Digital Commons Network^™

Key Trends In Digital Health And The Future Of Clinical Trials In The Us, Jeannette Jiang

Public Health Theses

With the increasing burden of chronic diseases on the global population, many stakeholders see digital health technologies and devices as potential solutions to improve patient self-management of their disease and offer novel treatment methods. Digital health solutions including mobile apps, web-based programs, texting, and connected devices have been applied to a wide variety of diseases. In recent years, interest in digital health technologies has exploded with almost 200 digital health related articles published in PubMed in 2019 alone. In particular, digital health holds great potential in improving and enhancing the traditional clinical trial by increasing patient recruitment and retention and …

Developing A Cost-Effectiveness Analysis Plan For A Virtual Diabetes Prevention Program, Roujia Jin

Public Health Theses

Background: Diabetes is one of the major health concerns in the US. According to the National Diabetes Statistics Report, about 13% adults in the U.S. had diabetes, and 34.5% of the U.S. adults were categorized as prediabetic. An estimated cost of $327 billion were reported as relevant to diagnosed diabetes in 2017 in the United States by the American Diabetes Association. The virtual Diabetes Prevention Program (vDPP) was designed to address barriers that low social-economic status participants faced when they were enrolled in a diabetes prevention program. It used a digital platform to deliver courses, organize meetings and monitor health …

Factors Associated With Early Childhood Development Outcomes For Children Of Adolescent And Young Adult Mothers In Brazil, Lily Benson Kofke

Public Health Theses

Objectives: A descriptive analysis to explore the risks for early childhood development (ECD) delays among children of adolescent and young adult mothers in Brazil. Methods: A secondary analysis of cross-sectional data of a representative sample of children under age 2 and their mothers from community health centers in Brasília, Brazil. The Denver Developmental Screening Test II was used to assess overall and domain-specific ECD (personal-social, fine motor, gross motor, and language). Mothers were subset into two groups based on age. Bivariate analyses and multivariable logistic regressions were used to examine the associations between maternal age and risk of ECD delay, …

The Associations Between Circadian Genetic Factors And Cancer Survival, Bingqing Li

Public Health Theses

The circadian rhythm controls a range of important biological behaviors with a 24-hour cycle. The mammalian biological clock is a layered network of vibrators with a master clock locating in the neurons of suprachiasmatic nucleus (SCN) in the hypothalamus and a set of core and related circadian genes. Several lines of evidence from previous studies suggested the relationships between tumorigenesis and circadian rhythm disruption. However, the effects of circadian genetic factors in cancer survival remains uncertain. Therefore, it is important to review and explore the circadian genetic factors which might be linked to cancer survival. This paper aimed to evaluate …

Determinants For Approval And Reimbursement Of Orphan Products In China, Wenlan Mao

Public Health Theses

Rare disease definition varies among countries/regions. China has published The First National List of Rare Diseases, including 121 kinds of rare diseases in 2018. It was the first time that China has defined rare diseases officially. China has also started releasing a range of encouraging regulations regarding orphan drug development and approval in recent years. Nevertheless, the FDA has introduced Orphan Drug Act in the 1980s, Japan has launched a government-led support initiative in the 1990s, and the European Parliament has adopted the Orphan Regulation in 2000. Among the 121 rare diseases, 58 of them have approved treatments in the …

Economic Evaluation Of The Preventing Childhood Obesity Through Mindfulness-Based Parent Stress Intervention, Jingyi Meng

Public Health Theses

This study analyzed the intervention cost of a novel early childhood obesity prevention program -- Preventing Childhood Obesity Through a Mindfulness-Based Parent Stress Intervention (PMH+N) conducted by Yale Stress Center. The randomized clinical trial started from 11/01/2018 and will enroll 240 participants in total. Parents were included in the trial if they had: a child in the 2- to 5-year age group, a body mass index (BMI) over 28 kg/m2, high levels of perceived stress as assessed by the Perceived Stress Scale (PSS) (score >25) and were able to read and write in English. For 12 weeks, about 13 parents …

Impact Of Health Care Access On Delayed Or Missed Adolescent Vaccinations For Tdap, Meningococcal, And Hpv Vaccines Among U.S. Adolescents, Nis-Teen 2018, Maura Iko Nakahata

Public Health Theses

Background: Adolescent vaccination coverage varies considerably between Tdap, meningococcal, and HPV vaccines. While evidence suggests that health care access affects vaccination coverage, evidence does not explain whether access drives delayed or no vaccination. This study evaluates whether measures of health care access are associated with delayed vaccination or not being vaccinated by age 17 years for Tdap, meningococcal, and HPV vaccines when controlling for sociodemographic factors as proxies for vaccine hesitancy. The secondary objective assesses whether health care access measures had consistent associations across the different vaccines. Methods: Using current ACIP recommendations, ‘on-time’, ‘delayed’, and ‘missed’ status by age 17 …

(De)Constructing The Grocery Store: An Ethnographic Examination Of Spatial Characteristics And Their Implications For Social Inclusion, Madeline Hoai Chau Nguyen

Public Health Theses

I acknowledge that this research was conducted on land stolen from the Mattabesic, Paugusett, and Schaghticoke tribes which is currently occupied by a Western colonial power.

This study examines the physical characteristics of the interior of New Haven grocery stores and how these are designed to socially include or exclude racial minorities. Drawing upon critical race theory and using ethnographic research methods, I analyze similarities and differences amongst selected independent American and Asian grocery stores and how they communicate their cultural values to various social groups. Even if it is not explicit, white supremacist values are embedded in these spaces. …

Impact Of Covid-19 On Participants Of A Fruit And Vegetable Program, Christabelle Ong

Public Health Theses

Objective: To investigate the impact of COVID-19 on the participants of a multi-city fruit and vegetable incentive program.Design: A six-month cohort study was conducted. Pre-program and post-program data were collected using an online survey platform. Setting: Eight cities across the United States. Participants: A total of 822 individuals were recruited through local site partners to participate in a fruit and vegetable incentive program (n=822; 79.4% women, 20.6% men; median age: 57 years old). Intervention: Participants received $50 monthly fruit and vegetable vouchers, a sneaker gift card or gift basket, and access to a weight loss app. Main Outcome Measures: The …

The Impact Of The Covid-19 Pandemic On People With Disabilities: Pandemic-Related Stress And Contribution To The Disability Community As Predictors Of Posttraumatic Growth, Megan Marie Roy

Public Health Theses

People with disabilities (PWD) face many existing barriers and unjust conditions that contribute to negative psychosocial outcomes. PWD have also been disproportionately impacted by the COVID-19 pandemic, which has introduced unique sources of stress and trauma in the disability community. However, scant research attention has been paid toward its effects on the mental health of PWD, especially factors that may buffer risk or foster positive psychological outcomes. Therefore, this study investigates the impact of pandemic-related stress on posttraumatic growth (PTG), or the perceived psychological benefits accrued as a result of struggle with a major life challenge or crisis (Tedeschi & …

“We Are Left Alone”: A Qualitative Study Of Life Satisfaction Of Older Adults In Rural Nepal, Anna Elisabeth Schwartz

Public Health Theses

Considering that the aging population in the Southeast Asian region is rapidly growing, there is an increasing need to promote the subjective well-being of older adults. However, few studies have investigated mechanisms of life satisfaction in developing countries in the Southeast Asian region. This research gap needs to be addressed, since aging and life satisfaction are complex processes that are experienced differently in various sociocultural contexts. The purpose of this study is to understand meanings of life satisfaction and experiences of aging through the perspectives of older adults who live in Jumla, Nepal. We conducted semi-structured, in-depth interviews with twenty …

Associations Between Restorative Justice Policies And Mental Health Among Women Survivors Of Intimate Partner Violence, Laurel Ann Sharpless

Public Health Theses

Introduction: Intimate partner violence (IPV) can impact the mental health of survivors; however, little is known about the role of state-level restorative justice policies. Restorative justice policies are survivor-centered justice approaches focused on repairing harm between the survivor and perpetrator while ensuring perpetrator accountability, which may buffer the mental health outcomes among IPV survivors. Furthermore, the impact of restorative justice policies on mental health may be influenced by the degree of state-level support for policy implementation through administrative guidelines or program funding. This study examined: (1) the relationship between IPV exposure and women’s perceived mental health and assessed state restorative …

Health-Related Quality Of Life In Endometrial Cancer Survivors, Michelle Sodipo

Public Health Theses

Background: Endometrial cancer is the most common cancer of the female reproductive organs and one of few cancers in the United States with rising incidence and mortality rates. Few studies have examined factors that influence health-related quality of life (HRQOL) of endometrial cancer survivors after active treatment and existing studies have been limited in sample size. In this study, we examined sociodemographic and clinical factors associated with HRQOL and symptom burden in a national sample of endometrial cancer survivors.

Methods: We evaluated 331 endometrial cancer survivors from the longitudinal American Cancer Society’s Study of Cancer Survivors-I who completed self-administered questionnaires …

The Impact Of The Accuracy Of Hiv Risk Perception On Hiv Risk Behavior Changes Among Women With Substance Use Disorders In Treatment., Yiwen Ye

Public Health Theses

Studies involving women or women with SUDs for PrEP are limited even though in many areas of the world women remain at high-risk for HIV acquisition. This study is to evaluate the impact of accuracy of HIV risk perception on HIV risk behaviors changes over time among women with substance use disorders in treatment, including sexual and injecting risk behaviors. This is a secondary analysis based on a preference controlled un-blinded study. This study enrolled 165 cis- or trans-female volunteers ≥18 years old who were self-reported HIV-uninfected, had diagnosed SUDs, and were presenting for or currently enrolled in drug treatment. …

Patient-To-Nurse Sexual Harassment, Erin Frances Micale

Yale School of Nursing Digital Theses

Patient to nurse sexual harassment is an issue that can have significant effects on nurses physical and mental health, occupational function, and patient outcomes. It is an under-researched and often unaddressed issue, leaving many nurses unsure of what sexual harassment by a patient is and how to respond to it. This paper reviews the literature related to patient to nurse sexual harassment and the development and effectiveness of a webinar on recognizing, preventing, intervening, and coping with patient to nurse sexual harassment. The webinar is a two-hour educational program that covers topics related to what sexual harassment is, risk assessment …

Decreasing 30-Day Readmission Rates In Patients With Heart Failure, Nancy Rizzuto

Yale School of Nursing Digital Theses

Abstract: Heart Failure is one of the leading causes of hospital readmissions. Heart Failure affects approximately 6.2 million adults in the United States and costs the nation an estimated $30.7 billion each year (Farmarkis, 2017). Prevalence is projected to increase 25% by 2030 (Savarese, 2017). Approximately 50% of patients who are discharged are readmitted within 6 months and 24% within 30 days (Desai & Stevenson, 2012). About half the population with heart failure dies within 5 years of diagnosis (CDC, 2016). Despite advances in the treatment of heart failure, patient optimization remains a challenge for health care providers. The initiation …

Reducing Early Hospital Readmission Rates After Bariatric Surgery, Payal Sharma

Yale School of Nursing Digital Theses

The prevalence of 30-day readmission after bariatric surgery is 0.6% to 11.3%, with a single hospital readmission nearly tripling the average 180-day cost of the surgery. Given that nearly 50% of early readmissions are preventable, close postoperative follow-up may allow for early identification of high-risk patients and preventative interventions.

This 7-month quality improvement project augmented clinical follow up post-bariatric surgery by incorporating a 7-10 day post-discharge call by an RD following a routine 1-3 day post-discharge call by an APP. Impact on readmission rate was examined. 166 participants included men and women ≥18 years of age, status post primary bariatric …

Preventing Recurrent Falls In Elderly Home Bound Health Plan Members, Debra Sylvester

Yale School of Nursing Digital Theses

Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention …

Fact Sheet, Yale University Office Of Institutional Research

Fact Sheets

No abstract provided.

Historical Review Of Bankia - About Bankia, Caixabank

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No abstract provided.

The Crisis Management Framework For Banks In The Eu. How Can We Deal With The Crisis Of Small And Medium-Sized Banks?, Banca D'Italia/Central Bank Of Italy

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No abstract provided.

Yes Bank Fiasco: Arrogance Or Negligence, Shakeb Akhtar, Mahfooz Alam, Mohd Mohsin Khan

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No abstract provided.

The Impact Of The Pandemic And The Fed's Muni Program On Illinois Muni Yields, Robert Bernhardt, Stefania D'Amico, Santiago I. Sordo Palacios

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No abstract provided.

Factors Affecting Reserve Balances - H.4.1 (December 31, 2020), Federal Reserve System: Board Of Governors

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No abstract provided.

List Of Participating Lenders, Federal Reserve System: Federal Reserve Bank Of Boston

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Document listing all accepted MSLP lenders

The Eighth Report Of The Congressional Oversight Commission, United States: Congressional Oversight Commission

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No abstract provided.

Banco Central De La Republica Argentina - 2020 Financial Statements, Argentina: Banco Central De La Repãºblica

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No abstract provided.

Eba Quantitative Mrel Report, European Banking Authority

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No abstract provided.

December 29, 2020 Mself Term Sheet, Federal Reserve System: Board Of Governors

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No abstract provided.

Mslp Faqs For Nonprofits As Of December 29, 2020, Federal Reserve System: Federal Reserve Bank Of Boston

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No abstract provided.