Digital Commons Network^™

Opioid Use Disorder Treatment Program: Participant Factors For Retention And Motivation For Treatment, Javier Barrero, Victoria Strickland

Doctor of Nursing Practice Projects

Purpose: The purpose of this project was to explore OUD patient-reported factors for motivation and retention in a medication-assisted treatment (MAT) program in the Seattle metropolitan area. Method: This mixed methods project collected data via an exploratory, preliminary survey from patients receiving treatment at 11 outpatient medication for opioid use disorder (MOUD) clinics located in three counties in Washington state. The survey contained both qualitative and quantitative questions that addressed factors of motivation, external support, and self-efficacy. The survey was sent via a secure text messaging system. Results: Qualitative analysis developed five themes after coding: supportive factors for retention, health …

Supporting Pregnant People In Prenatal Physical Activity & Exercise: Brief In-Service Training Integrating The 6 Rs Framework To Facilitate Counseling By Healthcare Professionals, Morgan Frazier

Doctor of Nursing Practice Projects

Studies show that physical inactivity in pregnancy is attributed to pregnant people receiving inadequate and incomplete prenatal physical activity and exercise (PAE) counseling from healthcare professionals (HCPs). There is a gap in the knowledge translation of prenatal PAE guidelines and pregnant people are uncertain how to safely engage in PAE. The purpose of this quality improvement project was to evaluate the effect of an online brief in-service training integrating the 6 Rs Framework on Rainier Valley Birth & Health Center HCPs’ (i.e., Certified Nurse-Midwives and Licensed Midwives) attitudes, beliefs, knowledge, and practices pertaining to antenatal PAE. Quantitative data was collected …

An Interprofessional Collaboration To Increase Total Enteral Nutrition In Critically Ill Patients On Vasopressor Agents In Cvicu, Priyanka Shah

DNP Projects

Background: Delayed enteral nutrition (EN) in critically ill patients increases the risk of complications and poor outcomes. The 2016 American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) and Society of Critical Care Medicine (S.C.C.M.) evidence-based guideline recommends initiating EN within 24-48 hours of Intensive Care Unit (ICU) admission once resuscitation and hemodynamically stability have been achieved. The evidence-based guideline notes that critically ill patients on low-dose vasopressors can be started on EN with close monitoring.

Purpose: This interprofessional project aims to increase the amount of EN delivered to all qualifying Cardiovascular Intensive Care Unit (CVICU) patients who are at risk …

Evaluating The Effectiveness Of Family-Based Treatment Education On Provider's Knowledge, Anticipatory Use, And Attitudes Who Treat Adolescent Patients Diagnosed With Anorexia Nervosa, Treven Back

DNP Projects

Background. Anorexia Nervosa is a chronic, disabling, and costly disease with a higher mortality rate than any other psychiatric illness. Because of the need for medical, psychiatric, and nutritional care, treatment is complex. The current literature supports Family-Based Treatment as a first-line treatment for adolescent patients diagnosed with Anorexia Nervosa. However, a gap exists between translating family-based treatments into clinical practice. Literature shows that education and understanding providers' attitudes and beliefs are the first steps to successfully implementing family-based treatments.

Purpose. This DNP project aimed to evaluate the effectiveness of a family-based treatment education intervention on providers' attitudes, knowledge, and …

Evaluating The Feasibility And Efficacy Of A Brief Motivational Interviewing Nutrition Intervention For Women With Type 2 Diabetes In Primary Care, Charlotte M. Adams

DNP Projects

Background: The American Diabetes Association recommends lifestyle modification to prevent and treat diabetes in their 2021 Standards of Medical Care in Diabetes. Evidence suggests that motivational interviewing (MI) is an effective intervention that clinicians can use to facilitate behavior change in patients with type two diabetes.

Purpose: The purpose of this project was to evaluate a brief motivational interviewing intervention that could be delivered by a PCP to provide individualized nutrition counseling for adult women with type two diabetes in a primary care clinic in Lexington, KY. This study was a continuation of a previous quality improvement project at this …

Impact Of Physical Activity Vital Sign Screening On Physical Activity Counseling And Referrals In Primary Care, Anna Selepina

DNP Projects

Background/Purpose: Physical Activity Guidelines for Americans recommend 150-300 minutes of moderate-intensity physical activity each week for adults; however, half of the adults do not meet this goal, which leads to increased chronic health conditions and poor health outcomes. The physical activity vital sign (PAVS) screening tool is an evidence-based assessment tool associated with increased physical activity counseling, which can lead to increased physical activity and improved patient outcomes.

Objective: The purpose of this study was to examine the impact of PAVS screening on physical activity counseling and referrals in primary care.

Methods: This prospective study took place in a small …

Evaluating The Effect Of Electronic Health Record Patient Portal Use On Medication Adherence In Adults With Chronic Conditions, Jennifer Averbeck

DNP Projects

Background Medication non-adherence is prevalent among fifty percent of the United States population. This behavior leads to increased morbidity and mortality as well as increased healthcare costs for both the patient and the healthcare system. More than two-thirds of nonadherence exists in those aged over 65 years old who are diagnosed with Multiple Chronic Conditions (MCC). Several studies have researched and trialed interventions to improve rates of adherence, limit poor health outcomes, and decrease overall cost of care. The patient portal is an interactive tool which encourages participation of the patient in their healthcare management. Implementation of this tool has …

Molecular Analysis Of Epigenetic Memory Of Stress Establishment And Long-Term Maintenance In A Perennial Woody Plant, Jia Wen Tan

Theses and Dissertations--Plant and Soil Sciences

Plants adapt to extreme environmental conditions through physiological adaptations, which are usually transient. Recent research has suggested that environmental conditions can activate a memory of stress that can result in a primed response to subsequent stress events. While the effect of priming has been observed in many plants, the underlying mechanisms are puzzling and seldom studied. A large body of research has been developed in the last decade linking response to stress, stress priming, and memory of stress with epigenetic mechanisms. This understanding of plant epigenetics has opened the door to the application of epigenetics to crop improvement, such as …

Building A Kentucky Baguette: Agronomic Traits, Bread Baking Quality Measurements, And Sensory Evaluation Of Modern And Landrace Wheat Cultivars Grown Under Conventional And Organic Nitrogen Management, Bryan Brady

Theses and Dissertations--Plant and Soil Sciences

The demand by artisan bread bakers across the United States for local wheat varieties has increased in recent years. The southeast is traditionally a soft winter wheat (SWW) region, producing low gluten flours more suitable for biscuits and cookies. Recently, hard winter wheat (HWW) varieties have been bred to produce acceptable yields in the high humidity environment of the southeastern United States. Artisan bread bakers in Kentucky would like to create a niche food value chain benefitting farmers, small-scale millers, bakers, consumers, and their local and regional food systems (LRFS). The increased demand and the availability of adapted hard wheat …

Food Insufficiency, Supplemental Nutrition Assistance Program (Snap) Status, And 9-Year Trajectory Of Cognitive Function In Older Adults: The Longitudinal National Health And Aging Trends Study, 2012–2020, Muzi Na, Nan Dou, Monique J. Brown Ph.D., Mph, Lenis P. Chen-Edinboro, Loretta R. Anderson, Alexandra Wennberg

Faculty Publications

No abstract provided.

How Perspectives On Food Safety Of Vendors And Consumers Translate Into Food-Choice Behaviors In 6 African And Asian Countries, Sejla Isanovic, Shilpa V. Constantinides, Edward A. Frongillo Ph.D., Shiva Bhandari, Sharraf Samin, Emma Kenney, Sigrid Wertheim-Heck, Stella Nordhagen, Michelle Holdsworth, Paula Dominguez-Salas, Ramya Ambikapathi, Amos Laar, Crystal L. Patil, Bharati Kulkarni, Salome A. Bukachi, Mariah Ngutu, Christine E. Blake Ph.D., Rd

Faculty Publications

Background: Consumption of unsafe foods increases morbidity and mortality and is currently an issue, particularly in low- and middle-income countries. Policy actions to ensure food safety are dominated by mitigation of biological and chemical hazards through supply-side risk management, lessening the degree to which consumer perspectives of food safety are considered. Objectives: This study aimed to provide an in-depth understanding, from vendor and consumer perspectives, of how food-safety concerns of consumers translate into their subsequent food-choice behaviors in 6 diverse low- and middle-income countries. Methods: Six Drivers of Food Choice projects (2016–2022) provided transcripts from 17 focus group discussions and …

2023 Jan Term Course Catalog, Saint Mary's College Of California

Jan Term Course Catalog

No abstract provided.

How Has Entrepreneurship Opportunity Formation Amongst Immigrants Been Influenced By The Covid-19 Pandemic?, Osa-Godwin Osaghae, Thomas M. Cooney

Articles

The purpose of this paper is to investigate how entrepreneurship opportunity formation amongst immigrants has been influenced by the COVID-19 pandemic, given that environmental changes and irregularity can contribute to entrepreneurship opportunity formation in the immigrant set-up.

Effectiveness Of An Integrated Multilevel Early Child Development Intervention On Caregiver Knowledge And Behavior: A Quasi-Experimental Evaluation Of The Malezi Program In Tanzania, Gretchen Antelman, Josephine Ferla, Michelle M. Gill, Heather J. Hoffman, Teopista Komba, Amina Abubakar, Pieter Remes, Ola Jahanpour, Martha Mariki, Mary A. Mang’Enya, Roland Van De Ven

Institute for Human Development, East Africa

Background The quality of caregiving and the parent-child relationship is critical for early child development (ECD) and has been shown to be modifiable. This study evaluated an ECD project in Tanzania, assessing the effectiveness of radio messaging (RM) alone and a combined radio messaging/video job aids/ECD (RMV-ECD) intervention.

Methods This two-arm pre-post evaluation study enrolled a cohort of caregivers of children 0–24 months in four districts of Tabora region, following them for 9 months. ECD radio messages were broadcast on popular stations at least 10 times/day reaching all study districts. In two districts, community health workers (CHW), trained in UNICEF’s …

ผลของการใช้กรดอะมิโนร่วมกับการออกกำลังกายแบบแรงต้านต่อองค์ประกอบของร่างกายและสมรรถภาพของกล้ามเนื้อในบุคคลสุขภาพดี, กสิวัฒน์ เจียรธนะกานนท์

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์เพื่อศึกษาผลของการใช้กรดอะมิโนร่วมกับการออกกําลังกายแบบแรงต้าน ต่อองค์ประกอบของร่างกายและสมรรถภาพของกล้ามเนื้อในบุคคลสุขภาพดีวิธีการดําเนินงานวิจัย กลุ่มตัวอย่างคือบุคคลที่มีสุขภาพดีเพศชายและหญิงที่ไม่ได้ออกกําลังกายเป็นประจํา อายุเฉลี่ย27.33±3.45ปี จํานวน 24 คน แบ่งเป็น 2 กลุ่ม กลุ่มละ 12 คน ได้แก่ กลุ่มควบคุม (CON) ที่ได้รับการฝึกออกกําลังกายแบบแรงต้านเพียงอย่างเดียว และกลุ่มทดลอง (AA+RT) ที่ได้รับการเสริมกรดอะมิโนร่วมกับการฝึกออกกําลังกายแบบแรงต้าน เป็นเวลา 12 สัปดาห์ ผู้วิจัยทําการทดสอบตัวแปรด้านองค์ประกอบของร่างกาย ความแข็งแรงของกล้ามเนื้อ ขนาดของกล้ามเนื้อ ความหนาของกล้ามเนื้อก่อนการฝึก สัปดาห์ที่ 6 ของการฝึก และหลังการฝึก ครบ 12 สัปดาห์ แล้วนํามาเปรียบเทียบทางสถิติด้วยโปรแกรมสําเร็จรูป โดยใช้การทดสอบความแปรปรวนแบบผสม และใช้การทดสอบแบบรายคู่ด้วยสถิติ LSD ที่ระดับความมีนัยสําคัญทางสถิติ เมื่อ p< 0.05ผลการวิจัย หลังการจบโปรแกรม 12 สัปดาห์ พบว่ากลุ่มตัวอย่างที่ได้รับกรดอะมิโน ร่วมกับการฝึกด้วยแรงต้านมีปริมาณไขมันในร่างกาย มวลไขมัน ลดลงอย่างมีนัยสําคัญทางสถิติ (p0.05) อย่างไรก็ตามเมื่อเปรียบเทียบเปอร์เซ็นต์การเปลี่ยนแปลงของความแข็งแรงของกล้ามเนื้อที่ทดสอบด้วยน้ำหนักสูงสุดในออกแรงต้าน (1 Repetition Maximum; 1RM) และเปอร์เซ็นต์การเปลี่ยนแปลงความหนาของกล้ามเนื้อเปรียบเทียบกันระหว่างก่อนการทดลอง และหลังการฝึกสัปดาห์ที่ 12 พบว่ากลุ่มทอลองมีค่ามีกว่าอย่างมีนัยสำคัญทางสถิติ เมื่อเปรียบเทียบกับกุล่มควบคุมที่ได้รับการฝึกด้วยแรงต้านเพียงอย่างเดียวสรุปผลการวิจัย การใช้กรดอะมิโนร่วมกับการฝึกด้วยแรงต้านเป็นเวลา 12 สัปดาห์ สามารถลดปริมาณไขมันใต้ผิวหนังในร่างกาย เพิ่มความแข็งแรงของกล้ามเนื้อ และความหนาของกล้ามเนื้อในบุคคลสุขภาพดีได้

Effect Of Clostridium Butyricum Supplementation On Production Performance, Egg Quality, Gut Microflora, And Intestinal Morphology Of Laying Hens In The Late Phase Of Production, Phuong Truc Le Ho

Chulalongkorn University Theses and Dissertations (Chula ETD)

This experiment was conducted to evaluate the effects of Clostridium butyricum supplementation on improvement of production performance and egg quality by stimulating the intestinal absorptive function and altering the cecal microbial composition. A total of 216 Hy-Line brown laying hens at 66 weeks of age were allocated randomly into 3 treatments with 6 replicates of 12 hens in a completely randomized design. The dietary treatments included a control group (CT) with a corn-soy basal diet, and the other treatments comprised basal diets supplemented with 250g/ton (CB1) and 500g/ton (CB2) of feed containing C. butyricum strain MIYAIRI 588. The concentration of …

The Development Of Adherence To Treatment Scale For Persons With Pulmonary Tuberculosis, Yunus Prasetyo

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to develop and evaluate the psychometric properties of a novel instrument called adherence to treatment for persons with pulmonary tuberculosis (TB) scale. The process of instrument development consisted of seven steps, which are: 1) clarifying the concept of adherence to TB treatment by synthesizing existing literature and obtaining a Delphi Study, 2) generating an item pool through a literature analysis, 3) selecting the format of measurement by employing a 4-point Likert scale, 4) evaluating the items through content validity testing, 5) conducting a preliminary research, 6) evaluating the psychometric properties of the scale by …

การศึกษาเปรียบเทียบอายุการใช้งานของวงจรฟอกไตแบบต่อเนื่องระหว่างการเชื่อมต่อแบบรวมและแบบแยก ร่วมกับเครื่องพยุงการทำงานของหัวใจและปอด, ประสิทธิพร ตั้งจิตอารีย์

Chulalongkorn University Theses and Dissertations (Chula ETD)

ที่มาและความสำคัญ อุบัติการณ์ของภาวะไตวายเฉียบพลันที่ต้องได้รับการบำบัดทดแทนไตแบบต่อเนื่อง (Continuous renal replacement therapy: CRRT) ในผู้ป่วยที่ได้รับการรักษาด้วยเครื่องพยุงหัวใจและปอด (Extracorporeal membrane oxygenation: ECMO) พบประมาณ 50% ซึ่งในปัจจุบันการเชื่อมต่อวงจรการบำบัดทดแทนไตแบบต่อเนื่องในผู้ป่วยที่ได้รับการรักษาด้วยเครื่องพยุงหัวใจและปอด ที่นิยมมีอยู่สองวิธีได้แก่ การเชื่อมต่อวงจรแบบรวม (integration) และการเชื่อมต่อแบบแยก (separation) โดยที่ยังไม่มีวิธีใดที่ถือว่าเป็นการเชื่อมต่อแบบมาตรฐาน วัตถุประสงค์ของการศึกษา เพื่อศึกษาเปรียบเทียบอายุการใช้งานของวงจรบำบัดทดแทนไตแบบต่อเนื่อง ระหว่างการเชื่อมต่อแบบรวมและแบบแยกร่วมกับเครื่องพยุงการทำงานของหัวใจและปอด วิธีการศึกษา เป็นการศึกษาทดลองแบบสุ่มตัวอย่างแบบเปิด มีกลุ่มควบคุม และพหุสถาบัน ทำการศึกษาผู้ป่วยในหอผู้ป่วยวิกฤตที่ได้รับการรักษาด้วยเครื่องพยุงหัวใจและปอดที่มีภาวะไตวายเฉียบพลันและมีข้อบ่งชี้ได้รับการบำบัดทดแทนไตแบบต่อเนื่อง โดยดำเนินการศึกษา ตั้งแต่ พฤษภาคม 2564 ถึง ธันวาคม 2566 โดยผลลัพธ์หลักคืออายุการทำงานของวงจรบำบัดทดแทนไตแบบต่อเนื่อง ผลการศึกษา ผู้ป่วยเข้าร่วมการศึกษาที่ได้รับการสุ่มกลุ่มตัวอย่าง 60 คน แบ่งเป็นกลุ่มการเชื่อมต่อแบบรวม 31 คน และการเชื่อมต่อแบบแยก 29 คน พบว่าค่าเฉลี่ยของอายุวงจรบำบัดทดแทนไตแบบต่อเนื่องไม่มีความแตกต่างกันอย่างมีนัยสำคัญทางสถิติ ระหว่างการเชื่อมต่อแบบรวมและแบบแยก (71 ± 31 และ 63 ± 26 ชั่วโมง, ค่าความแตกต่างค่าเฉลี่ย 7.3 ชั่วโมง, ความเชื่อมั่น 95% [-7.6, 22.3], p=0.33) อัตราการเสียชีวิตที่ 28 วันระหว่างทั้งสองกลุ่มก็ไม่มีความแตกต่างกัน(26% และ 31%, p=0.65) และไม่มีความแตกต่างกันของเหตุการณ์ไม่พึงประสงค์ชนิดร้ายแรงรวมถึงภาวะลมอุดกั้น ส่วนค่าแรงดันระหว่างเมมเบรนและค่าแจ้งเตือนของเครื่องบำบัดทดแทนไตแบบต่อเนื่องก็ไม่มีความแตกต่างกันอย่างมีนัยสำคัญทางสถิติ สรุปผลการศึกษา การเชื่อมต่อวงจรบำบัดทดแทนไตแบบต่อเนื่องระหว่างการเชื่อมต่อแบบรวมและแบบแยกในผู้ป่วยที่ได้รับการรักษาด้วยเครื่องพยุงหัวใจและปอด ไม่มีความแตกต่างกันอย่างมีนัยสำคัญของอายุการใช้งานของวงจรบำบัดทดแทนไตแบบต่อเนื่องและเหตุการณ์ไม่พึงประสงค์ชนิดร้ายแรง

How Sustainable Is Veganism?, Jack Molinaro

Student Work

No abstract provided.

The Sustainability Of Pesticide Use On Bee Populations, Daniella Dicarlo, Noé Stephens, Sophia Macaluso

Student Work

No abstract provided.

Perceptions Of Adults With Type 1 Diabetes About Diabetes Management And Exercise, Meera Swaminath

Public Health Theses

This study was conducted to understand participants’ experiences with diabetes management and relationships with exercise for a sample of adults (27-65 years old) with Type 1 diabetes living in the United States and identify potential technological features for a digital health tool supporting physical exercise and diabetes management. The sample consisted of 12 participants living across the nation. Participants were recruited online, through social media and healthcare system platforms. Participant data was collected in the form of surveys and interviews and analyzed using a constructivist framework and thematic analysis. Findings were collapsed into four major themes: 1) making exercise decisions …

A Deeper Dive Into Food Insecurity Among Women Involved In The Criminal Justice System, Jessica Robles

Public Health Theses

Background: The U.S. has the highest incarceration rate globally and a recent study found that 91% of formerly incarcerated individuals report being food insecure. Given that, women have become the fastest-growing segment in the incarceration system. Women who are involved in the criminal justice system (WICJ) are more at risk for experiencing food insecurity and chronic diseases. Therefore, this study aims to contribute to existing knowledge on the overall health of WICJ by assessing the prevalence of food insecurity and the social determinants of health (SDOH) that may contribute to food insecurity.Objective: To provide information on the overall health of …

“To Live In The Body Of A Survivor ”: Unique And Cumulative Disaster Exposure And Mental Health In A Sample Of Hurricane Katrina Survivors, Noelle Serino

Public Health Theses

Introduction: Fueled by the escalation of climate change, weather-related disasters are increasing in frequency and severity. Existing research has documented the extensive harm induced by such disasters, yet few studies have examined how individuals’ psychological well-being fares when exposed to multiple, diverse threats, including other weather-related and public health disasters (e.g., COVID-19). As such, the present study explores posttraumatic and psychological distress in the context of unique and cumulative disaster exposure.Methods: The data utilized for this study came from the Resilience in Survivors of Katrina (RISK) Project. The sample was comprised of 381 predominantly Non-Hispanic Black (84.5%) women who experienced …

What It Will Take For The Successful Implementation Of Produce Prescription Programs In Connecticut: A Qualitative Analysis, Olivia M. Rua

Public Health Theses

Abstract

Background: The Biden-Harris Administration National Strategy on Hunger, Nutrition, andHealth was released in September 2022, a result of the second-ever White House Conference on Hunger, Nutrition, and Health. Produce prescription programs were included in this strategy and identified as a mechanism for preventing or managing diet-related diseases and addressing food security. Food security is a key social determinant promoting health. Food security allows for the adequate nutrition needed to promote health and prevent and treat diet-related diseases. This study aims to identify the key considerations for implementing and scaling up a state-wide produce prescription program in Connecticut to translate …

Food Environment Intervention And Dietary Impacts In Blue Zones Project Communities On The Island Of Hawai'i, Katherine Fuller

Public Health Theses

ABSTRACTBackground: High intake of fruits and vegetables is associated with many health benefits including a lower risk of incident hypertension, heart disease, stroke, obesity, Alzheimer’s, and dementia. Dietary choices are impacted by a variety of individual socio-psychological and environmental factors. For this reason, Blue Zones Project (BZP) hypothesized that a multilevel intervention combining psychological, social, and environmental factors would have the largest impact on eating behaviors compared to a single-level approach. We assessed the impact of a BZP food environment intervention on fruit and vegetable intake and food insecurity among adults on the island of Hawai’i (or the Big Island). …

Do Longitudinal Trends In Caloric Intake Vary By Income, Education, Or Race?, Daniel Davila

Public Health Theses

Background: The prevalence of obesity in the United States has increased over the last few decades. Reasons for the increases are abundant, but one factor consistently stands out, caloric intake. Cross-sectional data on differences in caloric intake by race/ethnicity and socioeconomic status are common; however, few studies have evaluated the long-term trends in calorie intake by these factors. Methods: We evaluated trends in average calories consumed by adults in the United States by income decile, educational attainment level, and race/ethnicity from 1971 to 2018 using data from the National Health and Nutrition Examination Survey (NHANES), which purposely assessed and recorded …

Estimating Urinary Nitrate Excretion In Rural Iowans From Dietary And Drinking Water Sources, Timothy Skalaban

Public Health Theses

Nitrate levels are increasing in our environment, and epidemiological studies have found evidence of adverse health risks from this exposure. Therefore, it is important to characterize the magnitude of nitrate exposure from food and drinking water sources. This study assesses the magnitude of nitrate exposure for 47 farmers from the Agricultural Health Study (AHS) in 2018-2019. The participants in our study use private wells as their main drinking water source and live in agricultural area of Iowa (10 counties) where ground water is vulnerable to nitrate contamination. The extent of nitrate exposure is determined by several factors, including the types …

“So We Create Happy Synergies” How An Overall Enabling Environment Helped Lao Pdr Legislate The Who Code On Breastmilk Substitutes: Lessons Learnt, Devina Buckshee

Public Health Theses

ABSTRACT

Background: Exclusive breastfeeding rates in Lao People’s Democratic Republic (Lao PDR) remain at 44% against a global goal of at least 50%, partly due to a weak understanding of the multifactorial and multilevel determinants of breastfeeding (UNICEF, 2021). Therefore, evidence-based advocacy efforts call for a systems approach to improve the enabling environment around breastfeeding. Aim: This study aims to stitch together the comprehensive patchwork of actors and dynamic ‘gears’ in the socio-ecological environment that came together to develop a much more enabling environment to improve child nutrition through breastfeeding promotion and protection in Lao PDR. Further, it aims to …

Psychological Resilience In U.S. Military Veterans: Results From The 2019-2020 National Health And Resilience In Veterans Study, Michael Georgescu

Public Health Theses

Psychological resilience is the most common response following exposure to traumatic life events. To date, most research has focused on factors associated with adverse post-trauma mental health outcomes rather than understanding those associated with psychological resilience. In particular, little is known about factors associated with resilience in veterans, despite their high rates of trauma exposure, such as combat and military sexual trauma. To address this gap, we used a discrepancy-based psychiatric resilience (DBPR) analytic approach to operationalize resilience and to identify modifiable health and psychosocial factors associated with resilience in a nationally representative sample of U.S. veterans (N = 4,069). …

Prevention Of Mother-To-Child Transmission Of Hiv(Pmtct) Efforts In Kwazulu-Natal, South Africa: Lessons From Botswana, Jin Hee Kim

Public Health Theses

In sub-Saharan Africa (SSA) where mother-to-child transmission (MTCT) of the human immunodeficiency virus (HIV) continues to be an ongoing problem, scale up of prevention of mother-to-child transmission (PMTCT) services remains a priority. Between 2001 and 2012 globally, the 52% decline of new pediatric HIV infection was attributed to the expansion of PMTCT services. In December of 2021, the World Health Organization (WHO) announced that Botswana was certified as having attained the silver-tier status in the elimination of mother-to-child transmission of HIV, because it had successfully reduced the MTCT rate to less than 5%, had provided antenatal care (ANC) and antiretroviral …