Medicine and Health Sciences Commons^™

“They’Re Still Trying To Wrap Their Head Around Forever”: An Anatomy Of Hope For Spinal Cord Injury Patients, William A. Lucas

USF Tampa Graduate Theses and Dissertations

This dissertation draws on ethnographic data to investigate the nature of spinal cord injury (SCI) rehabilitation in Central Florida, using participant observation and interview data to understand how people with SCI (pwSCI) conceptualize their own disabilities after experiencing such radical alterations in their subjectivities. Using case studies and ethnographic vignettes, it argues that the extreme double binds in which pwSCI find themselves (where they are personally ordinarily disabled and socially extraordinarily novel; and where they are enabled resources to pursue “hopeful” therapy modalities while being designated as hopelessly disabled) is further polarized by the various legislative regimes of truth in …

Intimate Conversations: A Mixed-Methods Study Of African American Father-Adolescent Sexual Risk Communication, Shanda A. Vereen

USF Tampa Graduate Theses and Dissertations

Background: Approximately 50% of African American (AA) high school students are sexually active and a large proportion of sexually active AA students report engaging in sexual risk behaviors such as not using condoms at last intercourse. Consequently, AA adolescents in the United States experience outcomes of risky sexual behaviors at high rates. Evidence shows parents have an effect on shaping adolescent attitudes, values, and beliefs regarding sex through sexual risk communication (SRC). Although parent-adolescent SRC is associated with reductions in sexual risk behaviors among AA adolescents, research has primarily focused on mothers. While parents acknowledge that SRC is traditionally viewed …

How Some Arboreal Salamanders (Genus Aneides) Jump, Glide, And Generate Lift, Christian E. Brown

USF Tampa Graduate Theses and Dissertations

The jumping and subsequent aerial behaviors of arboreal lungless salamanders (genus Aneides) had never been investigated or described. The aims of this research were to (1) compare jumping performance within the family Plethodontidae with a special focus on arboreal species from genus Aneides, (2) describe the biomechanics and kinematics of aerial behaviors after a jump or extended fall, and (3) model airflow over the morphology of the most aerially adept salamanders to investigate if they are capable of generating lift. First, I recorded salamanders jumping, locomoting vertically, dropping, and flying in a vertical wind tunnel. Then, I laser-scanned and reconstructed …

Hiv Stalks Bodies Like Mine: An Autoethnography Of Self-Disclosure, Stigmatized Identity, And (In)Visibility In Queer Lived Experience, Steven Ryder

USF Tampa Graduate Theses and Dissertations

This dissertation examines self-disclosure of Human Immunodeficiency Virus (HIV) status within the context of communication between long-standing friends. For the purposes of my study, I define this type of friendship as those who have known me for at least two years and with whom I communicate regularly. These are friends who tend to know a variety of personal details about me, ranging from superficial to private and trivial to essential. I use autoethnography to ground the study in my lived experience. By doing so, I present intimate accounts of my communication with others across my lifespan to function as background …

Going Flat: Challenging Gender, Stigma, And Cure Through Lesbian Breast Cancer Experience, Beth Gaines

USF Tampa Graduate Theses and Dissertations

This paper explores the decision-making process of reconstruction surgery among lesbian breast cancer patients to better understand how identity impacts healthcare decisions. Breast cancer patients experience the disease in unique ways due to gender, sexuality, race, and class, impacting their individual decisions regarding treatment plans. Many breast cancer patients face mastectomy surgery as the first plan of treatment after diagnosis. By exploring the impact of gender, sexuality, stigma, and ideas of cure, this research aims to advance research about breast cancer by recognizing why some lesbian breast cancer patients forego reconstruction surgery and instead choose to “go flat.

A Macro Social Examination Of The Relationship Between Disabilities And Crime Using Neighborhood And County Level Data, Natasha A. Baloch

USF Tampa Graduate Theses and Dissertations

Over the last few decades, there has been a consistent increase in mental illnesses in the US population. This has also lead to increased interactions of those with mental illnesses and/or disabilities with law enforcement and the criminal justice system. Despite these instances, there is limited research on the relationship between disabilities, mental health issues and crime in the large body of criminological research. Further, the current extant research is a) outside the field of Criminology, b) primarily focuses on those with only intellectual or developmental disabilities and/or c) does not examine this relationship at the macro level, despite evidence …

Inaccuracies In Patient Self-Report Of Genetic Testing Results For Hereditary Cancer Risks Could Impact Risk-Management Practices, Brittany Faye Sears

USF Tampa Graduate Theses and Dissertations

Pathogenic variants (PV) or likely pathogenic variants (LPV) in a cancer risk gene increase lifetime risks of developing cancer. National guidelines provide evidence-based recommendations on cancer risk management (CRM) strategies tailored to the cancer risks associated with PV/LPV in different genes. Emotional responses after learning of a PV/LPV have been studied as predictors of patient adherence to CRM, but less attention has been given to whether patients remember their actual genetic test results and the impact this may have on subsequent adherence to CRM. We surveyed a group of 114 participants registered with the Inherited Cancer Registry (ICARE), all of …

Mental Illness Diagnosis And The Construction Of Stigma, Katie Lynn Walkup

USF Tampa Graduate Theses and Dissertations

This dissertation explores how mental health legislation and related policy documents contribute to identification, diagnosis, and stigmatization. Using a mixed methods approach including content and stylometric text analysis with R as a heuristic for close and critical reading, I demonstrate how these documents normalize mental health concerns as a public threat. To do this work, I analyze how the Florida Mental Health Act (Chapter 394) and the Florida Marjory Stoneman Douglas High School Public Safety Act (SB 7026) circulate and sustain dominant narratives about mental illness. I trace where these narratives are distributed into Florida school districts’ mandatory mental health …

Screening Of Pregnant Women With Opioid Use Disorder: Identifying Factors Impacting Implementation Of Screening Recommendations Using The Theoretical Domains Framework, Tara R. Foti

USF Tampa Graduate Theses and Dissertations

Background: Prenatal opioid exposure is a growing problem in the United States with high and increasing rates of opioid use and opioid use disorder during pregnancy. Almost 23% of pregnant women enrolled in Medicaid programs filled an opioid prescription during pregnancy in 2007, marking a 21.1% increase since 2000. Maternal opioid use during pregnancy is associated with a variety of poor maternal, pregnancy and infant outcomes, including overdose, pregnancy-associated death, prematurity, low birth weight and Neonatal Opioid Withdrawal Syndrome. To optimize prenatal care and pregnancy-associated outcomes, the Alliance for Innovation in Maternal Health, in collaboration with The American College of …

Vocal Health Of Choral Singers From Kenya And The United States: Dysphonia And Vocal Fatigue In Relation To Musical Genres, Morgan Jolley Burburan

USF Tampa Graduate Theses and Dissertations

The purpose of this mixed-methods study was to investigate the vocal health of choral singers from Kenya and the United States and to determine whether genre (classical choral, traditional Kenya, and Contemporary Commercial Music [CCM]) had any impact on healthy vocal production, particularly as it related to vocal fatigue. Participants were adult singers (N = 94) in two semi-professional choirs, the Nairobi Chamber Chorus (NCC) from Kenya (n = 25) and the Festival Singers of Florida (FSOF) from the United States (n = 69). Singers’ perceived overall vocal health was measured using multiparametric clinical self-reporting instruments and acoustical assessment. Singers’ …

Differences In Knowledge Acquisition, Perceived Engagement And Self-Efficacy In Latino Promotores Delivering The Heart Disease Prevention Program Su Corazόn, Su Vida, Samuel Matos-Bastidas

USF Tampa Graduate Theses and Dissertations

Su Corazόn, Su Vida (Your Heart, Your Life) is a community-based, small-group health intervention designed to empower Latinos to enhance cardiovascular disease awareness and initiate enduring lifestyle changes to improve health outcomes and quality of life. Originally developed to be delivered in weekly sessions in Spanish or English language, it addresses several heart disease risk factors including unhealthy eating habits, poor physical activity, high cholesterol, overweight, metabolic syndrome, diabetes and tobacco smoking, among others. Instructors use diverse learning and support strategies such as group discussion, role modeling, problem-solving, health action planning, and self-monitoring. Participants help each other to stay on …

Health-Promoting Behaviors And Subjective Well-Being Among High School Students, Nicholas David W. Smith

USF Tampa Graduate Theses and Dissertations

In positive psychology, a greater emphasis is placed on the presence of indicators of both physical and mental health. This study examined the relationship between 12 health-promoting behaviors and subjective well-being (SWB; e.g., happiness) in a sample of 450 high school aged youth from five high schools in two states. Participants reported on their dietary habits, physical activity, abstinence from tobacco products, abstinence from alcohol, and sleep hygiene (i.e., 8 unique components) as well as a multidimensional assessment of SWB (i.e., life satisfaction, positive affect, and negative affect). It was hypothesized that increased engagement in each of the health-promoting behaviors …

The Left Behind Generation: Instructional Practices To Increase The Technological Literacy Of Older Adults, Daphne Pace Phillips

USF Tampa Graduate Theses and Dissertations

This study sought to explore the utilization and perception of best practices by community-based technology training programs when instructing older adults to become technologically literate. The target population included adults age 55 years and older of the Baby Boomer generational cohort who ranged academically from possessing a high school diploma or General Education Diploma (GED) through a college degree and had enrolled in a local technology training program to improve their technological skill level with the goal of obtaining employment and/or to remain functionally independent. This study was conducted at three community technology training centers located in the southeast that …

Quantifying The Friedreich Ataxia Rating Scale And The Functional Performance Measures, Chelsea Rene Davis

USF Tampa Graduate Theses and Dissertations

Friedreich Ataxia (FA) is a debilitating autosomal-recessive neurodegenerative disorder which is characterized by ataxia of all four limbs, difficulty walking, areflexia, and dysarthria. Further complications of FA include diabetes, scoliosis, and hypertrophic cardiomyopathy. Approximately three-quarters of people with FA have onset before the age of 25 and in most instances, affected individuals will require the use of a wheelchair within ten years after symptoms emerge.

The current advancements in clinical trials have escalated the developmental demand for a scale which validates adjustments in FA. The Friedreich Ataxia Rating Scale (FARS) is a disease-specific semi-qualitative assessment which includes three subscales (functional …

Parent-Child Interaction Therapy For Children With Autism Spectrum Disorder: An Analysis Of Behavioral Patterns And Treatment Barriers, Kimberly A. Knap

USF Tampa Graduate Theses and Dissertations

Children diagnosed with autism spectrum disorder (ASD) experience difficulties with social communication and restrictive, repetitive, and stereotyped behavior patterns that place them at an increased risk for developing challenging behaviors that warrant early intervention (American Psychiatric Association, 2013). These problems are unlikely to decrease without intervention. Research indicates that parents’ involvement in behaviorally based interventions improves the functioning of children with ASD (Horner, Carr, Strain, Todd, & Reid, 2002). . Parent-Child Interaction Therapy (Eyberg & Funderburk, 2011) is an empirically supported intervention for young children with disruptive behaviors. PCIT shares similarities with numerous proven ASD treatments including caregiver involvement, structure …

Looking Beyond Patient Satisfaction: Experiences Of Spanish-Speaking Patients Seeking Non-Urgent Care In An Emergency Department, Seiichi Villalona

USF Tampa Graduate Theses and Dissertations

This exploratory mixed-methods study examines the experiences of Spanish-speaking patients seeking non-urgent care in an emergency department setting. Emphasis is placed on understanding variables that influence patient satisfaction among this particular special patient population. This study draws from the explanatory models of illness and perspectives of clinically applied anthropology in contributing to the limited body of scholarly work that utilizes ethnographic approaches in clinical spaces to investigate how patients experience seeking emergency care services. Health-related deservingness, social determinants of health, and health literacy are used as complementary frameworks in understanding the unique experiences of these patients. The combination of methodological …

Occupational Sharps Injuries In Medical Trainees At The University Of South Florida: A Follow-Up Study, Kourtni L. Starkey

USF Tampa Graduate Theses and Dissertations

Medical trainees (medical students and resident physicians) are at high risk of sharps injury (needlestick injury). High rates of sharps injury in this population and the risk incurred by exposure to bloodborne pathogens poses a threat both to medical trainees who are at risk for bloodborne pathogen exposure and to training institutions for legal and financial reasons. This study examines the prevalence of sharps injuries in medical trainees at the University of South Florida and compares that to data on sharps injuries in US medical trainees. Data from the present study was compared to previously collected USF medical trainee sharps …

Teaching Debit Card Skills Using General Case Programming, Kristin More

USF Tampa Graduate Theses and Dissertations

Independent living skills are extremely important for individuals with developmental disabilities as these skills aide in autonomy, lessen the burden on caregivers, and assist with integration into the community. An important skill that should be targeted is purchasing skills. Teaching purchasing skills can bring individuals into contact with new environments and access to items that would not have been available for them to access independently before learning the skill. Traditional purchasing skills often target teaching money and math skills. However, as technology advances, these skills are not only hard to teach to various individuals but may be outdated. There have …

Spatial-Temporal Distribution Of Mosquito Larval Hot Spots In Papoli, Uganda: A Community-Based Approach To Mosquito Control, Ryan E. Tokarz

USF Tampa Graduate Theses and Dissertations

Mosquito species of the Anopheles gambaie complex are the predominant vectors of malaria transmission throughout sub-Saharan Africa. These mosquitoes tend to be endophilic, as well as anthropophilic, making them prime candidates for disease transmission. Within the same region, related mosquito vectors play a significant role in the transmission of additional human and zoonotic diseases. Furthermore, mosquito nuisance biting is an immense issue that cannot be ignored in terms of its impact on African communities. Depending on the respective factors involved, mosquito control programs throughout the continent have attempted to tackle these issues in a multitude of ways. This research approached …

Vital Signs Of U.S. Osteopathic Medical Residency Programs Pivoting To Single Accreditation Standards, Timothy S. Novak

USF Tampa Graduate Theses and Dissertations

Osteopathic physician (D.O.) residency programs that do not achieve accreditation under the new Single Accreditation System (SAS) standards by June 30, 2020 will lose access to their share of more than $9,000,000,000 of public tax dollars. This U.S. Centers for Medicare & Medicaid Services (CMS) funding helps sponsoring institutions cover direct and indirect resident physician training expenses. A significant financial burden would then be shifted to marginal costs of the residency program’s sponsoring institution in the absence of CMS funding. The sponsoring institution’s ability or willingness to bare these costs occurs during a time when hospital operating margins are at …

Racial And Ethnic Differences In Low-Risk Cesarean Deliveries In Florida, Yuri Combo Vanda Sebastiao

USF Tampa Graduate Theses and Dissertations

Background and Significance: Cesarean delivery rates increased by more than 50% between 1996 and 2011 in the United States. The large increase in rates for the procedure was generally not associated with significant improvements in obstetric outcomes, raising concern about quality and prompting recommendations for prevention. Primary cesareans provide the best opportunity to reduce overall cesarean rates, and the group of first-time mothers considered low-risk for cesarean (known as nulliparous, term, singleton, vertex, NTSV) constitutes the focus of prevention efforts. Studies increasingly report racial and ethnic differences in NTSV cesareans, which remain after controlling for health factors. However, the reasons …

Development And Validation Of A Remote Sensing Model To Identify Anthropogenic Boreholes That Provide Dry Season, Refuge Habitat For Anopheles Vector Mosquitoes In Sub-Saharan Africa, James Pkemoi Kukat

USF Tampa Graduate Theses and Dissertations

A lack of surveillance systems is an impediment to public health intervention for perennial vector-borne disease transmission in northern tropical savanna region of Kenya. The population in this area are mostly poor nomadic pastoralists with little acquired functional immunity to Plasmodium falciparum, due to infrequent challenges with the parasite. A common characteristic in tropical savanna climatic zone is the availability of riverbeds that have anthropogenic boreholes that provide malaria vector mosquitoes, such as Anopheles gambiae s.l and Anopheles funestus, with aquatic refuge habitats for proliferation and endemic transmission to proximity human households during the dry-season. Unfortunately, currently there …

Exploring The Relationship Between Severity Of Illness And Human Milk Volume In Very Low Birth Weight And Extremely Low Birth Weight Infants Over Six Weeks, Shannon Leigh Morse

USF Tampa Graduate Theses and Dissertations

Very low birth weight and extremely low birth weight neonates have tremendous risk of mortality. This is a grave concern; however, survival alone is not the goal of neonatal intensive care. Survival, along with a reduction or elimination of life long morbidity is the aim of neonatal intensive care.

Human milk is known as the best nutrition for babies and a growing body of evidence supports that human milk is critical in helping these fragile neonates mitigate the overwhelming risks they face. Therefore, the purpose of this study was to examine the relationship between neonatal severity of illness and human …

Sound Attenuation Performance Of Fiber-Reinforced Polymer Composite Circumaural Hearing Protection Devices, Steven Christopher Augustine

USF Tampa Graduate Theses and Dissertations

Personnel who work on the flight deck of an aircraft carrier are exposed to extreme levels of jet engine noise often in excess of 140 decibels (dB). The current circumaural hearing protective devices (CAHPD) employed by flight deck crewmen are inadequate for the level of protection required for these extreme levels of noise. Fiber-reinforced thermoset polymer composite (FRPC) materials such as aramid fibers used in body armor, have high theoretical values of acoustic impedance due to a fundamentally high modulus of elasticity and may offer a superior level of hearing protection over original equipment (OE) thermoplastic CAHPDs. The objective of …

Residency Education In Preparing Adolescent And Young Adults For Transition To Adult Care: A Mixed Methods Pilot Study, Janet S. Hess

USF Tampa Graduate Theses and Dissertations

Background: There is considerable evidence that physicians lack sufficient training in facilitating transition from pediatric to adult care systems for adolescents and young adults (A/YA). While several primary care residency programs have introduced health care transition (HCT) curricula in recent years, there are few studies that assess the effectiveness of HCT teaching models.

Purpose: To assess the impact of a residency education program that uses electronic health records (EHR) and other methods to teach residents how to prepare A/YA for transition to adult care.

Methods: In a mixed methods, quasi-experimental research design, quantitative methods were used to measure change in …

The Physiological Effects Of Precooling Beverage Temperatures On Heat Strain In Collegiate Women Soccer Players, Taylor Welch

USF Tampa Graduate Theses and Dissertations

Precooling is a method used to decrease initial pre-exercise core temperature in order to facilitate a greater margin for heat production before a maximum core temperature is reached. The purpose of this study was to examine the differences in physiological and perceptual effects of precooling using beverages of three different temperatures: room temperature beverage (24.88 ± 1.13°C), cold beverage (6.15 ± 3.16°C) and ice slushy (-1.61 ± 0.45°C) in a hot environment (27.88 ± 0.72°C and 35.36 ± 0.83°C for wet globe bulb temperature and dry bulb temperature respectively). For all trials the environmental temperature was set to 35°C with …

African Americans And Hospice: A Culture-Centered Exploration Of Disparities In End-Of-Life Care, Patrick Dillon

USF Tampa Graduate Theses and Dissertations

As the United States' population ages and grows more diverse, scholars and practitioners have grown increasingly concerned about persistent disparities in the cost and quality of end-of-life health care, particularly with regard to African Americans. Although a variety of factors may influence these disparities, most scholars agree that the underutilization of hospice care by this population is an important contributor. Drawing from the culture-centered approach to health communication and narrative theory, the present study explores African American patients and caregivers' experiences with hospice care and takes an initial step toward addressing disparities in end-of-life care. I begin this study, first, …

Mother- To - Child Transmission Of Hiv And Congenital Syphilis: A Snapshot Of An Epidemic In The Republic Of Panama, Lorna Elizabeth Jenkins

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Background: Worldwide HIV is going through a feminization and rejuvenation as more women are living with HIV/AIDS, increasing the risk of vertical transmission. Despite the efforts in Latin America and the Caribbean (LAC) by 2010, Panama was the third most affected country in the region with HIV/AIDS, with females aged 15-24 twice as affected as men.

Methods: This descriptive epidemiological study of HIV vertical transmission in Panama reviewed clinical charts to identify health care personnel's practices during pregnancies in 2008. This study also examines the impact of interventions comparing the HIV outcome of the children at the end of …

Examination Of The Relationship Of Community College Opticianry Student Outcomes With Instructional Delivery Method And Student Age, William Brent Underwood

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to determine whether student outcomes are a function of participation in different modes of delivery in an Opticianry program at the community college level. First, the intent was to determine whether differences in instructional delivery methods and background characteristics impact student performance in an Opticianry program. The three instructional delivery methods were traditional face-to-face instruction, online delivery, and a hybrid format where students take theory courses online and attend face-to-face laboratories on campus. A second objective was to determine the role of background variables such as student age, which was the age when entering …

An Examination Of The Impact Of Preconception Health On Adverse Pregnancy Outcomes Through The Theoretical Lens Of Reciprocal Determinism, Mary Elizabeth Buie

USF Tampa Graduate Theses and Dissertations

Statement of Purpose

The purpose of this study is to examine the impact of preconception health on adverse pregnancy outcomes through the theoretical lens of reciprocal determinism. Thus, this study aims to develop a preconception health conceptual framework that accounts for the interactive relationships among behavior, the environment, and the person.

Rationale for the Study

Women may not recognize a pregnancy until the first or second missed menstrual cycle, a full four to eight weeks or more after conception. Once a woman realizes the possibility of a pregnancy, it takes further time to confirm the pregnancy with a home pregnancy …