Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 101041 - 101070 of 1530789

Full-Text Articles in Entire DC Network

Hpv Vaccine-Related Articles Shared On Facebook From 2019 To 2021: Did Covid Make A Difference?, L Aubree Shay, Ashley Mckenzie, Elaine Avshman, Lara S Savas, Ross Shegog Dec 2024

Hpv Vaccine-Related Articles Shared On Facebook From 2019 To 2021: Did Covid Make A Difference?, L Aubree Shay, Ashley Mckenzie, Elaine Avshman, Lara S Savas, Ross Shegog

Faculty, Staff and Student Publications

OBJECTIVE: HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn to Facebook for health information. This study describes changes in HPV vaccine-related articles shared on Facebook amidst the COVID-19 pandemic.

METHODS: HPV-related articles shared on Facebook (2019-2021) were collected using Buzzsumo, a social media analytics tool and analyzed using content analysis. Articles were categorized by valence, misinformation, evidence types, persuasive tactics, and framing. We quantified these data and tested for difference by article year.

RESULTS: Of the 138 included articles, 51% had positive valence towards the vaccine and 36% had …


Practical And Lightweight Defense Against Website Fingerprinting, Colman Mcguan, Chansu Yu, Kyoungwon Suh Dec 2024

Practical And Lightweight Defense Against Website Fingerprinting, Colman Mcguan, Chansu Yu, Kyoungwon Suh

Electrical and Computer Engineering Faculty Publications

Website fingerprinting is a passive network traffic analysis technique that enables an adversary to identify the website visited by a user despite encryption and the use of privacy services such as Tor. Several website fingerprinting defenses built on top of Tor have been proposed to guarantee a user's privacy by concealing trace features that are important to classification. However, some of the best defenses incur a high bandwidth and/or latency overhead. To combat this, new defenses have sought to be both lightweight - i.e., introduce a small amount of bandwidth overhead - and zero-delay to real network traffic. This work …


The Unconscious At Work: A Psychosocial Study Of Leaders' Unconscious Processes Impacting Participatory Change Leadership, Vanessa Hills Dec 2024

The Unconscious At Work: A Psychosocial Study Of Leaders' Unconscious Processes Impacting Participatory Change Leadership, Vanessa Hills

Dissertations

This dissertation explores the varied dynamics impacting how organizational leaders conceptualize and enact their roles in participatory change processes. To that end, a multiple-case study informed by a psycho-social approach and using Free Association Narrative Interview (FANI) methods was conducted. Each case was comprised of a single business leader. The findings, presented through individual case analyses and cross-case comparisons, reveal a discrepancy between leaders’ rhetoric and the reality of their change leadership behaviors. While leaders express support for collaborative change, factors such as a desire for control, fear of failure, and bias toward their own capabilities lead them to adopt …


Analysis Of School Lunches- A Systemic Approach, Maggie E. Eguko Dec 2024

Analysis Of School Lunches- A Systemic Approach, Maggie E. Eguko

Undergraduate Honors Capstone Projects

1.1. This capstone explores the persistent issue of food waste in public school lunch programs and the critical role that grant writers can play in addressing this challenge. School food waste has become a significant concern, with studies indicating that up to 50% of food served in school cafeterias is discarded, contributing to both environmental harm and inefficient resource use (Schwartz & Cohen, 2015).

1.2. The paper highlights the lack of effective waste reduction strategies, and the underutilization of available funding sources aimed at combating this issue. Grant writers, who are often underrepresented in school districts, can secure vital funding …


El Leñador, December 2024, El Leñador Staff Dec 2024

El Leñador, December 2024, El Leñador Staff

El Leñador Newspaper

El Leñador is an English and Spanish newspaper produced by Humboldt State University students. Our staff cover and provide news to Latinx and other diverse communities on campus and in Humboldt County. We are committed to providing relevant news and expanding the representations and stories told about people of color and other marginalized groups. Our work helps create more social, political and cultural diversity in local media.

El Leñador es un periodico en español y inglés producido por estudiantes de la Universidad Estatal de Humboldt. Nuestro personal cubre y provee noticias a la comunidad Latinx y otras comunidades diversas en …


Deportation Effects On Children: Rural Latina Single-Parent Families With Children In Lower Grade School Who Suffer From An Adjustment Disorder With Anxiety, Amber Millard Dec 2024

Deportation Effects On Children: Rural Latina Single-Parent Families With Children In Lower Grade School Who Suffer From An Adjustment Disorder With Anxiety, Amber Millard

Student Projects

Single-parent families, especially those headed by Latina mothers, face stressors that harm both parents and their children. This is especially true for those who have been negatively affected by deportation. Deportation is a frequently overlooked cause for single-parent households. Roughly 5.7 million children live with parents who do not obtain legal residency documentation, and approximately 500,000 children had at least one parent detained or deported within the last 2 years (Rayburn et al., 2021). Due to the deportation of parents, some of these children develop anxiety-related adjustment disorders. Research into effective methods for aiding these families is limited. However, experiential …


The Life And Discoveries Of Yellapragada Subbarow, Nikhil R, Varuni Pragya, Subramanian Ramaswamy, Shiva Prasad B N, Mahabaleshwar Mamadapur Dec 2024

The Life And Discoveries Of Yellapragada Subbarow, Nikhil R, Varuni Pragya, Subramanian Ramaswamy, Shiva Prasad B N, Mahabaleshwar Mamadapur

Digital Journal of Clinical Medicine

Dr. Yellapragada Subbarow was a researcher, teacher, and a wizard of wonder drugs who constantly made efforts in the discoveries/ inventions such as vitamins, anti-vitamins, antibiotics, and many more by disentangling the mysteries of nature for the betterment of the people. He inspired the youngsters to take up the challenges and to stand up above mediocrity. The reward for his achievement was delayed. The article describes a true humanist's journey, discoveries, and his achievements that are largely unknown to date.


Measuring Social Influence In Online Social Networks - Focused Literature Review On Human Behaviors, Shyamala N. Chalakudi, Gnana Bharathy, Dildar Hussain, Dakshinamurthy Kolluru Dec 2024

Measuring Social Influence In Online Social Networks - Focused Literature Review On Human Behaviors, Shyamala N. Chalakudi, Gnana Bharathy, Dildar Hussain, Dakshinamurthy Kolluru

Journal of Applied Marketing Theory

Measuring an individual's social influence (SI) capability is gaining traction with the rapid growth and expansive reach of online social networks (OSN). However, most existing frameworks and methods are confined to graphical theories or the structural properties of these networks. Even behavioral investigations are often limited to a narrow set of influencing behaviors and confront significant challenges in encompassing the breadth of human psychological characteristics. This study aims to address this gap through an exhaustive and focused literature review, concentrating on the definitions of human behavior characteristics rooted in established sociology and psychology theories. Beyond providing a comprehensive overview, the …


Implementation Of A New Graduate Registered Nurse Mentorship Program: A Quality Improvement Project, Cindy N. Ruisi Dec 2024

Implementation Of A New Graduate Registered Nurse Mentorship Program: A Quality Improvement Project, Cindy N. Ruisi

Nursing Doctoral

Transitioning from student to a registered nurse is a critical period for new graduates, often marked by challenges affecting confidence and job satisfaction. Mentorship programs have been identified as an effective intervention to support new nurses during this transition. The Academy of Medical-Surgical Nurses (AMSN) offers a structured mentoring program that can be leveraged to enhance the confidence level and job satisfaction of new graduate registered nurses.

This quality improvement project aims to implement a new graduate registered nurse mentorship program at a > 400-bed community hospital. This program will incorporate components of the established Academy of Medical-Surgical Nurses mentoring program, …


Sorry Not Sorry: Presentational Strategies And The Electoral Punishment Of Corruption, Dean C. Dulay, Seulki Lee Dec 2024

Sorry Not Sorry: Presentational Strategies And The Electoral Punishment Of Corruption, Dean C. Dulay, Seulki Lee

Research Collection School of Social Sciences

A growing literature has explored various factors that hamper the electoral punishment of corruption. Most studies have focused on how voters react to a corruption allegation, but this focus leaves out an important, common aspect of corruption allegations that voters also encounter: politicians' blame avoidance strategies. This study examines how politicians' presentational strategies in response to corruption allegations affect voter sanctioning. Employing an online survey experiment on a sample of 3531 U.S. citizens, we find that politicians' action-oriented strategies, such as denying allegations, acknowledging a problem but denying responsibility, or acknowledging a problem and taking responsibility, are more effective than …


Factor Structure Of The Ces-D-20 Scale In Young Adults In Singapore: An Examination Of Six Alternative Structures And Measurement Invariance By Sex, Nadyanna M. Majeed, K. T. A. Sandeeshwara Kasturiratna, Nicole Ruiying Chen, Andree Hartanto Dec 2024

Factor Structure Of The Ces-D-20 Scale In Young Adults In Singapore: An Examination Of Six Alternative Structures And Measurement Invariance By Sex, Nadyanna M. Majeed, K. T. A. Sandeeshwara Kasturiratna, Nicole Ruiying Chen, Andree Hartanto

Research Collection School of Social Sciences

Building on past research that has indicated cultural variations in the factor structure of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D-20), as well as several limitations validating the CES-D-20 within a Singapore context, this study investigated the CES-D-20's factor structure and sex-based measurement invariance in Singapore. A large young adult sample in Singapore (N = 1008) was utilised, and the original CES-D-20 was administered to all participants. The findings confirmed the four-factor model's robustness over five other alternative models (RMSEA = .05, SRMR = .04), where each of the 20 items loaded significantly onto its respective factor (all …


Costly Signaling Theory, Hui Ying Ivy Koh, Norman P. Li Dec 2024

Costly Signaling Theory, Hui Ying Ivy Koh, Norman P. Li

Research Collection School of Social Sciences

Costly signaling theory is the idea that the high costs incurred by an individual to convey information about underlying qualities keeps this signal reliable, as only individuals who truly possess the quality signaled can afford to send the signal.


Neutrosophic Cox Proportional Hazards Model For Robust Variable Selection In Survival Analysis, Ibrahim Yasser, Aya A. Abd El-Khalek, A. A. Salama, Doaa A. Abdo Dec 2024

Neutrosophic Cox Proportional Hazards Model For Robust Variable Selection In Survival Analysis, Ibrahim Yasser, Aya A. Abd El-Khalek, A. A. Salama, Doaa A. Abdo

Neutrosophic Systems with Applications

This paper introduces a novel approach for variable selection in survival analysis by integrating neutrosophic logic into the Cox Proportional Hazards (Cox PH) model to address the limitations of recent studies related to high dimensionality. Neutrosophic logic, is a mathematical framework that allows for uncertainty, indeterminacy, and inconsistency, and particularly well suited for handling the complexity and often-ambiguous nature of biological data. By incorporating neutrosophic sets into the Cox PH model, we aim to enhance model robustness, improve variable selection, and address the curse of dimensionality. We compare the performance of the neutrosophic-enhanced Cox PH model with traditional variable selection …


Patterns Of Interactions In Human-Machine Teams, Kazuhiko Momose Dec 2024

Patterns Of Interactions In Human-Machine Teams, Kazuhiko Momose

Theses and Dissertations

Increasingly capable machines, including Artificial Intelligence (AI) agents are playing a more important role in a wide range of applications, including human daily activities and safety-critical systems. They can benefit even more when humans and such machines agents work together as a team by leveraging each other's strengths and complementing each other to enhance overall performance. To design high-performing teams, it is critical to analyze the team dynamics and understand how humans and machines interact with each other. Collaboration, Coordination, and Cooperation (3Cs) are terms typically used to describe the behavior of teams. However, these terms tend to be used …


Malicious Compliance: Examining Revenge Behaviors In Organizations, Patricia Jewel Emily Morrison Dec 2024

Malicious Compliance: Examining Revenge Behaviors In Organizations, Patricia Jewel Emily Morrison

Theses and Dissertations

Revenge is a multifaceted behavior that manifests in various forms. The purpose of this dissertation was to examine a particular form of revenge known as malicious compliance, which has yet to be sufficiently researched. A two-study approach was used to examine malicious compliance. In the first study, qualitative data was collected from an online forum for sharing malicious compliance experiences. In the second study, 352 participants completed a mixed-methods survey online. Data from both studies was analyzed in RStudio and MAXQDA. Study 1 utilized unsupervised machine learning techniques, non-machine learning techniques, and thematic coding techniques to analyze the forum dataset. …


The Design And Implementation Of A Modular Tissue Engineering Test Bed To Pursue An Alternate Pathway Of Cell Culture Based Research, Ryley Patrick Griffin Dec 2024

The Design And Implementation Of A Modular Tissue Engineering Test Bed To Pursue An Alternate Pathway Of Cell Culture Based Research, Ryley Patrick Griffin

Theses and Dissertations

The development of a Modular Automated Tissue Engineering Test Bed (MATETB) is the next step in the development of cheap and easily available in vitro cell regulatory systems for both academic and industrial purposes. This project outlined the framework and requirements for a device that could automatically regulate and collect data on a cell culture through the manipulation of its liquid environment. From this framework, a prototype was built. The device would fulfill cell culture needs while collecting data automatically and allowing for live viewing and imaging of cells. The device was comprised of a mechanical skeleton (MS), an environmental …


The Provision Of Healthcare For Older Adults In A Massachusetts Jail/House Of Correction: Perspectives From Providers, Laura Driscoll Dec 2024

The Provision Of Healthcare For Older Adults In A Massachusetts Jail/House Of Correction: Perspectives From Providers, Laura Driscoll

Graduate Doctoral Dissertations

THE PROVISION OF HEALTHCARE FOR OLDER ADULTS IN A MASSACHUSETTS JAIL/HOUSE OF CORRECTION: PERSPECTIVES FROM PROVIDERS November 2024 Laura C. Driscoll, B.S., Boston University M.S.P.T., Boston University DPT, MGH Institute of Health Professions M.S., University of Massachusetts Boston Ph.D., University of Massachusetts Boston Directed by Professor Jan Mutchler The aging population in U.S. jails is growing rapidly presenting significant challenges for healthcare provision within carceral settings. Older adults in these facilities often experience complex health conditions, including chronic diseases and age-related impairments, that require specialized care. Despite this, limited research has explored the experiences of healthcare providers tasked with caring …


Introducing A Practitioner's Framework For Mobilizing Collective Action, Matthew Paul Bond Dec 2024

Introducing A Practitioner's Framework For Mobilizing Collective Action, Matthew Paul Bond

Graduate Doctoral Dissertations

INTRODUCING A PRACTITIONER’S FRAMEWORK FOR MOBILIZING COLLECTIVE ACTION December, 2024 Matthew P. Bond, B.A. University of North Carolina Greensboro, M.S., University of Massachusetts Boston, M.P.A., Suffolk University, Ph.D., University of Massachusetts Boston Directed by Christian Weller Social dilemmas are situations in which individual and collective incentives are at odds, leading to suboptimal collective outcomes that make all individuals worse off. Modeling policy problems stuck in stasis as social dilemmas reveals new solution pathways that promise progressive change. The solution to a social dilemma is collective action, yet since the introduction of the collective action problem in the 1960’s, a solution …


Democratizing The Early Identification Of Alzheimer's Disease And Access To Care: The Role Of Psychologists In Brief Assessment, Jacqueline S. Hogan Dec 2024

Democratizing The Early Identification Of Alzheimer's Disease And Access To Care: The Role Of Psychologists In Brief Assessment, Jacqueline S. Hogan

Graduate Doctoral Dissertations

As Alzheimer’s disease (AD) presents a growing public health challenge, accessible early detection tools are urgently needed. This study used data from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) (N = 1,536) to evaluate the ability of machine learning models to predict a conversion from normal cognition or mild cognitive impairment (MCI) to AD. A brief neuropsychological battery, including the Alzheimer’s Disease Assessment Scale–Cognitive Subscale (ADAS13), Mini-Mental State Examination (MMSE), Rey Auditory Verbal Learning Test (RAVLT), and Functional Activities Questionnaire (FAQ), was employed. The Gradient Boosted Trees model demonstrated superior performance, achieving an F1 score of 0.88, recall of 0.93, precision …


The Application Of High-Resolution Mass Spectrometry For The Analysis Of Biopolymers, Metabolites, And Biologically Relevant Small Molecules, Christ Duc Tran Dec 2024

The Application Of High-Resolution Mass Spectrometry For The Analysis Of Biopolymers, Metabolites, And Biologically Relevant Small Molecules, Christ Duc Tran

Graduate Doctoral Dissertations

High-resolution mass spectrometry (HRMS), as its name suggests, possesses high resolving power that enables the separation of ions with very close mass values. This is particularly beneficial for analyzing complex samples where numerous compounds may have similar masses, as it helps prevent signal overlaps and ensures an accurate spectral analysis. The current work explores the diverse applications of high-resolution mass spectrometry in oligonucleotide research, organic synthesis and medicinal chemistry. Oligonucleotide research: Chapters 2-5 present the research results from studies that employed ultra-high-performance liquid chromatography coupled with high-resolution mass spectrometry (UHPLC-HRMS) to understand the pharmacokinetics of RNA interference (RNAi) therapeutics. The …


Navigating The Anglo-Irish Landscape: Imaginative Geographies In Bram Stoker And Elizabeth Bowen's Novels, Natalie Pearson Dec 2024

Navigating The Anglo-Irish Landscape: Imaginative Geographies In Bram Stoker And Elizabeth Bowen's Novels, Natalie Pearson

Theses/Capstones/Creative Projects

There has been great work done by scholars of Anglo-Irish Gothic tradition to assess the place of classic fictional characters within that tradition. Could a character’s identity contain an Irish dimension? Could they be, perhaps, an allegorical embodiment of the Anglo-Irish Protestant Ascendancy or native Irish peasantry? All excellent questions; however, this present study looks to explore a different perspective by considering “place” itself across four Anglo-Irish Gothic novels: that of Bram Stoker’s The Snake’s Pass (1890) and Dracula (1897) and Elizabeth Bowen’s The Last September (1929) and Bowen’s Court (1942). I seek to highlight the physical landscape in each …


An Exploration Of The Intersections Of The Science Of Reading And Culturally Sustaining Pedagogies: A Constructivist Grounded Theory Study Of Preservice Teachers’ Practice With Teaching Reading Comprehension, Elizabeth Kittleman Dec 2024

An Exploration Of The Intersections Of The Science Of Reading And Culturally Sustaining Pedagogies: A Constructivist Grounded Theory Study Of Preservice Teachers’ Practice With Teaching Reading Comprehension, Elizabeth Kittleman

Theses and Dissertations

This study explores the possibilities and tensions that emerged when preservice teachers integrated both the science of reading and a culturally sustaining framework when learning about and teaching reading comprehension. Utilizing a constructivist grounded theory methodology, this research draws on data from interviews, student coursework samples, and a researcher journal collected over the course of a semester. During data analysis, four emergent themes were constructed: managing the multiple realities of teaching reading, leveraging background knowledge, navigating biculturalism and inequities, and negotiating a teacher’s role. Findings illustrate the complex relationship between theory and practice when preservice teachers draw on students’ linguistic …


Aid Or Abuse? A Review Of U.S. Police Assistance Programs In Latin America During The Early Cold War, Brianna Mcnally Dec 2024

Aid Or Abuse? A Review Of U.S. Police Assistance Programs In Latin America During The Early Cold War, Brianna Mcnally

War, Diplomacy, and Society (MA) Theses

During the Cold War, the United States used police assistance programs in under-developed countries to stop the spread of communism. Police aid aimed to improve a country’s economic stability and internal security to curb the rise of communist revolutions. The U.S. government charged the Office of Public Safety (OPS) within the U.S. Agency for International Development (USAID) with managing police assistance programs around the world, including in Asia, Africa, and Latin America.

Despite its seemingly good intentions, the OPS became a short-lived program now known today for its ties to human rights abuses, especially throughout Latin America. Several Latin American …


An Update On Novel Taxa And Revised Taxonomic Status Of Bacteria Isolated From Domestic Companion And Agricultural Animals Described In 2023, Sara D. Lawhon, Claire R. Burbick, Trinity Kreuger, Elena Ruiz-Reyes, Erik Munson Dec 2024

An Update On Novel Taxa And Revised Taxonomic Status Of Bacteria Isolated From Domestic Companion And Agricultural Animals Described In 2023, Sara D. Lawhon, Claire R. Burbick, Trinity Kreuger, Elena Ruiz-Reyes, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

With the proliferation of abundant bacterial genomic data comes the recognition of new organisms as well as a better understanding of the relatedness of known bacteria. Recognizing the associated taxonomic changes enhances communication and understanding about the significance of novel organisms and deeper understanding of known pathogens. This review addresses the addition of multiple gastrointestinal bacteria that form the normal microbiota in a variety of animals including honeybees as well as novel bacteria from domestic animals including an alpha-hemolytic Streptococcus species from guinea pigs, two Moraxella spp. from cows and goats, a new Capnocytophaga species from cats, a thermophilic Campylobacter …


Hybrid Deep Learning-Based Model For Eclipse Attack Detection On Ethereum Network, Dhanasak Bhumichai Dec 2024

Hybrid Deep Learning-Based Model For Eclipse Attack Detection On Ethereum Network, Dhanasak Bhumichai

Graduate Theses and Dissertations (2019 - present)

An eclipse attack is a significant cyber threat targeting the network layer of blockchain platforms. Detecting eclipse attacks is challenging for several reasons. First, there are no available datasets for training and testing models. Second, comprehensive studies identifying features to detect eclipse attacks are lacking. Additionally, the amount of eclipse network traffic is much smaller than that of normal network traffic, which leads to imbalanced samples. Moreover, the characteristics of eclipse network traffic closely resemble those of normal traffic, causing overlapping samples, which makes it challenging for traditional classifiers to learn how to identify eclipse attacks. To address these challenges, …


Recovery Resiliency Of Interdependent Power Systems Infrastructure Subject To Extreme Events, Partha P. Sarker Dec 2024

Recovery Resiliency Of Interdependent Power Systems Infrastructure Subject To Extreme Events, Partha P. Sarker

Graduate Theses and Dissertations (2019 - present)

When Hurricane Maria struck the island of Puerto Rico on September 20, 2017, it devastated the island’s aging power systems infrastructure and inflicted an island-wide power outage that left Puerto Rico in total darkness for an entire week before the system slowly started to recover. This unprecedented failure of the critical power systems infrastructure exacerbated the failure of other critical infrastructures or lifeline systems of the island. This research explores and quantifies the relationships or interdependencies that exist between the power systems and other critical infrastructure systems by investigating the post-hurricane recovery data of these lifeline systems. Subsequently, the research …


Three-Dimensional Environmentally Sustainable Neuromorphic Computing System Based On Natural Organic Memristor, Mohammed Rafeeq Khan Dec 2024

Three-Dimensional Environmentally Sustainable Neuromorphic Computing System Based On Natural Organic Memristor, Mohammed Rafeeq Khan

Graduate Theses and Dissertations (2019 - present)

A three-dimensional neuromorphic (3D) computing architecture based on environmentally sustainable natural organic honey memristors is proposed in this thesis. A set of comprehensive and experimental results indicate that the proposed systems exhibit remarkable inference accuracy, consistently surpassing the 90% threshold, even with different challenges such as device variations and nonlinearity. This study also considers four different conductance drift situations, the effects of analog-to-digital converter (ADC) quantization, and multiple algorithms, such as VGG8 and DenseNet-40. The deliverable of this thesis will test the stability of the proposed systems and explore their potential applications and scalability in real-world situations.


Covid-19 Risk Assessment Among Vulnerable Small Business Owners In El Paso County, Texas, Sadie H Conway, Denise Vasquez, Kristina D Mena, Louis D Brown, Soyoung Kwon, Janelle Rios Dec 2024

Covid-19 Risk Assessment Among Vulnerable Small Business Owners In El Paso County, Texas, Sadie H Conway, Denise Vasquez, Kristina D Mena, Louis D Brown, Soyoung Kwon, Janelle Rios

Faculty, Staff and Student Publications

Background: Our objective was to deliver actionable, worksite-specific COVID-19 risk assessments and mitigation strategies tailored to vulnerable workers in one of the highest-risk areas in the US.

Methods: Four trained, bilingual (English/Spanish) community health workers (CHWs) recruited small businesses (ie, ≤20 employees) across various industries and executed novel on-site infectious disease risk assessment surveys of at least one employer and one employee.

Results: Of 102 participating businesses (95% Hispanic-owned), 96% were characterized as "high risk" or "very high risk" for disease transmission. All businesses reported implementing at least one practice to reduce disease transmission; however, almost half of businesses lacked …


The Association Between Care Integration And Care Quality, Micah B Aaron, Michaela Kerrissey, Zhanna Novikov, Maike V Tietschert, Adam Scherling, Hassina Bahadurzada, Russell S Phillips, Anna D Sinaiko, Sara J Singer Dec 2024

The Association Between Care Integration And Care Quality, Micah B Aaron, Michaela Kerrissey, Zhanna Novikov, Maike V Tietschert, Adam Scherling, Hassina Bahadurzada, Russell S Phillips, Anna D Sinaiko, Sara J Singer

Faculty, Staff and Student Publications

Objective: The study aims to analyze the relationship between care integration and care quality, and to examine if the relationship varies by patient risk.

Data sources and study setting: The key independent variables used validated measures derived from a provider survey of functional (i.e., administrative and clinical systems) and social (i.e., patient integration, professional cooperation, professional coordination) integration. Survey responses represented data from a stratified sample of 59 practice sites from 17 health systems. Dependent variables included three quality measures constructed from patient-level Medicare data: colorectal cancer screening among patients at risk, patient-level 30-day readmission, and a practice-level Healthcare Effectiveness …


Evaluation Of The Etiology Of Recurrent Pregnancy Loss (Rpl): An Explanatory Mixed Methods Study Exploring Obstetrician Gynecologist Clinical Provider Behaviors And Factors Contributing To Incomplete Evaluations, Emelia Grant Dec 2024

Evaluation Of The Etiology Of Recurrent Pregnancy Loss (Rpl): An Explanatory Mixed Methods Study Exploring Obstetrician Gynecologist Clinical Provider Behaviors And Factors Contributing To Incomplete Evaluations, Emelia Grant

Doctor of Philosophy in Translational Health Sciences Dissertations

Background: More than 50% of patients with recurrent pregnancy loss (RPL) are left without explanations for their losses. However, current research suggests that up to 90% of these individuals could receive explanations through evidence-based laboratory testing. Professional guidelines vary in their recommendations for laboratory testing and RPL evaluation, which can contribute to delayed or fragmented care and untreated maternal disease. Inequities in access to genetic testing further complicate the diagnostic landscape of RPL since payor policies often determine which tests are covered, leaving many patients without access due to financial constraints.

Objective: This study aimed to evaluate current practices of …