Digital Commons Network^™

Evaluation Of One Health Education Materials: A Scoping Review And Quality Assessment, Sydney Jones

Public Health Theses

The increasing risk of zoonotic spillover, driven by climate change and evolving human behaviors, requires a systematic shift in pandemic prevention strategies towards a One Health approach. Central to this approach is effective health communication intended to translate knowledge into actionable recommendations for the most vulnerable populations. This thesis aims to systematically evaluate the quantity and quality of existing One Health communication materials through a scoping review and two distinct methods of quality evaluation: the CDC Clear Communication Index and content analysis. Among 82 communication materials identified in the scoping review, the median overall CDC Clear Communication Index score was …

Real-World Rollout Of Injectable Antiretrovirals For Hiv Prevention And Treatment: Understanding Predictors Of Early Adoption, Liza Koshy

Public Health Theses

Background: Data is limited on implementation of long-acting injectable (LAI) HIV treatment (ART) and prevention (PrEP). We sought to characterize “early adopters” of LAI ART and PrEP in terms of social determinants of health, using a health equity lens. Methods: A retrospective cohort included patients prescribed ART or PrEP through a large Northeast urban health system (January 2021-September 2023). Separate analyses used electronic health record data for: 1) prevention (LAI vs. oral PrEP) and 2) treatment (LAI vs. oral ART). Group differences were examined using ANOVA, chi-square tests or Fisher’s exact tests. Bivariate logistic regression modeled associations between LAI ART …

Exploring The Connections Between The Arts And Mental Health In The Face Of Climate Change, Marla Joy Minkoff

Public Health Theses

Objective: This study aims to explore how engagement with art may shape emotions related to the climate crisis and expand the conception of art as a mechanism of public health practice.Background: Climate change impacts human health not only physically but also psychologically, manifesting in symptoms of climate emotions (e.g., ecological grief, eco-anxiety, eco-paralysis) that arise as a result of changes to the earth and our relationship to the natural world. These symptoms are among the pressing mental health effects of climate change. Methods: A qualitative approach utilizing the Rapid Assessment Process (RAP) was employed to conduct semi-structured interviews (N=10) with …

“Their Body, Their Choice. Your Body, Your Choice. Your Baby, Your Choice.”: A Reflexive Thematic Analysis Of Vaccine Access And Acceptance Among U.S. Pregnant People On Reddit, Sydney Marie Perlotto

Public Health Theses

Compared to the general population, pregnant people and newborns are at a higher risk of contracting infectious diseases and experiencing worse adverse outcomes. Vaccines delivered during pregnancy, known as prenatal vaccines, represent a critical yet underused form of preventive care for these populations in the United States. Increasing successful prenatal vaccination uptake requires a focus on both access and acceptance, which pregnant people may experience differently than non-pregnant people due to their unique physiological and social state. Given the evolution of vaccine hesitancy following the COVID-19 pandemic, coupled with the recent expansion of the U.S. prenatal immunization schedule, this study …

Determining Optimal Media For Carbapenem-Resistant Enterobacteriaceae Recovery From Hospital Sink Drains: A Prospective Environmental Microbial Study, Eryn Larissa Pawluk

Public Health Theses

Abstract Background: Environmental healthcare-associated pathogens are of particular public health concern, not only as potential contributors to the escalating rates of hospital-acquired infections1 noted during the SARS CoV-2 pandemic, but also as valuable indicators for multidrug resistance2. Their significance extends to infection prevention and control, emphasizing the pivotal role of shaping specific interventions within healthcare settings.

Rationale: The study investigates R2A agar’s efficacy in recovering environmental pathogens, specifically carbapenem-resistant Enterobacteriaceae (CRE), crucial for enhancing infection prevention and control in healthcare settings.

Objectives: In this prospective study conducted within hospital environments, our objective is to identify superior culture methods for recovering …

Macronutrient Intake In Us Adults: Race, Gender, Age, Education, Ana Karina Raygoza Cortez

Public Health Theses

Background: The US has seen a consistent increase in obesity rates over the last sixty years across all racial and ethnic groups, with similar trends even among privileged groups. This study examines Macronutrient intake trends in US adults from 1999-2018 and their association with demographic factors: race ethnicity, age, gender, and education.

Methods: We conducted a serial cross-sectional analysis of US adults using 24-hour dietary recall data from 10 NHANES survey cycles (1999-2018). Piecewise regression models identified significant dietary pattern changes over time, by demographic groups. Statistical analysis was done in R and SAS utilizing NHANES sampling weights.

Results: Study …

Examining The Relationship Between Pcv13, Respiratory Viruses, And Invasive Pneumococcal Disease In Massachusetts Children, Kaitlin Soden

Public Health Theses

The landscape of the burden of invasive pneumococcal disease (IPD) in Massachusetts children has been shaped by both the introduction of the 13-valent pneumococcal conjugate vaccine (PCV13) in 2010 as well as the relationship with respiratory viruses, like influenza and COVID-19. The implementation of non-pharmaceutical interventions (NPIs) and dramatic decline in non-COVID circulating respiratory viruses during the initial waves of the COVID-19 pandemic provided a unique opportunity to evaluate the relationship between respiratory viruses and IPD in Massachusetts children. Using weekly surveillance data for IPD, influenza, and COVID-19 in Massachusetts children 5 years of age and younger from the Massachusetts …

“I Don't Work For The Prison. I Don't Work For The Hospital Either. I’M Yours. Who Else Here Is Yours?” A Qualitative Analysis Of Facilitators And Barriers Of Launching Enhanced Perinatal Programs In Seven State Prisons, Karenna Thomas

Public Health Theses

The United States incarcerates women at the highest rate globally (Fair & Walmsley, 2022), while simultaneously failing to provide incarcerated individuals with adequate reproductive health care. Perinatal programs, including a combination of one-on-one and group prenatal and postpartum education, labor and birth support with a doula, separation support, and lactation care have been implemented as an alternative to standard care in around 21 states (Wilson et al., 2022). While the efficacy of these programs among incarcerated individuals has been established (Bard et al., 2016; Barkauskas et al., 2002; Schroeder & Bell, 2005; Shlafer et al., 2018; Shlafer, Saunders, Boraas, et …

Cost-Effectiveness Analysis Of Alternative Infant And Neonatal Rotavirus Vaccination Schedules In Malawi, Catherine Wenger

Public Health Theses

Rotavirus is the leading cause of cases and deaths related to diarrhea-related hospitalizations among children under five worldwide, especially in low- and middle- income countries. Although vaccination is proven to be the best strategy for preventing rotavirus, its impact has been suboptimal in LMICs.

The primary aim of this study was to evaluate the impact of and cost- effectiveness of the current Rotarix rotavirus vaccine, two alternative vaccine delivery schedules, and the next-generation vaccine (RV3-BB) in Malawi.

The cost-effectiveness of rotavirus vaccine strategies in Malawi was evaluated using moderate-to-severe and non-severe rotavirus cases derived from a mathematical model ofrotavirus transmission …

Assessing The Correlation Between Per- And Polyfluoroalkyl Substances (Pfas) Exposure And Cancer Incidence In The U.S., Xiaoqing Zhang

Public Health Theses

AbstractThe study seeks to understand the relationship between key PFAS contaminants and their potential to cause cancer in the United States. It also aims to find out how different PFAS exposures affect different types of cancer and how food can increase or decrease the risk of getting cancer. The study used secondary data from the government and other reliable sources. The process looked at PFAS exposure, food malnutrition, and cancer rates in the population by using both descriptive and inferential statistics. After looking at socio-economic factors and their health effects on the public, the results showed that PFOS, PFHxS, and …

The Impact Of The Covid-19 Pandemic On Cancer Prevention Behaviors In Selected Gen Z Population (Ages 18-25), Lan Zhang

Public Health Theses

Background: The COVID-19 pandemic has resulted in negative changes in health behaviors related to cancer. Recent studies in adults have identified factors leading to harmful/unhealthy lifestyle changes during the pandemic. However, little is known about the factors that predict worse cancer-related health behaviors among young adults.

Methods: The data used for this analysis were from a cross-sectional online survey conducted in Connecticut in 2021 regarding participant’s lifestyle behaviors during the COVID- 19 pandemic. Participants were recruited through social media networks of community partners and organizations within the Yale Cancer Center (YCC) catchment area. Participants included local minority and low socioeconomic …

Trauma-Informed Digital Health Interventions: A Scoping Review, Amelea Lowery

Public Health Theses

Background: Trauma exposure is a pervasive issue around the world and the impacts of trauma can be long lasting and detrimental to individual and population health outcomes. Trauma responses can influence and determine an individual or community’s approach in seeking supportive resources. Given the critical role of supportive resources and the prevalent use of technology and internet use, it is essential to understand how digital health interventions contribute to addressing trauma explicitly. This scoping review aims to explore the landscape of trauma-informed digital health interventions for adults, assess their outcomes, and identify their measurable impacts across various settings.Methods: A scoping …

It Is Time For A Precise, Narrowly Tailored Federal Right Of Publicity, Brandon Anand

Chapman Law Review

"A precise, narrowly tailored federal right of publicity will promote creativity and business rather than stifle it, and also protect First Amendment rights. In this article, Part I discusses whether the right of publicity should be considered a privacy or property right, and illustrates the importance of a publicity right. Part II provides an overview of the lack of consistency and uniformity between states’ right of publicity statutes. Finally, Part III examines what a federal right of publicity should look like and how a federal right would apply in practice."

Rap Rhyme, Prison Time: How Prosecutors Use Rap Evidence In Gang Cases, Charis Kubrin, Kyle Winnen, Rebecca Rogers

Chapman Law Review

"In this Article, we call for greater nuance and careful treatment of rap-related evidence in the courtroom, which includes recognizing rap’s history, conventions, and practices generally, and acknowledging rap’s complicated and complex intersection with gangs specifically. Greater nuance and more careful treatment will enable courtroom members, including judges and jurors, to make better informed evaluations regarding whether rap evidence, despite being prejudicial, is sufficiently probative and if so, what relevance it may have to the case. We preface this argument with a review of punitive policies and practices associated with gangs in the criminal justice system, and with a discussion …

Garland V. Cargill: It’S A Duck! Except At The Supreme Court . . ., Maureen Johnson

Chapman Law Review

Garland v. Cargill may go down as one of the most notorious cases ever handed down by the Supreme Court. By a 6-3 tally, “bump stocks”—which essentially turn semi-automatic weapons into machine guns—were deemed outside the purview of the National Firearms Act of 1934 (NFA). Initially, the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) determined that bump stock-converted weapons did not fall within the statutory definition of a machine gun. Amidst a bipartisan outcry following the 2017 Las Vegas Massacre, the ATF changed course, determining that bump stock conversions were indeed “machine guns” and therefore prohibited by the NFA. …

Reporting On Un Security Council: Decoding Media Bias, Alessandra Loiero

Dissertations and Theses

This thesis explores Western media's representation of the United Nations (UN), focusing on the Security Council's role in global conflict resolution. It examines how UN-accredited correspondents perceive the effectiveness of the Security Council, particularly when the body faces deadlock. The study employs text analysis techniques to identify biases and perceptions in media coverage, using The New York Times' reporting on the Ukraine conflict as a case study. It illuminates framing effects in journalistic narratives, revealing how journalists subtly interject their views when reporting, often revealing unrealistic expectations and shedding light on the limitations of the UN's mandate or its inability …

Explaining The U.S Failure In Afghanistan, Edwar Ramirez

Dissertations and Theses

This thesis offers a comprehensive analysis of the trajectory of U.S. foreign policy in Afghanistan spanning multiple administrations from Obama to Biden, contextualizing it within broader shifts in American interventionism since the Cold War. An examination of the Obama, Trump, and Biden eras, delineates the complexities of military interventions, nation-building endeavors, the limitations of incrementalism in addressing the multifaceted challenges of conflict resolution, and the challenges of maintaining stability in conflict regions while avoiding prolonged military engagements. Ultimately, it advocates for a comprehensive and more flexible approach to foreign policy, balancing idealistic aspirations with pragmatic considerations to safeguard national interests, …

Parasympathethic Nervous Activity And Social Exclusion In Borderline Personality Disorder, Rebecca E. Barnes

Dissertations and Theses

Abstract

The experience of being excluded is universally unpleasant. However, for individuals that suffer from Borderline Personality Disorder (BPD), the experience of social exclusion, or ostracism can be unbearable (Bortolla, et al., 2019). While there is a significant amount of research on physiological reactivity in BPD, no studies adequately connect the parasympathetic nervous system (PNS) responses of people with BPD to social exclusion which is critical to understand as the inability of the PNS of individuals with BPD to adapt to stressors may be a contributing factor to the elevated rate of suicide and suicide attempts in this clinical population …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Identity-Focused Therapist Self-Disclosure In Matched Sexual/Gender Minority Dyads: A Longitudinal Therapy Process-Outcome Study, Brian Thomas Neff

Dissertations and Theses

Therapist self-disclosure (TSD) is a controversial clinical intervention whose benefits and drawbacks remain contested. Notably, no prior research has differentiated explicitly between self-disclosures related to the therapist’s core identities and those peripheral to identity, and qualitative studies suggest that identity-focused therapist self-disclosure (TSD-I) may be beneficial when therapist and patient share at least one marginalized identity. LGBTQ+ people, who experience significant health disparities and utilize psychotherapy more than their heterosexual and cisgender counterparts, could benefit particularly from TSD-I. The mental and physical health challenges facing LGBTQ+ individuals are predominantly explained through minority stress theory, which suggests that societal prejudice and …

Atm-/-Ung-/- Mice Present Reduced Levels Of Switched Immunoglobulin Isotypes Igg1 And Igg3, Lyric M. Haughton

Dissertations and Theses

B cells excise and recombine the immunoglobulin heavy chain gene locus during class switch recombination (CSR). CSR is mediated by activation induced cytidine deaminase (AID) and results in a new immunoglobulin isotype that B cells will secrete and present. AID produces mutations that convert cytosines to uracils within the intronic switch regions that precede and follow the target immunoglobulin isotype coding sequence. To resolve the mutations, B cells conduct either base excision repair (BER) or mismatch repair (MMR). Inactivating genetic mutations in BER or MMR reduce CSR. For example, a knock-out of uracil DNA glycosylase (UNG) causes a 50% reduction …

The Mental Health Of Southeast Asian American Lgbtqia+ Adults, Phetsamone P. Phoummavong

Dissertations and Theses

The current study examines the prevalence of and relationship between mental health outcomes (depressive symptoms, anxiety) and adverse childhood experiences (ACEs) among a sample of Southeast Asian Americans (age: M = 26.6, SD = 4.0) who self-identified as sexual and gender minorities (e.g., gay, lesbian, bisexual, nonbinary, transgender, queer/questioning, intersex, asexual and plus [LGBTQIA+]) (n = 41). Our national online survey was co-developed with a partnering community-based organization (CBO), Mekong NYC, and was disseminated through Southeast Asian American and/or LGBTQIA+ serving CBOs, university-affiliated organizations, and relevant affinity groups.

Results indicate that participants in our sample who identified as female, …

Comparing Perceptions Of Continued Presence Of The Deceased And Unidentified Sensed Presence Experiences In A Non-Clinical Sample Of Paranormal Experients, Scarlet Sidwell

Dissertations and Theses

Research on individuals' paranormal experiences, particularly sensed presence experiences, has predominantly focused on bereavement contexts (Kamp et al., 2020; Evrard et al., 2021). However, less is understood about the similarities and distinctions between perceived presence of the deceased and unfamiliar sensory perceptions of presence. The present study employs both quantitative and qualitative methods to explore the phenomenology of individuals' sensory experiences of presence within two distinct domains: perceptions of the continued presence of the deceased (PCPDs) and unidentified sensed presence experiences (USPEs). The current study utilized data from a sample of paranormal believers and experients to test the hypotheses that …

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

The Role Of The Vibrio Cholerae Type Vi Secretion System During Kin Cell Interaction, Biofilm Formation And Priority Effects, Karen A. Castro

Dissertations and Theses

Vibrio cholerae’s Type VI secretion system (T6SS) is one of the arsenals used by the bacteria for its long-term survival in different environments, against a variety of opponents, and for its maintained pathogenicity in vulnerable regions of the world. Therefore, the more we understand about the activity of the T6SS, the closer we get to understanding its role in bacterial competition; inter-and-intra, and how this shapes a bacterial niche. Further, although the probiotic-like effect in the V. cholerae vaccine is described to work fast due to niche uptake hindering colonization of toxigenic strains, it is not yet clear if there …

From Bushwick To Portland: Bori Girls Of The Diaspora Revolutionizing The Puerto Rican Coming-Of-Age Narrative, Lily V. Alvarado

Dissertations and Theses

Trailblazing Puerto Rican women in the diaspora have challenged dominant imagery and fought against patriarchy, U.S. imperialism, and white supremacy through their writing. Writers like Esmeralda Santiago and Nicholasa Mohr have transformed the literary canon via the bildungsroman, highlighting the unique struggles of Boricua girlhood and proving that our stories matter. Two prominent female Boricua writers today, Elisabet Velasquez and Gabby Rivera, have raised the baton that has been passed down to them and revolutionized the Diasporican literary canon. In their respective texts, When We Make It: A Nuyorican Novel and Juliet Takes a Breath, Velasquez and Rivera highlight the …

An Exploratory Study Of The Effects Of Bis-Substituted Triazolium Bromide Salts On The Proliferation Of Wi-38 Lung Cells And H-1299 Lung Cancer Cells, Rakaiya Martin

Theses and Dissertations

Lung cancer is the leading cause of cancer deaths worldwide. The battle against this disease continues to challenge physicians and scientists daily, due to its various forms, treatments, and responses. Depending on the grade and stage of the disease, treatments can be extensive, encompassing surgery, chemotherapy, and radiation therapy. Though these therapeutics can prolong a patient’s life, they often have significant ramifications. For instance, radiation therapy has an extensive list of side effects, from organ damage to loss of fertility. These outcomes have driven scientists to explore the applicability of novel cancer treatments. Imidazolium and benzimidazolium salts have been shown …

Serving With Pride: Analyzing Lgbtq+ Personnel Policy In The U.S. Military, Sonja Woolley

CMC Senior Theses

This thesis examines the evolution of LGBTQ+ personnel policies in the U.S. military, analyzing how these changes reflect broader social transformations and the military’s role as both a mirror and catalyst in societal shifts. It traces the historical roots of discriminatory practices against queer and transgender servicemembers, identifying key periods of reform and resistance. Using institutional theory to dissect the mechanisms of policy adaptation, this paper focuses on coercive, mimetic, and normative isomorphism, which illustrate the complex interplay between external societal pressures, internal demands for legitimacy, and the professionalization of the military. Through detailed case studies, the thesis highlights how …

The Role Of Genetic Factors In Primary Hyperhidrosis, Audrey Yoon

CMC Senior Theses

Primary Hyperhidrosis (HH) is a disorder characterized by excessive sweating in focal areas, such as the palms, soles, craniofacial and axillary region. Over 2% of the world’s population is affected by some form of HH and often report low quality of life scores (QOLs) due to its physical and psychological effects. Current treatments, burdened with side effects and varying success rates, call for a more effective approach. This paper proposes a genome-wide analysis study (GWAS) to identify any genes and loci that are significantly associated with primary HH. Following the results of the GWAS, a subsequent gene knockout experiment is …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …