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Host Allometry Influences The Evolution Of Parasite Host-Generalism: Theory And Meta-Analysis, Josephine G. Walker, Amy Hurford, Jo Cable, Amy R. Ellison, Stephen J. Price, Clayton E. Cressler

School of Biological Sciences: Faculty Publications

Parasites vary widely in the diversity of hosts they infect: some parasite species are specialists—infecting just a single host species, while others are generalists, capable of infecting many. Understanding the factors that drive parasite host-generalism is of basic biological interest, but also directly relevant to predicting disease emergence in new host species, identifying parasites that are likely to have unidentified additional hosts, and assessing transmission risk. Here, we use mathematical models to investigate how variation in host body size and environmental temperature affect the evolution of parasite host-generalism. We predict that parasites are more likely to evolve a generalist strategy …

Host Allometry Influences The Evolution Of Parasite Host-Generalism: Theory And Meta-Analysis, Josephine G. Walker, Amy Hurford, Jo Cable, Amy R. Ellison, Stephen J. Price, Clayton E. Cressler

School of Biological Sciences: Faculty Publications

Parasites vary widely in the diversity of hosts they infect: some parasite species are specialists—infecting just a single host species, while others are generalists, capable of infecting many. Understanding the factors that drive parasite host-generalism is of basic biological interest, but also directly relevant to predicting disease emergence in new host species, identifying parasites that are likely to have unidentified additional hosts, and assessing transmission risk. Here, we use mathematical models to investigate how variation in host body size and environmental temperature affect the evolution of parasite host-generalism. We predict that parasites are more likely to evolve a generalist strategy …

Peanut Allergen Threshold Study (Pats): Novel Single-Dose Oral Food Challenge Study To Validate Eliciting Doses In Children With Peanut Allergy, Jonathan O'B. Hourihane, Katrina J. Allen, Wayne G. Shreffler, Gillian Dunngalvin, Julie A. Nordlee, Giovanni A. Zurzolo, Audrey Dunngalvin, Lyle C. Gurrin, Joseph L. Baumert, Steve L. Taylor

Department of Food Science and Technology: Faculty Publications

Background: Eliciting doses (EDs) of allergenic foods can be defined by the distribution of threshold doses for subjects within a specific population. The ED₀₅ is the dose that elicits a reaction in 5% of allergic subjects. The predicted ED₀₅ for peanut is 1.5 mg of peanut protein (6 mg of whole peanut).

Objective: We sought to validate the predicted peanut ED05 (1.5 mg) with a novel single-dose challenge.

Methods: Consecutive eligible children with peanut allergy in 3 centers were prospectively invited to participate, irrespective of previous reaction severity. Predetermined criteria for objective reactions were used …

Retrospective Analysis Of Patients With Burn Injury Treated In A Burn Center In Turkey During The Syrian Civil War, Yucel Yuce, Hakan A. Acar, Kutlu H. Erkal, Nur B. Arditi

Saudi Medical Journal

Objectives: To report the management of burn injuries that occured in the Syria civil war, which were referred to our burn center. Methods: Forty-three patients with burns, injured in the civil war in Syria and whom were referred to Dr. Lütfi Kırdar Kartal Educating and Training Hospital Burn Centre of İstanbul, Turkey between 2011-2015 were analyzed in a retrospective study. Results: Most of our patients were in major burn classification (93%; 40/43) and most of them had burns >15% total on body surface area. Most of them were admitted to our center late after first management at centers with improper …

Assessment Of Metabolic Changes In Mycobacterium Smegmatis Wild Type And Alr Mutant Strains: Evidence For A New Pathway Of D-Alanine Biosynthesis., Darrell D. Marshall, Steven Halouska, Denise K. Zinniel, Robert J. Fenton, Katie Kenealy, Harpreet K. Chahal, Govardhan Rathnaiah, Raul G. Barletta, Robert Powers

Department of Chemistry: Faculty Publications

In mycobacteria, D-alanine is an essential precursor for peptidoglycan biosynthesis. The only confirmed enzymatic pathway to form D-alanine is through the racemization of L-alanine by alanine racemase (Alr, EC 5.1.1.1). Nevertheless, the essentiality of Alr in Mycobacterium tuberculosis and Mycobacterium smegmatis for cell survivability in the absence of D-alanine has been a point of controversy with contradictory results reported in the literature. To address this issue, we examined the effects of alr inactivation on the cellular metabolism of M. smegmatis. The M. smegmatis alr insertion mutant TAM23 exhibited essentially identical growth to wild type mc²155 in the …

Palynological Investigation Of Mummified Human Remains, Karl Reinhard, Marina Milanello Do Amaral, Nicole Wall

Karl Reinhard Publications

Pollen analysis was applied to a mummified homicide victim in Nebraska, U.S.A., to determine the location of death. A control sample showed the normal ambient pollen in the garage crime scene. Ambient windborne types, common in the air of the region, dominated the control. Internal samples were analyzed from the sacrum, intestine, and diaphragm. Microfossils were recovered from the rehydrated intestine lumen. The intestinal sample was dominated by Brassica (broccoli). The sacrum sample was high in dietary types but with a showing of ambient types. The pollen from the diaphragm was dominated by ambient pollen similar to the control samples. …

Pseudoscorpions Of The Family Cheiridiidae (Arachnida: Pseudoscorpiones) Recovered From Burial Sediments At Pachacamac (500–1,500ce), Peru, Johnica J. Morrow, Livia Taylor, Lauren Peck, Christian Elowsky, Lawrence Stewart Owens, Peter Eeckout, Karl Reinhard

Karl Reinhard Publications

Fragmented remains of pseudoscorpions belonging to the family Cheiridiidae (Arachnida, Pseudoscorpiones) were recovered from Ychsma polity (c. AD 1000–1475) burial sediments from Pachacamac, Peru. Sediments from 21 burials were examined following rehydration in 0.5% trisodium phosphate for 48 h and subsequent screening through a 250 lm mesh. Materials larger than 250 lm were surveyed for the presence of arthropods. A total of two samples contained pseudoscorpion fragments, which were collected and quantified to determine the minimal number of pseudoscorpions present per gram of each sample. Following quantification, pseudoscorpion specimens were imaged utilizing confocal laser scanning microscopy (CLSM) to assist with …

Inferring Infection Hazard In Wildlife Populations By Linking Data Across Individual And Population Scales, Kim M. Pepin, Shannon L. Kay, Ben D. Golas, Susan A. Shriner, Amy T. Gilbert, Ryan S. Miller, Andrea L. Graham, Steven Riley, Paul C. Cross, Michael D. Samuel, Mevin B. Hooten, Jennifer A. Hoeting, James O. Lloyd-Smith, Colleen T. Webb, Michael G. Buhnerkempe

United States Department of Agriculture Wildlife Services: Staff Publications

Our ability to infer unobservable disease-dynamic processes such as force of infection (infection hazard for susceptible hosts) has transformed our understanding of disease transmission mechanisms and capacity to predict disease dynamics. Conventional methods for inferring FOI estimate a time-averaged value and are based on population-level processes. Because many pathogens exhibit epidemic cycling and FOI is the result of processes acting across the scales of individuals and populations, a flexible framework that extends to epidemic dynamics and links within-host processes to FOI is needed. Specifically, within-host antibody kinetics in wildlife hosts can be short-lived and produce patterns that are repeatable across …

Temporal Development Of Gut Microbiota In Triclocarban Exposed Pregnant And Neonatal Rats, Rebekah C. Kennedy, Russell R. Fling, Michael S. Robeson, Arnold M. Saxton, Robert L. Donnell, John L. Darcy, David A. Bemis, Jiang Liu, Ling Zhao, Jiangang Chen

United States Department of Agriculture Wildlife Services: Staff Publications

Alteration of gut microbial colonization process may influence susceptibility of the newborn/infant to infectious and chronic disease. Infectious disease risk leads to widespread use of non-prescription antimicrobials in household products such as Triclocarban (TCC), an antimicrobial compound in personal care products. TCC concentrates in and is transferred through the milk to suckling offspring. TCC exposure during gestation and lactation significantly reduced phylogenetic diversity (PD) among exposed dams and neonates. Among dams using weighted UniFrac distances, TCC induced significant dysbiosis of gut microbiota by gestational day (GD) 18, a trend that continued after delivery. Similarly, an overall restructuring of gut microbiota …

Ecological Potential For Rabies Virus Transmission Via Scavenging Of Dead Bats By Mesocarnivores, Tad C. Theimer, Annie C. Dyer, Brian W. Keeley, Amy T. Gilbert, David L. Bergman

United States Department of Agriculture Wildlife Services: Staff Publications

Multiple species of bats are reservoirs of rabies virus in the Americas and are occasionally the source of spillover infections into mesocarnivore species. Although rabies transmission generally is assumed to occur via bite, laboratory studies have demonstrated the potential for rabies transmission via ingestion of rabid animals. We investigated the ecological potential for this mode of transmission by assessing mesocarnivore scavenging behavior of dead bats in suburban habitats of Flagstaff, Arizona, US. In autumn 2013, summer 2014, and autumn 2015, we placed 104 rabies-negative bat carcasses either near buildings, in wildland areas, or in residential yards and then monitored them …

Diversity And Phylogenetic Relationships Among Bartonella Strains From Thai Bats, Clifton D. Mckee, Michael Y. Kosoy, Ying Bai, Lynn M. Osikowicz, Richard Franka, Amy T. Gilbert, Sumalee Boonmar, Charles E. Rupprecht, Leonard Peruski

United States Department of Agriculture Wildlife Services: Staff Publications

Bartonellae are phylogenetically diverse, intracellular bacteria commonly found in mammals. Previous studies have demonstrated that bats have a high prevalence and diversity of Bartonella infections globally. Isolates (n = 42) were obtained from five bat species in four provinces of Thailand and analyzed using sequences of the citrate synthase gene (gltA). Sequences clustered into seven distinct genogroups; four of these genogroups displayed similarity with Bartonella spp. sequences from other bats in Southeast Asia, Africa, and Eastern Europe. Thirty of the isolates representing these seven genogroups were further characterized by sequencing four additional loci (ftsZ, nuoG, rpoB, …

Fine-Scale Assessment Of Home Ranges And Activity Patterns For Resident Black Vultures (Coragyps Atratus) And Turkey Vultures (Cathartes Aura), Amanda E. Holland, Michael E. Byrne, A. Lawrence Bryan, Travis L. Devault, Olin E. Rhodes Jr., James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Knowledge of black vulture (Coragyps atratus) and turkey vulture (Cathartes aura) spatial ecology is surprisingly limited despite their vital ecological roles. Fine-scale assessments of space use patterns and resource selection are particularly lacking, although development of tracking technologies has allowed data collection at finer temporal and spatial resolution. Objectives of this study were to conduct the first assessment of monthly home range and core area sizes of resident black and turkey vultures with consideration to sex, as well as elucidate differences in monthly, seasonal, and annual activity patterns based on fine-scale movement data analyses. We collected …

Use Of Fecal Volatile Organic Compound Analysis To Discriminate Between Nonvaccinated And Bcg-Vaccinated Cattle Prior To And After Mycobacterium Bovis Challenge, Christine K. Ellis, Somchai Rice, Devin Maurer, Randal S. Stahl, W. Ray Waters, Mitchell V. Palmer, Pauline Nol, Jack C. Rhyan, Kurt C. Vercauteren, Jacek A. Koziel

United States Department of Agriculture Wildlife Services: Staff Publications

Bovine tuberculosis is a zoonotic disease of global public health concern. Development of diagnostic tools to improve test accuracy and efficiency in domestic livestock and enable surveillance of wildlife reservoirs would improve disease management and eradication efforts. Use of volatile organic compound analysis in breath and fecal samples is being developed and optimized as a means to detect disease in humans and animals. In this study we demonstrate that VOCs present in fecal samples can be used to discriminate between non-vaccinated and BCG-vaccinated cattle prior to and after Mycobacterium bovis challenge.

Estimating Population Density For Disease Risk Assessment: The Importance Of Understanding The Area Of Influence Of Traps Using Wild Pigs As An Example, Amy J. Davis, Bruce Leland, Michael J. Bodenchuk, Kurt C. Vercauteren, Kim M. Pepin

United States Department of Agriculture Wildlife Services: Staff Publications

Population density is a key driver of disease dynamics in wildlife populations. Accurate disease risk assessment and determination of management impacts on wildlife populations requires an ability to estimate population density alongside management actions. A common management technique for controlling wildlife populations to monitor and mitigate disease transmission risk is trapping (e.g., box traps, corral traps, drop nets). Although abundance can be estimated from trapping actions using a variety of analytical approaches, inference is limited by the spatial extent to which a trap attracts animals on the landscape. If the “area of influence” were known, abundance estimates could be converted …

Anthropogenic Factors Predict Movement Of An Invasive Species, Michael A. Tabak, Antoinette J. Piaggio, Ryan S. Miller, Rick A. Sweitzer, Holly B. Ernest

United States Department of Agriculture Wildlife Services: Staff Publications

Humans are playing an increasingly large role in the expansion of invasive species’ distributions, but few (if any) studies have evaluated anthropogenic factors associated with intentional translocation of invasives. The wild pig (Sus scrofa) is an extremely destructive and rapidly expanding invasive species whose movement is thought to be facilitated by humans.We sought to (1) identify a suite of genetic markers that can be applied to population genetic analyses of wild pigs, (2) find quantitative evidence of human-mediated dispersal of wild pigs, and (3) determine which anthropogenic factors were associated with their translocation. We identified 43 polymorphic microsatellite …

Den Use And Heterothermy During Winter In Free-Living, Suburban Striped Skunks, Tad C. Theimer, Cory T. Williams, Shylo R. Johnson, Amy T. Gilbert, David L. Bergman, C. Loren Buck

United States Department of Agriculture Wildlife Services: Staff Publications

Many mammals use heterothermy to meet challenges of reduced food availability and low temperatures, but little is known about the prevalence of heterothermy in wild mesocarnivores. We monitored body temperature (T_b) in free-living striped skunks (Mephitis mephitis) through winter 2015–2016 in suburban Flagstaff, Arizona, a high-elevation site that experiences temperate winters. Subcutaneous T_b and heterothermy index (HI) were significantly affected by ambient temperature, and varied significantly across 7 skunks in midwinter. Twenty-one of 36 (58%) unique diurnal dens used by skunks were associated with human structures, and although females were found in dens under houses …

Adaptation Of The Aesop’S Fable Paradigm For Use With Raccoons (Procyon Lotor): Considerations For Future Application In Non‑Avian And Non‑Primate Species, Lauren Stanton, Emily Davis, Shylo Johnson, Amy T. Gilbert, Sarah Benson-Amram

United States Department of Agriculture Wildlife Services: Staff Publications

To gain a better understanding of the evolution of animal cognition, it is necessary to test and compare the cognitive abilities of a broad array of taxa. Meaningful interspecies comparisons are best achieved by employing universal paradigms that standardize testing among species. Many cognitive paradigms, however, have been tested in only a few taxa, mostly birds and primates. One such example, known as the Aesop’s Fable paradigm, is designed to assess causal understanding in animals using water displacement. To evaluate the universal effectiveness of the Aesop’s Fable paradigm, we applied this paradigm to a previously untested taxon, the raccoon ( …

The Persistence Of Multiple Strains Of Avian Influenza In Live Bird Markets, Amy Pinsent, Kim M. Pepin, Huachen Zhu, Yi Guan, Michael T. White, Steven Riley

United States Department of Agriculture Wildlife Services: Staff Publications

Multiple subtypes of avian influenza (AI) and novel reassortants are frequently isolated from live bird markets (LBMs). However, our understanding of the drivers of persistence of multiple AI subtypes is limited. We propose a stochastic model of AI transmission within an LBM that incorporates market size, turnover rate and the balance of direct versus environmental transmissibility. We investigate the relationship between these factors and the critical community size (CCS) for the persistence of single and multiple AI strains within an LBM. We fit different models of seeding from farms to two-strain surveillance data collected from Shantou, China. For a single …

Evaluation Of Antibody Response To An Adjuvanted Hapten-Protein Vaccine As A Potential Inhibitor Of Sexual Maturation For Farmed Atlantic Salmon, Darcy S.O. Mora, Mo D. Salman, Christopher A. Myrick, Jack C. Rhyan, Lowell A. Miller, Ellen Marie Sætre, Douglas C. Eckery

United States Department of Agriculture Wildlife Services: Staff Publications

An experimental contraceptive vaccine was evaluated in Atlantic salmon (Salmo salar). A peptide derived from the beta subunit of luteinizing hormone (LH) was conjugated to two different carrier proteins, bovine serum albumin (BSA) and keyhole limpet hemocyanin (KLH), and formulated with one of four immunostimulants in a water-in-oil emulsion. Specific antibody responses to the peptide and each carrier protein were evaluated. While the antibody response to KLH was stronger than the response to BSA, both carrier proteins stimulated comparable antibody responses to the LH peptide. The immunostimulant proved to be more important for enhancing the LH peptide antibody response …

A Review Of Virulent Newcastle Disease Viruses In The United States And The Role Of Wild Birds In Viral Persistence And Spread, Vienna R. Brown, Sarah N. Bevins

United States Department of Agriculture Wildlife Services: Staff Publications

Newcastle disease is caused by virulent strains of Newcastle disease virus (NDV), which causes substantial morbidity and mortality events worldwide in poultry. The virus strains can be differentiated as lentogenic, mesogenic, or velogenic based on a mean death time in chicken embryos. Currently, velogenic strains of NDV are not endemic in United States domestic poultry; however, these strains are present in other countries and are occasionally detected in wild birds in the U.S. A viral introduction into domestic poultry could have severe economic consequences due to the loss of production from sick and dying birds, the cost of control measures …

The 17th Rocky Mountain Virology Association Meeting, Joel Rovnak, Rushika Perera, Matthew W. Hopken, Jenna Read, Derrick M. Waller, Randall J. Cohrs

United States Department of Agriculture Wildlife Services: Staff Publications

Since 2000, scientists and students from the greater Rocky Mountain region, along with invited speakers, both national and international, have gathered at the Mountain Campus of Colorado State University to discuss their area of study, present recent findings, establish or strengthen collaborations, and mentor the next generation of virologists and prionologists through formal presentations and informal discussions concerning science, grantsmanship and network development. This year, approximately 100 people attended the 17th annual Rocky Mountain Virology Association meeting, that began with a keynote presentation, and featured 29 oral and 35 poster presentations covering RNA and DNA viruses, prions, virus-host interactions and …

Development Of Known-Fate Survival Monitoring Techniques For Juvenile Wild Pigs (Sus Scrofa), David A. Keiter, John C. Kilgo, Mark A. Vukovich, Fred L. Cunningham, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Context. Wild pigs are an invasive species linked to numerous negative impacts on natural and anthropogenic ecosystems in many regions of the world. Robust estimates of juvenile wild pig survival are needed to improve population dynamics models to facilitate management of this economically and ecologically important invasive species. Despite this critical knowledge gap, to date no successful known-fate study of wild piglet survival (age) has been conducted, due to a lack of appropriate method for this species. Aims. To aid in locating and tagging neonates, we piloted the use of vaginal implant transmitters (VITs) in adult wild pigs and evaluated …

Identifying Barriers To Implementing Guidelines For Monitoring Metabolic Syndrome In Patients Prescribed Second-Generation Antipsychotics In Incarcerated Populations, Carol-Ann Margaret Cenac

Yale School of Nursing Digital Theses

Individuals with serious mental illness (SMI) have increased rates of cardiovascular disease (CVD) and mortality. Also, the evidence indicates that second-generation antipsychotics (SGAs, a conventional treatment) increase the risk of metabolic syndrome (MetS) often leading to weight gain, cardiovascular disease (CVD) and type 2 diabetes (DM 2). U. S. correctional institutions, faced with increased rates of mental illness in its population, are confronted with the need to assure adequate monitoring for its patients treated with SGAs. This paper reviews guidelines for monitoring incarcerated patients to ensure early intervention that can improve clinical outcomes. Characteristics of the incarcerated population and institution-related …

Identifying Barriers To Implementing Guidelines For Monitoring Metabolic Syndrome In Patients Prescribed Second-Generation Antipsychotics In Incarcerated Populations, Carol-Ann Margaret Cenac

Yale School of Nursing Digital Theses

Individuals with serious mental illness (SMI) have increased rates of cardiovascular disease (CVD) and mortality. Also, the evidence indicates that second-generation antipsychotics (SGAs, a conventional treatment) increase the risk of metabolic syndrome (MetS) often leading to weight gain, cardiovascular disease (CVD) and type 2 diabetes (DM 2). U. S. correctional institutions, faced with increased rates of mental illness in its population, are confronted with the need to assure adequate monitoring for its patients treated with SGAs. This paper reviews guidelines for monitoring incarcerated patients to ensure early intervention that can improve clinical outcomes. Characteristics of the incarcerated population and institution-related …

How Women Could Save The World, If Only We Would Let Them: From Gender Essentialism To Inclusive Security, Catherine Powell

Faculty Scholarship

We increasingly hear that empowering women and placing them in positions of leadership will lead to a safer, more prosperous world. The UN Security Council’s groundbreaking resolutions on Women Peace, and Security (WPS) — and U.S. law implementing these commitments — rest on the assumption that women’s participation in peace and security matters will lead to more sustainable peace, because women presumably “perform” in ways that reduce conflict, violence, and extremism. This idea is of heightened importance today because women are still vastly underrepresented in positions of leadership in the peace and security field, having yet to “shatter that highest …

Women’S Narratives Of Living In Polygamous Marriages: Rural Malawian Experience Distilled And Preserved In Poetic Constructions, April Yerges, Patricia E. Stevens, Lucy Mkandawire-Valhmu, Wendy S. Bauer, Thokozani Mwenyekonde, Lance Weinhardt, Loren W. Galvao

College of Nursing Faculty Research and Publications

Polygamy in sub-Saharan Africa has been linked to poverty, infant mortality, and HIV; however, it is unknown how interpersonal dynamics within polygamous households may influence population health outcomes. Findings from this postcolonial feminist study derive from interview data in a larger mixed-methods study in rural Malawi. We used thematic narrative analysis to probe 25 women's stories and applied an arts-based research technique, poetic construction, to present the results. Participants' evocative expressions, distilled and preserved in poetic form, illustrate themes of perseverance, grief, agency, and reflection. We discuss how gender relations, childrearing, tradition, economics, and health intersect in polygamous households.

Impact Of Disease On The Survival Of Three Commercially Fished Species, John M. Hoenig, Maya L. Groner, Matthew W. Smith, Wolfgang K. Vogelbein, David M. Taylor, Donald F. Landers Jr., John T. Swenarton, David T. Gauthier

Biological Sciences Faculty Publications

Recent increases in emergent infectious diseases have raised concerns about the sustainability of some marine species. The complexity and expense of studying diseases in marine systems often dictate that conservation and management decisions are made without quantitative data on population-level impacts of disease. Mark-recapture is a powerful, underutilized, tool for calculating impacts of disease on population size and structure, even in the absence of etiological information. We applied logistic regression models to mark-recapture data to obtain estimates of disease-associated mortality rates in three commercially important marine species: snow crab (Chionoecetes opilio) in Newfoundland, Canada, that experience sporadic epizootics …

Loose Coupling And Defining Deviance Down: Correctional Officers’ Perceptions Of Organizational Responses To Mental Health And Well-Being., Victoria M. Baker

Theses and Dissertations (Comprehensive)

Correctional work is characterized by high rates of occupational stress, which can produce a plethora of negative outcomes for the officers employed within such institutions. The present study examines Canadian provincial correctional officers’ perceptions of how occupational stress is created within the context of their employment. Through in-depth interviews with 11 correctional officers, I examine the political, organizational, and cultural factors that are perceived to negatively affect employee stress and well-being. From this analysis, I present three principal arguments. First, I uncover how correctional officers perceive ministerial policies to be loosely coupled from frontline practices. I argue that this loose …

A Method For Measuring The Attachment Strength Of The Cestode Hymenolepis Diminuta To The Rat Intestine, Wanchuan Xie, Gábor R. Rácz, Benjamin S. Terry, Scott Lyell Gardner

Scott L. Gardner Publications

A unique adaptation of many internal parasites of mammals is their ability to stay in the intestine for extended periods of time and resist the normal peristaltic movements and forces that push and expel material. To better understand parasite adhesion behavior and replicate their attachment method in medical devices, an experiment was designed and performed using the rat tapeworm, Hymenolepis diminuta. The experiment employed a tensile test machine and a digital scale and was designed to calculate the attachment strength of the scolex to the mucosa through the change of the value of the digital scale during the tensile …

The Effect Of Continuing Professional Development From The Perspective Of Nurses And Midwives Who Participated In Continuing Education Programs Offered By Global Health Alliance Western Australia: A Mixed-Method Study, Yan Ing (Jenni) Ng

Theses

Continuing professional development (CPD) opportunities for nurses and midwives are central to improving knowledge, broadening skills and maintaining competencies to provide best practice and clinical care. This is gained through participating in continuing education (CE). CPD is readily accessible and a mandatory requirement for nurses and midwives in developed nations, such as Australia. However, in developing countries, such as Tanzania, while CPD is promoted, it has limited availability. As such, the Global Health Alliance Western Australia (GHAWA), an international health development program, seeks to provide further sustainable CPD opportunities for nurses and midwives in Tanzania.

The purpose of this research …