Digital Commons Network^™

Aiding Screening, Diagnosis, And Management Of Prediabetes Among High-Risk Medicare Patients In A Primary Care Setting, Manaye Utaile

Doctor of Nursing Practice Projects

Purpose: Encourage prediabetes screening, testing, and referral to a CDC-recognized Diabetes Prevention Program (DPP) as a first-line treatment.

Background: The prevalence of diabetes and prediabetes incidence is highest among Medicare-eligible Washingtonian patients, with 19% and 16%, respectively. DPP results in a 71% reduction of diabetes incidence in 65 years and older. However, only 3% of healthcare sites screen, test, and refer to DPP.

Design: Quality assessment with a descriptive quantitative evaluation method was conducted using Retrospective Chart Review for patients who visited Franciscan primary clinics from 08/31/2019 to 08/31/2020. A total of 1250 Medicare patients were extracted from a convenient …

A Provider Toolbox On Cardiovascular Disease Prevention In Women Of Color In The Primary Care Setting, Ellerey C. Nelson

Doctor of Nursing Practice Projects

Purpose: The purpose of this practice improvement project was to increase cardiovascular disease (CVD) knowledge in women of color (WOC) in the primary care setting through enhanced provider to patient education through implementation of a provider toolbox.

Background: CVD is the number one cause of death in women in the United States. However, WOC have a higher incidence of CVD than White women. Additionally, WOC have been found to have a decreased knowledge and awareness of CVD, demonstrated by numerous national studies. Therefore, the primary investigator (PI) identified a need to increase CVD knowledge and awareness in WOC in order …

Implementing Eating Disorder Screening And Early Intervention In A Primary Care Clinic, Brandon Dukovic

Doctor of Nursing Practice Projects

Eating disorders have a high mortality rate, increasing prevalence rate, and often go unrecognized and untreated. Primary care providers are uniquely positioned to intervene early in the development of these disorders yet screening for eating disorders in primary care is limited. This project looked to improve provider confidence and improve screening for eating disorders by introducing a provider education course focused on eating disorder screening, management, and resources, as well as implementing the SCOFF questionnaire into the annual health questionnaire completed by students utilizing a university health clinic. Pre-and post-intervention survey data showed an increase in provider self-reported confidence in …

Barriers For Individuals With Prediabetes From Enrolling In The Ymca’S Diabetes Prevention Program, Shokouh Pardakhtim, Negin Kourehpazan, Randal C. Claussen

Doctor of Nursing Practice Projects

Introduction: This qualitative research study examined barriers to enrollment in YMCA of Greater Seattle’s Diabetes Prevention Program (DPP) and how to improve the enrollment and referral process. Methodology: This was a quality improvement project that used qualitative methods in the research design. Semi-structured interviews and open-ended questionnaires were used to explore barriers in enrollment and to improve the referral and enrollment process from the perspective of participants with prediabetes referred to the DPP, YMCA staff who facilitate the DPP, and primary care providers who referred participant to the DPP. Results: A total of 10 interviews were conducted with the participants …

The Associations Among Parental Emotional States, Adolescent Emotional States, And A1c In Adolescents With Type 1 Diabetes, Jennifer L. Yenke

DNP Projects

Background: This study examined depression and diabetes distress (DD) in adolescents with type 1 diabetes (T1D) and in their parents. Depressive symptoms and DD are associated with poor glycemic control.

Objectives: To describe the prevalence of parental and adolescent depressive symptoms and DD in the sample and to evaluate correlations among depressive symptoms, DD, and A1c in parent-adolescent dyads in which the adolescents have T1D.

Methods: Thirty-two parent-adolescent dyads completed measures assessing depressive symptoms (Patient Health Questionnaire-9) and DD (Problem Areas in Diabetes- Parent of Teen and Teen versions), self-reported socio-demographic and clinical variables, and responded to questions about living …

Promotion Of Most Forms Through Education About Importance Of Advance Care Planning In Seriously Ill Patients, Nidhi More

DNP Projects

Abstract

Purpose: To establish the importance of early Advance Care Planning (ACP) and improve the utilization of Medical Orders for Scope of Treatment (MOST) forms in seriously ill patients by educating providers and nurses to identify patients who meet specified criteria. The goals of this intervention are reduction of readmissions and better quality of life for this patient population.

Methods: A quasi-experimental design was used for evaluation of an Educational intervention to promote MOST forms, Advance Directives (AD) and Palliative Care (PC) consults. A retrospective and prospective chart review was conducted to determine the number of patients who met criteria …

Improving Multidisciplinary Adherence To A Daily Goals Checklist In The Icu: A Quality Improvement Initiative, Chelsea Mccarty

DNP Projects

Abstract

Background: In November 2019, the University of Louisville Hospital merged and assumed operations of all KentuckyOne facilities. During the transition, a spike in hospital acquired infection rates ensued at Jewish Hospital, notably amongst the critical care units. In January 2020, a daily checklist was introduced to the critical care department. A Daily Checklist is a tailored communication tool designed to reduce communication error and improve adherence to patient safety measures. There continues to be a gap in adherence to the U of L daily checklist from both nurses and providers. Purpose: The purpose of this project was to improve …

The Impact Of Identifying And Addressing The Social Needs Of Patients With Type 2 Diabetes Mellitus In A Primary Care Clinic, Shelby Roberts

DNP Projects

BACKGROUND: A key aspect of successful Diabetes management is addressing social needs. Patients prefer individualized care that is tailored to their specific needs.

PURPOSE: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to screen patients regarding their diabetes distress and social needs requirements to develop and implement individualized social needs interventions.

METHODS: Patients were included in the study if they had a Hemoglobin A1C >9. Patients were screened, provided additional check in points and social needs were addressed in conjunction with the patient’s primary care provider and onsite social worker. Post intervention …

Sustainability Of A Dnp Qi Project On Bmi Screening And Weight Management Documentation In Primary Care, Assal Moori Shir Mohammadi

DNP Projects

Background: Nurses with a Doctor of Nursing (DNP) degree are prepared at the highest level of expertise to provide safe and efficient health care to patients and help bridge the gap between research and evidence-based health care. Although DNP students invest significant effort, time and resources to implement quality improvement (QI) projects, the sustainability of the outcomes of these is not well studied and empirical evidence on sustainability of quality improvement interventions is very limited.

Objective: To assess the sustainability of the QI project titled: “Using Rapid Cycle Improvement to Improve Weight Management” over time and evaluate the characteristics of …

Identification Of Infant Feeding Practices In Eastern Kentucky And Southern West Virginia That Correlate With High Weight-For-Length, Havilah R. Adkins

DNP Projects

Background: Approximately 20% of children in the United States are obese. West Virginia and Kentucky rank in the top 10 for obesity rates in children as young as 2-4 years old. Obesity increases the risk for numerous short-term health problems and impacts long-term health, development, quality of life, and life expectancy. Research indicates that obesogenic behaviors can be addressed prior to the development of obesity or significant health problems to prevent, rather than treat. Interventions targeting caregivers of infants younger than 2-years can promote early development of healthy feeding habits that persist through the developmental stages of nutrition. Before a …

Incorporation Of Summer Annual Mixtures Into Grazing Systems In Kentucky, Kelly Marie Mercier

Theses and Dissertations--Plant and Soil Sciences

Utilizing summer annual grass-legume forage mixtures has the potential to improve forage yield and nutritive characteristics, and/or animal performance during times when cool-season pasture growth is limited by high temperatures. Legumes can utilize atmospheric nitrogen, which can increase crude protein and forage digestibility in mixtures. As nitrogen application generally improves both the yield and nutritive characteristics of summer annual forages, but can have a negative effect on legume competitiveness, nitrogen fertilizer recommendations for legume-containing summer annual mixtures are not well established.

Two experiments were conducted to determine the feasibility of utilizing summer annual mixtures in Kentucky, USA. The first experiment …

Self-Reported Diet And Health Outcomes Of Participants Of The Ccsvi-Tracking Survey Study, Patricia Grace-Farfaglia

Health Science Faculty Publications

Of the 1575 participants of the CCSVI-Tracking Survey, 475 patients recorded their quality of life and EDSS outcomes for at least 2 months. Self-reported use of complementary and conventional therapies included diet, use of drug therapy, symptoms, quality of life, and mobility. Analysis included comparing outcomes related to different diets within and between groups. Adherence to the MS diet was not associated with a greater quality of life, less disability, a lower Symptom Score, or faster walking speed compared to other diets. Alternately, the participants from the Mediterranean diet region as a whole (µ = 32.65 (SD = 11.37, SE …

Nutritional Approach For Increasing Public Health During Pandemic Of Covid-19: A Comprehensive Review Of Antiviral Nutrients And Nutraceuticals, Vahideh Ebrahimzadeh-Attari, Ghodratollah Panahi, James R. Hébert Scd, Alireza Ostadrahimi, Maryam Saghafi-Asl, Neda Lotfi-Yaghin, Behzad Baradaran

Faculty Publications

Background: The novel coronavirus (COVID-19) is considered as the most life-threatening pandemic disease during the last decade. The individual nutritional status, though usually ignored in the management of COVID-19, plays a critical role in the immune function and pathogenesis of infection. Accordingly, the present review article aimed to report the effects of nutrients and nutraceuticals on respiratory viral infections including COVID-19, with a focus on their mechanisms of action.

Methods: Studies were identified via systematic searches of the databases including PubMed/ MEDLINE, ScienceDirect, Scopus, and Google Scholar from 2000 until April 2020, using keywords. All relevant clinical and experimental studies …

Property And Intellectual Property In Vaccine Markets, Ana Santos Rutschman

All Faculty Scholarship

As biopharmaceutical forms of technology, vaccines constitute one of the most important tools for the promotion and maintenance of public health. Tolstoy famously wrote that [h]appy families are all alike; every unhappy family is unhappy in its own way.¹ Vaccine markets offer perhaps one of the most extreme embodiments of Tolstoy's principle² in the field of biopharmaceutical innovation.

The Effects Of Food Supply On Reproductive Hormones And Timing Of Reproduction In An Income-Breeding Seabird, Shannon Whelan, Scott A. Hatch, Z. Morgan Benowitz-Fredericks, Charline Parenteau, Olivier Chastel, Kyle Elliott

Faculty Journal Articles

Current food supply is a major driver of timing of breeding in income-breeding animals, likely because increased net energy balance directly increases reproductive hormones and advances breeding. In capital breeders, increased net energy balance increases energy reserves, which eventually leads to improved reproductive readiness and earlier breeding. To test the hypothesis that phenology of income-breeding birds is independent of energy reserves, we conducted an experiment on food-supplemented (“fed”) and control female black-legged kittiwakes (Rissa tridactyla). We temporarily increased energy costs (via weight handicap) in a 2 × 2 design (fed/unfed; handicapped/unhandicapped) during the pre-laying period and observed movement …

The Determinants Of Export Performance And The Perspective To Improve International Competitiveness For Thai Fisheries Sector., Phatcharaphorn Kantasen

Chulalongkorn University Theses and Dissertations (Chula ETD)

Thailand has been one of the major exporters in the global fish market. As globalization and economic integrations continue to increase, the Thai fisheries industry is facing increasingly tough competition from other competitors. Understanding Thailand's global competitiveness is important for the fisheries industry there to compete successfully. The study seeks to determine whether significant indicators have a significant relationship to export value and to explore ways to improve Thai fisheries sector export competitiveness. This study of export performance as the competitiveness in the fisheries sector is obtained through Porter’s diamond model and multiple regression method. The results clarify the determinants …

A Case Study Of Brunch Time Co.Ltd On Marketing Analysis Toward Diamond Grain Product, Kodchakorn Trangkasan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Brunch time Company Limited has been in the granola products industry since 2012. The company value contributed to 167 million baht within three years, during 2014 to 2017. This paper mainly focuses on marketing analysis of Diamond Grains Granola products. It observes the decision in which Diamond Grains has made to launch ready-to-eat products in Thailand. SWOT analysis is used to analyze the company’s strengths, weaknesses, opportunities, and threats. The results of the analysis explain how the company has come to this business decision. The study found that Diamond Grains has a strong and first brand in the Thai’s granola …

ปัจจัยที่มีผลต่อการเกิดภาวะเลือดออกในผู้ป่วยภาวะหัวใจเต้นผิดจังหวะที่ได้รับยาไรวาร็อกซาแบน, ภัทรพร สิริภัทรชัย

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: เพื่อหาปัจจัยที่มีผลต่อการเกิดภาวะเลือดออกในผู้ป่วยภาวะหัวใจเต้นผิด จังหวะที่ได้รับยาไรวาร็อกซาแบน วิธีการ: งานวิจัยนี้เป็นการศึกษาเชิงวิเคราะห์ชนิดย้อนหลังจาก ผลไปหาเหตุแบบหลายศูนย์ รวบรวมข้อมูลผู้ป่วยที่มีภาวะหัวใจเต้นผิดจังหวะที่ได้รับยาไรวาร็อกซาแบน ณ โรงพยาบาลจุฬาลงกรณ์ และโรงพยาบาลรามาธิบดี ระหว่าง 1 ตุลาคม 2556 ถึง 30 กันยายน 2564 วิเคราะห์ปัจจัยที่มีผลต่อการเกิดภาวะเลือดออกด้วยสถิติการถดถอยโลจิสติค พหุคูณ ผลการวิจัย : กลุ่มตัวอย่าง 455 คน แบ่งเป็นกลุ่มศึกษาคือผู้ที่เกิดภาวะเลือดออก 91 คน ประกอบด้วยภาวะเลือดออกรุนแรง 20 คน ภาวะเลือดออกไม่รุนแรงที่มีความสำคัญทางคลินิก 45 คน และภาวะเลือดออกไม่รุนแรง 26 คน กลุ่มควบคุมคือผู้ที่ไม่เกิดภาวะเลือดออก 364 คน ผลการ วิเคราะห์พบปัจจัยที่มีผลต่อการเกิดภาวะเลือดออกอย่างมีนัยสำคัญทางสถิติ ได้แก่ ประวัติการเกิด ภาวะเลือดออก (adjusted OR: 20.29, p<0.001) ระดับอัลบูมินในเลือดต่ำ (adjusted OR: 2.19, p=0.020) ภาวะโลหิตจาง (adjusted OR: 2.03, p=0.026) และอันตรกิริยาระหว่างยา (adjusted OR: 2.40, p=0.007) เมื่อพิจารณาปัจจัยด้านอายุ น้ำหนัก ขนาดยาไรวาร็อกซาแบนต่อวัน การทำงานของไต ภาวะหัวใจล้มเหลว โรคหลอดเลือด และประวัติโรคหลอดเลือดสมองร่วมด้วย สรุป : ปัจจัยที่มีผลต่อการเกิดภาวะเลือดออกในผู้ป่วยภาวะหัวใจเต้นผิดจังหวะที่ได้รับยาไรวาร็อกซาแบน ได้แก่ ประวัติการเกิดภาวะเลือดออก ระดับอัลบูมินในเลือดต่ำ ภาวะโลหิตจาง อันตรกิริยาระหว่าง ยา ผู้ป่วยที่มีปัจจัยดังกล่าวจึงควรได้รับการดูแลติดตามอย่างใกล้ชิด เพื่อช่วยลดความเสี่ยงในการเกิดภาวะเลือดออกและเพิ่มความปลอดภัยจากการใช้ยาไรวาร็อกซาแบน

แนวทางการเพิ่มประสิทธิภาพการปฏิบัติงานด้านการป้องกันและปราบปรามการลักลอบหนีศุลกากรทางทะเล ภายใต้ศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล, ภัคพล รัชตหิรัญ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษาวิจัยครั้งนี้มีวัตถุประสงค์ ประกอบด้วย 1) เพื่อศึกษาบทบาทและโครงสร้างองค์การของกรมศุลกากรและศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล 2) เพื่อวิเคราะห์ปัญหาและอุปสรรคการปฏิบัติงานของกรมศุลกากรด้านการป้องกันและปราบปรามการลักลอบหนีศุลกากรทางทะเล ภายใต้ศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล 3) เพื่อหาข้อเสนอแนะในการเพิ่มประสิทธิภาพการปฏิบัติงานด้านการป้องกันและปราบปรามการลักลอบหนีศุลกากรทางทะเลของกรมศุลกากร ภายใต้ศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล โดยเป็นการวิจัยเชิงคุณภาพ ทำการเก็บข้อมูลจากการค้นคว้าเอกสารและสัมภาษณ์เชิงลึกจากกลุ่มผู้ให้ข้อมูลหลัก 8 คน ซึ่งครอบคลุมข้าราชการกรมศุลกากรและเจ้าหน้าที่จากศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล ผลการศึกษา พบว่า กรมศุลกากรมีบทบาทในฐานะหน่วยงานหลักภายใต้ศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเล โดยมีกองสืบสวนและปราบปรามที่ทำหน้าที่ในด้านการป้องกันและปราบปรามการลักลอบหนีศุลกากรทางทะเล โดยปฏิบัติงานร่วมกับศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเลเป็นหลัก ในด้านโครงสร้างองค์การนั้นกรมศุลกากรมีบทบาทในฐานะสำนักปฏิบัติการ 4 ที่มุ่งเน้นภารกิจด้านการป้องกันและปราบปรามการลักลอบหนีศุลกากรทางทะเลในรูปแบบของการบูรณาการ และได้มีการจัดทำแผนเผชิญเหตุ กรณีการลักลอบขนส่งอาวุธที่มีอานุภาพทำลายล้างสูงทางทะเล เพื่อเป็นแนวทางปฏิบัติในการบูรณาการร่วมกันระหว่างทั้งหน่วยงานภายในศูนย์อำนวยการรักษาผลประโยชน์ของชาติทางทะเลและหน่วยงานอื่นที่เกี่ยวข้อง ทั้งในระดับภาวะปกติจนถึงภาวะที่ไม่ปกติที่อาจส่งผลต่อความเสียหายของประเทศอย่างร้ายแรง ทั้งนี้ ในด้านการปฏิบัติงานนั้น พบข้อจำกัดและอุปสรรคที่สำคัญคือ การขาดแคลนเรือตรวจการณ์ สถานที่จอดเรือ และระบบเทคโนโลยีในการติดตามเรือ ที่มีความเหมาะสมในการปฏิบัติงานในบางพื้นที่ รวมทั้งจำนวนบุคลากรที่ไม่สอดคล้องกับปริมาณงาน และวัฒนธรรมในการบูรณาการร่วมกันที่ควรมีการพัฒนาในรูปแบบการยึดผลงานและบทบาทการมีส่วนร่วมของผู้นำองค์การอันจะนำมาสู่การเพิ่มประสิทธิภาพในการปฏิบัติงานแบบบูรณาการมากยิ่งขึ้น

Pericardial Fluid Proteomic Label-Free Quantification Of Differentially Expressed Proteins In Ischemic Heart Disease Patients With Systolic Dysfunction By Nano-Lc-Esi-Ms/Ms Analysis, Junaid Ullah, Satwat Hashmi, Arslan Ali, Faisal Khan, Shahid Ahmed Sami, Nageeb Basir, Syedah Saira Bokhari, Hasanat Sharif, Hesham R. El-Seedi, Syed Ghulam Musharraf

Department of Biological & Biomedical Sciences

Left ventricular systolic dysfunction (LVSD) is common in patients with pre-existing ischemic heart disease (IHD) and myocardial infarction. An untargeted proteomic approach is used to improve the understanding of the molecular mechanisms associated with LVSD and to find out potential proteomic signatures in pericardial fluid. The pericardial fluid of IHD (n = 45) patients was grouped into two categories according to the left ventricular ejection fraction, LVEF ≥45 (n = 33) and LVEF <45 (n = 12), and analyzed by using nano-liquid chromatography–mass spectrometry (nano-LC-MS/MS) technique. The nano-LC-MS/MS analysis resulted in the identification of 709 pericardial fluid (PF) proteins …

Neutroalgebra For The Evaluation Of Barriers To Migrants’ Access In Primary Health Care In Chile Based On Prospector Function, Diego Silva Jiménez, Juan Alexis Valenzuela Mayorga, Mara Esther Roja Ubilla, Noel Batista Hernández

Neutrosophic Sets and Systems

No abstract provided.

Exploring Eating Disorders In Athletes: A Literature Review And Analysis Of Prevention Strategies, Emily Schotzko

Honors Program Theses

Both clinical and subclinical eating disorders (ED) are marked by body image disturbance and preoccupation with food, weight, and body shape, and lead to harmful weight management behaviors if not prevented or treated (Bratland-Sanda & Sundgot-Borgen, 2013). While there is a multitude of risk factors that influence the likelihood of developing an ED, one particular factor that has garnered significant attention recently is participation in athletics. Studies show that while athletics can build self-esteem and promote overall well-being,there is evidence that athletes are at an elevated risk for ED development (Hinton & Kubas, 2005). Researchers suggest this risk can be …

The Influence Of Gain-Loss Framing And Its Interaction With Political Ideology On Social Distancing And Mask Wearing Compliance During The Covid-19 Pandemic, Jordan Steffen

Honors Program Theses

The COVID-19 pandemic has caused millions of cases and over half a million deaths in the United States.While health experts urge citizens to adopt preventative measures such as social distancing and wearing a mask, these recommended behaviors are not always followed by the public. To find a way to promote preventative measures, the present study examined the role of gain-loss framing of COVID-19 related messages on social distancing and mask wearing compliance. Moreover, the study also tested potential moderating effects on framing with three individual characteristics: political ideology, subjective numeracy, and risk attitude. A sample of 375 U.S. adult residents …

Prevalence And Health Burden Of Cardiovascular Disease In Older U.S. Veterans: Results From The 2019-2020 National Health And Resilience In Veterans Study, Cailin Arechiga

Public Health Theses

Importance. Cardiovascular disease (CVD) is one of the leading causes of death in the U.S. and is associated with a range of demographic, military, trauma, and clinical characteristics and physical and mental health conditions. Older military veterans may have an increased risk for CVD, given their advanced age and military experiences. However, the prevalence and health burden of CVD in population-based samples has not been well characterized. Objective. To characterize the current prevalence of CVD, and its association with sociodemographic, military, trauma, and clinical variables in a large, contemporary, and nationally representative sample of older U.S. veterans. Design. Cross-sectional study …

United States Long-Term Trends In Adult Bmi From 1959 To 2018 By Income, Education, And Race/Ethnicity, Julia Banas

Public Health Theses

Obesity prevalence has increased dramatically since the 1950s. While cross-sectional comparisons across racial, ethnic, and socioeconomic groups are abundant, there is less work on long-term trends. We assessed trends in average adult body mass index (BMI) in the United States by income, education, and racial/ethnic groups from 1959 to 2018 using the National Health and Nutrition Examination Survey, which assesses repeated cross-sectional, representative samples of the United States population. Height, weight, income, education, and race variables were extracted from raw data files; income data was converted to constant dollars prior to analysis. BMI was calculated from height and weight measurements. …

Utilizing Covid-19 Models In Humanitarian Crisis Settings, Duane Barksdale

Public Health Theses

Since the emergence of the COVID-19 pandemic in late 2019, several researchers and decision-makers have turned to statistical modeling to inform predictions of the severity of the burden of infection and disease in various settings. While it is understood that no model can perfectly describe the transmission of a novel and highly transmissible pathogen, there still lies the potential for models to be useful tools for local and international decision makers to act proactively to mitigate the burden of disease. In Syria, these challenges are compounded by humanitarian crises resulting from the ongoing civil war in the region. This conflict …

Healthcare Provider Perspectives On The Influence Of Cultural Beliefs On Infant And Young Child Feeding Practices Within Ghanaian Refugee Camps: A Qualitative Analysis, Morgan Nadene Veronica Buchanan

Public Health Theses

Adherence to breastfeeding and complementary feeding recommendations is a proven strategy for promoting the well-being of infants and young children and ensuring their proper development. Cultural beliefs inform caregivers’ likelihood to follow these guidelines as they influence caregivers’ thoughts about maternal behavior during the prenatal and lactation periods, child feeding behaviors, and health. Refugee camps or settlements are a unique space to study the coexistence of cultural beliefs held by residents and staff. Understanding the pathways by which cultural beliefs modulate caregiver infant and young child feeding (IYCF) behavior (and therefore impact child health) within these settings is of paramount …

A Critical Examination Of Corporate Ideology In Educational Policy And Practice: The Real Cost, Grace Brady

Honors Program Theses

In this thesis, I provide a historical background and conceptual analysis of how we arrived at our current educational policy landscape. By tracing educational policy and practice through the 20th century, I offer a critical perspective on contemporary educational policy and practice. Specifically, I assess how corporate culture and corporate ideology influenced contemporary educational policy. Additionally, I explore alternatives and possible recommendations for reforming education in both policy and practice through preservice teacher education and funding for public schools.

Caesarean Delivery Among Women Of Color Is Associated With Risk Of Early Childhood Developmental Delays In Brazil, Haley Case

Public Health Theses

Background. Poverty, racism, and other sources of oppression threaten children’s nurturing environments and associated early childhood development (ECD). Women of Color and their children are disproportionately exposed to risk factors for poor ECD in Brazil. There is a growing body of evidence supporting the claim that unnecessary cesarean section (CS) is associated with poor maternal health outcomes and ECD delays. There is an existing gap in the literature on risk factors, including obstetric factors, of poor ECD among children of Women of Color in Brazil.

Objective. The objective of this thesis was to investigate factors, including obstetric characteristics of CS …

Dreamkit: An Innovative Mobile Health Intervention For Addressing Youth Homelessness, Eva G. Graf

Public Health Theses

Background: Homeless youth experience a variety of barriers to becoming employed and ending their episode of homelessness. DreamKit is a mobile intervention designed to help youth exit their episode of homelessness by paying them to upskill themselves and become more qualified for employment. This thesis explores the feasibility and usability of a mobile application intervention among homeless and housing insecure youth in the greater New Haven area.

Methods: We used a multiple-methods study design that included a formative research phase where we explored whether or not an app would be used by housing-insecure youth; a second pilot phase was included …