Medicine and Health Sciences Commons^™

Examining Publicly Accessible Data Resources And Applications In Healthcare, Sarah Siddiqui

Legacy Theses & Dissertations (2009 - 2024)

This thesis is a study of popular data resources in healthcare and their applications toward health information system design and development. The first section reviews the way data is collected with a list of websites where health datasets can be obtained; along with a summary of the recognized vocabulary standards that make it easier to understand and share this data. The next section discusses ways of data categorization for better analysis, recognizing that a significant proportion of health data is unstructured. The Recent Findings section highlights the changes in the data over the years and the ways in which their …

The Effects Of Pre-Pregnancy Tobacco Use On Food Cravings And Weight Gain In Pregnancy, Lauren E. Blau

Legacy Theses & Dissertations (2009 - 2024)

Smoking cessation is associated with greater frequency of food cravings, even when controlling for body mass index. Recent studies have indicated similarities between obese women and women who smoke tobacco in mood states and food craving frequency. This is consistent with the common substrate hypothesis, which postulates that shared neural pathways mediate craving across multiple domains, and could explain why it is common for women attempting to quit smoking to gain weight. Smoking cessation prior to pregnancy is strongly encouraged due to the adverse effects of tobacco use on the developing fetus. Studies have shown that women who quit smoking …

An Exploration Of Care Coordination And Management For The Medicaid Hiv Population Within Upstate New York Health Homes, Esemikelu Oghenejobo

Legacy Theses & Dissertations (2009 - 2024)

Within the U.S. healthcare system, there has been a renewed focus to improve the delivery of care services, to increase the quality of care, and to decrease costs. The Affordable Care Act introduced the health home (HH) model to serve vulnerable, Medicaid populations who are experiencing difficulty managing their care and navigating complex healthcare systems. The HH was a voluntary state option; of which New York State (NYS) chose to participate. Additionally, NYS was granted a Medicaid 1115 waiver to fully implement an ambitious re-design of NYS’s Medicaid program. NYS invested in the HH as a key model to address …

Exploring The Relationship Between Innovation In Nursing Education And Clinical Practice, Francia Ianthia Reed

Legacy Theses & Dissertations (2009 - 2024)

ABSTRACT

The Independent And Joint Effects Of Prenatal Depression And Mercury Exposure On Infant Birth Size Outcomes : A Preliminary Analysis, Meredith Spivak

Legacy Theses & Dissertations (2009 - 2024)

Prenatal exposure to depression and mercury have been independently linked to adverse infant outcomes. Though results specific to birth size remain inconsistent, they are generally associated with smaller infant anthropometrics. Increasingly, research has shifted towards examining co-occurring, cross-disciplinary exposures, and thus more studies are examining if and how psychosocial and environmental exposures jointly contribute to health. This study examines the independent effects of prenatal depression and mercury exposures on infant birth size, and also whether these exposures jointly contribute to adverse infant birth size outcomes. This study uses data from the Albany Infant and Mother Study (AIMS), an ongoing birth …

College Choice In Distance-Based Nursing Programs, Jill Lansing

Legacy Theses & Dissertations (2009 - 2024)

The expansion and diversification of postsecondary education in the United States has led to greater options for students and prospective students for pursuing a college degree. An important trend in higher education today is distance education. Despite the growing prevalence of distance learning opportunities and the expanding body of research on distance education, research on the college-going decisions of distance learners is sparse. As more students enroll in distance-based higher education programs, it is increasingly important to understand how and why students make the decision to enroll in collegiate degree-granting programs. This study bridges the college choice and distance education …

Spatio-Temporal Frequency Separation With Application Of Kolmogorov-Zurbenko Filters To The Multivariate Analysis Of Melanoma Prevalence, Edward Valachovic

Legacy Theses & Dissertations (2009 - 2024)

Time Series Analysis is the observation of variables recorded across time. Observations are visualized and analysis often performed in the native time domain. It is common for a time series to be the dependent variable of more than one factor. Several factors can have concurrent and combined effects. The time domain presents an obstacle due to constructive and destructive interference of factors at each time point. Unless effects are clearly pronounced and separable, the entanglement of factors along with the presence and intensity of random variation can obscure true relationships.

Applying New Methodologies In Assessing Impact Of School Environment On Children's Health And Performance, Yi Lu

Legacy Theses & Dissertations (2009 - 2024)

School-age children spend substantial time at school, a setting that is more vulnerable to environmental problems. School environmental factors, such as indoor air quality (IAQ), has been shown to have a significant impact on students’ health and academic performance. However, several research gaps remain regarding school environmental research. Few studies have assessed both indoor and outdoor school environmental factors and their impact on student’s respiratory health on a large scale. This is partially due to the lack of application of methods able to handle highly correlated variables. Little is known about the potential mediators on the path between the school …

Exploring Three Strategies For The Prevention Of Hospital-Acquired Clostridium Difficile Infection In Nys Acute Care Hospitals-- : Structure-Process-Outcome Model Of Quality Improvement, Danielle Jane Durant

Legacy Theses & Dissertations (2009 - 2024)

Those receiving medical care are at risk for developing serious hospital-acquired conditions (HACs), which include infections (HAIs) and other harm while receiving medical care. Pay for performance programs initiated by the Centers for Medicare and Medicaid Services (CMS), and private payers, linking reimbursements to quality of care, have created financial incentives for hospitals to address these HACs. The most common HAI in the United States, causing almost half a million infections, with 29,000 deaths within 30 days of diagnosis, results from Clostridium difficile. Infection with this bacterium leads to deadly diarrhea, and disproportionately impacts patients 65 and older, representing 80% …

Us-Born Caribbean Black Adolescents : Psychosocial Factors And The Prevalence Of Initiation Of Sexual Intercourse, Kaydian Simone Reid

Legacy Theses & Dissertations (2009 - 2024)

Background

Childhood Emotional Functioning And Arterial Stiffness In Young Adulthood, Logan Carey

Legacy Theses & Dissertations (2009 - 2024)

Abstract

Preconception Serum Alpha-Tocopherol Levels Are Associated With Higher Live Birth Rates After In Vitro Fertilization, Erica Jamro

Legacy Theses & Dissertations (2009 - 2024)

STUDY QUESTION: Are serum lipid and lipophilic micronutrient concentrations associated with clinical in vitro fertilization (IVF) outcomes?

For Better Or Worse? : Exploring How Decentralization Shapes Local Expenditures And Health Service Utilizations In Indonesia, Adenantera Dwicaksono

Legacy Theses & Dissertations (2009 - 2024)

Decentralization has become one of the most important public-sector reform programs globally since the 1990s with mixed results. In this four-paper dissertation, I explored how decentralization reforms affect public goods and services delivery, by analyzing how post-decentralization institutional changes shape local expenditure decisions and health service utilizations in Indonesia. The main goal of this dissertation was to improve understanding on a better approach to studying public goods and services delivery under a decentralized governance. I used primarily quantitative methods in this dissertation. I started with a systematic review of quantitative studies on the impacts of decentralization reforms and health system …

Nutrition Transition, Trace Elements In Nails, And Blood Pressure Along The Interoceanic Highway, Madre De Dios, Peru, Stacy M. Pettigrew

Legacy Theses & Dissertations (2009 - 2024)

The paving of the Interoceanic Highway (IOH) brought rapid development to the Madre de Dios (MDD) region in the Peruvian Amazon. Development brings concerns of toxic trace element exposures, and road development has been a major driver of the transition from traditional to calorie-dense processed ‘Western’ diets in lower and middle-income countries. Investigacion de Migracion, Ambiente, y Salud (IMAS) (Investigation of Migration, the Environment, and Health) is the first analysis of health, diet, and integrated toxic trace elements in nails in the region. In 2014 we collected household surveys from 310 households in 46 communities along the IOH and nails …

The Impact Of Adverse Childhood Experiences On Mental Health, Executive Functioning, And Emotion Regulation Across Childhood : Which Family And Community Factors Mitigate Risk?, Atara Siegel

Legacy Theses & Dissertations (2009 - 2024)

It is well established that adverse childhood experiences (ACEs) increase risk of developing mental health disorders later in life. It is unclear how early in childhood these effects can be seen. Executive functioning (EF) and emotion regulation (ER) have been proposed as potential mechanisms which mediate the effect of ACEs on mental health. Individual ACEs have been associated with poor EF and ER. It is unclear whether ACE scores impact EF and ER in a graded, dose-response manner. It is also unclear how early in childhood these effects can be seen. Finally, more research is needed to identify family and …

Examining The Utilization Of Hiv Preventive Services In The Transgender Population Compared To The Cisgender Population Of New York State : Results From The New York State Aids Institute Information Reporting System (Airs) Data From 2014 To 2016, Zohra Afzal

Legacy Theses & Dissertations (2009 - 2024)

ABSTRACT

Integrating Information Literacy And Evidence-Based Medicine Content Within A New School Of Medicine Curriculum: Process And Outcome, Joanne M. Muellenbach, Kathryn M. Houk, Dana E. Thimons, Bredny Rodriguez

Jay Sexter Library Publications and Research

This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery …

Occupational Health Psychology, Irvin Sam Schonfeld

Publications and Research

Occupational health psychology (OHP) is a cross-disciplinary subspecialty within psychology. OHP derives from two disciplines within applied psychology, health psychology and industrial/organizational psychology. OHP is also linked to disciplines outside of psychology, such as occupational medicine and public health. The discipline has roots in eighteenth, nineteenth, and twentieth century thinkers, including Adam Smith, Friedrich Engels, Karl Marx, Émile Durkheim, and Max Weber. These thinkers were concerned with the impact of the organization of work and the business cycle on human life. Later research by Elton Mayo, Marie Jahoda, Walter B. Cannon, Hans Selye, and investigators at the University of Michigan’s …

Occupational Health Psychology, Irvin Sam Schonfeld

Publications and Research

Occupational health psychology (OHP) is a cross-disciplinary subspecialty within psychology. OHP derives from two disciplines within applied psychology, health psychology and industrial/organizational psychology. OHP is also linked to disciplines outside of psychology, such as occupational medicine and public health. The discipline has roots in 18th-, 19th-, and 20th-century thinkers, including Adam Smith, Friedrich Engels, Karl Marx, Émile Durkheim, and Max Weber. These thinkers were concerned with the impact of the organization of work and the business cycle on human life. Later research by Elton Mayo, Marie Jahoda, Walter B. Cannon, Hans Selye, and investigators at the University of Michigan’s Institute …

A Call To Action On Prediabetes, Joy A. Moverley, Alegria Cantillep, Kathryn Newberry, Jay H. Shubrook

Faculty Publications & Research of the TUC College of Osteopathic Medicine

Diabetes and prediabetes have become an epidemic in the United States. The keys to battling this public health challenge are effective screening and evidence-based interventions. Studies show that intensive lifestyle interventions, medications, and weight loss surgery can reduce or delay new-onset type 2 diabetes. This article reviews the steps clinicians can take to help patients stay ahead of this disease.

Management Of Radiation Induced, Bilateral Primary Tha Loosening With An Aseptic Paprosky Type Iib Acetabular Defect And A Contralateral Septic Type Iiib Acetabular Defect: A Case Report And Review Of Literature, Mohit M. Kukreja, Steven K. Nishiyama, Parminder S. Kang

College of Osteopathic Medicine (TUN) Publications and Research

INTRODUCTION: Primary THA in an irradiated hip poses risk for early loosening and inadequate ingrowth. Adverse effects such as decreased vascularity and increased infection risk pose a threat.

CASE PRESENTATION: Our patient was a case of post-irradiation (for cervical cancer) bilateral THA loosening causing aseptic acetabular loosening on one side and catastrophic septic loosening with a Paprosky type IIIB acetabular defect with pelvic discontinuity on the contralateral side.

DISCUSSION: There have been various studies documenting deleterious effects of irradiation on osseoin-tegration and provide a challenge for long-term implant stability in THA patients.

CONCLUSION: A meticulous treatment protocol with contemporary implant …

Oral Biofilms: Development, Control, And Analysis, Daniela Berger, Aviva Rakhamimova, Andrew Pollack, Zvi G. Loewy

Touro College of Pharmacy (New York) Publications and Research

The oral cavity harbors hundreds of microbial species that are present either as planktonic cells or incorporated into biofilms. The majority of the oral microbes are commensal organisms. Those that are pathogenic microbes can result in oral infections, and at times can initiate systemic diseases. Biofilms that contain pathogens are challenging to control. Many conventional antimicrobials have proven to be ineffective. Recent advances in science and technology are providing new approaches for pathogen control and containment and methods to characterize biofilms. This perspective provides (1) a general understanding of biofilm development; (2) a description of emerging chemical and biological methods …

Laptop Versus Longhand Note Taking In A Professional Doctorate Course: Student Performance, Attitudes, And Behaviors, Shane P. Desselle, Patricia A. Shane

Faculty Publications & Research of the TUC College of Pharmacy

Objective: To determine the relationship between longhand note taking versus laptop note taking on pharmacy students’ examination performance and identify differences in attitudes and behaviors as it relates to the note taking process.

Methods: A small group of students consented voluntarily to take longhand notes, doing away with their laptops during portions of the course administered by study investigators. Analyses were conducted on block examination performance, with each student’s score on the first examination serving as a performance benchmark to assess change. Laptop and longhand note takers completed a survey regarding various aspects of their note taking attitudes …

Effectiveness Of Intermittent Mechanical Traction In Cervical Radiculopathy: A Systematic Review, Gilmour Gregory, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

The aim of this review was to assess the effectiveness of intermittent mechanical traction (IMT) in treating cervical radiculopathy (CR). A literature search was conducted electronically, and the data were extracted from the available papers that evaluated IMT and its combination with other therapies. The risk of bias was assessed using the criteria recommended by the Cochrane Back Review Group. The quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation method (GRADE). Nine of the articles met the inclusion criteria and were included in the review. Results showed that four studies with very low level …

Innovations In Occupational Therapy Education: The Centralized Service Learning Model, Lauren E. Milton, Robyn Otty

College of Health & Human Services (TUN) Publications and Research

Partnerships between community organizations and engaged university members creates realistic learning experiences for occupational therapy students while encouraging civic responsibility. The authors propose service learning as the core of an innovative course design framework using the Centralized Service Learning Model (CSLM). Three phases are described. Phase One provides a description of the CSLM using a generalizable model, with specific application within existing occupational therapy program coursework. Phase Two provides leadership opportunities for a subsequent cohort of students within the curriculum. Finally, Phase Three integrates faculty scholarship. To understand students’ knowledge-level awareness, a survey based on course objectives can be administered, …

Device Therapies Among Patients Receiving Primary Prevention Implantable Cardioverter-Defibrillators In The Cardiovascular Research Network, Robert T. Greenlee, Alan S. Go, Pamela N. Peterson, Andrea E. Cassidy-Bushrow, Charles Gaber, Romel Garcia-Montilla, Alan H. Kadish

Office of the President Publications and Research

BACKGROUND: Primary prevention implantable cardioverter-defibrillators (ICDs) reduce mortality in selected patients with left ventricular systolic dysfunction by delivering therapies (antitachycardia pacing or shocks) to terminate potentially lethal arrhythmias; inappropriate therapies also occur. We assessed device therapies among adults receiving primary prevention ICDs in 7 healthcare systems.

METHODS AND RESULTS: We linked medical record data, adjudicated device therapies, and the National Cardiovascular Data Registry ICD Registry. Survival analysis evaluated therapy probability and predictors after ICD implant from 2006 to 2009, with attention to Centers for Medicare and Medicaid Services Coverage With Evidence Development subgroups: left ventricular ejection fraction, 31% to 35%; …

Multivariate Analysis To Identify Potential Biomarkers For Prognosis And Treatment Resistance In Head And Neck Cancer Patients, Christina Ann Wicker

Theses and Dissertations--Toxicology and Cancer Biology

It is estimated that nearly 50,000 individuals in the United States will be diagnosed with head and neck cancer in 2017 (American Cancer Society www.cancer.org). Ninety percent of oral cancers are head and neck squamous cell carcinoma (HNSCC). Major obstacles in the treatment of HNSCC are recurrence and treatment resistance, which contributes to increased mortality. Therefore, there is increased need to determine genetic alterations in HNSCC that may be ideal novel drug targets, and biomarkers to improve diagnostic and prognostic testing.

Abnormal localization and overexpression of base excision repair protein and transcriptional regulator Apurinic/Apyrimidic endonuclease (APE1) has been associated with …

Role Of Oxidized Extracellular Vesicles As Early Biomarkers And Inflammatory Mediators In Chemotherapy-Induced Normal Tissue Injury, Chontida Yarana

Theses and Dissertations--Toxicology and Cancer Biology

Significant advances in the efficacy of cancer therapy have been accompanied by an escalation of side effects that result from therapy-induced injury to normal tissues. Patients with high grade cancer or metastasis are often treated with chemotherapy, 50% of which are associated with reactive oxygen species generation and cellular oxidative stress. Heart is the normal tissue most susceptible to chemotherapy-induced oxidative stress and heart disease is the most common leading cause of death in cancer survivors. However, early and sensitive biomarkers to identify heart disease are still lacking. Extracellular vesicles (EVs) are released from cells during oxidative stress and send …

When Popular Culture And The Nfl Collide: Fan Responsibility In Ending The Concussion Crisis, Taylor Simpson-Wood, Robert H. Wood

Marquette Sports Law Review

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Understanding Haitian Women’S Health Care In Immokalee, Florida, Usa, Michele Leigh Flippo Bolduc

Theses and Dissertations--Geography

This social science research project takes a critical approach to understanding the health of a population by using the health care system as an entry point through which we can see how large-scale social processes produce a particular health care landscape in the rural, im/migrant farmworker community of Immokalee, Florida, USA. Using a multi-scalar analysis of health care, I investigate how anti-immigrant legislation and neoliberal economics influence the experience of health care for health care providers and Haitian im/migrant women navigating these processes. First, I argue that anti-immigrant and pro-market discourses have been successful in limiting the accessibility to health …