Digital Commons Network^™

Lobbying Impact: Assessing The Effects Of Lobbying On Healthcare Access For Minority Communities, Aastha Soni

Honors Projects in Politics, Law, and Society

The United States healthcare system suffers from significant flaws stemming from the absence of universal healthcare and entrenched systemic racism, resulting in a predominantly market-driven approach to healthcare provision. Unfortunately, this has created barriers that disproportionately limit access to healthcare for minority communities. The unequal healthcare landscape reflects the culmination of disparate health policies and social determinants of health. Moreover, the influence of large corporations and Washington's K Street on the legislation through lobbying further exacerbates these systemic disparities. This paper aims to explore the impact of lobbying on healthcare access for minority communities by analyzing two bills. By identifying …

An Introduction To The Yanomami Humanitarian Crisis And An Interview With Carlos Messiass On Contemporary Brazilian Indigenous Issues, Ethan Mccullough

Four Valleys Archive Scholarship

The following document covers how the rise of Jair Bolsonaro, based around a coalition of expansionist cattle ranchers and extractive industry representatives, has led to the massive explosion of illegal gold mining within the Yanomami in the Amazon. This increase in mining has led to a rapid increase of malnutrition, malaria, and mercury poisoning within the Yanomami population, as well as a significant rise in violence and human rights abuses. Other topics covered include, the previous increase of illegal mining on Yanomami land in the 1980s, Bolsonaro's anti-Indigenous rhetoric while campaigning for presidency, the role of the U.S. in Operation …

Crisis Support Through Policies For Medical Professionals In 2020 And 2021 During The Covid-19 Pandemic, Malik James Fonville-Simmons

Walden Dissertations and Doctoral Studies

No abstract provided.

The Ghanaian War Against Malaria: A Geospatial Approach To Malaria And Healthcare Access In Ghana, Emmanuel Aklie

Theses

This geospatial research project aims to analyze the complex factors influencing malaria incidence in Ghana, including healthcare access, cultural beliefs, and preventive measures. Using GIS mapping and spatial analysis, the study examines malaria distribution and healthcare facility locations to identify hotspots and access inequalities. Combining quantitative data from sources like Demographic and Health Surveys with qualitative methods like surveys and interviews, the project analyzes the relationship between malaria prevalence and vaccination rates, bed net usage, and cultural views on treatment. By taking a comprehensive approach focused on evidence-based insights, the research seeks to inform targeted interventions by the Ghanaian government …

Avian Diversity And Abundance Among Agricultural Land, Forested Land, And Their Ecotone In Guadalupe, Cerro Punta, Chiriquí Province, Republic Of Panamá., Stella Rae Kinard

Independent Study Project (ISP) Collection

As the human population increases, finding the balance between modifying land use for resources and protecting areas to preserve species that are threatened by anthropogenic disturbance is an ever growing problem. Guadalupe is a town in the Western Highlands of Panamá that struggles in this balance as its primary income source is agriculture, but it is located on the border of two protected areas, Parque Nacional La Amistad and Parque Nacional Volcán Barú. By understanding the unique ways in which avifauna utilize distinct vegetative landscapes, recommendations can be made for management styles of farms in Guadalupe to implement practices that …

Russia In A Changing Climate, Debra Javeline, Robert Orttung, Graeme Robertson, Richard Arnold, Andrew Barnes, Laura Henry, Edward Holland, Mariya Omelicheva, Peter Rutland, Edward Schatz, Caress Schenk, Andrei Semenov, Valerie Sperling, Lisa Mcintosh Sundstrom, Mikhail Troitskiy, Judith Twigg, Susanne Wengle

Political Science

Climate change will shape the future of Russia, and vice versa, regardless of who rules in the Kremlin. The world's largest country is warming faster than Earth as a whole, occupies more than half the Arctic Ocean coastline, and is waging a carbon-intensive war while increasingly isolated from the international community and its efforts to reduce greenhouse gas emissions. Officially, the Russian government argues that, as a major exporter of hydrocarbons, Russia benefits from maintaining global reliance on fossil fuels and from climate change itself, because warming may increase the extent and quality of its arable land, open a new …

Rocscholar Annual Report 2023, Lisa M. Buda

Rochester Regional Health authored publications and proceedings

RocScholar is the institutional repository (IR) for Rochester Regional Health (RRH) and is managed by the Libraries at RRH. It provides storage and access for RRH’s research and scholarly activity. This report highlights the repository’s third year of implementation.

From Collaboration To Continuity: Exploring Stakeholder Engagement For Sustainable Global Health Partnerships, Annabelle Falconer

Independent Study Project (ISP) Collection

Global health partnerships have been identified as crucial to achieving the Sustainable Development Goals and targets related to health and wellbeing. Specifically, the Global Fund, UNAIDS Joint Programme, and the World Food Programme are examples of some of the relevant partners currently engaged in this work, filling roles in global health financing, governance, and delivery. Current literature has identified that the effective engagement of stakeholders in partnerships can be crucial in effective project implementation and that global health partnerships during the era of the Millennium Development Goals did impact health outcomes. This research aims to investigate the current strategies for …

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …

Public Cleanliness Satisfaction Survey 2023, Paulin Straughan, Mathews Mathew

Research Collection School of Social Sciences

The Singapore Management University undertook the sixth wave of the Public Cleanliness Satisfaction Survey (PCSS) with 2,010 Singapore residents providing responses to the survey from November 2023 to January 2024.

Similar to the findings from the 2022 wave of PCSS, the 2023 wave of the PCSS continued to reflect an overall satisfaction with public cleanliness in Singapore. Majority of survey respondents (94%) were satisfied with the cleanliness of public spaces that they had recently visited, which was an increase of 2% from 2022. Satisfaction with the cleanliness of food outlets saw the largest increase (by 3%) among all location types, …

Compassionate Communication, Social Support, And Safety: Needs Of People Experiencing Homelessness, Emma Lynn Jackson

Communication & Theatre Arts Theses

On any given night in 2023, approximately 650,000 people were experiencing homelessness (HUD, 2023). With the highest rate of homelessness since national reporting began in 2007 and double the rate of chronic homelessness since 2016, it could be inferred that the resources are not effectively mitigating the problem (HUD, 2023). To attempt to understand this complex issue, this thesis initially reviewed theories on societal structures, personal connections, social support, and gaps in support. In person interviews of 14 people living with homelessness explored perceptions of support, social challenges, involvement in the community and lack of support. Following each interview, a …

Analytical Challenges In Omics Research On Asthma And Allergy: A National Institute Of Allergy And Infectious Diseases Workshop, Supinda Bunyavanich, Patrice M Becker, Matthew C Altman, Jessica Lasky-Su, Carole Ober, Karsten Zengler, Evgeny Berdyshev, Richard Bonneau, Talal Chatila, Nilanjan Chatterjee, Kian Fan Chung, Colleen Cutcliffe, Wendy Davidson, Gang Dong, Gang Fang, Patricia Fulkerson, Blanca E Himes, Liming Liang, Rasika A Mathias, Shuji Ogino, Joseph Petrosino, Nathan D Price, Eric Schadt, James Schofield, Max A Seibold, Hanno Steen, Lisa Wheatley, Hongmei Zhang, Alkis Togias, Kohei Hasegawa

Center for Medical Ethics and Health Policy Staff Publications

Studies of asthma and allergy are generating increasing volumes of omics data for analysis and interpretation. The National Institute of Allergy and Infectious Diseases (NIAID) assembled a workshop comprising investigators studying asthma and allergic diseases using omics approaches, omics investigators from outside the field, and NIAID medical and scientific officers to discuss the following areas in asthma and allergy research: genomics, epigenomics, transcriptomics, microbiomics, metabolomics, proteomics, lipidomics, integrative omics, systems biology, and causal inference. Current states of the art, present challenges, novel and emerging strategies, and priorities for progress were presented and discussed for each area. This workshop report summarizes …

Did Covid-19 Disrupt The Stock Market Return And Volatility? A Meta-Analytic Approach, Masagus M. Ridhwan, Solikin M. Juhro, Affandi Ismail, Peter Nijkamp, Kelvin Ramadhan Hidayat

Bulletin of Monetary Economics and Banking

We provide a quantitative synthesis of the literature utilizing meta-regression analysis on the measurable effect of the combined health and economic crisis due to the COVID-19 pandemic on stock market returns and volatility. This study is conducted based on 104 studies published during the period 2020 to 2022. We find strong evidence of a negative publication bias for COVID-19 impacts on stock market returns and a positive bias on volatility. We document that COVID-19 has a moderate negative effect on stock market returns. Estimates based on intraday stock returns show a greater effect compared to those using daily returns, whereas …

Antitumor Efficacy And Safety Of Unedited Autologous Cd5car T Cells In Relapsed/Refractory Mature T-Cell Lymphomas, Laquisa C Hill, Rayne H Rouce, Mengfen J Wu, Tao Wang, Royce Ma, Huimin Zhang, Birju Mehta, Natalia Lapteva, Zhuyong Mei, Tyler S Smith, Lina Yang, Madhuwanti Srinivasan, Phillip M Burkhardt, Carlos A Ramos, Premal Lulla, Martha Arredondo, Bambi Grilley, Helen E Heslop, Malcolm K Brenner, Maksim Mamonkin

Center for Medical Ethics and Health Policy Staff Publications

Despite newer targeted therapies, patients with primary refractory or relapsed (r/r) T-cell lymphoma have a poor prognosis. The development of chimeric antigen receptor (CAR) T-cell platforms to treat T-cell malignancies often requires additional gene modifications to overcome fratricide because of shared T-cell antigens on normal and malignant T cells. We developed a CD5-directed CAR that produces minimal fratricide by downmodulating CD5 protein levels in transduced T cells while retaining strong cytotoxicity against CD5⁺ malignant cells. In our first-in-human phase 1 study (NCT0308190), second-generation autologous CD5.CAR T cells were manufactured from patients with r/r T-cell malignancies. Here, we report safety …

Changing Healthy Living Behavior In The Post-Pandemic Era: New Communication Culture, Kinkin Y. S. Putri, Yasir Riadi, Annisa Putri Suwito

JURNAL KOMUNIKASI INDONESIA

Changes in human life from 2019 to 2023 were reported to shift behavior, with an emphasis on well-being. In this context, the paradigm of healthy living is important, manifesting as a new cultural phenomenon. Therefore, this research was carried out to explore the transformation of post-pandemic healthy living behaviors into new cultural practices. The paradigms of health communication, healthy living attitudes, and new communication culture were also examined. Previous research supported the hypothesis and a quantitative approach was used by distributing questionnaires in several cities. Meanwhile, the validity and reliability tests of the variables enabled the continuation of the bivariate …

Hesitation Towards The Covid-19 Vaccine In The United States: A Digital Ethnographic Study [Vacilación Ante La Vacuna Contra El Covid-19 En Estados Unidos De América: Un Estudio Etnográfico Digital], Rosalynn A. Vega

Anthropology Faculty Publications

Following the authorization of the use of COVID-19 vaccines in babies age 6 months through children 4 years old in the United States, some individuals (parents, pediatricians, and communicators) framed COVID-19 vac-cination as an issue of access, while many others expressed hesitancy, and some resisted recommendations from the US Centers for Disease Control and Prevention. In this context, this study aimed to explore: 1) divergent reactions to the authorization of COVID-19 vaccine use in children aged 6 months to 4 years; and 2) opposing logics underlying attitudes towards pro-vaccination, anti-vaccination, and vaccine hesitancy regarding COVID-19 vaccines. To achieve this, a …

Aggressive Behaviors Related To Delirium In Hospitalized Older Adults: A Systematic Review, Julia D. Trahan

LSU Master's Theses

This is a systematic review of the aggressive behaviors related to delirium in hospitalized older adults. The objective of this study was to review relevant literature regarding the moderation of delirious related aggressive behaviors within a hospital setting and examining the extent of interventions being conducted with aggression being a main factor. The eligibility factors for studies to be included were as follows: diagnosis of delirium, aggressive behaviors or agitation present, study occurring within a hospital setting, the goal of preventing aggressive behaviors, and participants must be over the age of 65. Academic Search Complete, PsychINFO, MEDLINE, SocINDEX, CINHAL Complete …

The Lived Experience Of Family Stress In Partners Of Firefighters During The Covid-19 Pandemic, Kimberley A. Giannini

Walden Dissertations and Doctoral Studies

No abstract provided.

Emulating Paul’S Ministry Leadership In A Diverse And Changing Cultural Landscape, Mark J. Lee

Doctoral Dissertations and Projects

The purpose of this Doctor of Ministry project is to train ministry leaders by studying the cross-cultural leadership characteristics of Apostle Paul. Central Steele Creek Presbyterian Church is part of the sad statistic of traditional churches that have been declining for the past thirty years. This will continue unless leaders of the church embrace the diverse culture and nature of the surrounding community. Cross-cultural leadership is needed in this time of multi-cultural communities and there is no one better than Paul to demonstrate this indispensable cross-cultural ministry paradigm. If leaders at Central are trained and motivated to embrace Paul’s cross-cultural …

Organizing Knowledge Through Revealing Data In Knowledgebases., Jian Qin, Qiaoyi Liu

School of Information Studies - Faculty Scholarship

This paper uses the knowledgebases in the biomedical field as a case study to discuss the characteristics and requirements of knowledge organization (KO) practices and products by looking at the constructs, cross-linking, and curation methods. Modern knowledgebases such as Gene Ontology and Disease Ontology reflect the major expansions in KO to be more computational, portable (entification allows individual nodes to be extracted and used in combination with multiscale resources) and connected. Many techniques and methods used are not covered in KO textbooks. The interdisciplinary nature of KB development will be a worthwhile research area for the field of knowledge organization.

Reaching The Unheard: Overcoming Challenges In Health Research With Hard-To-Reach Populations, Venera Bekteshi, Munjireen Sifat, Darla Kendzor

Kimmel Cancer Center Faculty Papers

PURPOSE: Addressing obstacles such as logistical complexities, social stigma, and the impact of historical traumas is essential for the successful inclusion of underrepresented groups in health research.

METHODS: This article reviews engagement and interview techniques used to ethically engage recently settled Afghan refugees in Oklahoma and rural Mexican-born women in Illinois in research. The paper concludes with a reflective discussion on the challenges and lessons learned.

RESULTS: Creative strategies to engage hard-to-reach populations in research included considering the participants' socioeconomic and cultural contexts in their interactions and developing community partnerships to establish trust and obtain reliable data. Other engagement strategies …

Knowledge, Attitudes, And Hesitancy To Covid-19 Vaccination Uptake In Nigeria, Dominique U. Mbachie

Walden Dissertations and Doctoral Studies

Vaccine hesitancy is a major global health problem despite their being historically effective at preventing infectious diseases such as tetanus, diphtheria, polio, rabies, pertussis, measles, and yellow fever. It has significantly hampered herd immunity, with a rate of 67% for COVID-19 globally. Vaccine hesitancy is common in underdeveloped nations like Nigeria. Misinformation and rumors may be the foundation of the lower vaccination rates in impacted African nations, particularly Nigeria. Thus, the Nigerian population has primarily remained unvaccinated or hesitant about COVID-19 vaccination uptake. This qualitative study explored the knowledge and attitudes towards hesitancy regarding COVID-19 vaccination uptake in Nigeria. The …

The Relationship Between Adverse Childhood Experiences And Juvenile Offender Typology, Aliza Beth Lipman

Dissertations and Theses

Approximately 1 in 5 girls and in 20 boys in the United States are victims of child sexual assault every year. Child sexual assault can lead to multiple negative short term and long-term impacts affecting general health, mental health, interpersonal relationships, socio-economic status, criminal behavior and more. Prevention research focuses on a thorough understanding of the perpetrators of assault and the context surrounding offenses in order to reduce and prevent assault. Within this research, juvenile offenders are perceived as a single homogenous group whereas adult offenders are consistently specified based on offender and offense characteristics. The exploration of the relationship …

Assessing Psychometric Predictors Of Academic And Life Success For High School Students In A Stem-Based Program In Rural Alabama, Robin Bartlett, Alan Mckendall, Sherron Mckendall, Paige Johnson, Ann Chester

Faculty & Staff Scholarship

The Health Sciences and Technology Academy of Alabama (HSTA-AL) is an academic program focused on health sciences enrichment offered through the College of Nursing at the University of Alabama to address the state’s nursing and biomedical professionals shortage (i.e., a 10:1,000 nursing to population ratio). This paper examines outcomes addressing social, academic, and life success from the participants’ perspective. The one-sample-pretest-posttest designed study evaluated whether there was a difference between baseline and year 1 levels of community engagement and academic intentions for the 23 students for which paired data were obtained. Analyses show promising outcomes from baseline to year one …

The Great Resignation: Narratives Of Mid-Career Teacher Burnout And Attrition, Nicole Burton

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The COVID-19 pandemic has increased the issues of teacher attrition. According to the U.S. Bureau of Labor and Statistics, from January to November 2021, there was a 40% increase in the quit levels of teachers within the state and local education agencies (John, 2022). While prior research has examined early-career teachers leaving the profession, mid-career teachers have largely been left out of the conversation. This narrative inquiry investigates the reasons that mid-career teachers are leaving the profession. Semi-structured interviews were conducted with four mid-career teachers hailing from the Midwest region. Interviews focused on understanding how teachers have experienced stress and …

A Habitat Stronghold On The Precipice: A Call-To-Action For Supporting Lemur Conservation In Northeast Madagascar, Timothy M. Eppley, Cortni Borgerson, Erik R. Patel, James P. Herrera, Andrew E. Kirkby, Christopher D. Golden, Mcantonin Andriamahaihavana, Lanto Andrianandrasana, Antonio Bóveda, Dean Gibson, Louis Joxe Jaofeno, Fenohery Rakotondrasoa, Tiana A. Ramahaleo, Delaïd C. Rasamisoa, Felix Ratelolahy, Josia Razafindramanana, Charlotte Spira, Charles Welch, Natalie Vasey

Department of Anthropology Faculty Scholarship and Creative Works

The northeast of Madagascar is as diverse as it is threatened. The area bordering the Analanjirofo and SAVA regions contains six protected areas and at least 22 lemur species. Many applied research and conservation programs have been established in the region with the aim of ensuring both wildlife and people thrive in the long term. While most of the remaining humid evergreen forest of northeast Madagascar is formally protected, the local human population depends heavily on the land, and unsustainable natural resource use threatens this biodiversity hotspot. Drawing from our collective experiences managing conservation activities and research programs in northeast …

Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson

Doctor of Social Work Capstone Projects

The purpose of this study was to evaluate the impact of the community-academic partnership between the University of Michigan School of Public Health Office of Public Health Practice and the Grenadian community. Five key informant interviews were conducted to analyze the partnership from the perspectives of the community partners in Grenada to understand the strengths, challenges, and existing opportunities, specifically within the context of a global collaboration.

The findings highlighted the benefits of community-based collaboration, considerations for partnership design, and opportunities for education, practice, policy, research, and leadership. The organizations spoke highly of the partnership, underscoring their desire for expanded …

Adaptation Of The Client Diagnostic Questionnaire For East Africa, Edith Kamaru Kwobah, Suzanne Goodrich, Jayne Lewis Kulzer, Michael Kanyesigye, Sarah Obatsa, Julius Cheruiyot, Lorna Kiprono, Colma Kibet, Felix Ochieng, Lukoye Atwoli

Internal Medicine, East Africa

Research increasingly involves cross-cultural work with non-English-speaking populations, necessitating translation and cultural validation of research tools. This paper describes the process of translating and criterion validation of the Client Diagnostic Questionnaire (CDQ) for use in a multisite study in Kenya and Uganda. The English CDQ was translated into Swahili, Dholuo (Kenya) and Runyankole/Rukiga (Uganda) by expert translators. The translated documents underwent face validation by a bilingual committee, who resolved unclear statements, agreed on final translations and reviewed back translations to English. A diagnostic interview by a mental health specialist was used for criterion validation, and Kappa statistics assessed the strength …

Grievance Politics And Technocracy In A Developmental State, Ijlal Naqvi, Federico M. Rossi, Rayner Kay Jin Tan

Research Collection School of Social Sciences

This article uses a process-tracing approach to understand changes in Singapore’s health sector from the start of self-rule in 1959 to the end of the COVID-19 pandemic in 2022. Singapore is a developmental state recognized for its effective management of healthcare costs and its lack of political freedom. In both respects, the ‘Singapore model’ is of interest to other cities and nations. The standard narrative is one of technocratic proficiency in a context in which civic freedoms are heavily constrained, but this article identifies the surprisingly important role of social voices at key moments. It finds episodes in which effective …

Returning To School After A Pandemic: K-12 School Mental Health Practitioners’ Perspectives Returning To School In Regard To Mindset, Behavior, Performance, And Social Connections, Viridiana Benitez Esparza

Dissertations

Purpose: The purpose of this phenomenological study was to determine K-12 school mental health practitioners’ perceptions of their experiences working with students following the 2-year educational/social/emotional trauma of the COVID-19 pandemic with regard to the mental health practitioners’ mindset, behavior, performance, and social connections. Methodology: The researcher conducted a phenomenological study examining particular experiences of participants to understand their perspective during a phenomenon (McMillan & Schumacher, 2006). This qualitative study interviewed 12 school mental health practitioners who served in K-12 public schools after the pandemic in Los Angeles County, California. Semi-structured interview questions were used for data collection and aligned …