Digital Commons Network^™

Substance Use Treatment Accessibility For Pregnant And Postpartum Women, Adrienne Borders

Psychology ETDs

This study aimed to (1) characterize substance use treatment preferences, barriers, and attitudes in an under-represented sample of pregnant and postpartum women; (2) examine associations between barriers and help-seeking preferences, treatment attitudes, treatment engagement, substance use, and well-being; and (3) examine moderating effects of culture. Participants were 27 women, most of whom were treatment-experienced, of ethnic minority status, and from lower-income households. Results indicated flexibility in treatment preferences, and positive attitudes about treatment despite an extensive number of barriers. Participants indicated greater interference from stigma, relative to instrumental barriers. Qualitative responses revealed unique barriers experienced by this sample, and offspring …

Coalition For Prisoners' Rights Newsletter, Vol 44-A, No. 8, Coalition For Prisoners' Rights

Coalition for Prisoners' Rights Newsletters

What is it Really About?

Federal Executions to Start Up

The Quick Fix Boomerang

La Redada Masiva de Mississippi

Back to School?

Poverty

More on "Camps"

Murphy Davis, On Women's Health

Increasing Home Visiting Referrals Through Implementation, Dissemination And Evaluation: Perspectives From Rural Healthcare Providers., Theresa Cruz, Leona Woelk, Ivy Cervantes

Reports & Documents

No abstract provided.

Interdependencies Between Energy, The Environment, And Stakeholder Choices, Saleh Nur Muhammad Al Mamun

Economics ETDs

This dissertation contributes to the field of energy economics by expanding the knowledge of energy stakeholders’ decisions amid the interdependence of energy and environmental policies. I analyze three specific energy development decisions from multiple stakeholders’ perspectives. Chapter 2 introduces a broader state-level policymakers’ decision on renewable portfolio standards (RPS). The renewable portfolio standards is a state-mandated obligation that requires electric load-serving entities to distribute a certain percentage of electricity generated from renewable sources. I investigate the public preferences of RPS for residents in New Mexico in 2017. I find that households are willing to pay for an increase in RPS …

Genetically Modified Salmon And The Future Of Food: A Qualitative Content Analysis Of Twitter, Margaret Markham Siebert

Communication ETDs

This dissertation is a qualitative content analysis of the ongoing online debate on Twitter regarding the AquAdvantage Salmon™, the first genetically engineered animal, fish, and meat product approved by the FDA for sale and consumption in the US. On Twitter, Topics can be discussed by any account user creating a public sphere and forum of discussion. In a time when the anthropogenic impacts on the environment are observable and at times detrimental, it remains in question how we will produce our food; this study problematizes whether or not genetic engineering is the solution and the future of our food, and …

Unsettling Indian Health Services: Secularism, Modern Medicine, & The Reproduction Of The U.S. Settler State Through The 1954 Transfer Act, Jillian Elizabeth Grisel

American Studies ETDs

This thesis takes up the role of secularism in modern medicine as a political doctrine that works in service of settler colonialism. I argue the Declaration of Human Rights and the World Health Organization (WHO) globally institutionalized secular ideologies in the post-World War II environment. This thesis links how this global reordering came to inform U.S. health policy by examining how government officials and medical experts drew from the WHO and framed infectious diseases as a security issue to impose a biomedical order in Indian country. By contextualizing modern medicine within a settler political economy and secular political doctrine, I …

Oral Hygiene In Intensive Care Units: A Survey On Protocol, Kayla J. Gallegos, Christine Nathe

Dental Hygiene ETDs

The purpose of this study was to learn about various Intensive Care Units’ current oral hygiene care protocols, nurses’ values, and interests in interprofessional collaboration with a dental professional. An online survey was created and intended recipients included 1,696 members of the Trauma ICU Nurses/Critical Care Medicine Facebook page. Participants were asked about their value of oral hygiene, oral hygiene education, and interest in interprofessional collaboration. Of the 1,696 nurses 34 (2%) opted to participate in this survey study. Findings from this study suggest that these nurses’ value oral health in themselves and in patients. Half of the survey participants …

Assessment Of Post-Discharge Health Care Utilization In Infants With Neonatal Opioid Withdrawal Syndrome, Shikhar Shrestha

Pharmaceutical Sciences ETDs

Background/Objectives: Children born to mothers with opioid use disorder often show withdrawal effects characterized by increased stress, hyperirritability, tremors, tachycardia, sleep deprivation, and gastrointestinal discomfort, commonly known as “neonatal opioid withdrawal syndrome” (NOWS). Studies have shown that the effect of NOWS can lead to several health-related disorders later in life leading to increased health care utilization. However, detailed study of post-discharge health care utilization, specifically focusing on encounters with the health care system is currently lacking in the literature. Our objective was to evaluate health care utilization in infants who were diagnosed with NOWS during a one-year follow-up period after …

Exercise-Based Cardiac Rehabilitation Improves Cognitive Function Among Cvd Patients, Terence A. Moriarty, Kelsey Bourbeau, Christine Mermier, Len Kravitz, Ann Gibson, Nicholas Beltz, Omar Negrete, Micah Zuhl

Health, Exercise, and Sports Sciences ETDs

Objective: Investigate the effects of cardiac rehabilitation (CR) exercise training on cognitive performance and if the changes are associated with alterations in prefrontal cortex (PFC) oxygenation among patients with cardiovascular disease (CVD). Design: A single group pre-post design. Setting: An outpatient CR program. Subjects: Twenty (15 male, 5 female; mean (SD) age 64.8 (11.6) yrs) patients from an outpatient CR program. Intervention: At least 18 individualized CR sessions (approximately 6 weeks). Main measures: Pre- and post-CR changes in cognitive performance (a measure of 5 constructs from the NIH Fluid Cognition test battery), left-PFC and right-PFC activation (measured using functional …

Facial Fluctuating Asymmetry: Developmental Origins And Implications For Long-Term Health, Katelyn Marie Rusk Phd

Anthropology ETDs

Fluctuating asymmetry (FA), characterized by random left-right deviations from perfect symmetry in anatomical structures, is a form of bilateral asymmetry that is thought to reflect underlying developmental instability (DI). DI refers to an organism’s relative ability to buffer against stochastic fluctuations in environmental conditions throughout development. FA is commonly used within evolutionary biology and anthropology as a cumulative indicator of chronic stress exposure during development and its consequences for long-term health. While the FA literature is extensive, there are two primary areas of inquiry that remain incomplete: assessing the full breadth of health correlates of FA across the human life …

Retrospective Study Demonstrating High Rates Of Sustained Virologic Response After Treatment With Direct-Acting Antivirals Among American Indian/Alaskan Natives, Jorge Mera, Kartik Joshi, Karla Thornton, Terry Box, John Scott, Miranda Sedillo, Paulina Deming, Crystal David, Whitney Essex, Richard Manch, Anita Kohli

Project ECHO Bibliography

BACKGROUND: Treatment for chronic hepatitis C virus (HCV) has rapidly evolved to simple, well-tolerated, all-oral regimens of direct-acting antivirals (DAAs). There are few data on the epidemiology of HCV in American Indians/Alaska Natives (AI/ANs), a population disproportionately affected by HCV.

METHODS: In this retrospective cohort study, all HCV-infected AI/AN patients treated with DAA therapies between January 1, 2014, and February 24, 2016, in specialty clinics or by primary care clinicians participating in Extension for Community Healthcare Outcomes (ECHO) were included. Demographic, clinical, and virologic data on all patients treated for HCV from pretreatment through sustained virologic response at 12 weeks …

Prescription Of Opioids To Youth 2005-2016: An Examination Of Trends, Patient Characteristics, And Outcomes Through 12 Months, Melissa Pielech

Psychology ETDs

Data on all outpatient opioid prescriptions (N=71,647) to youth below age 21 (N=42,020) from 2005-2016 were extracted from electronic medical records within a university hospital system, including demographic characteristics, markers of morbidity, and mortality. Relative risk was calculated for markers of morbidity and mortality based on sociodemographic characteristics. The sample was primarily male (55.0%), Hispanic/Latino (50.1%), English-speaking (88.9%), and publicly insured(50.1%). Mean age was 13.54 (sd = 6.50). From 2005-2016, overall frequency of opioid prescriptions increased by 86.6% (from 2470 to 4610) with the largest increase (206.2%) observed from 2005-2008 (2470 to 7562). Patients who …

Extension For Community Healthcare Outcomes-Palliative Care In Africa Program: Improving Access To Quality Palliative Care, Sriram Yennurajalingam, Charles E Amos, John Weru, Edwina Beryl V N D Addo Opare-Lokko, Joseph Anthony Arthur, Kristy Nguyen, Olaitan Soyannwo, Runcie C W Chidebe, Janet L Williams, Zhanni Lu, Ellen Baker, Sanjeev Arora, Eduardo Bruera, Suresh Reddy

Project ECHO Bibliography

PURPOSE: There is limited access to quality palliative care (PC) for patients with advanced cancer in sub-Saharan Africa. Our aim was to describe the development of the Project Extension for Community Healthcare Outcomes-Palliative Care in Africa (ECHO-PACA) program and describe a preliminary evaluation of attitudes and knowledge of participants regarding the ability of the program to deliver quality PC.

METHODS: An interdisciplinary team at the MD Anderson Cancer Center, guided by experts in PC in sub-Saharan Africa, adapted a standardized curriculum based on PC needs in the region. Participants were then recruited, and monthly telementoring sessions were held for 16 …

"Is There Really A Way To Prevent Cancer?": Exploring Cancer Prevention Information Seeking Among Cancer Patients And Their Caregivers, Kaitlin M. Magee

Communication ETDs

This thesis investigated cancer prevention information (CPI) seeking among cancer patients and their caregivers. Interviews that were conducted in 2011 were analyzed thematically to deconstruct perceptions and sources of CPI among 47 participants. The thematic narrative analysis of the predominantly Hispanic, low-income and low-education sample revealed differences in CPI seeking related to ways cultural practices and socioeconomic status impact information seeking. The digital divide, Spanish language and perceived high cost presented barriers to information yet created opportunities for patients and family members to emerge as health champions to share information interpersonally and intergenerationally. Understanding CPI processes of racial and ethnic …

Trends In Health, Stress, And Migration In The Pre-Contact Southwest United States, Alexis O'Donnell

Anthropology ETDs

The major goal of this dissertation was to examine migration and its impacts on health through use of dental morphological and paleopathological data. The case study is the Southwest United States between A.D. 1200-1400s. The second chapter, written with Corey Ragsdale, Biological Distance and the Fate of the Gallina in the American Southwest, examines where the Gallina people may have gone upon abandoning their homes in the late A.D. 1200s. We used dental data for 492 individuals and mean measure of divergence (biodistance) analysis to examine several hypotheses regarding where the Gallina went. We find that the Gallina may have …

Science For All: Exploring Science Communication For Public Engagement In Culturally Diverse Scenarios In The Americas, Denisse Helena Vasquez-Guevara

Latin American Studies ETDs

Universities in the United States and Ecuador must meet various policy guidelines concerning research and teaching that address the needs of their local communities. In Ecuador, the higher education law requires that universities undertake research and public outreach projects that respond to societal needs. In the United States, Carnegie Research Classifications motivate universities to serve their publics by carrying out community-engaged research. However, evaluations of public outreach projects and community-engaged research have consistently demonstrated that the segments of society that are ostensibly served by these initiatives are not meaningfully engaged in them; members of the public are treated as, and …

A Biocultural Examination Of Health Risk Among New Mexicans Of Spanish-Speaking Descent, Carmen Veronica Mosley

Anthropology ETDs

Individuals of Hispanic, Latino, or Spanish (HLS) origin suffer disproportionately from higher poverty rates, less education, less access to health care, and greater risk factors for and prevalence of chronic diseases compared to their White counterparts. How health disparities emerge over the life course remains unclear. Allostatic load (AL) provides an approach in health research that utilizes a life course perspective and multi-system view of cumulative physiological, or health risk. AL is used to identify sociodemographic and biological factors that contribute to racial differences in health risk. However, AL is not widely used to explore causes of poorer health outcomes …

Are Steps Per Day Enough? Quality Versus Quantity Of Ambulatory Behavior After A Light-Intensity Physical Activity Intervention For Older Cancer Survivors., Elizabeth Michaela Harding

Health, Exercise, and Sports Sciences ETDs

Physical activity and exercise are powerful means by which to preserve physical function, and stave off mobility loss, morbidity and mortality. Historically, physical activity (PA) interventions have been structured around the national guidelines for PA and exercise. However, some populations such as older adults and those with chronic disease and mobility limitations may find these recommendations too rigorous or daunting. Consequently, they tend to spend more time engaged in sedentary behaviors that further exacerbate the already detrimental effects of age and chronic disease. PA interventions that serve to bridge the gap between sedentary behavior and exercise are needed as our …

“What’S With What’S Her Name? Siri, Call So And So… Can’T You Use Your Own Hands!?” Older Adult Perspectives On The Roles Communication Technology And Physical Activity Play In Their Aging Experiences, Andrew J. West

Communication ETDs

Information and resources are needed to promote quality of life and access to health resources for older adults. Physical activity is an effective health prevention strategy that can help increase older adult life satisfaction and maintain functional ability. Communication technologies like the Internet and smartphone are also useful tools that provide older adults needed resources to stay educated and engaged in healthy aging. This study investigated older adult perceptions of aging, communication technology, and physical activity for older adults. Literature on theories of aging, physical activity strategies, behavior change, and technology use was gathered to understand how these concepts contribute …

Determining The Pathological Effects Of Prenatal Alcohol Exposure On Peripheral Neuropathy Via Spinal And Peripheral Immune Mechanisms, Joshua J. Sanchez

Biomedical Sciences ETDs

Previous studies have suggested that children with Fetal Alcohol Spectrum Disorder (FASD) display hypersensitivity to light touch. In support of this notion, we have demonstrated that applying a chronic constriction injury (CCI) to the sciatic nerve of rats that have prenatal alcohol exposure (PAE) results in heightened sensitivity to light touch, clinically termed allodynia. These observations coincided with heightened glial activation and enhanced peripheral immune reactivity. Considering allodynia is known to be mediated by both peripheral immune responses and spinal glial activation, it is reasonable to speculate that allodynia following PAE may be mediated through an alteration of immune reactivity. …

Serotonin Syndrome And/Or Opioid Withdrawal After The First Dose Of Naltrexone Hcl/Bupropion Hcl: An Observational Study, Stefanie J. Logothetis

Pharmaceutical Sciences ETDs

In 2014, the Food and Drug Administration approved naltrexone HCl/bupropion HCl, a combination of an antidepressant and an opioid antagonist for chronic weight management therapy. Concurrent use of antidepressants and opioids has the potential to cause drug interactions involving serotonin syndrome. Our primary objective is to identify cases of serotonin syndrome and/or opioid withdrawal after initiation of naltrexone HCl/bupropion HCl. Our secondary objective is to assess which specific opioids are more likely to cause a drug interaction with naltrexone HCl/bupropion HCl. We performed an observational study by reviewing cases in the RADARS^® database from January 2014 through December 2018. …

Fungi In A Hot, Dry, Changing World, Miriam I. Hutchinson

Biology ETDs

My doctoral work focused on understanding the reciprocal relationship between fungi and their environment, namely how fungi respond to environmental flux, as well as how fungi can modify and structure their habitats, especially in the context of climate change. As such, I aimed my research on fungi with distinct adaptations to their environmental niches: endophytic fungi that inhabit plant tissue and thermophilic fungi that are capable of growing at the upper temperature limit for eukaryotic life. My research consisted of three studies. First, I investigated the thermophilic species Myceliophthora heterothallica to demonstrate its use as a model organism for efficient …

The Sweet Tale: A Pilot Study Of An Interactive Narrative Health Communication Intervention Using Positive Deviance To Highlight Communicative Acts That Lead To Effective Management Of Diabetes Among Hispanics, Claudia M. Boyd

Communication ETDs

In this dissertation, I conducted a pilot study that applied positive deviance (Singhal, 2011; Pascale, Sternin, & Sternin, 2012) findings from my master’s thesis (Boyd, 2015) to an entertainment-education (Singhal & Rogers, 1999) driven intervention in a Hispanic community (Baezconde-Garbanti et al., 2014; Murphy et al., 2013; Wang & Singhal, 2016), using an interactive narrative (Green & Jenkins, 2014) to develop achildren’s book. In the current pilot study, I created a children’s book The Sweet Taleusing extensive formative research and created a framework to aid in the development offuture Hispanic children’s books on diabetes. To evaluate The Sweet Tale, I …

Social Determinants Of Health And Variability In Weight Trends Of Children Of Low Income Families Living In New Mexico, Molly Aileen Morrison

Individual, Family, and Community Education ETDs

When evaluating the prevalence of obesity rates throughout New Mexico (NM), it appears these rates have reached a plateau. A recent study conducted by the NM Department of Health (DOH) found that NM was among 19 other states that have had a first time decrease in child obesity rates among low income families. However, when examined deeper, when looking at geographical areas throughout NM, hidden geography of weight disparities become apparent. Although obesity rates may have decreased in some areas, they have increased in others. The purpose of this study is to effectively evaluate variability in weight trends between geographical …

Gastrostomy Tube Complications And Management, Deborah J. Garcia

Doctor of Nursing Practice Scholarly Projects

The avoidable complications of clogging and dislodgement of gastrostomy tubes (g-tubes) place a tremendous burden on patients, caregivers, healthcare providers, and the entire medical system. These complications are associated with $130 million in healthcare utilization each year. Insufficient education of patients and personal caregivers regarding the prevention of complications of clogging and dislodgement of g-tubes is identified as a major barrier. Preintervention and postintervention education program models were established, which include a preprocedure clinic visit with education as well as scheduled follow-up phone calls. A chart review and follow-up phone call was used to evaluate the effect of providing consistent …

Perspectives Of Behavioral Health Providers In School Based Health Clinics (Sbhc) About Behavioral Health Services And Low-Income Adolescent Males’ Academic Achievement, Suzanne Gagnon

Nursing ETDs

ABSTRACT

Low-income adolescent males are subject to both health and educational inequities. Male adolescents are the least likely of all pediatric age and gender groups to access either primary care or behavioral health services. This same population is most likely to not complete high school or college. Health and educational outcomes are both affected by social determinants. School-based Health Centers (SBHCs) are known for providing access to primary care and behavioral health services for low-income and vulnerable populations. The purpose of this qualitative descriptive study was to identify themes from one-on-one semi-structured qualitative interviews with behavioral health providers, who provide …

King Of The Hill? How Biotic Interactions Affect Biogeographical Pattern And Species Responses To Climate Change, Joshua Scott Lynn, Jennifer A. Rudgers, Tom E. X. Miller, Stephanie N. Kivlin, Melanie R. Kazenel

Biology ETDs

As climate has warmed, many species have moved up mountains as physiological limits to their distributions have ameliorated. These distribution shifts are creating novel communities, begging the question: What happens to species at the tops of mountains as potential antagonists encroach upwards? Theory predicts that upward migrations will cause range contractions for high-elevation species because of novel interactions with encroaching antagonists. My dissertation work is one of the most comprehensive tests of this question to date, using a combination of ecological niche modeling (ENM), experiments, and demographic and trait-based modeling approaches. I created novel ENMs that suggest context-dependency of biotic …

Health Information Technology 2019 Gallup Self-Study & Documents, University Of New Mexico - Gallup Campus

UNM Academic Program Review

UNM Gallup Health Information Technology self-study report and curricula committee report for Spring 2019.

Coalition For Prisoners' Rights Newsletter, Vol 44-A, No. 4, Coalition For Prisoners' Rights

Coalition for Prisoners' Rights Newsletters

Together We Can Do What We Cannot Do Alone

Even More

El Arresto de Julian Assange

Ubiquitous Data Gathering

Challenge to Study

Fatal Shootings

General Studies 2019 Gallup Self-Study & Documents, University Of New Mexico - Gallup Campus

UNM Academic Program Review

UNM Gallup General Studies self-study report and curricula committee report for Spring 2019.