Digital Commons Network^™

Implementation Of Point-Of-Care Diagnostics Leads To Variable Uptake Of Syphilis, Anemia And Cd4+ T-Cell Count Testing In Rural Maternal And Child Health Clinics, Caroline De Schacht, Carlota Lucas, Nádia Sitoe, Rhoderick Machekano, Patrina Chongo, Marleen Temmerman, Ocean Tobaiwa, Laura Guay, Seble Kassaye, Ilesh V. Jani

Obstetrics and Gynaecology, East Africa

Introduction: Anemia, syphilis and HIV are high burden diseases among pregnant women in sub-Saharan Africa. A quasi-experimental study was conducted in four health facilities in Southern Mozambique to evaluate the effect of point-of-care technologies for hemoglobin quantification, syphilis testing and CD4+ T-cell enumeration performed within maternal and child health services on testing and treatment coverage, and assessing acceptability by health workers.

Methods: Demographic and testing data on women attending first antenatal care services were extracted from existing records, before (2011; n = 865) and after (2012; n = 808) introduction of point-of-care testing. Study outcomes per health facility were compared …

Couple Based Family Planning Education: Changes In Male Involvement And Contraceptive Use Among Married Couples In Jimma Zone, Ethiopia, Tizta Tilahun, Gily Coene, Marleen Temmerman, Olivier Degomme

Obstetrics and Gynaecology, East Africa

Background: Family planning contributes substantially in achieving the Millennium Development Goals. Recently,male involvement has gained considerable attention in family planning programs but the implementation thereof remains a challenge. In that context, our study aimed at measuring the effect of a six-month-long family planning education program on male involvement in family planning, as well as on couples’ contraceptive practice.

Methods: We conducted a quasi-experimental research among 811 married couples in Jimma Zone, southwest Ethiopia. Our study consisted of an intervention and a control group for comparative purpose; and surveyed before and after the implementation of the intervention. The intervention consisted of …

A Cross Sectional Comparison Of Postnatal Care Quality In Facilities Participating In A Maternal Health Voucher Program Versus Non-Voucher Facilities In Kenya, Charlotte E. Warren, Timothy Abuya, Lucy Kanya, Francis Obare, Rebecca Njuki, Marleen Temmerman, Ben Bellows

Obstetrics and Gynaecology, East Africa

Background: Health service fees constitute substantial barriers for women seeking childbirth and postnatal care. In an effort to reduce health inequities, the government of Kenya in 2006 introduced the output-based approach (OBA), or voucher programme, to increase poor women’s access to quality Safe Motherhood services including postnatal care. To help improve service quality, OBA programmes purchase services on behalf of the poor and marginalised, with provider reimbursements for verified services. Kenya’s programme accredited health facilities in three districts as well as in two informal Nairobi settlements.

Methods: Postnatal care quality in voucher health facilities (n = 21) accredited in 2006 …

Induced Abortion In 30 Chinese Provinces In 2013: A Cross-Sectional Survey, Shangchun Wu, Marleen Temmerman, Kun Wang, Shuchen Wang, Jiong Li, Wei-Hong Zhang

Obstetrics and Gynaecology, East Africa

Background: Galloping economic growth and reform in China in the past 30 years has led to dramatic social changes. Attitudes towards sex and sexual behaviour have changed, and premarital sex has become more acceptable. The methods of contraception have changed, and the use of highly effective or long-acting contraceptive methods tends to be decreasing, especially in urban areas. Abortion is commonly used to end unintended pregnancy. The aim of this study was to survey the current situation of induced abortions in selected hospitals in 30 provinces in China.

Methods: This cross-sectional study was conducted in 295 randomly selected hospitals in …

Quality At The Centre Of Universal Health Coverage, Howard L. Sobel, Dale Huntington, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

The last decade of the MDG era witnessed substantial focus on reaching the bottom economic quintiles in low and middle income countries. However, the inordinate focus on reducing financial risk burden and increasing coverage without sufficient focus on expanding quality of services may account for slow progress of the MDGs in many countries. Human Resources for Health underlie quality and service delivery improvements, yet remains under-addressed in many national strategies to achieve Universal Health Coverage. Without adequate investments in improving and expanding health professional education, making and sustaining gains will be unlikely. The transition from the Millennium Development Goals (MDG) …

Determinants Of Method Switching Among Social Franchise Clients Who Discontinued The Use Of Intrauterine Contraceptive Device, Waqas Hameed, Syed Khurram Azmat, Moazzam Ali, Wajahat Hussain, Ghulam Mustafa, Muhammad Ishaque, Safdar Ali, Aftab Ahmed, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

Introduction: Women who do not switch to alternatemethods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether.

Methods: The data used for this study comes from a larger cross-sectional survey conducted in nine

(9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who …

The Perceptions Of The Preparedness Of Medical Graduates To Take On Internship Responsibilities In Low Resource Hospitals In Kenya, Patricia Muthaura, Tashmin Khamis

Obstetrics and Gynaecology, East Africa

The Aga Khan University is developing an Undergraduate Medical Education (UGME) curriculum for implementation in East Africa in 2016, which aims to serve the health needs of the populations there. Pilot focus group discussions of recent interns were conducted at the Aga Khan University Hospital, Nairobi to find out: (1) If Kenyan medical students are adequately prepared for their roles as interns in low resource hospitals upon graduation from medical schools; (2) The likely clinical conditions that interns will face in low resource hospitals in Kenya; and (3) How might the UGME curriculum best prepare interns for their roles in …

Perceptions Of The Preparedness Of Medical Graduates For Internship Responsibilities In District Hospitals In Kenya: A Qualitative Study, Patricia Muthaura, Tashmin Khamis, Mushtaq Ahmed, Syeda Ra’Ana Hussain

Obstetrics and Gynaecology, East Africa

Background: Aga Khan University is developing its undergraduate medical education curriculum for East Africa. In Kenya, a 1 year internship is mandatory for medical graduates’ registration as practitioners. The majority of approved internship training sites are at district hospitals. The purposes of this study were to determine: (1) whether recent Kenyan medical graduates are prepared for their roles as interns in district hospitals upon graduation from medical school; (2) what working and training conditions and social support interns are likely to face in district hospital; and (3) what aspects of the undergraduate curriculum need to be addressed to overcome perceived …

Effect Of Vitamin E Supplementation On Inflammatory Markers And Nutrition Status In Thalassemia Intermedia Patients, Watcharee Prapawatwech, Bunchoo Pongtanakul, Kulwara Meksawan

The Thai Journal of Pharmaceutical Sciences

Inflammation is a complication found in thalassemic patients. It may be diminished by supplementation of vitamin E. The purpose of this study was to investigate the effects of 12-week vitamin E supplementation on inflammatory markers in patients with tha...

Prognostic Indications Of Elevated Mct4 And Cd147 Across Cancer Types: A Meta-Analysis, Cory D Bovenzi, James Hamilton, Md, Patrick Tassone, Md, Pgy-3, Jennifer Johnson, David Cognetti, Adam J. Luginbuhl, William M. Keane, Tingting Zhan, Madalina Tuluc, Voichita Bar-Ad, Ubaldo E. Martinez-Outshoorn, Md, Joseph M. Curry

Department of Medical Oncology Faculty Papers

No abstract provided.

Is Project Management Still An Accidental Profession? A Qualitative Study Of Career Trajectory, Tracey M. Richardson, Matthew Earnhardt, Jim W. Marion Jr.

Publications

In this study, the authors used qualitative techniques to look for reoccurring themes related to 87 project managers’ responses to interview questions associated with entry into the field of project management and career progression. The study found that despite the efforts of higher education, professional associations, and their professional development and certifications, the project management remains a destination by accident. Professional project managers do not intend to be project managers but “fall into” the profession. This study provides a conceptual framework for project manager career trajectory that has implications for project management training and mentoring and contributes to the growing …

Awe Volume 2 (2015), Awe Editors

AWE (A Woman’s Experience)

No abstract provided.

The Future Of Squaw Valley And Alpine Meadows, Brian Friel

Pomona Senior Theses

This paper examines the ongoing conflict between Squaw Valley Ski Holdings and the local Tahoe community and analyzes this conflict within the greater historical context of ski resort consolidation and development across the Western United States.

Bridging The Blue-Green Divide: The Role Of Environmental Ngos In Tackling Environmental Problems In Taiwan, Yttrium Sua

Pomona Senior Theses

This thesis attempts to provide a brief historical outline of the environmental movement in Taiwan and the unique political situation that has directly affected how the movement has progressed. Thereafter, it looks at some examples of environmental disputes that have occurred in recent years, paying special attention to the ways the environmental movement has interacted with the government. This provides the background to frame the analysis, which will shed light on the reasons for the current state of distrust and antagonistic interactions between the environmental movement and the government. Finally, the thesis evaluates whether such interactions with the government is …

Reforestation, Renewal, And The Cost Of Coal: Opposing A Manichean Worldview In Central Appalachia, Elizabeth R. Hansen

Pomona Senior Theses

Surface coal mining is a major form of land change and environmental degradation in Central Appalachia. Traditional mine reclamation iresults in unmanaged, unproductive grasslands that fail to mitigate many of the environmental costs of coal mining and are of minimal use to communities. Forestry reclamation is an alternative reclamation tactic that has the potential to address both environmental and socioeconomic concerns in Central Appalachia. A case study of Laurel Fork Mine in Eastern Kentucky is included.

Discovery Islands, Earth Islands: The Theory And Practice Of Island Imagery In Environmental Thought, Naomi A. Bosch

Pomona Senior Theses

Earth Island is a core metaphor of activist thought often applied in Environmental Analysis and related fields as a tool for thinking about the planet’s limited resources. It puts forth the claim that if only we thought of the earth as more like an island, we would better understand our connectivity to other living things and be drawn to develop better and more extensive practices of environmental stewardship. This thesis uses personal accounts of environmental life philosophies and political practices collected from residents of the Discovery Islands in British Columbia as a site for analytical comparison between the theory and …

Looking Beyond Fossil Fuel Divestment: Combating Climate Change In Higher Education, Robin Xu

Pomona Senior Theses

The young fossil fuel divestment movement is altering the landscape of climate change activism on US campuses. Student-run divestment campaigns are now pushing for institutions of higher education to withdraw their investments from the top 200 public fossil fuel companies. Despite student fervor, however, divestment has remained a controversial tactic for combating climate change. The first half of this thesis examines the stated motives of a selection of institutions that have officially agreed or declined to divest, and investigates the hypothesis that pushing for divestment alone will not achieve broad success because it does not appeal to a wide enough …

Civil-Izing Federalism, Brooke Coleman

Faculty Articles

When Chief Justice Roberts and Justice Alito joined the United States Supreme Court, most commentators predicted it would become more conservative. Indeed, many believed that the reinvigorated federalism revolution under Chief Justice Rehnquist would, if anything, become more robust under the new chief. To a large degree, those commentators were right; the Court has decided numerous hotly contested federalism cases along predictable ideological lines. But there are some important counterexamples in the Court’s federalism jurisprudence. In a list of cases about access to plaintiff-friendly state courts, the Justices seem to abandon their federalism principles. Instead, the liberal wing of the …

U.S. Tax Imperialism, Diane Lourdes Dick

Faculty Articles

This article uses historical and legal analysis to demonstrate how U.S. domination over Puerto Rico's tax and fiscal policies has been the centerpiece of a colonial system and an especially destructive form of economic imperialism. Specifically, this article develops a novel theory of U.S. tax imperialism in Puerto Rico, chronicling the sundry ways in which the United States has used tax laws to exert economic dominance over its less developed island colony. During the colonial period, U.S. officials wrote and revised Puerto Rican tax laws to serve U.S. economic interests. In more recent years, U.S. tax laws have disadvantaged Puerto …

Precarious Existence And Capitalism: A Permanent State Of Exception, Tayyab Mahmud

Faculty Articles

The contemporary neoliberal era is marked by an exponential expansion of contingent and precarious labor markets. In this context, the construct of precarity emerged to signify labor conditions of permanent insecurity and precariousness. Coming at the heels of the era of Keynesian welfare, precarity is mostly seen as an exception to the normal trajectory of capitalist formations. The basic argument of this paper is that under capitalism, for the working classes precarious existence is the norm rather than the exception. Precarity is the outcome not only of insecurities of labor markets but also of capital’s capture and colonization of life …

The Deliberation Paradox And Administrative Law, Bill Sherman

Faculty Articles

Deliberation is a linchpin of administrative decision-making, and is a key basis for judicial deference to the agency’s interpretation of law. But deliberation has a dual valence in other areas of administrative law: it triggers the right to access to agency information in public meeting laws, but bars access in public records laws. This is the first article to identify and explain what I call the Deliberation Paradox in administrative law. This longstanding but unexplored dichotomy has roots in common law history, separation of powers, the purposes of public access statutes, and assumptions about how the government works. But the …

Theorizing The Social Provisioning Process Under Capitalism: Developing A Veblenian Theory Of Care For The Twenty-First Century, Andrew Cumbers, John B. Davis, Robert Mcmaster

Economics Faculty Research and Publications

Thorstein Veblen highlighted a number of human instincts, one of which was the “parental bent.” In contrast to the other “positive” instincts, the parental bent is specifically other-regarding in that Veblen described it in terms of utilizing knowledge for the betterment of society. Veblen’s “parental bent” stresses the social embeddedness of humanity and the human instinct to care. Our ability to care is partially predicated on our social roles and the values embedded within those roles. Critically, this is influenced by the configuration of institutions within a society. Care is grossly under-valued. By drawing upon recent contributions to care in …

The Nature And Frequency Of Countertransference Reactions In Psychoanalysts, Michelle Walker

Theses and Dissertations

Psychotherapist personal factors, often referred to as countertransference reactions, are widely believed to impact the therapeutic process. While the existence of the countertransference is commonly accepted by contemporary psychotherapists, there is continued debate over its nature, quality and therapeutic utility. Further, there have been relatively few empirical studies on the countertransference reactions of practicing psychologists and other mental health professionals. This study aimed to address this lack by examining the frequency and nature of countertransference experiences as reported by psychoanalysts. Additionally, this study sought to explore the relationship between countertransference reactions and patient symptomology as suggested by recent findings (Betan, …

The Rise And Fall Of Self-Esteem: A Critical Review, Reconceptualization, And Recommendations, Tamara Shawn Levy Eromo

Theses and Dissertations

Self-esteem, viewed for decades as psychology’s Holy Grail, has proved to be an elusive and surprisingly barren destination. One of the oldest concepts in psychology, self-esteem likely ranks among the top three covariates occurring in personality and social psychology research. Propelled by the self-esteem movement of the 1970s, it was popularly believed that self-esteem played a significant causal role in determining a wide range of both positive and negative social behaviors. However, the results of a 2003 large-scale literature review showed that it is actually not a major predictor of almost anything, with the exception of positive feelings (happiness) and …

The Forging Of Modern Broadway Sound Design Techniques Amid The Fires Of The Rock Musicals In The Late 1960s And 1970s., Timothy Tracey

Electronic Theses and Dissertations

From the ancient Greek theater, through the dawn of the Renaissance, beyond the development of Shakespearean theater, to the Broadway theater boon in the 1920s, sound reinforcement within the theater remained virtually unchanged. Through Broadway's Golden Age, directors and producers relied on architectural acoustics to carry sound throughout the theaters. This is not surprising given that most of the theaters were built in the early 1900s, before the invention of any electric sound reinforcement technology. Moreover, early attempts at amplification in the 1940s yielded dismal results. Eventually, the maturation of the integrated book musical and the invasion of the rock …

Connections Between Voice And Design In Puppetry: A Case-Study, Ryan Skiles

Electronic Theses and Dissertations

Puppets have been entertaining, educating, and mesmerizing American audiences since the birth of our nation. Both in live theatrical events and TV/film, audiences have watched puppeteers bring their puppet characters to life with clever voice quality choices, unique characterizations, and vivid visual designs. This thesis is a case study that first borrows insight from cartoon character designers, animators, and voiceover actors to provide considerations for voice quality choices, characterizations, and design elements when creating a new puppet character. It then investigates the connections that exist between those three elements once a puppet is fully realized. In order to identify these …

Providing Cultural Balance For Young Americans, Mark Nichols

Electronic Theses and Dissertations

Children today are increasingly being introduced to tablets and other personal electronic devices at very young ages. Due in part to this, the entertainment industry now has a near ubiquitous presence in America compared to cultural arts. Its influence on the development of children is almost impossible to ignore. My thesis will study an approach to engaging young people by way of location-based projects that synthesize two or more art forms (e.g. theatre arts, literary arts, visual arts) in order to provide a unified effort for cultural arts and also provide balance to the influences of entertainment. Incorporating research, interviews …

When Oppressed Women Attack: Female-Enacted Violence Through Minority American Female Playwrights' Works, Kate Busselle

Electronic Theses and Dissertations

As an Actor Combatant with the Society of American Fight Directors, theatrical violence is something that has always captivated me. When a female combat instructor once told me that even though I throw a great punch I will never be able to use it because women are always on the receiving end of violence in theatre, I wondered if this was truly the case. After a thorough exploration of several works with theatrical violence, I am glad to say that it is not the case. When most scholars examine violence in theatre, the focus is either male-centric or specifically on …

The Artistry Of Accessibility: Creating Theatre With And For Students On The Autism Spectrum, Sara Brunow

Electronic Theses and Dissertations

Theatre is a place where all can come together and have an experience regardless of ethnicity, gender, sexuality, or ability. As a theatre maker and teaching artist, how do I create inclusion and augment social awareness by designing and implementing theatrical experiences for a specific audience? In this personal exploration of inclusive theatre practices (Sensory Friendly Theatre, Inclusive Arts Integration, and Multi-Sensory Theatre) I will examine my experience of creating and adapting theatre with and for students with Autism Spectrum Disorder. My process has a three-pronged approach: adapting an established production using a Sensory Friendly model; adapting an arts integration …

Almost Mirror Image: Exploring The Similarities And Dissimilarities Of Identical Twins In Theatrical Solo Performance, Elizabeth Mignacca

Electronic Theses and Dissertations

Almost Mirror Image: Exploring the Similarities and Dissimilarities of Identical Twins in Theatrical Solo Performance Is an exploration of the psyche of identical twins within the context of devised solo performance. The author, an identical twin herself, has long been interested in twins' ability to cultivate both highly independent personalities as well as intensely co-dependent tendencies during development. What can twins tell us about the way we create close relationships and how is their upbringing radically different from the majority of the world that is born alone? Equally intrigued by society's growing technological dependence, the author would like to delve …