Medicine and Health Sciences Commons^™

Examining The Association Between Maternal Mobile Device Use, Mother-To-Infant Attachment And Infant Negative Affectivity, Imteyaz Eljarrah

Theses and Dissertations

Background: With the exponential growth in the development of technology (i.e., mobile phones, laptops, tablets) use worldwide, researchers have classified "problematic mobile device use" to encompass "addiction" or dependency on the device that distracts one from their surroundings. This distraction can be common during parenting and could negatively impact how parents interact or attach to their children. The main purpose of this study is to examine correlations between problematic mobile device use in mothers, maternal attachment to infants, and infant negativity.Methods: A cross-sectional, correlational design with a convenience sample of mothers with infants (n = 250) from five areas in …

The Impact Of Prenatal Exposure To Endocrine Disrupting Chemicals On Language Development Trajectories, Justin Yu

Theses and Dissertations

Environmental contaminants that can impact and disrupt the endocrine system, known as endocrine disrupting chemicals (EDCs), are of growing concern, found in water, air, and common household goods. The disruption to the endocrine system can have severe impacts on the development of the fetus, particularly with regards to neurodevelopment. Understanding and elucidating the effects of prenatal exposure to EDCs on neurodevelopment will help us develop policies and interventions that minimize exposure and risk. In this research, we examined the effects of prenatal exposure to EDCs and their impact on language development trajectories using two enhanced risk autism cohorts. Chapter 1 …

The Effect Of Vaping On Measures Of Vocal Function In Adults: A Comparative Study, Blake Taylor Howard

Theses and Dissertations

E-cigarettes or “vapes” have become more frequently used than conventional cigarettesamong youth and young adults in the U.S., however the existing research on these products and their impact on health is limited due to its modernity. The purpose of this study was to investigate the effects of various vape products on perceptual and instrumental objective measures of voice compared to a control group of nonsmokers in a sex and age-matched sample. As vapes have rapidly evolved, more substances have become available for consumers, thus a comparison was made to differentiate the effects of two common substances used in these products, …

Linking Determinants And Outcomes: Examining The Relationship Between Key Determinants Of The Implementation Process And Implementation Outcomes, Marin Schmitt

Theses and Dissertations

Background: Implementation science advances public health by studying the process of implementing evidence-based practices in real-world settings. While our knowledge surrounding determinants (factors affecting the implementation process) and outcomes (measures of implementation success) has grown exponentially, it remains difficult to determine which determinants have the greatest impact on the implementation process, as well as their relationship with implementation outcomes. Research is needed to identify 1) key determinants that affect the implementation process, or those found to play the biggest role in the implementation process most frequently and 2) their relationship with implementation outcomes.Methods: The relationship between key determinants and implementation …

"I Can Just Be Myself And Part Of That Is Being A Vaper." A Qualitative Analysis Of Vaping Identity, Megan Wahl

Theses and Dissertations

Introduction: E-cigarette use among young adults (18-24 years-old) is becoming increasingly problematic. Current vaping cessation programs draw from existing tobacco interventions which focus on reducing nicotine consumption. Vaping, however, is distinctly different from smoking. Rooted in sociology, recent research has evaluated social identity as a new way of addressing complex health behaviors. Purpose: Young adulthood is a unique time for experimenting with multiple identities. Understanding social identity formation around vaping may have public health utility in addressing current e-cigarette use. To date there is limited research about vaping identity and the process by which it is formed among young adults …

Technology Acceptance Model (Tam)-Based Predictors Of Internet-Accessed Testing For Sexually Transmitted Infections Among Young Adults In The United States Using An Online Sample, Immaculate Apchemengich

Theses and Dissertations

Sexually Transmitted Infections (STIs) continue to be a global public health concern, with an estimated 357 million new infections of curable STIs each year. As of 2018, there were more than 2.4 million cases of STIs in the United States (US) with youth being affected disproportionately. Whereas STIs generally affect youth disproportionately compared to other age groups, young adults (18-24) have a heightened risk for STIs.There is a plethora of research on access to STI testing using conventional modes, but less research exists on access to testing services via the Internet (e-STI services). With only conventional modes of testing, national …

Accuracy And Precision Of Wearable Camera Media Annotations To Estimate Dimensions Of Physical Activity And Sedentary Behavior, Julian Martinez

Theses and Dissertations

Physical activity (PA) is a complex behavior to measure given its sporadic nature and its all-encompassing definition as bodily movement produced by skeletal muscles that result in increased energy expenditure. Sedentary behavior (SB) is another complex health behavior to measure as it is more exactly defined as sitting, reclining, or lying while having an energy expenditure ≤ 1.5 metabolic equivalents (METs). For both PA and SB, it is important to measure the dimensions of frequency, intensity, duration and type of activity being performed when associating the volume of PA and SB with different health outcomes. However, commonly used measurement tools …

Employee Commitment In Nursing Facilities, Robert Frediani

Theses and Dissertations

This research is meant to help employers improve employee retention, especially in the nursing facility healthcare market in the United States. This quantitative correlational study investigates the relationship between employees' intent to stay or leave their jobs and the commitment they hold for their organization. It also explores the correlation between employee commitment and moderating factors in the workplace. The aim for this study is to improve understanding about how an employee’s intention to quit or stay in their job correlates with the strength and type of commitment they have to their job and organization. The research, guided by six …

Examining Lung Cancer Disparities And Risk Factors In Wisconsin, Usa (2016-2020), Mathew Chidera Ugwuanyi

Theses and Dissertations

Studies over the United States has shown that disparity still exists in lung cancer mortality. Such disparity has been attributed to several risk factors such as genetics, socio-economic status, comorbidities, amongst others. This study investigates the spatial variations in lung cancer mortality rates in Wisconsin, USA, through analyzing county-level data from the Center for Disease Control (CDC) and National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER). Emphasis is placed on exploring the relationship between access to lung cancer services, socio-economic factors, and lung cancer mortality rate, utilizing American Community Survey and County ranking data. Scan Statistics (SaTScan) was used …

The Impact Of Medical Device Usability And Accessibility Information On Purchasing Decisions Of People Without Disabilities, Maysam M. Ardehali

Theses and Dissertations

The disparity between people with and without disabilities in timely diagnosis and appropriate treatment is exacerbated by inaccessible medical devices. The industry appears reluctant to address the shortcomings or provide usability and accessibility information to enhance the purchasing decisions of people with disabilities. This reluctance is mainly caused by the lack of market motivation based on perceptions of market size and the profitability of investments in accessibility evaluation and improvement. This study aims to challenge this notion by demonstrating that usability and accessibility information do not solely benefit what may be considered a “niche market,” and the purchasing decisions of …

Big Data Applications And Challenges In Giscience (Case Studies: Natural Disaster And Public Health Crisis Management), Amir Masoud Forati

Theses and Dissertations

This dissertation examines the application and significance of user-generated big data in Geographic Information Science (GIScience), with a focus on managing natural disasters and public health crises. It explores the role of social media data in understanding human-environment interactions and in informing disaster management and public health strategies. A scalable computational framework will be developed to model extensive unstructured geotagged data from social media, facilitating systematic spatiotemporal data analysis.The research investigates how individuals and communities respond to high-impact events like natural disasters and public health emergencies, employing both qualitative and quantitative methods. In particular, it assesses the impact of socio-economic-demographic …

Assessing The Impact Of Employee Wellness Programs On Healthcare Employee’S Weight, Reja F. Basyyoni

Theses and Dissertations

Introduction: Over 32% of employees in healthcare are clinically overweight with a BMI over 30. This level of obesity is more significant in healthcare than in other professions. (Aldana, 2021). The growing prevalence of diseases among employees in healthcare settings has increased the concern about their health, well-being, and productivity. (Aldana, 2021). Notably, the reduction of obesity rates holds the potential to avert 40 million instances of chronic diseases, encompassing hypertension, diabetes, and cardiovascular ailments. (Milken Institute Study, 2022) Therefore, maintaining a healthy body weight or shedding excess pounds is crucial to reduce the risk of developing these. As a …

Native American Middle School Student Perception Of Nursing As A Career Choice, Rebecka Huggins

Theses and Dissertations

ABSTRACT NATIVE AMERICA MIDDLE SCHOOL STUDENT PERCEPTION OF NURSING AS A CAREER CHOICE

The nursing profession has made concerted efforts to increase diversity in the profession. Given the population of Native Americans is increasing, increasing the number of Native American nurses is important. Having a sufficient number of Native American nurses could increase the quality of care the Native American population receives as evidence indicates communication and interactions in enhanced when communicating with a nurse of same race. Having a larger number of Native American registered nurses (RN)s would “foster better interaction and communication” (Institute of Medicine, 2010b, p. 128)/Purpose: …

Transportation Needs Of Older Adults In Suburban And Rural Areas, Dahai Han

Theses and Dissertations

The fact that the average age of the world's population is increasing, which is more pronounced in developed countries, necessitates the understanding of the challenges faced by older adults in accessing transportation services. With advancing age, individuals may experience age-related changes that can notably affect their driving capabilities, emphasizing the importance of alternative transportation alternatives. This challenge is more evident in suburban and rural settings, where transportation choices are limited, and older adults often find themselves without access to suitable transportation alternatives. Given that mobility plays an essential role in maintaining social connections, accessing healthcare services, and fulfilling daily needs, …

Accessiblehomepro As An Educational Intervention: Preparing Occupational Therapy Students To Perform Home Safety Assessments, Laryn O'Donnell

Theses and Dissertations

The growing aging population of the United States urges occupational therapy practitioners to address the population's home safety needs. However, current occupational therapists need more resources and education to conduct comprehensive home safety evaluations. This study employed a pretest-posttest mixed methods design using occupational therapy students (n=17) to investigate the potential of AccessibleHomePRO as an educational intervention to enhance OT student knowledge of home safety assessments, perceived knowledge, which is known as the belief in your level of knowledge, and self-efficacy, which refers to the confidence in completing a task. AccessibleHomePRO (AHP) is a novel multifaceted assessment that leverages artificial …

Black American Men's Resiliency And Persistence To Grow Old: A Midwest Qualitative Study, Kimberly Ann Walker

Theses and Dissertations

AbstractAs Black American men continue to experience the highest premature morbidity and mortality, few studies have centered on the intersection of class (low-income) and race (middle-aged and older Black men) with multiple morbidity from a critical race approach in the Midwest region of the U.S. Middle-aged Black men have 31% higher death rate than their White counterparts. A qualitative study was conducted by a community health nurse in the spring of 2021 in a metropolitan city. Thirty-one, low-income Black American men were interviewed focusing on their understanding and perceptions of their complex comorbidities, symptom management for quality of life, short …

Detection Of Pharmaceuticals, Personal Care Products (Ppcps) And Illicit Drugs In Wastewater Treatment Plants And Urban River Systems, Mary L. Seaman

Theses and Dissertations

ABSTRACT

DETECTION OF PHARMACEUTICALS AND PERSONAL CARE PRODUCTS (PPCPS) AND ILLICIT DRUGS IN WASTEWATER TREATMENT PLANTS AND URBAN RIVER SYSTEMS

by Mary L Seaman The University of Wisconsin-Milwaukee, 2023 Under the Supervision of Professor Todd Miller, PhD

Pharmaceuticals, personal care products (PPCPs) and illicit drugs are a threat to human health and the aquatic environment globally. Their usage and consumption is rapidly increasing potentially due to an aging population, the development of new drugs, the overprescribing of prescription drugs and easier accessibility of drugs legally and illegally prescribed. These compounds enter wastewater treatment plants influent through urine or feces, pass …

Using Music To Modify Step-Rate And Running Biomechanics In Healthy Runners, Erin Marie Lally

Theses and Dissertations

Context: Running-related injury (RRI) is a significant public health issue that may be caused by injurious running biomechanics. Increasing step-rate (SR) using gait retraining may prevent and treat RRI. The Optimizing Performance Through Intrinsic Motivation and Attention for Learning (OPTIMAL) theory indicates enhanced expectancies, autonomy, and external focus of attention will optimize motor learning. Music has been shown to create enhanced expectancies, can provide incidental choices (autonomy), directs attention externally, and may increase compliance. No studies have investigated if music can be used to alter SR and running biomechanics or strategies that may improve compliance to gait retraining. Objective: The …

The Context And The Commissioner: The Effect Of Milwaukee’S Health Commissioners’ Social, Cultural, And Historical Understanding Of Milwaukee’S People During The Last Five Pandemics, Madeline O'Dea Fruehe

Theses and Dissertations

Resistance to pandemic response policies was observed globally throughout the COVID-19 pandemic. This resistance has been linked by researchers to the prolonged duration and higher mortality rate of COVID-19 compared to previous pandemics, despite advancements in modern medicine, extensive surveillance networks and record vaccine production. However, the strategies implemented by public health officials during the COVID-19 pandemic closely mirrored those successful in mitigating past pandemics. To elucidate this disparity, a historical analysis encompassing the 1918, 1957, 1968, 2009, and Covid-19 pandemics was conducted within the city of Milwaukee. By examining archival documents and over 800 newspaper articles, this research found …

Does State Of Mind Predict Prototype-Based Category Learning In Older Adults?, Kana Kimura

Theses and Dissertations

Category learning plays an important role in day-to-day lives across all ages, allowing us to organize related experiences, develop expectations, and determine how we behave given those expectations. Despite its importance, the current body of literature on category learning in older adults is much smaller than that of other memory domains. Thus, little is known about how well older adults learn new concepts and what factors best promote learning novel categories. One factor that may affect category learning abilities is an individual’s state of mind. A number of studies demonstrate the effects of sleep, stress, affect, and motivation on cognition, …

Educational Environments And Children's Physical Activity And Sedentary Behaviors, Nathan R. Tokarek

Theses and Dissertations

Children and adolescents spend the majority of their day engaged in sedentary behaviors (SB), while also not meeting physical activity (PA) recommendations. The failure to develop and maintain health enhancing behaviors from a young age may impact an individual throughout their life. With children and adolescents spending a large proportion of their waking hours in a school setting, the educational environment presents an opportunity in which children and adolescents’ PA and SB can be positively influenced. Therefore, the purpose of this dissertation was to explore how children and adolescent’s school time PA and SB are associated with the educational setting, …

Understanding Population Gaps And Using Explainable Machine Learning To Predict Risk Of Falls For Senior Adults, Ling Tong

Theses and Dissertations

Senior adult falls are one of the leading causes of injury and death. The analysis of social determinants and healthcare utilization for senior patients with a history of falls is limited. Most healthcare outcome studies focus on risk factors for falls. There is a lack of studies on patients’ socioeconomic and demographic effects on healthcare utilization. With unequal utilization of healthcare adoption, clinical developments, such as clinical decision-making tools, cannot reach people equally, which limits the potential of improving healthcare coverage.To close the healthcare utilization gap, this dissertation includes two studies focusing on healthcare disparities and the use of innovative …

Quantification Of On-Duty Workload In Active-Duty Firefighters, Rudi A. Marciniak

Theses and Dissertations

Firefighters are at an elevated risk of musculoskeletal and cardiovascular injury driven by over-exertion. To date, workload in the fire service is quantified as the call volume of a 24-hour shift. However, call volume does not account for the individual demands of different call types (i.e., medical vs. fire emergency), nor does it account for the influence of individual differences on responses to job demands. Sport-athlete populations have utilized traditional external (i.e., stimulus) and internal (i.e., response) training load measures to quantify task workload and inform injury-prevention strategies, however, minimal use of such measures have been utilized in an on-duty …

Experiences And Perspectives Of Women Veterans Use Of The Veterans’ Health Administration Services, Leanne Anthon

Theses and Dissertations

Women make up 10% of the veteran population. With a projected increase of up to 16% by 2043, this is the fastest-growing demographic in the US military (National Center for Veterans Analysis and Statistics, 2017). This population may have experiences unique from their non-military counterparts such as military sexual trauma (MST), environmental exposures, post-traumatic stress disorder (PTSD), and stress related to their military occupation that may predispose this group to decreased quality of life (QOL). In recent years, the Veterans Health Administration (VA) healthcare system has attempted to increase the healthcare accessibility and services provided to the growing number of …

Impacting Positive Breastfeeding Attitudes Of Prelicensure Nursing Students Using An Evidence-Based Breastfeeding Module, Stephanie D. Uhr

Theses and Dissertations

Background: Robust evidence demonstrates optimal breastfeeding behaviors provide unmatched short- and long-term health outcomes. Therefore, breast milk feeding is more than a feeding decision; it is a significant public health concern. Breast milk is species-specific nutrition for a developing infant. The health impact of providing breastmilk extends to the lactating parent. However, the existing breastfeeding education is often inadequate to support the care of the breastfeeding dyad. The dissertation examines the role breastfeeding plays in prelicensure nursing education and analyzes the use of an evidence-based breastfeeding educational module (EBBM) on breastfeeding attitudes.Method: An integrative review analyzed the current state of …

Pipeline For Calculating Calories For Print Recipes With Minimal User Intervention, Karl W. Holten

Theses and Dissertations

The thesis will provide a pipeline to estimate calorie counts from print recipes. The pipeline takes scanned recipes from cookbooks and uses Optical Character Recognition (OCR) to convert the scanned images of recipes to text. Several OCR tools were tested for their accuracy on fractions using a sample of the data, and the most accurate tool is used on the data. Next, a specially trained named entity recognition model is used to identify ingredients, quantities and units. These ingredients are used to search a database of values from the FDA to compute a calorie count for the recipe. The thesis …

A Community-Engaged Narrative Inquiry Photovoice Project Examining The Health-Impacting Experiences Of Older Adult Russian And Spanish-Speaking Immigrants In Southeastern Wisconsin, United States., Maren Hawkins

Theses and Dissertations

Background: Among the nearly 10 million older adult immigrants in the United States, most come from Mexico and speak Spanish. Moreover, in addition to the hundreds of thousands of Russian-speaking immigrants from the Former Soviet Union already residing in the United States, the current war in Ukraine is fueling mass emigration of Ukrainian and Russian-speakers from Ukraine. Thus, in this study we sought to examine the health-impacting experiences of older adult Russian and Spanish-speaking immigrants in Southeastern Wisconsin. Design & Methods: This was a Community-Engaged Participatory Narrative Inquiry Photovoice Project and applied the Older Adult Immigrant Adapted Model for Health …

Interrater Reliability Of The Accesstools Assessment With Novice Raters, Qussai Mohammed Obiedat

Theses and Dissertations

Public buildings accessibility is of societal importance for all individuals, especially people with disabilities (PWD). Despite of all the efforts that have been made on the societal and community levels, PWD are still limited from participating in the community due to inaccessible environments. One of the major limitations in the current practices regarding public buildings’ accessibility is the lack of a commonly accepted, comprehensive, and metrically sound tool to objectively measure the accessibility of public buildings. Such a measure is needed. AccessTools is a newly developed assessment tool to identify, document, and objectively measure the complete accessibility of different building …

Impact Of Teacher Cognition On The Implementation Of Social- Emotional Learning Practices For El Students, Madeline Bliske

Theses and Dissertations

There is a well-established achievement and graduation rate gap between English Learner (EL) students and their monolingual English-speaking peers (U.S. Department of Education, 2020). The current study focuses on teacher cognition and characteristics that may impact the likelihood that they will implement culturally and linguistically sustaining (CLS) social-emotional learning (SEL) practices for EL students within their classroom. Specifically, I descriptively analyze whether personal, professional, or school characteristics are associated with teachers’ perception of EL students SEL competencies or implementation of CLS SEL practices. Utilizing the Theory of Planned Behavior (TPB), I evaluate whether teacher cognition (i.e., behavioral attitudes, subjective norms, …

Examining Dyslipidemia As A Contributing Factor To Dementia Risk, Michelle Dunk

Theses and Dissertations

APOE4 confers greatest genetic risk for Alzheimer’s disease (AD), but further investigation is required to identify underlying mechanisms and the potential for risk modification. APOE4 carriers are reportedly at increased risk for dyslipidemia due to impaired cholesterol metabolism compared to non-carriers, which points to the possibility that lipid metabolism may be involved in AD. Dietary cholesterol and fat are known to affect lipid metabolism. Both dietary cholesterol and dyslipidemia appear to influence levels of oxysterols, or oxidized cholesterol, which are in turn associated with AD pathology. The present study examined relations between diet, serum blood lipids, plasma oxysterols, APOE status, …