Medicine and Health Sciences Commons^™

Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears

College of Graduate Studies: Theses & Dissertations

African American Women (AAW) make up less than 15% of the female population in the United States but account for over 50% of new HIV diagnoses among females. This largely preventable health disparity can be mitigated by advocating and prescribing Pre-exposure Prophylaxis (PrEP), a preventive HIV medication, to persons at risk. Despite advances in medication options, there are less than 13% of Black people who could benefit from having been prescribed PrEP, and limited research and promotion on the effectiveness of PrEP for AAW. The “ShePrEP Study” aimed to assess awareness, perceptions, and receptivity toward PrEP among AAW. This study …

What Could Go Wrong? Patient And Hospital Characteristics Associated With Pediatric Quality Of Inpatient Care And Pediatric Adverse Events, Michael H. Samawi

College of Graduate Studies: Theses & Dissertations

This study aims to analyze associations between hospital and patient characteristics with pediatric adverse events (PAE) in the inpatient hospital setting, utilizing the framework of pediatric quality indicators (PDIs) from the Agency for Healthcare Research and Quality (AHRQ) indicators. Three PDIs were identified and utilized for this purpose: NQI 03 Neonatal Blood Stream Infection, PDI 09 Postoperative Respiratory Failure, and PDI 10 Postoperative Sepsis. The data used for the study is based on an analysis of discharge data from the Healthcare Cost and Utilization Project (HCUP) Kid’s Inpatient Databases (KID) for the year 2019. The findings contribute to the growing …

Exploring Relationship Among Programmatic Expertise, Work Engagement, And Turnover Intentions Across Different Generation Cohorts In State And Local Governmental Public Health Agencies, Stephanie L. Irvin

College of Graduate Studies: Theses & Dissertations

This study examined the relationship among public health programmatic competencies, work engagement, and turnover intentions among state and local public health workers. It also explored the moderating role of generational cohorts in these relationships. It employed a quantitative secondary data analysis using the 2021 PHWINS survey, a collaboration between the de Beaumont Foundation and The Association of State and Territorial Health Officials. The study's principal findings shed light on critical relationships within the public health workforce: Firstly, an increase in programmatic expertise among public health professionals is linked to increased work engagement, particularly notable within the Millennial cohort. Secondly, a …

Nasal Accumulation And Metabolism Of Δ9-Tetrahydrocannabinol Following Aerosol (‘Vaping’) Administration In An Adolescent Rat Model, Alexa Torrens, Christina M Ruiz, Maricela X Martinez, Alex Mabou Tagne, Pritam Roy, Dakota Grimes, Faizy Ahmed, Valeria Lallai, Victoria Inshishian, Malia Bautista, Yen-Chu Chen, Marilyn A. Huestis, Aditi Das, Christie D Fowler, Stephen V Mahler, Daniele Piomelli

Institute of Emerging Health Professions Faculty Papers

Passive aerosol exposure to Δ9-tetrahydrocannabinol (THC) in laboratory animals results in faster onset of action and less extensive liver metabolism compared to most other administration routes and might thus provide an ecologically relevant model of human cannabis inhalation. Previous studies have, however, overlooked the possibility that rodents, as obligate nose breathers, may accumulate aerosolized THC in the nasal cavity, from where the drug might directly diffuse to the brain. To test this, we administered THC (ten 5-s puffs of 100 mg/mL of THC) to adolescent (31-day-old) Sprague-Dawley rats of both sexes. We used liquid chromatography/tandem mass spectrometry to quantify the …

Association Of Hospital Incentive Care Management Partnerships For Uninsured Patients With Emergency Department Utilization, Sarah Gareau, Ana Lopez-De Fede, Zhimin Chen, Nathaniel Bell

Publications

IMPORTANCE The South Carolina (SC) Healthy Outcomes Plan (HOP) program aimed to expand access to health care to individuals without insurance; it remains unknown whether there is an association between the SC HOP program and emergency department (ED) use among patients with high health care costs and needs. OBJECTIVES To determine whether participation in the SC HOP was associated with reduced ED utilization among uninsured participants. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study included 11 684 HOP participants (ages 18-64 years) with at least 18 months of continuous enrollment. Generalized estimating equations and segmented regression of interrupted time-series analyses …

Deposited Cigarette Smoke As A Driver Of Oxidation And Partitioning Processes On Indoor Surfaces, April Hurlock

Honors Theses

Despite the large amount of time that individuals spend indoors during their lives, very little attention was paid to the chemistry that occurs on indoor surfaces until recently. Although not visible to the naked eye, physical and chemical processes, such as partitioning and oxidation, are occurring on virtually every indoor surface in a typical household. Indoor pollutants, ranging from skin oils to environmental cigarette smoke, drive a lot of these processes. The transformation of indoor surfaces by indoor pollutants can increase chemical exposure risks as new irritants or carcinogens can be introduced to the surfaces. In this thesis, I describe …

The Effects Of Age On Working Memory Capacity And Neural Function, Jasmin P. Joshi

CMC Senior Theses

Do age-related differences in working memory capacities predict specific neural responses? Theories of working memory (WM) suggest that there are different types of WM processes that are associated with specific neural networks and WM declines with age. Event-related potentials (ERPs) evoked by certain tasks are also associated with specific cognitive functions. This study investigates whether specific types of working memory capacities are related to corresponding neural indices of attention and context updating (P3; visual oddball task) or semantic (N400; word-pair paradigm task) processes. In addition, it examines whether age affects this relationship. Younger adults (n=30; ages 18-23) and older adults …

Muscle Fascicle Length Changes Of The Long Head Of Biceps Femoris Muscle During Various Physical Activities, Rusty Batykefer, Austin Hardin, Kyla Gomes, Octavio Tan, Bryce Yamashita, Alwin Sacro, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

We predict that the muscle fascicles of the biceps femoris long head will behave similarly to the ankle plantar flexors in that they will undergo smaller length changes during dynamic activities (running, walking) and greater changes during static activities (single leg Romanian deadlift, standing hamstring curl).

"My Kid Said What?!" Participation And Promis Self-Report In Children With Long-Term Physical Disabilities, Ashlyn Fast, Emma Powley, Kauionalani Kekuawela, Natalie Teegarden, Samuel Miller, Thomas Ratana, Tyler Hammond, Winnie Lee, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Purpose:

Determine how the following are associated in kids with physical disabilities:

• Perceived life participation
• Physical abilities
• Social functioning

Proximal And Distal Effects Associated With Vascular Occlusion During Stationary Cycling, Jason Brumitt, Colton Cypert, Kelli Young, Kira Negrete, Kristin Dunn, Mckenzie Moore, Rainey Stoner

Student-Faculty Research - College of Physical Therapy

Purpose

To compare strength gains in the supraspinatus and shoulder external rotators in subjects who performed 10 minutes of stationary cycling with or without bilateral occlusion.

Prevalence And Clinical Significance Of Unsuspected Intracranial Findings In Patients Undergoing Oncological Whole Body 18f- Fluorodeoxyglucose (Fdg) Pet Ct Imaging., Diana Kerubo Nyamieri

Master of Medicine in Imaging and Diagnostic Radiology

Background: 18F –fluoro-2-deoxyglucose (18F-FDG PET), an imaging modality that provides metabolic information of cancers, is integral in the diagnostic workup of many malignancies. Most oncological FDG PET scans are acquired from the base of the skull to the upper thighs, as lesions that take up FDG are usually within this field of view. Routine inclusion of brain within the field of view of all oncological 18FDG PET/CT studies leads to increase of both time of acquisition and radiation dose (albeit marginal) delivered by the CT component of the study, therefore one can debate if addition brain in oncological 18FDG PET-CT …

Effect Of Aromatase Inhibitors On Bone Mineral Density In Black African Women With Breast Cancer, Dayib Said Buthul

Master of Medicine in Imaging and Diagnostic Radiology

Introduction: Aromatase inhibitors (AIs) are a commonly used type of endocrine therapy for post-menopausal women with breast cancer. In clinical trials with a predominant Caucasian population, it has been shown to cause reduction in bone mineral density of up to 1.5% and 3.2% in total hip and 2.6% and 4% in lumbar spine after 1 and 2 years of AI therapy respectively. Previous studies have shown that black women tend to have higher bone mineral density reserve compared to Caucasians. To the best of our knowledge no study has described the effect of AIs on bone mineral density in black …

Disrespect And Abuse In Maternity Care In A Low-Resource Setting In Tanzania: Provider’S Perspectives Of Practice, Loveluck Mwasha, Lucy Kisaka, Eunice Pallangyo

School of Nursing & Midwifery, East Africa

Background

Globally, women experience disrespectful and abusive care from maternity healthcare providers at health facilities, committed intentionally or unintentionally, particularly during labor and delivery. Disrespectful care affects women’s childbirth experience and birth outcomes.

Methods

This study used a descriptive qualitative design to obtain thick and rich data on disrespect and abuse in maternity care in a low-resource setting in Tanzania. Three days workshop was conducted at the Aga Khan University comprising maternity healthcare providers from diverse settings. The workshop was designed based on the existing evidence and anecdotal data and inspired by the authors’ experiences of disrespectful and abusive care …

Social Determinants Of Mental Health Considerations For Counseling Children And Adolescents, Kaprea F. Johnson, Patrick D. Cunningham, Camila Tirado, Oswaldo Moreno, Nancy N. Gillespie, Bisola Duyile, Dequindre C. Hughes, Emily Goodman Scott, Dana Brookover

Counseling & Human Services Faculty Publications

Childhood is a crucial period for developing a strong social and emotional foundation critical for mental well-being. Given that the childhood developmental period is vital for mental health, it is essential to address social determinants that can disrupt development and have lasting adverse effects on psychological and physical health. Therefore, professional counselors specializing in children and adolescent mental health care can benefit from understanding and utilizing the social determinants of mental health (SDOMH) framework in practice. This article details the SDOMH framework and considerations for SDOMH-informed treatments for professional counselors working in settings with children and adolescents.

Development And Validation Of A Scale For Measuring Pet Owners' Loyalty To Their Pet*, Seda Çavuş Alan, Abdullah Özen, Nurhan Hali̇sdemi̇r

Turkish Journal of Veterinary & Animal Sciences

Loyalty is a person's willingness to devote oneself to a cause and consists of concepts such as fidelity, not giving up, continuity, and stability. For this reason, this relationship stems from loyalty to be able to talk about a strong attachment between humans and animals. This study aimed to develop a measurement tool for the evaluation of the loyalty levels of people toward their pets. The qualitative method for determining the judgments in the scale will be called the pet loyalty scale; the quantitative methods (explanatory factor analysis and confirmatory factor analysis) were used to determine the validity and reliability …

Genotyping Of The Κ - Casein Gene By Pcr - Rflp (Acui Digestion) And Its Relationship To Milk Yield Traits In Anatolian Buffaloes, Murrah Buffaloes, And Their Crosses, Orhan Karadağ, Vasfi̇ye Kader Esen, Mehmet Aki̇f Yüksel, Mustafa Küçükkebabçi, Semi̇h Sevi̇m, İlkay Çeti̇n, Bi̇nnur Kaptan, Mehmet İhsan Soysal

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to investigate the polymorphism of the κ - casein gene (kappa casein, CSN3) in buffaloes and determine its effects on milk yield traits. Data were obtained from 2016 to 2019 from all animals in the ongoing Anatolian Buffalo Breeding Project. Genomic DNA was collected from a total of 209 buffaloes of different ages and sexes, namely 31 Murrah, 46 Anatolian buffaloes, and 132 of their crosses (Murrah × Anatolian). Genotyping of CSN3 gene by polymerase chain reaction-restriction fragment length polymorphism (PCR - RFLP) technique with restriction enzyme (AcuI) revealed three …

A Comparative Profile Of Certain Biochemical And Hematological Parameters In Angora And Akkeçi Goats During The Transition Period, Rabi̇a Aktaş, Erkan Pehli̇van

Turkish Journal of Veterinary & Animal Sciences

This study investigated the comparative changes in hematological and certain biochemical parameters such as glucose, cholesterol, triglyceride calcium, phosphorus and total protein during the transition period in Angora and Akkeçi goats aged 2-4 years. For this purpose, blood samples were regularly taken from the vena jugularis of each goat at 3, 2, and 1 weeks before kidding (-3, -2 and -1), on the day of parturition (0) and 1, 2, and 3 weeks after kidding (+1, +2 and +3). According to the statistical analysis results, the differences between the averages of the groups in terms of MCHC, MCH, Lym, THR, …

Serum Trace Element Levels In Dogs With Canine Visceral Leishmaniasis, Aycan Nuri̇ye Gazyağci, Bengü Bi̇lgi̇ç, Berna Baysal Bakay, Duygu Tarhan, Alev Meltem Ercan, Songül Erdoğan, Hasan Erdoğan, Mehmet Erman Or, Kerem Ural

Turkish Journal of Veterinary & Animal Sciences

Canine visceral leishmaniasis has been denoted as neglected despite being a very well-known disease. Trace element alteration has been recognized in humans with visceral and cutaneous leishmaniasis, together with canine visceral leishmaniasis. The trace elements occupy a vital position in the immunological system, and host immune responses mitigate defense against leishmaniasis. We aimed to select trace elements in a total of 45 dogs of several breeds; those at the age of 11 months to 6 and from both sexes (26 male and 19 female) were enrolled in the study. The dogs included in the study were divided into leishmaniasis-infected and …

Evaluation Of Leishmanicidal Activities Of 4-Thiazolidinones Against Leishmania Major, The Causative Agent Of Human Cutaneous Leishmaniasis, Kiera Bush

All Master's Theses

The leishmaniases are a group of vector-borne parasitic diseases that affect many developing countries including parts of Africa, India, and the Middle East in addition to Southern Europe and the Americas. It is estimated that worldwide, there are about 3 million new cases of leishmaniases each year leading to as many as 50,000 fatalities annually. The parasites that cause leishmaniasis belong to the genus Leishmania spp and are transmitted by the female phlebotomine sand fly. There are three clinical forms of the infection: visceral, mucocutaneous, and cutaneous. However, the focus of this paper is on cutaneous leishmaniasis that causes skin …

Does Apocynin Increase Liver Regeneration In The Partial Hepatectomy Model?, Yilmaz Bi̇lgi̇ç, Burhan Hakan Kanat, Onural Özhan, Azi̇be Yildiz, Zeynep Aksungur, Mehmet Erman Erdemli̇, Ni̇gar Vardi, Yusuf Türköz, Ahmet Sami̇ Akbulut, Adem Köse, Hakan Parlakpinar

Turkish Journal of Medical Sciences

Background/aim: Hepayocyte loss may develop secondary to liver surgery and at this point liver regeneration plays a significant act in terms of liver reserve. The purpose of this research was to investigate the efficacy of apocynin on liver regeneration and preservation after partial hepatectomy in rats. Materials and methods: A total of 32 rats, have been divided into 4 groups (n: 8) for hepatectomy model. Inflammatory and antiinflammatory parameters were measured from blood and liver tissue samples. In addition, the effects of apocynin were examined immunohistochemically and histopathologically from liver tissue. Results: In liver tissue samples, a significant difference has …

Investigation Of Igf-1, Igf-Bp3 And Igf-Bp5 Levels In Umbilical Cord Blood Of Infants With Developmental Dysplasia Of The Hip, Esra Demi̇rel, Eyüp Şenocak, Gamze Nur Ci̇mi̇lli̇ Şenocak, Ali̇ Şahi̇n, Berri̇n Göktuğ Kadioğlu, Özlem Gündüz

Turkish Journal of Medical Sciences

Background/aim: IGF-1 (insulin-like growth factor-1) is an important regulator of bone formation. Its deficiency has been associated with fetal growth disorders and hip dysplasia. The aim of this study was to evaluate whether IGF-1, IGF-BP3 (insulin like growth factorbinding protein 3), and IGF-BP5 levels in the umbilical cord blood can be predictive for early diagnosis of DDH. Materials and methods: Umbilical cord blood samples were collected from 860 mothers with pregnancies at high risk for DDH between October 2020 and January 2021. Mothers at 37-42 weeks of gestation, with risk factors for DDH, who delivered healthy infants were included. Blood …

What Is The Impact Of Inflammasome Mechanisms On Male Infertility?, Eser Ördek, Bülent Kati, İsmai̇l Koyuncu, Mehmet Demi̇r, İsmai̇l Yağmur, Eyyup Sabri̇ Peli̇t, Hali̇l Çi̇ftçi̇, Ercan Yeni̇

Turkish Journal of Medical Sciences

Background/aim: Mechanisms to explain inflammation in male infertility of unknown cause are still being investigated. The inflammasome is a key regulator of innate immunity in the inflammatory response to infections. Our study aims to investigate the effects of varicocele on infertility, its relationship with antioxidant and inflammasome mechanisms, and how it could be guided in azoospermic or nonazoospermic patients. Materials and methods: A cross-sectional cohort study was conducted at the department of urology in our university hospital. Eightyeight randomly selected men aged 20-45 admitted to our hospital because of infertility between September 2019 and July 2020 were included in the …

The Role Of Superb Microvascular Imaging In Detecting Low-Grade Inflammation Among Adults And Those With Chronic Kidney Disease: A Preliminary Study, Alaaddi̇n Nayman, Nusret Seher, Mehmet Öztürk, Hali̇l Özer, Gülperi̇ Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: Pathophysiologic changes associated with chronic inflammation occur with aging and more prominently in patients with chronic kidney disease (CKD), and an association between chronic inflammation and muscle wasting has been identified. The microcirculation is extremely sensitive to the inflammatory process and actively participates in it. In a healthy adult, angiogenesis is a strictly controlled and rare occurrence. However, aberrant angiogenesis and the development of new tiny blood vessels are known in chronic inflammatory diseases. Superb microvascular imaging (SMI) is a noninvasive technique that can evaluate tiny vessels with low blood flow and provide quantitative data. Our goal was to …

Texture Analysis Of Multiparametric Magnetic Resonance Imaging For Differentiating Clinically Significant Prostate Cancer In The Peripheral Zone, Hali̇l Özer, Mustafa Koplay, Ahmet Baytok, Nusret Seher, Lütfi̇ Saltuk Demi̇r, Abi̇di̇n Kilinçer, Mehmet Kaynar, Serdar Göktaş

Turkish Journal of Medical Sciences

Background/aim: Texture analysis (TA) provides additional tissue heterogeneity data that may assist in differentiating peripheral zone (PZ) lesions in multiparametric magnetic resonance imaging (mpMRI). This study investigates the role of magnetic resonance imaging texture analysis (MRTA) in detecting clinically significant prostate cancer (csPCa) in the PZ. Materials and methods: This retrospective study included 80 consecutive patients who had an mpMRI and a prostate biopsy for sus- pected prostate cancer. Two radiologists in consensus interpreted mpMRI and performed texture analysis based on their histopathology. The first-, second-, and higher-order texture parameters were extracted from mpMRI and were compared between groups. Univariate …

Multidrug Resistance In Pathogens Of Community-Acquired Urinary Tract Infections In Turkey: A Multicentre Prospective Observational Study, İrfan Şencan, Oğuz Karabay, Fatma Aybala Altay, Serap Süzük Yildiz, Hüsni̇ye Şi̇mşek, Meli̇h Gaffar Gözükara, Semanur Kuzi̇, Gülden Eser Karlidağ, Şafak Kaya, Gülnur Kul, Emi̇ne Türkoğlu, Büşra Ergüt Sezer, Nesi̇be Korkmaz, Si̇bel Yildiz Kaya, Merve Sefa Sayar

Turkish Journal of Medical Sciences

Background/aim: To have country-wide information about multidrug resistance (MDR) in isolates from community-acquired urinary tract infections (CAUTI) of Turkey, in terms of resistance rates and useful options. Materials and methods: We used a geocode standard, nomenclature of territorial units for statistics (NUTS), and a total of 1588 community-acquired isolates of 20 centres from 12 different NUTS regions between March 2019 and March 2020 were analysed. Results: Of the 1588 culture growths, 1269 (79. 9%) were Escherichia coli and 152 (9.6%) were Klebsiella spp. Male sex, advanced age, and having two or more risk factors showed a statistically significant relation with …

The Impact Of Universal Free Meals During Covid-19 On Family Life And Perspective Of School Meals In Central Washington State, Charlotte Green

All Master's Theses

This study explored the impact of the USDA COVID-19 Universal Free Meal (UFM) waivers on family life, school meal participation, and child eating habits from parents with children in Central Washington state (WA) schools. n = 119 parents/caregivers with students who were in K-12^th grade in Central WA from August 2019-February 2023 completed a 10 question electronic, and descriptive survey. The survey measured changes in participation in school lunch/breakfast pre to post COVID-19 waiver, which provided free meals for all children, and whether UFM were beneficial to families, impacted perception of school food, child’s sense of community at school …

The Expected Risks And Exacerbations Of Poverty, Mental Health Disorders, And Maternal Mortality From Abortion Bans: A Comparative Literature Analysis, Daniel J. Francisco

All Master's Theses

Background. Early termination of a pregnancy (hereinafter referred to as an “abortion”) has been debated in the United States (U.S.) for decades, without much regard to the negative outcomes that forced pregnancies have for those assigned female at birth regarding poverty, mental health and maternal mortality. In 1973, access to safe abortions was protected so long that the procedure was done within the legal gestational period and/or was necessary for the health and safety of the patient (Blackmun, 1972). Unfortunately, in 2022, the Supreme Court took that protection away and made it legal for states to determine the reproductive rights …

Behavioral Change Communication Tool Kit To Promote Hygiene Among School Children, Nousheen Akber Pradhan, Naseem Hashmani, Tazeen Saeed Ali, Rozina Karmaliani

Books

No abstract provided.

Fostering Early Literacy Skill Development In School Aged Children, Jaden Pikarski

Occupational Therapy Capstones

The purpose of this scholarly project is to foster early literacy skill development for children within the school system. The materials created are intended to enhance the context and promote learning in a way that is meaningful and developmentally appropriate.

Effects Of Occupation Based Interventions Related To Play And Leisure For Minimization Of Post-Concussion Or Mild Traumatic Brain Injury Symptoms In Adolescents: A Critically Appraised Topic, Anneka Harris, Melody Mackenzie, Emmy Miller

Critically Appraised Topics

Occupational therapy has a vital impact on healthcare providing a holistic approach to care with the goal of improving quality of life, increasing participation in meaningful occupations, and speeding up the recovery process for a variety of health conditions. In concussion management, occupational therapy professionals play a critical role on the multidisciplinary team, understanding the important interaction between the athlete, occupation, and the environment (Andreas et al., 2021). Even though the target population for this critically appraised topic (CAT) is adolescents, athletes (those who experienced a sports-related concussion) comprise most of the studies due to the prevalence of sports-related concussions. …