proposed collectivism.

This thesis investigates strict social regulations and the exacerbated tension between individualism and …

Healthcare Provider Uncertainty And Communicative Management Strategies, Katie Benson

Graduate Student Theses, Dissertations, & Professional Papers

Uncertainty exists ubiquitously within provider-patient interactions. Healthcare providers (HCPs) often face uncertainty during patient-provider interactions, for reasons including inconclusive test results, ambiguous communication, and lacking the resources to make diagnoses. When healthcare providers experience uncertainty, their behavior and communication can be negatively impacted. For example, prior research suggests when HCPs experience uncertainty, they may engage in authoritative, prejudiced and assumption-ridden behavior towards patients (Dietta & Rand, 2007; Drewniak et al., 2017: Portnoy et al., 2013; Poteat et al., 2013). To date, research on HCP uncertainty has been limited to specific health conditions and contexts such as cancer, vascular anomalies, and …

Comparison Of Self-Reported Depression And Anxiety Scores Between U.S. Households With And Without Children At Early And Later Stages Of The Covid-19 Pandemic, Hanan Mohammed Eissa Jamali

Electronic Theses and Dissertations

Parents in particular, are disproportionately affected by the 2019 coronavirus pandemic and the lockdowns that followed. Parents had to find a way to balance work, teaching, and taking care of their kids when schools were forced to close for safety reasons. While changes in parents' mental health have been the subject of a number of studies, there have been no studies comparing the level of depression and anxiety experienced by parents with and without children below the age of 18 years in the United States. Data for this study came from Households Pulse Survey (HPS) (week 2 N = 41,996; …

Immune System Dysfunction To Toxicant Exposure: An Examination Of Mismatch Theory With Polychlorinated Biphenyls (Pcbs) And Dichlorodiphenyltrichloroethane (P,P'-Ddt), Florence Lee

Legacy Theses & Dissertations (2009 - 2024)

Exposure to environmental contaminants, including persistent organic pollutants (POPs) can disrupt normal immune function. As POPs, polychlorinated biphenyls (PCBs), dichlorodiphenyldichloroethane (p,p’-DDE, a metabolite of p,p’-DDT), and hexachlorobenzene (HCB) are synthetic chemicals with long half-lives and can bioaccumulate and biomagnify within organisms throughout the food chain. This dissertation proposes that pollutant exposure can affect the immune system based on a sample of Native American women, thereby influencing human biological variation, and the development of an autoimmune phenotype. Data was collected from a sample of Native American women utilizing anthropometric measurements, medical diagnoses of autoimmune disease, autoimmune dysfunction symptoms, and serum samples. …

Hoarding Lifesaving Knowledge While Millions Die: The Political Economy Of Global Covid-19 Vaccine Apartheid, Kenneth Stancil

Theses and Dissertations--Geography

Coronavirus vaccines saved millions of lives, but experts estimate that the suboptimal production and inequitable distribution of shots resulted in nearly 3 million preventable Covid-19 deaths in 2021 and 2022 as well as millions of indirect deaths during the pandemic. These avoidable fatalities are inseparable from the grotesquely unequal vaccination rates between rich and poor nations. Dose hoarding by high-income countries contributed to vaccine inequality, but the “vaccine apartheid” inflicted on low-income countries reflects an even more fundamental injustice: knowledge hoarding by profit-maximizing pharmaceutical corporations—aided and abetted by wealthy governments—which deprived generic manufacturers of the right to produce additional lifesaving …

Adolescent, Caregiver And Provider Perspectives On Tuberculosis Treatment Adherence: A Qualitative Study From Lima, Peru, Silvia S. Chiang, Liz Senador, Elmer Altamirano, Milagros Wong, Catherine B. Beckhorn, Stephanie Roche, Julia Coit, Victoria Elena Rapoport, Leonid Lecca, Jerome T. Galea

Social Work Faculty Publications

Objectives: To understand the perspectives of adolescents (10–19 years old), their caregivers and healthcare providers regarding factors that impact adherence to tuberculosis (TB) treatment among adolescents.

Design: We conducted in-depth interviews using semistructured interview guides based on the World Health Organization (WHO)’s Five Dimensions of Adherence framework, which conceptualises adherence as being related to the health system, socioeconomic factors, patient, treatment and condition. We applied framework thematic analysis.

Setting: Between August 2018 and May 2019, at 32 public health centres operated by the Ministry of Health in Lima, Peru.

Participants: We interviewed 34 adolescents who completed or were lost to …

Equity In Maternal And Child Health In Myanmar: Benefit Incidence Analysis On Utilization Of Health Services, Myint Si Thu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Utilization of maternal and child health services plays a crucial role in preventing pregnancy related deaths and child deaths. High levels of maternal and child mortalities are remaining as public health problems in Myanmar. Therefore, this study aims to examine the effects of socio-economic and geographical factors on utilization of maternal and child health services at public health facilities in Myanmar, and analyze the levels of benefit that go to the people in different wealth status. Secondary data analysis is conducted using maternal and child health data from Myanmar Demographic and Health Survey (MDHS) 2015- 16. Marginal effects of multinomial …

Fostering Inclusivity And Resilience: Challenges To Community-Based Empowerment For Trans Elders In Roanoke, Virginia, Summer Skye Allison

Undergraduate Honors Theses

As popular media disseminates harmful “culture war” rhetoric regarding trans folk it has become increasingly necessary to amplify their voices to give them power over how they are perceived by society. Though political discourse regarding trans children has become a hot-button topic, this paper seeks to explore the overlooked experiences of trans elders as they contend with intersecting instances of ageism and transphobia from individuals and institutions in Roanoke, Virginia. Since community-based organizations like the Roanoke Diversity Center and Ladies and Gents of the Blue Ridge have been instrumental to strengthening the LGBTQ+ community in Roanoke, this research focuses on …

Pandemic Communication: International Communication, Anthony Spencer

Other Scholarly Publications

The COVID-19 pandemic has transformed our world as we previously knew it. One of those major changes is how we communicate with one another across national borders. The pandemic forced us to find ways to improve the way we utilize social media outlets to communicate with others around the world. Research into global communication has long been too focused on the West, and particularly the United States. This shift in our communication usage also provides a moment of pause to reflect on ways to make the field of international communication more inclusive and focus on key issues which influence transnational …

Network Structure And Network Effectiveness In Thailand's Provincial Covid-19 Response Networks, Ruechagorn Trairatananusorn

Electronic Theses and Dissertations, 2020-2023

Health and well-being are key focuses for international organizations and governments around the world as one of the United Nations' (UN) Sustainable Developmental Goals (SDGs). The emergence of COVID-19 pandemic since late 2019 has led to not only substantial life losses, but also negative social and economic impacts that are relatively comparable to the "Spanish Flu" pandemic. The insights from public administration literature suggested that emergency and crisis management require collaborative efforts from various stakeholders across sectors and levels. However, the existing literature that studied the COVID-19 pandemic response under network perspective is still scarce in developing countries, especially in …

Mental Health Professionals’ Perception Of Medications For Opioid Use Disorder, Patrick M. Mullen

PCOM Psychology Dissertations

Despite the widespread attention and resources allocated to the current opioid crisis, the public health problem persists. A major target in the efforts to combat the opioid crisis is increased accessibility and utilization of medications for opioid use disorder (MOUD). A robust body of evidence supports the effectiveness of medications to treat opioid use disorder (OUD) in reducing overdose deaths and improving overall outcomes. Yet, MOUD continues to be underutilized at alarming rates. Studies have discovered that only one-third of substance use disorder (SUD) treatment sites offer any form of MOUD and approximately 30% of individuals with OUD receive any …

Attitudes Of Providers And Researchers Toward Harm Reduction Strategies, Portia Womer

PCOM Psychology Dissertations

The present study utilized a mix methods approach to examine the relationship between professional role, years of experience, and support for harm reduction strategies to treat Opioid Use Disorder. There were 84 participants who completed the online survey. The survey included both quantitative and qualitative questions about their professional role, years of experience, age, use of cognitive behavioral therapy for opioid use disorder, and support for harm reduction strategies. There was no significant association among years of experience and support for harm reduction strategies (including safe injection sites). Additionally, there were no significant findings among age and support for harm …

Experiences With Covid-19 Stress Among Hispanic/Latino Farmworkers, Brenda Berumen-Flucker, Hadiza Galadima, Sylvia Shangani, Michele Kekeh, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

BACKGROUND: Hispanics/Latinos, particularly those that identify as foreign-born, are overrepresented in the agricultural sector in the U.S. Over the course of the COVID-19 pandemic, this subpopulation of farmworkers was recognized as an invaluable group of essential workers unable to implement COVID-19 protections.

METHODS: Previously validated COVID-19 stress scale measures were identified, adapted, and translated to collect COVID-19 stress data from Hispanic/Latino agricultural workers in two heavily agricultural counties in northeastern North Carolina. Participants were recruited using purposive convenience sampling. Data collection took place from June to November of 2021.

RESULTS: The majority of Hispanic/Latino agricultural workers surveyed reported experiencing worries …

Effect Of Poor Menstrual Health On Uti Diagnosis, Michelle Muturi

Pitzer Senior Theses

Urinary Tract infections (UTIs) are microbial invasions of the urinary tract because of abnormal pathogen growth. They have short term symptoms like abdominal pain, fever and urinary frequency. Khayelitsha is a township that has a population of 2.4 million, 52% of which are women. This area is shaped by poor governance in South Africa that exacerbated medical issues due to a lack of resources. With lack of sanitary pad accessibility and knowledge of proper hygiene practices during the menstrual cycle, women are getting infected with UTIs 2-3 times a year. With an increase in antimicrobial resistance patterns, areas like Khayelistsha …

Health Behavior And Outlooks In An Altered Microbial Diversity: Changes In Parental Attitudes On ‘Building Immunity’ Throughout The Covid-19 Pandemic, Jennifer Vidal

Pitzer Senior Theses

The Covid-19 Pandemic in a short amount of time put into action disease control measures. Current literature has sought to address the long-term effects of sanitization efforts and social isolation on the diversity of the microbiome and the future of infectious diseases. Microbes – microorganisms such as bacteria, protozoa, algae, fungi, and viruses – inhabit the natural environment and human microbiome with our immune system, playing an essential role in immune regulation. The interplay between humans and microbes forms early immune development that has impacted parents’ attitudes toward microbes shown through their participation in Covid-19 preventative health practices. Using the …

Exploring The Distinction Between Support And Enabling In Families With Substance Use Disorder, Krystal N. King

Theses and Dissertations--Family Sciences

Substance use disorders (SUD) are a pervasive public health problem facing families in the United States. Although families are frequently urged to support loved ones who have SUD and cautioned against enabling them, there is a dearth of literature that distinguishes between supporting and enabling. Through qualitative interviews, this phenomenological study examined the experiences of eight parents with adult children with SUD who were currently in recovery. Five themes emerged from the data including: (a) living in despair, (b) addiction and recovery knowledge, (c) support group philosophy, (d) coping with addiction, and (e) differentiation. The results from this study suggest …

Trauma-Informed Care: A Collaborative Strategy To Address Hiv-Infection Rates Among Black Gay And Bisexual Men, Willie T. Boddie Jr.

DSW Capstone Projects

The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) continues to be an epidemic among gay and bisexual men or men who have sex with men (MSMs). For Black MSMs, the HIV infection rate is disproportionate compared to the number of Black or African American citizens in the U.S. Black MSMs have the highest HIV infection rate in the U.S. This Capstone Project seeks to explore the possible impact of trauma experiences among this group and determine how providing trauma-informed care, along with the standard HIV education and awareness can be used to effectively reduce this disparity and ultimately …

The Impact Of Social Connection And Psychological Resilience On Covid-19 Pandemic- Related Mental Health Outcomes, Shelby Lee Powers

Doctor of Psychology (PsyD)

The COVID-19 pandemic has had wide reaching, well-documented impacts on mental health across demographics. Among these impacts are higher rates of depression and anxiety in adults. Several factors have been shown to mitigate the experience of depression and anxiety, including social connection and psychological resilience. The present study examined social connection and psychological resilience as predictors of depression and anxiety on a U.S. adult sample (n = 535) during the COVID-19 pandemic. Participants were recruited using Qualtrics. Results of this study described that over 30% of the variance in anxiety and depression was predicted by a person’s levels of social …

Odd Bedfellows & Marriage Of Necessity: Public Health And Politics In American Federalism, Gabriella Victoria Chianese

Honors Theses and Capstones

In the wake of the coronavirus disease 2019 (COVID-19) pandemic, while the public disagrees over mask mandates, required vaccinations, and social distancing, it seems like one common sentiment exists – a distaste for the odd bedfellows of politics and public health. There are those who cry for the compartmentalization of the science of public health and the art of politics to rectify this situation. In the wake of so much confusion and chaos, it is not unjustified to demand the depoliticization of public health; however, this response is unrealistic given the modern political climate, demonstrates a narrow understanding of the …

The Human Factor: Managing Chaos And Change In Times Of Uncertainty, Stephanie Sterling Brasley, Adriana Popescu, Alicia Virtue, Delritta Hornbuckle

Library Scholarship

The unrelenting, unabating organizational, political, and human resource stressors library managers faced pushed the boundaries of their capacity to keep pace with the longer-term demands of this catastrophic time; however, their dedication and resilience, bolstered by wisdom from the models and theories discussed here, hold promise for a positive future.

The Shortfalls Of Vulnerability Indexes For Public Health Decision-Making In The Face Of Emergent Crises: The Case Of Covid-19 Vaccine Uptake In Virginia, Lydia Cleveland Sa, Erika Frydenlund

VMASC Publications

Equitable and effective vaccine uptake is a key issue in addressing COVID-19. To achieve this, we must comprehensively characterize the context-specific socio-behavioral and structural determinants of vaccine uptake. However, to quickly focus public health interventions, state agencies and planners often rely on already existing indexes of "vulnerability." Many such "vulnerability indexes" exist and become benchmarks for targeting interventions in wide ranging scenarios, but they vary considerably in the factors and themes that they cover. Some are even uncritical of the use of the word "vulnerable," which should take on different meanings in different contexts. The objective of this study is …

Complex Narratives Of Individuals Living With Alpha-Gal Syndrome (Ags). A Mixed-Methods Investigation: Examined Through Self-Reported Data, In-Person Interviews, And A Group Body Mapping Art Therapy Intervention, Sylvan Streightiff

Art Therapy | Master's Theses

Alpha-gal (galactose-α-1,3-galactose) Syndrome or AGS is an under-recognized chronic condition which coincides with tick-bite exposure, resulting in a unique allergy to non-primate mammalian products and byproducts (in addition to other items caring the α-gal epitope such as carrageenan, agar-agar, and nori). This paper explores the experiences of individuals with this illness, establishing psychological context for expressed symptomatology, while emphasizing the complex trauma rooted in the population’s experiences of the life-altering and life-threatening contexts associated with managing AGS. This research is structured with Acceptance and Commitment Therapy (ACT) theory and utilizes a mixed-methods approach to arts-based research with the goal of …

Individual Differences In The Coordinated Behavioral And Physiological Immune Response To Pathogenic Threat, Edwin Joel Rosales-Vijil

Cal Poly Humboldt theses and projects

Previous research has shown that simply viewing a pathogenic threat (e.g., a photo of someone sneezing) can trigger our immune systems to activate. Activation of the immune system can be measured through a variety of physiological markers, including inflammatory cells (i.e., cytokines) in the blood or saliva. The current study aims to replicate that finding that viewing pathogen-relevant images will trigger an immune response, and extend this work by investigating whether individual differences in perceived vulnerability to disease impacts the size of this immune response.

Intestinal Parasite Infection In Tibetan Macaques (Macac Thebetana) In Eastern China, Miarisoa Ramilison

All Master's Theses

Grooming is one of the crucial social behaviors of primate species that functions to remove parasites and maintain social bonds. Although, much data exists to support the idea that grooming is essential in forming and sustaining social bonds among individuals, there is a lack of information about the extent to which it removes ectoparasites or contributes to the spread of internal parasites. To fill this gap in the literature, we investigated the relationship between social contact behavior including grooming and intestinal parasite infection in Tibetan macaques (Macaca thibetana). This species lives at Mt. Huangshan in China. We used …

Local-Level Maternal And Infant Health: A Mixed-Methods Analysis Of The Relationship Between Social Determinants Of Health, Maternal And Infant Health Outcomes, And Public Health Programs In Florida, Jacquelyn Reiss

Electronic Theses and Dissertations, 2020-2023

Current data highlight significant disparities in infant and maternal health (IMH) outcomes both when comparing outcomes to other countries and between groups within the U.S. Previous studies indicate that disparities in health outcomes are caused by health inequities. Health inequities are a result of marginalized groups historically being denied resources and exposed to increased risk directly impacting health. These resources and risks are considered social determinants of health (SDoH), such as income, housing, transportation, and access to care. Although SDoH influence individuals across multiple levels of society, communities are sites where individuals directly access protective resources and are potentially exposed …

Emoting In Context: Lived Narratives Of Filipino Health-Care Frontliners During The Early Days Of The Covid-19 Pandemic, John Martin Bernard Gappy

Sociology & Anthropology Department Faculty Publications

The current SARS-CoV-2 pandemic has placed the entire world in a liminal position whereby our well-rehearsed and predictive practices have been deeply shaken. Within this context of liminality, studies point to potential distress among healthcare workers who are taking care of COVID-19 patients. Most studies focus on emotional distress of frontline healthcare workers as fixed entities. The current approach perceives emotion as a type of connection with social worlds. This article focuses on contextual acts of emoting and is organized around personal, situational, and cultural features of nine frontline medical doctors affiliated with ten hospitals in Metro-Manila who were taking …

2023 Community Based Care: Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Paula Carder, Sarah Dys, Diana Jacoby, Sheryl Elliott, Minju Kim, Nathan Finch Parsons, Wafi Albalawi, Christine Wolf

Institute on Aging Publications

The Institute on Aging at Portland State University (IOA/PSU) presents findings from the ninth annual study of Oregon community-based care: assisted living and residential care facilities (AL/RC) with and without memory care endorsement (MC). In this year’s study, we included information about various resident, community, and staff characteristics, including: 1) Residents: sociodemographic characteristics (e.g., age, sex, race, ethnicity), length of stay, personal assistance, health conditions, status, service use, medications, and advanced care planning/legal documentation; 2) Communities: capacity, occupancy rates, resident move-in and move-out locations, private pay charges, Medicaid reimbursement to facilities, staffing, resident transportation use, COVID-19 impacts; and 3) Staff: …

A Systematic Review Of Movement-Oriented Mind-Body Interventions And Psychoneuroimmunological Outcomes For Psychological Stress And Trauma, Emma Wookey

Theses and Dissertations

Objective. The mind and body are inseparable and share bidirectional influences. Psychological stress and distress related to traumatic events are significant contributors to morbidity, mortality, and healthcare costs worldwide. Mind-body movement-oriented interventions have been found to benefit one's physical and mental health via down-regulation of the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic nervous system. This systematic review aimed to identify and synthesize the research on movement-oriented mind-body interventions for trauma and stress as informed by psychoneuroimmunology. The review focused on exercise, yoga, tai chi, qi gong, and dance movement therapy that target the physiological systems impacted by psychological stress/trauma. Methods. …

Pathogen Disgust Is Associated With Interpersonal Bias Among Healthcare Professionals, Anastasia Makhanova, W. Allen Lambert, Ryan Blanchard, Joe Alcock, Eric C. Shattuck, Michael P. Wilson

Psychological Science Faculty Publications and Presentations

Background and objectives

Pathogen avoidance is a fundamental motive that shapes many aspects of human behavior including bias against groups stereotypically linked to disease (e.g. immigrants, outgroup members). This link has only been examined in convenience samples and it is unknown how pathogen avoidance processes operate in populations experiencing prolonged and heightened pathogen threat such as healthcare professionals. We examined whether healthcare professionals demonstrate the same link between pathogen disgust and intergroup bias as has been documented among the general population.

Methodology

Participants (N = 317; 210 healthcare professionals) were recruited using snowball sampling to take an online survey. …