Digital Commons Network^™

Household Risk Factors For Malaria Among Children Under 10 In Southwest Burkina Faso, Mckenzie Colt

Public Health Theses

Malaria transmission occurs both indoors and outdoors, and housing and peri-domestic characteristics have been associated with higher risks of malaria. Previous research in Burkina Faso has demonstrated that vector density within households varies greatly, though contributing factors are less clear. In the context of a cluster-randomized trial in a rural region of southwest Burkina Faso, the associations between household structural and behavioral factors with vector density will be presented. General household surveys were completed detailing the external housing characteristics of wall and roof materials, number of individual sleeping rooms, number of individuals in the household, and ITN use. All enrolled …

Personalized Multimedia Videos As Reminiscence Therapy For Persons With Dementia, Julia Rose Donald

Public Health Theses

Reminiscence therapies are an effective intervention in increasing self-esteem, well-being, sense of personhood and even reducing distress and confusion in persons with dementia. There is even evidence that reminiscence therapies can slightly slow the progression of dementia, by enabling a cohesive narrative and sense of identity. This paper will consider relevant literature and explore the potential of using modern technological advances, such as a wealth of digital media and the ability to scan old photos, to create personalized and engaging life narratives. In addition to this paper, this special project will include a concrete example of this type of video …

An Impact Evaluation Of The Rollout Of The Pneumococcal Conjugate Vaccine In Uttar Pradesh State, India. 2017-2019, Elizabeth Edgerley

Public Health Theses

This paper is aimed toward examining whether methods currently being rolled out to administer the Pneumococcal Conjugate Vaccine to children in the Indian state of Uttar Pradesh is effectively reducing morbidity and mortality. The fundamental question regarding this current effort is if it proves to be useful at reducing the prevalence of Streptococcus Pneumoniae and whether the surveillance methods examining the efficacy of healthcare interventions are helpful. Both rural and urban India are troubling areas for public health surveillance to reach, though many diseases of poverty and respiratory illnesses such as pneumonia flourish there. With no true quantification of burden, …

Covid-19 Risk Among Temporary Protected Status Beneficiaries, Diana Estefania Estrada Alamo

Public Health Theses

The current federal response of the United States to the COVID-19 pandemic has created conditions and resulted in unintended consequences that may be disproportionately increasing the risk of COVID-19 infection and sequelae for immigrant populations. This investigative thesis explores whether states with a greater percentage of Temporary Protected Status beneficiaries experience more COVID-19 related deaths as compared to the rest of the United States. Using a multiple linear regression model for statistical analysis, covariates under consideration include the number of COVID-19 confirmed cases, tests performed, hospitalizations reported, as well as the population density of each state and the proportion of …

“Malicious Medicine”: A Qualitative Study Of Medical Mistrust And Prep Perceptions For African American And Hispanic Men And Women In New Haven, Ct, Alexandra Lee Grimaldi

Public Health Theses

Objective: To understand how medical mistrust impacts perceptions of PrEP and willingness to use PrEP for African American and Hispanic men and women in New Haven, Connecticut.

Methods: This qualitative study utilized semi-structured interviews to examine medical mistrust, PrEP awareness, and willingness to use PrEP amongst African American and Hispanic men and women in New Haven, Connecticut.

Results: The majority of participants did not know about PrEP before their first interview of this study and the majority of participants did not decide to use PrEP over the course of this study. For those who are not interested in using PrEP, …

Evaluation Of Pilot Methadone Treatment Programs For Inmates With Opioid Use Disorder In Connecticut Jails, 2014-2018, Alissa Haas

Public Health Theses

Background and Aims. Methadone treatment is underutilized in correctional facilities, despite high prevalence of opioid use disorder in criminal justice settings. In 2013 and 2014, two pilot programs were established by the Connecticut Department of Corrections in the New Haven and Bridgeport Correctional Centers to provide methadone for inmates who had been in medication-based treatment prior to incarceration. We sought to assess post-release outcomes (non-fatal overdose, fatal overdose, recidivism, and resumption of methadone in the community) associated with implementation of methadone treatment in these correctional centers.

Methods. This was a retrospective observational cohort study, linking datasets from the Connecticut Department …

Association Between Opening A Jail And Sexually Transmitted Infections In Rural Counties Across The United States, Tyler Harvey

Public Health Theses

Abstract

Objective

To estimate the effect of openings jail in rural counties on county-level chlamydia, gonorrhea, and syphilis prevalence rates.

Methods

We used county-level data from the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (2005-2017) to obtain chlamydia, gonorrhea, and syphilis rates, and the American Correctional Association’s National Jail and Adult Detention Directory (2013-2014) to locate rural jail openings. Using a generalized synthetic control method, we estimated the effect of opening jails in 41 rural counties between 2010 and 2012 across the United States on sexually-transmitted infections.

Results

We found an average treatment effect for chlamydia prevalence …

Development Of A Comprehensive Sexual Education Curriculum For A Private, Independent Day School For Students Pre-K Through 8th Grade, Haja I. Kamara

Public Health Theses

This paper describes the development of a comprehensive sex education (CSE) curriculum for The Country School (TCS), a coeducational, independent school in Madison, CT that serves approximately 200 students in Pre-Kindergarten through 8th grade. CSE describes a wide array of sex education programs and curricula that are scientifically accurate, culturally and age-appropriate, gender-sensitive and life skills-based. The goal for this project is multi-pronged: adapt existing health education programming, build out a new health and wellness program with a distinct scope and sequence for each grade level that includes resources and supports for ongoing parent education and professional development. To inform …

Sud Reprocessing- Regulation, Environment Impact Reduction & Cost Savings, Aman Khanuja

Public Health Theses

Healthcare sector is estimated to contribute around 4.6% of the global Green House Gas (GHG) emissions. An estimated 11% of National Health Service GHG emissions are attributable to medical devices. Medical device industry, therefore, has a sizeable carbon footprint. Medical device reprocessing is a validated process used to render a medical device, which has been previously used or contaminated, ready for subsequent use. It is estimated that 2-3% of all medical devices can be safely reprocessed. The Association of Medical Device Reprocessors (AMDR) estimates that the reprocessing activity by its member companies successfully reduced waste generation by 7093 tons, and …

Prevalence, Awareness And Control Of Hypertension And Diabetes Among Hiv Positive And Negative Patients At The Military Hospital Of Douala, Cameroon, Duane Killian Madziva

Public Health Theses

Background: With anti-retroviral therapy (ART) prolonging the survival of people of living with HIV/ AIDS, other chronic co-morbidities such as hypertension, and diabetes are becoming an increasing problem. Studies on hypertension and diabetes in Sub-Saharan Africa are still limited, even with the growing concern of Africa’s dual burden of chronic and infectious diseases. As such, we aimed to determine the prevalence, awareness and control of hypertension and diabetes among people living with and without HIV/ AIDS in Cameroon. Methods: This was a hospital-based cross-sectional study conducted at the Military Hospital of Douala, Cameroon. Participants aged 21 – 65 years were …

A Review Of Mental Health Screening Tools Used In Disaster Research, Ashley Rose Moore

Public Health Theses

Introduction: The effects of disasters are widespread and heavily studied. While attention to disasters’ impacts on mental health is growing, knowledge about these effects is fragmented due to the wide variety of assessment tools used in post-disaster settings. The purpose of this study is to review mental health assessment tools and their use in populations affected by disasters.

Methods: A systematic search was conducted in PubMed, PsycINFO, and Google Scholar for commonly-used tools that assess PTSD, anxiety, depression, substance use disorder, and general mental health in disaster settings. Next, a search for scientific studies that used the selected tools in …

Cost Effectiveness Of A Produce Prescription Intervention, Danielle Raso

Public Health Theses

In this study, we examined the effectiveness, cost, and cost-effectiveness of a produce prescription program. The program analyzed in this study is run by Community Health and Social Services (CHASS) Center, a Federally Qualified Health Center (FQHC) in Detroit, Michigan. The prescription produce intervention begins with eligibility screening and referral by patients’ physicians at clinical visits for eligibility. Eligible patients are then given “prescriptions” for free fruits and vegetables that they can exchange at participating farmers markets or farm stands. Farmers markets also host cooking demonstrations and distribute healthy recipes. Finally, coordinators and volunteers follow up with patients and provide …

The Effects Of Rental Assistance On Housing Stability, Quality, Autonomy And Affordability, Rebecca G. Schapiro

Public Health Theses

In light of the current affordable housing crisis in the United States, this paper examines how rental assistance is associated with four housing outcomes: housing stability, quality, autonomy, and affordability to expand the current knowledge base on benefits of rental assistance. We use data from the first four waves (2017-2019) of the JustHouHS Study, a cohort study of low-income adults designed to examine the intersection of housing, mass incarceration, and health in New Haven, Connecticut. We use Generalized Estimating Equations to examine how rental assistance is associated with participants’ housing stability, quality, autonomy, and affordability. Participants receiving rental assistance had …

Confidentiality In The Clinic: A Qualitative Analysis Of Adolescent Girls’ Experiences Of Confidentiality In Sexual And Reproductive Health Care, Karen Teekadai Singh

Public Health Theses

Purpose: Adolescents in Connecticut can legally consent to sexual and reproductive health (SRH) care themselves and their parents do not have the right to view their confidential SRH treatment records. A qualitative study capturing information about adolescent girls’ experiences when receiving SRH care was conducted to explore how confidentiality and privacy play out in the clinic from the perspective of adolescents, the facilitators and barriers to adolescents’ confidentiality and privacy in SRH care, and the influence of family members or other guardians on adolescent patients’ confidentiality and privacy.

Methods: A secondary analysis of 31 interviews with adolescent girls was conducted. …

Tobacco Use, Knowledge Of Tobacco Risks, And Perception Of Smoking Behaviors Among Urban And Rural Youth In South Sulawesi, Indonesia, Ryan Andrew Sutherland

Public Health Theses

This observational study surveyed knowledge, practice, and attitudes (KAP) of N=959 youth 13 – 18 years of age in South Sulawesi, Indonesia and assessed how age, sex, familial smoking status, friend group smoking status, teacher smoking status, parental education, parental employment, exposure to tobacco-related advertisements, access to internet-connecting technological devices (INT-D) and television, and monthly pocket money were associated with youths’ perceptions of tobacco users and smoking, knowledge of tobacco health risks, and smoking status. This study also examined how urban or rural environment and schooling — access or lack of access to formal education — shaped youths’ decisions to …

Evaluating The Appropriateness Of Oral Antibiotic Therapy Following Discharge For Patients With Urinary Tract Infection, Sera Yoo

Public Health Theses

Introduction: Inappropriate use of antibiotics is common in healthcare settings, with urinary tract infections (UTI) being one of the most common indications for antibiotic prescriptions. This study evaluated the appropriateness of oral antibiotic therapy among adult patients with suspected UTI who were admitted to Yale New Haven Hospital during January 2018. We hypothesized that 60% of antibiotics were inappropriate, and that inappropriate therapy was associated with Clostridioides difficile infection, hospital readmission and/or mortality.

Methods: We conducted a retrospective cohort study of adult patients who were admitted to Yale New Haven Hospital from January 1, 2018 to January 31, 2018. Data …

The Impact Of Cognitive Decline On Decision-Making Among Older Persons In China, Quan Yuan

Public Health Theses

Decision-making among the older population is of importance as older persons make critically consequential decisions on daily errands, household financials, and care-seeking that affect the remainder of their lives. Despite the increasing prevalence rate of cognitive impairment in developing countries, many questions surrounding the impact of cognitive impairment on decision-making among older persons remain unexplored. Therefore, using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study helps bridge the gap in the existing literature by examining the effect of cognitive decline on decision-making among the older population in China. We first investigate the association between an individual's cognitive …

Diabetes Education Revisited: Addressing Inpatient Diabetes Care Through An Interactive Educational Video Module For Registered Nurses, Abigail Tamru

Yale School of Nursing Digital Theses

Insulin is the most common medication used to treat patients with diabetes in the inpatient setting. Among injectable drugs, insulin has the highest risk for error, which may result in dire consequences for patients. Registered nurses are among the main groups of clinicians that work with insulin, yet they may sometimes lack the comprehensive knowledge associated with inpatient diabetes care and insulin. The purpose of this project is to educate registered nurses at a major academic medical center about inpatient diabetes management focused on insulin therapy. The educational content was based on a medical error analysis and a current inpatient …

State Bank Of India Annual Report 2020, State Bank Of India

Documents

No abstract provided.

Women At The Dawn Of History, Agnete Wisti Lassen, Klaus Wagensonner

Occasional Publications

This lavishly illustrated volume gives a voice to women who lived millennia ago in Mesopotamia, present-day Iraq, Syria and Turkey, and explores their roles, representations and contributions to society.

Tens of thousands of cuneiform texts, monumental sculptures, and images on terracotta reliefs and cylinder seals cast light on the fates of women at the dawn of history, from queens to female slaves. In the patriarchal world of ancient Mesopotamia, women were often represented in their relation to men—as mothers, daughters, or wives—giving the impression that a woman’s place was in the home. But, as we explore in this volume, they …

Review Of Science In The Archives: Pasts, Presents, Futures, Emily A. Graham

Journal of Contemporary Archival Studies

A collection of essays written by members of the Archives of the Sciences Working Group at the Max Planck Institute for the History of Science, Science in the Archives: Pasts, Presents, Futures leads the reader on an exploration of the history of data preservation, data management, and information organization in the sciences. This review examines the themes connecting the essays and considers how researchers and historians of science understand the meaning of archives.

Ypfs Lessons Learned Oral History Project: An Interview With Lorie Logan, Mercedes Cardona, Lorie Logan

Documents

Suggested Citation Form: Logan, Lorie, 2019. “Lessons Learned Interview."Interview by Mercedes Cardona. Yale Program on Financial Stability Lessons Learned Oral History Project. December 17, 2019. Transcript. https://ypfs.som.yale.edu/library/ypfs-lesson-learned-oral-history-project-interview-lorie-logan

Ypfs Lessons Learned Oral History Project: An Interview With Gary Cohen, Gary Cohen, Sandra Ward

Documents

Suggested Citation Form: Cohen, Gary, 2019. “Lessons Learned Interview."Interview by Sandra Ward. Yale Program on Financial Stability Lessons Learned Oral History Project. December 12, 2019. Transcript. https://ypfs.som.yale.edu/library/ypfs-lesson-learned-oral-history-project-interview-gary-cohen

Describing Web Archives: A Computer-Assisted Approach, Gregory Wiedeman

Journal of Contemporary Archival Studies

Currently, web archives are challenging for users to discover and use. Many archives and libraries are actively collecting web archives, but description in this area has been dominated by bibliographic approaches, which do not connect web archives to existing description or contextual information, and have often resulted in format-based silos. This is primarily because web archiving tools such as Archive-It arrange materials by seeds and groups of seeds, which reflect the complex technical process of web crawling or web recording, and are often not very meaningful to users or helpful for discovery. This article makes the case for arranging and …

Review Of Sustainable Thinking: Ensuring Your Library’S Future In An Uncertain World, Ben Goldman

Journal of Contemporary Archival Studies

Sustainable Thinking: Ensuring Your Library’s Future in an Uncertain World explores strategies for how public libraries can become more sustainable organizations in a time of social and environmental disruptions. Sustainability, viewed through the lens of triple bottom line accounting, can be accomplished by understanding and prioritizing the needs of the communities that libraries serve. While not written with archives in mind, the book offers important insights for archivists, who collectively must do more to prepare for climate-driven disruptions to their work.

Hardware-Entangled Software Execution Using Dynamic Pufs, Wenjie Xiong

Yale Day of Data

Low-end computing devices are becoming increasingly ubiquitous, especially due to the widespread deployment of Internet-of-Things products. There is, however, much concern about sensitive data being processed on these low-end devices which have limited protection mechanisms in place. This paper proposes a Hardware-Entangled Software Protection (HESP) scheme that leverages hardware features to protect software code from malicious modification before or during run-time. It also enables implicit hardware authentication. Thus, the software will execute correctly only on an authorized device and if the timing of the software, e.g., control flow, was not changed through malicious modifications. The proposed ideas are based on …

Generating Contextual Text Embeddings For Emergency Department Chief Complaints Using Bert, David Chang

Yale Day of Data

We applied BERT, a state-of-the-art natural language processing model, on chief complaint data from the Yale Emergency Department to map free-text notes to structured chief complaint categories.

Sympathetic Nervous System Reactivity In Women Following Preeclamptic Pregnancies, Nina Stachenfeld, Charlotte Usseleman, Cheryl Leone, Michael Paidas

Yale Day of Data

Women who have had preeclamptic pregnancies are at risk for life-long cardiovascular disease. However, the factors contributing to this risk have yet to be established. Sympathetic nervous system dysregulation has been proposed to contribute to cardiovascular dysfunction during preeclamptic pregnancies. Therefore, we examined muscle sympathetic nerve activity (MSNA) at baseline and during a chemoreflex stimulus in women 6-24 months postpartum following a preeclamptic pregnancy (PE; n=6, age 28±2 y, BMI 27±3 kg/m2, 17±4 months postpartum). We hypothesized that MSNA responses to apnea would be greater in PE relative to control subjects, that is, women 6-24 months following a healthy pregnancy …

Fully Modified Least Squares For Multicointegrated Systems, Igor Kheifets, Peter C.B. Phillips

Cowles Foundation Discussion Papers

Multicointegration is traditionally defined as a particular long run relationship among variables in a parametric vector autoregressive model that introduces links between these variables and partial sums of the equilibrium errors. This paper departs from the parametric model, using a semiparametric formulation that reveals the explicit role that singularity of the long run conditional covariance matrix plays in determining multicointegration. The semiparametric framework has the advantage that short run dynamics do not need to be modeled and estimation by standard techniques such as fully modified least squares (FM-OLS) on the original I(1) system is straightforward. The paper derives FM-OLS limit …

Intuitive Beliefs, Jawwad Noor

Cowles Foundation Discussion Papers

Beliefs are intuitive if they rely on associative memory, which can be described as a network of associations between events. A belief-theoretic characterization of the model is provided, its uniqueness properties are established, and the intersection with the Bayesian model is characterized. The formation of intuitive beliefs is modelled after machine learning, whereby the network is shaped by past experience via minimization of the difference from an objective probability distribution. The model is shown to accommodate correlation misperception, the conjunction fallacy, base-rate neglect/conservatism, etc.