Medicine and Health Sciences Commons^™

Genus-Specific Probes And Advanced Imaging Technologies For Bacterial Detection In Canine Dental Plaque, Meghan Stern

ALL - Honors Theses

Periodontal disease is an inflammation of the gums that can progress to bone resorption in the jaw and eventual tooth loss. A contributor to this disease is the buildup of subgingival and supragingival plaque, which consists of hundreds of bacterial species. To study the bacteria involved in periodontal disease, we use extracted canine teeth as our model. Canines were chosen based on their similarities with humans at the bacterial phylum level, as well as having a similar progression of periodontal disease. However, there are significant differences at lower levels of taxonomy of bacterial abundance and prevalence. The abundance and prevalence …

Protect Your Youth: Anti-Vaping Campaign For Adolescent Girls, Kerstyn Healy

ALL - Honors Theses

Since 2014, e-cigarettes have been more common among US youth than traditional cigarettes (Dinardo, P. et al., 2019). This switch from smoking cigarettes to vaping comes from a variety of aspects such as convenience, positive advertising, and the flavors of vapes available. Vaping can be done discreetly almost anywhere, allowing for much more frequent nicotine consumption than using traditional cigarettes (Dinardo, P. et al., 2019). 75% of students in 2022 reported seeing vapes in ads, television shows, and other forms of media. Furthermore, e-cigarette companies utilize sponsorships to showcase their companies and brands (ALA, 2024). An estimated 7,700 vaping flavors …

Assessing Associations Between Emergency Room Visits For Respiratory And Cardiovascular Diseases And Criteria Air Pollutants Exposure In New York State, Tamba Solomon Lebbie

Electronic Theses & Dissertations (2024 - present)

Abstract

Air pollution is a major environmental health hazard for the general population. Approximately 90% of the global population is at risk of both indoor and outdoor air pollution, and it accounts for an estimated 7 million premature deaths every year according to the World Health Organization (WHO). Multiple studies including epidemiological and molecular analyses have confirmed the negative effects of air pollutants on human health even at levels within the WHO guidelines. This study examines the health impacts of releases of criteria air pollution from point sources in New York State (NYS). There is evidence from population studies that …

Optimizing The Community Health Worker (Chw) Program In Belize And Understanding Its Unique Intermediary Position Within The Health System: Perspective From The World Health Organization (Who) Health Systems Approach, Andrei R. Chell

Electronic Theses & Dissertations (2024 - present)

Human resources for health (HRH) are the backbone of a well-functioning and resilient health system. Issues related to HRH recruitment, retention, planning, leadership and governance have been amplified by the coronavirus disease 2019 (COVID-19) pandemic and have posed additional and unprecedented challenges in many countries. Community health workers (CHWs) in particular, are uniquely positioned to be frontline health care workers (HCWs) that are considered a vital link between communities and the formal health system. Globally, the benefits of CHW programs have been well documented, and there is substantial evidence of the efficacy and effectiveness of these programs. However, countries are …

The Effect Of Presenting Concerns On Providers’ Assessment Of Patients’ Suicide Risk, Alexandria Brunkow

Electronic Theses & Dissertations (2024 - present)

Objective: Suicide is the 10^th leading cause of death in the U.S. with nearly 50,000 people per year dying by suicide. Public health approaches to suicide prevention focus on screening people in primary and mental health care settings and offering treatment to those who screen positive. Research shows that mental health providers may not recognize risk factors for suicide and miss opportunities to screen patients who may be at risk. Providers’ mental representations of suicide risk may be influencing their perception of patient risk and contributing to low screening rates. This study used an experimental vignette case design to …

Ribosome Hibernation Factor Induces Antibiotic Persisters Of Mycobacterium Tuberculosis In Neutrophil-Rich Lung Lesions, Jamie Corro

Electronic Theses & Dissertations (2024 - present)

Mycobacterium tuberculosis (Mtb), the etiological agent of tuberculosis, is a prescient global health threat and the leading cause of death by an infectious agent. Treatment of Mtb infection involves administering 2-4 antibiotics for a minimum of 6 months. This extended drug regimen is required to target a subpopulation of persistent bacilli. As their name implies, these bacteria can “persist” by acquiring nonhereditary and transient antibiotic tolerance. Although the precise mechanism is unknown, it’s often attributed to slowing cellular growth and metabolic processes. During zinc deprivation, bacteria can remodel their ribosomes by replacing their zinc-binding paralogues containing the CXXC motif (C+) …

Hospital Surge Capacity In Co-Occurring Mass Casualty Incidents, Carolyn Solimine

Electronic Theses & Dissertations (2024 - present)

The COVID-19 pandemic has brought sweeping disruption and changes across healthcare systems. Examining how these changes have impacted surge capacity and capabilities is necessary to plan for future co-occurring surge-creating events in hospital Emergency Departments (EDs) and Intensive Care Units (ICUs). While there is extensive research on patient surge management, no study has looked at how the presence of a prolonged surge would impact the healthcare system’s ability to handle a concurrent acute patient surge. This study seeks to demonstrate the need for comprehensive planning for co-occurring patient surges in New York State using hospital capacity data from Health and …

Pdgfra And B Copositive Fibroblasts Drive Fibrosis In Mouse Salivary Glands Through Tgfβ Signaling, Renae Williams Atkinson

Electronic Theses & Dissertations (2024 - present)

Fibrosis is of significant concern to the medical community as numerous disease processes are characterized by progressive fibrosis leading to organ damage. We begin the process of examining the mechanism of fibrosis to salivary gland hypofunction and briefly consider Sjögren’s Disease (SjD). Method: We employed single-cell RNA sequencing data from a reversible mouse salivary gland injury model and from NOD/ShiLtJ mice, a model of secondary SjD. We performed treatment comparisons with the help of Seurat dotplots and UMAPS. Using differential gene expression analysis and the publicly available R packages: clusterProfiler, WikiPathways and Cytoscape, we identified the processes and pathways …

Opioid Task Force Highly Successful In Training Residents In Naloxone Use, Center For Human Services Research, University At Albany

Health and Healthcare Services Reports and Research Briefs

Aiming to limit the increase in deaths from opioid overdose to 25% of current levels, the Genesee-Orleans-Wyoming Opioid Task Force (“the Task Force”) began a campaign in 2015 to, among other goals, increase the number of individuals trained to administer Naloxone in the tri-county area. This training is a critical need in these rural counties where there are low numbers of professional first responders dispersed over a wide geographic area. The Task Force also used these trainings to promote the importance of follow-up care after the administration of Naloxone, thus aiming to prevent opioid overdose deaths and facilitate a first …

Final Report For The Northern Manhattan Perinatal Partnership Telehealth Project, Center For Human Services Research, University At Albany, Annis Golden, Amy Williams

Health and Healthcare Services Reports and Research Briefs

Executive Summary:

This report describes the history and achievements of the Northern Manhattan Maternal Action Network (NMPP) Telehealth Project (“the Telehealth Project”) and identifies opportunities for program improvement and sustainability.

Objective:

The Northern Manhattan Maternal Action Network (NMPP) Telehealth Project received funding from the New York Health Foundation (NYHF) in 2021 to build a patient-driven model for perinatal care delivered through telehealth. In particular, the project sought to identify ways to enhance patients’ access to and use of a patient portal, MyChart/Connect1 and video visits with providers accessed through MyChart.

Metabolic Alterations And Cardiovascular Risk After Hepatitis C Cure In Subjects With Or At Risk For Hiv, Christophe Maxime Fokoua Dongmo

Legacy Theses & Dissertations (2009 - 2024)

Background. Hepatitis C virus (HCV) infection engenders substantial metabolic changes. These changes are altered when the virus is cleared after successful treatment. We measured these metabolic alterations that occur after HCV cure; further, we assessed whether these alterations differed in subgroups defined by patients’ characteristics.

Evaluating The Health Impacts Of Fruit And Vegetable Intake At The Individual Level And Food Pantry Level Among Food Pantry Users, Jiacheng Chen

Legacy Theses & Dissertations (2009 - 2024)

Background: Chronic diseases impose heavy burdens on individuals and the healthcare system in the US. Many factors were found to be associated with chronic diseases, including demographics, family history, social environmental factors, and individual behavioral factors such as diet and physical activity. Among those factors, fruit and vegetable intake can have substantial health impacts via a variety of causal pathways. Fruit and vegetable (F&V) consumption is generally lower among individuals living in households experiencing food insecurity and rely on food assistance programs. Decreased F&V intake among food pantry users may negatively impact health. However, conducting quantitative analysis on this population …

The Media Discourses On Organ Donation And Transplantation In Spain (1954-2020) And Their Implications For Spanish Nationalism, Rebeca Herrero Sáenz

Legacy Theses & Dissertations (2009 - 2024)

Spain has been the global leader in organ donation and transplantation since 1992, an achievement that has become a source of national pride, in a country where national symbols are heavily contested. In this dissertation I examine the changing meanings that organ donation and transplantation have acquired in contemporary Spain, focusing specifically on their implications for different aspects of Spanish nationalism. To do so, I employ a modified version computational grounded theory, a mixed-methods approach that combines topic modeling with interpretive analysis, to identify and interpret the narratives around organ donation and transplantation circulated by the Spanish press between 1954 …

Treating Anonymous Patients : The Effectiveness, Costs, And Strategies Of Promoting The Use Of Expedited Partner Therapy, Andre Kiesel

Legacy Theses & Dissertations (2009 - 2024)

Despite decades of concerted efforts to prevent their spread, chlamydia andgonorrhea remain two of the most prevalent sexually transmitted infections in the United States (U.S.) — exacting a high toll in terms of human health and healthcare expenditure. Though easily cured with antibiotics, both infections may lead to damaging secondary health conditions – known as sequelae – if untreated, including infertility among females. However, treating diagnosed individuals (known as “index patients”) is not enough—it is critical to also care for their recent sex partners as well, lest they reinfect the treated patient. Partner referral is the traditional approach to partner …

U.S. Health Professionals' Perspectives On Orthorexia Nervosa : Clinical Utility, Measurement And Diagnosis, And Perceived Influence Of Sociocultural Factors, Christina Sanzari

Legacy Theses & Dissertations (2009 - 2024)

Purpose: The current study aimed to investigate United States (U.S.) health professionals’ perspectives on if and how Orthorexia nervosa (ON) should be classified, replicating and expanding upon a previous study in a U.S. sample. Method: Participants (n=100) were U.S. health professionals with experience working clinically with eating disorders, including trainees, Ph.D. psychologists, social workers and master’s level clinicians, and medical health professionals. After reviewing the proposed ON criteria, participants responded to questions regarding the clinical utility of ON, diagnosis and measurement of the proposed condition, and sociocultural influence on the emergence of ON. Views of ON as a useful diagnostic …

Intolerance Of Uncertainty Specific To Compulsive Exercise : Development And Preliminary Validation Of The Exercise-Specific Intolerance Of Uncertainty Scale, Christina Scharmer

Legacy Theses & Dissertations (2009 - 2024)

Compulsive exercise is poorly understood and difficult to treat. Overlap between definitions of compulsive exercise, eating disorders and OCD suggests that conceptualizations of these disorders may include shared underlying mechanisms, including intolerance of uncertainty. Although intolerance of uncertainty is traditionally conceptualized as a non-specific construct representing an individual’s dispositional distress in the face of general uncertainty, identifying specific forms of intolerance of uncertainty may further assist in understanding the specific factors that contribute to the development and maintenance of problematic behaviors, including compulsive exercise. The current study aimed to develop an assessment instrument that captures exercise-specific variations in intolerance of …

Understanding Deaths Of Despair In Us Counties Through Bourdieu's Theory Of Capital, Seulki Kim

Legacy Theses & Dissertations (2009 - 2024)

The overarching goal of this dissertation is to examine a recent rise in rates of deaths from suicide, alcohol, and drugs, labeled together as “deaths of despair” in the United States using Bourdieu’s theory of capital. Although the deaths of despair phenomenon is a product of a complex process related to various material and non-material factors, there is no theoretical framework that is able to account for different domains of predictors. Thus, this dissertation aims to fill this gap by drawing on Bourdieu’s theory of capital and systematically investigating the relationships of mortality rates attributed to suicide, alcohol, and opioid …

An Examination Of Historical Health Disparities Of The Black Population In America, And Their Effects On Contemporary Health Disparities In Covid-19 Vaccine Hesitancy, Sophia-Evelyne Blake Nehama

Public Health Undergraduate Program

The COVID-19 pandemic has highlighted the significant health disparities that the African American population faces in comparison to White Americans. The Tuskegee Syphilis study is often cited to support the theory that medical mistrust is responsible for these disparities despite conflicting opinions that medical distrust is not the main reason for disparities. This study examines the effects that historical health disparities in Black populations have on contemporary vaccine hesitancy. An analysis of recent sources, including peer reviewed historical analysis and news articles with accredited sources was used to make up the entirety of the literary review. For data on contemporary …

Taking A User-Centered Design Approach To Develop A Data Dashboard For New York State Department Of Health And Implications For Improving The Usability Of Public Data Dashboards / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Bahareh Ansari

Legacy Theses & Dissertations (2009 - 2024)

In recent years, the increased availability of public data dashboards provided opportunities to democratize data access by summarizing large amounts of data into accessible snapshots to facilitate educational efforts and encourage evidence-based decision-making. However, many current practices have not reached their full potential because the dashboard design has not accounted for users’ needs and preferences. This dissertation employed the user-centered design framework with three studies. Study 1 investigated the usability problems of existing public health data dashboards through an expert review of existing dashboards on government websites. Study 2 established the requirements of a usable design for public health data …

Identifying Risk Factors For Hospitalization With Mental Illness And/Or Behavioral Disorders And Concurrent Temperature-Related Illness In New York State : A Cross-Sectional Study, Heather Aydin-Ghormoz

Legacy Theses & Dissertations (2009 - 2024)

Background: In New York State (NYS), extreme heat events in the warm months (May – September) are expected to increase over the next 60 years. Additionally, NYS experiences extremely low temperatures in the colder months (October – April). Extreme temperature events are linked to increased emergency department visits, hospitalizations, and mortality for individuals with mental and behavioral disorders. This research aims to characterize individual and regional risk factors for mental and behavioral disorder hospitalizations with concurrent temperature-related illness in NYS. Methods: Using data from the NYS Statewide and Planning Research and Cooperative System between 2005 – 2019, multivariate log binomial …

The Communicative Capacities Of The Medical Discourse In Authoritarian Societies : The Case Of Aids In Iran, Elham Pourtaher

Legacy Theses & Dissertations (2009 - 2024)

This study explores the role of medical discourse in the Iranian formal public sphere. It examines how an epidemiological wave of HIV/AIDS—known as "the third wave"—highlighted nontraditional sexual behaviors in public and enabled a shift in policy and discourse by the Islamic Republic State. Through analyzing published content on HIV/AIDS from five major Iranian newspapers between 2009 and 2013, this study identified four competing narratives of the third wave which coexist and have a dynamic relationship with one another. First, the medical narrative warns of an unfolding public health crisis and provides a technical perspective to make sense of the …

Environmental Factors And Human Health Interactions : Ultrafine Particles, Temperature Variability, And Proximity To Power Stations, Ian Ryan

Legacy Theses & Dissertations (2009 - 2024)

Background: Air pollution leads to more than four million premature deaths worldwide and nearly 200,000 in the US each year. While there is extensive research relating PM2.5 to hospital visits for various health outcomes, there is relatively little research on ultrafine particles (UFPs), a particularly small and dangerous air pollutant. Another important exposure is temperature due to its association with dehydration, heat stress, and cardiovascular-related hospital admissions. However, relatively little research has been conducted on diurnal temperature range (DTR), or the range of temperature within a single day, which is an important indicator of climate change. Importantly, the interaction between …

Missed Opportunities In Social Media To Reduce Maternal Health Disparities For Black Women, Nerissa George

Legacy Theses & Dissertations (2009 - 2024)

Pregnancy-related maternal morbidity and mortality disproportionately affect Black women more than their White counterparts. Black pregnant women are more likely to omit or engage in prenatal care late than White women. Social media is an essential source of pregnancy-related information and shows it effectively improves pregnancy knowledge. Greater than 80% of Black women own a mobile device, and some data demonstrate that Black women use social media for pregnancy-related information. However, little is known about social media use during pregnancy for this population. Several gaps exist about what maternal health content is available on social media, how Black women use …

Covid-19 And Digital Health Literacy In University Students / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Molly Kathleen Hadley

Legacy Theses & Dissertations (2009 - 2024)

Early in 2020, the COVID-19 pandemic became a global public health concern. College students became dependent on the online environment for learning, but also for receiving COVID-19 information. Understanding digital health literacy (DHL) in this unique population and subsequent prevention behaviors in a digitally connected population during a public health crisis is crucial to prepare for future pandemics. This study explored DHL in college students, their main sources of pandemic information and other information seeking behaviors, adherence to public health guidelines, and intentions to receive a COVID-19 vaccine. During the summer of 2020, 245 New York state college students completed …

Cis-Acting Super-Enhancer Lncrnas As Biomarkers To Early-Stage Breast Cancer, Ali Salman Ropri

Legacy Theses & Dissertations (2009 - 2024)

Abstract

Mrt Supportive Housing Evaluation: Enrollment In Supportive Housing Results In Significantly Greater Cross-Sector Cost Savings Than “Treatment As Usual”, Center For Human Services Research, University At Albany

Health and Healthcare Services Reports and Research Briefs

The New York State Medicaid Redesign Team (MRT) was created in 2011 to develop a multi-year reform plan to address unprecedented healthcare cost growth and improve healthcare quality. One innovation tested under this Redesign is the investment in supportive housing, or affordable housing paired with supportive services (e.g., on-site case management, referrals to community-based services). High-cost, high-need Medicaid recipients who were homeless, unstably housed, or living in treatment facilities providing a higher level of care than needed were targeted for enrollment. While expensive, this investment was anticipated to improve quality of life and health outcomes for enrolled clients, thus decreasing …

Disability In An American Indian Community : Prevalence, Distribution, And The Role Of Polychlorinated Biphenyls, Thoin Farzana Begum

Legacy Theses & Dissertations (2009 - 2024)

The Akwesasne reservation along the St. Lawrence River has experienced significant exposure to several persistent organic pollutants due to rapid industrialization. The Aluminum Company of America, General Motors, and Reynolds Metals operated aluminum foundries that used polychlorinated biphenyls (PCBs) as hydraulic fluids, which contaminated the community environment, the soil, air and water, and community food sources with PCBs. We administered the World Health Organization Disability Assessment Schedule II (WHODAS II) to 119 Akwesasne Mohawk adults residing along the St. Lawrence River in New York. We used exploratory factor analysis to summarize the 36- items comprising the WHODAS II. The 7 …

Phase And Dark Field Radiography And Ct With Mesh-Based Structured Illumination And Polycapillary Optics, Uttam Pyakurel

Legacy Theses & Dissertations (2009 - 2024)

Imaging can be performed with a variety of techniques. For example, gamma radiation is used in nuclear medicine and radiation therapy A challenge in using gamma rays is the risk of high radiation exposure, which requires extensive custom shielding. The transmission of gamma rays through 3D printed shielding was measured to evaluate the required thickness of the shielding.Conventional radiography depends on x-ray attenuation. Another imaging technique, X-ray phase imaging, is known to improve the contrast of images relative to conventional imaging for low density materials. Phase differences imparted by soft tissue are roughly 1000 times larger than attenuation differences. Further, …

Trace Elements In Nails And Anemia In Children Living Along The Interoceanic Highway, Madre De Dios, Peru / Narrative Competence And Cognitive Mapping As A Culturally Sustaining Pedagogy In The Education Of Emergent Bilinguals, Tia Marks

Legacy Theses & Dissertations (2009 - 2024)

Anthropogenic changes in the Peruvian Amazon, including deforestation, highway development, agriculture, and artisanal and small-scale gold mining (ASGM), have increased community concern about potential exposures toxic trace elements (TTE) including arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb). Such exposures can lead to detrimental health effects in children, such as developmental delays and anemia. The overarching goal of my dissertation was to understand exposure to both toxic and essential (manganese (Mn), selenium (Se), and zinc (Zn)) trace elements, anemia prevalence, and the associations between hemoglobin (Hb) levels and trace elements. To do this, I leveraged existing data from a …

Radical Trachelectomy For Invasive Cervical Cancer : A Pathway To Fertility For Some, But Not Without Repercussions, Erica Jamro-Comer

Legacy Theses & Dissertations (2009 - 2024)

BackgroundRadical trachelectomy (RT) is a surgical procedure that offers a substantial benefit to women diagnosed with invasive cervical cancer: fertility preservation. However, as a newer surgical option, there are still many unknowns about the characteristics and outcomes of women who undergo this procedure after a cervical cancer diagnosis. Initial research in this area indicates that some disparities exist in who has the surgery versus the standard radical hysterectomy procedure; however, these are not fully understood and characterized. Furthermore, little is known about how women plan their families and how their high-risk pregnancies are managed in the absence of a standard …