Digital Commons Network^™

Estimation Of Therapeutic Threshold For Tuberculosis Using Adapted Nominal Group Technique And Clinical Vignettes In Clinical And Community Settings In Southern Africa, Alfred Kipyegon Keter, Alastair Van Heerden, Tom Decroo, Tom Boyles, Shannon Bosman, Thandanani Madonsela, Lindani Innocent Msimango, Lenika Naiken, Carlos Kiyan, Mashaete Kamele

Population Health, East Africa

Background: When confronted with diagnostic uncertainty and a decision on whether to start treatment or not, clinicians consider the potential harm and benefit of offering versus withholding treatment. Treatment can be offered if the probability of tuberculosis (TB) in the patient is above the “therapeutic threshold” (ThT): the probability of disease at which the expected utility of treating and not treating is the same. We estimated ThT for TB in clinical and community settings in Southern Africa using two methods: an adapted nominal group technique (aNGT), and decisions made based on clinical vignettes (CVs).

Methods: We enrolled health …

Ethical Considerations For Sharing Aggregate Results From Pragmatic Clinical Trials, Stephanie R Morain, Abigail Brickler, Joseph Ali, Patricia Pearl O'Rourke, Kayte Spector-Bagdady, Benjamin Wilfond, Vasiliki Rahimzadeh, Caleigh Propes, Kayla Mehl, David Wendler

Center for Medical Ethics and Health Policy Staff Publications

A growing literature has explored the ethical obligations and current practices related to sharing aggregate results with research participants. However, no prior work has examined these issues in the context of pragmatic clinical trials. Several characteristics of pragmatic clinical trials may complicate both the ethics and the logistics of sharing aggregate results. Among these characteristics include that pragmatic clinical trials may affect the rights, welfare, and interests of not only patient-subjects but also clinicians, meaning that results may be owed to a broader range of groups than typically considered in other research contexts. In addition, some pragmatic clinical trials are …

Poor Cancer Prevention And Detection In Zimbabwe, Kenyon C. Chipman

Journal of Nonprofit Innovation

Abstract

In the aftermath of the HIV/AIDS epidemic, Sub-Saharan Africa, particularly Zimbabwe, has witnessed a surge in noncommunicable diseases such as cancer. Despite the decline in HIV/AIDS and other cancer-associated illnesses like HPV, these diseases have set the stage for a growing cancer epidemic. Key contributing factors to this rise include a lack of knowledge about cancer among both patients and health professionals, the prevalence of cancer-associated communicable diseases, and limited accessibility to early detection and prevention services and resources. These factors have led to late diagnoses, increased burden on the healthcare system, and adverse effects on individuals and families. …

Revving Up Or Stalling Out? Examining The Effectiveness Of Electric Vehicles In Combating Climate Change, Meghan E. Miller Termat

Villanova Environmental Law Journal (1991 - )

No abstract provided.

Essays In Development Economics, Karina Gabitova

USF Tampa Graduate Theses and Dissertations

This dissertation investigates how environmental shocks and early-life health conditions influence child and adolescent development in low- and middle-income countries, using longitudinal data from the Young Lives survey in Ethiopia, India, Peru, and Vietnam. The two chapters address distinct but interrelated dimensions of human capital formation: the effect of environmental shocks on adolescent self-esteem and the causal impact of birth weight on cognitive and non-cognitive outcomes.

Chapter 1 analyzes how shocks such as droughts, floods, and crop failures affect adolescent selfesteem, a key non-cognitive skill linked to long-term well-being. Using a fixed-effects model, the study finds heterogeneous effects: environmental shocks …

Murine Studies On Ketogenic Modulation Of Metabolism And Epigenetics In Olfaction- Based Learning, Lps Inflammatory Response, And Sex Dimorphisms In Dietary Response, Sara E. H. Moss

USF Tampa Graduate Theses and Dissertations

Ketogenic diets are well-established therapeutic interventions for epilepsy, with documented neuroprotective effects arising from their metabolic, antioxidant and anti-inflammatory properties. Beyond epilepsy, ketogenic therapies are under investigation for various conditions including Alzheimer disease, cancer, diabetes, and cardiovascular disease. These diets suppress insulin levels and shift metabolic physiology toward fat and ketone body metabolism. This elevates circulating levels of ketone bodies, namely beta-hydroxybutyrate, acetoacetate, and acetone, which serve as both energy substrates and signaling molecules. The state of elevated ketone bodies (ketosis) can be achieved with various formulations of a ketogenic diet as well as exogenous ketone supplementation, though the signaling …

Protecting The Future Of Medical Innovation: Balancing Fiscal Responsibility With The Need For National Institutes Of Health And Federal Health Funding, Irina Petrache, Raed A. Dweik, Michelle N. Gong, Jesse Roman, M. Patricia Rivera, Karen J. Collishaw

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

No abstract provided.

The Role Of Quality-Of-Life Indicators In Developing Ur-Ban Communities: An Applied Study Of The Case Of Egyp-Tian Rural Urbanization, Hatem Mostafa Rashed El Bakry Hatem El Bakry

Journal of Engineering Research

Quality of life is a comprehensive concept that assesses the well-being of individuals and communities based on multiple criteria including health, education, economy, environment, and security. Its definitions vary, but they generally refer to a balance between physical, psychological, and social aspects. The most important criteria for its assessment include public health, income level, quality of education, environmental sustainability, and social security.

Quality of life indicators are used in the development of urban communities to ensure the provision of health and education services, advanced infrastructure, and green spaces. Some developing countries such as Brazil, India, and Kenya also rely on …

Child Marriage Traditions In Pakistan: Reconstructing (In) Security And Subjective Well-Being Of Children, Makhtoom Ahmed, Muhammad Zaman, Hifza Irfan

The Qualitative Report

This article reports on child marriage traditions in the past and in contemporary times vis-a-vis promoting security, insecurity, and well-being in Pakistan. Although the practice of child marriage has begun to decline due to social change, modernisation, and development in urban areas, it tends to linger on in rural communities within Pakistan. In such communities, there is a general perception that early marriage is in the interest and well-being of couples as it allows them to experience long-term marital intimacy and life satisfaction. The present study is part of an extensive ethnographic study in which the authors analysed interview data …

Exploring The Causes Of Plwha Non-Adherence With Antiretroviral Therapy: Implications For Practice In The Post-Covid-19 Era, A Phenomenological Study, Adriani Suwito, Evi Hasnita, Nurhayati -. Nurhayati, Oktavianis -. Oktavianis

The Qualitative Report

One of the goals of HIV/AIDS health services is to combat patients’ non-adherence with medication. This is the key to providing effective care for these patients. If a patient is rebellious or undisciplined in following his treatment regimen, the consequences can include decreased production, increased morbidity, and even death. However, in the post-COVID-19 period, where health protocol adherence remains strong, there are concerns regarding the potential spread of HIV/AIDS. The purpose of this qualitative phenomenon study is to investigate the factors that contribute to non-adherence to medicine in HIV/AIDS patients during the post-COVID-19 condition to remove barriers to patient treatment. …

The Importance Of Recruitment Of Low-Income Pregnant Persons In Interdisciplinary Research To Understand The Impact Of Social And Environmental Determinants: Lessons Learned About Implementation And Recruitment, Erika R. Marquez, Amanda Haboush-Deloye, Elizabeth M. Lawrence, Selam Ayele, Courtney Coughenour, Nora Doyle, Wynona Dizon, Lizbeth Perez Rodriguez, Chloe Bombara

Environmental & Global Health Faculty Research

Background: Prior research indicates that enrolling underrepresented populations in clinical research is challenging. Although research has identified some barriers to participation and strategies to overcome them, studies have made little progress in being inclusive and representative. There remains a great need for including racial/ethnic minorities, low-income families, and pregnant women in research. The purpose of this article is to describe the implementation of enrollment strategies used in our study to understand the feasibility of building a maternal cohort and better understand the relationship between environmental and social impacts on maternal exposure and child outcomes.

Methods: Working across multiple academic units, …

Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to better understand the federal probation officer's perspective of rehabilitation programs in the federal bureau of prisons. The following research question provided a guide: What are federal probation officers' perspectives regarding the success of rehabilitation programs offered in the federal bureau of prisons? Semi structured interviews were conducted with 10 employees of a federal probation office located in the southern United States. Interviews were conducted using Zoom and audio-recorded and transcribed to text files for thematic analysis. The main findings in this study included the need to tailor programs for prisoners to …

Women's Empowerment In Apcnf: A Critical Examination Of Feminist Goals In Agroecology, Anvitha Ravipati

Student Scholarship

This paper delves into the critical issues surrounding agroecology, with a specific focus on the intersection of ecology, polity, society, and economy. In the context of the Anthropocene era, the global threat of climate change poses significant challenges such as rising sea levels, extreme weather events, and disruptions in food production. The paper highlights the predicted impacts of climate change on food security, particularly in the tropics, emphasizing the need for social and environmental justice in mitigation and adaptation efforts. Furthermore, it discusses the concept of political agroecology as a lens to address sociological and political aspects within the realm …

Sex And Labor Trafficking In Cambodia, Kaeli Rasnake

Helms School of Government Spring Public Policy Conference

Human trafficking affects some forty-nine million men, women, and children, with twenty-nine million within the Asian and Pacific region trapped in a web of forced labor, sexual exploitation, and coerced marriage. Human trafficking is now one of the world’s most lucrative organized crimes, generating more than $150 billion a year. Southeast Asia is a particularly vulnerable region, where weak enforcement mechanisms, poverty, and cross-border mobility create fertile ground for trafficking networks. Cambodia has been designated as a tier 3 nation in this region by the U.S. Department of State due to widespread issues of labor and sex trafficking. Tier 3 …

A Narrative Review Of The Covid-19 Infodemic And Censorship In Healthcare, Mitchell Liester, Sohaib Ashraf, Patricia Callisperis, Hector Carvallo, Shankara Chetty, Robert Enzenauer, Carlos Franco-Paredes, Raul Pineda, Panagis Polykretis, Rachel Wilkenson, Peter Mccullough

Secrecy and Society

Ideological and financial motivations have undermined science for decades. In this narrative review, we explore how organizations and governments used misinformation, disinformation, censorship, and secrecy to manage the COVID-19 pandemic. Various rationales for employing censorship and secrecy during the COVID-19 pandemic are examined including how organizations and governments create confusion about the risks associated with their products and blame avoidance to shift responsibility and to avoid accountability for their actions. Methods of censorship employed during the COVID-19 pandemic are reviewed, examples are provided, and the consequences of these actions are reviewed. Information included in this review was obtained from scientific …

Covid Cover-Up: Secrecy, Censorship And Suppression During The Pandemic, Brian Martin

Secrecy and Society

During the height of the COVID-19 pandemic, most health authorities, governments, and mass media organizations presented a single official view concerning lockdowns, masking, distancing, and vaccines. The methods used against contrary views can be classified into four types: flooding, ignoring, censoring, and attacking. The method of information flooding involves presenting dominant views in a unified front, overwhelming contrary views by volume and consistency. The method of ignoring includes the absence of research on alternative approaches, failure to report on research contrary to orthodoxy, and not mentioning challenging views. Censoring involves active measures to prevent the circulation of contrary information and …

Association Of Messenger Rna Coronavirus Disease 2019 (Covid-19) Vaccination And Reductions In Post Covid Conditions Following Severe Acute Respiratory Syndrome Coronavirus 2 Infection In A Us Prospective Cohort Of Essential Workers, Josephine Mak, Sana Khan, Amadea Britton, Spencer Rose, Lisa Gwynn, Katherine D Ellingson, Jennifer Meece, Leora R Feldstein, Harmony Tyner, Laura J Edwards, Matthew S Thiese, Allison Naleway, Manjusha Gaglani, Natasha Solle, Jefferey L Burgess, Julie Mayo Lamberte, Meghan Shea, Taryn Hunt-Smith, Alberto Caban-Martinez, Cynthia Porter, Ryan Wiegand, Ramona Rai, Kurt T Hegmann, James Hollister, Ashley Fowlkes, Meredith Wesley, Andrew L Philips, Patrick Rivers, Robin Bloodworth, Gabriella Newes-Adeyi, Lauren E W Olsho, Sarang K Yoon, Sharon Saydah, Karen Lutrick

Center for Medical Ethics and Health Policy Staff Publications

Background: Data are limited on whether vaccination reduces post COVID conditions (PCCs) risk after less severe nonhospitalized coronavirus disease 2019 (COVID-19). This study assessed whether COVID-19 vaccination protected against PCCs in persons with mild initial infections during Delta and Omicron variant predominance.

Methods: This study utilized a case-control design, nested within the HEROES-RECOVER cohort. Participants aged ≥18 years with test-confirmed severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) between 28 June 2021 and 14 September 2022 were surveyed for PCCs, defined by symptoms lasting >4 weeks after initial infection. Cases self-reported PCCs and controls self-reported no PCCs. The exposure was …

Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith Solomon

University Honors Theses

Chronic homelessness is an important public health issue. Permanent Supportive Housing (PSH) is a promising opportunity for transitioning people experiencing homelessness into housing, however there remain unaddressed racial inequities in service provision and outcomes. The aim of this study is to better understand the role of culturally specific (CS) providers of PSH in improving health equity. I analyzed interviews with CS PSH providers for themes related to health and healthcare. Providers spoke about the importance of connecting clients to healthcare. Providers stressed the importance of honesty and lived experience, highlighting the strong sense of responsibility to the community. Providers also …

Everyday Life Information Behavior, Health Information Seeking, And Hiv And Sti Awareness Among People Who Inject Drugs (Pwid), Nafiz Z. Shuva, Radia Taisir, Parvez Sazzad Mallick

Publications and Research

This study aims to explore the everyday life and health information behavior of people who inject drugs (PWID) in Bangladesh, as well as the effectiveness of HIV and STI informational programs in promoting safe injecting and sexual behavior. The study received 97 completed survey responses and conducted two focus group discussions (FGDs) with 13 PWID. Using de Certeau's everyday life practices framework, the study aims to understand the tactical information strategies of PWID in the context of a developing country where access to government services and trust in authorities may be significantly limited among marginalized populations. PWID's information needs focused …

The Cowl - V. 88 N. 16 - March 6, 2025

The Cowl

The Cowl - student newspaper of Providence College. Vol. 88 No. 16 - March 6, 2025. 16 pages.

Overcoming Vaccine Hesitancy: Evidence From Italy During The Covid-19 Pandemic, Alessandro Del Ponte, Audrey De Dominicis, Paolo Canofari

Political Science Faculty Articles and Research

Objectives

Study design

Writing Research Into Fiction, Jessica Smartt Gullion

The Qualitative Report

Qualitative methodology has evolved to include all sorts of epistemologies that positivism excludes. We have seen an increase in the use of arts-based methods as ways of gathering, analyzing, and writing research. This includes the genre of fiction as research. In fiction as research, the researcher gathers and analyzes data, but writes the findings from them to the audience as fiction. This is often done to expand the audience of readers and include people who might not normally read (or have access to) research reports. In this article, I discuss my own use of social fiction and highlight the contributions …

Management Implications Of Human Livelihood Strategies On Madagascar's Coastal Landscapes, Katharine E.T. Thompson, Cortni Borgerson, Patricia C. Wright, Jeanne Mathilde Randriamanetsy, Niaina Nirina Mahefa Andriamavosoloarisoa, Mamy Yves Andrianantenaina, Théofrico Alexander Razafindrahasy, Ryan S. Rothman, Carter W. Daniels, Katherine J. Kling, Claire Surkis, Katheryn C. Twiss

Department of Anthropology Faculty Scholarship and Creative Works

The unsustainable harvest and consumption of wild animals destabilizes both wildlife populations and the human livelihoods that depend upon them. In coastal landscapes, the overexploitation of terrestrial resources can increase pressures on marine ecosystems, and vice versa. We explore populations' ability to mitigate hunting pressure by bolstering marine livelihood strategies, assessing whether Malagasy people (or aggregated households) (1) transfer harvest pressure and consumption from oceans to forests in times of lower fisheries yields and (2) habitually exploit both marine and terrestrial resources. We also evaluate the diversity of fishers' and hunters' methods used and species targeted, as reliance on a …

Tienen Alas, Pero No Las Pueden Usar: Stories Of Immigrants In Search Of Work Credentials, Jonathan Vega-Martinez, Maria M. Pache De Athayde, Fabián Torres-Ardila, Phillip Granberry

Gastón Institute Publications

This report presents the results of a qualitative research study, funded by the Latino Equity Fund of the Boston Foundation, aimed at understanding the challenges that highly skilled immigrants1 face when reentering their careers in Massachusetts.

Island Nation Duress: Simulating Passive Peer-To-Peer Bluetooth Communication During Disaster Relief, Jason K. Medeiros

Theses and Dissertations

Pacific Islands under U.S. jurisdiction are highly vulnerable to natural disasters, yet many lack the infrastructure to effectively respond and recover. Clear communication during and after such events is critical for evacuation, hazard awareness, and first responders’ coordination. This research explores a simulation-based approach using Bluetooth communication to relay messages across Guam, assessing its efficiency through statistical analysis. By examining regional differences and geographic impacts on Bluetooth messaging, the study aims to identify key factors that enhance peer-to-peer communication for timely and effective disaster response.

Harm Reduction In Corrections And Improved Treatment Programs, Aliceanne Pegg

Master of Arts in Criminal Justice Leadership

The prevalence of human immunodeficiency virus, Hepatitis B, and Hepatitis C in the United States corrections system is discussed. The importance of implementing harm-reduction strategies to help reduce the spread of bloodborne viruses is described. Also examined are rural communities' barriers to behavioral health and substance use treatment programs. The need for these treatment programs will be defined, and a policy to correct the issue will be proposed. These programs are not without criticism, and the ethics of implementing these programs are often called into question. Ethical considerations of these programs are considered, and an action plan is described to …

How Do Gender And Marital Status Impact High-Risk Polysubstance Use?, Kira England, Alexander Chapman

Population Health Research Brief Series

Drug overdose deaths in the United States increasingly include the use of multiple drugs, known as polysubstance use. These include opioids, cocaine, methamphetamine, tranquilizers, and sedatives. Polysubstance use is considered high risk because it can cause dangerous synergistic effects and result in the ingestion of higher amounts of drugs. This brief summarizes findings from a study that used data from the National Survey on Drug Use and Health on U.S. adults from 2002 through 2019 to examine gender and marital status differences in high-risk polysubstance use among U.S. adults ages 18 and older. The authors find that polysubstance use is …

Perceptions Of Clinically Depressed Individuals: Social Media Use, Depressive Symptoms, And Interpersonal Relationships, Rachel N. Fullen

Walden Dissertations and Doctoral Studies

Recent literature has shown an association between social media usage and depressive symptoms, but there remains a gap regarding the perceptions of individuals with clinical depression on their social media usage and their interpersonal relationships. This qualitative study was conducted to uncover how people view social media and their clinical depression as well as the quality of their interpersonal interactions through social media platforms. Semi-structured interviews were conducted with 10 individuals who were diagnosed with clinical depression, used social media for 2 hours daily, and lived with their significant other/partner. The theory applied to this study was Blumler and Katz’s …

2025 Furman University Scholarship Reception Program, Madeline Eastergard, Kathie Sloan

Libraries Institutional Records

On February 14, 2025, the Libraries and the Office of the Provost hosted the Furman University Scholarship Reception. The reception showcased scholarly publications, creative works, and professional accomplishments of Furman faculty or staff from the 2024 calendar year. It highlighted Furman faculty and staff who completed a degree, received a grant from an external funding source totaling more than $1,000, and/or published books, book chapters, journal articles, exhibits, recordings, performances, films, or other works. The following Furman presenters provided four-minute speeches about their scholarly or creative works:

• Liz Bouzarth, Professor of Mathematics
• John Harris, Professor of Mathematics
• Kevin Hutson, Professor …

Inclusive Leadership Ideology In Crisis Management: A Case Study Analysis On Serving The Homeless During Covid-19, Hee Soun Jang, Yu Shi, Lisa Dicke, Laura Keyes

Journal of Ideology

A core value and ethical tenet of public administration is to ensure the protection and care of the most vulnerable in the community. This research shows that inclusive leadership ideology among public managers can actively engage them in using responsive strategies that respect marginalized groups' diverse cultures, languages, identities, and special needs. Using interviews of homeless-serving nonprofit leaders during the early part of the COVID-19 pandemic, our research demonstrates how leaders navigated critical decision-making in response to the unique service needs of those who were unsheltered and experiencing homelessness. The D-A-I-C model (Shi et al., 2020) serves as a framework …