Digital Commons Network^™

A Systematic Literature Review On Long-Term Care Quality Improvement Initiatives In The United States, Daisy D. Pang

Capstone Experience: Master of Public Health

As the number of people 65 and older increases due to the baby boomer population, there will be a greater demand for long-term care (LTC) services. Quality improvement in LTC is essential to ensure positive health outcomes, patient satisfaction, and reduction in healthcare costs. The purpose of this systematic literature review is to identify the current quality initiatives for LTC in the United States and evaluate the outcomes, effects, and values of each quality initiative identified to support the claim that current the quality initiatives have a limited effect on quality improvement in LTC settings. The Preferred Reporting Items for …

The Association Of Apgar Score Outcomes With The Number Of Midwife Antenatal Care Visits Among Infants Born To Rohingya Refugees In Cox’S Bazar, Bangladesh, Vickie Doss

Capstone Experience: Master of Public Health

A cross-sectional study was conducted at the HOPE Foundation for Women and Children of Bangladesh Field Hospital in Cox’s Bazar, Bangladesh, to examine the relationship between the number of antenatal care visits (ANCV) and Apgar scores. This study aims to explore the association between the number of ANCV and Apgar scores in neonates born to Rohingya refugee women. The medical records at HOPE Field Hospital of 182 post-delivery Rohingya women in the Mhodhurchora refugee camp were collected through a medical chart review to

obtain the number of ANCV and 1-minute and 5-minute Apgar scores. The Apgar scoring system is a …

A Qualitative Survey Research Study: The United States Department Of Agriculture Commodity Supplemental Food Program: An Examination Of Operational Challenges And Recommendations, Brianna Cochran

Capstone Experience: Master of Public Health

Background

The United States Department of Agriculture (USDA)’s Commodity Supplemental Food Program (CSFP) has been nationally adopted in 60 states or Indian Tribal Organizations (ITOs) to improve the health of low-income persons at least 60 years of age by supplementing their diets with nutritious USDA Foods. Despite the potential effectiveness of the program, less is known about the operational challenges in the program implementation at the state and local health department. The goal of the study is to identify factors related to program operations including facilitators and barriers of implementation of the USDA CSFP under a national lens.

Methods

An …

Associations Between Demographic, Social Determinant, And Health Factors And Self-Management Measures Among Insured Individuals With Type 2 Diabetes, Shari Bowers-Dueker

Capstone Experience: Master of Public Health

Background: Ensuring that individuals with type 2 diabetes properly manage their chronic condition is a nation-wide challenge, even among individuals who have health insurance coverage and access to the treatment they need. There exist several literature sources that suggest various factors that may influence an individual’s lack of self-management of type 2 diabetes. This study investigated some of these factors by determining whether various demographic, social determinant, and health factors were associated with three self-management measures among individuals with type 2 diabetes.

Methods: The self-management measures of interest included (i) whether the annual recommended two primary care visits were attended …

Food Insecurity And Child Development In Nebraska: The Role Of Income, Home Learning Environment, And Family Socio-Demographic Factors, Marlette Grace Dulcinee Mabiala-Maye

Capstone Experience: Master of Public Health

Food insecurity is a well-known risk factor for delayed child development. Still, the contribution of other factors, such as income, home learning environment (HLE), and family socio-demographic factors, remains to be determined. Therefore, the study aimed to determine the association between food insecurity and child development and assess the role of income, HLE, and family socio-demographic factors in that association. We used secondary data from the Nebraska Early Childhood Study, a cross-sectional study of caregivers of children under five years old in Omaha and Lincoln. Child development, food insecurity, and HLE were measured using a caregiver report of child development. …

Association Between Socioeconomic And Behavioral Characteristics With Urinary Neonicotinoid Levels In The United States, 2015-2016, Komi Nomessi Akliku

Capstone Experience: Master of Public Health

Neonicotinoids are a class of pesticides developed in the 1980s and widely used in agriculture and households. They are sources of health damage in mammals, as identified in experimental studies in rats. The health effects identified were acetamiprid: memory dysfunction, respiratory failure, and digestive troubles; imidacloprid: liver and brain cell necrosis through Nitric Oxide formation: Thiacloprid induces an increase of cytokine proinflammation and causes cell division disturbance and genotoxicity; thiamethoxam is incriminated in reproductive system toxicity and cardiotoxicity; clothianidin is found to be associated with fertility troubles affecting spermatozoids’ motility. They have been said to be associated with thyroid cancer …

Rural/Urban Differences In Five-Year Survivorship In Pediatric Cancer In United States, Hong Li

Capstone Experience: Master of Public Health

Background: In the United States, five-year survival rates for pediatric (ages 0-19 years) cancer have improved since the mid-1970s due to treatment improvement. Research on adult cancer patients suggested rural patients have worse survival than urban patients. However, there is a dearth of research on survivorship among children and adolescents diagnosed with cancer.

Aims: The aims of the study were to: 1) examine differences in five-year relative survival rates of pediatric cancer in the United States between children living in urban and rural areas from 2000-2014 and 2) examine differences in a risk of dying from pediatric cancer between children …

A Retrospective Analysis Of Rabies Lyssavirus Animal Testing In Nebraska, 2012 Through 2021, Elijah Theye

Capstone Experience: Master of Public Health

Background: Rabies is a zoonotic disease caused by a neurotropic virus that has been a public health issue for over 4,000 years, killing roughly 59,000 humans globally each year. This study examined the seasonality of bat-human exposures, the association between animal-human exposure types and animal rabies positivity, and using skunk monthly positivity rates to predict all non-skunk non-bat animal positivity rates with a lag time of six months, in Nebraska.

Methods: Animal rabies testing data from 2012-21 were extracted from Nebraska’s Electronic Disease Surveillance System. Animal tests that had a valid animal rabies test were included in the analyses. To …

Implementing A Prescreening Process To Fully Assess Risk Factors And Outcomes Associated With Obesity And Hepatic Steatosis To Prevent Cirrhosis, Shana Broussard, Jennifer Eaglebarger

Doctoral Projects

Fatty liver disease can be treated if is identified in the initial stages of the disease. Once the disease progresses to fibrosis and/or cirrhosis, there is irreversible damage. The leading cause of non-alcoholic fatty liver disease is obesity. Obesity has reached epidemic proportions, with most obese individuals not fully cognizant of the repercussions of prolonged obesity. Other risk factors for fatty liver disease are uncontrolled diabetes mellitus, hyperlipidemia, and hypertension. Certain medications can also increase the risk of fatty liver disease. Currently, there is no prescreening tool to identify patients who are at risk for fatty liver disease. The researchers …

Assessing The Impact Of Impact Investing: Practices, Challenges, And Opportunities Towards The Standardization Of Impact Assessment Mechanisms, Taylor Poe

Finance Undergraduate Honors Theses

This research project focuses on gathering information on which impact measurement mechanisms are currently used in the impact investing industry, and how these mechanisms are standardized across various firms, geographic locations, and fund types. The overarching goal of the study is to provide an assessment of the impact investing industry and the use of standardized impact assessment practices. The specific goal of this research study is to collect and present information on the current state of impact measurement standardization. Research is separated into three large components: interviews with industry leaders, findings from social finance conferences, and research of scholarly sources. …

Does Cultural Immersion Around The World Create Stronger Students? A Study Of The Benefits Of Studying Abroad On Students’ Mental Health And Wellbeing., Hanna Lynn Strombom

Finance Undergraduate Honors Theses

Mental illnesses have been increasing throughout the population of the United States. College-aged students are being affected by mental illnesses at alarming rates. This is a pivotal age range for people as they transition towards more adult responsibilities. Universities provide its students a lot of opportunities to prepare them for the real-world. One of these opportunities that has become popular amongst students is studying abroad. This research focuses on the effects of study abroad on students’ mental health and wellbeing. 104 students from the summer 2022 CIMBA study abroad program participated in this study. This set of respondents encompassed ten …

Effect Of Soy Co-Products In Supplements For Grazing Cattle On Growth, Complete Blood Cell Counts, And Physiological Response Following A Lipopolysaccharide Challenge, Bralee Lansdell

Biological Sciences Undergraduate Honors Theses

The objective of this study was to determine the effect of soy co-products (soybean meal and soy oil) in the diet on the growth and hemocytology of cattle during a 56-day growing phase and the physiological/behavioral response to an endotoxin challenge. Angus crossbred steers (n = 36; 289 ± 31 kg, initial body weight ± SD) were stratified by body weight and sire; and assigned randomly to pastures (n = 9; 0.45 ha/mixed-grass pasture). Pastures were assigned randomly to 1 of 3 dietary treatments: 1) a control supplement containing no soy co-products, 2) a supplement containing soybean meal, or 3) …

Journal Of Food Law & Policy - Spring 2023, Journal Editors

Journal of Food Law & Policy

No abstract provided.

Effects Of The Lack Of Transportation On Health, Nibitika Khadka

2023 Spring Honors Capstone Projects - Archive

Health is affected by a multitude of factors; however, most people do not realize how significant of an impact environmental health can have on the human body. Environmental health is made up of several components, one of the most notable being transportation. In Arlington, Texas, there is a lack of public transportation. Instead, residents rely on ride-share services such as Via, Uber, or Lyft (City of Arlington, 2022). This can cause air pollution rates to skyrocket, as most residents need to rely on their own form of transportation or on someone else’s car – whether its someone they know or …

The Relationship Between County-Level Rates Of Obstetric Care Providers And Rates Of Preterm Births In Rural And Urban Counties., Toni-Ann Samuels

2023 Spring Honors Capstone Projects - Archive

Preterm births have been rising in the United States. Texas rural hospital closures are rising, which could contribute to fewer OB-GYNs and poorer birth outcomes. The purpose of the research was to determine correlations between OB-GYNs and preterm births in rural and urban Texas counties using secondary data from the Area Health Resources Files. The design was cross-sectional, descriptive, and correlational. There was a moderate, statistically significant correlation between preterm births and OB-GYNs in both rural (n=115, rs= 0.53, p=<0.0001) and urban (n=72, rs= 0.73, p=<0.0001) counties. On average, there was 1 OB-GYN per 10,000 female population aged 15-44 in rural counties compared to 3 OB-GYNs per 10,000 in urban counties. Given that more urban OB-GYNs are available, further research is needed to understand factors influencing where rural women deliver babies (rural or urban hospitals), and how factors contribute to preterm birth differences among women residing in rural and urban areas

Prenatal Depression And Birth Complications: Comparisons By Race And Age Group, Kehari M. Guice

2023 Spring Honors Capstone Projects - Archive

Health disparities among Black childbearing women illustrate physical and mental health concerns. The current study compared prenatal depression (PND) rates and birth complications between Black adult and adolescent women and all age Black and White women. This was a comparative study using a secondary analysis of data previously collected from two separate Institutional Review Board (IRB) approved primary studies assessing the mental health of a diverse group of childbearing women. Findings indicated that among Black women, there was no significant difference by age for PND, t=.530 (84), p=.59. Significant findings, however, revealed a difference in reported PND between Black and …

Cost-Effectiveness Analysis Comparing Integrated And Malaria-Only Social And Behavior Change Programming In Nigeria: Final Report, Avenir Health

Sexual and Reproductive Health, Rights, and Choices

In Nigeria, the Breakthrough ACTION project, funded by the United States Agency for International Development (USAID)/Nigeria, is working closely with the Nigerian government to improve the practice of priority health behaviors, with a focus on maternal, newborn and child health and nutrition, family planning and reproductive health, malaria, and tuberculosis. Within the broader program, Breakthrough ACTION uses different social and behavior change (SBC) approaches in different states. In northern Nigeria, Breakthrough RESEARCH compared the cost-effectiveness of the integrated SBC approach addressing multiple health areas in Kebbi and Sokoto states to a malaria-only approach in Zamfara. This cost-effectiveness study examined whether …

Cost-Effectiveness Analysis For Integrated Social And Behavior Change Programming By The Resilience In The Sahel Enhanced Ii Program In The Maradi And Zinder Regions Of Niger, Avenir Health

Sexual and Reproductive Health, Rights, and Choices

In March 2020, Breakthrough RESEARCH began applying their Guidelines for Costing Social and Behavior Change Health Interventions to the Resilience in the Sahel (RISE) II program in Niger for a cost-effectiveness analysis that will run until 2022. The purpose of this document is to share the findings of the application of the guidelines and provide an example and guidance for social and behavior change researchers and implementers on how these guidelines can be applied to other case study applications.

A Mixed Methods Study On Urban Educators’ Feelings Of Preparedness To Implement Practices That Impact Social And Emotional Learning In A Mid-Pandemic Environment, Emily Dittmer

Dissertations

The purpose of the mixed methods study was to evaluate urban educators’ perceptions of their preparedness to implement social and emotional learning strategies in their classrooms/workspaces as well as to understand what the educators’ experiences were as their students returned to a five day a week school schedule after a year and a half of disruptions due to the COVID-19 pandemic. Those involved in the study included educators from four K-8 public charter schools located in an urban Midwestern environment. Quantitative data was obtained through the administration of two identical surveys that were completed by volunteer participants at two different …

Microbiome Recovery Of The Upper Clark Fork River Restoration Site, Danella Stapley

Graduate Theses & Non-Theses

Soil microorganisms provide ecosystem functions and services critical for life, can have lasting effects on aboveground plant communities, and can serve as indicators of soil quality. However, biotic indicators are underrepresented in soil health assessments. Incorporating microbial soil evaluations in ecological restoration studies are important in order to obtain a more comprehensive understanding about their role in healthy soil development. In this study, we used three bioindicators to assess the post-restoration soil microbiome recovery of the Upper Clark Fork River: extracellular soil enzyme activity, microbial biomass, and microbiome community and diversity. We found that microbiome recovery rate varied at different …

Neonatal Reference Intervals For Thyroid Stimulating Hormone And Free Thyroxine Assayed On A Siemens Atellica® Im Analyzer: A Cross Sectional Study, Geoffrey Omuse, David Kawalya, Patrick Mugaine, Assumpta Chege, Daniel Maina

Pathology, East Africa

Background Deriving population specific reference intervals (RIs) or at the very least verifying any RI before adoption is good laboratory practice. Siemens has provided RIs for thyroid stimulating hormone (TSH) and free thyroxine (FT4) determined on their Atellica® IM analyzer for all age groups except the neonatal age group which provides a challenge for laboratories that intend to use it to screen for congenital hypothyroidism (CH) and other thyroid disorders in neonates. We set out to determine RIs for TSH and FT4 using data obtained from neonates undergoing routine screening for CH at the Aga Khan University Hospital, Nairobi, Kenya. …

Validity Of The Loadsol Pro Insole For Pedal Reaction Force Measurements During Stationary Cycling, Anabelle Vallecillo Bustos

Honors Theses

Advancements in wearable technology have allowed clinicians, coaches, and researchers the ability to observe and quantify human movement outside the laboratory. Instrumented insoles are an example of novel technology that can be worn in the shoes and measure vertical reaction force wirelessly. The use of such insoles will prove to be beneficial for athletes as they train, patients as they progress through rehabilitation, and researchers as they experiment in their respective fields. The Loadsol Pro (Novel Inc., St Paul., MN, USA) has been shown to produce accurate and reliable measures of ground reaction forces (GRF) in various dynamic activities including …

Aged 539 - Internship Project - Merced College, Jose M. Perez

Agricultural Education: Graduate Internship Reports

This project report details program management and improvement of the Mechanized Agriculture Program at Merced College, as well as documentation outlining quality program criteria in support of AGED 539.

Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier

LSU New Orleans Theses and Dissertations

Perinatal loss (i.e., miscarriage, stillbirth, termination, and infant death) is commonly referred to in the literature as an invisible loss, non-loss, and even medical event. It is an ambiguous loss exhibiting the dialectical contradiction between the physical absence and psychological presence of the baby accompanied by disenfranchised grief, a reaction to a loss that is unacknowledged by society. Despite the likelihood of mental health clinicians working with clients who have experienced perinatal loss, there has yet to be a therapeutic model designed specifically for the unique grief and trauma reactions presented in this population. Existing grief models do not address …

The Perception Of Hybrid Nutrition Education Among Limited Income Families In Tennessee, Rita Jackson

Masters Theses and Doctoral Dissertations

The issue of obesity continues to be a concern in the US. Throughout the years, research has shown that adopting healthier eating habits and increasing physical activity can help people lead healthier lives. Families of low socioeconomic status suffer disproportionately from poor health. Nutrition education programs have been successful in supporting program participant’s efforts towards health; however, recruiting and retaining program participation has been challenging. Completing a series of face-to-face classes has been difficult for this population due to various barriers they face. Providing distance-based opportunities, such as hybrid nutrition education programs, could assist in overcoming some of these barriers. …

The Role Of The Tennessee 4-H Specialist As Perceived By 4-H Agents, Justin Crowe

Masters Theses and Doctoral Dissertations

The primary purpose of this study was to examine the perception of 4-H agents in terms of the role of the state level Extension 4-H specialist. The population included 225 county level 4-H agents employed by either University of Tennessee or Tennessee State University Extension. Data analyses for this study included an examination of demographic factors and 13 questions related to perception (quantitative) as well as three open ended questions (qualitative). Five research questions were examined to determine the perceived role of the 4-H specialists from the perspective of the current 4-H agents and identify what differences exist between role …

Fifteen And Almost Famous: The Realities And Misperceptions Of Sexual Violence In The Music Industry, Emma Dotson-Jackson

Masters Theses and Doctoral Dissertations

Prior research has explored the sexualization and objectification of women across media platforms, but very little attention has been devoted to examining the depiction of minors as sexual objects in the music industry. Given the illegality of forced sexual acts and consensual adult-juvenile sexual relationships, as well as the harmful effects, the current study utilizes a content analysis to identify popular musicians from various genres who have committed acts of sexual violence spanning from 1957-2021. Thus, this study examines incidents of sexual violence, specifically statutory rape, committed by musicians, their use of their celebrity to engage in such behaviors, and …

Distinct Hyperuricemia Trajectories Are Associated With Different Risks Of Incident Diabetes: A Prospective Cohort Study, Jia Liu, Huiying Pan, Yue Liu, Mengying Guan, Xia Li, Shuo Chen, Xingyao Tong, Yanxia Luo, Xiaonan Wang, Xinghua Yang, Xiuhua Guo, Jingbo Zhang, Lixin Tao

Research outputs 2022 to 2026

Background and aim: Conflicting results suggest a link between serum uric acid and diabetes and previous studies ignored the effect of continuous exposure of serum uric acid on diabetes risk. This study aims to characterize hyperuricemia trajectories in middle-aged adults and to examine its potential impact on diabetes risk, considering the role of obesity, dyslipidemia, and hypertension. Methods and results: The cohort included 9192 participants who were free of diabetes before 2013. The hyperuricemia trajectories during 2009–2013 were identified by latent class growth models. Incident diabetes during 2014–2018 was used as the outcome. Modified Poisson regression models were used to …

Healthcare Workers’ Perceptions, Practices, And Knowledge Of Trauma-Informed Care In The Hospital Setting, Emily Gayle Tippens

Electronic Theses and Dissertations

Psychological trauma has become a pervasive term throughout the mental health field but has been slow to gain momentum in the healthcare field. Hospitals have always been a place where people with mental health concerns or psychosis seek help, but hospitals have historically not implemented a trauma-informed care (TIC) approach. As the mental health crisis continues to become more detrimental, trauma-informed care skills will become more valuable. This study measured the knowledge, opinions, perceptions healthcare professionals in West Texas have regarding trauma-informed care. This study hypothesized that healthcare workers in West Texas would benefit from TIC training. This study hypothesized …

Drivers Of White-Tailed Deer (Odocoileus Virginianus) Behavior, Survival, And Population Growth In The Piedmont Of South Carolina, Michael Muthersbaugh

All Dissertations

Prey species adjust behaviors in response to various stimuli, responding to both top-down and bottom-up pressures. Large herbivores must attempt to avoid predation either through adjusting behaviors or seeking spatial or temporal refugia, which can scale up to influence individual fitness and ultimately population dynamics. Specifically, predation risk has a great potential to influence ungulate populations by impacting behaviors and survival. Our objective was to quantify ungulate behavioral and population response to a regionally important predator through a case study – white-tailed deer (Odocoileus virginianus) responses to coyotes (Canis latrans) on private lands in the Piedmont …