Digital Commons Network^™

Comparative Medicaid Policy Analysis Related To Maternal And Infant Birth Outcomes In South Carolina, Cassidy L. Lena

Senior Theses

The United States despite being one of the most industrialized and wealthiest nations in the world, has the worst maternal and child health outcomes of any industrialized nation. The rates of maternal morbidity, mortality, and infant mortality have been increasing within the past decade, when many causes of death for this population are preventable. This study conducted a literature review on Medicaid policies and associated programs between three states (South Carolina, North Carolina, and California) in order to gain background information. Secondly, a comparative Medicaid policy analysis was completed using the Centers for Disease Control and Prevention [CDC] framework, which …

Humanity's Fate: An Analysis Of Speculative Human Evolution In Literary Fiction, Celeste T. Johnson

Senior Theses

Speculative human evolution is a literature subgenre of science fiction that explores the potential future of humanity and descendant species. Little academic research has been done to evaluate the scientific accuracy of works of this genre or assess the relationship between the themes presented in the works and our current world. Future human species and their evolutionary journeys were assessed for scientific possibility through comparison with current research in fields such as anthropology, evolutionary biology, and sociology. It was found that the species depicted in works of speculative human evolution were largely based in scientific accuracy and could possibly exist …

Around The Table: A Comparative Study On The Commensality Of American And Italian Culture And Its Implications On Wellbeing, Joy Bernal

Senior Theses

Commensality (the act of eating together) has been shown to increase psychosocial wellbeing. As culture differs, so do the ways commensality occurs. This thesis uses established literature to compare the commensality between two countries, the United States and Italy, and conclude how those behaviors impact psychosocial wellbeing. After exploration and drawing connections, the hope is that this thesis encourages a call for change on the way we view eating and how we can gather more often to improve overall psychosocial wellbeing.

Recognizing Menstrual Equity As A Dimension Of Equal Educational Opportunity Student Note, Reilly H. Lerner

The Journal of Law and Education

No abstract provided.

A Causal Comparative Study Of The Effects Of Physical Activity Course Enrollment On College Students’ Perceived Wellness, Mental Health, And Basic Psychological Needs, Genee’ Regina Glascoe

Theses and Dissertations

On college campuses, there has been an increase in mental health needs among students. In 2019, 56% of students attended counseling for mental health concerns compared to 46% of students who attended in 2010 (The Center for Collegiate Mental Health, 2019). Colleges have begun focusing on student wellness to assist their students with the capability to thrive during their college years and beyond (LaFountaine et al., 2006). Basic psychological needs must be met to achieve psychological growth and wellbeing (Ryan & Deci, 2000b; Zhang et al., 2012). Taliaferro et al. (2009) found evidence of an association between physical activity and …

A Process For Converting An In-Person Training To Increase Church Capacity To Implement Physical Activity And Healthy Eating Practices And Policies To An Online Format, Sara Wilcox Phd, Ruth P. Saunders Ph.D., Jessica Stucker, Andrew T. Kaczynski Ph.D., Kelsey R. Day, Deborah Kinnard, Lindsay Decker, John A. Bernhart Ph.D., Mph, Ches

Faculty Publications

The implementation of evidence-based public health programs into practice is critical for improving health, but trainings for organizational change agents are often not scalable. To describe the process of converting a training that targets faith-based organizational capacity development from an in-person to an online format. We engaged in an iterative process to convert the training delivery mode from in-person to online that included assessing stakeholder support, consulting the literature on best practices, seeking a design team, consolidating content, designing engaging lessons, and building an online site. Feedback from end-users and other audiences was incorporated throughout. Pilot participants with characteristics like …

Fitness Assessments Of Women With Polycystic Ovary Syndrome: A Prospective Process Feasibility Study, Pamela J. Wright, Cynthia F. Corbett Phd, Rn, Faan, Robin M. Dawson Phd, Rn, Cpnp-Pc, Michael D. Wirth Msph, Phd, Face, Bernardine M. Pinto Phd, Fapa, Fsbm, Fabmr

Publications

Background: Fitness is a marker of physiological and mental health. The purpose of this pilot study was to assess the feasibility of processes to recruit women with polycystic ovary syndrome (PCOS) during the Covid pandemic and collect their health and fitness data. Additionally, the data was used to explore possible associations between anthropometrics, PCOS biomarkers, health-related quality-of-life (HRQoL), and depressive symptoms with that of fitness and self-reported physical activity levels among women with PCOS. Methods: A convenience sample of women with PCOS (n = 15) were recruited via flyers and the snowball method. Participants completed surveys, anthropometrics, a dual energy …

Impact Of An Evidence-Based Order Set On Pneumonia Length Of Stay, Troy Wayne Spires

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Among adult patients admitted with pneumonia, what is the effect of Computerized Provider Order Entry (CPOE) sets for pneumonia, as compared to usual practice, on the length of stay over three months.

Purpose: The project aimed to determine if inpatient LOS related to pneumonia could be impacted by utilizing appropriately completed computerized physician order entry (CPOE). The current pneumonia order set was evaluated and updated to reflect the latest evidence-based standards of care. Pneumonia order sets with evidence-based practice treatment algorithms was the intervention focus as they have been shown to impact the length of stays …

Reducing Falls Among Adult Psychiatric Inpatients Using K-Cards With The Epi, Epfrat Factors, And Nursing Judgment, Katelyn Dunn

Doctor of Nursing Practice Scholarly Projects

In the United States, the highest rates of falls are in the psychiatric inpatient population. Fall reduction was as an organizational goal of the project site, a 352-bed hospital in the Southeastern United States. The Epic Predictive Index (EPI), an automated fall risk assessment tool, had recently been adopted. This project evaluated the impact of an enhanced fall reduction strategy involving the use of Kamishibai Cards (K-Cards), which are a compliance reminder for healthcare staff, to support additional evidence-based identification of fall risk among adults receiving inpatient psychiatric care at the facility. The use of K-Cards with each patient’s current …

The Benefits And Implementation Of Open Science Practices In Exercise Science Research, Brendan Moore

Senior Theses

This article has the purpose of addressing the need for open science practices in the field of exercise science research. Open science is best defined as the call for greater accessibility and transparency in research (Chakravorty et al., 2022). With more accessible and transparent research, research can be conducted more thoroughly and efficiently. Additionally, the implementation of these practices would discourage many shady and unethical practices. The idea of open science is not without debate however. There are many concerns over the theft of scientific data and ideas, as well as the increased time and monetary costs associated with many …

Free Money: The Feasibility Of Implementing A Universal Basic Income In The United States, Chase H. Dorn

Senior Theses

The objective of this thesis is to explore whether a universal basic income paid to all United States citizens is both economically possible and advantageous. A recent surge in popularity of the idea has led to a plethora of universal basic income experiments that have been or are being performed across the world, however there has yet to be a UBI implemented on a national level. Using data from these experiments and existing academic research into the policy, the first part of the thesis details the necessary components of a UBI, documents the history of the idea, notes the justifications …

The Associations Of Built Environments On College Students' Physical Activity Levels, Catherine M. Neel

Senior Theses

The issues with American physical activity infrastructure have been causing The United States to have lower levels of physical activity compared to other developed countries. The social and physical built environments of college students typically provide more access for students to be able to be active; however most students still do not meet the recommended amount of physical activity. The purpose of this study was to determine what in their physical and social environment that students utilize in order to participate in physical activity and what aspects of their environment discourage physical activity or limit access to being active. This …

A Comparison Of The Ways In Which The United States And European Nations Treat Chronic Kidney Disease, Robert W. Pokora Iii

Senior Theses

European nations and the United States of America have vastly different outcomes in their treatment of end-stage renal disease (ESRD) patients, specifically when considering survival rate and patient satisfaction level. Unfortunately, no study has ever detailed the reasons why this is the case. This thesis explores and compares the methods by which the United States and European nations treat chronic kidney disease (CKD) and ESRD patients. A literature review aimed to determine factors contributing to the varying outcomes between the two nations, and a Healthcare Provider Survey was crafted and administered to United States healthcare providers in order to determine …

Falling Short Of "Minimally Adequate": How South Carolina's Low Standard For Education Must Be Reinterpreted Student Note, Jordan H. Lester

The Journal of Law and Education

No abstract provided.

Ciento Ochenta Grados: South Carolina Promotores De Salud And The Covid-19 Pandemic, Richard Lyle Strater

Theses and Dissertations

This research engages with promotores de salud in South Carolina to examine sustainability challenges in their work to support Hispanic and Latino communities through advocacy-as-care approaches. This thesis contributes to scholarly literature on CHWs in the United States at a time when the profession is working to legitimize itself through professional advocacy, which includes the organization of state CHW associations, regional CHW networks, and the National Association of Community Health Workers (NACHW). Their work to support communities is, at times, made more difficult because of their positioning within formalized neoliberal systems of care, while also being marginalized by their lack …

Far From Home: The Role Of Travel Distance And Care Fragmentation In Surgical Outcomes For Inflammatory Bowel Disease, Alexander Booth, Henry Colorado, Gayenell Magwood Phd, Rn, Faha, Faan, Erin Forster, Robert N. Axon, Thomas Curran

Publications

BACKGROUND: Fragmented care for inflammatory bowel disease (IBD) is known to correlate negatively with outcomes, but it is unclear which aspects of care fragmentation are relevant and potentially modifiable. Furthermore, there is little data on the relationship between travel distance and the benefits of integrated care models. Hypothesizing care coordination in the preoperative period may have a significant impact on surgical outcomes, we explored associations between integrated care, travel distance, and surgical outcomes. METHODS: A single-center retrospective cohort study of patients undergoing index abdominal surgery was done to compare the rate of surgical complications with and without long travel distance …

An Exploration Of Perinatal Stress And Associated Mental Health Of Transitioning First-Time Fathers, Timothy Reed Burkhalter

Theses and Dissertations

Becoming a first-time parent is a stage in life that can be full of excitement but also trepidation. Much common knowledge and research focus on the maternal experience. To add to this established knowledge, this phenomenological study will explore the perinatal stress experiences of transitioning first-time fathers in the U.S.

An Examination Of Inter-Limb Functional Asymmetry After A Fatiguing Bout Of Exercise In High Level Soccer Players, Nestor Urrea

Theses and Dissertations

INTRODUCTION: Inter-limb functional asymmetries greater than 15% have been linked to a greater incidence of injury. Moreover, asymmetries greater than 10% have shown greater risk of injury and worsened sport performance, especially for strength and power capabilities, in athletes of multiple sports. Fatigue and sex are factors that seem to influence injury rates as well as greater asymmetries between limbs. This research project aims to investigate the effects of a fatiguing bout of exercise in strength and power inter-limb functional asymmetries in male and female soccer players. It was hypothesized that strength and power asymmetries are negatively affected after a …

Gluten Free Diet Ameliorates Si Enteropathy In Iga Deficient Mice, Ryan Albert William Ball

Theses and Dissertations

Secretory IgA is the most abundant antibody in the intestinal mucosal and functions as the first line of defense against pathogens and micro-organisms in the gut. Selective IgA deficiency is the most common form of antibody deficiency. Clinically, IgA deficient patients are largely asymptomatic, they are however at a higher risk of developing certain inflammatory conditions like Celiac disease; an SI-specific enteropathy triggered by exposure to dietary gluten. Interestingly, celiac patients are 10-15 times more likely to have an IgA deficiency. Recent studies have shown that IgA^-/- mice develop enteropathy specifically in the ileum. We confirmed this phenotype in …

Examining Associations Between Social Needs And Mental Health Among Youth And Young Adults With Diabetes, Andrea Danielle Brown

Theses and Dissertations

Household food insecurity (HFI) disproportionally affects people with diabetes living in the United States and is more likely to occur in households with children and in minority race/ethnicity households. Food insecure people with youth-onset diabetes likely have increased risk for poor mental health due to dealing with stress and cost related to diabetes management, especially if facing additional health-related social needs that intersect with HFI. If left untreated, poor mental health among youth and young adults (YYA) with diabetes can lead to diabetes-related complications, increased health care costs, and mortality. Yet few studies have examined associations between HFI and mental …

Ultra-Processed Food Consumption And Risk Of Liver Cancer, Longgang Zhao

Theses and Dissertations

Background: Studies have shown positive associations between ultra-processed food (UPF) intake and obesity and type 2 diabetes, two risk factors for liver cancer. However, the relationship between UPF intake and liver cancer has scarcely been studied. We aimed to evaluate the association between UPF intake and the risk of liver cancer in three prospective cohorts and further explore the role of genetic predisposition to fatty liver diseases and biomarkers of liver health on modifying the association.

Methods: We used data from the Nurses’ Health Study (1986-2012), the Health Professionals Follow-up Study (1986-2012), and UK Biobank (2006-2020). Diet was assessed with …

Multilevel Description Of Spotted Fever Group Rickettsia Among Humans, Animals, And The Environment In Miraflores, Colombia, And South Carolina, Usa, Lidia Gual Gonzalez

Theses and Dissertations

Tick-borne diseases are emerging worldwide due to environmental shifts caused by land fragmentation and climate change. Among the most important ones spotted fever group rickettsioses (SFGRs) are of particular interest due to their wide species variety and high pathogenicity. Given the global spotted fever group rickettsia (SFGR) distribution, evaluation and comparison of different populations is critical to better understand these pathogens' epidemiology and unravel the risk factors affecting disease occurrence. Consequently, this dissertation investigates SFGR highlighting the One Health framework, assessing animals, humans, and the environment. The first part includes an evaluation at the household level using human and canine …

Wernicke's Encephalopathy: Mapping The Risk Factors Throughout The State Of South Carolina, Shannon M. Rychener

Senior Theses

Wernicke’s Encephalopathy is a consistently underrecognized neurodegenerative brain disorder resulting from prolonged thiamine deficiency. Clinical presentation of the disease results from brain lesions attributable to thiamine deficiency. Because these lesions occur in various locations in the cerebral cortex, symptoms can vary significantly. Varied presentation of symptoms, in addition to the lack of a widely accepted biomarker for the disorder cause challenges to clinicians when identifying and diagnosing the disorder. Due to these challenges, healthcare providers must heavily rely on patient history and risk factor prevalence when multiple symptoms of the disorder are present. By mapping the prevalence of the four …

Female Infertility And Maternal And Infant Outcomes In South Carolina – The Role Of Insurance Type, Chelsea Mencio Norregaard

Theses and Dissertations

The overall objective of this research study was to examine the association between fertility treatments and maternal and infant birth outcomes, and to understand what role insurance type plays in these associations.

This retrospective statewide cohort study utilized population-based birth certificate data from January 2018 – December 2021in South Carolina, linked to all-payer claims data for outpatient services, inpatient admissions/discharges, and emergency department visits. Key exposure variables included insurance type and fertility treatment, depending on Aim. Key outcomes of interest included fertility treatment (Aim 1); maternal outcomes (Aim 2) including severe maternal morbidity, cesarean delivery without medical indication, elective labor …

Volume Change Measurements Of Cancer Cells In A Microfluidics Platform, Yukuan Yu

Theses and Dissertations

Understanding the function of aquaporins in transcellular transport is vital for homeostasis, pathophysiology, and translational potential in AQP-based diagnostics and therapeutics. Microfluidics device has the potential to evaluate the function of aquaporins with precise control and manipulate micro-scale fluid due to good optical quality and short processing distance. This work has two parts: cell culture in a microfluidic chip to characterize aquaporins’ function and visualization of single cell volume change under osmotic pressure shock in a homemade imaging dish. For the first part, we established a microfluidics platform for future modification and measurement of the dynamic volume change of biological …

A Holistic View Of Integrated Care Within Counselor Education: A Multi-Manuscript Dissertation, Alexander Mcclain Fields

Theses and Dissertations

The integration of behavioral health into primary care settings, otherwise known as integrated care (IC), is a movement growing in momentum and continues to challenge traditional healthcare occurring in silos. Through an IC modality, healthcare consumers receive all their care through a “one stop shop” approach and previous outcomes have suggested an overall benefit for an individual’s holistic health, as well as savings for healthcare settings. Counselors are in a prime position to join IC teams and contribute to consumer healthcare outcomes through a unique professional identity. The aim of this dissertation study, which consisted of three completed manuscripts, was …

Food Insecurity In Youth And Young Adults With Diabetes: Prevalence And Association With Health Behaviors, Lauren Helene Martini

Theses and Dissertations

Given the life-long impact of diabetes(1-5), it is important to engage in behaviors that promote health and wellness to delay or prevent negative health outcomes(3, 6-10). Despite this, youth and young adults with diabetes generally do not adhere to nutritional(11-17) or physical activity(18, 19) recommendations. In households experiencing financial difficulties, especially those who are having difficulty providing sufficient food to all of its members, adhering to recommendations may be even more difficult.

The purpose of this dissertation is to better understand and contextualize food insecurity among youth and young adults (YYA) with youth-onset T1DM and T2DM. The first aim addresses …

Sex Differentials In Frailty In Medieval Ireland, Allison Claire Ham

Theses and Dissertations

Population sex differentials in morbidity and mortality are influenced by genetic, hormonal, behavioral, and environmental mechanisms, and in the majority of living human populations, females experience longer lifespans and lower mortality risks, but paradoxically, greater morbidities compared to males. This dissertation project explored sex differentials in frailty (i.e., relative risk of death compared to others in the population) in medieval Ireland to address the existing temporal and contextual limitations for interpreting how far back the modern female health-mortality paradox extends. The project had three main objectives: examine sex differentials in mortality risks between the early (500-1100 CE) and late medieval …

Capturing Children Food Exposure Using Wearable Cameras And Deep Learning, Shady Elbassuoni, Hala Ghattas Ph.D., Jalila El Ati, Yorgo Zoughby, Aline Semaan, Christelle Akl, Tarek Trabelsi, Reem Talhouk, Houda Ben Gharbia, Zoulfikar Shmayssani, Aya Mourad

Faculty Publications

Children’s dietary habits are influenced by complex factors within their home, school and neighborhood environments. Identifying such influencers and assessing their effects is traditionally based on self-reported data which can be prone to recall bias. We developed a culturally acceptable machine-learning-based data-collection system to objectively capture school-children’s exposure to food (including food items, food advertisements, and food outlets) in two urban Arab centers: Greater Beirut, in Lebanon, and Greater Tunis, in Tunisia. Our machine-learning-based system consists of 1) a wearable camera that captures continuous footage of children’s environment during a typical school day, 2) a machine learning model that automatically …

Isolation: The Experience Of Adolescent Motherhood In Laos, Souksamone Thongmixay, Dirk Essink, Taewee Kahrs, Viengnakhone Vongxay, Pamela Wright Phd, Ms, Med, Rn, Cen, Vanphanom Sychareun, Jacqueline E. Broerse

Publications

BACKGROUND:Teenage pregnancy is a persistent public health problem with pervasive socio-economic consequences, particularly in in low- and middle-income countries, often related to low social participation and low economic security. The experiences of adolescent pregnancy and motherhood have seldom been described from a personal point of view. This study aimed to gain insights into how adolescent mothers in Laos experience their motherhood, how they perceive their situation and try to cope with it.

METHODS: This qualitative study was undertaken with 20 pregnant adolescents and young mothers living in peri-urban areas in two of the 18 provinces in Laos. Data were collected …